Evaluating the impact of the community-based health planning and services initiative on uptake of skilled birth care in Ghana

PloS One
Fiifi Amoako JohnsonPeter M Atkinson

Abstract

The Community-based Health Planning and Services (CHPS) initiative is a major government policy to improve maternal and child health and accelerate progress in the reduction of maternal mortality in Ghana. However, strategic intelligence on the impact of the initiative is lacking, given the persistant problems of patchy geographical access to care for rural women. This study investigates the impact of proximity to CHPS on facilitating uptake of skilled birth care in rural areas. Data from the 2003 and 2008 Demographic and Health Survey, on 4,349 births from 463 rural communities were linked to georeferenced data on health facilities, CHPS and topographic data on national road-networks. Distance to nearest health facility and CHPS was computed using the closest facility functionality in ArcGIS 10.1. Multilevel logistic regression was used to examine the effect of proximity to health facilities and CHPS on use of skilled care at birth, adjusting for relevant predictors and clustering within communities. The results show that a substantial proportion of births continue to occur in communities more than 8 km from both health facilities and CHPS. Increases in uptake of skilled birth care are more pronounced where both health facilit...Continue Reading

References

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Jun 6, 2012·JAMA : the Journal of the American Medical Association·Zulfiqar A Bhutta, K Srinath Reddy
Nov 20, 2012·BMC Public Health·Peter W GethingPeter M Atkinson
Jun 27, 2013·PloS One·Fiifi Amoako JohnsonZoë Matthews
Nov 20, 2013·American Journal of Pharmaceutical Education·Joseph T DiPiroVincent Lau

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Citations

May 28, 2015·International Journal of Health Geographics·Steeve EbenerZoe Matthews
Aug 11, 2016·Scientific Reports·Robin C NesbittSabine Gabrysch
Aug 30, 2018·PloS One·Jennifer YourkavitchStephen Delgado
Aug 21, 2019·International Journal of Environmental Research and Public Health·Chenjing FanWensheng Miao
Jan 9, 2016·PloS One·Emmanuel QuansahThomas K Karikari
Sep 7, 2019·International Journal for Equity in Health·Jacob NovignonMohammad Habibullah Pulok
Jul 8, 2020·Tropical Medicine & International Health : TM & IH·Winfred Dotse-GborgbortsiJim Wright
Jan 25, 2017·International Journal of Reproductive Medicine·Edward Kwabena AmeyawJoshua Amo-Adjei
Nov 18, 2018·The International Journal of Health Planning and Management·Hannah WoodsIsaac Luginaah
Jan 15, 2017·International Journal of Health Geographics·Prestige Tatenda MakangaTabassum Firoz

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Software Mentioned

ArcGIS
ArcGIS Network Analyst
Google Earth
EmONC
ESRI

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