Podcast
Questions and Answers
What is the primary objective of the PHC Investment Program for Results: 2022‒2025?
What is the primary objective of the PHC Investment Program for Results: 2022‒2025?
The GFF partnership in Ghana aims to support the country's RMNCH program through the Health Sector Working Group.
The GFF partnership in Ghana aims to support the country's RMNCH program through the Health Sector Working Group.
True
What is the estimated budget for the PHC Investment Program from the GoG National Budget?
What is the estimated budget for the PHC Investment Program from the GoG National Budget?
US$ 193M
The PHC Investment Program is expected to contribute to ______ coverage.
The PHC Investment Program is expected to contribute to ______ coverage.
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Match the funding source with its corresponding amount for the PHC Investment Program:
Match the funding source with its corresponding amount for the PHC Investment Program:
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What is the primary goal of the GFF Partnership's collaboration in Ghana regarding PHC reforms?
What is the primary goal of the GFF Partnership's collaboration in Ghana regarding PHC reforms?
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The GFF Partnership directly engages with the Ghanaian government to facilitate multi-sectoral engagement and DP alignment.
The GFF Partnership directly engages with the Ghanaian government to facilitate multi-sectoral engagement and DP alignment.
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What is the specific name of the World Bank operation that the GFF Partnership is supporting in Ghana?
What is the specific name of the World Bank operation that the GFF Partnership is supporting in Ghana?
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The GFF Partnership provides ______ to support the implementation and institutionalization of the NoP reform.
The GFF Partnership provides ______ to support the implementation and institutionalization of the NoP reform.
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Match the following GFF support areas in Ghana with their corresponding objectives:
Match the following GFF support areas in Ghana with their corresponding objectives:
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Which of the following is NOT a key programmatic milestone for the GFF Partnership's collaboration in Ghana?
Which of the following is NOT a key programmatic milestone for the GFF Partnership's collaboration in Ghana?
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The GFF Partnership's support to Ghana includes providing $31 million in grant financing to incentivize focus on Essential Health Services and PHC.
The GFF Partnership's support to Ghana includes providing $31 million in grant financing to incentivize focus on Essential Health Services and PHC.
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List three specific areas of technical assistance provided by the GFF Partnership to support the implementation of the Investment Case and PfR project in Ghana.
List three specific areas of technical assistance provided by the GFF Partnership to support the implementation of the Investment Case and PfR project in Ghana.
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What percentage of NHIS claims expenditures goes to subdistrict and below?
What percentage of NHIS claims expenditures goes to subdistrict and below?
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Preventive services at the PHC level primarily rely on government funding.
Preventive services at the PHC level primarily rely on government funding.
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What was the name of the pilot program conducted by the MoH and USAID?
What was the name of the pilot program conducted by the MoH and USAID?
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The MoH endorsed the country-wide scale-up of networking under the leadership of ______.
The MoH endorsed the country-wide scale-up of networking under the leadership of ______.
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Which outcome did NOT result from the PCPN pilot?
Which outcome did NOT result from the PCPN pilot?
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What was the under-five mortality rate in Ghana according to the Maternal Health Survey conducted in 2017?
What was the under-five mortality rate in Ghana according to the Maternal Health Survey conducted in 2017?
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Ghana has achieved the Sustainable Development Goal (SDG) target of 25 under-five deaths per 1000 live births.
Ghana has achieved the Sustainable Development Goal (SDG) target of 25 under-five deaths per 1000 live births.
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Match the following terms with their descriptions:
Match the following terms with their descriptions:
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The roadmap for achieving UHC in Ghana aims for all individuals to have healthcare access based on their ability to pay.
The roadmap for achieving UHC in Ghana aims for all individuals to have healthcare access based on their ability to pay.
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What were the maternal mortality ratios in Ghana from 2005 to 2017 according to the maternal health survey?
What were the maternal mortality ratios in Ghana from 2005 to 2017 according to the maternal health survey?
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The Department of ______ plays a crucial role in managing the resilience of sub-district health centers.
The Department of ______ plays a crucial role in managing the resilience of sub-district health centers.
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The current under-five mortality rate from the DHIMS2 is ___ deaths per 1000 live births in June 2022.
The current under-five mortality rate from the DHIMS2 is ___ deaths per 1000 live births in June 2022.
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Which year is the next Ghana Demographic and Health Survey scheduled for?
Which year is the next Ghana Demographic and Health Survey scheduled for?
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Match the following statistics with their corresponding years:
Match the following statistics with their corresponding years:
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The maternal mortality ratio improved from 2005 to 2017.
The maternal mortality ratio improved from 2005 to 2017.
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What is the target maternal mortality ratio as per the Sustainable Development Goals (SDG)?
What is the target maternal mortality ratio as per the Sustainable Development Goals (SDG)?
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What was the FP acceptor rate in June 2022?
What was the FP acceptor rate in June 2022?
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The Community Health Planning and Services (CHPS) strategy began in Ghana in 1994.
The Community Health Planning and Services (CHPS) strategy began in Ghana in 1994.
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What is the purpose of the National Health Insurance Scheme (NHIS) in Ghana?
What is the purpose of the National Health Insurance Scheme (NHIS) in Ghana?
