DOCSLIB.ORG

Asikuma-Odoben-Brakwa

Total Page：16

File Type：pdf, Size：1020Kb

Download full-text PDF Read full-text
Asikuma-Odoben-Brakwa A Study of the Drivers of Routine Immunization System Performance in Ghana February 2012 JSI Research & Training Institute, Inc. Arlington, VA ARISE is managed by the JSI Research & Training Institute, Inc. (JSI) and funded by the Bill & Melinda Gates Foundation. JSI’s partners on ARISE are the School of Public Health at Makerere University (Uganda) and the Dartmouth Institute at Dartmouth College (United States) and George Washington University School of Public Health. GHANA COUNTRY REPORT | i Recommended Citation: Larson, A., Kanagat, N., Biellik, R., LaFond, A.K. & Amegah, K. (2012). A Study of the Drivers of Routine Immunization System Performance in Ghana. Arlington, VA: JSI Research & Training Institute, Inc./ARISE Project for the Bill & Melinda Gates Foundation. ARISE Project JSI Research & Training Institute, Inc. 1616 N. Fort Myer Drive, 16th Floor Arlington, Virginia 22209 USA Tel: 1 (703) 528-7474 Email: [email protected] URL: http://arise.jsi.com ii | GHANA COUNTRY REPORT Contents Contents ........................................................................................................................................... iii Acronyms and Abbreviations ........................................................................................................... viii Acknowledgments ........................................................................................................................... 11 Executive Summary .......................................................................................................................... 12 Background ......................................................................................................................................... 12 Methods .............................................................................................................................................. 12 National context ................................................................................................................................. 13 District context .................................................................................................................................... 14 District performance indicators and drivers ....................................................................................... 14 Implications ......................................................................................................................................... 17 Investing in improved performance ................................................................................................... 19 Chapter One: Introduction ............................................................................................................... 20 Introduction to Ghana ................................................................................................................................ 21 Political structure ................................................................................................................................ 22 Economy ............................................................................................................................................. 22 Social and demographic characteristics.............................................................................................. 23 Ghana health system .................................................................................................................................. 23 Health-sector financing ....................................................................................................................... 23 Structure of health services ................................................................................................................ 25 Health workforce ................................................................................................................................ 26 Brief history of the Expanded Programme on Immunization in Ghana ............................................. 27 Chapter Two: Methods..................................................................................................................... 30 District selection ......................................................................................................................................... 31 Research team ............................................................................................................................................ 32 Instruments ................................................................................................................................................. 32 Data collection ............................................................................................................................................ 34 Analysis ....................................................................................................................................................... 35 Chapter Three: District reports ......................................................................................................... 37 Introduction to the districts ........................................................................................................................ 37 Krachi West ................................................................................................................................................. 38 Health service ..................................................................................................................................... 40 District methodology .......................................................................................................................... 41 Routine immunization performance................................................................................................... 41 Driver pathways to high routine immunization coverage .................................................................. 45 GHANA COUNTRY REPORT | iii Summary ............................................................................................................................................. 48 Asikuma-Odoben-Brakwa ........................................................................................................................... 48 Health service ..................................................................................................................................... 49 District methodology .......................................................................................................................... 50 Routine immunization performance................................................................................................... 50 Driver pathways to high routine immunization coverage .................................................................. 53 Summary ............................................................................................................................................. 56 Municipality of Ejisu-Juaben ....................................................................................................................... 57 Health service ..................................................................................................................................... 57 District methodology .......................................................................................................................... 59 Routine immunization performance................................................................................................... 59 Driver pathways to high routine immunization coverage .................................................................. 62 Summary ............................................................................................................................................. 65 Ho municipality ........................................................................................................................................... 65 Health service ..................................................................................................................................... 66 District methodology .......................................................................................................................... 67 Routine immunization performance................................................................................................... 67 Drivers of routine immunization performance ................................................................................... 71 Summary ............................................................................................................................................. 75 Chapter Four: Drivers of routine immunization success in Ghana ...................................................... 76 National-level drivers .................................................................................................................................. 76 A legacy of supportive health policies ................................................................................................ 76 Impact of national-level inputs on district RI performance ................................................................ 79 District health service management drivers ............................................................................................... 82 Leadership and effective management .............................................................................................
