Bridging the Gap Between Evidence-based Innovation and National Health-sector Reform in Ghana  

Oleh:

Awoonor-William, John Koku ; Feinglass, Ellie S. ; Tobey, Rachel ; Vaughan-Smith, Maya N. ; Nyonator, Frank K. ; Jones, Tanya C.

Jenis: Article from Journal - ilmiah internasional
Dalam koleksi: Studies in Family Planning vol. 35 no. 03 (Sep. 2004), page 161-177.
Topik: Evidence-based Innovation; National Health; Navrongo Experiment; Nkwanta Setting; Health Planning
Fulltext: S26 V35 N3 2004 p161 win.pdf (2.5MB)

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Perpustakaan PKPM Nomor Panggil: S26 Non-tandon: 1 (dapat dipinjam: 0) Tandon: tidak ada

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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.

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