Can a standards-based approach improve access to and quality of primary health care? Findings from an end-of-project evaluation in Ghana.

ABSTRACT:

Background

Jhpiego implemented a 5-year project to strengthen the Community-Based Health Planning and Services (CHPS) model in six coastal districts of Ghana's Western Region. The project utilized a quality improvement approach (Standards-Based Management and Recognition [SBM-R]) to strengthen implementation fidelity of the CHPS model. This article presents findings from an end-of-project evaluation comparing quality, access to care, and experience of care in intervention and comparison CHPS zones.

Methods

A non-equivalent, posttest-only, end-of-project evaluation compared 12 randomly selected intervention zones with 12 matched comparison zones. Data from standards-based assessments measured provision of care in three categories: community engagement, clinical services, and

SUBMITTER: Maly C 

PROVIDER: S-EPMC6510430 | biostudies-literature | 2019

REPOSITORIES: biostudies-literature