Recent years have seen Ghana pursuing extensive reforms of its healthcare delivery system. The delivery of immunization and other outreach services to the people of Bibiani-Anhwianso-Bekwai (BAB) district in Ghana despite the tremendous efforts by the district directorate to extend services to more people has recently been stalled. Faulty case management techniques used by case managers managing the immunization delivery services may be cited for the slow pace at which this process is moving. CDCynergy, a theoretical framework and model developed by the Centers for Disease Control and Prevention (CDC) was used to examine the case management techniques used in the health services departments in and around the Bibiani-Anhwianso-Bekwai (BAB) district in Ghana to deliver immunization and outreach services to the target community. Using a community-based research approach, 27 community health nurse case managers took part in a semi structured interviews to select participants of the focus group deliberations. The focus group members were all community health nurse case managers involved in managing immunization and immunization related outreach programs. The researcher moderated a focus group discussion with nine community health nurse case managers stationed at the BAB district. Additionally, a district vice chair, a director of health services in the region, primary healthcare providers (PCPs) from health centers in the BAB district, and a nurse from one of the Community Health Post (CHPS) compounds in the Bibiani-Anhwianso-Bekwai (BAB) District participated in separate semi structured interviews. The findings identified the following: (a) majority of the community nurse case managers understand that offering immunization and outreach services to the target population constitutes an important part of their job description, (b) improving the case management techniques used by the outreach and the immunization case managers in the BAB district could improve the context of their service delivery, (c) improving the time management component of the case management techniques could tremendously improve the delivery of immunization and outreach services, and (d) developing a training manual to provide case management guidance and tools to the community health case managers, in order to improve their case management skills. Even though the community healthcare posts (CHPS) serve as a model for bringing immunization and outreach services closer to target populations, the idea of community healthcare worker (CHEW) delivery of more services to hard-to-reach communities is a definite public health measure of improving collaboration between healthcare workers, community residents, community leaders, public health administrators, and local politicians. This measure can positively impact the delivery of immunization and outreach services.
|Commitee:||Hughes, Seyra, Moretz, Dana|
|Department:||School of Nursing and Health Sciences|
|School Location:||United States -- Minnesota|
|Source:||DAI-B 78/10(E), Dissertation Abstracts International|
|Subjects:||Public health, Epidemiology, Health care management|
|Keywords:||Case study, Ghana, Public health|
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