Using a Standards-based Approach to Improve Access to Quality Primary Health Care in Western Ghana
Transcript of Using a Standards-based Approach to Improve Access to Quality Primary Health Care in Western Ghana
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Euod`d ly1
Pscog h Vthodhrds*lhs`d Hpprbhfm tb Cjprbv` Hff`sstb Xuhkcty Yrcjhry M`hktm Fhr` co W`st`ro Gmhoh (Fmhot`kk` Hkk`o(83 Jhy <986 (
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Yr`s`othtcbo Bv`rvc`w
§ Gmhoh (§ VTH\ FMYV Yrba`ft (§ Vthodhrds*lhs`dJhohg`j`ot hod
\`fbgoctcbo -VLJ\# (§ Hppkcfhtcbo be VLJ\(§ \`sukts hod K`ssbos
K`hro`d (
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Gmhoh
§ Kbw`r*jcddk` cofbj` fbuotry (§ <4. jckkcbo pbpukhtcbo(§ Ohtcbohk M`hktm Cosurhof` (§ Ebfus bo Yrcjhry M`hktm Fhr` (§ M`hktm codcfhtbrs1 (
§ Jht`rohk jbrthkcty 609 " 899+999 (§ Pod`r*0 jbrthkcty 74 " 8+999 (§ Coehot jbrthkcty 40 " 8+999 (§ O`bohthk jbrthkcty <= " 8+999 (§ Jbd`ro Fbotrhf`ptcv`
pr`vhk`of` rht` <6% (
\`e`r`of`s1+ D`jbgrhpmcf Mbus`mbkd Vurv`y <99=+ WMB<989+ Juktcpk` Codcfhtbr Fkust`r
Vurv`y <98<
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Vuppbrtcv` T`fmocfhk Hsscsthof` tb \`vcthkcz` Fbjjuocty*lhs`dM`hktm Ykhoocog hod V`rvcf`s -VTH\ FMYV# Yrba`ft
§ Cofr`hs`d hff`ss tb quhkcty lhscfprcjhry m`hktm fhr`(
§ Vbfchk cov`stj`ot prba`ft+
Aulck`` Yhrto`rs (§ 58 Fbjjuocty*lhs`d M`hktm
Ykhoocog hod V`rvcf`s -FMYVQbo`s# (
§ 5 Fbhsthk Dcstrcfts+ W`st`ro\`gcbo (
§ <988 ‖ <985(
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Cjprbv`d
quhkcty bes`rvcf`d`kcv`ry ht 58FMYV zbo`s (
Fbjjuocty`oghg`j`otco m`hktm(
Cofr`hs`d hff`ss tbquhkcty lhscf prcjhrym`hktm fhr` co 5 fbsthkdcstrcfts co tm` W`st`ro\`gcbo (
Gr`ht`r Hff`ss tb Xuhkcty YrcjhryM`hktm Fhr`
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\`gcbohk M`hktmDcr`ftbr " Dcr`ftbrht`1jhohg`j`ot+ pbkcfy
gucdhof`
Jhohg`j`ot
FMYV Qbo`1G`bgrhpmcf hr`h -& be fbjjuoctc`s# tb r`f`cv`
s`rvcf`s
FMYV fbjpbuod1Ymyscfhk sphf` tmhtfbjjuocty m`hktm ours`
bp`rht`s erbj
Vphf` " Ykhf`
Fbjjuocty M`hktm Ours` "Beecf`r1 fkcocfhk s`rvcf`s+jhohg`j`ot+ r`pbrtcog+ mbj`
vcscts+ fbjjuocty butr`hfm+
trhco vbkuot``rs
Fbjjuocty M`hktmFbjjctt``1 suppbrt tm`fbjjuocty m`hktm ours`+
jhohg` fbjjuoctycov`stj`ot jhohg` vbkuot``rs
Fbjjuocty M`hktmUbkuot``rs1 mbj` vcscts+suppbrt butr`hfm+ r`e`rrhk+
mbj` lhs`d fhr` be jhkhrch
FMYV T`hj J`jl`rs
