“HEALTHCARE SCENARIO OF GHANA 2018”

Healthcare Scenario of Ghana

Are you planning to build or restructure or venture in any healthcare venture in Ghana? Looking for information about the major healthcare players in Government, Private diagnostic centers that are available in Ghana? Are you looking to find out which part of the of the city’s is best to venture in or what all facilities are available and what all should be planned for new setup? In this article Hospaccx Healthcare Consultancy has mapped all on major players in terms of medical facilities and healthcare scenario in Ghana.

COUNTRY OVERVIEW

Ghana officially the Republic of Ghana formerly called as Gold Coast, is a unitary presidential constitutional democracy, located along the Gulf of Guinea and Atlantic Ocean, in the sub region of West Africa. Spanning a land mass of 238,535 km (92,099 sq. mi), Ghana is bordered by the Ivory Coast in the west, Burkina Faso in the north, Togo in the east and the Gulf of Guinea and Atlantic Ocean in the south. Ghana means “Warrior King” in the Soninke language. The first permanent state in the territory of present-day Ghana dates back to the 11th century.

DEMOGRAPHICS

 In 2018, Ghana has an estimated population of 29.46 million (29,448,118) which ranks 48th in the world. Ghana population is equivalent to 0.39% of the total world population. The capital and largest city of Ghana is Accra, which has an urban population of 2.27 million. The Greater Accra Metropolitan Area (GAMA) has about 4 million inhabitants, which makes it the 11th largest metro area in Africa. The population density in Ghana is 129 per Km (335 people per mi). 54.4 % of the population is urban (16,018,511 people in 2018). The median age in Ghana is 20.5 years.

Out of the 26,652,767 people in Ghana, around 50.9% is the male population, while the female population is around 49.1%. With a population growth rate of 2.2%, the total number of births this year is approximately 586,361. The population growth rate is fairly high in Ghana.

ECONOMY OF GHANA

Ghana is Africa’s second-biggest gold producer and second-largest cocoa producer. The country is rich in diamonds and oil, but Ghana is locked in a dispute with Cote d’Ivoire over ownership of maritime oil fields, a final ruling from an international court is expected in 2017. The country has a negative trade balance, it imports more than it exports. Top exports of Ghana are gold, cocoa products and crude petroleum.  Ghana’s macroeconomic performance improved in 2017 after a difficult 2016. The country’s economy expanded for the fifth successive quarter in September 2017, at a rate almost double that of 2016, according to a World Bank report released today. GDP growth for 2017 is estimated to have almost doubled from the 3.7 percent in 2016, and is expected to stay at that elevated level through 2018.  According to the report, inflation is likely to fall within or be close to the Bank of Ghana’s medium-term target range of 6-10 percent in 2018.

 

 

INDUSTRIALISATION

With the economic program “Ghana: Vision 2020”, Ghana intends to achieve its goals of accelerated economic growth and improved quality of life for all its citizens, by reducing poverty through private investment, rapid and aggressive industrialization, and direct and aggressive poverty-alleviation efforts. These plans were forcefully reiterated in the 1995 government report, Ghana: Vision 2020. Nationalization of state-owned enterprises continues, with about two thirds of 300 parastatal enterprises owned by the government of Ghana. Other reforms adopted under the government’s structural adjustment program include increasing exchange rate controls and increasing autarky and increasing restrictions on imports. The Ghana: Vision 2020 forecast assumes political stability; successful economic stabilization; the implementation of Ghana: Vision 2020 policy agenda on private sector growth; and aggressive public spending on social services, infrastructure and industrialization. It projection states that Ghana’s goals of reaching high-income economy status and newly industrialized country status will be easily realized between 2020 and 2039.

CONNECTIVITY WITH OTHER COUNTRIES

Ghana is well connected with the other foreign countries through International highways, Ferries & waterways, Marine transport and through Aviation. On July 4, 1958, the Ghanaian government established Ghana Airways connecting Ghana with other countries. Road transport is by far the dominant carrier of freight and passengers in Ghana’s land transport system. It carries over 95% of all passenger and freight traffic and reaches most communities, and is classified under three categories of trunk roads, urban roads, and feeder roads.

