Braimah Joseph Asumah, Sano Yujiro, Atuoye Kilian Nasung, Luginaah Isaac
Department of Geography and Planning, Queen's University, Mackintosh-Corry Hall, Room E208, Kingston, Ontario, Canada.
Department of Sociology, Social Science Centre, University of Western Ontario, 1151 Richmond Street, London, Ontario, Canada.
Prim Health Care Res Dev. 2019 Jun 26;20:e82. doi: 10.1017/S1463423619000185.
Ghana in 1999 adopted the Community-based Health Planning and Service (CHPS) policy to enhance access to primary health care (PHC) service. After two decades of implementation, there remains a considerable proportion of the country's population, especially women who lack access to basic health care services.
The aim of this paper is to understand the contribution of Ghana's CHPS policy to women's access to PHC services in the Upper West Region (UWR) of Ghana.
A logistic regression technique was employed to analyse cross-sectional data collected among women (805) from the UWR.
We found that women who resided in CHPS zones (OR = 1.612; P ≤ 0.01) were more likely to have access to health care compared with their counterparts who resided in non-CHPS zones. Also, rural-urban residence, distance to health facility, household wealth status and marital status predicted access to health care among women in the region. Our findings underscore the need to expand the CHPS policy to cover many areas in the country, especially rural communities and other deprived localities in urban settings.
1999年，加纳采用了基于社区的卫生规划与服务（CHPS）政策，以增加获得初级卫生保健（PHC）服务的机会。经过二十年的实施，该国仍有相当一部分人口，尤其是妇女，无法获得基本医疗服务。
本文旨在了解加纳CHPS政策对加纳上西部地区（UWR）妇女获得初级卫生保健服务的贡献。
采用逻辑回归技术分析从UWR地区的妇女（805名）中收集的横断面数据。
我们发现，居住在CHPS区域的妇女（OR = 1.612；P≤0.01）比居住在非CHPS区域的妇女更有可能获得医疗服务。此外，城乡居住地、到医疗机构的距离、家庭财富状况和婚姻状况预测了该地区妇女获得医疗服务的情况。我们的研究结果强调需要扩大CHPS政策，以覆盖该国的许多地区，特别是农村社区和城市环境中的其他贫困地区。
