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Access to primary health care among women: the role of Ghana’s community-based health planning and services policy

BACKGROUND: Ghana in 1999 adopted the Community-based Health Planning and Service (CHPS) policy to enhance access to primary health care (PHC) service. After two decades of implementation, there remains a considerable proportion of the country’s population, especially women who lack access to basic...

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Autores principales: Braimah, Joseph Asumah, Sano, Yujiro, Atuoye, Kilian Nasung, Luginaah, Isaac
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Cambridge University Press 2019
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8060816/
https://www.ncbi.nlm.nih.gov/pubmed/32799990
http://dx.doi.org/10.1017/S1463423619000185
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author Braimah, Joseph Asumah
Sano, Yujiro
Atuoye, Kilian Nasung
Luginaah, Isaac
author_facet Braimah, Joseph Asumah
Sano, Yujiro
Atuoye, Kilian Nasung
Luginaah, Isaac
author_sort Braimah, Joseph Asumah
collection PubMed
description BACKGROUND: Ghana in 1999 adopted the Community-based Health Planning and Service (CHPS) policy to enhance access to primary health care (PHC) service. After two decades of implementation, there remains a considerable proportion of the country’s population, especially women who lack access to basic health care services. AIM: The aim of this paper is to understand the contribution of Ghana’s CHPS policy to women’s access to PHC services in the Upper West Region (UWR) of Ghana. METHODS: A logistic regression technique was employed to analyse cross-sectional data collected among women (805) from the UWR. FINDINGS: We found that women who resided in CHPS zones (OR = 1.612; P ≤ 0.01) were more likely to have access to health care compared with their counterparts who resided in non-CHPS zones. Also, rural-urban residence, distance to health facility, household wealth status and marital status predicted access to health care among women in the region. Our findings underscore the need to expand the CHPS policy to cover many areas in the country, especially rural communities and other deprived localities in urban settings.
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spelling pubmed-80608162021-05-05 Access to primary health care among women: the role of Ghana’s community-based health planning and services policy Braimah, Joseph Asumah Sano, Yujiro Atuoye, Kilian Nasung Luginaah, Isaac Prim Health Care Res Dev Research BACKGROUND: Ghana in 1999 adopted the Community-based Health Planning and Service (CHPS) policy to enhance access to primary health care (PHC) service. After two decades of implementation, there remains a considerable proportion of the country’s population, especially women who lack access to basic health care services. AIM: The aim of this paper is to understand the contribution of Ghana’s CHPS policy to women’s access to PHC services in the Upper West Region (UWR) of Ghana. METHODS: A logistic regression technique was employed to analyse cross-sectional data collected among women (805) from the UWR. FINDINGS: We found that women who resided in CHPS zones (OR = 1.612; P ≤ 0.01) were more likely to have access to health care compared with their counterparts who resided in non-CHPS zones. Also, rural-urban residence, distance to health facility, household wealth status and marital status predicted access to health care among women in the region. Our findings underscore the need to expand the CHPS policy to cover many areas in the country, especially rural communities and other deprived localities in urban settings. Cambridge University Press 2019-06-26 /pmc/articles/PMC8060816/ /pubmed/32799990 http://dx.doi.org/10.1017/S1463423619000185 Text en © The Author(s) 2019 https://creativecommons.org/licenses/by/4.0/This is an Open Access article, distributed under the terms of the Creative Commons Attribution licence (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted re-use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Research
Braimah, Joseph Asumah
Sano, Yujiro
Atuoye, Kilian Nasung
Luginaah, Isaac
Access to primary health care among women: the role of Ghana’s community-based health planning and services policy
title Access to primary health care among women: the role of Ghana’s community-based health planning and services policy
title_full Access to primary health care among women: the role of Ghana’s community-based health planning and services policy
title_fullStr Access to primary health care among women: the role of Ghana’s community-based health planning and services policy
title_full_unstemmed Access to primary health care among women: the role of Ghana’s community-based health planning and services policy
title_short Access to primary health care among women: the role of Ghana’s community-based health planning and services policy
title_sort access to primary health care among women: the role of ghana’s community-based health planning and services policy
topic Research
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8060816/
https://www.ncbi.nlm.nih.gov/pubmed/32799990
http://dx.doi.org/10.1017/S1463423619000185
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