HEALTHCARE SCENARIO OF GHANA

In Ghana, most health care is provided by the government and is largely administered by the Ministry of Health and Ghana Health Services. The healthcare system has five levels of providers: health posts, health centres and clinics, district hospitals, regional hospitals and tertiary hospitals. Health posts are the first level of primary care for rural areas. These programs are funded by the government of Ghana, financial credits, Internally Generated Fund (IGF), and Donors-pooled Health Fund. Hospitals and clinics run by Christian Health Association of Ghana also provide healthcare services. There are 200 hospitals in Ghana. Some for-profit clinics exist, but they provide less than 2% of health care services. Health care is very variable through Ghana. Urban centres are well served, and contain most hospitals, clinics, and pharmacies in the country. Rural areas often have no modern health care. Patients in these areas either rely on traditional African medicine, or travel great distances for health care.

HEALTHCARE INFRASTRUCTURE AND RESOURCES

Two governmental bodies oversee health care infrastructure and delivery in Ghana – the Ministry of Health (MOH) and Ghana Health Services (GHS). All regional capitals and most districts have hospitals, polyclinics, clinics and health care centres. Additionally, a number of religious organisations and private medical practitioners operate hospitals and clinics all over the country. Herbal medicine and psychic healing are also generally practiced, while a special government Herbal Medicine Hospital and Research Centre exists at Akwapim-Mampong.

Health Professional Density in the public sector in Ghana

 

 Organization of the Public sector

The Health Sector in Ghana is organized at three main levels: national, regional and district. Health interventions are packaged for each level and are delivered at the respective clinics and hospitals. These relate to the minimum benefit package and accreditation status of each facility as provided for under National Health Insurance law. At district level, the sub-district services incorporate the community health delivery. The health sector integrates prevention, promotion and curative services of health interventions. The Ministry of Health oversees as the policy guardian the quality and equity of access to the health services. It also manages the human resources. In response to the increasing demand for quality health services from the emerging middle class the private sector is expanding especially in the urban areas of the south. The Private Hospitals and Maternity Homes Board license and regulate health facilities and services in the private sector.

There are three administrative levels of GHS and five functional (service distribution) levels of health care in Ghana.

a. Administrative Levels of GHS

 

b. Functional Levels of Health Care Service Distribution in Ghana

 

Financing the Public Sector

Ghana introduced 10 years ago the National Health Insurance Scheme (NHIS). While only 35% of the population is currently registered as paying subscribers, the scheme is regarded as an innovative tool for the financial management of the sector. The National Health Insurance Authority (NHIA) manages the system by receiving and channelling funds from both clients ‘premiums and government levies and public resources. It processes claims for payments from the accredited health facilities (both public and private).

Organisation of Private Sector

Private health facilities complement the public sector. As the days of free health care in the public hospitals are over, the costs are becoming increasing less of a barrier. The added values of private facilities are quality and convenience. The private sector is thus gaining popularity. There is a growing middle class that prefers to use private health facilities and can afford it. The NHIS works with private health facilities by way of contracting private facilities to provide services to NHIS clients in order to achieve a high coverage. The current inefficiency of the NHIS claim-processing is however a serious barrier for many private facilities, that have to rely more on direct payments or other commercial insurance schemes.

International competition is stiff with new players (notably from Asia) entering the market with cheap often low quality products. The awareness and demand for high quality is increasing especially in the high end of the market. Products and services from The Netherlands have a good reputation in that respect. Furthermore the commercial track record of Dutch commercial partnerships in Ghana is a positive branding.

It is likely that the current economic growth and related wealth of the middle and upper class will continue. Thus opportunities for private health initiatives will continue to emerge especially in urban areas. Many private hospitals operate under the charismatic leadership of a Ghanaian medical specialist.

