THE HEALTH SECTOR
IN GHANA
FACTS AND FIGURES
2009
For further information on this Facts and Figures contact:
GHANA HEALTH SERVICE
PPME DIVISION
PRIVATE MAIL BAG (MINISTRIES)
Accra, Ghana
Tel: 233 21 684274
Eml: [email protected]
Attn: Dr. Frank Nyonator
2
FOREWORD
The Ghana Health Service together with its partners and other health agencies is responsible
for the provision of health care delivery to the people of Ghana. This involves the planning,
implementation, monitoring and performance assessment of health programmes and services.
In order to fulfill this role there is the need for accurate, relevant and timely information on
the health status and health services in Ghana.
The production of The Health Sector in Ghana: Facts and Figures since 2005 has become a
handy reference on the performance of the health sector as an information tool for policy
makers, health service/programme managers, health partners and stakeholders, researchers
and students.
The information are mainly summaries and population-based indicators. Readers are directed
to The Ghana Health Service Annual Report and Ghana Health Service Annual Statistical
Report for detailed presentation of the performance of the health sector. The Ghana Health
Service acknowledges the significant role of other agencies such as the Ghana Statistical
Services in the provision of health-related statistics to the general public. Some of such
statistics have been quoted in this publication and duly acknowledged.
The Centre for Health Information Management of the Policy, Planning, Monitoring and
Evaluation division of the Ghana Health Service is the focal unit responsible for the
collection, analysis, reporting and presentation of health service information in the Ghana
Health Service.
DR. ELIAS SORY
DIRECTOR GENERAL
GHANA HEALTH SERVICE
i
TABLE OF CONTENTS
FOREWORD ................................................................................................................................. i
TABLE OF CONTENTS ...........................................................................................................ii
List of Figures ........................................................................................................................... iv
List of Acronyms ...................................................................................................................... iv
1. INTRODUCTION .............................................................................................................. 1
2.0 Demography and Vital Statistics ..................................................................................... 3
2.1 Population Distribution by Region – 2009 ...................................................................... 3
2.2 Population Distribution by District, Ashanti Region – 2009 ........................................... 3
2.3 Population Distribution by District, Brong Ahafo Region – 2009 .................................. 4
2.4 Population Distribution by District, Central Region – 2009............................................ 5
2.5 Population Distribution by District, Eastern Region – 2009 ........................................... 5
2.6 Population Distribution by District, Greater Accra – 2009 ............................................. 6
2.7 Population Distribution by District, Northern Region – 2009 ......................................... 7
2.8 Population Distribution by District, Upper East Region – 2009 ............................... 7
2.9 Population Distribution by District, Upper West Region – 2009 .................................... 8
2.10 Population Distribution by District, Volta Region – 2009 ............................................ 8
2.11 Population Distribution by District, Western Region – 2009 .................................. 9
3.0 Vital Statistics ................................................................................................................... 10
3.1 Health Status Indicators .............................................................................................. 10
3.2 Total Fertility Rate by Region ....................................................................................... 10
3.3 Percentage of Population with no Education ................................................................. 11
3.4 Infant and Under Five Mortality Rate ............................................................................ 12
3.5 Demographic and Socioeconomic Indicators ............................................................ 13
3.7 Health Expenditure Indicators ................................................................................... 16
4.0 Health Infrastructure ...................................................................................................... 17
4.2 Number of Hospital Beds by Region and Ownership - 2008 ........................................ 19
4.3 Distribution of Health Professionals by Region – 2008 ............................................ 20
4.4 Doctor to Population Ratio ......................................................................................... 22
4.5 Nurse to Population Ratio ........................................................................................... 23
4.6 Hospital Bed Utilisation Statistics .............................................................................. 24
5.0 Health Service Outputs.................................................................................................... 26
5.1 Outpatient Attendance by Region .................................................................................. 26
5.2 Outpatient Attendance per Capita ............................................................................. 27
5.3 Inpatient Admissions by Region ................................................................................. 28
5.4 Hospital Admission Rate ............................................................................................... 29
5.5 Top Twenty Causes of Outpatient Morbidity 2002-2005 ......................................... 31
6.0 PUBLIC HEALTH SERVICES ........................................................................................ 32
6.1 HIV Prevalence among pregnant women attending ANC clinics by Region ......... 32
6.2 HIV Prevalence among pregnant women by Age Groups ....................................... 32
6.3 Guinea Worm Cases .................................................................................................... 32
6.4 Prevalence of Malaria per 100,000 Population by Region ....................................... 33
6.6 Tuberculosis Cure Rate ............................................................................................... 34
6.7 Tuberculosis Success Rate ........................................................................................... 35
7.0 Expanded Programme On Immunization ..................................................................... 36
8.0 Reproductive Health Services ......................................................................................... 40
8.5 Institutional Maternal Mortality Ratio ...................................................................... 41
9.0 Health Financing .............................................................................................................. 42
9.1 Proportion of Health Budget by category .................................................................. 42
APPENDIX 1 .......................................................................................................................... 43
ii
APPENDIX 2 ........................................................................................................................... 46
11.0 MAJOR CAUSES OF ADMISSIONS AND DEATHS – 2009 ...................................... 46
11.1 Top Ten Causes of Admission All Ages - National ................................................. 46
11.2 Top Ten Causes of Death All Ages - National ......................................................... 47
11.3 Top Ten Causes of Admission for Children Under 5 Years - National ................ 48
11.4 Top Ten Causes of Deaths for Children Under 5 Years - National....................... 49
12.0 International and National Health Days ...................................................................... 50
iii
List of Figures
Figure 1
Figure 2
Figure 3
Figure 4
Figure 5
Figure 6
Figure 7
Figure 8
Trend in OPD Attendance per Capita, 1995 – 2008
Infant Mortality Rate Ghana, 1988 - 2008
Total Fertility Rate Ghana, 1988 – 2003
Prevalence of Malaria per 100,000 Population 1995 – 2008
Doctor to Population Ratio, 2002 – 2008
Nurse to Population Ratio, 2002 – 2008
Trends in Immunization Coverage, 1996 - 2008
Trends in Antenatal, Supervised Delivery, Postnatal and Family Planning
Coverage, 2000 - 2008
List of Acronyms
BMC
CFR
CHIM
CHPS
EPI
GDHS
GHS
GSS
HRD
NACP
NHIS
PHD
PMR
PPME
Budget Management Centre
Case Fatality Rate
Centre for Health Information Management
Community Health Planning and Services
Expanded Programme on Immunization
Ghana Demographic and Health Survey
Ghana Health Service
Ghana Statistical Services
Human Resource Division
National AIDS Control Programme
National Health Insurance Scheme
Public Health Division
Proportional Mortality Rate
Policy Planning Monitoring and Evaluation
iv
1. INTRODUCTION
THE HEALTH SECTOR STRATEGIC PLAN & PRIORITIES
The national vision for health
Create wealth through health and contribute to the national vision of attaining middle income
status by 2015
The Ministry of Health’s Mission Statement
“the mission is to contribute to socio-economic development and wealth creation by promoting
health and vitality, ensuring access to quality health, population and nutrition services for all
people living in Ghana and promoting the development of the local health industry”
The sector goal is to ensure a healthy and productive population that reproduces itself safely.
Objectives
The 5YPOW has four strategic objectives;




Promoting an individual lifestyle and behavioural model for improving health and
vitality by addressing risk factor and strengthening multi-sectoral advocacy and actions
Rapid scaling up within the existing capacity, high impact interventions and services
targeting the poor, disadvantaged and vulnerable groups.
Investing in strengthening health system capacity to sustain high coverage and expand
access to quality of health services.
Promoting governance, partnership and sustainable financing.
The medium Team Policies and priorities of the Health sector









Ensures mother and child are healthy through scaling up implementation of high impact
and rapid delivery interventions.
Promote good nutrition, food security and food safety.
Prevent, control and manage communicable diseases such as HIV/AIDS, Malaria,
Tuberculosis, Buruli Ulcer, Guinea Worm, Leishmaniasis, Lympahatic Filariasis,
schistosiamiasis.
Collaborate effectively with relevant MDA’s and stakeholders to improve housing,
personal hygiene, environmental sanitation and access to potable water.
Reduce risk factors associated with non communicable diseases such as tobacco and
alcohol use, lake of exercise, poor eating habits, unsafe driving and stress.
Strengthen referrals systems and clinical management of diseases as well as prevention
and management of blindness and promotion of mental health.
Strengthen surveillance and response to epidemics and emergencies.
Stregthening the regulatory framework within the health sector.
Forge stronger, integrated, effective, equitable and accountable health system including
strengthening finanacing, human resources managenment, information management
and private sector.
1
GHS Medium Term Priorities(2010-2012)
GHS priorities remain focused towards epidemic preparedness and response prevention,
control and elimination of diseases and the MDGs 4& 5.
Specific areas are;
 Improve access to maternal. Newborn and reproductive health services including
family planning and comprehensive abortion care within the limits of the Abortion
Law.
 Enhance quality of clinical care service with emphasis on improved staff attitude and
facility environment.
 Promote awareness on healthy lifestyle and diseases of public health importance.
 Develop HR capacity to plan and implement and manage public Health intervention,
reproductive health and nutrition.
 Improve early detection, reporting and management of communicable diseases with
emphasis on expanded programme on immunization.
 Improve early detection, reporting and management of non communicable diseases.
 Strengthen diseases surveillance, emergency preparedness and response.
 Promote the reduction of malnutrition especially in children.
 Improve access and quality of oral health and eye care services.
 Strengthen supportive supervision, monitoring and evaluation
 Rapid scale-up of CHPS strategy.