Load more

Recommended publications
  • Krachi Nchumuru District
    KRACHI NCHUMURU DISTRICT Copyright © 2014 Ghana Statistical Service ii PREFACE AND ACKNOWLEDGEMENT No meaningful developmental activity can be undertaken without taking into account the characteristics of the population for whom the activity is targeted. The size of the population and its spatial distribution, growth and change over time, in addition to its socio-economic characteristics are all important in development planning. A population census is the most important source of data on the size, composition, growth and distribution of a country’s population at the national and sub-national levels. Data from the 2010 Population and Housing Census (PHC) will serve as reference for equitable distribution of national resources and government services, including the allocation of government funds among various regions, districts and other sub-national populations to education, health and other social services. The Ghana Statistical Service (GSS) is delighted to provide data users, especially the Metropolitan, Municipal and District Assemblies, with district-level analytical reports based on the 2010 PHC data to facilitate their planning and decision-making. The District Analytical Report for the Krachi Nchumuru District is one of the 216 district census reports aimed at making data available to planners and decision makers at the district level. In addition to presenting the district profile, the report discusses the social and economic dimensions of demographic variables and their implications for policy formulation, planning and interventions. The conclusions and recommendations drawn from the district report are expected to serve as a basis for improving the quality of life of Ghanaians through evidence-based decision-making, monitoring and evaluation of developmental goals and intervention programmes.
    [Show full text]
  • Krachi Nchumuru District Assembly
    REPUBLIC OF GHANA THE COMPOSITE BUDGET OF THE KRACHI NCHUMURU DISTRICT ASSEMBLY FOR THE 1 Page 2015 FISCAL YEAR CONTENTS ASSEMBLY’S COMPOSITE BUDGET STATEMENT 1.0 INTRODUCTION 1 1.1a Name and Establishment 1 1.1b Population 1 1.1c District Economy 1 1.1d Key Issues 2 1.2 Vision and Mission 2 1.3 MMDA Broad Objectives 3 2.0 Outline of the 2015 Budget 5 2.1a Financial Performance 5 2.1b Expenditure Performance 6 2.2 Expenditure Details of MMDA Departments 7 2.2.2 2014 Non-Financial Performance (Assets) 8 2.3 Summary of Commitments of the Assembly 13 2.4 Challenges and Constraints 16 3.0 Outlook for 2015 17 3.1 Revenue Projections 17 3.2 Revenue Mobilization Strategies 18 3.3 Expenditure Projections 18 3.3.1 Summary of 2015 Budget and Fund sources 19 3.3.2 JUSTIFICATION OF 2015 BUDGET 20 2 Page 1. INTRODUCTION The Decentralization process in Ghana makes the Districts the pivot of development activities in the country. With the coming into force of 1992 fourth Republican Constitution of Ghana, the New Local Government System Act 1993, (Act 462), the National Development Planning Commission Act 1994, (Act 479) and the Development Planning Systems Act 1994, (Act 480) District Assemblies in Ghana have been mandated to function as planning authorities with the task to ensuring the overall development of the areas under their jurisdiction through the formulation and execution of development plan and programmes and designing strategies for the mobilization and prudent utilization of revenue. Thus, the district has become the pivot of development activities from the bottom.
    [Show full text]
  • Reflecting on Tuberculosis Case Notification and Treatment Outcomes
    Osei et al. Global Health Research and Policy (2019) 4:37 Global Health https://doi.org/10.1186/s41256-019-0128-9 Research and Policy RESEARCH Open Access Reflecting on tuberculosis case notification and treatment outcomes in the Volta region of Ghana: a retrospective pool analysis of a multicentre cohort from 2013 to 2017 Eric Osei1* , Samuel Oppong2, Daniel Adanfo2, Bless Ativor Doepe2, Andrews Owusu2, Augustine Goma Kupour2 and Joyce Der2 Abstract Background: Tuberculosis (TB) remains a petrified condition with a huge economic and health impact on families and health systems in Ghana. Monitoring of TB programme performance indicators can provide reliable data for direct measurement of TB incidence and mortality. This study reflects on the trends of TB case notification and treatment outcomes and makes comparison among 10 districts of the Volta region of Ghana. Methods: This was a retrospective analysis of surveillance data of a cohort of TB cases from 2013 to 2017. Trends of case notification and treatment outcomes were examined and compared. Logistic regression was used to determine the independent relationship between patients and disease characteristics and unsuccessful treatment outcomes. Odds ratios, 95% confidence intervals and p-values were estimated. Results: A gradual declining trend of case notification of all forms of TB was noticed, with an overall case notification rate (CNR) of 65 cases per 100,000 population during the period. A wide variation of case notification of TB was observed among the districts, ranging from 32 to 124 cases per 100,000 population. Similarly, treatment success rate decreased slightly from 83.1% during the first year to 80.2% in 2017, with an overall treatment success rate of 82.5% (95% CI: 81.3–83.8%).