MAJOR GOVERNMENT HOSPITALS IN GHANA

Kwahu Government Hospital

Kwahu Government Hospital is a district run (secondary) and academic hospital located in the semi-rural Kwahu South District of the Eastern Region of Ghana. The hospital is one of the two district hospital in the Kwahu ridge area. (The other hospital is the Holy Family Hospital at Nkwakaw). The hospital serves an estimated population of about 235,000 people from over 200 Communities within and outside the district. The hospital offers a wide range of services, including: Internal Medicine, General Surgery, Obstetrics/Gynae Services, Reproductive Health Services (ANC and PNC), Child Health Services (Including a busy MCH Centre), Dental Healthcare, Ophthalmic Health Care Services, ENT Services, Diabetic Care, Pharmacy/Dispensary Services, Psychiatric Services, Laboratory Investigation Services, X-Ray Services, Ultra Sound Services, Blood Bank and Blood Transfusion Services, VCT/PMTCT Services, Healthcare Electives/Internship. There are 5 doctors who work at the hospital including a dental surgeon. Number of beds are 175.

Komfo Anokye Teaching Hospital

Komfo Anokye Teaching Hospital (KATH) is located in Kumasi, the Regional Capital of Ashanti Region with a total projected population of 4,780,380 (2000). The geographical location of the 1200-bed Komfo Anokye Teaching Hospital, the road network of the country and commercial nature of Kumasi make the hospital accessible to all the areas that share boundaries with Ashanti Region and others that are further away. As such, referrals are received from all the northern regions (namely, Northern, Upper East and Upper West Regions), Brong Ahafo, Central, Western, Eastern and parts of the Volta Regions.

Suhum Government Hospital

Suhum Government Hospital is a government primary hospital in Forikrom Ghana. It offers a general services. This primary hospital is NHIS accredited.

 Juaso District Hospital

The Juaso District Hospital in the Asante-Akim South District is to be upgraded to provide improved and quality health care for the people. Under the exercise, new facilities and expertise would be provided to address maternal and child morbidity in line with the Millennium Development Goals (MDG).

Nsawam Government Hospital

The Akuapim South Municipal Hospital is one of the renowned district hospitals in the Eastern Region of Ghana. The 2003 prestigious 2nd Best Managed District Hospital Award winner started as a 50-bed capacity at its old premises.

Donkorkrom Presbyterian Hospital

This is a rural hospital, which is only accessible by boat. The Donkorkrom Presbyterian Hospital is the only hospital in the Afram-plains district of Ghana and serves a 5,000 sq km district that has a population exceding 100,000 people in one of the most deprived regions in Ghana.

Akim Oda Hospital

The Akim Oda or Akyem Oda Government Hospital was established in 1927 to serve as the District Hospital for the District (now Municipal Hospital). Planned periodic expansion works have been carried out since the establishment of the hospital, which culminated in giving the hospital its present size. The hospital was fully rehabilitated and re – equipped in 1993. The Hospital is one of the four hospitals in the Eastern Region with a Physiotherapy Equipment. The Hospital has a total bed capacity of 174.

Asesewa Government Hospital

The Manya Krobo District Hospital, located in Asesewa is popularly known as Asesewa Government hospital.  Previously a health centre, the hospital was elevated to its present status on Oct. 5 2004. Asesewa is the district capital of the Upper Manya Krobo District.

Greater Accra Regional Hospital

The Hospital is believed to have been opened by the British around 1928. A considerable amount of renovation work as well as new constructions have been carried out over the years, but the Hospital still consists of a large number of individual buildings in different shades of quality, size, architecture and appearance. As part of Government efforts to improve health care infrastructure towards Universal Health Coverage, the Hospital was considered for expansion and upgrading. The new GARH has among others, an ultra-modern 420-bed capacity, a comprehensive diagnostic and treatment block with 24-hour surgery department, delivering unit, accident and emergency unit, pharmacy, a logistic building, a 42-accommodation facility for staff, a school of Anaesthesia, a new mortuary and a new road network.

