Annual Programme of Work 2005 - Ministry of Health

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4. SERVICE DELIVERY Access, quality and coverage Clinical Care The health sector has adopted an integrated approach to delivery of health interventions. As part of this approach, health interventions are packaged and delivered in communities as part of CHPS and at outreaches, in health centres and in district, regional, tertiary and teaching hospitals. Access to health services have traditionally been addressed through increasing investments in health infrastructure but also through improving the distribution of human resources, both of which will be discussed in the investment section. Health institutions are providing 24 hour services opening hours as part of strategies for improving access. Outreach services are also organized to bridge the access gap to health facilities. In principle, Ghanaians expect the health system to meet their legitimate expectation when they are ill. Patients also expect to be treated well and correctly after getting into health institutions. So far the health system has made significant progress in this regard. The 2003 CWIQ found that about 78% of people interviewed are satisfied with the public hospitals and clinics, which is not very different from mission institutions (81.8%) and private institutions (83%). From 1997 to 2003 outpatient services increased from 0.36 to 0.55 per capita, while admission rates have grown from 24.8 to 35.9 per 1,000 per year. In spite of this progress, outpatients of many big hospitals are still crowded, and client orientation of health institutions is weak with low levels of privacy, comfort and dignity of patients. Access to laboratory and other diagnostic services are still very limited particularly in deprived areas. Nursing care in wards is still inadequate and infection control including universal precautions and sterilization is still below standard. Unsafe disposal of waste is still pervasive in health institutions. The introduction of the National Health Insurance Programme will also require that health institutions are accredited. The thrust for 2005 will therefore be to enhance the responsiveness of health institutions to the legitimate expectations of clients while concurrently promoting effective clinical services. The priority activities would include: • Develop structured program to improve documentation and quality of nursing care, laboratory and emergency services as well as organization and management of health facilities • Finalize the strategic framework for community health planning and services • Roll out CHPS with priority to deprived areas and hard to reach communities • Implement a programme to accredit health institutions • Develop policies, procedures and guidelines for the referral system • Monitor compliance with standards • Disseminate the patient’s charter • Provide supportive supervision, peer reviews and other forms of quality assurance. 19
• Modernize all health care facilities and equipments to improve their standard and quality of services to the public Expected Output/Results • 0.6 OPD per capita • 40 hospital admissions per 1000 • 70% bed occupancy rate • Proportion (How many) of public and private Health institutions accredited • Guidelines for referral developed Private Sector Development In 2004, the Ministry of health developed a Policy and Strategic Framework to guide private sector development and promote public-private Partnership in health care delivery. Work to establish a strategic initiative fund was also initiated. The thrust for 2005 is to implement the initiatives identified in the strategic framework including operationalizing the strategic initiative fund and integrating the private sector into routine health information system. Further work is also required to segment the health care market and motivate the private sector to contribute to public health delivery. The priority activities would include: • Continuing dissemination of information and advocacy for Public Private Partnerships in health service delivery • Operationalizing the strategic initiative fund • Developing strategies for attracting private providers to deprived areas • Encouraging peer review and structured monitoring to private institutions to improve quality of care • Assisting private institutions in getting accreditation for health insurance • Developing tools for segmenting the health care market to provide a basis for private sector participation in delivery of public health goods Expected Output/Results • 1.0% of health sector budget allocated to the private sector • 30% of OPD services provided by the private sector • 20% of private health institutions reporting in line with the national guidelines Accident and Emergency Services In 2004 MOH and Ghana National Fire Service, piloted an emergency ambulance service along the Accra – Kumasi Highway. Lessons from the pilot phase have been incorporated in the design of subsequent phases of the programme. 20
Page 1 and 2: THE GHANA HEALTH SECTOR 2005 PROGRA
Page 3 and 4: M & E MOH MOE MOI MTEF NA NADMO NCD
Page 5 and 6: Major Courage Quashiga Hon Minister
Page 7 and 8: 10. FINANCING THE SECTOR ..........
Page 9 and 10: • Increasing overall financial re
Page 11 and 12: Sector-wide Indicators and Targets
Page 13 and 14: 3. PRIORITY HEALTH INTERVENTIONS Th
Page 15 and 16: • National strategic plan for pac
Page 17 and 18: • Access the availability of EOC
Page 19 and 20: • 1200 HIV/AIDS patients with adv
Page 21 and 22: Guinea worm Eradication Guinea Worm
Page 23 and 24: The major NCDs in Ghana are cardiov
Page 25: • Providing targeted supplementar
Page 29 and 30: • Prepare and disseminate fact sh
Page 31 and 32: 5. INTERSECTORAL COLLLABORATION AND
Page 33 and 34: 7. REGULATION Regulation is a cross
Page 35 and 36: • Expansion of 16 existing traini
Page 37 and 38: 9. ORGANISATION AND MANAGEMENT OF H
Page 39 and 40: adversely on implementation at dist
Page 41 and 42: • Implementation guidelines for r
Page 43 and 44: Development Partners All activities
Page 45 and 46: Table 2: 2005 resource envelope by
Page 47 and 48: Internally Generated Funds and Nati
Page 49 and 50: Support to Health Summit 0.5 PPME,M
Page 51 and 52: Resource Gap The total resource gap
Page 53 and 54: 5 Construction and Completion of Ph
Page 55 and 56: 2 Upgrade of Dodowa Hospital 3 Cons
Page 57 and 58: 3 Completion of Health Centre at Bo
Page 59 and 60: 1 Rehabilitation of 3 no. Staff Fla
Page 61 and 62: 1 Rehabilitation of Health Centre a
Page 63 and 64: 3 CONSTRUCTION OF BAWIESIBELLE HEAL
Page 65 and 66: MINISTRY OF HEALTH - M NATIONAL 1 M
Page 67 and 68: 6 Completion of Works at Navrongo C
Page 69 and 70: 26 Construction of Classroom and Ho
Page 71 and 72: 3 Completion of Nurses' Flats 01.10
Page 73 and 74: Secretariat TOTAL 77,584,135,710 .5
Page 75 and 76: 2 3 4 5 6 7 8 GHANA HEALTH SERVICE
Page 77 and 78:
Clinical Care ENT 1 OVERSEAS L 20,0
Page 79 and 80:
Management Quality Assurance 2 OVER
Page 81 and 82:
ANNEX 3: PROCUREMENT PLAN Procureme
Page 84 and 85:
ANNEX 4: LOGFRAME FOR PROGRAMME IMP
Page 86 and 87:
adopted curriculum for deliveries
Page 88 and 89:
• New ACT Policy in place • Pro
Page 90 and 91:
• Programme for control of each o
Page 92 and 93:
• 70% bed occupancy rate • Prop
Page 94 and 95:
• ≥6 regions with functional CB
Page 96 and 97:
PERFORMANCE OUTPUTS • Intake into
Page 98 and 99:
COMPONENT: Information Systems Deve
Page 100 and 101:
them to use HSPA as tools for stewa
Page 102 and 103:
EDL • Develop Implementation Guid
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Annual Programme of Work 2005 - Ministry of Health

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