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

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Evaluating the impact of the community-based health planning and services initiative on uptake of skilled birth care in Ghana. / Amoako Johnson, Fiifi; Frempong-Ainguah, Faustina; Matthews, Zoe; Harfoot, Andrew J. P.; Nyarko, Philomena; Baschieri, Angela; Gething, Peter W.; Falkingham, Jane; Atkinson, Peter M.

In: PLoS ONE, Vol. 10, No. 3, e0120556, 19.03.2015, p. 1-18.

Research output: Contribution to Journal/MagazineJournal articlepeer-review

Harvard

Amoako Johnson, F, Frempong-Ainguah, F, Matthews, Z, Harfoot, AJP, Nyarko, P, Baschieri, A, Gething, PW, Falkingham, J & Atkinson, PM 2015, 'Evaluating the impact of the community-based health planning and services initiative on uptake of skilled birth care in Ghana', PLoS ONE, vol. 10, no. 3, e0120556, pp. 1-18. https://doi.org/10.1371/journal.pone.0120556

APA

Amoako Johnson, F., Frempong-Ainguah, F., Matthews, Z., Harfoot, A. J. P., Nyarko, P., Baschieri, A., Gething, P. W., Falkingham, J., & Atkinson, P. M. (2015). Evaluating the impact of the community-based health planning and services initiative on uptake of skilled birth care in Ghana. PLoS ONE, 10(3), 1-18. [e0120556]. https://doi.org/10.1371/journal.pone.0120556

Vancouver

Amoako Johnson F, Frempong-Ainguah F, Matthews Z, Harfoot AJP, Nyarko P, Baschieri A et al. Evaluating the impact of the community-based health planning and services initiative on uptake of skilled birth care in Ghana. PLoS ONE. 2015 Mar 19;10(3):1-18. e0120556. https://doi.org/10.1371/journal.pone.0120556

Author

Amoako Johnson, Fiifi ; Frempong-Ainguah, Faustina ; Matthews, Zoe ; Harfoot, Andrew J. P. ; Nyarko, Philomena ; Baschieri, Angela ; Gething, Peter W. ; Falkingham, Jane ; Atkinson, Peter M. / Evaluating the impact of the community-based health planning and services initiative on uptake of skilled birth care in Ghana. In: PLoS ONE. 2015 ; Vol. 10, No. 3. pp. 1-18.

Bibtex

@article{d34416fda9e24be9ad68dc1658c84a17,
title = "Evaluating the impact of the community-based health planning and services initiative on uptake of skilled birth care in Ghana",
abstract = "BackgroundThe 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.Methods and FindingsData 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 facilities and CHPS compounds are within 8 km, but not in communities within 8 km of CHPS but lack access to health facilities. Where both health facilities and CHPS are within 8 km, the odds of skilled birth care is 16% higher than where there is only a health facility within 8km.ConclusionWhere CHPS compounds are set up near health facilities, there is improved access to care, demonstrating the facilitatory role of CHPS in stimulating access to better care at birth, in areas where health facilities are accessible.",
author = "{Amoako Johnson}, Fiifi and Faustina Frempong-Ainguah and Zoe Matthews and Harfoot, {Andrew J. P.} and Philomena Nyarko and Angela Baschieri and Gething, {Peter W.} and Jane Falkingham and Atkinson, {Peter M.}",
note = "M1 - 3",
year = "2015",
month = mar,
day = "19",
doi = "10.1371/journal.pone.0120556",
language = "English",
volume = "10",
pages = "1--18",
journal = "PLoS ONE",
issn = "1932-6203",
publisher = "Public Library of Science",
number = "3",

}

RIS

TY - JOUR

T1 - Evaluating the impact of the community-based health planning and services initiative on uptake of skilled birth care in Ghana

AU - Amoako Johnson, Fiifi

AU - Frempong-Ainguah, Faustina

AU - Matthews, Zoe

AU - Harfoot, Andrew J. P.

AU - Nyarko, Philomena

AU - Baschieri, Angela

AU - Gething, Peter W.

AU - Falkingham, Jane

AU - Atkinson, Peter M.

N1 - M1 - 3

PY - 2015/3/19

Y1 - 2015/3/19

N2 - BackgroundThe 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.Methods and FindingsData 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 facilities and CHPS compounds are within 8 km, but not in communities within 8 km of CHPS but lack access to health facilities. Where both health facilities and CHPS are within 8 km, the odds of skilled birth care is 16% higher than where there is only a health facility within 8km.ConclusionWhere CHPS compounds are set up near health facilities, there is improved access to care, demonstrating the facilitatory role of CHPS in stimulating access to better care at birth, in areas where health facilities are accessible.

AB - BackgroundThe 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.Methods and FindingsData 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 facilities and CHPS compounds are within 8 km, but not in communities within 8 km of CHPS but lack access to health facilities. Where both health facilities and CHPS are within 8 km, the odds of skilled birth care is 16% higher than where there is only a health facility within 8km.ConclusionWhere CHPS compounds are set up near health facilities, there is improved access to care, demonstrating the facilitatory role of CHPS in stimulating access to better care at birth, in areas where health facilities are accessible.

U2 - 10.1371/journal.pone.0120556

DO - 10.1371/journal.pone.0120556

M3 - Journal article

VL - 10

SP - 1

EP - 18

JO - PLoS ONE

JF - PLoS ONE

SN - 1932-6203

IS - 3

M1 - e0120556

ER -