RESEARCH ARTICLE
The influence of the Community‐based Health
Planning and Services (CHPS) program on
community health sustainability in the Upper West
Region of Ghana
Hannah Woods
1
|
Umar Haruna
2
|
Irenius Konkor
1
|
Isaac Luginaah
1
1
Department of Geography, University of
Western Ontario, London, Ontario, Canada
2
Department of Social, Political and Historical
Studies, University for Development Studies,
Wa Campus, Wa, Ghana
Correspondence
Umar Haruna, Department of Social, Political
and Historical Studies, University for
Development Studies, Wa Campus, Wa, Upper
West Region, Ghana.
Email: humar@uds.edu.gh
Summary
Ghana introduced Community‐based Health Planning and
Services (CHPS) to improve primary health care in rural
areas. The extension of health care services to rural areas
has the potential to increase sustainability of community
health. Drawing on the capitals framework, this study aims
to understand the contribution of CHPS to the sustainability
of community health in the Upper West Region of Ghana—
the poorest region in the country. We conducted in‐depth
interviews with community members (n = 25), key informant
interviews with health officials (n = 8), and focus group dis-
cussions (n = 12: made up of six to eight participants per
group) in six communities from two districts. Findings show
that through their mandate of primary health care provision,
CHPS contributed directly to improvement in community
health (eg, access to family planning services) and indirectly
through strengthening social, human, and economic capital
and thereby improving social cohesion, awareness of health
care needs, and willingness to take action at the community
level. Despite the current contributions of CHPS in improv-
ing the sustainability of community health, there are several
challenges, based on which we recommend, that govern-
ment should increase staffing and infrastructure in order to
strengthen and maintain the functionality of CHPS.
KEYWORDS
capital, CHPS, community health, Ghana, health sustainability
Received: 27 August 2018 Revised: 27 September 2018 Accepted: 27 September 2018
DOI: 10.1002/hpm.2694
Int J Health Plann Mgmt. 2018;1–15. © 2018 John Wiley & Sons, Ltd. wileyonlinelibrary.com/journal/hpm 1