2012 Holistic Assessment of Health Sector POW - Ministry of Health

Northern Region’s low OPD per capita rate might be a reflection of poor geographical access in the Region.
Although financial access has been facilitated with the health insurance, their overall OPD per capita
remained low compared to the other regions.
With the increase in OPD visits across the regions, there has not been equally significant improvement in
infrastructure of most of the facilities to accommodate these increases. It is now more important than ever
to ensure good service and clinical quality. Strategies for quality assurance for clinical care services should
be developed for inclusion in new HSMTDP.
Figure 7: OPD per capita by region, 2006-2012, Source GHS
The National Ambulance Service expanded significantly opening 97 new stations in 2012. Total number of
stations is 121 covering 70% of the 172 districts that existed when the HSMTDP was developed and targets
were set.
2.2 Health Objective 2: Strengthen governance and improve efficiency
and effectiveness of the health system
2.2.1 Improving efficiency and accountability
In 2012, the ministry introduced performance contracts with four agencies; the three Teaching hospitals
and Ghana Health Service. The ministry will sign performance contracts for 2013 with all its agencies.
2.2.2 Financing (based on MOH financial report 2012)
In 2012, Government of Ghana contribution increased by 126.9% from GH¢771 million in 2011 to GH¢1,750
million in 2012. Internally Generated Fund (IGF) increased by 8.9% from GH¢392 million in 2011 to GH¢427
million in 2012. Contribution from donors in 2012 was GH¢290.8 million whilst there was GH¢259.2 million
contribution in the same period of the previous year, an increase of 12.2% over the same period of 2011.
In terms of percentage contributions by the various sources to the sector, GOG and IGF contributed 87.5%
as compared with 78.6% in the same period of 2011. Donor contribution was 11.7% of Gross Revenue as
against 17.5% of the previous year.
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