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          <dc:title>Survey Data_Amon et al.</dc:title>
          <dc:creator>Samuel Amon (14029704)</dc:creator>
          <dc:subject>Health equity</dc:subject>
          <dc:subject>Health promotion</dc:subject>
          <dc:subject>Preventative health care</dc:subject>
          <dc:subject>Social determinants of health</dc:subject>
          <dc:subject>Community child health</dc:subject>
          <dc:subject>primary health care</dc:subject>
          <dc:subject>health system strengthening</dc:subject>
          <dc:subject>birth outcomes</dc:subject>
          <dc:subject>difference-in-differences impact evaluation</dc:subject>
          <dc:subject>Ghana</dc:subject>
          <dc:description>&lt;p dir="ltr"&gt;We evaluate the key primary healthcare system strengthening program in Ghana (CHPS+) through a robust quasi-experimental study design, providing a critical opportunity to generate high-quality empirical evidence on the effectiveness of decentralized health system strengthening in Sub-Saharan Africa. By contrasting intervention zones with comparable control districts over time, this research evaluates whether upgrading community-level clinical capacity, local health governance, and emergency transport logistics systematically reduces adverse birth outcomes, specifically stillbirths, in two underserved regions of Ghana. The findings from this evaluation aim to inform national maternal-child health policy, guide resource allocation for primary care infrastructure, and contribute valuable evidence toward global strategies aimed at ending preventable perinatal deaths in resource-constrained settings.&lt;/p&gt;</dc:description>
          <dc:date>2026-09-21T14:19:09Z</dc:date>
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