    [Show full text]
  • 2019 Composite BUDGET
    REPUBLIC OF GHANA COMPOSITE BUDGET FOR 2019-2022 PROGRAMME BASED BUDGET ESTIMATES FOR 2019 KRACHI NCHUMURU DISTRICT ASSEMBLY October, 2018 i For Copies of this MMDA’s Composite Budget, please contact the address below: The District Coordinating Director, Krachi Nchumuru District Assembly Volta Region i APPROVAL STATEMENT In line with the guidelines issued by the Ministry of Finance for the preparation and approval of the Composite Budget for the District Assembly, the General Assembly of the Krachi Nchumuru District Assembly at its meeting held on 27th October, 2016 gave approval for the Annual Composite Budget for the year 2017. The Approved Program Based Composite Budget is hereby submitted for your necessary action, please. …………………………. PRESIDING MEMEBR (HON. NANAKWESI OMANKUMINTE II) ………………………. SECRETARY TO THE ASSEMBLY (MR. EMMANUEL AMOAH) Krachi Nchumuru District Assembly 38 TABLE OF CONTENTS PART ONE: .................................................................................................................................... 1 STRATEGIC OVERVIEW ............................................................................................................ 1 1.0. INTRODUCTION ............................................................................................................... 1 1.1a Name and Establishment ..................................................................................................... 2 1.1b Population...........................................................................................................................
    [Show full text]
  • GNHR) P164603 CR No 6337-GH REF No.: GH-MOGCSP-190902-CS-QCBS
    ENGAGEMENT OF A FIRM FOR DATA COLLECTION IN THE VOLTA REGION OF GHANA FOR THE GHANA NATIONAL HOUSEHOLD REGISTRY (GNHR) P164603 CR No 6337-GH REF No.: GH-MOGCSP-190902-CS-QCBS I. BACKGROUND & CONTEXT The Ministry of Gender, Children and Social Protection (MGCSP) as a responsible institution to coordinate the implementation of the country’s social protection system has proposed the establishment of the Ghana National Household Registry (GNHR), as a tool that serves to assist social protection programs to identify, prioritize, and select households living in vulnerable conditions to ensure that different social programs effectively reach their target populations. The GNHR involves the registry of households and collection of basic information on their social- economic status. The data from the registry can then be shared across programs. In this context, the GNHR will have the following specific objectives: a) Facilitate the categorization of potential beneficiaries for social programs in an objective, homogeneous and equitable manner. b) Support the inter-institutional coordination to improve the impact of social spending and the elimination of duplication c) Allow the design and implementation of accurate socioeconomic diagnoses of poor people, to support development of plans, and the design and development of specific programs targeted to vulnerable and/or low-income groups. d) Contribute to institutional strengthening of the MoGCSP, through the implementation of a reliable and central database of vulnerable groups. For the implementation of the Ghana National Household Registry, the MoGCSP has decided to use a household evaluation mechanism based on a Proxy Means Test (PMT) model, on which welfare is determined using indirect indicators that collectively approximate the socioeconomic status of individuals or households.
    [Show full text]
  • Download the Report Here!
    ACKNOWLEDGEMENTS IMANI Centre for Policy and Education wishes to acknowledge the immense support of the Royal Embassy of the Netherlands in Ghana for the conduct of this study. We would like to acknowledge the support of all the Local Government Experts, as well as, the national level institutions that supported this project. We remain truly grateful. IMANI CPE also wishes to extend gratitude to the research team; Mohammed Abubakari, Keshia Osei-Kufuor and Mudasiru Mahama as well as, the administrative support team made up of Josephine Tenkorang, Rosemary Noi and Enoch Osei who worked meticulously with all the different stakeholders to make this project a successful one. A special thanks to Patrick Stephenson (Head of Research,IMANI) for supporting the research process. To all the Metropolitan, Municipal and District Assemblies (MMDAs), we are grateful, and hope the insights serve as a point of reflection for further improvement in service delivery for all-inclusive growth and development. The views expressed are those of the Research Team and does not necessarily reflect those of the Royal Embassy of the Netherlands in Ghana that funded the study. ii This document contains the findings of a research project that seeks to assess spending efficiency at the local level, particularly Internally Generated Funds, and how best demand side accountability could be enhanced. The project focuses on 15 MMDAs in Ghana. iii CONTENTS LIST OF TABLES ......................................................................................................................................
