The Ghana community-based Health Planning and Services Initiative for scaling up service delivery innovation
The Ghana community-based Health Planning and Services Initiative for scaling up service delivery innovation
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DOI：
10.1093/heapol/czi003
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发表时间：
2005-01-01
影响因子：
3.2
通讯作者：
Miller, RA
中科院分区：
文献类型：
--
作者：
Nyonator, FK;Awoonor-Williams, JK;Miller, RA
展示如何改善卫生服务的研究项目往往不能对国家卫生方案的实际作用产生影响。加纳采取了一种循证政策制定办法，弥合了研究和方案执行之间的差距。在对周边地区提供服务的适当战略进行了近20年的全国性辩论和调查之后，基于社区的卫生规划和服务倡议采用了在成功的纳夫隆戈试验中经过检验的战略，以指导国家卫生改革，动员志愿精神、资源和文化机构支持以社区为基础的初级卫生保健。在两年的时间里，加纳110个区中的104个区启动了社区卫生计划。本文件回顾了CHPS倡议的发展，描述了实施过程，并将该倡议与其所包含的扩大组织变革的原则联系起来。来自国家监测和评价方案的证据为社区卫生服务的成功提供了见解，并查明了未来进展的制约因素。
Research projects demonstrating ways to improve health services often fail to have an impact on what national health programmes actually do. An approach to evidence-based policy development has been launched in Ghana which bridges the gap between research and programme implementation. After nearly two decades of national debate and investigation into appropriate strategies for service delivery at the periphery, the Community-based Health Planning and Services (CHPS) Initiative has employed strategies tested in the successful Navrongo experiment to guide national health reforms that mobilize volunteerism, resources and cultural institutions for supporting community-based primary health care. Over a 2-year period, 104 out of the 110 districts in Ghana started CHPS. This paper reviews the development of the CHPS initiative, describes the processes of implementation and relates the initiative to the principles of scaling up organizational change which it embraces. Evidence from the national monitoring and evaluation programme provides insights into CHPS' success and identifies constraints on future progress.