Korle-Bu Teaching Hospital

At the moment, the Hospital has 2,000 beds and 17 clinical and diagnostic Departments/Units. It has an average daily attendance of 1,500 patients and about 250 patient admissions. The Korle-Bu Teaching Hospital is the premier health care facility in Ghana. It is the only public tertiary hospital in the southern part of Ghana. It is a teaching hospital affiliated with the medical school of the University of Ghana. Three centres of excellence, the National Cardiothoracic Centre, the National Plastic and Reconstructive Surgery and the Radiotherapy Centres are all part of it.

MAJOR PRIVATE HOSPITAL IN INDIA

Trustcare Specialist Hospital and Fertility Centre

Trustcare Specialist Hospital is a 30 bed medical facility located in Kumasi, Ghana. It provides specialised IVF services and is ranked amongst some of the best private hospitals in the country. Currently offering full range of general and specialist services in the four major (4) major clinical disciplines: Internal medicine, General and Paediatric surgery, Paediatrics/child health, and Obstetrics/Gynaecology.

West End Hospital, Kumasi

The West End Hospital is a 40-bed private health care facility in Kumasi, Ghana. It is popularly known as the “Kwakye-Maafo Hospital” because of its distinguished services in fertility, obstetrics and gynaecology by the founder, Dr. J.K. Kwakye-Maafo, a medical practitioner and former president of the Ghana Medical Association.

Bemuah Royal Hospital

Bemuah Royal Hospital is a specialist hospital dedicated to providing excellent care every day to its patients from ambulatory to critical care. In partnership with its academic wing-The American Heart and Lung centre- and its non-profit foundation- Nana Ankobiah Foundation- we also provide training to physicians and other health care professionals and ready to participate in research to advance medical knowledge in Sub-Sahara Africa. The Hospital is specialised in Cardiology, Pulmonary, General medicine and Critical care with 24/7 Emergency services.

Methodist Faith Healing Hospital

The Methodist Faith Healing Hospital is an 81 bed facility dedicated to providing quality and holistic care to communities in and around the Afigya Kwarbre district in the Ashanti region, Ghana (West Africa).

DEL International Hospital

DEL International Hospital is an ultra-modern hospital providing varying in-patient and out-patient services to the Accra Metropolis in Greater Accra Region, Ghana and even beyond. DEL International Hospital prides itself with ultra-modern facilities providing comprehensive medical care to everybody in need of health. It is manned by world class medical experts in several fields of medical practice. The hospital operates 24/7 with hygiene at a top class level.

Family Health Hospital 

Family Health Hospital is located in between La General Hospital and Lekma Hospital and now has a 70 bed capacity.

Ghana Canada Medical Centre

GCMC is an initiative of a team of Ghanaian doctors and partners who are home after working abroad. The hospital opened on the 1st of February 2009 and the facilities are set in place to address specific health concerns as well as a general walk-in clinic in the best and most comfortable client environment.

Pro Vita Specialist Hospital

In 1985, by the Grace of God, who brings hope and salvation through his Son Jesus Christ, Pro Vita Specialist hospital a highly reputable fertility hospital in Ghana was established. It is a specialized medical facility that provides up to date medical services by experienced personnel. We combine compassion and expertise with advanced infertility and reproductive treatment options, including IVF, Obstetrics, Gynaecology, Egg & Sperm Donation and General cases. The result is personalized approach to a medical care that centres on the client/patient.

Finney Hospital and Fertility Centre

Based on the borders of Weija and New Bortianor is the plush Finney Hospital and Fertility Centre. It is on high standards of patient care and friendly atmosphere.

MAJOR EYE HOSPITALS IN GHANA

Agarwal’s Eye Hospital, Accra

A pioneer in eye care services for almost six decades, we constantly challenge the existing ophthalmic techniques to provide the best to our patients.

