关键词: Community Health Management Committee Community-Based Health Volunteer Community-based Health Planning and Services Ghana Health Services Ministry of Health Primary Health Care Universal Health Coverage

Mesh : Ghana Humans Community Health Services / organization & administration Community Health Planning / organization & administration Primary Health Care Delivery of Health Care

来  源:   DOI:10.3389/fpubh.2024.1337803   PDF(Pubmed)

Abstract:
Ghana established Community-based Health Planning and Services (CHPS) as the primary point of contact for primary healthcare in 1999. CHPS has since emerged as the country\'s primary strategy for providing close-to-client healthcare delivery, with numerous positive health outcomes recorded as a result of its implementation. There is, however currently a paucity of systematic reviews of the literature on CHPS. The purpose of this study was not only to investigate dominant trends and research themes in Community-based Health Planning and Services, but also to track the evolution of the CHPS intervention from its inception to the present.
We adopted a systematic review approach for selected articles that were searched on Google Scholar, PubMed, and Scopus databases. The study was conducted and guided by the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guideline. We then applied a reflexive thematic analysis approach in synthesizing the results.
The search resulted in 127 articles of which 59 were included in the final review. Twenty (20) papers targeted the national level, eighteen (18) for the regional level, sixteen (16) for the district level, two (2) for the sub-district level, and three (3) papers targeted the community. The years 2017 and 2019 were recorded to be the years with the highest number of publications on CHPS in Ghana.
Community-based Health Planning and Services (CHPS) is an effective tool in addressing barriers and challenges to accessing quality and affordable health care causing significant effects on health. It provides close-to-client healthcare delivery in the community.
摘要:
加纳于1999年建立了以社区为基础的卫生规划和服务(CHPS)作为初级卫生保健的主要联系点。此后,CHPS已成为该国提供贴近客户医疗保健服务的主要战略,由于其实施,记录了许多积极的健康结果。有,然而,目前缺乏对CHPS文献的系统评价。这项研究的目的不仅是调查以社区为基础的健康规划和服务的主要趋势和研究主题,而且还要追踪CHPS干预从开始到现在的演变。
我们对在GoogleScholar上搜索的精选文章采用了系统的审查方法,PubMed,和Scopus数据库。该研究是在系统评价和荟萃分析(PRISMA)指南的首选报告项目下进行和指导的。然后,我们在综合结果时应用了反身主题分析方法。
搜索产生了127篇文章,其中59篇被列入最终审查。二十(20)篇针对国家一级的论文,区域级别的十八(18),十六(16)区一级,二(2)个街道级别,和三(3)篇针对社区的论文。2017年和2019年被记录为加纳CHPS出版物数量最多的年份。
基于社区的健康规划和服务(CHPS)是解决障碍和挑战的有效工具,以获得对健康造成重大影响的优质和负担得起的医疗保健。它在社区中提供接近客户的医疗保健服务。
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