Essential Health Service Package in Ghana

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Questions and Answers

What is a key aspect of Universal Health Coverage (UHC)?

  • Providing healthcare only to people in urban areas
  • Limiting healthcare access to only those who are employed
  • Ensuring people have access to healthcare only if they can afford it
  • Ensuring people have access to the healthcare they need without financial hardship (correct)

A strong primary health care system only delivers high quality care and services.

False (B)

What does EHS stand for?

Essential Health Services Package

An EHS is central to a country achieving its health improvement and _________ goals.

<p>financial protection</p> Signup and view all the answers

What is one identified opportunity for advancing PHC in Ghana?

<p>The development, adoption and financing of an Essential Health Services Package (B)</p> Signup and view all the answers

Private healthcare service providers offering NHIS services are currently incentivized to provide promotive or preventive care.

<p>False (B)</p> Signup and view all the answers

What does the acronym ARHR stand for?

<p>Alliance for Reproductive Health Rights</p> Signup and view all the answers

Match the following concepts with their definitions:

<p>UHC = Ensuring people have access to healthcare without financial hardship EHS = A minimum list of public health and clinical services provided by the government PHC = A system that delivers high quality care and services, driving better health and development outcomes. NHIS = The service that if preventive measures are included would increase contribution to national health improvement.</p> Signup and view all the answers

What global movement has gained momentum in recent years, with a focus on universal access to affordable and quality healthcare?

<p>Universal Health Coverage (A)</p> Signup and view all the answers

Ghana achieved all of the Millennium Development Goals (MDGs) related to health.

<p>False (B)</p> Signup and view all the answers

According to the provided analysis, what percentage of Ghana's EHS package is not covered by the NHIS?

<p>60 percent (C)</p> Signup and view all the answers

What effect did the disproportionate support of vertical health policies and programs have on Ghana's health system?

<p>Fragmentation and inequities in service delivery</p> Signup and view all the answers

Ghana has a clearly defined, single EHS package like many other countries.

<p>False (B)</p> Signup and view all the answers

What is the primary focus of the NHIS that undermines the principles of primary health care and universal health coverage?

<p>curative services</p> Signup and view all the answers

A primary health care focused system builds the backbone of an effective health-care system and can reduce the growth in cost of care, lower inequalities in access and reduce disparities in health _______.

<p>outcomes</p> Signup and view all the answers

What is one reason that interventions focused on primary health care, especially at the community level, are more advantageous?

<p>They are more cost effective. (D)</p> Signup and view all the answers

The World Health Organization (WHO) predicts that mental health illness could be the leading global cause of years of life lost to disabilities by ________.

<p>2020</p> Signup and view all the answers

Primary health care systems are associated with lower patient satisfaction and increased healthcare spending.

<p>False (B)</p> Signup and view all the answers

Which of the following is NOT typically included in the NHIS benefits package?

<p>Curative services (A)</p> Signup and view all the answers

Mental health is a high priority on the national development agenda in Ghana.

<p>True (A)</p> Signup and view all the answers

What are the two primary examples of Ghana's high-performing healthcare system mentioned?

<p>Community-based Health Planning and Services (CHPS) and the National Health Insurance Scheme (NHIS)</p> Signup and view all the answers

How many government psychiatric hospitals does Ghana have, and where are they located?

<p>three, in the southern part of the country</p> Signup and view all the answers

Match the following service types with their descriptions:

<p>Preventive services = aim to prevent disease before it occurs Curative services = aim to treat health issues once they have occurred Promotive care = aim to enhance overall well-being and quality of life</p> Signup and view all the answers

Which of the following best describes a challenge within Ghana's primary health care (PHC) system?

<p>Misalignment between facility classification and posted health staff cadre. (C)</p> Signup and view all the answers

Monitoring activities at CHPS compounds are typically reimbursed under the current system in Ghana.

<p>False (B)</p> Signup and view all the answers

What is one way that Ghana can make progress in the area of mental health?

<p>Integrating mental health with primary health care</p> Signup and view all the answers

The _____ is less supportive of primary health care and overall UHC targets.

<p>NHIS</p> Signup and view all the answers

What is a key issue that Ghana needs to reassess in its healthcare policies?

<p>The inclusion of primary mental health services within the NHIS benefit package. (A)</p> Signup and view all the answers

A Physicians Assistant (Level B) is not qualified to prescribe a broader range of services and medicines.

<p>False (B)</p> Signup and view all the answers

What goal does SDG 3 focus on?

<p>Promotion of healthy lifestyles and wellbeing for all</p> Signup and view all the answers

What does ARHR recommend that Ghana's government develop?

<p>A national primary health care strategy or policy (B)</p> Signup and view all the answers

The EHS package is not related to health system reform and development.

<p>False (B)</p> Signup and view all the answers

What should the EHS package be aligned with to ensure cost of services are covered?

<p>NHIS benefits package</p> Signup and view all the answers

The delivery of the EHS package cannot be achieved independent of a robust and well-structured health care _______.

<p>system</p> Signup and view all the answers

Which of these is a goal of primary health care?

<p>Realisation of universal health coverage (A)</p> Signup and view all the answers

The EHS package should not align with the national priorities outlined in the current Health Sector Medium Term Development plan.

<p>False (B)</p> Signup and view all the answers

What is the website address of the Alliance for Reproductive Health Rights (ARHR)?