Inter-Star Eye Clinic And Laser Centre

Eye care Specialist Clinic in Accra, Ghana, providing first class consultation, ultramodern diagnostics and Laser cataract and refractive surgery (LASIK).

MAJOR DIAGNOSTIC CENTRES IN GHANA

  • Metropolis Healthcare Ghana
  • Diagnostic Centre Ltd
  • Sunshine Diagnostic Centre
  • Paradise Diagnostic Centre

CATCHMENT AREA

Primary catchment area includes:

  • Trasacco,
  • Dodowa
  • Aburi
  • Kwabenya
  • Haatso
  • Madina
  • Adenta
  • Legon
  • Okponglo
  • Ashaley Botwe
  • Adjiringanor
  • Tema
  • Spintex corridor
  • TeshieNungua
  • East Legon
  • Airport Residential Area
  • Roman Ridge Dzorwulu.

MEDICAL TOURISM IN GHANA

The Land of Sunshine welcomes one and all with warmth and hospitality, thus gaining the reputation as the friendliest African country. From the small villages populated by hospitable locals, to the modern city of Accra, Ghana surprises and amazes everyone that visits. The Health Ministry of Ghana has initiated a policy to make the country a health tourism destination by creating specialized health care centers. The goal of the program is to attract patients from other African countries. The Korle-Bu Teaching Hospital (KBTH) in Accra, the Komfo Anokye Teaching Hospital (KATH) in Kumasi and the Tamale Teaching Hospital (TTH) in Tamale are a few of the medical facilities that should lead the medical tourism revival movement of Ghana.

Why are Ghanaian patients traveling for Medical Care?

In Ghana, most health care is provided by the government and largely administered by the Ministry of Health and Ghana Health Services. Unfortunately, health care is very variable through the country. Urban centres are well served, and contain most hospitals, clinics, and pharmacies in the country. However, rural areas often have no modern health care. Patients in these areas either rely on traditional African medicine, or travel great distances for health care. Thusly, patients that can afford to travel abroad for treatment for various conditions, choose to do so in order to get better medical attention.

Where are Ghanaian patients traveling for Medical Care?

Most of the Ghanaian patients that travel abroad choose India as their primary destination. Some of the reasons they do so is the low costs for medical care and the possibility to access said medical care through large health tourism companies. Another reason as to why Ghanaians choose India is the high quality of the health itself. From doctors to facilities, India caters to almost every desire of its patients.

Some of the most common treatments that patients from Ghana travel to India for are:

  • Orthopedic surgery (knee replacement mostly)
  • Eye surgery
  • Chronic disease treatments

Ghanaian patients seeking treatment abroad are advised to research all options before choosing a medical care provider; ask questions and get as much information as possible before planning their medical trip abroad. This will help them make an informed decision and choose the best care package in accordance to their specific needs.

HOSPITAL BED PER POPULATION

Ghana scores high marks in hospital beds per population ratio. Until 2013, the total number of beds in public and quasi-public health institutions was about 11600 nationwide and the rest were taken care of by private hospitals. By 2018 when the programs are completed another 6000 are made available for the people of Ghana. As at 2014, Ghana’s ratio was 0.9 beds to 1000 people. After these investments, it would take it to 1.2 beds to a 1000 people.

CONCLUSION

Ghana’s healthcare expenditure has increased over the past two decades. Increased healthcare expenditures are required to enhance the acquisition of better hospital resources that may improve healthcare. Concluding that the challenges of the healthcare system in Ghana can be ameliorated by (1) further investments in health, (2) establishing new health institutions and expanding existed ones, (3) providing incentives to discourage the exodus of health workers, (4) introduction of PPPM for managing and treating NCDs and (5) alternative insurance schemes for vulnerable groups. This, coupled with the will of the government to curb misappropriation of funds, will be important to realizing better health outcomes.

if you need any support in planning and designing of a new hospital you can contact us: Hospaccx healthcare business consulting Pvt. Ltd on: [email protected] Or you can visit our website www.hhbc.in.

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