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Published in: BMC Public Health 2/2014

Open Access 01-06-2014 | Research

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

Authors: Ama de-Graft Aikins, Mawuli Kushitor, Kwadwo Koram, Stella Gyamfi, Gbenga Ogedegbe

Published in: BMC Public Health | Special Issue 2/2014

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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.
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Metadata
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
Authors
Ama de-Graft Aikins
Mawuli Kushitor
Kwadwo Koram
Stella Gyamfi
Gbenga Ogedegbe
Publication date
01-06-2014
Publisher
BioMed Central
Published in
BMC Public Health / Issue Special Issue 2/2014
Electronic ISSN: 1471-2458
DOI
https://doi.org/10.1186/1471-2458-14-S2-S3

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