Assessment of strategic management practice of malaria control in the dangme west district, GhanaArticle submitted to the west african college of nursing for the award of a fellow英文文献资料.docVIP

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Assessment of strategic management practice of malaria control in the dangme west district, GhanaArticle submitted to the west african college of nursing for the award of a fellow英文文献资料.doc

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Assessment of strategic management practice of malaria control in the dangme west district, GhanaArticle submitted to the west african college of nursing for the award of a fellow英文文献资料

Vol.3, No.6, 343-356 (2011) Health doi:10.4236/health.2011.36059 Assessment of strategic management practice of malaria control in the Dangme West district, Ghana ——Article submitted to the West African College of Nursing for the award of a fellow Adelaide Maria Ansah Ofei School of Nursing, University Of Ghana, Legon, Ghana. adelaideofei@ Received 23 February 2011; revised 1 April 2011; accepted 6 April 2011. ABSTRACT individuals and populations, e.g. increased life expec- tancy, reduction in avoidable deaths and improvement in quality of life. Recognizing that resources are never adequate, a rethinking and restructuring of priorities is inevitable at all levels. Thus, the health care system has since independence gone through series of progressive reforms intended to develop and improve public health practice in Ghana. Prominent among these reforms, are the adoption of Primary Health Care (PHC) concept, creation of the Ghana Health Service by an act of par- liament (Act 525), development of the Medium Term Health Strategy (MTHS) and a 5-year Programme of Work (PoW). In all these developmental approaches malaria control has been given some form of promi- nence. Malaria as a public health challenge seems to be on the increase globally with over 1 - 2 million deaths each year. Over 90% of these are African children who due to poor access to health care facilities and local perceptions about the disease fail to seek prompt help. Indeed, ma- laria is accredited to be a major cause of poverty and low productivity especially in poor countries [19]. It is esti- mated that the annual economic burden of malaria in Africa is about US$ 1.7 billion or 1% of the Gross Do- mestic Product. In Ghana, malaria is hyper-endemic and accounts for more than 44% of reported out-patient visit and an estimated 22% of under-5 mortality. Reported cases however, represent onl