2012 Holistic Assessment of Health Sector POW - Ministry of Health

Figure 13: Penta 3 coverage by region 2006-2012, source GHS
2.4.3 HIV/AIDS
The number of HIV Clients receiving ARV therapy continues to increase. This increase is encouraging,
however with the uncertainty surrounding the continuous supply of ARVs there are concerns about the
interruption of treatment of clients. This development if not addressed promptly can result in development
of resistance of the HIV virus to the drugs that are currently being used by the programme. There is an
urgent need with the lost of the Global Fund funding to look at how the country is going to ensure
continuous supply of ARVs for the increasing number of clients.
2.4.4 Water and sanitation
Transmission of guinea worm has been interrupted and there has not been a single case in Ghana since
May 2010. The country continues to maintain surveillance for guinea worm. 875 rumours of cases were
investigated within 24 hours and Stop Guinea Worm Teams have been deployed in 16 previously endemic
districts in Brong-Ahafo, Northern and Volta Regions. WHO has requested that the surveillance system be
improved to ensure the country is certified as guinea worm free.
Coverage of sanitary facilities that are not shared increased to 15% of the population but access to
improved sources of drinking water worsened since 2008 and came slightly under the set target of 80%.
While the proportion of the population with access to improved sanitary facilities that are not shared
increased, the access to all improved sanitary facilities, shared and not shared, reduced. To improve upon
these indicators, there is the need for inter-ministerial collaboration.
2.4.5 Tuberculosis
TB treatment success rate continues to improve although at 86.2% the target of 89% was not achieved. The
adverse outcomes reduced from 16.7% to 13.8%. The fieldwork to determine the national prevalence of
tuberculosis was started.
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