Primary Health Care

  • Open Access
    Galvanizing Action on Primary Health Care: Analyzing Bottlenecks and Strategies to Strengthen Community Health Systems in West and Central Africa
    Aline Simen-Kapeu, Maria Eleanor Reserva and Rene Ehounou Ekpini
    Global Health: Science and Practice March 2021, 9(Supplement 1):S47-S64; https://doi.org/10.9745/GHSP-D-20-00377

    In West and Central Africa, “leaving no one behind” requires strengthening community health systems by increasing health financing, improving supply chain system, and fostering community ownership and partnerships in all settings. Countries with high child mortality rates should improve service delivery through better integration. Galvanizing context-specific country actions is fundamental to improve primary health care services and move toward universal health coverage.

  • Open Access
    Factors That Influence Data Use to Improve Health Service Delivery in Low- and Middle-Income Countries
    Nicole Rendell, Kamalini Lokuge, Alexander Rosewell and Emma Field
    Global Health: Science and Practice September 2020, 8(3):566-581; https://doi.org/10.9745/GHSP-D-19-00388

    We identified factors that may influence the relationship between information generation and improvement of health service delivery: governance (leadership, participatory monitoring, regular review of data); production of information (presentation of findings, data quality, qualitative data); and health information system resources (electronic health management information systems, organizational structure, training).

  • Open Access
    Benefits and Limitations of a Community-Engaged Emergency Referral System in a Remote, Impoverished Setting of Northern Ghana
    Sneha Patel, John Koku Awoonor-Williams, Rofina Asuru, Christopher B Boyer, Janet Awopole Yepakeh Tiah, Mallory C Sheff, Margaret L Schmitt, Robert Alirigia, Elizabeth F Jackson and James F Phillips
    Global Health: Science and Practice December 2016, 4(4):552-567; https://doi.org/10.9745/GHSP-D-16-00253

    A low-cost emergency and communication transportation system used 3-wheeled motorcycles driven by trained community volunteers. Delivery referrals were redirected from health centers to hospitals capable of advanced services including cesarean deliveries, which was associated with reduced facility-based maternal mortality.

  • Open Access
    Lessons learned from scaling up a community-based health program in the Upper East Region of northern Ghana
    John Koku Awoonor-Williams, Elias Kavinah Sory, Frank K Nyonator, James F Phillips, Chen Wang and Margaret L Schmitt
    Global Health: Science and Practice March 2013, 1(1):117-133; https://doi.org/10.9745/GHSP-D-12-00012

    The original CHPS model deployed nurses to the community and engaged local leaders, reducing child mortality and fertility substantially. Key scaling-up lessons: (1) place nurses in home districts but not home villages, (2) adapt uniquely to each district, (3) mobilize local resources, (4) develop a shared project vision, and (5) conduct “exchanges” so that staff who are initiating operations can observe the model working in another setting, pilot the approach locally, and expand based on lessons learned.

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