2012 Holistic Assessment of Health Sector POW - Ministry of Health

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Some of the challenges facing the scheme are Financial sustainability of the concerns,ICT Challenges Claims Management, Renewal of membership by clients and Irrational Prescription of medicines by providers. 12
Introduction The year 2012 represented the third year of the implementation of the current Health Sector Medium Term Development Plan (2010-2013). The review has placed emphasis on the performance of the sector according to identified health objectives as outlined in the Four-Year Sector Medium Term Development Plan and the derived Annual Programme of Work for 2012. The review assessed the overall sector performance for the year 2012 using the agreed Holistic Assessment tool. The Holistic Assessment tool was adopted in 2008 and has been used to assess the sector performance since its inception. For the second year running, the review was performed by an internal team drawn from the Ministry of Health and its agencies. For this year’s review, a section on agencies performance was added. The new census data from 2010 was available for the year’s review. From the census report, the proportion of children under one year as well as expected pregnancies was estimated to be 3% of the total population. When this proportion is applied to the data several indicators exceeds 100% coverage. Since most of the analysis in this report is based on trends over time, and the targets of the HSMTDP was based on 4% the review team finds it technically sound to continue basing the analysis on the 4% as in the previous reviews. However data based on the 3% is made available for comparison and official purposes. The report is organized into six chapters. The first chapter deals with the health sector performance using the holistic assessment tool. The second chapter discusses the trends of sector wide indicators. The third chapter provides an assessment of regions of excellence and regions requiring attention. The fourth chapter looks at the implementation status of the programme of work 2012. The fifth chapter is a brief report of the agencies performance. The sixth chapter follows up on the recommendation of previous Aidememoire. Annexes are provided with further details of the basis of the analysis. 1.0 Assessment of the Health Sector Performance in 2012 using the Holistic Assessment Tool 1.1 Sector score The purpose of the holistic assessment is to form a basis for a balanced discussion between the Ministry of Health, its agencies and development partners to reach a common conclusion of the sector’s performance. The outcome of the initial assessment is that the health sector in 2012 was a positive sector score of +3, which is interpreted as a highly performing sector (For the detailed analysis of the indicators and the holistic assessment calculations, please refer to Annex 3: Holistic Assessment Tool and Analysis). Health Objective 1 0 Health Objective 2 0 Health Objective 3 +1 Health Objective 4 +1 Health Objective 5 +1 Sector score +3 13
Page 1 and 2: Ministry of Health Ghana Holistic A
Page 3 and 4: List of abbreviations and acronyms
Page 5 and 6: Executive summary The year 2012 rep
Page 7 and 8: 3. Regions of excellence and region
Page 9 and 10: Food and Drugs Authority From the n
Page 11: Korle-Bu Teaching Hospital The hosp
Page 15 and 16: 2012 POW 2007 2008 2009 2010 2011 T
Page 17 and 18: Figure 1: Supervised deliveries by
Page 19 and 20: Figure 3: Doctor: population ratios
Page 21 and 22: Figure 5: OPD visits by gender and
Page 23 and 24: Total Gross Revenue, recorded by th
Page 25 and 26: 2.2.3 National Health Insurance Act
Page 27 and 28: The proportion of pregnant women at
Page 29 and 30: eastfeeding. There will be the need
Page 31 and 32: 2.5 Health Objective 5: Strengthen
Page 33 and 34: 3.0 Regions of excellence and regio
Page 35 and 36: The development of the health care
Page 37 and 38: such as deep-freezers, chest freeze
Page 39 and 40: plan was finalized and submitted to
Page 41 and 42: • Organization of training progra
Page 43 and 44: ACHIEVEMENTS HO1: Bridging the Equi
Page 45 and 46: Under a programme to prevent, detec
Page 47 and 48: 2010 N=160 2011 N=197 2012 N=165 1
Page 49 and 50: 2012 Achieved 2011 Achieved Patient
Page 51 and 52: Ashanti 5 11 16 Eastern 4 11 15 Cen
Page 53 and 54: • Quality of care challenges •
Page 55 and 56: • The improvement in service outp
Page 57 and 58: 6.0 Follow-up on Aide Memoire recom
Page 59 and 60: OPD The number of outpatients per c
Page 61 and 62: Annex 1: Sector Wide Indicators and
Page 63 and 64:
Annex 2: Sector wide indicator tren
Page 65 and 66:
The indicator has experienced a rel
Page 67 and 68:
Wealth Quintile 2003 2008 2012 Redu
Page 69 and 70:
Figure 15: Supervised deliveries by
Page 71 and 72:
parts of the region has not benefit
Page 73 and 74:
Greater Accra continue to be the Re
Page 75 and 76:
2012 Performance: 38.5% 2012 Target
Page 77 and 78:
Total fertility rate 2012 Performan
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2009 - 59.7% 78.2% - 87.4% 46.9% 71
Page 81 and 82:
Discussion: The slow reduction in t
Page 83 and 84:
Figure 21: Penta 3 coverage by regi
Page 85 and 86:
Source: National TB Programme Outco
Page 87 and 88:
Basket of critical equipment functi
Page 89 and 90:
mortality ratio at all levels of th
Page 91 and 92:
Annex 4: Indicator definitions and
Page 93 and 94:
TB success rate Psychiatric patient
Page 95 and 96:
vulnerable Update National Health A
Page 97 and 98:
Some district assemblies organized
Page 99 and 100:
and Volta 3.2 Reduce the major caus
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Implement national strategic plan t
Page 103 and 104:
atio of 10. 4.2 Improve prevention,
Page 105 and 106:
Bolgatanga Regional Hospital about
Page 107 and 108:
Annex 6: Capital Investment Update
Page 109 and 110:
21 1 Regional Hosp., Ridge Greater
Page 111 and 112:
Dua Yaw Nkwanta PATS Classroom Bloc
Page 113 and 114:
4 Boosting Reproduction and Child H
Page 115 and 116:
Annex 7: Procurement plan Draft 201
Page 117:
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2012 Holistic Assessment of Health Sector POW - Ministry of Health

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