Annual Programme of Work 2005 - Ministry of Health

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8. INVESTMENTS IN THE SECTOR Capital Investments The Capital Investment programme includes infrastructure development, replacement of equipment and transport. A five-year capital investment plan 2002-2006 covering all the components of capital investment has been developed for the health sector. Out of this plan an annual capital investment plan would be developed using the integrated capital investment model. The focus for 2005 capital programme would be to improve equity in access to services, enhancing procurement procedures, efficient implementation of capital projects. The ongoing planned preventive maintenance programme in all agencies will be further strengthened. The Ministry of Health will collaborate with other stakeholders including District Assemblies, and the Mission, Private Organisations and individuals to ensure that health institutions are sited equitably. The programme for the replacement of aging vehicles and equipment in the sector will also be continued. The priority activities for the year would include: • Scaling up Community-based Health Planning Services (CHPS) compounds in deprived areas and hard-to-reach communities. • Construction of additional model health centres. • Provision of physical facilities for the enhancement of maternal and child health care. • Upgrading, rehabilitating, and re-equipping of selected health facilities. • Building capacity and supporting agencies in the use of the Integrated Capital Investment Planning model. • Construction of country-wide staff accommodation. • Expansion of existing Training Institutions and setting up new ones. • Provision of infrastructural support for the setting of trauma centres. • Major rehabilitation of Tamale Regional Hospital. • Provision of infrastructural support for Post-graduate training of medical personnel. • Provision of infrastructural support to strengthen Regulatory Bodies. • Streamlining the procedures for procurement and management of capital projects and equipment. • Improve the management of healthcare technology and health care equipment to enhance quality of services • Sustaining and monitoring the system for planned preventive Expected Outputs/Results • 18 CHPS compounds completed and commencement of 23 model health facilities. • 5 new District Hospitals and upgrading of 3 existing Polyclinics into District Hospitals started with emphasis on maternal and child care. • 2 Trauma Centres to take off at Amasaman and KATH. • Major rehabilitation of Tamale Regional Hospital commenced. 27
• Expansion of 16 existing training institutions completed and infrastructure for 2 new ones constructed. • Construction of office complexes for the GCPS, FDB and NMC commenced. • Provision of Geographic Information System to strengthen monitoring and supervision of capital projects. • Commencement of programme for the construction of country-wide staff accommodation. • 40% of District level BMCs preparing 2006 capital plans using the Integrated Capital Investment Planning Model Human Resource Development Human resource development and management in the health sector has been inundated with a number of challenges. These challenges include inadequate number of staff, inequitable distribution of staff especially to the deprived areas, and staff retention. There also appears to be enormous differences between regions in the productivity of staff, interestingly with the overall output per staff member significantly higher in the poorer regions. For the brain drain in the sector, there has been a slight improvement in the case of doctors. This is evidenced by an improvement in the doctor-population ratio from 1:21,086 in 2002 to 1:17,489 in 2003. The focus for 2005 would be to mobilise resources to provide the needed incentives to motivate and retain staff, increase intake into health training institutions develop and decentralize further human resource management functions. The priority activities would include: • Review the key human resource initiatives the incentive package and develop pragmatic solutions to future implementation • Negotiate with MOFEP for the decentralization of the human resource budget to the health sector • Train auxiliary medical and nursing staff with clear roles and function for the lower levels including for the CHPS program. • Continue the process of re-distributing health personnel to ensure equitable distribution. • Strengthen the human resource information system to ensure regular up-date human resource information in support of evidence based decision making. • Establish guidelines and system for attracting health workers overseas into Ghana health sector • Initiate a system and programme for staff performance management in all agencies. • Collaborate with District Assemblies/other partners in the recruitment of trainees and implementation of deprived area incentive schemes • Provide continuing professional education to health workers Expected Outputs/Results 28
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 and 26: • Providing targeted supplementar
Page 27 and 28: • Modernize all health care facil
Page 29 and 30: • Prepare and disseminate fact sh
Page 31 and 32: 5. INTERSECTORAL COLLLABORATION AND
Page 33: 7. REGULATION Regulation is a cross
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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