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Utilization of community-based health planning and services compounds in the Kintampo North Municipality: a cross-sectional descriptive correlational study

Overview of attention for article published in BMC Health Services Research, September 2017
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Title
Utilization of community-based health planning and services compounds in the Kintampo North Municipality: a cross-sectional descriptive correlational study
Published in
BMC Health Services Research, September 2017
DOI 10.1186/s12913-017-2622-4
Pubmed ID
Authors

Kenneth Wiru, Akwasi Kumi-Kyereme, Emmanuel N. Mahama, Seeba Amenga-Etego, Seth Owusu-Agyei

Abstract

The Community-based Health Planning and Services (CHPS) initiative was introduced to improve coverage and utilization of basic health services for people in remote rural communities whose use of orthodox health services was hitherto limited by distance. To achieve this aim, the scheme has so far been scaled up to several communities nationwide as part of government's agenda to improve the general wellbeing of the populace. The objectives of this study were to examine the extent of patronage of CHPS compounds in the Kintampo North Municipality, factors associated with their use and challenges faced by community members regarding the use of these facilities. We adopted a descriptive cross-sectional correlational design for this study. We collected data from 171 household heads or their representatives, selected through a multistage sampling technique. The respondents were drawn from five randomly selected communities among those with CHPS compounds and their proportions weighted based on the populations of these communities. Our analysis revealed that a high proportion (73.7%) of the respondents patronized CHPS compounds for health care. We also found sex and income to predict the use of the facilities though income was less significant after adjusting for sex in a multivariate analysis. Females were about six times more likely than males to patronize CHPS compounds (adjusted OR = 5.98, 95% CI 2.55, 14.0, P = < 0.01). Household heads earning between GH¢ 200.00 and GH¢ 300.00 were about nine times more likely to use the facilities than those who earned below GH¢ 100.00 (adjusted OR = 8.88, 95% CI 1.94, 40.6, P = 0.05). Our findings also showed that shortage of medicines (41.5%), lack of money to pay for services (28.7%) and absenteeism of Community Health Officers (CHOs) (12.3%) were major barriers to the use of the facilities. Based on the foregoing findings, there is an apparent need to ensure timely replenishment of medicines at the facilities and step up supervision of CHOs in order to sustain patronage of the compounds.

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Mendeley readers

The data shown below were compiled from readership statistics for 107 Mendeley readers of this research output. Click here to see the associated Mendeley record.

Geographical breakdown

Country Count As %
Unknown 107 100%

Demographic breakdown

Readers by professional status Count As %
Student > Master 28 26%
Student > Bachelor 18 17%
Student > Postgraduate 8 7%
Researcher 7 7%
Other 5 5%
Other 12 11%
Unknown 29 27%
Readers by discipline Count As %
Nursing and Health Professions 35 33%
Medicine and Dentistry 10 9%
Social Sciences 7 7%
Computer Science 6 6%
Economics, Econometrics and Finance 6 6%
Other 12 11%
Unknown 31 29%