2
2.0 Demography and Vital Statistics
2.1 Population Distribution by Region – 2009
NATIONAL TARGET POPULATION BY REGION - 2009
Target Population
Regional
less than 1 year and Target Population
Region
Projection
expected pregnancy for WIFA (23.2%)
(4%)
1 Ashanti
4,881,427
195,257
1,132,491
2 Brong Ahafo
2,267,195
90,688
525,989
3 Central
1,921,640
76,866
445,820
4 Eastern
2,387,502
95,500
553,900
5 Greater Accra
4,281,137
171,245
993,224
6 Northern
2,334,540
93,382
541,613
7 Upper East
1,015,290
40,612
235,547
8 Upper West
671,043
26,842
155,682
9 Volta
1,937,301
77,492
449,454
10 Western
2,555,362
102,214
592,844
National
24,252,438
970,098
5,626,566
Source: GSS 2000 Census (Projection)
2.2 Population Distribution by District, Ashanti Region – 2009
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
ASHANTI REGION TARGET POPULATION BY DISTRICT - 2009
Target Population
District
less than 1 year and Target Population
District
Projection
expected pregnancy for WIFA (23.2%)
(4%)
Adansi North
151,787
6,071
35,215
Adansi South
147,675
5,907
34,261
Afigya Kwabre
50,939
2,038
11,818
Ahafo Ano North
97,214
3,889
22,554
Ahafo Ano South
180,549
7,222
41,887
Amansie Central
88,081
3,523
20,435
Amansie East
216,333
8,653
50,189
Amansie West
146,899
5,876
34,081
Asante Akim North
170,882
6,835
39,645
Asante Akim South
130,878
5,235
30,364
Atwima Kwanwoma
72,409
2,896
16,799
Atwima Mponua
123,160
4,926
28,573
Atwima Nwabeagya
197,873
7,915
45,907
Bosome Freho
55,633
2,225
12,907
Bosomtwe
69,256
2,770
16,067
Ejisu Juaben
167,773
6,711
38,923
Ejura Sekyedumasi
109,594
4,384
25,426
Kumasi
1,581,142
63,246
366,825
3
19
20
21
22
23
24
25
26
27
Kwabre
Mampong Municipal
Obuasi Municipal
Offinso Municipal
Offinso North
Sekyere Afram Plains
Sekyere Central
Sekyere East
Sekyere South
Total
222,482
99,671
197,398
107,025
80,339
125,101
93,813
87,555
109,967
4,881,427
8,899
3,987
7,896
4,281
3,214
5,004
3,753
3,502
4,399
195,257
51,616
23,124
45,796
24,830
18,639
29,024
21,765
20,313
25,512
1,132,491
Source: GSS 2000 Census (Projection)
2.3 Population Distribution by District, Brong Ahafo Region – 2009
BRONG AHAFO REGION TARGET POPULATION BY DISTRICT - 2009
Target Population
District
less than 1 year and Target Population
District
Projection
expected pregnancy for WIFA (23.2%)
(4%)
1 Asunafo North
123,282
4,931
28,601
2 Asunafo South
94,053
3,762
21,820
3 Asutifi
105,510
4,220
24,478
4 Atebubu-Amanten
103,215
4,129
23,946
5 Berekum
116,438
4,658
27,014
6 Dormaa
134,811
5,392
31,276
7 Dormaa East
52,892
2,116
12,271
8 Jaman North
87,062
3,482
20,198
9 Jaman South
98,178
3,927
22,777
10 Kintampo North
106,845
4,274
24,788
11 Kintampo South
76,451
3,058
17,737
12 Nkoranza South
102,788
4,112
23,847
13 Nkroranza North
58,265
2,331
13,517
14 Pru
100,762
4,030
23,377
15 Sene
102,614
4,105
23,806
16 Sunyani
110,884
4,435
25,725
17 Sunyani West
112,869
4,515
26,186
18 Tain
106,140
4,246
24,625
19 Tano North
78,573
3,143
18,229
20 Tano South
75,542
3,022
17,526
21 Techiman
218,051
8,722
50,588
22 Wenchi
101,971
4,079
23,657
Total
2,267,195
90,688
525,989
Source: GSS 2000 Census (Projection)
4
2.4 Population Distribution by District, Central Region – 2009
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
CENTRAL REGION TARGET POPULATION BY DISTRICT – 2009
Target Population
District
less than 1 year and Target Population
District
Projection
expected pregnancy for WIFA (23.2%)
(4%)
Abura Asebu K.
108,624.4
4,345
25,201
Agona East
77,483.6
3,099
17,976
Agona West
114,165.0
4,567
26,486
Ajumako Enyan E
110,879.2
4,435
25,724
Asikuma Odoben B.
107,782.1
4,311
25,005
Assin North
129,454.5
5,178
30,033
Assin South
107,410.0
4,296
24,919
Awutu Senya
151,603.2
6,064
35,172
Cape Coast
142,397.4
5,696
33,036
Efutu
53,329.2
2,133
12,372
Gomoa East
127,773.0
5,111
29,643
Gomoa West
107,083.7
4,283
24,843
K.E.E. A.
135,562.2
5,422
31,450
Mfantseman
184,294.2
7,372
42,756
Twifo Hemang L.D.
133,048.8
5,322
30,867
Upper Denkyira East
78,018.0
3,121
18,100
Upper Denkyira West
52,731.0
2,109
12,234
Total
1,921,640
76,866
445,820
Source: GSS 2000 Census (Projection)
2.5 Population Distribution by District, Eastern Region – 2009
EASTERN REGION TARGET POPULATION BY DISTRICT – 2009
Target Population
District
less than 1 year and Target Population
District
Projection
expected pregnancy for WIFA (23.2%)
(4%)
1 Akwapim North
118,715.5
4,749
27,542
2 Akwapim South
131,851.7
5,274
30,590
3 Akyemansa
57,109.5
2,284
13,249
4 Asuogyaman
86,039.4
3,442
19,961
5 Atiwa
102,468.0
4,099
23,773
6 Birim Central
134,147.1
5,366
31,122
7 Birim North
82,809.3
3,312
19,212
8 Birim South
69,107.1
2,764
16,033
9 East Akim
113,250.6
4,530
26,274
10 Fanteakwa
97,637.5
3,905
22,652
5
11
12
13
14
15
16
17
18
19
20
21
Kwaebibirem
Kwahu East
Kwahu North
Kwahu South
Kwahu West
Lower Manya Krobo
New Juaben
Suhum K.C
Upper Manya Krobo
West Akim
Yilo Krobo
Total
203,096.5
76,965.6
154,046.4
87,350.0
82,158.0
83,916.6
154,998.5
188,661.6
90,951.7
174,709.0
97,512.1
2,387,502
8,124
3,079
6,162
3,494
3,286
3,357
6,200
7,546
3,638
6,988
3,900
95,500
47,118
17,856
35,739
20,265
19,061
19,469
35,960
43,769
21,101
40,532
22,623
553,900
Source: GSS 2000 Census (Projection)
2.6 Population Distribution by District, Greater Accra – 2009
GREATER ACCRA TARGET POPULATION BY DISTRICT - 2009
Target Population
District
less than 1 year and Target Population
District
Projection
expected pregnancy for WIFA (23.2%)
(4%)
1 Accra metropoli
2,107,192
84,288
488,869
2 Adentan municipal
141,095
5,644
32,734
3 Ashiaman Municipal
201,072
8,043
46,649
4 Dangme East
137,186
5,487
31,827
5 Dangme West
142,633
5,705
33,091
6 Ga East
307,062
12,282
71,238
7 Ga South
297,239
11,890
68,959
8 Ga West
206,728
8,269
47,961
9 Ledzokuku Krowo
336,995
13,480
78,183
10 Tema
403,935
16,157
93,713
Total
4,281,137
171,245
993,224
Source: GSS 2000 Census (Projection)
6
2.7 Population Distribution by District, Northern Region – 2009
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
NORTHERN REGION TARGET POPULATION BY DISTRICT - 2009
Target Population
District
less than 1 year and Target Population
District
Projection
expected pregnancy for WIFA (23.2%)
(4%)
Bole
68,469
2,739
15,885
Bunkrugu Yunyoo
109,858
4,394
25,487
Central Gonja
92,892
3,716
21,551
Chereponi
56,374
2,255
13,079
East Gonja
122,019
4,881
28,308
East Mamprusi
114,343
4,574
26,528
Gushegu
104,532
4,181
24,251
Karaga
56,287
2,251
13,059
Kpandai
101,716
4,069
23,598
Nanumba North
119,572
4,783
27,741
Nanumba South
65,414
2,617
15,176
Saboba
63,952
2,558
14,837
Saveligu-Nanton
115,352
4,614
26,762
Sawla-Tuna-Kalba
94,552
3,782
21,936
Tamale
376,798
15,072
87,417
Tolon-Kumbungu
170,311
6,812
39,512
West Gonja
85,747
3,430
19,893
West Mamprusi
147,479
5,899
34,215
Yendi
167,325
6,693
38,819
Zabzugu-Tatale
101,547
4,062
23,559
Total
2,334,540
93,382
541,613
Source: GSS 2000 Census (Projection)
2.8 Population Distribution by District, Upper East Region – 2009
1
2
3
4
5
6
7
8
9
UPPER EAST TARGET POPULATION BY DISTRICT - 2009
Target Population
District
less than 1 year and Target Population
District
Projection
expected pregnancy for WIFA (23.2%)
(4%)
Bawku M
212,557
8,502
49,313
Bawku West
88,946
3,558
20,635
Bolgatanga M
152,658
6,106
35,417
Bongo
85,944
3,438
19,939
Builsa
83,174
3,327
19,296
Garu-Tempane
127,220
5,089
29,515
Kassena-Nankana
80,258
3,210
18,620
Kassena-Nankana W
84,701
3,388
19,651
Talensi-Nabdam
99,832
3,993
23,161
Total
1,015,290
40,612
235,547
7
Source: GSS 2000 Census (Projection)
2.9 Population Distribution by District, Upper West Region – 2009
UPPER WEST TARGET POPULATION BY DISTRICT - 2009
Target Population
District
less than 1 year and Target Population
District
Projection
expected pregnancy for WIFA (23.2%)
(4%)
1 Jirapa
63,550
2,542
14,744
2 Lambussie
49,148
1,966
11,402
3 Lawra
101,864
4,075
23,632
4 Nadowli
96,267
3,851
22,334
5 Sissala East
52,662
2,106
12,218
6 Sissala West
46,778
1,871
10,852
7 Wa
116,229
4,649
26,965
8 Wa East
80,900
3,236
18,769
Wa West
63,645
2,546
14,766
Total
671,043
26,842
155,682
Source: GSS 2000 Census (Projection)
2.10 Population Distribution by District, Volta Region – 2009
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
VOLTA REGION TARGET POPULATION BY DISTRICT - 2009
Target Population
District
less than 1 year and Target Population
District
Projection
expected pregnancy for WIFA (23.2%)
(4%)
Adaklu-Anyigbe
108,955
4,358
25,277
Akatsi
110,732
4,429
25,690
Biakoye
72,232
2,889
16,758
Ho
169,816
6,793
39,397
Hohoe
181,298
7,252
42,061
Jasikan
59,595
2,384
13,826
Kadjebi
61,596
2,464
14,290
Keta
158,333
6,333
36,733
Ketu
100,730
4,029
23,369
Ketu North
180,327
7,213
41,836
Kpando
75,155
3,006
17,436
Krachi East
89,506
3,580
20,765
Krachi West
99,939
3,998
23,186
Nkwanta
91,903
3,676
21,321
Nkwanta North
87,298
3,492
20,253
North Tongu
154,456
6,178
35,834
South Dayi
58,657
2,346
13,608
South Tongu
76,775
3,071
17,812
Total
1,937,301
77,492
449,454
8
Source: GSS 2000 Census (Projection)
2.11 Population Distribution by District, Western Region – 2009
WESTERN REGION TARGET POPULATION BY DISTRICT - 2009
Target Population
District
less than 1 year and Target Population
District
Projection
expected pregnancy for WIFA (23.2%)
(4%)
