Improving maternal and child nutrition services in community based health planning and services zones in the jirapa municipality of northern ghana-challenges and strategies: the perspective of community health officers.

IF 1.9 Q3 NUTRITION & DIETETICS BMC Nutrition Pub Date : 2024-06-14 DOI:10.1186/s40795-024-00848-8
Francis Xavier Tengepare, Dennis Chirawurah, Stephen Apanga
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Abstract

Background: The Community-based Health Planning and Services (CHPS) initiative plays a key role in delivering maternal and child health nutrition services in Ghana. This study explored bottle necks hindering the delivery of maternal and child nutrition services at CHPS zones and searched for strategies to address them from the perspective of community health officers in rural Northern Ghana.

Methods: An exploratory qualitative cross-sectional study design using key informant interviews involving the municipal nutrition officer and Community Health Officers (CHOs) from eleven CHPS zones was carried out in April 2019. Manual data analysis was done using the framework analysis approach in qualitative data analysis for applied policy research.

Results: This study identified challenges of maternal and child nutrition services in the Jirapa municipality to be municipal health directorate and CHPS zone based in nature. Municipal health directorate based challenges were inadequate logistics/medicines; lack of staff training; lack of supervision/monitoring; and inadequate financial support/motivation/incentives. CHPS zone based challenges were lack of planning activities by staff; inadequate home visits; lack of commitment by staff; and lack of community meetings/engagements. Proposed strategies to address municipal health directorate based challenges included adequate provision of logistics/medicines; frequent training of staff in maternal and child nutrition related issues; frequent supervision/monitoring activities from the municipal health directorate; and providing financial support/motivation/incentives at the CHPS zones. Proposed strategies to address CHPS zone based challenges were planning of activities; improved home visits; increased commitment towards delivering maternal and child nutrition services; and frequent community meetings/engagements.

Conclusion: In order to improve maternal and child nutrition services at CHPS zones, there is the need to address certain systemic challenges at both the municipal or district health directorate and CHPS zones levels of the primary health care system. It is recommended that, the Municipal Health Directorate; the Municipal Health Management Team; the Municipal Assembly and all relevant stakeholders involved in improving maternal and child nutrition services at the community level, actively engage CHOs to help address the systemic challenges.

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改善加纳北部吉拉帕市社区卫生规划和服务区的母婴营养服务--挑战与战略:社区卫生官员的视角。
背景:以社区为基础的卫生规划与服务(CHPS)计划在加纳提供妇幼保健营养服务方面发挥着关键作用。本研究从加纳北部农村地区社区卫生官员的角度出发,探讨了阻碍社区卫生规划和服务区提供母婴营养服务的瓶颈问题,并寻找解决这些问题的策略:方法:2019 年 4 月开展了一项探索性定性横断面研究,采用关键信息提供者访谈的设计,访谈对象包括市营养官员和来自 11 个 CHPS 区的社区卫生官员 (CHO)。采用应用政策研究定性数据分析的框架分析方法进行了人工数据分析:研究发现,吉拉帕市母婴营养服务面临的挑战主要来自市卫生局和社区保健服务区。市卫生局面临的挑战是后勤/药品不足;缺乏人员培训;缺乏监督/监测;以及财政支持/动力/激励不足。社区保健服务地区面临的挑战是:工作人员缺乏规划活动;家访不足;工作人员缺乏承诺;以及缺乏社区会议/参与。应对市卫生局挑战的拟议战略包括:提供充足的后勤/药品;经常对工作人员进行母婴营养相关问题的培训;市卫生局经常开展监督/监测活动;以及在儿童保健服务区提供财政支持/激励/奖励。为应对基于社区保健服务地区的挑战而提出的战略是:规划活动;改善家访;加强对提供母婴营养服务的承诺;经常召开社区会议/参与社区活动:为了改善儿童保健服务区的母婴营养服务,有必要解决初级卫生保健系统中市或区卫生局和儿童保健服务区两级面临的某些系统性挑战。建议市卫生局、市卫生管理小组、市议会和所有参与改善社区一级母婴营养服务的相关利益方积极与社区保健组织合作,帮助应对系统性挑战。
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来源期刊
BMC Nutrition
BMC Nutrition Medicine-Public Health, Environmental and Occupational Health
CiteScore
2.80
自引率
0.00%
发文量
131
审稿时长
15 weeks
期刊最新文献
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