    [Show full text]
  • Public Procurement Authority. Draft Entity Categorization List
    PUBLIC PROCUREMENT AUTHORITY. DRAFT ENTITY CATEGORIZATION LIST A Special Constitutional Bodies Bank of Ghana Council of State Judicial Service Parliament B Independent Constitutional Bodies Commission on Human Rights and Administrative Justice Electoral Commission Ghana Audit Service Lands Commission Local Government Service Secretariat National Commission for Civic Education National Development Planning Commission National Media Commission Office of the Head of Civil Service Public Service Commission Veterans Association of Ghana Ministries Ministry for the Interior Ministry of Chieftaincy and Traditional Affairs Ministry of Communications Ministry of Defence Ministry of Education Ministry of Employment and Labour Relations Ministry of Environment, Science, Technology and Innovation Ministry of Finance Ministry Of Fisheries And Aquaculture Development Ministry of Food & Agriculture Ministry Of Foreign Affairs And Regional Integration Ministry of Gender, Children and Social protection Ministry of Health Ministry of Justice & Attorney General Ministry of Lands and Natural Resources Ministry of Local Government and Rural Development Ministry of Petroleum Ministry of Power PUBLIC PROCUREMENT AUTHORITY. DRAFT ENTITY CATEGORIZATION LIST Ministry of Roads and Highways Ministry of Tourism, Culture and Creative Arts Ministry of Trade and Industry Ministry of Transport Ministry of Water Resources, Works & Housing Ministry Of Youth And Sports Office of the President Office of President Regional Co-ordinating Council Ashanti - Regional Co-ordinating
    [Show full text]
  • Volta Region
    VOLTA REGION AGRICULTURAL CLASS TOTAL=10 NO NAME CURRENT GRADE MMDAs QUALIFICATION 1. Benjamin Senyo Atorkui Chief Technical Officer Ho Municipal Assembly BSc. Agribusiness 2. Atsutse Innocent Chief Technical Officer Hohoe Municipal Assembly Dip. Agriculture (Crop Production) 3. Prosper K. Bakudie Principal Technical Officer Akatsi North District Assembly BSc. Agribusiness 4. Ernest Teku Chief Technical Officer Ketu North District Assembly BSc. Agribusiness 5. Michael Etse Dotse Principal Technical Officer Ketu South Municipal Assembly BSc. Agribusiness 6. Evans K. Buami Production officer Afadzato South District Assembly BSc. Agribusiness 7. Asamoah Charles Senior Technical Officer Krachi West District Assembly BSc. Agribusiness 8. Lawrence Xedagui Production officer Akatsi North District Assembly BSc. Agribusiness 9. Ahiadorme Evans Senior Technical Officer North Tongu(Battor) District Assembly BSc. Agribusiness 10. Elizabeth Wormenor Production officer Adaklu District Assembly BSc. Agribusiness ENGINEERING CLASS TOTAL=18 NO NAME GRADE MMDAs QUALIFICATION 1. HND Building Tech./Btech. Building Badohu Richard Senior Technician Engineer Adaklu Dist. Ass. Technology NO NAME GRADE MMDAs QUALIFICATION 2. Holy Avornorkadzi Senior Technician Engineer Jasikan Dist. Ass. Btech Building Technology 3. BSc. Quantity Surveying and Const. Alfred Yao Deletsu Senior Technician Eng. South Dayi Dist. Ass. Tech. 4. BSc. Quantity Surveying and Const. Isaac Yaw Tsipoaka Senior Technician Engineer North Tongu District Assembly Tech. 5. Seth Kwame Damasah Senior Technician Engineer Akatsi South District Assembly Btech. Building Technology 6. Godwin Tamakloe Senior Technician Engineer Nkwanta North District Assembly BSc. Qty. Surveying & Const. Econs. 7. BSc. Construction Tech. and Believer Yao Voegborlo Principal Technician Engineer Ketu South District Assembly Management 8. BSc. Construction Tech. and Samuel Akpene Tarquah Principal Technician Engineer Kadjebi District Assembly Management 9.
