Information Systems |
Cumbersome information systems | | | |
Lack of information utilization | | | |
Lack of essential information | | | |
Essential Equipment, Supplies, and Facilities |
Shortage of community-based health facilities | | | |
Lack of essential equipment | -
Shortage of motorbikes and ambulances
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Lack of electrification, wells, and amenities
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Lack of essential commodities | | | |
Planning and Resources |
Lack of financial planning and budgets | | | |
Lack of flexible resources | | | |
Leadership and Governance |
Lack of leadership for CHPS | | | |
Failure to replicate Navrongo community engagement | -
Lack of community entry and engagement
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Limited focus on establishing community health committees
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Absence of mechanisms for durbars and community exchanges
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Employed social engagement strategies, including outreach to chiefs and elders, engagement with social networks and opinion leaders, community durbars for building consensus and collective action
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Social engagement, gender strategies, and traditional governance strategies can be diluted with scale up. Resources for exchanges, demonstration, and discussion of social organizational issues can be crucial to effective scale up of community health service strategies.
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Absence of political support | | | |