Bridging the gap between evidence-based innovation and national health-sector reform in Ghana.

Abstract:

:Although experimental trials often identify optimal strategies for improving community health, transferring operational innovation from well-funded research programs to resource-constrained settings often languishes. Because research initiatives are based in institutions equipped with unique resources and staff capabilities, results are often dismissed by decisionmakers as irrelevant to large-scale operations and national health policy. This article describes an initiative undertaken in Nkwanta District, Ghana, focusing on this problem. The Nkwanta District initiative is a critical link between the experimental study conducted in Navrongo, Ghana, and a national effort to scale up the innovations developed in that study. A 2002 Nkwanta district-level survey provides the basis for assessing the likelihood that the Navrongo model is replicable elsewhere in Ghana. The effect of community-based health planning and services exposure on family planning and safe-motherhood indicators supports the hypothesis that Navrongo effects are transferable to impoverished rural settings elsewhere, confirming the need for strategies to bridge the gap between Navrongo evidence-based innovation and national health-sector reform.

journal_name

Stud Fam Plann

authors

Awoonor-Williams JK,Feinglass ES,Tobey R,Vaughan-Smith MN,Nyonator FK,Jones TC

doi

10.1111/j.1728-4465.2004.00020.x

subject

Has Abstract

pub_date

2004-09-01 00:00:00

pages

161-77

issue

3

eissn

0039-3665

issn

1728-4465

journal_volume

35

pub_type

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