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Volunteer responsibilities, motivations and challenges in implementation of the community-based health planning and services (CHPS) initiative in Ghana: qualitative evidence from two systems learning districts of the CHPS+ project

Article scientifique 2019 Anglais

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Abstract Background Community volunteerism is essential in the implementation of Community-based Health Planning and Services (CHPS) concept in Ghana. We explored the motivations, responsibilities and challenges of Community Health Management Committees (CHMC) in two CHPS+ project districts in Ghana.Methods We used a qualitative approach to collect data through 4 focus group discussions among a purposive sample of Community Health Volunteers in December 2018 and analysed them thematically.Results The value, self-enrichment and protective functions were found to be the key motivations for serving on CHMCs. The committees provide support in running the CHPS programme through resource mobilisation, monitoring of logistics, assisting the Community Health Officers (CHO) in the planning of CHPS activities, and resolution of conflicts between the CHOs and community members. Financial challenges, inadequate logistics, lack of support from community members, lack of motivation, poor telecommunication network and lack of frequent skill development training programmes for CHMC members who serve as traditional birth attendants (TBAs) were major challenges in CHMC volunteerism.Conclusion Community health volunteerism needs to be prioritised by the Ghana Health Service and other health sector stakeholders to make it attractive for members to give off their best in the discharge of their responsibilities.

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Kweku, M., Manu, E., Amu, H., Aku, F., Adjuik, M., Tarkang, E., Komesuor, J., Asalu, G., Amuna, N., Boateng, L., Alornyo, J., Glover, R., Ayagah, B., Letsa, T., Awoonor‐Williams, J., Phillips, J., Gyapong, J. (2019). Volunteer responsibilities, motivations and challenges in implementation of the community-based health planning and services (CHPS) initiative in Ghana: qualitative evidence from two systems learning districts of the CHPS+ project. https://doi.org/10.21203/rs.2.16105/v1

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Auteur(s)

MMargaret Kweku Emmanuel Manu Hubert Amu Fortress Yayra Aku Martin Adjuik Elvis Enowbeyang Tarkang Joyce Komesuor Geoffery Adebayor Asalu Norbert Ndaah Amuna Laud Ampomah Boateng Justine Sefakor Alornyo Roland Glover Bawah Ayagah Timothy Letsa John Koku Awoonor‐Williams James F. Phillips John O. Gyapong

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