当前位置： SCI文献检索 > BMJ Open期刊下所有文献 > Local patterns of social capital and sustenance of the Community-Based Health Planning Services (CHPS) policy: a qualitative comparative study in Ghana.

Local patterns of social capital and sustenance of the Community-Based Health Planning Services (CHPS) policy: a qualitative comparative study in Ghana.

Abstract：

OBJECTIVE:Social capital-the resources embedded in social relationships-has been associated with health severally. Notwithstanding, only a handful of studies have empirically examined how it shapes health policies. This paper extends the discourse by comparatively examining how variations in local patterns of structural and cognitive social capital underpin the successes and challenges in managing and sustaining the Community-Based Health Planning Services (CHPS) policy in Ghana. The CHPS is an intervention to address health inequalities. DESIGN:Qualitative study involving individual in-depth interviews and focus group discussions using a semi-structured interview guide. Thematic analysis approach, inspired by McConnell's typology of policy success (or failure) was adopted. SETTING:Two rural communities in two districts in Ashanti region in Ghana. PARTICIPANTS:Thirty-two primary participants as well as four health personnel and four traditional and political leaders. RESULTS:Both structural and cognitive components of social capital underpinned efficient functioning of the CHPS initiative regarding funding, patronage and effective information transmission. Sufficient level of social capital in a community enhanced understanding of the nature and purpose of the CHPS policy as well as complementary ones such as the referral policy. Contrary to popular conclusions, it was discovered that the influence of social capital was not necessarily embedded in its quantity but the extent of conscious activation and application. Furthermore, the findings contravened the assertion that social capital may be less potent in small-sized communities. However, elevated levels of cognitive social capital encouraged people to access the CHPS on credit or even for free, which was injurious to its sustenance. CONCLUSION:The CHPS initiative, and pro-poor policies alike, are more likely to thrive in localities with sufficient structural and cognitive social capital. Lack of it may render the CHPS susceptible to recurrent, yet preventable challenges.

journal_name

BMJ Open

journal_title

BMJ open

authors

Amoah PA

doi

10.1136/bmjopen-2018-023376

subject

Has Abstract

pub_date

2019-03-01 00:00:00

pages

e023376

issue

2

issn

2044-6055

pii

bmjopen-2018-023376

journal_volume

9

pub_type

杂志文章,多中心研究

相关文献

BMJ Open文献大全