Ghana : Readiness for Quality of Care Implementation

Demographics

Population 27,410,000 (*1)
Fertility rate per woman 4.2 (*2)
Total institutional maternal deaths (2016) 933 (*3)
Neonatal mortality rate (per 1,000 live births) 29 (*2)
Stillbirth rate (per 1,000 total births) 22.7 (*4)

Ghana

Summary of Implementation Readiness

1. National QI approach 2/11
2. Selection of learning sites 2/6
3. QI management and response system 1/6
4. QI coaching system and srtuctures 0/5
5. Measurement 7/8
6. Orientation to districts and facilities 0/3
7. Learning hub 0/5

Response: Yes

< 50%
50% - 80%
> 80

Coverage of essential interventions %

Demand for family planning satisfied 47.2 (*2)
Antenatal care (4 or more visits) 87 (*2)
Skilled attendance at delivery 74 (*2)
C-section rate 13 (*2)
Early initiation of breastfeeding 56 (*2)
Exclusive breastfeeding 52 (*2)
Postnatal visit for baby (within 2 days) 83 (*1)
Postnatal care for mother (within 2 days) 81 (*2)

Readiness to improve quality of care

Leadership
Functional Leadership Structure for Quality Improvement
Quality of Care Committees established in District Health Management Teams
Plans, strategies & standards
National Quality of Care Strategy for the Health Sector
National Strategy for Maternal and Newborn Health addresses Quality of Care
National Quality of Care Standards and Protocols
Data
National Situational Analysis for Quality of Care up to date
Assessment of Quality of Care in Health Facilities completed in the past two years
Supporting systems
Maternal and Perinatal Death Surveillance and Response System established
All Maternal and Newborn Lifesaving Commodities on the Essential Medicine List Implementation of maternal and newborn standards
Water Coverage in Health Care Facilities (%) 68%
Skilled attendance at delivery (%) 74%
National Availability of EmOC (% of recommended minimum) 34%
Achieved
Inprocess
Not Started
No Data

Examples of Implementation

References

1. Countdown to 2015, 2015 report. See http://countdown2030.org

2. Ghana DHS 2014

3. DHIMS (Family Healh Division, Annual report)

4. UNICEF, Maternal and Newborn Health Disparities in Ghana, 2016. https://data.unicef.org/resources/maternal-newborn-health-disparities-country-profiles/

5. All other data received fro the relevant Ministry of Health and WHO Country Offices.