Partner:The Methodist Church of Ghana
Describe the need affecting the community.
There are equity gaps in access to quality health care, especially for those living in rural communities. Quality of healthcare is driven by availability of skilled health workers and sufficient infrastructure and technology. These resources are not equitably distributed in Ghana. The numbers and densities of health workers are unevenly distributed throughout Ghana, with a majority of doctors and university-trained nurses serving in the two major metropolitan areas of Accra and Kumasi, and inadequate numbers of health staff in remote and rural districts according to a recent World Bank publication. The health worker density for Ghana is 1.93 per 1000 population. Though high compared with other African countries with similar incomes, only 60% are clinical staff. The densities for some clinical staff are: Professional Nurse - 3.1 per 10,000 people; Midwives - 1.5 per 10,000 people; Medical Officer - 6 per 100,000 people; Pharmacist - 2 per 100,000 people; Specialist - 2 per 100,000 people; Community Health Nurse - 2.1 per 10,000 people; Health Assistants/Enrolled Nurse - 2.9 per 10,000 people. In terms of infrastructure, some rural clinics do not even have sufficient space and equipment for a woman to go through delivery without the challenge of complications. Laboratories to do basic tests in order to confirm diagnosis are not available in many rural communities. Some of the rural clinics are in places where they are not connected to the national electricity and no potable water is available. So they depend on rainfall for water to use in the clinic. Lack of access to quality healthcare affects the quality of living of the people in rural areas, which leads to increasing number of physical and mental unhealthy days, affecting the efforts to move them out of poverty and unto paths of self sustainability.
How will this Advance project help to address the need?
The 20 clinics attended to about 30,000 people in 2015. Infrastructure and technological improvements in the Clinics will lead to improved quality of care for the numbers who visit and more people being able to access care. We are hoping to improve laboratory facilities in each of the clinics so that they can all provide basic tests for prevailing conditions. In addition we hope to provide facilities that is sufficient for safe delivery and for basic emergency maternal obstetric and neonatal care in all the clinics. For some of the facilities without water and electricity we are planning to provide potable water through boreholes and work with the Energy Commission of Ghana. To consider how we can provide Solar electrification for these clinics. To be able to provide 24 hour services to the communities. We are also considering providing solar powered vaccine refrigerators in order to provide quality vaccination program for the communities. Finally, we will be undertaking regular Medical Mission Outreach to under-served communities to provide specialist eye services, surgical services for hernia, which affects most men farming communities and other elective urology and gynecology services.
Describe the primary goal of the project.
Increased Access to Quality Healthcare in at least 20 Rural Communities.
Describe the change you would like to see in the community as a result of this Advance project.
The following changes are expected to be seen in the communities as a result of the project: 1. Less people in the communities will travel long distances to access care. 2. Many people will report improved well being. 3. Number of under 5 children dying in the communities will reduce.
Budget and Financial Information
Annual Advance Financial Goal
Local Financial Support
Government of Ghana
Salary of Staff posted to Health Facility
Salary for Project Coordinator
8 Delivery Beds for Clinics
Cost of Basic Emergency Obstetric and Neonatal Care Package for 4 Clinics
5 Borehole systems for 5 Clinics
4 Solar Panel and Batteries for 4 Clinics
5 Solar Driven Vaccine Refrigeration with ice packs
5 Lab Microscope and Chemistry Analyser for 5 Clinics
10 Desktop Computers for 10 Clinics
1 Mobile Ophthalmic Surgical Equipment and Other surgical tools
Medicines and Surgical Consumable for 2 Medical Mission outreach in a year
Cost of Medical Mission Transportation and Logistics for field operations