This article reports on the ways and factors that facilitate or constrain
community participation in the Community-based Health Planning and
Services (CHPS) programme in Nsanfo, a village in Central Region of
Ghana. We found that the community made an important step through
mobilising the necessary resources in establishing the CHPS compound,
which has resulted in improved access to health care. Yet maintaining
the facility did not matter most to community members, owing chiefly
to unmet demands for financial accountability pertaining to the running
of the programme. Failure to clearly identify various actors and their
roles potentially explains this state of affairs.