FMYV1 Yrbvcdcog hff`ss tb Yrcjhry M`hktm Fhr` ebr mbus`mbkdshod fbjjuoctc`s (
Dcstrcft M`hktm Jhohg`j`ot T`hj1Jhohg`j`ot+ sup`rvcscbo+ kbgcstcfs+M\+ fbjjbdctc`s+ trhcocog
Yrba`ft Vuppbrt Fbjjctt``1 hdvcf`+k`v`rhg` r`sburf`s+ hdvbfhfy
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Xuhkcty be M`hktm Fhr`+ h kbfhk prcbrcty
Cjprbvcog tm` quhkcty be m`hktm fhr` wckk shv` kcv`sscof` p`bpk` wckk l` m`hktmc`r/ Tmcs wbukd hksb
r`duf` tm` pr`ssur` bo bur m`hktm ehfckctc`s hod tm`Gbv`roj`ot tbb fho shv` h kbt be jbo`y/
‖ Fmhrkbtt` Dhoquhm+ Dcstrcft Dcr`ftbr be M`hktm V`rvcf`s+
Abjbrb Dcstrcft
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Vthodhrds Lhs`d Jhohg`j`ot hod \`fbgoctcbo-VLJ\#
§ Yrhftcfhk jhohg`j`ot hpprbhfm(§ Bp`rhtcbohk p`rebrjhof`
sthodhrds (§ Ebfus bo j`hsur`j`ot hod
e``dlhfn(§ mttp1""pde/ushcd/gbv"pdeRdbfs"
YOHDE846/pde(
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Tm` jcsscog puzzk` pc`f`s> `xp`fthtcbos hodp`rebrjhof`
Y`rebrjhof` ‖ j`hsur` wmht cs
dbo`(
@xp`fthtcbos ‖ d`o` wmht cs
`xp`ft`d(
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Y`rebrjhof` hod Xuhkcty
‛J`hsur`j`ot cs tm` rst st`p tmht k`hds tb fbotrbkhod `v`otuhkky tb cjprbv`j`ot/ Ce ybu fho–t
j`hsur` sbj`tmcog+ ybu fho–t uod`rsthod ct/ Ce ybufho–t uod`rsthod ct+ ybu fho–t fbotrbk ct/ Ce ybu fho–t
fbotrbk ct+ ybu fho–t cjprbv` ct/‚ ‖ M/ Ahj`s Mhrrcogtbo (
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N``pcog ct scjpk`1 Fkhrcey `xp`fthtcbos+ Yrbvcd` Vuppbrt+J`hsur` p`rebrjhof`+ F`k`lrht` suff`ss
8/ D`o`(
</Vuppbrt(6/
J`hsur`(
4/F`k`lrht` (
Fk`hrky d`eco` `xp`fthtcbos-sthodhrds# hod furr`ot
p`rebrjhof` hod prhftcf`
-lhs`kco`#
D`v`kbp hftcbo pkho tbhddr`ss ghps co `xp`ft`d
p`rebrjhof` hod prbvcd`
suppbrt tb hfmc`v` tm``xp`ft`d sthodhrds
J`hsur` prbgr`ss be hfmc`vcog sthodhrds
-fbjphr` tb lhs`kco`#
\`fbgocz` hod f`k`lrht`prbgr`ss -lhs`d bo
r`sukts#
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Vt`p 81 D`o` Vthodhrds hod Y`rebrjhof`
Ohtcbohk @YC sfm`duk` be Cjjuoczhtcbos hod n`y hftcvctc`s
r`qucr`d
\`fbrds tb l` n`pt htFMYV k`v`k
FMB trhcocog bo @YC trhcocog+nobwk`dg` hod snckks
Abl d`sfrcptcbo be FMB cofkud`s @YChftcbos
Bp`rhtcbohk pbkcfy ebr FMYVcofkud`s @YC hs h ebfus hr`h
\bk`s+ r`spbosclckctc`s hods`rvcf`s tb l` prbvcd`d ly
Fbjjuocty M`hktm Ours`s ht
FMYV
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Lhs`kco` Hss`ssj`ot1 Y`rebrjhof` be 8= FMYV co Cjjuoczhtcbo+D`f`jl`r <988
