Ghana Health Service Act - 1996 Overview
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Questions and Answers

A vacancy among its members will not affect the validity of the Council's proceedings.

True (A)

A member of the Council who has an interest in a proposed contract must disclose it verbally to the other members.

False (B)

A council member who violates the disclosure rule is liable to be promoted.

False (B)

The Council is required to create a committee for appointments and promotions.

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

The Minister for Education determines the allowances paid to Council members.

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

The Council can appoint committees comprising of only members of the Council.

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

The Council needs the approval of the President to create new units within the service.

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

The Disciplinary Committee is assigned by the Council only, without external influence.

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

The Minister designates a member of the Service as Secretary to the Council, after consulting with the Director-General.

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

The Deputy Director-General is appointed by the President, following advice from the Council in discussion with the Public Services Commission.

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

The Secretary is responsible for directing the business of the Council's meetings, but is not responsible for keeping minutes.

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

The Secretary is accountable to the Council for actions taken under this section.

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

The Deputy Director-General's terms and conditions of service are specified in the Act of Parliament.

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

The President can delegate the power of appointment under the Part, according to the Constitution.

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

The Deputy Director-General reports to the Public Services Commission.

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

The Deputy Director-General supervises the Service if the Director-General is in another country or unable to perform their duty.

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

The Council may ignore directives given by the Minister.

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

Regional Health Committees are independently appointed, not under the purview of the Council.

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

Directors of the Divisions are answerable to the Council.

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

A Regional Health Committee must ensure it has at least two representatives from local businesses.

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

The Directors of the Divisions are appointed by the Council in consultation with the Public Services Commission.

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

The Council appoints the chair of the Regional Health Committee after consulting with the Regional Minister.

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

The President appoints all staff of the Service based upon advice from the Council, after consulting the Public Services Commission.

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

The Council may hire consultants, based solely on a recommendation from the Director-General.

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

Each district will have a health professional known as the Regional Director of Health Service.

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

A District Director must have a basic qualification in public health.

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

The President may delegate the power to appoint a District Director.

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

A District Director is directly responsible to the Regional Director for all matters.

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

There are two compulsory divisions of service established by the council in each district: Clinical and Public Health.

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

The Regional Director directly establishes health areas in each district.

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

Each hospital within the Service has a medical supervisor.

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

In the temporary absence of a Medical Superintendent, a non senior health personnel at the hospital may perform the functions of the Medical Superintendent as directed by the regional director

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

The Council and the Board of a Teaching Hospital are required to keep financial records, and these records must be in a format approved by the Auditor-General, according to the Act.

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

The accounts of the Service and a Teaching Hospital must be audited by the Auditor-General within twelve months after the end of each financial year.

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

The internal auditor for the Service is appointed by the President and is answerable to the Director-General.

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

A Teaching Hospital Board appoints its internal auditor, who is answerable to the Chief Finance Officer.

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

Internal auditors must prepare reports every three months and submit them to the Director-General or the Chief Administrator.

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

The Director-General and Chief Administrator must send the internal audit reports to the Minister.

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

An annual report that covers the activities and operations of the Service or the Teaching Hospital has to be sent to the Minister within six months, after the end of the year.

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

The Minister must submit an annual report to Parliament with their comments within four months of receiving the annual reports.

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

A liability existing between a state hospital and an individual before this Act will now be between the Service and that individual.

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

The 'Board' refers to any health-related board established under this Act.

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

The pentecostal council is part of the Muslim religious group.

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

Health personnel includes only medical doctors and nurses.

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

A health station includes hospitals funded by local government.

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

A hospital, as defined in this Act, includes private, non-government funded institutions.

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

Primary health care focuses only on treating illnesses, not preventing them.

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

The Ghana National Fire Service is not considered part of the security services in this Act.

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

Flashcards

Secretary to the Council

The minister appoints the council's secretary who manages its meetings and performs other functions.

Council's Committee Appointing Power

The Council is responsible for appointing committees for the purposes of the Act.

Council's Power to Appoint Committees

The Council can appoint committees, including regional committees.

Regional Health Committees

There's a Regional Health Committee in each region.

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Composition of Regional Health Committees

The Regional Health Committee includes representatives from various groups, such as the Regional Director of Health Service, the Regional Co-ordinating Council, and religious groups.

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Minister's Directives to Council

The Minister can issue directives to the Council on matters of policy.

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Council's Compliance with Directives

The Council must follow any directives issued by the Minister.

