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Chronic non-communicable diseases and the challenge of universal health coverage: insights from community-based cardiovascular disease research in urban poor communities in Accra, Ghana

de-Graft Aikins, A; Kushitor, M; Koram, K; Gyamfi, S; Ogedegbe, G; (2014) Chronic non-communicable diseases and the challenge of universal health coverage: insights from community-based cardiovascular disease research in urban poor communities in Accra, Ghana. BMC Public Health , 14 (S2) , Article S3. 10.1186/1471-2458-14-S2-S3. Green open access

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Abstract

BACKGROUND: The rising burden of chronic non-communicable diseases in low and middle income countries has major implications on the ability of these countries to achieve universal health coverage. In this paper we discuss the impact of cardiovascular diseases (CVD) on primary healthcare services in urban poor communities in Accra, Ghana. METHODS: We review the evidence on the evolution of universal health coverage in Ghana and the central role of the community-based health planning services (CHPS) programme and the National Health Insurance Scheme in primary health care. We present preliminary findings from a study on community CVD knowledge, experiences, responses and access to services. RESULTS: The rising burden of NCDs in Ghana will affect the achievement of universal health coverage, particularly in urban areas. There is a significant unmet need for CVD care in the study communities. The provision of primary healthcare services for CVD is not accessible, equitable or responsive to the needs of target communities. CONCLUSIONS: We consider these findings in the context of the primary healthcare system and discuss the challenges and opportunities for strengthening health systems in low and middle-income countries.

Type: Article
Title: Chronic non-communicable diseases and the challenge of universal health coverage: insights from community-based cardiovascular disease research in urban poor communities in Accra, Ghana
Location: England
Open access status: An open access version is available from UCL Discovery
DOI: 10.1186/1471-2458-14-S2-S3
Publisher version: https://doi.org/10.1186/1471-2458-14-S2-S3
Language: English
Additional information: © 2014 de-Graft Aikins et al; licensee BioMed Central Ltd. This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/4.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated.
Keywords: Cardiovascular Diseases, Chronic Disease, Community Health Services, Ghana, Health Services Research, Humans, Poverty Areas, Primary Health Care, Universal Health Insurance, Urban Health Services
UCL classification: UCL > Provost and Vice Provost Offices
UCL > Provost and Vice Provost Offices > UCL SLASH
UCL > Provost and Vice Provost Offices > UCL SLASH > Faculty of SandHS > SHS Faculty Office
UCL > Provost and Vice Provost Offices > UCL SLASH > Faculty of SandHS > SHS Faculty Office > UCL Institute for Advanced Studies
URI: http://discovery.ucl.ac.uk/id/eprint/10078439
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