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. 2023 Feb 7;14(1):2169.
doi: 10.4081/jphia.2023.2169. eCollection 2023 Jan 27.

Effects of the community-based health planning and services on anemia and acute malnutrition amongst under-fives in Ghana: A comparative study

Mark Bigool  1 , Nicodemus Osei Owusu  1 , Angela Anastasia Frimpong  1
Affiliations

Effects of the community-based health planning and services on anemia and acute malnutrition amongst under-fives in Ghana: A comparative study

Mark Bigool et al. J Public Health Afr. .

Abstract

Background: Ghana implemented a community-based health planning and services (CHPS) in 2000 with the aim of bringing health services to the doorsteps of the deprived in the communities. Japan International Cooperation Agency (JICA) supported the implementation of the project with a distinct approach in the Upper West region, employing supportive supervision.

Objective: To investigate the impact of the JICA CHPS model on anemia and acute malnutrition prevalence amongst children less than five years of age.

Methods: This is a quasi-experimental study design that compares the upper west region with the two other regions of the North implementing the traditional model of CHPS. We used the Ghana demographic and health survey dataset for 2003 as the baseline and 2014 as the follow-up year and employed the difference-in-difference approach. We find a reduction in the likelihood of anemia and acute malnutrition prevalence among children less than five years by 17 and 8 percentage points respectively. We find the project to be cost-effective, at a cost of $7 per each anemia prevalence averted.

Conclusions: The results indicate that the JICA model of CHPS is cost-effective in the reduction of anemia and acute malnutrition prevalence compared to the traditional model. We recommend a nationwide expansion of the JICA model to enhance the reduction of anemia and acute malnutrition in Ghana.

Keywords: Acute malnutrition; Anemia; Difference-indifference; Ghana; JICA CHPS.

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Conflict of interest statement

Conflict of interests: The authors declare no potential conflict of interest.

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References

    1. Haas JD, Brownlie T. Iron Deficiency and Reduced Work Capacity: A Critical Review of the Research to Determine a Causal Relationship. The Journal of Nutrition. 2001. Feb 1;131(2):676S-690S. - PubMed
    1. McLean E, Cogswell M, Egli I, Wojdyla D, de Benoist B. Worldwide prevalence of anaemia, WHO Vitamin and Mineral Nutrition Information System, 1993–2005. PHN. 2009. Apr;12(04):444. - PubMed
    1. Ghana Statistical Service, Ghana Health Service, ICF Macro. Ghana Maternal Health Survey 2014. Accra, Ghana: Ghana Statistical Service; 2014.
    1. Ghana Health Service. Ghana Health Service 2019 Annual Report. Ghana Health Service; 2019.
    1. Chong A, Cohen I, Field E, Nakasone E, Torero M. Iron Deficiency and Schooling Attainment in Peru. American Economic Journal: Applied Economics. 2016. Oct;8(4):222–55.

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