<p><a href="http://www.arhr.org.gh">www.arhr.org.gh</a></p> Signup and view all the answers

Match the following terms with their correct descriptions:

<p>EHS package = Essential Health Services package NHIS = National Health Insurance Scheme ARHR = Alliance for Reproductive Health Rights SDG 3 = Sustainable Development Goal 3</p> Signup and view all the answers

Flashcards

Universal Health Coverage (UHC)

Universal Health Coverage (UHC) aims to ensure everyone has access to the healthcare they need without facing financial hardship. It's about making healthcare affordable and accessible for all.

Global Momentum of UHC

The World Health Assembly and the United Nations General Assembly have called for countries to accelerate their efforts towards achieving Universal Health Coverage.

Scale-Up Efforts towards UHC

Efforts towards Universal Health Coverage are expanding globally, aiming to ensure everyone has access to quality, affordable healthcare services, regardless of their financial status or location.

Challenges in Ghana's Health System

Ghana's health system faces challenges in achieving its health goals, particularly concerning maternal mortality, infant mortality, and HIV/AIDS.

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MDG Challenges in Ghana

The failure to achieve MDGs 4, 5, and 6 highlighted the need for improvements in Ghana's health system.

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Fragmented Health System in Ghana

Overemphasis on vertical health policies and programs can lead to fragmentation in the health system, creating inequalities and neglecting vulnerable groups.

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Key Elements of Ghana's PHC System

Community-based Health Planning and Services (CHPS) and National Health Insurance Scheme (NHIS) are key elements in Ghana's approach to providing primary healthcare, often considered exemplary.

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Importance of PHC

Primary healthcare is the cornerstone of an effective health system, promoting health and well-being by providing accessible, affordable, and quality care.

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Primary Health Care (PHC)

The primary health care system is the first point of contact for healthcare services and plays a vital role in achieving health for all.

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Essential Health Services Package (EHS)

An Essential Health Services Package (EHS) lists the minimum public health and clinical services that a government guarantees to its citizens, ensuring equitable access.

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National Health Insurance Scheme (NHIS)

The National Health Insurance Scheme (NHIS) is a system that helps people pay for healthcare services by providing financial protection.

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Health for All

The goal of achieving health for all, meaning that everyone should have access to quality healthcare and be able to live healthy lives.

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Preventive Services

Preventive services are aimed at preventing health problems from developing in the first place, focusing on early detection and risk reduction.

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Financial Protection

Providing financial protection ensures that individuals can access healthcare without facing significant financial burdens.

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Cost Recovery

Cost recovery refers to the practice of recovering costs for healthcare services provided, often by charging patients directly or through insurance schemes.

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Preventive care

A strategy to improve the health of a population by focusing on prevention and promotion of health, rather than just treating illnesses.

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Promotive care

Services aimed at helping individuals and communities improve their overall well-being and prevent health issues.

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Essential health service (EHS) package

The set of healthcare services considered essential for a basic level of well-being.

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Treatment gap

The gap between the essential health services needed and those actually provided, leading to unmet health needs.

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Inequity in mental health services

The disproportionate lack of access to mental health services, particularly impacting marginalized communities.

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Staffing Norms and Misalignment

A critical issue in Ghana's healthcare system, where healthcare workers are not evenly distributed or matched with the needs of different facilities.

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Levels of Care

A healthcare approach where services are offered at different levels – primary, secondary, and tertiary – based on care complexity.

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Integrated Primary Mental Health Services

Integrating primary mental health services into routine healthcare, offering support alongside physical health care.

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Restructuring Healthcare Towards Primary Care

The process of restructuring a healthcare system with a stronger emphasis on primary care services.

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National Primary Healthcare Strategy

A comprehensive plan that details how a country will achieve universal health coverage for its citizens.

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Aligning EHS Package with NHIS

The process of aligning an EHS package with the benefits package of a national insurance scheme to ensure financial coverage for essential services.

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Health Sector Medium Term Development Plan

The current Health Sector Medium Term Development plan outlines the priority health goals and objectives of a nation.

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Study Notes

Essential Health Service Package for Primary Health Care in Ghana

  • Ghana needs an Essential Health Services Package (EHS) to improve affordability and accessibility of primary care
  • UHC (Universal Health Coverage) movement is pushing for affordable and quality care
  • Ghana's experiences with MDGs show fragmented health services, vertical policies and inequities in service delivery
  • The NHIS (National Health Insurance Scheme) and CHPS (Community-Based Health Planning and Services) in Ghana are cited as exemplary primary health care programs, however, there are significant gaps in quality, access and affordability
  • EHS is a guaranteed minimum list of health and clinical services offered by the government
  • The EHS in Ghana is not explicitly defined and lacks a consolidated primary health care package

Preventative & Promotive Care in Ghana's EHS

  • Current NHIS focuses on curative services, not preventative care, which undermines primary health care
  • Essential services like family planning, counselling, outreach and task-shifted activities at CHPS compounds are not covered by the NHIS
  • Preventive and promotive services are crucial components of a robust primary health care system
  • Government incentives for services are missing affecting private health initiatives to offer preventative care
  • The lack of integration of mental health in the EHS package is a major concern

Mental Health & EHS

  • Mental health is neglected due to significant treatment gaps, limited resources and scarcity of specialists in facilities
  • Mental health services are missing and urgently need consideration within the EHS package
  • Integration of mental health services into primary care is essential, especially at the community level according to SDG3 promoting healthy lifestyles and wellbeing

PHC System Development

  • Staff and facility misalignment, especially between facility classification and health personnel qualifications, is a substantial challenge
  • Clear guidelines stating appropriate services at each healthcare level and costs for those services would significantly enhance effectiveness

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