Implementing Community-based Health Planning and Services in impoverished urban communities: health workers' perspective.
Implementing Community-based Health Planning and Services in impoverished urban communities: health workers' perspective.
复制标题
DOI：
10.1186/s12913-018-3005-1
复制
发表时间：
2018-03-20
影响因子：
2.8
通讯作者：
Adongo PB
中科院分区：
文献类型：
--
作者：
Nwameme AU;Tabong PT;Adongo PB
撒哈拉以南非洲四分之三的城市人口目前生活在贫民窟条件下，使他们容易受到健康不良和疾病的影响。加纳描述了许多发展中国家的情况，城市贫民已成为一个深受与其生活条件有关的复杂健康问题困扰的群体，而且在城市内，他们与享有特权的城市居民之间在获得保健服务方面存在不平等。由于社交网络和卫生挑战的差异，在城市地区采用加纳农村社区卫生规划和服务方案具有挑战性，因此需要进行必要的修改。社区卫生官员（CHO）及其主管是社区卫生的前线提供者，有必要分析和记录卫生部门对城市CHPS的反应。这项研究是完全定性和19个深入的访谈进行了与所有的CHO和关键卫生部门的个人在监督/协调职位在城市CHPS区工作，以引出有关城市CHPS实施的相关问题。使用NVivo 7软件进行专题内容数据分析。本次评估的结果表明，尽管参与这一进程的卫生人员在履行职责时面临挑战，但他们很好地实施了卫生保健和公共服务方案的这一城市概念。出现了几个问题，包括缺乏急救药物，以及需要新生儿和儿童疾病综合管理方案和对初级保健人员进行更深入的培训。此外，提出的主要关切是，需要为志愿人员和社区卫生委员会成员提供激励措施，以保持他们的积极性，以及社区卫生组织对进一步教育和职业发展的担忧。在城市环境中建立CHPS概念虽然具有挑战性，但也充满了引入创新的机会，这些创新使农村里程碑适应城市需求。诸如调整家访时间和在社区为社区办事处租用住房等修改措施对该方案有利。本文的在线版本（10.1186/s12913-018-3005-1）包含补充材料，可供授权用户使用。
Three-quarters of sub-Saharan Africa’s urban population currently live under slum conditions making them susceptible to ill health and diseases. Ghana characterizes the situation in many developing countries where the urban poor have become a group much afflicted by complex health problems associated with their living conditions, and the intra-city inequity between them and the more privileged urban dwellers with respect to health care accessibility. Adopting Ghana’s rural Community-Based Health Planning and Service (CHPS) programme in urban areas is challenging due to the differences in social networks and health challenges thus making modifications necessary. The Community Health Officers (CHOs) and their supervisors are the frontline providers of health in the community and there is a need to analyze and document the health sector response to urban CHPS. The study was solely qualitative and 19 in-depth interviews were conducted with all the CHOs and key health sector individuals in supervisory/coordinating positions working in urban CHPS zones to elicit relevant issues concerning urban CHPS implementation. Thematic content data analysis was done using the NVivo 7 software. Findings from this appraisal suggest that the implementation of this urban concept of the CHPS programme has been well undertaken by the health personnel involved in the process despite the challenges that they face in executing their duties. Several issues came to light including the lack of first aid drugs, as well as the need for the Integrated Management of Neonatal and Childhood Illnesses (IMNCI) programme and more indepth training for CHOs. In addition, the need to provide incentives for the volunteers and Community Health Committee members to sustain their motivation and the CHOs’ apprehensions with regards to furthering their education and progression in their careers were key concerns raised. The establishment of the CHPS concept in the urban environment albeit challenging has been fraught with several opportunities to introduce innovations which tailor the rural milestones to meet urban needs. Modifications such as adjusting timing of home visits and renting accommodation in the communities for the CHOs have been beneficial to the programme. The online version of this article (10.1186/s12913-018-3005-1) contains supplementary material, which is available to authorized users.
登录
查看更多内容
影响因子：
4.5
作者：
Mathauer, Inke;Imhoff, Ingo
通讯作者：
Imhoff, Ingo
影响因子：
2.8
作者：
Awoonor-Williams JK;Bawah AA;Nyonator FK;Asuru R;Oduro A;Ofosu A;Phillips JF
通讯作者：
Phillips JF
影响因子：
4.5
作者：
Singh, Debra;Negin, Joel;Cumming, Robert
通讯作者：
Cumming, Robert
影响因子：
3.2
作者：
Nyonator, FK;Awoonor-Williams, JK;Miller, RA
通讯作者：
Miller, RA
影响因子：
4
作者：
Adongo PB;Phillips JF;Aikins M;Arhin DA;Schmitt M;Nwameme AU;Tabong PT;Binka FN
通讯作者：
Binka FN