This preprint is under consideration at BMC Health Services Research. A preprint is a preliminary version of a manuscript that has not completed peer review at a journal. Research Square does not conduct peer review prior to posting preprints. The posting of a preprint on this server should not be interpreted as an endorsement of its validity or suitability for dissemination as established information or for guiding clinical practice.
Learn more about In Review
Research Article
“From Experts to Locals Hands” Healthcare services Planning in Sub-Saharan Africa: Insight from the Integrated Community Case Management of Ghana
FRANCIS DAKYAGA
TU Dortmund University
Corresponding Author
License:
This work is licensed under a CC BY 4.0 License. Read Full License
Background: Although community participation remains a global reckon in services planning, evidence on how rural communities participate in health service delivery has less been explored in Sub-Saharan Africa.
Objective: We explored communities’ participation in health care planning in hard-to-reach communities, within the context of Integrated Community Case Management (ICCM), of Ghana.
Methods: Qualitative data were collected from eleven (11) hard-to-reach communities through Focus Group Discussions (FGDs), Key Informant Interviews (KIIs) as well as district level studies (Nadowli-Kaleo, and WA districts of Ghana). The Rifkin’s spider-gram, framework, of inputs, process and outcome indicators was adapted for the study.
The results: Community participation was superficially conducted by the CHOs. A holistic community needs assessment to create awareness, foster common understanding of health situations, collaboration, acceptance and ownership of the program was indiscernible. Rather, it took the form of an event, expert-led-definition, devoid of coherence to calve locals understanding to support the program. Consequently, evidence of resource mobilization, monitoring and system of leaderships towards sustainability of the program were not explicitly found.
Conclusion and recommendation: The study concludes that there is the need to expand the concept of community involvement in ICCM to facilitate communities’ contribution to their healthcare. Also, a transdisciplinary approach is required for engineering and scaling up community-based health programs, empowering VHCs, CBHVs and CHAs to realize success.
Keywords
Integrated Community Case Management (ICCM), Focus Group Discussions (FGDs), Key Informant Interviews (KIIs)
Figure 1
Due to technical limitations, full-text HTML conversion of this manuscript could not be completed. However, the latest manuscript can be downloaded and accessed as a PDF.
This is a list of supplementary files associated with this preprint. Click to download.
Badges
Prescreen
This manuscript passed our Prescreen assessment
Complete author information
Appropriate declaration statements
Potential risks to human health
Prescreen
Peer Review Timeline
CURRENT STATUS: Under Review
Version 1
Posted 23 Dec, 2020
No community comments so far
Reviewer #2 agreed
On 28 Dec, 2020
Reviewer #5 agreed
On 28 Dec, 2020
Reviewer #7 agreed
On 28 Dec, 2020
Reviewer #1 agreed
On 28 Dec, 2020
Reviewer #3 agreed
On 28 Dec, 2020
Reviewers invited
Invitations sent on 27 Dec, 2020
Editor assigned
On 21 Dec, 2020
Editor invited
On 21 Dec, 2020
Submission checks complete
On 21 Dec, 2020
First submitted
On 10 Dec, 2020
Metrics
Comments: 0
PDF Downloads: ...
HTML Views: ...
Learn more about our company.
This preprint is under consideration at BMC Health Services Research. A preprint is a preliminary version of a manuscript that has not completed peer review at a journal. Research Square does not conduct peer review prior to posting preprints. The posting of a preprint on this server should not be interpreted as an endorsement of its validity or suitability for dissemination as established information or for guiding clinical practice.
Learn more about In Review
Research Article
“From Experts to Locals Hands” Healthcare services Planning in Sub-Saharan Africa: Insight from the Integrated Community Case Management of Ghana
FRANCIS DAKYAGA
TU Dortmund University
Corresponding Author
Badges
Prescreen
This manuscript passed our Prescreen assessment
Complete author information
Appropriate declaration statements
Potential risks to human health
Prescreen
Peer Review Timeline
CURRENT STATUS: Under Review
Version 1
Posted 23 Dec, 2020
No community comments so far
Reviewer #2 agreed
On 28 Dec, 2020
Reviewer #5 agreed
On 28 Dec, 2020
Reviewer #7 agreed
On 28 Dec, 2020
Reviewer #1 agreed
On 28 Dec, 2020
Reviewer #3 agreed
On 28 Dec, 2020
Reviewers invited
Invitations sent on 27 Dec, 2020
Editor assigned
On 21 Dec, 2020
Editor invited
On 21 Dec, 2020
Submission checks complete
On 21 Dec, 2020
First submitted
On 10 Dec, 2020
Metrics
Comments: 0
PDF Downloads: ...
HTML Views: ...
License:
This work is licensed under a CC BY 4.0 License. Read Full License
Background: Although community participation remains a global reckon in services planning, evidence on how rural communities participate in health service delivery has less been explored in Sub-Saharan Africa.
Objective: We explored communities’ participation in health care planning in hard-to-reach communities, within the context of Integrated Community Case Management (ICCM), of Ghana.
Methods: Qualitative data were collected from eleven (11) hard-to-reach communities through Focus Group Discussions (FGDs), Key Informant Interviews (KIIs) as well as district level studies (Nadowli-Kaleo, and WA districts of Ghana). The Rifkin’s spider-gram, framework, of inputs, process and outcome indicators was adapted for the study.
The results: Community participation was superficially conducted by the CHOs. A holistic community needs assessment to create awareness, foster common understanding of health situations, collaboration, acceptance and ownership of the program was indiscernible. Rather, it took the form of an event, expert-led-definition, devoid of coherence to calve locals understanding to support the program. Consequently, evidence of resource mobilization, monitoring and system of leaderships towards sustainability of the program were not explicitly found.
Conclusion and recommendation: The study concludes that there is the need to expand the concept of community involvement in ICCM to facilitate communities’ contribution to their healthcare. Also, a transdisciplinary approach is required for engineering and scaling up community-based health programs, empowering VHCs, CBHVs and CHAs to realize success.
Figure 1
Due to technical limitations, full-text HTML conversion of this manuscript could not be completed. However, the latest manuscript can be downloaded and accessed as a PDF.