Sakeah, EvelynMcCloskey, LoisBernstein, JudithYeboah-Antwi, KojoMills, SamuelDoctor, Henry V.2015-11-302015-11-302014-08-11BMC Health Services Researchhttps://hdl.handle.net/10986/23149In Ghana, between 1,400 and 3,900 women and girls die annually due to pregnancy related complications and an estimated two-thirds of these deaths occur in late pregnancy through to 48 hours after delivery. The Ghana Health Service piloted a strategy that involved training Community Health Officers (CHOs) as midwives to address the gap in skilled attendance in rural Upper East Region (UER). CHO-midwives collaborated with community members to provide skilled delivery services in rural areas. This paper presents findings from a study designed to assess the extent to which community residents and leaders participated in the skilled delivery program and the specific roles they played in its implementation and effectiveness.en-USCC BY 3.0 IGOskilled birth attendancecommunity participationcommunity health workerscommunity-based service deliveryJournal ArticleWorld Bank10.1596/23149