49%(<9%(
=9%(899%(
59%(=9%(
<9%(9%( 9%( 9%(
899%(
<9%(
59%( 59%(
<9%(
59%( 59%( 59%(
9%(<9%(49%(59%(=9%(
899%(
% b
e V t h o d h r d s H f m c ` v ` d
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Vt`p <1 Vuppbrt Y`rebrjhof`+ d`v`kbp abcotprcbrctc`s
Ghp " Fhus` ( Cot`rv`otcbo " Hftcbo ( \`spbosclk` ( Vuppbrt ( D`hdkco` (
Ybbrcjjuoczhtcbo
prhftcf`s cofkudcogpbbr stbrhg`
-r`ercg`rhtbr obt
wbrncog#+ pbbrhdjcocstrhtcbo hod
ob us` hoddcspkhy be @YC
dhth (
8# Trhcocog ebrsthee bo @YC hod
Dhth Jhohg`j`othod Ps`(<# \`phcr
r`ercg`rhtbr (
Vthee tb suljctr`qucsctcbo ebr
r`ercg`rhtbr r`phcr ((Dcstrcft M`hktm
Jhohg`j`otT`hj tb
fbbrdcoht` @YCtrhcocog hod tb
r`phcr r`ercg`rhtbr(
VTH\ FMYVYrba`ft wckk
suppbrt trhcocog beFbjjuocty M`hktm
Ours`s (
\`qucsctcbo ebrr`phcr ly (<9 D`f`jl`r<988((@YC trhcocog ly (80 Jhrfm <98< (
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Vuppbrtcog Y`rebrjhof`
§ Trhcocog hod fhphfcty luckdcog (§ Jboctbrcog hod Vuppbrtcv`
Vup`rvcscbo(
§ Fmhjpcbos " p``r suppbrt (§ Jhohg`j`ot phrtcfcphtcbo co
hss`ssj`ots hod hftcbo pkhoocog (§ Yr`s`othtcbo hod dcsfusscbo be
r`sukts wctm jhohg`j`ot (
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Vt`p 61 J`hsur` Yrbgr`ss
§ Abcot hss`ssj`ot `x`rfcs` (§ Dcr`ft hss`ssj`ot be s`rvcf`s (§ Fhs` studc`s hod d`jbostrhtcbos (§ Hss`ssj`ot fm`fnkcsts (§ Cjj`dcht` e``dlhfn tb s`rvcf`
prbvcd`rs (§ Hoouhk hss`ssj`ot fyfk` (
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03%(09%( 40%( 0=%( 5<%(
<4%( <4%(
=7%( =0%( =<%( =6%( =<%(70%( 77%(
9%(<9%(49%(59%(=9%(
899%(
Fmckd M`hktm( \`prbduftcv`M`hktm( Ckko`ss`s
`j`rg`ofc`s( Fbjjuoctykconhg`s
butr`hfm(Jhohg`j`ot+
s`rvcf`s+
hftcvctc`s
kbgcstcfs (
FbjjuoctyM`hktm
Ubkuot``rs(Fbjjuocty
M`hktm
Fbjjctt``(
Lhs`kco`+ D`f`jl`r <98<(
Vujjhry be 8= FMYV Y`rebrjhof` ly Tm`jhtcf Hr`h+ Lhs`kco`Hss`ssj`ot D`f`jl`r <988 hod Ebkkbw up Hss`ssj`ot D`f`jl`r
<98<
% V
t h o d h r d s H f m
c ` v ` d
Fkcocfhk V`rvcf`s
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8= FMYV Y`rebrjhof` co Fmckd M`hktm+ Lhs`kco` Hss`ssj`otD`f`jl`r <988 hod Ebkkbw up Hss`ssj`ot D`f`jl`r <98<
9(
=3%(
03%(00%( 56%(
09%( 07%(4<%( 46%(
54%(75%(
54%(
9(
7<%(07%(
48%(05%(
66%(00%( 0<%(
34%( 33%( 34%( 36%( 38%( =3%( 33%( 35%( 34%( 34%( 37%(=6%(
50%(39%( 36%( 38%(
9%(<9%(49%(59%
(=9%(
899%(
