Adapting the Community-based Health Planning and Services (CHPS) to engage poor urban communities in Ghana: protocol for a participatory action research study.
Adapting the Community-based Health Planning and Services (CHPS) to engage poor urban communities in Ghana: protocol for a participatory action research study.
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DOI：
10.1136/bmjopen-2021-049564
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发表时间：
2021-07-27
期刊：
影响因子：
2.9
通讯作者：
Elsey H
中科院分区：
文献类型：
--
作者：
Abboah-Offei M;Gyasi Darkwa A;Ayim A;Ansah-Ofei AM;Dovlo D;Awoonor-Williams JK;Agongo EEA;Agyepong IA;Elsey H
随着低收入和中等收入国家的快速城市化，卫生系统正在努力满足不断增长的人口的需求。加纳以社区为基础的卫生规划和服务在改善农村地区的孕产妇和儿童健康方面取得了成效；然而，事实证明，在城市地区的实施具有挑战性。这项研究旨在让城市社区的主要利益相关者参与，以了解如何使社区卫生服务模式适用于贫困的城市社区。将利用参与性行动研究(PAR)与选定的三个CHPS区的利益攸关方共同制定一个城市CHPS模式：(A)Old Fadama(山药和洋葱市场社区)，(B)Adedenkpo和(C)ADOTROM 2，代表加纳阿克拉的三类贫困城市居民区。将分两个阶段实施：第一阶段(‘侦察阶段)将在选定的地区参与并建立PAR研究小组，对城市居民、易受健康不良影响的家庭、社区卫生服务计划工作人员和主要利益攸关方进行焦点小组和个人访谈。将对以前为实施社区卫生方案所做的努力进行案头审查，以了解哪些措施奏效(或不起作用)、如何实施以及为什么。第一阶段的结果将用于在第二阶段提供信息并共同创建城市社区卫生服务模式，在该阶段，PAR小组将参与以社区为基础的规划、观察、行动和反思的多个重复阶段(周期)，以发展和完善城市社区卫生服务模式。数据将使用NVivo软件进行管理，并使用社区参与域作为了解社区资产和参与潜力的框架进行编码。这项研究已经得到了约克大学健康科学研究治理委员会和加纳卫生服务伦理审查委员会的批准。这项研究的结果将指导在加纳城市地区扩大社区卫生服务的规模，并将通过期刊出版物、社区和政府利益攸关方讲习班、政策简报和社交媒体内容进行传播。这项研究也得到了英国医学研究理事会的资助。
With rapid urbanisation in low-income and middle-income countries, health systems are struggling to meet the needs of their growing populations. Community-based Health Planning and Services (CHPS) in Ghana have been effective in improving maternal and child health in rural areas; however, implementation in urban areas has proven challenging. This study aims to engage key stakeholders in urban communities to understand how the CHPS model can be adapted to reach poor urban communities. A Participatory Action Research (PAR) will be used to develop an urban CHPS model with stakeholders in three selected CHPS zones: (a) Old Fadama (Yam and Onion Market community), (b) Adedenkpo and (c) Adotrom 2, representing three categories of poor urban neighbourhoods in Accra, Ghana. Two phases will be implemented: phase 1 (‘reconnaissance phase) will engage and establish PAR research groups in the selected zones, conduct focus groups and individual interviews with urban residents, households vulnerable to ill-health and CHPS staff and key stakeholders. A desk review of preceding efforts to implement CHPS will be conducted to understand what worked (or not), how and why. Findings from phase 1 will be used to inform and co-create an urban CHPS model in phase 2, where PAR groups will be involved in multiple recurrent stages (cycles) of community-based planning, observation, action and reflection to develop and refine the urban CHPS model. Data will be managed using NVivo software and coded using the domains of community engagement as a framework to understand community assets and potential for engagement. This study has been approved by the University of York’s Health Sciences Research Governance Committee and the Ghana Health Service Ethics Review Committee. The results of this study will guide the scale-up of CHPS across urban areas in Ghana, which will be disseminated through journal publications, community and government stakeholder workshops, policy briefs and social media content. This study is also funded by the Medical Research Council, UK.
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影响因子：
2.8
作者：
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