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Did you know that clients often withhold information during their interactions with health workers and sometimes the information withheld can have adverse consequences on the quality of care they receive? Why would a client who has come to receive care at a facility withhold critical information yet their coming to the facility is a sign of trust in the system?  

Findings from Ghana revealed that pregnant women often withhold information...

Authority without responsibility leads to tyranny. Responsibility without authority leads to impotence. Peter Drucker

As the world shifts from MDGs to SDGs, the human resource for health crisis in developing countries still persists. One of the strategies for achieving and sustaining gains in the health sector is universal health coverage and these human resource shortages, mal-distributions, inadequate skill mixes, poor retention and low motivation of health workers most certainly poses enormous threats to the goal of UHC.

Efforts to train more, task shift, create financial...

Ghana, like many other developing countries, has faced challenges meeting Millennium Development Goal 4. This month, we read from Dr. Abdallah Ibrahim who highlighted the key maternal factors challenging Ghana’s progress towards reducing child mortality. Key among them is low screening for risk factors for depression during pregnancy, and postpartum depression that has the potential to influence infant survival subsequently. For the full article, read on...

“A man is angry at a libel because it is false, but at a satire because it is true.”  G.K. Chesterton

As KTNET Africa celebrates the first year of blogging this month, we congratulate our partners and other contributors for educating us with insights emerging from their health systems research. I also acknowledge partners’ contributions in the form of packaging evidence and engaging their various audiences in efforts to improve the uptake of their research findings.

I recently chanced upon a web link of...

Community governance has been well articulated in one of our earlier blogs. The definitions, descriptions and varying understandings were given detailed review by Dr. Olico Okui in his blog titled: Community governance who governs? I will therefore move the decision a little forward by discussing one of the community governance structures that has been recommended by WHO and adopted by many low...

Over the past several decades, Ghana has made some significant progress towards meeting the Millennium Development Goals (MDGs) on health, i.e. reducing child mortality by two-thirds (MDG4) and improving maternal health outcomes by three-quarters (MDG5) between 1990 and 2015.  Recent data indicates that child mortality rates for Ghana are estimated to have reduced from 111 per 1000 live births in 2003 to 80 per 1000 live births in 2008. However, it is generally known that Ghana is not on target to meet those two goals unless significant efforts are made to identify and scale up child...

Community governance is a fairly popular concept though with fairly broad, diverse meanings and connotations. Totikidis V, Armstrong A F & Francis R D (2005) define it to usually refer to community participation, engagement and decision-making in public matters and is related to terms such as local governance, social governance, network governance and participatory governance. Community governance therefore should embody community policy making, community management and decision-making in relation to community needs and building community capacity and well-being.

Community...

Millennium Development Goal 5 (MDG-5) which aimed to reduce maternal mortality by 75% by 2015 has been extremely important in increasing government attention and resources for maternal health in low- and middle-income countries (LMICs) over the last two decades. The maternal mortality ratio (MMR) and proportion of births attended by skilled health personnel were identified as the two indicators to monitor progress towards MDG-5. Indeed, increasing skilled birth attendance (SBA) has become a key maternal health strategy in most LMICs, as efforts have intensified to achieve the MDG-5 target of...

Efforts to reduce maternal mortality emphasize utilization of maternal health services and require health providers to be responsive to community needs, expectations, concerns or complaints. However, in a bid to be responsive to the needs and demands of their clientele, some health providers find themselves trapped in complex situations. These challenge them to adhere to the professional code of ethics and remain relevant within their contexts.  I have three incidents observed while undertaking fieldwork on the effect...

At the beginning of this month, we joined the rest of the world to celebrate the International women’s Day whose theme was, Empowering Women Empowering Community-Picture it!! Ms. Angela Kisakye shared reflections on how our individual and research coalition efforts are contributing to towards the theme. In her blog she laid emphasis on the on the work of coalition partners that are focusing on maternal and Child health. Please read on...

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