The Challenge of Communicating Change: A Case Study of Ghana’s Community-based Health Planning and Services (CHPS) Policy

Abstract

In settings where health reform has been launched, the momentum for organisational change is slow because information used for management decisions assumes a top-down character at the expense of lateral and bottom-up models that seem more appropriate.  While no one communication approach is sufficient, this study investigated the effect of exposure to six communication mechanisms under Ghana’s pro-poor Community-based Health Planning and Services (CHPS) policy. Findings show that districts’ exposure to the various information sources directly correlates with progress made in the implementation of CHPS.

Keywords: innovation, laggards, moderates