P. 1
The Health Sector in Ghana

The Health Sector in Ghana

5.0

|Views: 174|Likes:

Ghana’s demographic profile is changing, and demographic, epidemiological, and nutrition transitions are well underway. However, several of Ghana’s health outcome performances, especially in terms of child health and maternal health, are worse than the levels found in other comparable lower middle income and health spending countries. The volume is timely, given the stage of the Ghana's development. It briefly discusses some of the debates in Ghana’s health sector: decentralization and governance, private sector partnership, strengthening health systems, and health financing. It brings together several elements of health system development and challenges and links it to health financing and delivery performance. The volume reviews the situation among human resources for health and pharmaceuticals. The private sector is growing and attention is required on its development. The volume benefits from health service delivery assessments in the public and private sectors, and finds large variations in distribution and weak incentives to improve productivity and performance. It also reviews the demand side financing reform, its coverage of the population and its effect on service use and the financial sustainability of the National Health Insurance Scheme. There is fragmentation in financing of public health, and inefficiency in health spending, and there is need to improve spending in areas that provide a higher value for money. Data overall has been a constraint, however, the study benefits from various household level surveys to disaggregate the analysis by income quintiles. It also reviews the household’s vulnerability to health shocks and their financial protection against illness costs. There is inequity in health access, health service use, and health outcomes. The Northern regions have poorer results. Finally, the volume highlights the range of policy options needed to improve health system performance and health outcomes. At this stage of the country’s development, and taking the agenda for reform to the next level, the Government of Ghana could embark on significant reforms in the areas of (a) decentralization and governance, (b) health service delivery, (c) public health, and (d) health financing. Further it should set up a holistic and accountable health reform process as it transitions to universal coverage along with its concomitant service delivery, public health, and governance reforms.

Ghana’s demographic profile is changing, and demographic, epidemiological, and nutrition transitions are well underway. However, several of Ghana’s health outcome performances, especially in terms of child health and maternal health, are worse than the levels found in other comparable lower middle income and health spending countries. The volume is timely, given the stage of the Ghana's development. It briefly discusses some of the debates in Ghana’s health sector: decentralization and governance, private sector partnership, strengthening health systems, and health financing. It brings together several elements of health system development and challenges and links it to health financing and delivery performance. The volume reviews the situation among human resources for health and pharmaceuticals. The private sector is growing and attention is required on its development. The volume benefits from health service delivery assessments in the public and private sectors, and finds large variations in distribution and weak incentives to improve productivity and performance. It also reviews the demand side financing reform, its coverage of the population and its effect on service use and the financial sustainability of the National Health Insurance Scheme. There is fragmentation in financing of public health, and inefficiency in health spending, and there is need to improve spending in areas that provide a higher value for money. Data overall has been a constraint, however, the study benefits from various household level surveys to disaggregate the analysis by income quintiles. It also reviews the household’s vulnerability to health shocks and their financial protection against illness costs. There is inequity in health access, health service use, and health outcomes. The Northern regions have poorer results. Finally, the volume highlights the range of policy options needed to improve health system performance and health outcomes. At this stage of the country’s development, and taking the agenda for reform to the next level, the Government of Ghana could embark on significant reforms in the areas of (a) decentralization and governance, (b) health service delivery, (c) public health, and (d) health financing. Further it should set up a holistic and accountable health reform process as it transitions to universal coverage along with its concomitant service delivery, public health, and governance reforms.

More info:

Publish date: Dec 27, 2012
Added to Scribd: Dec 10, 2012
Copyright:AttributionISBN:9780821395998

Availability:

Read on Scribd mobile: iPhone, iPad and Android.
This book can be read on up to 6 mobile devices.
Buy the full version from:Amazon
See more
See less

02/05/2016

241

9780821395998

Although communicable diseases (CDs) are declining, they are still
highly prevalent in Ghana. Ghana fares better than the surrounding
region. And yet, despite the availability of cost-effective interventions,
53 percent of deaths in Ghana are CD-related (WHO 2011). Among
children under the age of 14, infectious and parasitic diseases and perina-
tal conditions are the leading causes of death. Malaria and pneumonia are
the leading causes of death among children under the age of five. These
figures suggest a need to take a fresh look at existing programs. Health
systems issues and challenges are a key bottleneck. A prompt reduction

Background and Objectives 29

in CDs would free up resources for new and emerging diseases and for
improving the quality of care.
Ghana is going through an epidemiological transition. Noncom-
municable diseases (NCDs) have become a growing concern. NCDs are
more prevalent in Ghana than in the Sub-Saharan African region. In
2008, 39 percent of deaths in Ghana were due to NCDs. Among adults
15–59 years of age, 45 percent of the causes of death were attributed to
NCDs (35 percent) or injuries (10 percent): infectious diseases,
cardiovascular diseases, and injuries are leading causes of death. Among
adults over the age of 60, 67 percent of deaths were attributable to
NCDs: cardiovascular and infectious diseases are leading causes of death
(WHO 2011). See figures 1.4 and 1.5.

You're Reading a Free Preview

Download
scribd