Ghana Health Service Structure and Functions
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Questions and Answers

What type of healthcare services do regional hospitals provide within their defined geographical area?

  • Preventative healthcare services
  • Primary healthcare services
  • Tertiary healthcare services
  • Secondary healthcare services (correct)
  • Which of the following is NOT a service provided by regional hospitals?

  • Ophthalmology
  • Physiotherapy (correct)
  • General surgery
  • Paediatrics
  • What was the purpose of the GHS awarding contracts to NGOs in December 2002?

  • To provide free healthcare to all citizens
  • To enhance government hospital services
  • To privatize all healthcare services
  • To undertake specific health services based on comparative advantage (correct)
  • What is the primary role of the Regional Health Administration (RHA)?

    <p>Offering technical, supervisory, and managerial support to districts</p> Signup and view all the answers

    Which healthcare sector primarily offers curative rather than preventative healthcare?

    <p>Non-Government and private sectors</p> Signup and view all the answers

    How does the GHS support Mission health facilities?

    <p>By seconding staff and providing essential equipment</p> Signup and view all the answers

    Which level of health care primarily provides preventive health services to communities?

    <p>Health centres</p> Signup and view all the answers

    What is the target access increase for health services set by the government?

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

    How many health facilities does the government have?

    <p>1625</p> Signup and view all the answers

    What do NGOs and private sector organizations need to comply with when submitting reports to the GHS?

    <p>GHS standards and protocols</p> Signup and view all the answers

    What services are provided by district hospitals?

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

    What characterizes quasi-government health facilities?

    <p>They engage in health service activities but operate in the private sector</p> Signup and view all the answers

    What role do community-based health planning and services (CHPS) play?

    <p>Introduce outreach services to communities</p> Signup and view all the answers

    Who heads the health centre?

    <p>A medical assistant</p> Signup and view all the answers

    What type of support do sub-districts receive?

    <p>Supervision and management support from the DHA</p> Signup and view all the answers

    What is the primary population served by each health centre?

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

    What type of services do health centers provide?

    <p>Minor surgical services like incision and drainage</p> Signup and view all the answers

    Which statement accurately describes polyclinics?

    <p>They provide a comprehensive array of services and deal with complex cases.</p> Signup and view all the answers

    What is a primary function of district hospitals?

    <p>To serve as the first referral hospital</p> Signup and view all the answers

    How many beds typically exist in a district hospital?

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

    In addition to clinical services, what other support do district hospitals provide?

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

    Which of the following services is NOT typically provided by district hospitals?

    <p>Specialized surgical residencies</p> Signup and view all the answers

    What is the primary goal of the independence of the Ghana Health Service (GHS)?

    <p>To allow greater managerial flexibility for staff</p> Signup and view all the answers

    What is a significant role of district hospitals in relation to health centers?

    <p>Training and supervising health center staff</p> Signup and view all the answers

    Which of the following is NOT included in the Ghana Health Service?

    <p>Community Clinics</p> Signup and view all the answers

    What is one of the core values of the Ghana Health Service?

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

    What type of care do district hospitals primarily provide?

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

    Which objective is NOT part of the Ghana Health Service mandate?

    <p>Manage globally sourced health technologies</p> Signup and view all the answers

    At which administrative level does the Ghana Health Service NOT operate?

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

    What is one function of the Ghana Health Service?

    <p>Provide in-service training for health professionals</p> Signup and view all the answers

    Which motto is associated with the Ghana Health Service?

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

    How does the Ghana Health Service aim to improve public health?

    <p>By focusing on primary care and preventive measures</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 role of the Ministry of Health?

    <p>Managing day-to-day hospital operations.</p> Signup and view all the answers

    Which policy objective focuses on addressing equity gaps in health care?

    <p>Bridge equity gaps in access to health care and nutrition services.</p> Signup and view all the answers

    What is one of the goals of the Ministry of Health?

    <p>To improve health status through policy formulation.</p> Signup and view all the answers

    Which health agency is responsible for executing national policies in the public health sector?

    <p>Ghana Health Service</p> Signup and view all the answers

    What role does the Ministry of Health play in health service monitoring?

    <p>They conduct evaluations of health services.</p> Signup and view all the answers

    How does the Ministry of Health aim to protect the poor?

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

    What is a primary focus of the Ministry of Health's vision?

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

    Study Notes

    Ghana Health Service Structure and Functions

    • Ghana's government aims for universal health coverage, supported by the Ministry of Health (MOH) initiatives to improve healthcare conditions.
    • The MOH goal is to "create wealth through health" by improving human capital.
    • MOH Mission: Promote quality health access for everyone in Ghana; contribute to socioeconomic and local health industry development through motivated personnel.
    • MOH Vision: Achieve a healthy population for national development.
    • MOH Goal: Improve the health status of Ghanaians through effective policies, resource mobilization, monitoring, and regulation of health care delivery by various agencies.

