Ghana Health Service Structure and Functions
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Questions and Answers

What is the primary goal of the Ghana Health Service's independence?

  • To focus solely on teaching hospitals
  • To enable greater managerial flexibility (correct)
  • To reduce healthcare costs significantly
  • To increase the number of civil servants
  • Which of the following is NOT included in the Ghana Health Service?

  • Teaching Hospitals
  • Public Health Units
  • Private hospitals
  • Community clinics (correct)
  • Which core value is NOT associated with the Ghana Health Service?

  • Integrity
  • Discipline
  • Profitability (correct)
  • Professionalism
  • What does the GHS aim to promote in its objectives?

    <p>Manage health resources efficiently</p> Signup and view all the answers

    At which level does GHS primarily translate health policies?

    <p>National Level</p> Signup and view all the answers

    What is one of the functions of the Ghana Health Service?

    <p>Providing in-service training and continuing education</p> Signup and view all the answers

    Which of the following groups does GHS NOT include?

    <p>Civil Servants</p> Signup and view all the answers

    What is the motto of the Ghana Health Service?

    <p>Your health our concern</p> Signup and view all the answers

    What type of healthcare services do regional hospitals primarily provide?

    <p>Secondary healthcare services</p> Signup and view all the answers

    Which of the following services is NOT provided at regional hospitals?

    <p>Primary health check-ups</p> Signup and view all the answers

    How does the Ghana Health Service (GHS) provide support to NGOs in the health sector?

    <p>By awarding contracts to undertake specific health services</p> Signup and view all the answers

    What is the intended increase in access to health services as part of the government support initiative?

    <p>35% to 65%</p> Signup and view all the answers

    What is a characteristic of the services offered by the private sector in healthcare?

    <p>Mostly curative healthcare</p> Signup and view all the answers

    Which type of healthcare facility is described as government-owned but operates in the private sector?

    <p>Quasi-government health facilities</p> Signup and view all the answers

    What role do NGOs play in collaboration with the District Health Management Team (DHMT)?

    <p>They submit quarterly progress reports to the GHS</p> Signup and view all the answers

    Which medical professionals are typically found at regional hospitals?

    <p>Surgeons, physicians, and midwives</p> Signup and view all the answers

    What is the primary responsibility of the Regional Health Administration (RHA)?

    <p>Offer supervision and management support to districts</p> Signup and view all the answers

    Which of the following best describes the role of health centres?

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

    At which level are traditional healers and birth attendants recognized for their roles?

    <p>Subdistrict Level</p> Signup and view all the answers

    What is one of the roles of district hospitals?

    <p>Serving as a resource center for health centers</p> Signup and view all the answers

    What is the target population size that each health centre serves?

    <p>20,000</p> Signup and view all the answers

    What kind of services do district hospitals primarily provide?

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

    Which characteristic differentiates polyclinics from health centers?

    <p>Polyclinics are staffed by physicians and offer more complex services</p> Signup and view all the answers

    What is one of the key responsibilities of the District Health Management Team (DHMT)?

    <p>Deliver public health services</p> Signup and view all the answers

    What is the typical bed count range for district hospitals?

    <p>50 to 60 beds</p> Signup and view all the answers

    Which of the following is NOT a responsibility of the government health facilities?

    <p>Providing specialized surgical procedures</p> Signup and view all the answers

    Which service is NOT typically provided by district hospitals?

    <p>Minor surgical procedures</p> Signup and view all the answers

    What role does intersectoral collaboration play in health service delivery?

    <p>It enhances efficiency and resource sharing</p> Signup and view all the answers

    What types of care do district hospitals provide?

    <p>Curative care and preventive care</p> Signup and view all the answers

    Why are district hospitals considered first referral hospitals?

    <p>They serve a defined geographical area and refer complex cases</p> Signup and view all the answers

    What is a distinguishing feature of urban polyclinics compared to rural health centers?

    <p>Polyclinics provide a broader range of services and are staffed by doctors</p> Signup and view all the answers

    What type of support services do district hospitals include?

    <p>Nonclinical support services</p> Signup and view all the answers

    What is the mission of the Ministry of Health in Ghana?

    <p>To promote access to quality health for all in Ghana.</p> Signup and view all the answers

    Which of the following is NOT a policy objective of the Ministry of Health?

    <p>Enhance national capacity for financial investments.</p> Signup and view all the answers

    Which role involves providing overall policy direction for health delivery in Ghana?

    <p>Policy direction for all stakeholders.</p> Signup and view all the answers

    What is the vision of the Ministry of Health for the population of Ghana?

    <p>To have a healthy population for national development.</p> Signup and view all the answers

    Which agency is NOT listed under the health agencies of the Ministry of Health?

    <p>World Health Organization</p> Signup and view all the answers

    What is a crucial role of the Ministry of Health in Ghana?

    <p>Coordinating actions across different sectors.</p> Signup and view all the answers

    Which of the following best describes the goal of the Ministry of Health in Ghana?

    <p>To enhance the health status of all people living in Ghana.</p> Signup and view all the answers

    How does the Ministry of Health in Ghana seek to protect the poor?

    <p>Through sustainable financing arrangements.</p> Signup and view all the answers

    Study Notes

    Ghana Health Service Structure and Functions

    • The government aims to achieve universal health coverage and a healthy population in Ghana.
    • The Ministry of Health (MOH) works with agencies and stakeholders to improve human capital, aiming for "creating wealth through health."
    • MOH Mission: Promote access to quality health for all in Ghana, contributing to socio-economic and local health industry development through motivated personnel.

