Challenges to achieving universal health coverage through community-based health planning and services delivery approach: a qualitative study in Ghana

BMJ Open
Abraham AssanAli Akbarisari

Abstract

Community-based initiatives have enormous potential to facilitate the attainment of universal health coverage (UHC) and health system development. Yet key gaps exist and threaten its sustainability in many low-income and middle-income countries. This study is first of its kind (following the launch of the Sustainable Developments Goal [SDG]) and aimed to holistically explore the challenges to achieving UHC through the community-based health planning and service (CHPS) initiative in Ghana. A qualitative study design was adopted to explore the phenomenon. Face-to-face indepth interviews were conducted from April 2017 until February 2018 through purposive and snowball sampling techniques. Data were analysed using inductive and deductive thematic analysis approach. Data were gathered at the national level, in addition to the regional, district and subdistrict/local levels of four regions of Ghana. Sampled regions were Central Region, Greater Accra Region, Upper East Region and Volta Region. In total, 67 participants were interviewed: national level (5), regional levels (11), district levels (9) and local levels (42). Interviewees were mainly stakeholders-people whose actions or inactions actively or passively influence the decision...Continue Reading

Citations

Aug 15, 2019·The Indian Journal of Medical Research·Chandrakant Lahariya
Sep 20, 2019·BMC Health Services Research·Leila DoshmangirAbraham Assan
Oct 1, 2020·The International Journal of Health Planning and Management·Masoud BehzadifarNicola Luigi Bragazzi
Jan 12, 2021·JMIR Public Health and Surveillance·Mahboubeh Khaton GhanbariNicola Luigi Bragazzi
Jul 24, 2021·Journal of Neurosciences in Rural Practice·Erica D JohnsonAndres M Rubiano

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