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The percentage of married women aged 15-49 years who used any method of contraception in the Maternal Health Survey (2017) was ___.
The percentage of married women aged 15-49 years who used any method of contraception in the Maternal Health Survey (2017) was ___.
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Which of the following statements is correct regarding the number of CHPS zones?
Which of the following statements is correct regarding the number of CHPS zones?
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Population coverage under NHIS decreased from 35.3% in 2017 to 54.4% in 2021.
Population coverage under NHIS decreased from 35.3% in 2017 to 54.4% in 2021.
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When was the National Health Insurance Scheme (NHIS) established?
When was the National Health Insurance Scheme (NHIS) established?
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Match the following years with their respective NHIS population coverage:
Match the following years with their respective NHIS population coverage:
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Study Notes
Strengthening PHC in Ghana
- Ghana has made economic and social progress but faces significant challenges in PHC service delivery and health systems.
- Under-five mortality is high in Ghana, exceeding the SDG target of 25 deaths per 1,000 live births.
- Maternal Health Survey (2017) shows 52 deaths per 1,000 livebirths.
- Ghana Demographic and Health Survey (2014) shows 60 deaths per 10,000 livebirths.
- Data from DHIMS2 shows improved rates: 10.7 deaths per 1000 live births (2021) and 9.6 per 1000 (June 2022)
- Maternal mortality ratio has declined but is still above SDG target (70).
- 2017 report shows a decline from 470 per 100,000 births in 2005 to 310 in 2017.
- Data from DHIMS2 also shows improvements: 119.5 deaths per 100,000 live births in 2021 and 111.7 deaths per 100,000 live births in June 2022
PHC Background and Policy Context
- Coverage of family planning is lower than expected given Ghana's economic level.
- 2021 FP acceptor rate was 33.8%, increasing to 34.6% in June 2022.
- 2017 survey showed 31% of married women aged 15-49 using contraception.
- 2014 survey indicated that 26.7% of married women aged 15–49 used contraception.
Successful Strategies
- Community-Based Health Planning and Services (CHPS) strategy, started as a pilot in 1994.
- CHPS zones are in each of the 245 electoral areas in Ghana. Each comprises a defined catchment area up to 3 unit committees (pop. 3000–4500) within a sub-district.
- Data from DHMIS2 show CHPS zones increased from 5,547 (78%) in 2020 to 5,580 (80%) in 2021.
- The National Health Insurance Scheme (NHIS), established in 2003, aims to remove financial barriers to healthcare.
- NHIS covers about 95% of common curative conditions.
- Population coverage grew from 35.3% (2017) to 54.4% (16.7 million)(2021).
Persistent Challenges
- Weak sub-district health centers (HCs).
- Inadequate and fragmented PHC financing.
- 2 financing channels: MoH and NHIS.
- Only 17% of NHIS claims go to subdistrict level and below.
- PHC operations rely heavily on internally generated funds (IGF).
Concept and Design of Networks of Practice
- MoH pilot program with USAID, Primary Care Provider Networks (PCPN), in 2 districts (2017-2019).
- Increased collaboration and mutual technical and operational support among facilities.
- Increased range of service delivery activities improves referral and feedback systems.
- Improved NHIS claims management.
- Country-wide implementation under GHS leadership, with USAID support, as Networks of Practice (NoPs). Focus on building health center capacity and network hubs.
Policy and Program Implications and Way Forward
- Ghana launched a roadmap for attaining UHC (Universal Health Coverage) by 2030.
- The roadmap prioritizes networking of health facilities and provides policy context for NoPs.
- The UHC roadmap aims to increase NHIS expenditures for sub-districts to 50%.
PHC Investment Program for Results (2022-2025)
- Aims to improve quality, utilization, and equity of PHC services.
- Expected outcomes include progress toward UHC coverage, improved health nutrition, and increased human capital index.
- GoG budget: US$193M (estimated).
- Planned funding: US$150M IDA, US$31M GFF, US$ 1.5M GAVI, & US$1M FCDO.
- Implementing agency: Ministry of Health (MoH), GHS, and NHIA.
Added Value of GFF Partnership
- Supports country alignment efforts (one plan, one budget, one M&E system).
- Prioritizes RMNCH (Reproductive, Maternal, Newborn, and Child Health) in PHC reforms.
- Enables scale-up of service delivery and captures lessons & best practices.
Next Steps for Delivering Ghana PHC Reforms
- Parliamentary approval of the GFF co-financed WB operation.
- Finalization of NoP Guidelines with stakeholders.
- System strengthening with NoP model support.
- Institutionalizing NoP implementation in routine health service delivery.
GFF Support in Ghana
- Health sector strategy development and resource mapping.
- Health sector working group (country platform) for government leadership and inter-sectoral support.
- Project preparation, donor alignment and financing for Essential Health Services.
- Technical assistance for NoP design, monitoring, resource tracking, and provider payment.
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Description
This quiz explores the current state of primary health care (PHC) services in Ghana, highlighting key statistics and challenges faced in maternal and child health. Participants will review data from various health surveys and the progress made against the Sustainable Development Goals (SDGs). Test your knowledge on Ghana's health policies and systems!