Document Type

Case Study

Publication Date



The Population Council conducted a diagnostic appraisal of delivering family planning services using the community-based health planning and services (CHPS model) in Ghana. This study’s results indicate that the CHPS program is well appreciated by rural communities where it is operational. However, the study identified several developments with implications for service delivery: increased community health officer (CHO) workloads and concomitant reductions in outreach services and home visits by community health visitors (CHVs) have weakened the CHO-CHV working relationship, leaving both cadres working in isolation. CHPS has significantly improved health indices but its contribution to increasing family planning is limited and seems to have decreased from the original model’s initial promise, mainly due to CHPS restructuring, change in priority and focus, with increased a range of services required of CHOs. The report recommends interventions and strategies for addressing identified gaps, strengthening the model, and thereby increasing family planning service access.