Assessing participation in a community-based health planning and services programme in Ghana

Baatiema, Leonard; Skovdal, Morten; Rifkin, Susan B.; Campbell, Catherine

doi:10.1186/1472-6963-13-233

Cited by 83 publications

(147 citation statements)

References 35 publications

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“…However, there was no clear mechanism established for ensuring that committee members collect views and ideas from the community members about their health needs. A qualitative study in Ghana (Baatiema, Skovdal, Rifkin, & Campbell, 2013) reported that the community per se did not participate directly in identifying their health needs; instead, a few people, particularly experts, were the key people in designing various health programmes on the behalf of the community.…”

Section: Discussionmentioning

confidence: 99%

Participation in health planning in a decentralised health system: Experiences from facility governing committees in the Kongwa district of Tanzania

Frumence

Nyamhanga

Mwangu

et al. 2014

Global Public Health

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Tanzania introduced the decentralisation of its health systems in the 1990s in order to provide opportunities for community participation in health planning. Health facility governing committees (HFGCs) were then established to provide room for communities to participate in the management of health service delivery. The objective of this study was to explore the challenges and benefits for the participation of HFGCs in health planning in a decentralised health system. Data were collected using semi-structured interviews and focus group discussions (FGDs). A total of 13 key informants were interviewed from the council and lower-level health facilities. Five FGDs were conducted from five health facilities in one district. Data generated were analysed for themes and patterns. The results of the study suggest that HFGCs are instrumental organs in health planning at the community level and there are several benefits resulting from their participation including an opportunity to address community needs and mobilisation of resources. However, there are some challenges associated with the participation of HFGCs in health planning including a low level of education among committee members and late approval of funds for running health facilities. In conclusion, HFGCs potentially play a significant role in health planning. However, their participation is ineffective due to their limited capacities and disabling environment.

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Section: Discussionmentioning

confidence: 99%

Participation in health planning in a decentralised health system: Experiences from facility governing committees in the Kongwa district of Tanzania

Frumence

Nyamhanga

Mwangu

et al. 2014

Global Public Health

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“…However, there are many potential impediments to effective community engagement. These include competing interests and goals of different community factions, lack of continuous commitment to engagement (5), lack of recognition that local knowledge can constitute expert knowledge that should contribute to health policy decisions (11), and top-down hierarchical community management structures (5,11). In the interests of health equity, it is imperative that the most vulnerable community members are part of the decision-making process.…”

Section: Comprehensive Primary Health Carementioning

confidence: 99%

“…More recently, the message that community involvement is crucial to health service delivery (11) has been renewed in a special edition of the Lancet that commemorates the thirtieth anniversary of the Declaration (58) as well as in a WHO report on the social determinants of health and health equity (26), both published in 2008. Health systems that adopt primary health care approaches experience better overall population health (86,87), fewer health inequalities (24,87), lower health care expenditures (36,59,84), and enhanced quality of care (12).…”

Section: Comprehensive Primary Health Carementioning

confidence: 99%

“…Community participation and engagement are increasingly viewed as essential for health service development and utilization (11). The potential benefits and outcomes of community engagement include community empowerment in relation to health and health care, promotion of locally relevant services to reflect community needs (11), enhanced health service access and health outcomes, and promotion of health-improving behaviors (50).…”

Section: Comprehensive Primary Health Carementioning

confidence: 99%

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Rural Health Care Access and Policy in Developing Countries

Strasser

Kam

Regalado

2016

Annu. Rev. Public Health

216

141

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Compared to their urban counterparts, rural and remote inhabitants experience lower life expectancy and poorer health status. Nowhere is the worldwide shortage of health professionals more pronounced than in rural areas of developing countries. Sub-Saharan Africa (SSA) includes a disproportionately large number of developing countries; therefore, this article explores SSA in depth as an example. Using the conceptual framework of access to primary health care, sustainable rural health service models, rural health workforce supply, and policy implications, this article presents a review of the academic and gray literature as the basis for recommendations designed to achieve greater health equity. An alternative international standard for health professional education is recommended. Decision makers should draw upon the expertise of communities to identify community-specific health priorities and should build capacity to enable the recruitment and training of local students from underserviced areas to deliver quality health care in rural community settings.

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“…The utility of these indicators in determining the status of community participation in community-based health programs has been demonstrated in other studies [17][18][19][20][21] . After the ACPP, approximately 85% of the residents in the ACPP village participated in malaria control, suggesting that the intervention was effective in mobilizing community participation.…”

Section: Discussionmentioning

confidence: 99%

Promoting community malaria control in rural Myanmar through an active community participation program using the participatory learning approach

Maung¹,

Sein

Hlaing

et al. 2017

Rural Remote Health

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Promoting community malaria control in rural Myanmar through an active community participation program using the participatory learning approach Rural and Remote Health 17: 4130. (Online) 2017 Available: http://www.rrh.org.au A B S T R A C TIntroduction: Malaria is prevalent in more than 80% of townships in Myanmar. The National Malaria Control Programme (NMCP) has been implementing community-based malaria control programs nationwide. However, these programs are mostly developed and directed by health authorities, while communities are passively involved. This study aimed to increase community participation in malaria control and promote community malaria control knowledge and practice in rural Myanmar. Methods: A community-based study, which employed a mixed method approach, collecting data quantitatively and qualitatively, was conducted in two rural villages. The study implemented an active community participation program (ACPP) using the participatory learning approach in a village (ACPP village) but only routine malaria control was given in another village (non-ACPP village). All households with 142 and 96 household representatives from ACPP and non-ACPP villages participated in baseline and endline surveys. The ACPP was evaluated by process and outcome indicators. A spider gram analysis using five process indicators was applied to evaluate the process of the ACPP. Community participation status in malaria control activities and level of community malaria knowledge and practice were determined as outcomes of the ACPP. Results: The spider gram analysis showed that three indicators (needs assessment and planning, leadership and resource mobilization) gained a score of 4, the organization indicator a score of 5 and the management and evaluation indicator a score of 3. The outcome indicators of the program at 6 months showed that the community participation in malaria control activities in the © CN Maung, TT Sein, T Hlaing, K Okanurak, T Silawan, J Kaewkungwal, 2017. A A Licence to publish this material has been given to James Cook University, http://www.jcu.edu.au 2 ACPP village had significantly increased (6.9% to 49.3%) (p<0.001). The program promoted community malaria control knowledge and practice in the ACPP village. The mean scores of knowledge, perception, preventive behavior and treatment-seeking behavior were increased significantly, from 3.0 to 5.9 (p<0.001), 20.1 to 21.0 (p<0.001), 3.4 to 4.2 (p<0.001) and 3.1 to 5.6 (p<0.001), respectively. However, no significant change of outcome indicators was found in the non-ACPP village.Conclusions: The ACPP implemented by community volunteers using the participatory learning approach was feasible in community-based malaria control. This study suggests several features in the ACPP model that may be useful strategies for the implementation of the current NMCP programs in similar rural settings; however, the effect of the ACPP over a longer period to ascertain the impact of such community participation has yet to be further studied.

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Assessing participation in a community-based health planning and services programme in Ghana

Cited by 83 publications

References 35 publications

Participation in health planning in a decentralised health system: Experiences from facility governing committees in the Kongwa district of Tanzania

Participation in health planning in a decentralised health system: Experiences from facility governing committees in the Kongwa district of Tanzania

Rural Health Care Access and Policy in Developing Countries

Promoting community malaria control in rural Myanmar through an active community participation program using the participatory learning approach

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