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Delegation of Appointment Power

The President can delegate his appointment power under this Part of the Act.

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Council Proceedings Validity

The Council's proceedings are not invalidated by vacancies or irregularities in member appointments.

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Council Member Conflict of Interest

A Council member with a conflict of interest in a contract or transaction must disclose it and cannot participate in discussions.

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Consequences of Conflict of Interest Disclosure

Failing to disclose a conflict of interest in a contract or transaction can result in a Council member being removed.

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Council Meeting Procedures

The Council determines its meeting procedures, except as specified by the Act.

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Who Appoints the Deputy Director-General?

The Deputy Director-General is appointed by the President, following the advice of the Council who consults the Public Services Commission.

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Council Member Allowances

The Minister, in consultation with the Finance Minister, decides on allowances for the Council Chairman and members.

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What are the Deputy Director-General's responsibilities?

The Deputy Director-General's responsibilities include assisting the Director-General and leading the Service in their absence.

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Council's Ability to Structure the Service

The Council can create units or divisions within the Service at the national level with the Minister's approval.

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Who oversees the Divisions?

The Director-General is responsible for overseeing the Divisions, and Directors report to them.

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Council's Power to Abolish or Reorganize Units

The Council can also abolish or reorganize units or divisions with the Minister's approval.

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How are Directors appointed?

The President appoints Directors for the Divisions, following the advice of the Council who consults the Public Services Commission.

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Council Committee Formation

The Council appoints committees, both internally and externally, to carry out specific functions. Committees can be composed of Council members, non-members, or both.

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Who appoints the Service's staff?

The Service's staff are appointed by the President, following the advice of the Council who consults the Public Services Commission.

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Who assigns tasks to Service staff?

The Council, with the Director-General's approval, assigns tasks to Service staff.

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Who can engage consultants for the Service?

The Council can engage consultants or advisers upon the Director-General's recommendation.

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What is the Council's role in the Service?

The Council is the administrative body for the Ghana Health Service and Teaching Hospitals.

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District Director of Health Service

The head of health services in a district in Ghana, responsible for implementing the Health Council's decisions.

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What qualifications does a District Director need?

A qualified health professional with expertise in public health.

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Who can delegate the appointment of a District Director?

The President, as per the Constitution, can delegate his power to appoint a District Director to another authority.

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Who is a District Director accountable to?

A District Director answers to the Director-General on health matters and the District Chief Executive on administrative matters.

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What are the main divisions established within the district?

These divisions ensure the proper functioning and organization of health services in each district.

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What are subdistricts for?

The Council, based on the advice of the Regional Director, can create these areas to improve health delivery in a district.

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What is a Medical Superintendent's role?

The top health official in a hospital, responsible for implementing the Council's decisions within the hospital.

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How can a Medical Superintendent's role be filled in their absence?

In the absence of a Medical Superintendent, the Regional Director can appoint someone else to temporarily manage the hospital.

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Financial Record Keeping Responsibility

The Council and Teaching Hospital Board are mandated to maintain comprehensive financial records. These records must be in a format approved by the Auditor-General.

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Financial Audit Responsibility

The Auditor-General is responsible for reviewing the financial records of the Ghana Health Service and Teaching Hospitals annually.

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Internal Audit Appointment

An internal auditor is appointed for both the Ghana Health Service and Teaching Hospitals for performing regular audits.

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Internal Audit Reporting

The internal auditor reports the findings of their internal audit to the Director-General of the Ghana Health Service or the Chief Administrator of the Teaching Hospital every three months.

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Annual Report Submission

The annual report, submitted to the Minister within six months after the end of the financial year, covers the Ghana Health Service or Teaching Hospital's activities and operations.

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Annual Report Content

The Auditor-General's report forms an integral part of the annual report to Parliament.

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Minister's Report to Parliament

The Minister submits a report to Parliament, elaborating on the annual reports of the Ghana Health Service and Teaching Hospitals.

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Minister's Reporting Authority

The Minister has the authority to request additional reports from both the Council and the Teaching Hospital Boards as needed.

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Who are the Christian and Muslim religious groups?

The National Catholic Secretariat, the Christian Council and the Pentecostal Council represent the Christian religious group. The Federation of Muslim Councils and Ahmadiyya Mission represent the Muslim religious group.

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What are health personnel?

Professional health workers in the Ministry of Health, including medical, dental, nursing, midwifery, pharmaceutical, paramedical staff, and auxiliaries.