Lhs`kco`+ D`f`jl`r <988( Ebkkbw up+ D`f`jl`r <98<(
% V
t h o d h r d
s H f m c ` v ` d
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Vujjhry be 5 Dcstrcft M`hktm Jhohg`j`otT`hj–s Y`rebrjhof`
44%(56%(
40%(67%( 44%( 43%(
77%(38%(
=8%( =9%( =9%(75%(
9%(<9%(49%(59%(=9%(
899%(
Hmhoth W`st( @kk`jl`kk (̀ Abjbrb( Oz`jh @hst( VMHJH( VTJH(Lhs`kco`+ D`f`jl`r <988( Ebkkbw up+ D`f`jl`r <98<(
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Cjprbvcog quhkcty+ Cjprbvcog hff`ss
9(<999(4999(5999(=999(
89999(8<999(84999(85999(
X8( X<( X6( X4( X8( X<( X6(
Tbthk BYD Htt`odhof` co 8= FMYV Qbo`s(
Fmckdr`o ; 0( Hkk Hg`s(<988"8< <98<"86
T b t h k o u j l ` r b e B Y
D f k c ` o t s
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Cofr`hscog hff`ss tb jhkhrch fhr`
9(8999(<999(6999(4999(0999(5999(7999
(=999(3999(
89999(
X8( X<( X6( X4( X8( X<( X6(
Oujl`r be jhkhrch fhs`s co 8= FMYV Qbo`s(Fborj`d( Tr`ht`d(
<988"8<<98<"86
T b t h k o u j l ` r b e j h k h r c h f h s ` s
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Kcjcthtcbos hod Fmhkk`og`s
9(<99(499(599(=99(
8999(8<99(8499(8599(
X8( X<( X6( X4( X8( X<( X6(
Oujl`r be O`w Ehjcky Ykhoocog Hff`ptbrs co 8=FMYV Qbo`s((
Hff`ptbrs(
<988"8< <98<"86
T b t h k o u j l ` r b e o ` w
e h j c k y
p k h o o c o g h f f ` p t b
r s
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Vt`p 41 F`k`lrht`
§ Lhs`d bo r`sukts (§ F`rtcfht`s+
hwhrds(
§ J`dch phrtcfcphtcbo§ Jhohg`j`ot
t`hjs (§ L`st prhftcf`s (
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K`ssbos K`hro`d
§ Yhrtcfcphtcbo1 hftcv` `oghg`j`ot be jhohg`j`ot (
§ Fkhrcfhtcbo1 `xp`fthtcbos hodsthodhrdczhtcbo be prhftcf`s(
§ J`hsur`j`ot1 Ybw`r beoujl`rs -%# tb fbjjuocfht`hod hdvbfht` ebr fmhog`(
§ Vuppbrt hod r`fbgoctcbo1 n`y
jbtcvhtbrs ebr s`rvcf` prbvcd`rs (
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Mhs tm` quhkcty be m`hktm fhr` cjprbv`d2
Tm`r` mhs l``o cjprbv`j`ot co fbjp`t`ofc`s hod snckks be m`hktm fhr`s`rvcf`s prbvcd`rs bee`r+ scof` tm`y obw ebkkbw prbf`dur`s
syst`jhtcfhkky tb p`rebrj tm`cr thsns/ Tm`y hr` hksb hwhr` be l`cog
jboctbr`d ebr gbbd p`rebrjhof`s wmcfm ht tm` `od tm`y wckk l`r`fbgocs`d hod r`whrd`d/ ‖ Fmhrkbtt` Dhoquhm+ Dcstrcft Dcr`ftbr be M`hktm V`rvcf`s+ Abjbrb Dcstrcft (
…w` obw nobw mbw tb db tmcogs tm` rcgmt why hod hksb wmht cs`xp`ft`d be us/ Tmcs mhs jhd` h lcg dcee`r`of`/
‖ Jhrtmh Hggr`y+ Fbjjuocty M`hktm Bef`r+ Abjbrb Dcstrcft