世界银行-向加纳政府提供卫生系统技术支持：通过患者途径和网络分析评估实践网络建议设计报告（英）

RECOMMENDATION DESIGN REPORTHEALTH SYSTEM TECHNICAL SUPPORT TO GOVERNMENT OF GHANA: ASSESSING NETWORKS OF PRACTICE THROUGH PATIENT PATHWAY AND NETWORK ANALYTICSPublic Disclosure AuthorizedPublic Disclosure AuthorizedPublic Disclosure AuthorizedPublic Disclosure Authorized© 2024 International Bank for Reconstruction and Development / The World Bank 1818 H Street NW Washington DC 20433 Telephone: 202-473-1000 Internet: www.worldbank.orgThis work is a product of the staff of The World Bank with external contributions. The findings, interpretations, and conclusions expressed in this work do not necessarily reflect the views of The World Bank, its Board of Executive Directors, or the governments they represent. The World Bank does not guarantee the accuracy of the data included in this work. The boundaries, colors, denominations, and other information shown on any map in this work do not imply any judgment on the part of The World Bank concerning the legal status of any territory or the endorsement or acceptance of such boundaries. Rights and Permissions The material in this work is subject to copyright. Because The World Bank encourages dissemination of its knowledge, this work may be reproduced, in whole or in part, for noncommercial purposes as long as full attribution to this work is given. Any queries on rights and licenses, including subsidiary rights, should be addressed to World Bank Publications, The World Bank Group, 1818 H Street NW, Washington, DC 20433, USA; fax: 202-522-2625; e-mail: pubrights@worldbank.org. Photo creditsAll photos courtesy of School of Public Health, University of Ghana.Table of ContentsList of Acronyms1Executive Summary2Introduction to the Research Study4Recommendation 1 – Configure New NoPs by Using a Comprehensive Mapping Approach, which Includes Health Facility Profiles, Perspectives of Healthcare Providers and Users, and Geolocation11Recommendation 2 – Prioritize the Further Upgrading of Network Hubs to Reorient Patient Pathways, Decongest Hospitals and Strengthen the Primary Care Levels12Recommendation 3 – Invest in the Human Resources Available at Primary Care Facilities to Improve Patient-Provider Contacts and Facility Capacity to Deliver the Full PHC Service Package13Recommendation 4 – Strengthen the Quality of Care Especially in the Network Hubs Given that Quality Drives Care-Seeking Behavior14Recommendation 5 – Improve NoP Maintenance Efforts15Recommendation 6 – Build Capacity on Patient Referral to Make the System Work Better for Patients and Providers16Recommendation 7 – Promote Health Equity through Increasing Awareness, Community Engagement, and Financial Protection17Recommendation 8 – Design Effective Urban Networks of Practice18Conclusion19RECOMMENDATION DESIGN REPORT1AcronymDefinitionANCAntenatal CareCEmONCComprehensive Emergency Obstetric and Newborn CareCETSCommunity Emergency Transport SystemCHAGChristian Health Association of GhanaCHMCCommunity Health Management CommitteeCHPSCommunity-Bas