scholarly journals Putting the local back into planning‐experiences and perceptions of state and district health functionaries of seven aspirational districts in India on an innovative planning capacity building approach

2021 ◽  
Author(s):  
Enisha Sarin ◽  
Nitin Bisht ◽  
Jaya Swarup Mohanty ◽  
Naresh Chandra Joshi ◽  
Arvind Kumar ◽  
...  
Keyword(s):  
Capacity Building ◽  
District Health ◽  
Planning Capacity

scholarly journals Rethinking Planning Systems: A Plea for Self-Assessment and Comparative Learning

2020 ◽  
Vol 5 (1) ◽  
pp. 6-10 ◽  
Author(s):  
Frank J. D'Hondt ◽  
Kristof Van Assche ◽  
Barend Julius Wind
Keyword(s):  
Capacity Building ◽  
International Organizations ◽  
Local Application ◽  
Planning Systems ◽  
Self Assessment ◽  
Development Goals ◽  
International Planning ◽  
Planning Capacity

<p class="Boxbodytext">The authors reflect on recent experiences at UN-Habitat and other international organizations to rethink the roles of planning towards larger development goals and to reform planning systems in places most in need of them. They consider the difficulties but ultimate necessity to learn from a variety of contexts and experiences to articulate general orientations for planning and planning reform which can partly transcend context. Within the variety of planning experiences, and the experiences of lack of planning, one can discern principles which can be applied in many contexts, yet those include principles of contextualization and learning. Comparative learning underpins the attempts at finding general principles, and the local application of those principles further triggers processes of learning, including comparative learning. Local and grassroots planning capacity building is vital to locally apply and contextualize international planning guidelines.</p>

scholarly journals Implementing evidence-based task-strengthening strategies for hypertension control within Ghana’s Community-based Health Planning Services: a concept mapping analysis

2021 ◽  
Author(s):  
Solomon Nyame ◽  
Juliet Iwelunmor ◽  
Kwaku Poku Asante ◽  
Joyce Gyamfi ◽  
Kwame Adjei ◽  
...  
Keyword(s):  
Capacity Building ◽  
Concept Mapping ◽  
Policy Reform ◽  
Health Planning ◽  
Local Context ◽  
Evidence Based ◽  
Health Coverage ◽  
Hypertension Control ◽  
District Health ◽  
Community Based

Abstract Background As efforts are made to systematically implement an evidence-based task-strengthening strategy for hypertension control (TASSH) in Ghana, understanding their content can help national, regional and district health stakeholders within Ghana’s Health Services (GHS) identify strategies for enhancing intervention uptake and sustainability in their local context. This study sought to describe national, regional and district health stakeholders’ perspectives and characterize the array of strategies needed to enhance the uptake of evidence-based TASSH within Ghana’s Community-based Health and Planning Services (CHPS) zones. Methods This qualitative study was conducted among national, regional and district health stakeholders within GHS serving patients who utilize CHPS zones. The CHPS initiative is Ghana’s flagship strategy for achieving universal health coverage. Semi-structured interviews were conducted with 22 national, regional and district health stakeholders identified via purposive sampling. Interviews were conducted in 2018. Data analysis was conducted between July 2019 and December 2019. Data was analyzed using group concept mapping systems to identify major themes and subthemes. Results About 68 % of participants were male with mean age of 40 years and mean years of experience providing hypertension-related care within GHS of 9 years. A conceptual map emerged, consisting of 46 strategies needed for implementing evidence-based TASSH, organized into 6 clusters: 1) Referral Systems; 2) Availability of Equipment; 3) Protocols and Guidelines; 4) Capacity Building/Training; 5) Policy Reform, and 6) Technical Support and Supervision. Availability of equipment was rated as the most important strategy (mean 4.80 out of 5) needed to implement evidence-based TASSH, while Capacity Building/Training was rated as the most feasible strategy (mean 4.20 out of 5) to address. Although important (mean 4.40 out of 5), Policy reform was rated as the least important and feasible strategy to address. Conclusions These findings demonstrate strategies that can help inform future interventions focused on the adoption and sustainability of evidence-based TASSH within Ghana’s CHPS zones. Also, national, regional and district health stakeholders can support healthcare workers by facilitating access to equipment and strategies for enhancing capacity and training with implementing evidence-based task-shifting hypertension interventions in Ghana.

scholarly journals Implementing Evidence-Based Task Strengthening Strategies for Hypertension Control within Ghana’s Community-Based Health Planning Services: A Concept Mapping Analysis

2021 ◽  
Author(s):  
Solomon Nyame ◽  
Juliet Iwelunmor ◽  
Kwaku Poku Asante ◽  
Joyce Gyamfi ◽  
Kwame Adjei ◽  
...  
Keyword(s):  
Capacity Building ◽  
Concept Mapping ◽  
Policy Reform ◽  
Health Planning ◽  
Local Context ◽  
Evidence Based ◽  
Health Coverage ◽  
Hypertension Control ◽  
District Health ◽  
Community Based