1 Ahanta West
126,322
5,053
29,307
2 Aowin Suaman
158,179
6,327
36,698
3 Axim Municipal
81,572
3,263
18,925
4 Bia
165,926
6,637
38,495
5 Bibiani A. Bekwai
137,098
5,484
31,807
6 Ellembele
108,127
4,325
25,085
7 Jomoro
147,842
5,914
34,299
8 Juabeso
159,419
6,377
36,985
9 Mpohor Wassa East
162,776
6,511
37,764
10 Prestea-Huni-Valley
166,842
6,674
38,707
11 Sefwi Wiawso
106,795
4,272
24,776
12 Sefwi-Akontombra
90,974
3,639
21,106
13 Sekondi-Takoradi M
362,719
14,509
84,151
14 Shama
127,442
5,098
29,567
15 Tarkwa Nsuaem M.
142,125
5,685
32,973
16 Wassa A menfi East
116,999
4,680
27,144
17 Wassa Amenfi West
194,205
7,768
45,056
Total
2,555,362
102,214
592,844
Source: GSS 2000 Census (Projection)
9
3.0 Vital Statistics
3.1 Health Status Indicators
Indicator
Infant Mortality Rate (per 1000 live births)
Under 5 Mortality Rate (per 1000 live births)
Neonatal Mortality Rate (per 1000 live births)
Post-Neonatal Mortality Rate (per 1000 live births)
Child Mortality
Crude Birth Rate (per 1000)
Crude Death Rate (per 1000)
Life Expectancy at birth (in years)
Total Fertility Rate
Source: GDHS, 1988, 1993, 1998, 2003, 2008
1988
77
155
44
33
84
47
17
54
6.4
1993
66
119
41
26
57
44
12.5
55.7
5.5
1998
57
108
30
27
54
39
10
57
4.6
2003
64
111
43
21
50
33
10
58
4.4
2008
50
80
30
21
31
30.8
9.4
NA
4.0
3.2 Total Fertility Rate by Region
Region
1988
1993
Western
6.1
5.5
Central
6.6
5.6
Greater Accra
4.6
3.6
Volta
6.7
5.4
Eastern
5.7
5.1
Ashanti
5.9
5.6
Brong Ahafo
6.9
5.5
Northern
6.8
7.4
Upper East
6.8
6.4
Upper West
6.8
6.0
National
6.4
5.5
Rural
6.6
6.4
Urban
5.1
4.0
Source: DHS 1988, 1993, 1998, 2003, 2008
1998
4.7
4.8
2.7
4.4
4.4
4.5
5.4
7.0
5.0
6.1
4.6
5.4
3.0
2003
4.5
5.0
2.9
4.4
4.3
4.1
4.8
7.0
4.7
5.5
4.4
5.6
3.1
2008
4.2
5.4
2.5
3.8
3.6
3.6
4.1
6.8
4.1
5.0
4.0
4.9
3.1
10
3.3 Percentage of Population with no Education
Region
1988
Female
43.6
47.6
21.9
1993
1998
Male Female Male Female
17.8
34.1
11.8
29.6
18.5
35.6
13.4
32.7
9.8
19.4
9.4
19.6
Western
Central
Greater
Accra
Volta
38.0
20.8
34.3
19.3
Eastern
27.6
16.9
27.1
12.1
Ashanti
30.0
17.4
33.0
13.2
Brong
42.8
21.7
30.8
20.4
Ahafo
Northern
81.7
62.0
75.9
63.8
Upper East
81.7
50.9
66.5
57.4
Upper West
81.7
56.9
67.9
59.0
National
39.7
26.2
38.3
20.6
Rural
46.4
32.9
46.8
25.5
Urban
26.7
12.2
22.3
10.4
Source: DHS 1988, 1993, 1998, 2003, 2008
2003
Male Female
7.3
22.3
9.3
25.2
5.8
12.4
2008
Male Female
6.1
13.9
6.6
16.2
3.5
7.7
31.4
22.8
30.0
32.6
7.9
7.9
9.4
14.2
20.7
15.9
16.8
27.4
8.4
2.5
6.6
17.1
22.9
10.7
9.9
24.9
79.7
69.4
68.4
34.0
39.8
22.4
59.5
48.9
44.9
17.6
25.4
8.0
78.8
72.4
63.3
28.2
39.5
16.3
48.4
34.4
30.2
13.3
19.9
5.6
65.7
49.0
48.1
21.2
30.8
10.9
11
3.4 Infant and Under Five Mortality Rate
Infant Mortality Rate
Under Five Mortality Rate
Region
1988
1993
1998
2003
2008
1988
1993
1998
2003
2008
Western
76.9
76.3
68.0
66.0
51.0
151.2
131.8
109.7
109.0
65.0
Central
138.3
71.6
83.8
50.0
73.0
208.2
128.0
142.1
90.0
108.0
Greater
Accra
57.7
58.4
41.4
45.0
36.0
103.8
100.2
62.0
75.0
50.0
Volta
73.5
77.8
53.8
75.0
37.0
132.7
116.4
98.0
113.0
50.0
Eastern
70.1
55.9
50.2
64.0
53.0
138.1
93.2
89.1
95.0
81.0
Ashanti
69.8
65.2
41.9
80.0
54.0
144.2
97.6
78.2
116.0
80.0
Brong Ahafo
65.0
48.7
77.3
58.0
37.0
122.6
94.6
128.7
91.0
76.0
Northern
103.1
113.7
70.1
69.0
70.0
221.8
237.0
171.3
154.0
137.0
Upper East
103.1
105.0
81.5
33.0
46.0
221.8
180.1
155.3
79.0
78.0
Upper West
103.1
84.5
70.6
105.0
97.0
221.8
187.7
155.6
208.0
142.0
77
66
57
64
50
155
119
108
111
80
Rural
86.8
82.2
67.5
70.0
56.0
162.5
149.2
122.0
118.0
90.0
Urban
66.9
54.9
42.6
55.0
49.0
131.1
89.9
76.8
93.0
75.0
National
Source: DHS 1988, 1993, 1998, 2003, 2008
12
3.5 Demographic and Socioeconomic Indicators
Indicator
Ghana
Value
Africa
Average
Global
Average
1
Population density (per sq. km)
99
NA
NA
2
Population age structure (%) (male)
49
NA
NA
3
Population age structure (%) (female)
51
NA
NA
4
Median age of population (2009)
20.7
18
28
5
Proportion of population below 15 years (%) (2007)
38
43
28
6
Proportion of population above 60 years (%) (2007)
6
5
11
7
Proportion of population living in urban areas (%)
(2007)
49
37
49
8
Coverage of birth registration (%) (2008)
62
NA
NA
9
Coverage of death registration (%) (2008)
23
NA
NA
10
Crude birth rate per 1,000 population (2009)
28.6
NA
NA
11
Crude death rate per 1,000 population (2009)
9.4
NA
NA
50
88
46
80
145
67
30
40
28
343
429
217
291
374
147
317
401
183
12
13
14
15
16
17
Infant mortality rate per 1,000 live births – both
sexes 2008)
Under 5 mortality rate per 1,000 live births – both
sexes (2008)
Neonatal mortality rate per 1,000 live births (2008)
Adult mortality rate (15 - 60 years) per 1,000
population – male 2007
Adult mortality rate (15 - 60 years) per 1,000
population – female 2007
Adult mortality rate (15 - 60 years) per 1,000
population – both sexes 2007
18
Total fertility rate (per woman) (2008)
4.0
5.1
2.6
19
Life expectancy at birth (male) (2009)
59
51
65
20
Life expectancy at birth (female) (2009)
60.7
54
70
21
Life expectancy at birth (both sexes) (2009)
60
52
68
13
22
23
24
Indicator
Ghana
Value
Africa
Average
Global
Average
Adult literacy rate (%) (2007)
65.0
63.4
81.3
73
76
88
71
71
84
Net primary school enrolment ratio - male (%)
(2007)
Net primary school enrolment ratio - female (%)
(2007)
25
Total gross domestic product (2009)
$34.04
Billion
NA
NA
26
Gross domestic product per capita (2009)
$1,500
NA
NA
27
Annual economic growth rate (%) (2009)
6.3
NA
NA
28
Inflation rate (June 2009)
20.5
NA
NA
29
Population living on less than 1 US$ dollar per day
(2005)
30
50.8
NA
30
Number of cell phones in use in thousands (2007)
7,604,000
31
Number of landline telephones (2007)
376,500
32
Number of Internet users (2007)
650,000
NA: Not available
Source: DHS 2008;
World Health Statistics 2009 – WHO;
The World Factbook: www.cia.gov/library/publications/the-world-factbook/geos/GH
14
3.6 Health-Related Millennium Development Goals
Indicator
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
Children aged less than 5 years underweight
for age (%)
Under-5years mortality rate (probability of
dying by age 5 per 1000 live births)
Measles immunization coverage
Maternal mortality rate (per 100,000 live
births)
Birth attended by skilled health personnel (%)
Contraceptive prevalence
Adolescent fertility rate (per 1000 girls aged
15-19 years)
Antenatal care coverage (%)
Unmet need for family planning (%)
Prevalence of HIV among adults aged 15 years
and above per 100,000 population
Proportion of males aged 15-24 years with
comprehensive correct knowledge of
HIV/AIDS (%)
Proportion of females aged 15-24 years with
comprehensive correct knowledge of
HIV/AIDS (%)
Antiretroviral therapy coverage among people
with advanced HIV infection (%)
Malaria mortality rate per 100,000 population
Children aged less than 5 years sleeping under
insecticide-treated bed-nets (%)
Children aged less than 5 years who received
any antimalarial treatment for fever (%)
Tuberculosis treatment success rate (%) 2007
Access to improved drinking-water sources
(%)
Access to improved sanitation (%)
Proportion of births by caesarean section
Infants exclusively breastfed for the first 6
months of life (2008)
Alcohol consumption among adults aged 15
years and above (litres per person per year)
(2003)
Prevalence of tobacco use – male (%) (2005)
Prevalence of tobacco use – female (%) (2005)
Ghana
Value
Rank
Africa
in
Average
Africa
13.9
NA
8th
NA
115
145
20th
67
95
74
5th
82
560
900
15th
400
42.2
33.8
46
24.4
28th
22nd
65
63.3
74
117
9th
48
97.8
34.0
73
24.4
12th
3rd
77
NA
1722
4735
17th
644
33
30
15th
NA
25
23
18th
NA
15
30
38th
31
109
104
25th
17
22
14
10th
NA
61
36
3rd
NA
84
75
19th
85
80
59
12th
86
10
3.7
33
3.3
41st
NA
60
15.9
54.4
29.5
NA
34.8
1.57
4.09
NA
4.36
10.2
0.8
18.1
2.9
NA
NA
42.4
9.6
Global
Average
NA: Not Available
Source: World Health Statistics 2009 - WHO
15
3.7 Health Expenditure Indicators
Indicator
1
2
3
4
5
6
7
Total expenditure on health as % of gross domestic
product (2006)
General government expenditure on health as % of total
expenditure on health (2006)
Private expenditure on health as % of total expenditure
