Methodological Evaluation of Community Health Centres Systems in Ghana: A Quasi-Experimental Study on Clinical Outcomes

Community health centres (CHCs) in Ghana play a crucial role in primary healthcare delivery but face challenges in ensuring consistent clinical outcomes. A mixed-methods approach combining quantitative analysis of clinical data with qualitative interviews to assess system performance and patient satisfaction. CHCs showed an average improvement in treatment success rates by 15% (95% CI: [7%, 23%]) compared to baseline, indicating enhanced service delivery. The quasi-experimental design provided robust evidence for the need to strengthen operational protocols and enhance staff training to further improve clinical outcomes. Implement standardised treatment guidelines, conduct regular performance evaluations, and provide ongoing professional development opportunities for CHC staff. Treatment effect was estimated with $\text{logit}(p_i)=\beta_0+\beta^\top X_i$, and uncertainty reported using confidence-interval based inference.