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What is a hospital in Ghana?

Any government-funded hospital in Ghana, including specialized institutions.

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Who is the 'Minister'?

The Minister responsible for the Ministry of Health in Ghana.

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What is Primary Health Care?

The approach to healthcare focusing on the majority of health issues in the community, prioritizing health promotion, disease prevention, community involvement, and collaboration with other sectors.

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What are Primary Health Services?

Clinical and public health services provided by the Service at the community, sub-district, and district levels.

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What are specialized institutions?

Health care facilities that specialize in treating specific diseases or health conditions, like psychiatric hospitals, leprosariums, and cardiothoracic units.

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Who are the security services?

The Armed Forces, Police Service, Prisons Service, National Fire Service, Customs Excise and Preventive Service, and Immigration Service.

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Study Notes

Ghana Health Service and Teaching Hospitals Act - 1996 (Act 525)

  • Section 1 - Establishment of Ghana Health Service:

    • The Ghana Health Service (Service) is established by this Act.
  • Section 2 - Membership of the Service:

    • The Service includes:
      • Health personnel employed by the Ministry of Health before the Act's effective date.
      • Public officers (excluding health personnel) seconded or transferred to the Service.
      • Public officers transferred to the Service.
      • Other persons employed by the Service.

Section 3 - Objects and Functions of the Service

  • Objects:

    • Implement national health policies.
    • Increase access to improved health services.
    • Manage health resources prudently.
  • Functions:

    • Provide health services at community, subdistrict, district, and regional levels.
    • Create technical guidelines aligned with Ministry standards.
    • Plan, organize, and administer comprehensive health services, emphasizing primary care.
    • Ensure equitable distribution of health facilities across rural and urban districts.
    • Manage health institutions within the Service.
    • Contract with teaching hospitals for patient referrals.
    • Promote health, healthy lifestyles, and good health habits.
    • Establish effective surveillance, disease prevention, and control mechanisms.
    • Enhance health worker training through in-service and continuing education.
    • Manage Service assets and properties efficiently.
    • Determine charges for health services, with Ministerial approval.
    • Perform other functions related to health promotion, protection, and restoration.

Section 4 - Governing Body of the Service (Ghana Health Service Council)

  • Council Composition:

    • Chairman with extensive management and administration experience (non-ministerial).
    • Director-General of the Service.
    • Representatives from the Ministry of Health, Finance, Education, Local Government and Rural Development, and Health Workers Union.
    • Five additional members with relevant knowledge and experience, including at least two women.
  • Council Functions:

    • General control over Service management.
    • Provide recommendations to the Minister for health care delivery policies and programs.
    • Promote collaboration between the Ministry of Health, Teaching Hospitals, and the Service.
    • Provide advice to the Minister on staff qualifications for the Service and other relevant matters.

Section 6 - Tenure of Office for Members of the Council

  • Members (excluding ex-officio members) serve four-year terms, renewable for one additional term.
  • Members can resign in writing to the President through the Minister.
  • The President, in consultation with the Council of State, can remove a member.
  • Vacancies occurring before term expiration are filled by appointment.

Other Sections (Sections 11-55)

  • Sections outline the roles and responsibilities of various entities: Director-General, Deputy Director-General, Directors of Divisions, other staff, Secretaries, Committees (including Regional Health Committees and District Health Committees), Hospital Administrators, and hospital house management committee.
  • These sections cover details of appointment processes, duties, and reporting structures.

Section 50 - Annual Estimates

  • The Council and Teaching Hospital Boards submit detailed budget estimates to the Minister before the end of the financial year.
  • The fiscal year for the Service and Teaching Hospitals aligns with the government's fiscal year.

Section 51 - Accounts and Audits

  • The Service and Teaching Hospitals maintain accounts and records in a format approved by the Auditor-General.
  • Audits of the accounts by the Auditor-General occur within six months of each financial year’s close.

Section 58 - Repeals

  • The Hospital Administration Law, 1988 (P.N.D.C.L. 209), is repealed.

Section 55- Scope of the Service

  • The service does not employ people from teaching hospitals or hospitals, clinics, etc., that the government funds.

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Description

This quiz covers the Ghana Health Service and Teaching Hospitals Act of 1996, highlighting the establishment of the Service, its membership, and key objectives and functions. Test your understanding of the legislation aimed at improving national health policies and resource management.

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