加强加纳的孕产妇保健:以社区保健规划和服务模式为手段。

IF 2.4 Q2 OBSTETRICS & GYNECOLOGY
Frontiers in global women's health Pub Date : 2025-09-12 eCollection Date: 2025-01-01 DOI:10.3389/fgwh.2025.1590452
Linus Baatiema
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引用次数: 0

摘要

简介/目的:本综述探讨了以社区为基础的卫生计划和服务(CHPS)模式及其对加纳初级卫生保健系统中孕产妇保健服务的影响。它强调了该倡议的成就和挑战,重点是社区参与、训练有素的人力资源和有效的转诊联系。目的:通过评估CHPS模式的成功、挑战和促进公平和可持续健康结果的潜力,批判性地研究CHPS模式如何有助于加强加纳的孕产妇保健服务。方法:系统检索PubMed、谷歌Scholar、JSTOR等数据库的文献,检索关键词为CHPS、妇幼保健、生殖健康、社区卫生倡议等。过去10年内发表的同行评议的文章、报告和灰色文献被优先考虑,并从所选研究的参考文献中获得额外的见解。专题领域分为妇幼保健服务、生殖健康挑战、社区保健方案和卫生保健服务中心在解决保健不平等问题方面的作用。结果:研究结果表明,卫生保健服务作为一项战略,在改善孕产妇保健结果、降低死亡率和确保农村和服务不足地区妇女公平获得保健服务方面具有重大潜力。资金不足、人员短缺、政治干预和文化障碍等关键挑战持续存在,限制了该模式的整体影响。结论:该研究为提高CHPS模式的有效性提供了政策建议,并呼吁卫生部门利益相关者共同努力,在加纳建立一个可持续的孕产妇保健系统。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Strengthening maternal healthcare in Ghana: utilizing the community-based health planning and services model as a vehicle.

Introduction/aim: This review explores the Community-Based Health Planning and Services (CHPS) model and its impact on maternal healthcare delivery in Ghana's primary healthcare system. It highlights both the achievements and challenges of the initiative, focusing on community involvement, trained human resources, and effective referral linkages.

Aim: To critically examine how CHPS model contributes to strengthening maternal healthcare delivery in Ghana, by assessing its successes, challenges, and potential for promoting equitable and sustainable health outcome.

Methods: The study systematically reviewed literature from databases including PubMed, Google Scholar, and JSTOR, using keywords related to CHPS, maternal and child healthcare, reproductive health, and community health initiatives. Peer-reviewed articles, reports, and grey literature published within the past 10 years were prioritized, with additional insights drawn from references in the selected studies. The thematic areas were organized into maternal and child health services, reproductive health challenges, community health programs, and CHPS's role in addressing healthcare inequalities.

Results: Findings reveal that, CHPS as a strategy has significant potential to improve maternal health outcomes, reduce mortality rates, and ensure equitable access to care for women in rural and underserved areas. Key challenges such as inadequate funding, staff shortages, political interference, and cultural barriers persist, limiting the model's overall impact.

Conclusion: The study provides policy recommendations to enhance the effectiveness of the CHPS model and calls for a collective effort from health sector stakeholders to build a sustainable maternal healthcare system in Ghana.

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来源期刊
CiteScore
3.70
自引率
0.00%
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审稿时长
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