on health (2006)
General government expenditure on health as % of total
government expenditure (2006)
Out-of-pocket expenditure on health as % of private
expenditure on health (2006)
Per capita total expenditure on health at average
exchange rate (US$) (2006)
Per capita government expenditure on health at average
exchange rate (US$) (2006)
Ghana
Value
Africa
Global
Average Average
5.1
5.5
8.7
34.2
47.1
57.6
65.8
52.9
42.4
4.4
8.7
14.3
77.8
49.8
49.3
33
58
716
11
27
429
Source: World Health Statistics 2009 - WHO
16
4.0 Health Infrastructure
4.1 Health Facilities by Type and Ownership, 2008
DISTRICT AND OTHER HOSPITALS
REGION
TEACHING
HOSPITAL
REGIONAL
HOSPITAL
1
PSYCHIATRIC
HOSPITAL
MISSION
GOVT
1
17
23
14
50
BRONG AHAFO
1
11
10
4
CENTRAL
1
3
11
EASTERN
1
6
ASHANTI
GREATER
ACCRA
1
NORTHERN
1
1
1
2
QGOVT
POLYCLINICS
PRIVATE
MISSION
HEALTH CENTRES AND CLINICS
GOVT
MISSION
1
GOVT
QGOVT
PRIVATE
MATERNITY
HOME
CHPS
PRIVATE
GOVT
TOTAL
31
145
3
101
99
24
510
2
13
128
0
23
38
40
270
1
7
8
75
2
20
27
67
223
14
5
9
2
14
165
2
29
29
247
523
1
10
8
44
8
2
59
6
105
61
12
320
4
9
2
5
4
24
102
2
10
5
69
237
1
91
178
72
164
UPPER EAST
1
1
4
0
0
12
55
1
12
UPPER WEST
1
3
3
3
2
15
61
0
4
VOLTA
1
7
13
6
5
3
10
203
1
24
22
61
356
WESTERN
1
4
12
5
11
2
19
88
1
38
36
112
329
57
109
48
135
18
148
1081
18
366
318
795
3110
National Total
3
9
3
17
18
4.2 Number of Hospital Beds by Region and Ownership - 2008
Region
Government
CHAG
Islamic
Ashanti
1,961
1,115
144
Quasi
Government
204
Private
Total
677
4,101
% By
Region
18.55
624
1,101
68
44
9
1,846
8.35
Central
1,364
370
32
47
0
1,813
8.20
Eastern
1,505
993
0
177
0
2,675
12.10
Greater Accra
3,118
29
0
859
593
4,599
20.81
Northern
923
387
0
0
0
1,310
5.93
Upper East
522
297
0
0
0
819
3.71
Upper West
376
316
10
0
0
702
3.18
Volta
1,216
951
0
47
0
2,214
10.02
Western
1,197
445
49
335
0
2,026
9.17
Total
% By
Ownership
12,806
6,004
303
1,713
1,279
22,105
100.0
57.93
27.16
1.37
7.75
5.79
100.0
Brong Ahafo
Source: CHIM/PPME-GHS
NB: Data for Quasi Government and Private Hospitals are incomplete
19
4.3 Distribution of Health Professionals by Region – 2008
Profession
Medical Officers
Dental Surgeons
Brong
Greater
Upper Upper
Grand
Central Eastern
Northern
Volta Western
Ahafo
Accra
East
West
Total
499
106
76
140
820
38
34
18
72
77
1880
Ashanti
7
2
0
3
13
0
0
0
2
4
31
322
92
47
90
304
60
47
33
61
73
1129
85
50
38
47
70
59
34
15
29
37
464
1604
764
740
1009
2624
714
459
346
827
688
9775
731
474
644
1031
1350
509
403
251
797
667
6857
Physiotherapists
11
8
2
4
30
3
2
0
5
3
68
Health Services Administrator
33
13
12
20
31
12
3
7
13
11
155
Health Educators
10
14
5
0
18
2
1
2
3
2
57
Architects & Engineers
131
83
85
92
429
50
40
32
138
52
1132
Accountants/Accounts Officers
282
198
119
176
415
121
84
64
194
115
1768
Dispensing Technician/Assistants
66
42
37
65
84
20
14
10
56
27
421
Estate Officers
13
5
5
4
19
7
3
2
3
5
66
Health Research Officers
2
9
1
0
16
0
11
1
1
0
41
Dental Technologists/Therapists
4
0
0
0
3
1
0
0
1
0
9
Biostatistics Officers
77
53
49
65
128
28
13
9
71
53
546
Catering Officers/Cooks
83
49
91
64
183
49
32
15
93
72
731
2
1
1
1
2
0
1
0
1
0
9
Nutrition Officers
137
55
63
85
366
70
72
39
61
44
992
Technical Officers
352
214
146
239
468
126
92
80
233
175
2125
Administrative Staff
376
236
191
195
504
187
79
92
242
230
2332
0
0
2
0
14
0
1
0
0
0
17
Pharmacists
Medical Assistants
Professional Nurses
Auxiliary Nurses
Dieticians
Health Planner
20
Profession
Ashanti
Brong
Ahafo
Central
Eastern
Greater
Accra
Northern
Upper
East
Upper
West
Volta
Western
Grand
Total
167
145
93
140
161
110
47
52
96
78
1089
40
28
54
21
63
16
14
14
46
23
319
170
120
100
85
159
83
86
40
121
92
1056
Other Staff
2425
1226
1279
1450
1754
780
396
387 1624
940
12261
Grand Total
7629
3987
3880
5026
10028
3045
1968
3468
45330
Other Technical Staff
Artisans/Tradesmen
Security Guard/Watchmen
1509
4790
Source: HRD-GHS
NB: Data includes Korle Bu Teaching Hospital, Komfo Anokye Teaching Hospital and CHAG facilities
21
4.4 Doctor to Population Ratio
2008
REGION
2007
Number of Doctors
Doctor Population
Ratio
495
103
72
134
827
33
30
15
68
78
1855
9861
22012
26689
17817
5177
70744
33843
44736
28490
32761
13074
Ashanti
Brong Ahafo
Central
Eastern
Greater Accra
Northern
Upper East
Upper West
Volta
Western
National
2005
REGION
Number of Doctors
Ashanti
Brong Ahafo
Central
Eastern
Greater Accra
Northern
Upper East
Upper West
Volta
Western
National
Source: CHIM/HRD-GHS
323
61
47
86
495
28
32
11
62
67
1,212
2006
Number of Doctors
Doctor Population
Ratio
Number of Doctors
Doctor Population
Ratio
428
96
63
128
755
24
30
15
66
71
1676
10667
22479
29260
18141
5202
92046
33111
43253
28269
33794
13683
378
83
57
104
669
32
34
14
72
71
1,514
11681
25365
31675
22019
5624
67154
28897
45568
25430
32746
14,732
2004
2003
Doctor Population
Ratio
Number of Doctors
Doctor Population
Ratio
Number of Doctors
Doctor Population
Ratio
13221
33672
37625
26260
7280
74657
30369
57026
28981
33625
17,899
312
56
49
76
527
25
29
9
49
58
1,190
13,237
35,783
35,347
29,305
6,550
81,338
33,146
68,534
35,986
37,638
17,733
296
48
46
66
590
27
29
12
51
60
1,225
13,494
40,729
36,877
33,279
5,604
73,262
32,786
50,541
33,930
35,255
16,759
22
4.5 Nurse to Population Ratio
2008
Number of
Nurse Population
Nurses
Ratio
3533
1382
1940
1169
2104
913
2454
973
4656
919
1480
1577
1051
966
758
885
2132
909
1753
1458
21861
1109
2007
Number of
Nurse Population
Nurses
Ratio
2251
2024
1099
1099
1249
1476
1977
1173
4011
979
1131
1868
798
1243
537
1266
1474
1266
1197
1993
15724
1454
2006
Number of
Nurse Population
Nurses
Ratio
2067
2136
1034
2036
1145
1577
1831
1251
3789
993
1011
2126
757
1298
485
1315
1406
1302
982
2368
14,507
1,537
2005
Number of
Nurse Population
Nurses
Ratio
Ashanti
2019
2115
Brong Ahafo
1020
2014
Central
1144
1546
Eastern
1878
1203
Greater Accra
3693
976
Northern
1044
2002
Upper East
711
1367
Upper West
464
1352
Volta
1421
1264
Western
990
2276
National
14,384
1,508
Source: CHIM/HRD-GHS
2004
Number of
Nurse Population
Nurses
Ratio
1,947
2,121
985
2,034
1,101
1,573
1,851
1,203
3,564
969
978
2,079
689
1,395
451
1,368
1,431
1,232
974
2,241
13,971
1,510
2003
Number of
Nurse Population
Nurses
Ratio
1,781
2,243
679
2,879
990
1,713
1,650
1,331
3,605
917
831
2,380
469
2,027
326
1,860
1,202
1,440
916
2,309
12,449
1,649
REGION
Ashanti
Brong Ahafo
Central
Eastern
Greater Accra
Northern
Upper East
Upper West
Volta
Western
National
REGION
23
4.6 Hospital Bed Utilisation Statistics
Region
2008
2007
Percentage Occupancy
2006
2005
2004
2003
2008
2007
Average Length of Stay
2006
2005
2004
2003
Ashanti
63.3
65.1
54.3
60.6
60.8
65.5
4.2
4.8
4.4
4.8
5.0
5.5
Brong Ahafo
60.5
66.5
55.3
57.5
65.5
59.9
3.9
3.9
4.0
4.5
4.5
4.7
Central
53.4
60.9
46.2
50.2
54.1
51.6
3.9
5.6
3.8
4.0
4.3
4.9
Eastern
55.6
54.3
50.7
50.3
49.2
55.1
4.4
5.0
4.9
4.7
4.9
5.1
Greater Accra
79.8
90.0
61.5
68.0
72.2
70.0
9.1
11.2
6.3
6.2
7.9
7.5
Northern
61.3
55.1
49.0
60.8
59.1
58.9
2.7
3.0
3.5
3.1
3.1
3.2
Upper East
42.2
45.9
41.1
45.9
49.7
48.2
2.9
3.0
3.1
3.0
3.2
3.4
Upper West
59.4
53.5
43.2
52.1
51.8
48.9
3.4
3.7
3.6
3.4
3.3
3.8
Volta
51.1
50.6
46.3
45.3
47.4
49.1
4.9
5.7
5.6
5.6
5.8
6.1
Western
51.5
48.7
49.4
51.9
53.3
52.1
3.7
3.9
4.1
4.2
4.2
4.2
National
60.4
62.3
51.3
55.2
56.8
57.6
4.5
5.2
4.5
4.5
4.8
5.0
24
Region
2008
2007
Turnover Per Bed
2006
2005
2004
2003
2008
Turnover Interval
2006
2005
2004
2007
2003
Ashanti
54.7
49.9
45.4
46.2
44.6
43.5
2.5
2.5
3.7
3.1
3.2
2.9
Brong Ahafo
56.6
61.6
49.9
47.0
53.5
46.9
2.6
2.0
3.3
3.3
2.4
3.1
Central
50.4
39.7
44.6
46.2
46.0
38.3
3.4
3.6
4.4
3.9
3.7
4.6
Eastern
46.1
39.7
38.1
38.8
37.0
39.6
3.5
4.2
4.7
4.7
5.0
4.1
Greater Accra
32.0
29.3
35.8
39.9
33.3
34.1
2.3
1.2
3.9
2.9
3.1
3.2
Northern
81.6
66.1
51.4
71.4
69.6
67.8
1.7
2.5
3.6
2.0
2.2
2.2
Upper East
52.8
55.2
49.1
55.6
56.2
52.0
4.0
3.6
4.4
3.6
3.3
3.6
Upper West
63.2
52.1
43.8
55.4
57.7
47.4
2.4
3.3
4.7
3.2
3.1
3.9
Volta
38.4
32.5
30.4
29.8
29.7
29.4
4.7
5.6
6.4
6.7
6.5
6.3
Western
50.6
45.7
44.3
45.0
46.0
45.1
3.5
4.1
4.2
3.9
3.7
3.9
National
49.2
Source: CHIM/PPME-GHS
44.1
42.0
44.4
43.7
42.0
2.9
3.1
4.2
3.7
3.6
3.7
25
5.0 Health Service Outputs
