2012 Holistic Assessment of Health Sector POW - Ministry of Health

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Table 1: Sector Score 2012 Table 1 shows the overall scores for the five Health Objectives in the HSMTDP 2010-2013. Table 2 provides a detailed overview of the indicators and trends from 2007 to 2012. Annex 2: Sector wide indicator trends based on 3% proportion provides a presentation of trends of sector wide indicators over time based on the latest projections from Ghana Statistical Services. 14
2012 POW 2007 2008 2009 2010 2011 Target Performance (4%) Performance (3%) Source Health Objective 1: Bridge equity gaps in health care and nutrition services and ensure sustainable financing arrangements that protect the poor 1 % children 0-6 months exclusive breastfed - 62.8% - - - 70% 45.7% 45.7% MICS 2 Equity: Poverty (U5MR) - 1.72 - - - 1:1.5 2.04 2.04 MICS 3 Equity: Geography - Services (supervised deliveries) 2.47 2.17 1.49 1.89* 1.66* 1:1.70 1.48 1.48 GHS 4 Equity: Geography - Resources (nurse: population) 2.26 2.03 1.81 1.99* 1.73* 1:1.95 1.75 1.75 MOH 5 Equity: NHIS – Gender - 1.22 - - 1.38 - 1.23 1.23 MICS 6 Equity: NHIS – Poverty - 0.82 (F) - - - - 0.69 (F) 0.69 (F) MICS 7 Outpatients attendance per capita (OPD) 0.69 0.77 0.81 0.91* 1.04* 0.88 1.17 1.17 GHS /TH 8 % population living within 8 km of health infrastructure - - - - - N/A - 9 Doctor: population ratio 1:13,683 1:13,499 1:11,698 1:11,833* 1:10,217* 1:9,700 1:10,452 1:10,452 MOH 10 Nurse: population ratio 1:1,537 1:1,353 1:1,494* 1:1,516* 1:1,262* 1:900 1:1,251 1:1,251 MOH Health Objective 2: Strengthen governance and improve efficiency and effectiveness in the health system 1 % total MTEF allocation on health 14.6% 14.9% 14.6% 15.1% 15.8% ≥15.0% 15.4% 15.4% MOH 2 % non-wage GOG recurrent budget to district level and below 49.0% 49.0% 62.0% 46.8% 55.3% 50.0% 38.5% 38.5% MOH 3 Per capita expenditure on health 23.0 23.2 25.6 28.6 35.0 30.0 50.7 50.7 MOH 4 Budget execution rate (Item 3 as proxy) 110.0% 115.0% 80.4% 94.0% 82.1% ≥95.0% 86.8% 86.8% MOH 5 % of annual budget allocations disbursed to BMC by end of year - 23.0% 39.0% 31.0% 89.8% 50.0% - - - 6 % of population with valid NHIS membership card - - - 33.7% 33.4% 70.3.0% 34.0% 34.0% NHIA 7 Proportion of claims settled within 12 weeks - - - - - 70.0% - - - 8 % IGF from NHIS N/A 66.5% 83.5% 79.4% 85.0% 75.0% - - - Health Objective 3: Improve access to quality maternal, neonatal, child and adolescent health services 1 Maternal Mortality Ratio (MMR) per 100,000 live births - 451 - - - - - 2 Total Fertility Rate - 4.0 - - - 3.8 4.3 4.3 MICS 3 Contraceptive Prevalence Rate 16.6% - 23.4% 23.4% MICS 4 % of pregnant women attending at least 4 antenatal visits 62.8% 63.8% 81.6% 71.1% 71.3% 80.1% 72.3% 96.4% GHS 5 Infant Mortality Rate (IMR) per 1,000 live births - 50 - - -
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 and 12: Korle-Bu Teaching Hospital The hosp
Page 13: Introduction The year 2012 represen
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
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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
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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
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atio of 10. 4.2 Improve prevention,
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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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