Universal health coverage necessitates a system approach: an analysis of Community-based Health Planning and Services (CHPS) initiative in Ghana.
Universal health coverage necessitates a system approach: an analysis of Community-based Health Planning and Services (CHPS) initiative in Ghana.
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DOI：
10.1186/s12992-018-0426-x
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发表时间：
2018-11-09
影响因子：
10.8
通讯作者：
Akbarisari A
中科院分区：
文献类型：
--
作者：
Assan A;Takian A;Aikins M;Akbarisari A
第九届全球健康促进大会（2016年上海）重申了初级卫生保健（PHC）在实现2030年可持续发展议程中的作用。基于社区的健康规划和服务 (CHPS) 倡议获得了国际社会的广泛认可，被认为是加纳通过初级卫生保健战略实现全民健康覆盖 (UHC) 承诺的务实战略之一。然而，某些关键因素威胁着它的成功——更新了这项研究的相关性，以呈现该倡议的障碍和促进因素。根据我们的研究结果，CHPS 的贡献，特别是在弥合地理区域获得医疗服务方面的贡献不容贬低。然而，该倡议的全面运作受到以下列主题为中心的因素的限制：卫生治理和领导、提供优质服务、针对公共卫生的金融风险保护战略、信息和护理连续性，以及在社区中均匀分布的训练有素的卫生专业人员的正确组合。应对 CHPS 的挑战需要采用系统方法。如果领导能力得到改善，特别是政府采取大胆的政治步骤提供充足的财政和物质资源，更有可能取得实质性进展。然而，当包括社区在内的利益相关者协同工作，通过关注 CHPS 的核心价值观和目标来管理相互竞争的优先事项时，将会取得很大成果。
The 9th Global conference on health promotion (Shanghai 2016) reaffirmed the role of primary health care (PHC) in achieving the 2030 Sustainable Development Agenda. Gaining much international recognition, the community-based health planning and services (CHPS) initiative is considered one of the pragmatic strategy in delivering on the promise of universal health coverage (UHC) through the PHC strategy, in Ghana. Yet, certain key factors threaten its successes – renewing the relevance of this study to present the barriers to and facilitators of the initiative. According to our findings, CHPS contribution particularly in bridging geographical access to health cannot be demeaned. Nevertheless, the full functioning of the initiative is limited by factors centered on the following themes: health governance and leadership, provision of services of quality, financial risk protection strategies targeting public health, information and care continuity, and the right mix of trained health professionals of even distribution across communities. Addressing the challenges of CHPS demand a system-approach. Substantial progress is more likely to emerge with improved leadership especially on the part of Governments to take bold political step to provide adequate financial and material resources. However, much will be achieved when stakeholders including the community work in synergies, to manage competing priorities by focusing on the core values and goals of CHPS.
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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
DOI：
10.9745/ghsp-d-12-00012
发表时间：
2013-03
期刊：
Global health, science and practice
影响因子：
--
作者：
Awoonor-Williams JK;Sory EK;Nyonator FK;Phillips JF;Wang C;Schmitt ML
通讯作者：
Schmitt ML
DOI：
10.2471/blt.06.030064
发表时间：
2006-12-01
期刊：
Bulletin of the World Health Organization: International Journal of Public Health
影响因子：
--
作者：
Phillips, James F;Bawah, Ayaga A;Binka, Fred N
通讯作者：
Binka, Fred N
影响因子：
168.9
作者：
Atun, Rifat;Monteiro de Andrade, Luiz Odorico;Wagstaff, Adam
通讯作者：
Wagstaff, Adam
影响因子：
168.9
作者：
Chen, L;Evans, T;Wibulpolprasert, S
通讯作者：
Wibulpolprasert, S