5.1 Outpatient Attendance by Region
Region
Ashanti
Brong Ahafo
Central
Eastern
Greater Accra
Northern
Upper East
Upper West
Volta
Western
National
Region
Ashanti
Brong Ahafo
Central
Eastern
Greater Accra
Northern
Upper East
Upper West
Volta
Western
National
Source: CHIM/PPME-GHS
2008
2007
2006
2005
2004
2003
3,427,329
2,869,659
1,281,602
2,279,528
3,272,767
2,193,079
1,293,818
2,186,024
2,105,980
1,113,699
1,018,813
459,309
1,378,484
2,140,855
18,075,258
2,352,191
685,085
689,124
420,775
958,330
1,724,606
15,775,799
2,613,618
1,912,396
900,881
1,477,204
1,785,471
652,054
538,202
290,449
745,979
1,324,909
12,241,163
2,711,662
1,502,660
875,734
1,278,852
1,828,929
681,667
561,182
339,923
750,000
1,114,579
11,650,188
2,517,396
1,350,769
860,430
1,186,311
1,779,887
638,455
565,659
307,946
735,727
1,128,674
11,071,254
2,459,629
1,248,955
824,193
1,057,649
1,621,972
526,678
561,455
289,252
664,788
964,450
10,219,021
2002
2001
2001
1999
1998
1997
2,226,059
1,190,139
734,932
984,570
1,845,741
1,169,682
658,715
962,951
1,592,979
1,104,779
529,575
923,226
1,384,714
947,607
429,057
780,550
917,537
923,773
408,188
741,171
1,333,164
970,335
337,401
800,724
1,639,943
536,880
604,645
294,325
610,526
931,615
9,753,634
1,611,198
623,417
481,298
286,333
636,209
924,005
9,199,549
1,305,933
673,790
490,123
280,381
624,066
792,119
8,316,971
1,208,996
510,210
454,034
242,077
584,406
725,383
7,267,034
1,212,595
384,543
380,449
155,887
536,444
706,315
6,734,345
949,700
364,480
256,398
155,049
571,271
661,632
6,400,154
26
5.2 Outpatient Attendance per Capita
(This is the average number of outpatient visits per person)
Region
2008
2007
2006
2005
2004
2003
2002
2001
2000
1999
1998
1997
Ashanti
0.73
1.30
0.68
0.72
1.02
0.70
0.59
0.91
0.50
0.63
0.73
0.50
0.61
0.67
0.50
0.62
0.64
0.49
0.58
0.62
0.44
0.56
0.62
0.41
0.50
0.61
0.34
0.40
0.54
0.28
0.38
0.54
0.27
0.41
0.57
0.23
Eastern
Greater Accra
0.97
0.94
0.65
0.57
0.53
0.48
0.45
0.45
0.44
0.38
0.36
0.39
0.51
0.60
0.47
0.51
0.52
0.49
0.52
0.53
0.45
0.43
0.46
0.38
Northern
Upper East
Upper West
0.49
0.31
0.30
0.33
0.31
0.27
0.28
0.33
0.36
0.29
0.23
0.22
1.01
0.69
0.55
0.58
0.59
0.59
0.64
0.52
0.53
0.50
0.42
0.29
0.70
0.65
0.46
0.54
0.50
0.48
0.49
0.49
0.49
0.43
0.28
0.28
Volta
Western
0.73
0.51
0.41
0.42
0.42
0.38
0.36
0.39
0.39
0.36
0.34
0.37
0.86
0.72
0.57
0.49
0.52
0.46
0.45
0.49
0.43
0.39
0.39
0.38
National
0.77
Source: CHIM/PPME
0.69
0.55
0.54
0.52
0.50
0.49
0.49
0.45
0.40
0.38
0.37
Brong Ahafo
Central
27
5.3 Inpatient Admissions by Region
2008
2007
2006
2005
2004
2003
Ashanti
Brong Ahafo
Central
Eastern
Gr. Accra
Northern
Upper East
Upper West
Volta
145,316
104,976
60,658
121,985
79,974
66,146
48,507
163,357
83,034
96,404
99,555
136,823
69,185
57,428
147,223
81,607
67,628
91,578
92,890
60,547
41,166
158,436
77,798
63,932
100,222
98,561
67,063
42,971
153,891
67,931
59,611
82,859
81,874
72,368
41,695
150,209
67,009
55,820
99,469
76,606
74,733
39,164
42,061
83,093
36,721
70,162
29,716
69,919
36,047
70,000
32,157
68,144
30,656
66,241
Western
94,037
846,753
88,332
901,001
85,446
767,720
85,407
800,437
84,908
745,438
78,984
738,891
2002
2001
2000
1999
1998
1997
Ashanti
Brong Ahafo
Central
133,495
62,531
54,871
107,029
65,211
52,999
108,441
64,735
49,169
97,654
45,447
43,392
88,465
46,373
30,336
106,127
63,739
27,382
Eastern
Gr. Accra
Northern
Upper East
90,329
88,299
69,801
38,910
87,163
91,009
67,323
35,382
71,106
76,956
58,856
34,483
65,108
58,205
43,561
33,900
58,681
74,475
40,279
31,104
68,362
75,683
32,545
34,267
Upper West
Volta
31,846
63,844
28,580
57,081
24,887
56,329
19,679
51,894
13,774
51,625
15,704
48,233
Western
71,949
67,737
61,472
53,944
57,217
52,087
National
705,875
659,514
606,434
512,784
492,329
524,129
Region
National
Region
Source: CHIM/PPME-GHS
28
5.4 Hospital Admission Rate
(This is the average number of hospital admissions per 1,000 population)
Region
Ashanti
Brong Ahafo
Central
Eastern
Greater Accra
Northern
Upper East
Upper West
Volta
Western
National
2008
2007
30.78
47.46
32.23
51.81
19.50
29.13
48.30
63.75
43.71
37.98
35.91
35.78
38.48
52.30
42.87
34.83
31.32
57.81
56.60
37.61
36.82
39.29
2006
33.3
38.8
37.5
40.0
25.0
28.2
41.9
46.6
38.2
37.0
34.4
2005
37.1
37.9
36.2
44.4
27.3
32.1
44.2
57.5
39.0
37.9
36.9
2004
37.3
33.9
34.4
37.2
23.7
35.6
43.4
52.1
38.7
38.9
35.3
2003
37.6
34.3
32.9
45.3
23.2
37.8
41.2
50.6
38.3
37.3
36.0
2002
34.6
32.8
33.0
41.7
27.9
36.3
41.4
53.4
37.6
35.1
35.3
2001
28.7
35.0
32.9
40.8
30.0
35.3
38.2
49.0
34.8
35.7
34.9
2000
30.0
35.7
31.1
33.7
26.4
31.7
37.6
43.4
34.9
33.4
32.1
1999
28.0
25.7
27.8
31.3
20.9
24.6
37.3
34.7
32.3
28.9
27.9
1998
26.2
26.8
19.8
28.6
27.9
23.4
34.6
24.7
32.9
31.7
27.5
1997
32.5
37.8
18.3
33.8
29.6
19.4
38.5
28.7
31.2
29.8
30.1
Source: CHIM/PPME-GHS
29
5.5 Top Twenty Causes of Outpatient Morbidity 2008-2006
Diseases
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
Malaria
Upper respiratory tract infection
Diarrhoeal Diseases
Skin Diseases
Hypertension
Home/Occupational Injuries
Acute Eye Infections
Pregnancy and Related Complications
Rheumatic and Joint Diseases
Anaemia
Intestinal Worms
Gynaecological Diseases
Pneumonia
Malaria in Pregnancy
Acute Ear Infection
Typhoid Fever
Road Traffic Injuries
Other Oral Conditions
Dental Caries
Chicken Pox
All Other Diseases
Total Cases
2008
Number of
% of Total
Cases
4,532,984
44.74
794,301
7.84
385,737
3.81
422,948
4.17
321,994
3.18
133,051
1.31
185,175
1.83
158,458
1.56
254,518
2.51
139,593
1.38
165,534
1.63
92,719
0.92
85,386
0.84
89,402
0.88
90,562
0.89
93,026
0.92
54,139
0.53
40,827
0.40
44,496
0.44
77,790
0.77
1,968,865
19.43
10,131,505
2007
Number of
% of Total
Cases
5,270,108
41.6
920,806
7.3
539,197
4.3
539,197
4.3
505,180
4.0
194,695
1.5
288,908
2.3
188,731
1.5
270,296
2.1
185,293
1.5
208,429
1.6
182,349
1.4
124,403
1.0
114,577
0.9
165,834
1.3
89,444
0.7
82,152
0.6
94,449
0.7
N/A
N/A
N/A
N/A
2,599,905
20.5
12,667,324
2006
Number of
% of Total
Cases
3,861,348
37.83
632,755
6.20
345,454
3.38
341,044
3.34
283,591
2.78
167,029
1.64
192,984
1.89
136,958
1.34
183,144
1.79
143,171
1.40
130,071
1.27
100,913
0.99
91,491
0.90
86,730
0.85
89,163
0.87
67,780
0.66
64,646
0.63
52,073
0.51
53,632
0.53
N/A
N/A
2,696,156
26.41
10,208,310
30
5.5 Top Twenty Causes of Outpatient Morbidity 2002-2005
Diseases
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
Malaria
Upper respiratory tract infection
Diarrhoeal Diseases
Skin Diseases
Hypertension
Home/Occupational Injuries
Acute Eye Infections
Pregnancy and Related Complications
Rheumatic and Joint Diseases
Anaemia
Intestinal Worms
Gynaecological Diseases
Pneumonia
Malaria in Pregnancy
Acute Ear Infection
Typhoid Fever
Road Traffic Injuries
Other Oral Conditions
Dental Caries
Chicken Pox
All Other Diseases
Total Cases
2005
Number of
Cases
3,799,158
581,323
352,384
352,295
249,342
192,033
190,293
172,253
162,162
144,606
134,440
110,199
83,154
94,135
80,154
76,293
76,486
52,394
52,615
N/A
1,167,593
8,163,597
2004
% of
Number of % of
Total
Cases
Total
44.76 3,379,527
44.1
6.85
549,398
7.2
4.15
331,998
4.3
4.15
314,436
4.1
2.94
206,925
2.7
2.26
177,971
2.3
2.24
162,182
2.1
2.03
145,079
1.9
1.91
142,834
1.9
1.70
129,315
1.7
1.58
119,885
1.6
1.30
101,786
1.3
0.95
76,742
1.0
1.11
74,279
1.0
0.95
74,002
1.0
0.90
65,333
0.9
0.90
64,300
0.8
0.62
52,381
0.7
0.62
47,867
0.6
N/A
45,512
0.6
13.76 1,398,759
18.3
7,660,241
2003
Number of % of
Cases
Total
3,359,191
43.9
519,652
6.8
322,404
4.2
325,262
4.3
212,354
2.8
187,943
2.5
187,234
2.4
151,475
2.0
146,552
1.9
128,009
1.7
151,330
2.0
103,251
1.4
77,477
1.0
58,113
0.8
71,974
0.9
53,825
0.7
61,296
0.8
49,459
0.6
50,262
0.7
19,614
0.3
1,409,845
18.4
7,646,522
2002
Number of
% of
Cases
Total
3,140,980
43.7
532,531
7.4
287,816
4.0
308,848
4.3
195,655
2.7
140,723
2.0
183,735
2.6
178,937
2.5
146,907
2.0
141,059
2.0
133,302
1.9
101,862
1.4
77,064
1.1
28,969
0.4
73,441
1.0
31,791
0.4
98,026
1.4
33,987
0.5
60,284
0.8
35,667
0.5
1,262,699
17.6
7,194,283
Source: CHIM/PPME-GHS
NA: Data Not Available
About 60% of all outpatient cases are made up of Malaria, Upper Respiratory Tract Infection, Diarrhea and Diseases of the Skin.