    MOH Vision and Goal

    • Vision: Achieve a healthy population for national development.
    • Goal: Improve the health status of all people in Ghana through effective and efficient policy formulation and resource mobilization, monitoring, and regulation of health care delivery by different health agencies.

    MOH Policy Objectives

    • Bridge equity gaps in access to healthcare and nutrition services for the poor, ensuring sustainable financing.
    • Strengthen governance and efficiency of the health system.
    • Improve quality of health services delivery, including mental health.
    • Enhance national capacity for attaining health-related MDGs and gains.
    • Intensify prevention and control of communicable and non-communicable diseases.

    Roles of the Ministry of Health (MOH)

    • Provide overall policy direction for all stakeholders in health delivery.
    • Provide crucial, efficient advocacy in coordinating actions across various sectors to improve healthcare delivery.
    • Mobilize and allocate resources to all providers within health delivery services.
    • Provide relevant and adequate information for coordination and management of healthcare services.
    • Provide a regulatory framework for all healthcare providers.
    • Monitor and evaluate healthcare services within Ghana.

    Health Agencies Under MOH

    • Ghana Health Service
    • Teaching Hospitals
    • Nursing and Midwifery Council
    • Food and Drug Authority
    • Pharmacy Council Ghana
    • National Health Insurance Authority
    • Medical and Dental Council
    • Ghana Association of Quasi-Government Health Institutions

    Ghana Health Service (GHS)

    • The Ghana Health Service Council is an autonomous Executive Agency responsible for executing national public health policies.
    • Established under Act 525 of 1996, and supervised by the Ghana Minister for Health.
    • GHS employees and managers are not civil servants. Their independence enables greater managerial flexibility.
    • GHS does not include Teaching Hospitals, Private, and Mission Hospitals.

    GHS Vision

    • All communities have access to timely, quality, and comprehensive healthcare.

    GHS Core Values

    • Professionalism
    • Teamwork
    • Integrity
    • Discipline
    • Excellence
    • People-centered

    GHS Mandate and Objectives

    • Provide accessible and comprehensive health services, emphasizing primary care at regional, district, and sub-district levels in Ghana.
    • Implement approved national policies for health delivery in Ghana.
    • Increase access to high-quality healthcare services.
    • Manage resources prudently for healthcare provision.

    GHS Functions

    • Provide in-service training and continuing education in Ghana.
    • Establish an effective disease surveillance, prevention, and control mechanism.
    • Perform functions relevant to promoting, protecting, and restoring health.
    • Promote healthy lifestyles and good health habits.
    • Determine charges for Ghana health services with the approval of the Ghana Minister of Health
    • Manage and administer health resources within the healthcare system.
    • Develop appropriate strategies and set technical guidelines to achieve Ghana's national policy goals and objectives.

    Directorates of Ghana Health Service (GHS)

    • Structures include national, regional, public health, institutional care, PPME, HRDD, finance, SSDM, and internal audit directorates at various levels. (an organizational chart is included in the document)

    Organization of GHS

    • Administrative levels
    • Functional levels
    • Levels of care (service delivery)
    • The service is organized at three levels nationally, regionally, and district level.

    Organizational Levels of GHS

    • National level: analyzes and translates policies for implementation; tracks progress, supports regions, districts, mobilizes resources; monitors initiatives; offers training; promotes intersectoral and private sector collaboration.
    • Regional level: provides technical, supervisory, and managerial support to sub-districts and districts.
    • District level: provides quality service delivery through comprehensive and integrated district health planning, utilizing performance assessment tools.

    Levels of Care/ Structure of Delivery of Services

    • Regional level: Curative services at regional hospitals, public health services by District Health Management Team (DHMT) and regional hospital, supervision and support by Regional Health Administration (RHA).
    • District level: District hospitals (often mission-based) provide curative services; public health services delivered by the Public Health Unit, DHMT, and support from District Health Administration (DHA)
    • Sub-district level: Health centers provide preventive, curative, and outreach services to communities within catchment areas.

    Government Health Facilities

    • Health centers: first point of contact for clients, headed by medical assistants; staffed by midwifery, laboratory, public health, environment, and nutrition specialists. Approximately 1625 nationwide; serve approximately 20,000 people, offer basic curative and preventative services, and some reproductive health services; offer outreaches and referrals.
    • Polyclinics: urban counterparts of rural health centers; larger and more comprehensive services; staffed by physicians; offer more complex surgical services.
    • District hospitals: located in the district; cover approximately 100,000-200,000 people; provide curative care, public health services, and referral care, typically with 50 to 60 beds.
    • Regional hospitals: provide specialized care not available at district hospitals; offer services from general surgery and anesthesia to paediatrics, obstetrics and gynecology, dental, psychiatry, accident, and emergency services; and ophthalmology/dermatology/ear, nose and throat services.

    Non-Government and Private Sectors

    • NGOs and private sector organizations have about 928 facilities.
    • GHS supports NGOs and the private sector in various ways, including funding from the decentralized budget and seconding staff to mission health facilities.
    • Government aims to increase access to services through private sector partnerships by 35% to 65% over the next few years.
    • Private sector mostly focused on curative care rather than preventative healthcare

    Quasi-Government Health Facilities

    • Government-owned entities engaging in healthcare but operate in the private sector.
    • Health facilities include police hospitals, military hospitals, and Ghana Atomic Energy.
    • Christian hospitals/church hospitals comprise approximately 220 healthcare facilities.

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    Description

    Explore the structure and functions of the Ghana Health Service, focusing on the Ministry of Health's mission and vision. Learn about the objectives aimed at achieving universal health coverage, improving the health status of the population, and promoting equitable access to healthcare services.

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