02605nas a2200229   4500000000100000008004100001260001000042653005700052653004300109653002500152653001000177653003000187653002300217100001500240700001500255700001400270245012300284856006300407300000900470520187100479022002502350       2023                            d  bWiley10aPublic Health, Environmental and Occupational Health10acommunity‐based health interventions10acommunity engagement10aGhana10apatient-public engagement10aSub-Saharan Africa1 aAnkomah SE1 aFusheini A1 aDerrett S00aImplementing patient–public engagement for improved health: Lessons from three Ghanaian community‐based programmes  uhttps://onlinelibrary.wiley.com/doi/epdf/10.1111/hex.13866  a1-113 a<p><strong>Background:</strong> Community‐based health interventions have been implemented as a key strategy for achieving improved health outcomes in Ghana. Effectiveness, however, largely depends on the successful implementation of patient–public engagement (PPE). Although several PPE studies have been conducted in Ghana, little research has been done&nbsp;to understand&nbsp;the specific role of PPE in the context of implementing community‐based health programmes. This paper, therefore, examines the extent of PPE implementation in three selected community‐based health programmes (Community‐based Health Planning and Service [CHPS], Community‐based Maternal and Child Health&nbsp;and Buruli Ulcer) to understand their specific effects on health outcomes.</p>

<p><strong>Methods:&nbsp;</strong>Three focus groups, involving 26 participants, were held in three districts of the Ashanti region of Ghana. Participants were mainly health service users involving community health committee members/volunteers, residents and health professionals. They were invited to participate based on their roles in the design and implementation of the programmes. Participants focused on each of Rifkin's spider‐gram components. Data were transcribed and analysed descriptively using NVIVO 12 Plus.</p>

<p><strong>Results:</strong> PPE implementation was found to be extensive across the three programmes in specific areas such as organisation and resource mobilisation. PPE was more restricted in relation to community needs assessment, leadership&nbsp;and management, particularly for the CHPS and Buruli Ulcer programmes.</p>

<p><strong>Conclusion:</strong> Findings suggest that benefits from community‐based health interventions are likely to be greater if PPE can be widely implemented across all dimensions of the spider‐gram framework.</p>
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