Hypertension has consistently remained the 5th cause of Outpatient morbidity constituting about 3% of all Outpatient reported cases.
31
6.0 PUBLIC HEALTH SERVICES
6.1 HIV Prevalence among pregnant women attending ANC clinics by
Region
Region
2008
Ashanti
3.0
Brong Ahafo
2.6
Central
2.0
Eastern
4.5
Greater Accra
3.0
Northern
1.1
Upper East
2.0
Upper West
1.6
Volta
1.7
Western
2.9
National
2.2
Source: NACP/ PHD
2007
3.8
3.3
2.9
4.2
3.4
1.7
2.5
3.3
2.0
3.2
2.6
2006
3.7
2.8
2.5
4.9
3.4
1.3
3.2
2.5
3.0
4.3
3.2
2005
3.0
3.3
2.9
4.7
2.1
1.2
2.6
2.6
1.9
2.9
2.7
2004
3.0
4.5
3.5
6.5
3.9
1.8
3.1
1.7
3.5
4.6
3.1
2003
4.7
4.0
5.4
6.1
4.3
2.1
3.5
2.2
2.9
4.2
3.6
6.2 HIV Prevalence among pregnant women by Age Groups
Age
2008
Group
15 – 19 Yrs
1.2
20 – 24 Yrs
2.3
25 – 29 Yrs
3.0
30 – 34 Yrs
2.8
35 – 39 Yrs
2.9
40 – 44 Yrs
1.8
45 – 49 Yrs
2.6
15 – 24 Yrs
1.9
Source: NACP/ PHD
2007
2006
2005
2004
2003
1.6
2.9
3.5
2.9
3.5
1.7
1.3
2.9
1.4
2.9
4.2
3.7
2.8
3.3
2.5
2.5
0.8
2.4
3.6
3.2
2.4
3.7
5.0
1.9
2.0
2.7
4.5
4.4
3.9
2.3
0.0
2.5
1.9
3.5
4.4
4.7
4.5
3.3
6.0
3.0
2005
59
289
0
17
3
2973
7
322
286
2
3958
2004
85
336
0
1,604
3
4,979
222
15
27
4
7,275
2003
45
492
0
1,511
3
5,999
152
23
37
28
8,290
6.3 Guinea Worm Cases
Region
2008
2007
2006
Ashanti
5
18
53
Brong Ahafo
11
42
204
Central
1
0
0
Eastern
2
7
8
Greater Accra
0
2
1
Northern
479
3237
3679
Upper East
1
5
6
Upper West
1
23
90
Volta
1
22
86
Western
0
2
2
National
501
3,358
4,129
Source: Guinea Worm Eradication Programme
32
6.4 Prevalence of Malaria per 100,000 Population by Region
2008
Region
Ashanti
Brong Ahafo
Central
Eastern
Greater
Accra
Northern
Upper East
Upper West
Volta
Western
National
2007
Prevalen
ce per
100,000
Malaria
cases
2005
Prevalence
per
100,000
Malaria
cases
2004
Prevalence
per
100,000
Malaria
cases
2002
Prevalenc
e per
100,000
Malaria
cases
Prevalenc
e per
100,000
Malaria
cases
905,844
590,277
329,767
688,478
393,063
19,188
26,686
17,521
29,240
9,585
750,450
725,057
312,279
251,140
427,888
16,437
33,599
16,940
10,816
10,894
856,301
730,879
262,517
234,869
443,061
19,393
34,716
14,540
10,256
11,776
800,698
595,992
154,103
393,598
472,146
18,750
29,017
8,714
17,429
13,101
663,456
534,560
175,433
293,522
400,378
16,065
26,676
10,129
13,179
11,599
674,831
479,273
224,597
293,876
399,261
16,896
24,515
13,240
13,380
12,075
415,249
423,413
169,304
424,563
701,067
5,041,025
18,285
42,162
25,659
22,332
28,313
21,376
195,531
225,380
105,135
239,529
398,522
3,630,911
8,851
22,690
16,205
12,838
16,610
15,833
274,019
237,114
117,048
224,987
480,553
3,861,348
12,751
24,133
18,347
12,288
20,669
18,032
301,489
276,786
110,092
301,246
393,008
3,799,158
14,423
28,481
17,550
16,766
17,445
17,513
255,544
236,871
101,547
315,242
402,974
3,379,527
12,567
24,642
16,463
17,878
18,460
16,015
253,326
253,730
128,882
333,375
318,040
2,259,191
12,807
26,686
21,250
19,266
15,035
16,363
2002
Region
Malaria
cases
Ashanti
Brong Ahafo
Central
Eastern
Greater Accra
Northern
Upper East
Upper West
Volta
Western
2006
Prevalence
per
100,000
Malaria
cases
Prevalence
per
100,000
2001
Malaria
cases
659,484
17,073
561,111
461,652
24,204
467,372
235,044
14,147
50,608
267,143
12,333
332,908
396,913
12,533
359,917
227,703
11,834
301,783
270,708
28,785
206,970
77,941
13,070
101,083
275,327
16,213
306,370
269,085
13,128
356,722
National
3,141,000 15,726
3,044,844
Source: CHIM/PPME-GHS
2000
1999
1998
1997
Prevalen
ce per
100,000
Malaria
cases
Prevalence
per
100,000
Malaria
cases
Prevalen
ce per
100,000
Malaria
cases
Prevalenc
e per
100,000
Malaria
cases
Prevalenc
e per
100,000
15,020
25,117
3,110
15,584
11,864
16,123
22,250
17,238
18,384
17,960
15,667
488,373
434,231
176,464
272,388
252,900
326,367
216,487
104,963
64,842
233,219
2,570,234
13,517
23,919
11,072
12,930
8,704
17,924
23,529
18,204
3,965
12,118
13,590
546,781
325,888
166,591
200,587
252,769
220,336
117,061
88,230
92,366
248,418
2,259,027
15,667
18,412
10,676
9,657
9,099
12,450
12,864
15,567
5,757
13,334
12,284
318,141
311,281
154,772
235,652
259,110
125,014
108,936
62,588
182,855
243,029
2,001,378
9,436
18,037
10,132
11,506
9,757
7,267
12,105
11,234
11,618
13,476
11,191
367,752
325,285
150,816
255,560
260,135
124,057
78,226
57,866
211,320
219,140
2,020,157
11,292
19,332
10,085
11,169
10,246
7,419
8,789
10,566
13,687
12,553
11,615
33
6.5 Tuberculosis Case Detection per 100,000 Population
2008
2007
Region
Ashanti
54
51
Brong Ahafo
30
36
Central
67
69
Eastern
71
71
Greater Accra
80
69
Northern
31
25
Upper East
48
51
Upper West
35
29
Volta
68
58
Western
74
73
National
61
57
Source: National TB Programme (PHD)
2006
49
31
61
72
78
20
32
28
61
75
57
2005
53
28
75
75
67
18
34
35
64
76
57
2004
53.4
32.7
79.6
67.0
63.7
24.1
38.5
34.8
69.6
66.6
56.6
2003
56.2
33.6
81.4
76.2
60.5
19.3
36.5
31.7
69.8
78.5
58.4
2002
47.3
39.2
89.3
80.8
64.5
25.4
35.9
52.7
68.0
78.6
59.1
2001
52.5
31.5
99.3
79.2
63.3
23.8
34.7
67.3
75.9
85.7
61.4
2002
59.2
63.5
47.5
47.0
64.8
45.0
56.4
39.4
71.8
41.6
55.1
2001
45.8
55.2
34.4
45.8
67.0
35.6
60.6
39.2
70.1
27.0
47.9
2000
32.2
50.9
44.7
54.1
63.0
34.3
28.6
70.5
66.0
47.9
44.9
2000
50.5
35.2
97.6
66.6
67.1
21.6
39.3
37.9
76.1
71.5
58.0
1999
40.2
34.2
103.6
68.8
62.9
22.0
40.7
27.6
73.0
81.8
56.6
6.6 Tuberculosis Cure Rate
Region
2007
2006
Ashanti
82.3
80.5
Brong Ahafo
64.1
59.0
Central
81.8
71.4
Eastern
72.9
68.8
Greater Accra
82.5
76.0
Northern
76.3
66.4
Upper East
75.0
73.6
Upper West
44.5
56.3
Volta
79.8
74.0
Western
74.2
59.9
National
77.5
76.1
Source: National TB Programme (PHD)
2005
74.7
60.8
62.9
63.1
80.5
66.0
66.9
47.4
77.3
57.6
67.6
2004
71.9
61.1
42.4
61.4
82.0
47.0
67.4
62.5
74.4
55.6
64.0
2003
69.0
63.7
46.3
60.0
77.7
64.0
59.6
52.0
74.7
38.7
61.0
1999
50.9
53.9
39.7
40.2
67.3
43.5
59.1
58.7
58.2
47.8
49.3
1998
57.0
59.8
33.2
58.6
64.4
11.9
58.9
45.8
43.2
17.1
43.8
34
6.7 Tuberculosis Success Rate
Region
Ashanti
2007
2006
90
86
KATH
86
70
Brong Ahafo
77
70
Central
87
75
Eastern
79
77
Greater Accra
87
85
KBTH
70
69
Northern
83
80
Upper East
79
78
Upper West
71
71
Volta
87
83
Western
86
74
National
84
79
Source: National TB Programme (PHD)
2005
80
57
66
67
72
79
68
80
72
65
84
67
73
2004
79
64
67
54
67
82
77
74
72
85
82
68
72
2003
81
71
69
53
64
79
71
75
70
69
81
61
70
2002
70
64
70
55
62
76
68
73
68
62
77
70
68
2001
62
52
65
49
64
71
70
65
70
67
78
75
65
2000
76
63
66
47
60
71
60
57
64
74
73
74
65
1999
83
55
69
46
57
70
52
64
65
53
69
59
62
1998
77
51
68
44
64
68
59
63
64
65
60
46
61
35
7.0 Expanded Programme On Immunization
7.1 Measles Immunisation Coverage Rate, 1997 - 2008
REGION
2008
2007
2006
Ashanti
80.7
77.7
73.7
Brong Ahafo
96.6
102.0
99.4
Central
94.4
94.0
89.0
Eastern
95.1
95.5
93.8
Greater Accra
67.3
69.2
65.9
Northern
109.2
116.4
112.4
Upper East
93.1
102.2
95.8
Upper West
90.0
97.7
101.1
Volta
78.8
78.8
71.0
Western
87.5
92.1
90.3
National
86.5
88.6
85.1
Source: Expanded Programme on Immunisation
REGION
2005
79
89
85
92
67
96
85
78
69
80
81
2004
68
87
83
86
63
94
88
92
70
86
78
2003
70
86
81
93
66
92
84
88
68
87
79
2002
77.0
87.0
83.5
91.6
75.6
106.4
93.3
89.7
65.3
86.8
83.8
2001
83.9
91.1
80.5
84.7
70.0
90.0
77.0
90.9
71.7
92.1
82.4
2000
68.7
102.0
79.0
87.9
65.8
100.6
95.7
90.2
68.3
89.2
81.5
1999
57
68
62
57
60
96
73
64
49
68
71.0
1998
60.8
63.1
72.9
61.9
68.5
89.3
64.4
74.3
53.1
72.6
67.4
1997
28.6
68.8
63.5
25.9
58.1
72.8
46.4
72.3
51.5
61.4
51.4
7.2 Penta 3 (DPT3) Immunisation Coverage Rate, 1997 - 2008
2008
2007
2006
2005
Ashanti
76.8
72.3
71.0
73
Brong Ahafo
97.3 100.2
96.8
91
Central
92.2
92.6
88.4
88
Eastern
93.0
93.0
88.6
89
Greater Accra
68.3
67.8
65.4
66
Northern
114.5 123.7
115.2
112
Upper East
94.8 101.6
92.6
97
Upper West
87.5
93.9
92.4
76
Volta
83.8
83.8
77.5
75
Western
89.0
93.3
91.1
85
National
86.6
87.8
84.2
83
Source: Expanded Programme on Immunisation
2004
66
83
86
79
55
93
87
90
71
86
76
2003
66
81
83
81
62
85
83
87
67
88
76
2002
70.3
82.7
82.0
80.1
71.5
90.2
90.7
84.9
64.7
85.4
78.1
2001
74.2
86.9
81.3
67.7
64.8
82.3
77.1
91.2
