From: Assessing participation in a community-based health planning and services programme in Ghana
Indicators | Narrow, nothing | Restricted, small | Mean, fair | Open, very good | Wide, excellent |
---|---|---|---|---|---|
1 | 2 | 3 | 4 | 5 | |
Needs Assessment | Identified or imposed by health experts without community involvement or consultation | CHPS services designed by health experts with limited community involvement | Community was consulted and involved in assessing their needs | Community involvement in needs assessment, and few services resonating with their assessed needs | Full community involvement in needs assessment with service package in resonance with their health needs |
Leadership | Dominant-imposing CHPS committee chairman represents only committee or few elite or rich community members | Limited committee role in leadership, few representation of women or few interest groups | Few community consultation, involvement in decision-making and represent community interest | Good committee leadership role consults community, leadership constitute women representation and all interest groups | CHPS committee fully represents diverse interests, Selfless leadership roles, full community involvement in decision-making |
Organisation | Parallel operation or no collaboration of CHPS with pre-existing community units or local structures | Limited collaboration of CHPS with pre-existing community units or structures | CHPS cooperates with few community structures | Integration and collaboration of CHPS with other community bodies | CHPS well and fully integrated and works collaboratively with other community units |
Resource Mobilization | No community support or resource contribution. Community not involved or consulted in resource allocation | Limited amount of resources raised by the community. No community control over mobilised resources utilisation | Community raised resources and fully support CHPS with limited role in controlling expenditure | Community are resourceful and supports CHPS with mobilised resources. Community involved in resource allocation | Full and active community contributions to support CHPS. community fully consulted in resource allocation |
Management | Managed or induced by service providers (GHS). No community consultation in management decision making | CHPS operation overseen by GHS with CHPS committee role | CHPS operation overseen solely by the health committee | CHPS committee self-managed and involved community and other interest groups (women) in decision making | Committee independently managed CHPS with full community consultation and representation |