    MOH Policy Objectives

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

    Roles of the Ministry of Health (MOH)

    • Provide policy direction for all stakeholders in health delivery.
    • Provide advocacy to coordinate actions across various sectors to improve health delivery.
    • Mobilize and allocate resources to all providers in health delivery.
    • Provide relevant and sufficient information for health services coordination and management.
    • Establish a regulatory framework for health service providers.
    • Monitor and evaluate health service performance in Ghana.

    Health Agencies Under MOH

    • Ghana Health Services
    • Teaching Hospitals
    • Nursing and Midwifery Council
    • Food and Drug Authority
    • Pharmacy Council Ghana
    • National Health Insurance Authority
    • Medical and Dental Council

    Ghana Health Service (GHS)

    • GHS is an autonomous executive agency responsible for implementing national health policies in Ghana's public health sector.
    • Established in 1996 under Act 525 of Ghana's 1992 constitution.
    • GHS managers aren't civil servants, promoting managerial flexibility.
    • GHS doesn't include teaching, private or mission hospitals.
    • Vision: All communities have access to timely, quality, and comprehensive healthcare.
    • Motto: Your health, our concern.
    • Core Values: Professionalism, Teamwork, Integrity, Discipline, Excellence, People-centered

    GHS Mandate and Objectives

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

    GHS Functions

    • Provide in-service training and continuing education.
    • Establish an effective disease surveillance, prevention, and control mechanism.
    • Perform other functions for health promotion, protection, and restoration.
    • Promote healthy lifestyles and good health habits.
    • Set charges for GHS services with approval from the Ghana Minister of Health.
    • Manage and administer health resources in Ghana's healthcare system.
    • Develop appropriate strategies and technical guidelines to achieve Ghana's national policy goals.

    Directorates of Ghana Health Service (Organization)

    • The service is organized administratively at national, regional, and district levels.
    • Functional levels within the service.
    • Levels of care (service delivery).

    Organisational Levels: GHS

    • National Level: Analyze and translate policies for implementation; track progress; provide support to regions and districts; mobilize resources, monitor initiatives, train in management development, and offer intersectoral/private sector involvement.
    • Regional Level: Offer technical, supervisory, and managerial support to sub-districts and districts within a region.
    • District Level: Deliver quality health services through comprehensive and integrated district health planning and appropriate performance assessment tools.

    Levels of Care/ Structure of Delivery of Services

    • Regional Level: Provide curative services at regional hospitals; public health services are delivered by District Health Management Teams (DHMT) and regional hospital public health divisions. Regional Health Administration provides oversight and support to districts and sub-districts.
    • District Level: Curative services are provided by district hospitals (many mission-based). Public health services are delivered by the DHMT and public health units.
    • Subdistrict Level: Health centres provide preventive and curative services through outreach services to communities within catchment areas. Basic preventive and curative care for minor ailments is also offered.
    • Community Level: The MOH supports Community-based Health Planning and Services (CHPS). The role of traditional birth attendants (TBAs) and healers is recognized.

    Government Health Facilities (Statistics)

    • The Ghanaian govt has about 1625 health facilities.
    • Health centers are the first point of contact for the public, headed by a medical assistant with staff for midwifery, lab, public health, environment, and nutrition.
    • Each health center serves around 20,000 people.
    • They offer basic curative and preventative care for adults & children, including reproductive health.
    • Health centers augment coverage through outreach services and refer complicated issues to appropriate levels.

    Government Health Facilities (Types & Function)

    • Health Centers: Provide basic curative and preventative services, headed by a medical assistant, including midwifery, lab, public health and nutrition.
    • Polyclinics: Urban versions of health centers, generally larger, offering physician-led, more comprehensive care, including complex surgeries.
    • District Hospitals: Clinical care facilities at district level; crucial referral hospitals. Serves a population of 100,000-200,000 with 50-60 beds; provide curative, preventative care, and health promotion for the local district.
    • Regional Hospitals: Provide specialized care requiring skills unavailable at district hospitals (making them the next step in referrals.) Offers medical professionals such as surgeons, physicians, nurses, midwives, & pediatricians in various specialties.

    Government Health Facilities (Services)

    . Regional hospitals provide general surgery, anesthesia, pediatrics, obstetrics & gynecology, dental, psychiatric, accident & emergency care, ear, nose, and throat, ophthalmology, and dermatology.

    Non-Government and Private Sectors

    • These institutions have ~928 facilities.
    • The GHS supports NGOs and the private sector through various methods.
    • In 2002, the GHS introduced contracting NGOs for specific services based on comparative advantages Government funds via decentralized budget processes were utilized in payment for services. Support and equipment are provided via secondment to mission health facilities. Government initiatives aim to increase access to health services in the country from 35% to 65% over the next few years. Currently, the private sector mostly offers curative over preventative care. NGOs and private sector organizations partner with communities and the District Health Management Team. Quasi-Government Health Facilities These are government-owned entities engaged in health services operating in the private sector. Examples include police hospitals, military hospitals, and Ghana Atomic Energy.

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    Description

    Explore the Ghana Health Service's efforts to achieve universal health coverage through the Ministry of Health's initiatives. This quiz covers the MOH's mission, vision, policy objectives, and the goals intended to improve healthcare access and delivery in Ghana.

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