72.7
85.7
76.3
2000
68.3
97.7
90.4
91.4
65.0
91.2
99.9
102.5
68.1
84.5
81.6
1999
65
78
80
82
68
82
75
77
58
81
73.0
1998
64.8
64.9
76.2
64.5
67.3
82.2
59.8
79.8
57.5
72.8
68.2
1997
28.3
57.4
73.9
33.3
64.0
64.1
48.0
73.2
70.2
44.4
52.0
36
REGION
7.3 OPV3 Immunisation Coverage Rate, 1997 - 2008
2008
2007
2006
Ashanti
76.7
72.3
70.6
Brong Ahafo
97.2
101.3
97.1
Central
90.9
92.7
88.2
Eastern
92.7
93.3
88.8
Greater Accra
68.4
67.4
64.8
Northern
114.2
122.5
113.3
Upper East
89.2
100.8
92.6
Upper West
87.4
93.8
92.3
Volta
83.8
83.6
78.0
Western
88.4
92.4
89.6
National
86.1
87.6
83.7
Source: Expanded Programme on Immunisation
REGION
2005
72
91
102
91
66
112
96
75
76
85
84
2004
66
82
89
79
56
93
87
90
71
86
76
2003
68.0
80.2
83.9
81.3
60.5
84.7
82.9
86.2
67.1
87.4
75.5
2002
70.5
81.2
85.5
80.4
71.8
92.0
91.9
85.0
65.0
87.1
78.8
2001
76.1
86.2
81.1
69.2
65.4
74.4
74.2
92.2
71.5
87.1
75.9
2000
68.5
96.1
91.2
84.3
66.4
90.9
100.6
103.1
71.1
83.7
81.0
1999
68.2
79.4
81.4
80.0
67.2
75.0
73.5
82.1
62.9
79.0
74.1
1998
64.6
63.6
76.7
64.9
68.2
83.1
63.0
79.6
58.7
75.3
68.9
1997
28.3
57.4
73.9
33.3
64.0
64.1
48.0
73.2
70.2
44.4
52.0
1999
80.9
86.1
96.3
79.8
78.1
88.6
88.1
86.5
73.5
97.7
84.7
1998
78.3
71.7
91.0
71.3
69.0
91.5
70.0
84.4
66.1
86.0
77.4
1997
36.1
72.4
85.8
37.6
77.0
71.2
69.2
71.8
66.5
84.9
63.6
7.4 BCG Immunisation Coverage Rate, 1997 - 2008
2008
2007
2006
Ashanti
95.7
90.5
87.5
Brong Ahafo
111.6
114.5
111.6
Central
118.6
124.0
114.5
Eastern
111.7
110.6
110.2
Greater Accra
76.4
73.7
73.6
Northern
131.0
130.8
128.7
Upper East
107.3
112.5
110.6
Upper West
105.2
109.1
110.0
Volta
98.1
98.1
91.4
Western
103.0
107.8
103.8
National
102.6
102.4
99.6
Source: Expanded Programme on Immunisation
2005
86
99
115
114
83
117
96
88
89
98
97
2004
72
98
111
104
72
113
108
106
88
100
92
2003
77.0
96.7
109.0
102.3
79.3
101.7
109.1
98.5
82.3
101.0
92.0
2002
84.2
94.6
110.9
107.1
83.3
107.9
116.1
95.6
80.5
104.4
95.6
2001
92.6
94.8
94.9
97.1
72.8
82.8
100.8
94.5
84.6
108.9
90.8
2000
80.0
101.5
95.6
102.3
72.4
99.4
120.9
106.2
83.6
102.6
92.0
37
REGION
7.5 Tetanus Toxiods Immunisation Coverage Rate, 2001-2008
2008
Ashanti
80.2
Brong Ahafo
89.8
Central
93.2
Eastern
80.7
Greater Accra
59.6
Northern
97.9
Upper East
66.2
Upper West
71.6
Volta
63.7
Western
62.7
National
76.3
Source: Expanded Programme on Immunisation
REGION
2007
69.0
90.9
81.9
67.3
50.3
95.0
90.4
67.4
57.0
58.8
70.1
2006
68.3
88.9
78.7
68.1
56.8
78.5
78.3
52.3
59.7
57.1
68.2
2005
64
89
88
66
60
96
72
43
68
55
68
2004
58.8
74.1
82.3
70.4
50.0
86.2
66.4
80.9
76.5
61.4
67.4
2003
101.3
93.5
96.0
98.3
110.6
108.8
138.7
118.6
104.6
79.4
101.3
2002
92.2
91.2
98.6
96.9
119.9
98.3
139.7
124.0
103.5
` 96.5
101.4
2001
77.3
82.0
84.2
71.3
53.7
70.2
88.6
75.6
72.6
73.4
72.9
2002
68.5
71.8
74.7
81.7
63.4
69.8
85.2
85.1
57.7
74.1
71.0
2001
80.7
86.2
77.0
81.3
81.0
78.1
63.1
80.0
71.9
75.0
78.6
7.6 Yellow Fever Immunisation Coverage Rate, 2001-2008
2008
2007
Ashanti
80.4
76.9
Brong Ahafo
94.8
100.9
Central
91.3
91.9
Eastern
95.4
95.5
Greater Accra
66.8
68.3
Northern
107.6
115.0
Upper East
84.8
101.1
Upper West
88.0
97.0
Volta
79.0
77.0
Western
93.1
96.6
National
86.0
88.1
Source: Expanded Programme on Immunisation
2006
72.9
98.4
86.6
90.8
64.4
110.0
92.6
96.2
71.6
93.6
84.0
2005
74
93
78
91
66
101
88
84
69
78
80
2004
66
81
81
83
63
88
88
93
70
86
76
2003
68.5
72.9
72.9
85.7
60.4
73.9
69.5
89.3
64.8
84.9
72.4
38
7.7 AFP Non-Polio Rate 2003-2008
REGION
Ashanti
Brong Ahafo
Central
Eastern
Greater Accra
Northern
Upper East
Upper West
Volta
Western
National
Source: Disease surveillance Department
2008
1.35
4.22
2.00
2.70
1.06
3.40
4.50
3.33
1.63
2.10
2.24
2007
0.89
1.44
3.13
1.30
0.50
2.11
2.00
3.00
1.75
2.80
1.60
2006
1.24
2.11
1.29
1.79
0.69
1.33
3.50
2.40
2.27
2.89
1.70
2005
1.3
1.7
1.9
1.6
0.7
1.6
1.8
2.0
2.1
2.6
1.6
2004
1.9
1.9
1.0
1.1
1.0
1.9
1.7
2.0
1.2
1.7
1.5
2003
1.3
1.4
1.0
1.8
1.6
0.9
0.7
2.3
2.2
1.1
1.4
39
8.0 Reproductive Health Services
8.1 ANTE NATAL COVERAGE
8.2 SUPERVISED DELIVERY
REGION
2008
2007
Ashanti
86.1
76.1
Brong Ahafo
102.1 101.8
Central
115.5 108.7
Eastern
98.2
87.2
Greater Accra
85.2
77.2
Northern
127.7 116.8
Upper East
102.1 111.7
Upper West
93.5
96.3
Volta
93.4
87.4
Western
98.8
91.7
National
97.8
91.1
Source: RCH/PHD-GHS
2006
74.0
97.4
103.8
86.0
77.2
109.0
104.2
90.3
87.1
93.0
88.1
2005
76.6
90.0
103.6
82.0
83.1
116.6
95.3
86.1
84.1
90.2
88.7
2004
79.0
90.0
107.7
81.4
77.7
110.4
102.0
94.7
86.1
94.7
89.2
2003
83.6
97.1
102.8
94.6
81.0
102.7
100.2
88.7
86.3
93.5
91.2
2002
81.3
99.7
103.0
107.8
88.9
97.2
98.6
87.5
89.4
96.8
93.7
2008
35.0
49.8
56.3
48.0
50.3
26.0
40.4
40.6
37.5
39.1
42.2
8.3 POST NATAL CARE
2007
26.7
34.5
22.3
43.1
43.1
27.7
43.5
32.9
33.3
17.6
32.1
2006
40.8
47.4
74.0
38.7
42.2
25.1
38.4
28.8
35.4
34.8
44.5
2005
54.3
62.0
77.1
58.4
48.6
57.5
53.5
66.5
42.0
35.8
54.2
2004
56.2
57.8
76.3
47.2
46.2
48.2
71.2
71.2
39.7
46.2
53.4
2003
56.2
56.0
67.1
50.6
49.4
39.2
44.9
67.4
49.0
47.6
52.1
2002
55.7
58.2
66.6
55.0
54.6
41.3
42.5
67.5
40.1
46.6
52.6
8.4 FAMILY PLANNING ACCEPTORS
REGION
2008
Ashanti
51.6
Brong Ahafo
57.2
Central
77.6
Eastern
61.5
Greater Accra
48.7
Northern
80.7
Upper East
57.3
Upper West
68.7
Volta
50.5
Western
45.6
National
57.5
Source: RCH/PHD-GHS
2007
50.6
57.1
73.4
61.5
48.5
76.8
66.9
70.1
55.6
37.6
56.7
2006
51.9
53.8
68.5
60.8
44.8
70.8
60.7
54.3
53.9
35.5
53.7
2005
47.1
57.0
76.4
62.9
47.6
73.2
56.9
62.0
53.9
35.5
55.0
2004
52.8
55.0
70.6
67.1
40.9
62.9
48.4
94.1
45.7
32.8
53.3
2003
58.1
54.1
67.0
63.1
47.3
62.0
50.1
75.8
59.1
36.8
55.7
2002
58.6
54.1
63.1
59.3
51.0
51.9
48.2
73.6
44.6
40.6
53.7
2008
15.7
36.3
33.0
33.1
63.9
26.0
26.2
59.8
21.6
19.6
33.8
2007
15.2
40.9
29.6
33.3
16.4
20.1
27.4
85.0
23.7
13.9
23.2
2006
15.3
42.9
37.0
35.0
20.4
17.8
26.7
54.3
27.9
15.2
25.4
2005
14.1
41.0
32.6
24.7
17.7
19.4
20.7
53.9
25.7
13.8
22.6
2004
13.2
47.9
33.6
25.6
18.5
16.7
20.2
44.6
29.9
23.2
24.3
2003
14.0
34.8
24.2
32.1
25.1
14.3
18.7
31.4
26.2
13.8
22.3
2002
14.2
34.4
22.2
25.8
28.8
14.1
16.5
33.4
20.6
11.4
21.0
40
8.5 Institutional Maternal Mortality Ratio
Region
2008
Maternal Maternal
Deaths
Mortality
Ratio
Ashanti
Brong Ahafo
Central
Eastern
Greater Accra
Northern
Upper East
Upper West
Volta
Western
National
222
81
92
98
167
91
27
22
52
101
953
Region
2002
Maternal Maternal
Deaths
Mortality
Ratio
252.6
185.3
223.2
170.7
194.3
175.9
152.2
120.6
144.7
269.5
199.7
2007
Maternal Maternal
Deaths
Mortality
Ratio
179
88
92
146
149
113
29
30
65
104
996
2006
Maternal Maternal
Deaths
Mortality
Ratio
245.9
222.0
266.2
265.3
202.3
206.9
140.7
160.9
200.5
341.0
230.2
2001
Maternal Maternal
Deaths
Mortality
Ratio
175
116
85
118
118
91
43
20
65
126
957
2005
Maternal Maternal
Deaths
Mortality
Ratio
212.2
225.8
120.6
227.3
123.6
186.2
219.9
118.8
217.4
284.3
187.2
2000
Maternal Maternal
Deaths
Mortality
Ratio
181
75
44
143
125
70
34
21
78
92
863
Maternal
Deaths
195.9
211.4
103.9
288.1
182.4
176.5
172.3
122.7
255.6
244.0
196.8
1999
Maternal Maternal
Deaths
Mortality
Ratio
161
104
71
109
114
66
46
19
71
63
824
2004
Maternal
Mortality
Ratio
176.4
229.6
134.5
267.0
183.0
172.0
170.9
107.7
261.9
155.4
186.0
1998
Maternal Maternal
Deaths
Mortality
Ratio
Ashanti
172
203.4
184
232.1
177
220.3
134
232.1
140
219.8
Brong Ahafo
102
235.1
110
273.1
62
139.5
91
273.1
81
213.1
Central
86
206.5
100
450.5
103
446.8
106
450.5
117
655.9
Eastern
92
198.2
139
292.4
108
243.4
121
292.4
78
202.1
Greater Accra
83
122.8
91
150.7
63
110.7
28
150.7
93
204.2
Northern
49
158.2
59
197.5
60
201.0
73
197.5
61
294.6
Upper East
59
378.3
52
338.9
56
371.5
43
338.9
45
406.1
Upper West
17
106.7
42
283.2
30
195.9
22
283.2
14
112.4
Volta
91
345.6
94
363.2
88
361.9
97
363.2
70
364.1
Western
86
231.9
83
221.4
104
283.0
98
221.4
78
249.8
National
837
204.4
954
255.7
851
229.7
813
255.7
777
260.4
Source: CHIM/RCH
Institutional Maternal Mortality Ratio is the number of maternal deaths occurring in health facilities per 100,000 live births.
