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Impact of school health management committees on health services delivery in Ghana: A national level assessment
Author(s) -
Bowman Angela S.,
Owusu Andrew,
Trueblood Amber B.,
BosumtwiSam Cynthia
Publication year - 2018
Publication title -
the international journal of health planning and management
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.672
H-Index - 41
eISSN - 1099-1751
pISSN - 0749-6753
DOI - 10.1002/hpm.2540
Subject(s) - service delivery framework , school health , health services , health management system , health policy , government (linguistics) , business , medicine , environmental health , public health , service (business) , medical education , nursing , marketing , alternative medicine , population , linguistics , philosophy , pathology
Summary Objectives To examine the prevalence, determinants, and impact of local school health management committees on implementation of minimum‐recommended school health services delivery among basic and secondary schools in Ghana. Methods National level cross‐sectional data from the first‐ever assessment of Ghana Global‐School Health Policies and Practices Survey was utilized. Complex sample analyses were used to quantify school‐level implementation of recommended minimum package for health services delivery. Results Of 307 schools, 98% were basic and government run, and 33% offered at least half of the recommended health service delivery areas measured. Schools with a school health management committee (53%) were 4.8 ( 95% CI = 3.23–5.18) times as likely to offer at least 50% of the minimum health services package than schools that did not. Conclusions There is significant deficit concerning delivery of school health services in schools across Ghana. However, school health management committees positively impact implementation of health service delivery. Policy implications School health management committees provide a significant impact on delivery of school health services; thus, it is recommended that policy makers and programmers place greater emphasis on the value and need for these advisory boards in all Ghanaian schools.