Abstract Background: As efforts are made to systematically implement an evidence-based task-strengthening strategy for hypertension control (TASSH) in Ghana, understanding their content can help national, regional and district health stakeholders within Ghana’s Health Services (GHS) identify strategies for enhancing intervention uptake and sustainability in their local context. This study sought to describe national, regional and district health stakeholders’ perspectives and characterize the array of strategies needed to enhance the uptake of evidence-based TASSH within Ghana’s Community-based Health and Planning Services (CHPS) zones. Methods: This qualitative study was conducted among national, regional and district health stakeholders within GHS serving patients who utilize CHPS zones. The CHPS initiative is Ghana’s flagship strategy for achieving universal health coverage. Semi-structured interviews were conducted with 22 national, regional and district health stakeholders identified via purposive sampling. Interviews were conducted in 2018. Data analysis was conducted between July 2019 and December 2019. Data was analyzed using group concept mapping systems to identify major themes and subthemes.Results: About 68 % of participants were male with mean age of 40 years and mean years of experience providing hypertension-related care within GHS of 9 years. A conceptual map emerged, consisting of 46 strategies needed for implementing evidence-based TASSH, organized into 6 clusters: 1) Referral Systems; 2) Availability of Equipment; 3) Protocols and Guidelines; 4) Capacity Building/Training; 5) Policy Reform, and 6) Technical Support and Supervision. Availability of equipment was rated as the most important strategy (mean 4.80 out of 5) needed to implement evidence-based TASSH, while Capacity Building/Training was rated as the most feasible strategy (mean 4.20 out of 5) to address. Although important (mean 4.40 out of 5), Policy reform was rated as the least important and feasible strategy to address. Conclusions: These findings demonstrate strategies that can help inform future interventions focused on the adoption and sustainability of evidence-based TASSH within Ghana’s CHPS zones. Also, national, regional and district health stakeholders can support healthcare workers by facilitating access to equipment and strategies for enhancing capacity and training with implementing evidence-based task-shifting hypertension interventions in Ghana.

scholarly journals Investigating the effect of the Vula Mobile app on coordination of care and capacity building in district health services, Cape Town: Convergent mixed methods study

2021 ◽  
Vol 63 (1) ◽  
Author(s):  
Patrick Gloster ◽  
Robert Mash ◽  
Steve Swartz
Keyword(s):  
Primary Care ◽  
Mixed Methods ◽  
Health Services ◽  
Capacity Building ◽  
District Hospital ◽  
Mobile App ◽  
Coordination Of Care ◽  
District Health ◽  
Number Of Patients ◽  
Care Facilities

Background: Coordinating care is a defining characteristic of high quality primary care. Currently, very little is known about coordination of care in South Africa’s primary care setting. The Vula Mobile app was introduced in 2018 to assist with referring patients from primary care facilities to the Eerste River District Hospital (ERDH) emergency centre. The aim of this study was to evaluate the use of the app and its effect on coordination of care and capacity building of staff.Methods: Convergent mixed methods were used with quantitative data collected from hospital records and the Vula Mobile database, and with qualitative data collected from health professionals in primary care and the district hospital.Results: Out of 13 321 patients seen in the emergency centre of the district hospital over the 6-month study period, only 1932 (14.5%) of the patients were referred with Vula. Most of these referrals were accepted (85.5%). Sometimes, advice was given to (35.0%) or additional information was requested (27.4%) from the referring doctor. There was little use of Vula in providing other feedback (0.6%). The introduction of the Vula app led to a decrease in the number of inappropriately referred patients (6.7% to 4.2%, p = 0.004). Doctors using the Vula app perceived that it improved care coordination and had the potential for useful feedback.Conclusion: Vula improved coordination of patients referred from primary care facilities in the Metro Health Services to the district hospital, but missed the opportunity to support continuing professional development and learning. Utilisation of the Vula app should be increased and its potential to provide feedback should be enhanced. Attention should be given to reducing the number of patients self-referred or referred without using the Vula app.

Conceptualizing Capacity Building Research in the Canadian Heart Health Initiative

2001 ◽  
Author(s):  
Susan Elliott ◽  
Jennifer O'Loughlin ◽  
Kerry Robinson ◽  
John Eyles ◽  
Dexter Harvey ◽  
...  
Keyword(s):  
Capacity Building ◽  
Heart Health ◽  
Building Research ◽  
Health Initiative

Public Health and Primary Care Collaboration: Interactional Factors Influencing Capacity Building

2011 ◽  
Author(s):  
Linda O'Mara ◽  
Ruta Valaitis ◽  
Nancy Murray ◽  
Donna Meagher-Stewart ◽  
Sabrina Wong ◽  
...  
Keyword(s):  
Public Health ◽  
Primary Care ◽  
Capacity Building ◽  
Factors Influencing
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