2003
Maternal Maternal
Deaths
Mortality
Ratio
173
84
71
113
120
77
34
16
84
82
854
196.1
196.2
159.3
262.6
187.7
254.8
203.5
99.1
256.2
209.5
204.5
1997-----Maternal Maternal
Deaths
Mortality
Ratio
128
89
93
101
49
39
42
33
60
53
687
209.8
217.6
493.1
295.3
109.1
215.7
420.8
332.9
289.9
182.9
239.0
41
9.0 Health Financing
9.1 Proportion of Health Budget by category
Indicator
2007
2006
2005
2004
2003
2002
2001
% GoG budget spent on health
12.9
8.0
11.1
9.1
% GoG recurrent budget spent on health
14.0
12.0
11.0
10.2
Proportion of non-wage recurrent budget
spent at district level
% earmarked Donor funds
43.0
43.0
40.9
48.6
45.0
50.0
NA
62.3
% IGF from pre-payment and
community insurance schemes
% Recurrent budget from GoG and
health fund allocated to private sector,
CSOs, NGOs, and other MDA
% Recurrent budget spent on exemptions
10.0
5.0
NA
3.0
1.8
1.6
NA
1.2
6.0
5.0
3.2
3.6
Source: Planning and Budget Unit (PPME/GHS)
NA: Data Not Available
42
APPENDIX 1
10.1 TREND IN OPD ATTENDANCE PER CAPITA (1996-2008)
NUMBER OF OPD VISITS PER CAPITA
0.90
0.80
0.70
0.60
0.50
0.40
0.30
0.20
0.10
0.00
10.2 INFANT MORTALITY RATE-GHANA (1988-2008)
TREND IN OPD ATTENDANCE PER CAPITA
(Ghana, 1999-2008)
Infant Mortaltity Rate - Ghana
1988 -2008
100
0.77
0.69
0.45
0.40
0.49 0.49 0.50
0.52 0.54 0.55
80
77
66
60
57
64
50
40
20
1988
1999 2000 2001 2002 2003 2004 2005 2006 2007 2008
1993
1998
2003
2008
YEAR
Figure 1
Figure 2
10.3 TOTAL FERTILITY RATE-GHANA (1988-2008)
10.4 PREVALENCE OF MALARIA PER 100,000 POPUATION
PREVALENCE OF MALARIA PER 100,000POPULATION
1996 - 2008
8.0
6.0
6.4
5.5
4.6
4.0
4.4
4.0
2.0
0.0
1988
Figure 3
1993
1998
2003
Prevalence per 100,000 Population
Total Fertiltity Rate - Ghana
1988 - 2008
25000
20000
15000
10000
5000
2008
0
1996 1997 1998 1999 2000 2001 2002 2003 2004 2005 2006 2007 2008
Figure 4
43
DOCTOR POPULATION RATIO(2003-2008)
25,000
10.6
NURSE POPULATION RATIO(2003-2008)
Doctor to Population Ratio
2003- 2008
20,000
17,733
17,899
14,732 13,683
16,759
15,000
Nurse Population Ratio
2003- 2008
13,074
10,000
5,000
No. of Persons to One Nurse
No. of Persons to One Doctor
10.5
1,700
1,650
1,600
1,550
1,500
1,450
1,400
1,350
1,300
1,250
1,200
1,150
1,100
1,050
1,000
-
2004
2005
2006
2007
1,510
Figure 6
10.7
10.8
IMMUNIZATION COVERAGE (2001-2008)
1,109
100.0
Measles
Penta(DPT3)
OPV3
BCG
YF
PERCENTAGE COVERAGE
100
120.0
20.0
2005
2006
2007
2008
TREND IN ANTENATAL, SUPERVISED DELIVERY AND
FAMILY PLANNING COVERAGE 2002 - 2008
140.0
40.0
2004
RCH COVERAGE (2002-2008)
TREND IN IMMUNIZATION COVERAGE
(2001 - 2008)
60.0
1,454
2008
Figure 5
80.0
1,537
1,508
2003
2003
PERCENTAGE COVERAGE
1,649
93.7
97.8
91.2
90
89.2
88.1
88.7
91.1
80
ANC
70
60
53.7
50
52.6
55.0
53.3
53.4
55.7
52.1
54.2
57.5
56.7
53.7
PNC
44.5
40
42.2
21.0
22.3
24.3
22.6
25.4
FP
33.8
32.1
30
20
SD
23.2
10
0.0
0
2001
Figure 7
2002
2003
2004
2005
2006
2007
2008
2002
2003
2004
2005
2006
2007
2008
Figure 8
44
10.9 Comparison of OPD attendance contribution from districts and chps alone.
OPD attendance in Districts and chps
100.0
94.6
94.4
88.3
96.2
98.2
94.2
96.5
94.9
95.2
98.6
50.0
5.4
5.6
11.7
3.8
5.8
1.8
3.5
5.1
4.8
1.4
0.0
Perce ntage of OPD atte nda nce
Region
All Others
CHPS
45
APPENDIX 2
11.0 MAJOR CAUSES OF ADMISSIONS AND DEATHS – 2009
Data on the causes of hospital admissions and deaths were collected from the regional hospitals and
district hospitals in all the ten regions excluding the two Teaching Hospitals. The total number of
admissions analyzed was 315,998 cases. This represents 42% of the total number of admissions
reported in the year.
11.1 Top Ten Causes of Admission All Ages - National
Rank
Cause of Admission
1
Malaria
2
Pregnancy and related complications
3
Anaemia
4
Diarrhoeal Diseases
5
Hypertension
6
Hernia
7
Gynaecological conditions
8
Pneumonia
9
Typhoid fever
10
Road traffic injuries
All other diseases
Total
Proportional
Morbidity Rate (%)
32.9
6.2
5.3
4.2
3.1
2.5
2.3
2.0
1.9
1.6
37.9
100.0
Source: CHIM/PPME-GHS
46
11.2 Top Ten Causes of Death All Ages - National
Rank
Cause of Death
1
Malaria
2
HIV/AIDS related conditions
3
Anaemia
4
Cerebro Vascular Accidents
5
Pneumonia
6
Septicaemia
7
Hypertension
8
Cardiac diseases
9
Meningitis
10
Diarrhoeal diseases
All other causes
Total
Proportional
Mortality Rate (%)
13.4
7.4
7.3
6.4
6.2
5.1
4.1
4.0
2.3
2.3
41.5
100.0
Source: CHIM/PPME-GHS
47
11.3 Top Ten Causes of Admission for Children Under 5 Years - National
Rank
Cause of Admission
1
Malaria
2
Anaemia
3
Diarrhoeal diseases
4
Pneumonia
5
Malnutrition
6
Septicaemia
7
Thypoid fever
8
Upper respiratory tract infections
9
HIV/AIDS related conditions
10
Injuries
All other diseases
Total
Proportional
Morbidity Rate (%)
58.1
12.8
5.1
3.3
1.1
0.8
0.8
0.6
0.5
0.4
16.4
100.0
Source: CHIM/PPME-GHS
48
11.4 Top Ten Causes of Deaths for Children Under 5 Years - National
Rank
Cause of Death
1
Malaria
2
Anaemia
3
HIV/AIDS related conditions
4
Pneumonia
5
Septicaemia
6
Diarrhoeal diseases
7
Malnutrition
8
Injuries
9
Cardiac diseases
10
Meningitis
All other causes
Total
Proportional
Mortality Rate (%)
20.2
6.3
5.0
4.9
3.3
2.6
1.8
0.9
0.7
0.7
53.5
100.0
Source: CHIM/PPME-GHS
49
12.0 International and National Health Days
Theme
World Leprosy Day
1st National Immunization Day
Ghana Health Service Awareness Month
World Tuberculosis Day
2nd National Immunization Day
World Health Day
African Malaria Day
Dental Care Month
Nurses Week
Prevention of Blindness Awareness (Ghana)
Family Planning Week (Ghana)
World No Tobacco Day
Drug Abuse Day
Diabetic Week (Ghana)
National Oral Health Week
World Population Day
Midwives Day
World Breastfeeding Day
World Aged Day
Mental Health Week
3rd National Immunization Day
AIDS Awareness Month (Ghana)
World Diabetic Day
4th National Immunization Day
World AIDS Day
Date
1st January
January
March
March
April
7th April
25th April
May
May
May
May
31st May
26th June
July
July
11th July
August
1st August
1st October
10th October
November
November
14th November
December
1st December
50