    [Show full text]
  • Innovation to Achieve UHC from the Field: Krachi West Case to Expand Access to Healthcare in Hard-To-Reach Communities
    J Glob Health Sci. 2019 Jun;1(1):e14 https://doi.org/10.35500/jghs.2019.1.e14 pISSN 2671-6925·eISSN 2671-6933 Letter from Field Innovation to achieve UHC from the field: Krachi West case to expand access to healthcare in hard-to-reach communities Hyejin Jung Korea Foundation for International Healthcare Ghana Office, Accra, Ghana Received: May 16, 2019 Editor's note: Ms. Hyejin Jung is serving as the Representative of Ghana Office of Korea Accepted: May 17, 2019 Foundation for International Healthcare (KOFIH). Correspondence to Hyejin Jung Korea Foundation for International Healthcare Nowadays, everybody in global health industry talks about universal health coverage (UHC), Ghana Office, Ghana Health Service Head financial structure and innovations. However, application in real world seems far from being Office, Dodoo Ln, Accra, Ghana. realized. One district in Korea Foundation for International Healthcare (KOFIH) maternal E-mail: [email protected] neonatal and child health improvement project sites in Ghana exemplifies practicalities of © 2019 Korean Society of Global Health. how to achieve UHC in terms of increasing coverage for the people who are desperately in This is an Open Access article distributed need of essential medical services. The district's name is Krachi West, a peninsula located under the terms of the Creative Commons in the northern-most part of the Volta Region (Now Oti Region, with new regional division Attribution Non-Commercial License (https:// which took place in March 2019). creativecommons.org/licenses/by-nc/4.0/) which permits unrestricted non-commercial use, distribution, and reproduction in any When I first visited the district, among many other infrastructural challenges, I witnessed medium, provided the original work is properly lack of accessibility and availability in both physical and human resources.
    [Show full text]
  • Krachi West District Assembly 3.4 2018 Revenue Projections – All Revenue Sources
    Table of Contents 1.0 INTRODUCTION .................................................................................................................................. 5 1.1 ESTABLISHMENT OF THE DISTRICT .......................................................................................... 5 1.2 POPULATION STRUCTURE ........................................................................................................... 5 1.3 DISTRICT ECONOMY ..................................................................................................................... 5 1.4 AGRICULTURE SECTOR ................................................................................................................ 6 1.5 MARKET CENTRE ........................................................................................................................... 6 1.6 ROAD NETWORK ............................................................................................................................ 6 REPUBLIC OF GHANA 1.7 EDUCATION ..................................................................................................................................... 6 1.8 HEALTH............................................................................................................................................. 7 COMPOSITE BUDGET 1.9 WATER AND SANITATION............................................................................................................ 7 1.10 VISION OF THE DISTRICT ASSEMBLY ....................................................................................
    [Show full text]
  • The Republic of Ghana the Composite Budget of the Krachi East District
    THE REPUBLIC OF GHANA THE COMPOSITE BUDGET OF THE KRACHI EAST DISTRICT ASSEMBLY FOR THE 2014 FISCAL YEAR 1.0 INTRODUCTION Section 92 (3) of the local Government Act (Act 462) envisages the implementation of the composite budget system under which the budgets of the departments of the District Assemblies would be integrated into the budgets of the District Assemblies. The District Composite Budgeting system would achieve the following amongst others: Ensure that public funds follow functions to give meaning to the transfer of staff transfer from the Civil Service to the Local Government Service; Establish an effective integrated budgeting system which supports intended goals, expectation and performance of government at the local level; Deepen the uniform approach to planning, budgeting, financial reporting and auditing Facilitate harmonized development and introduce fiscal prudence in the management of public funds at the MMDA level. In 2011 Government directed all Metropolitan Municipal and District Assemblies (MMDAs) to prepare the composite budget which integrates departments under Schedule one of the Local Government (Departments of District Assemblies) (Commencement) Instrument, 2009, (LI 1961). This policy initiative will upscale full implementation of fiscal decentralization and ensure that the utilization of all public resources at the local level takes place in an efficient, effective, transparent and accountable manner for improved service delivery. The Composite Budget of the Krachi East District Assembly for the 2014 Fiscal Year has been prepared from the 2014 Annual Action Plan lifted from the 2014-2017 DMTDP which is aligned to the Draft Medium-Term National Development Policy Framework (2014 -2017). KRACHI EAST DISTRICT ASSEMBLY Page | 2 2.0 BACKGROUND Krachi East District Assembly was established by Legislative Instrument 1755 in 2004 and it is the highest Political and administrative Authority in the District and the capital is Dambai.
    [Show full text]
  • Report of the Commission of Inquiry Into the Creation of New Regions
    COMMISSION OF INQUIRY REPORT OF THE COMMISSION OF INQUIRY INTO THE CREATION OF NEW REGIONS EQUITABLE DISTRIBUTION OF NATIONAL RESOURCES FOR BALANCED DEVELOPMENT PRESENTED TO HIS EXCELLENCY THE PRESIDENT OF THE REPUBLIC OF GHANA NANA ADDO DANKWA AKUFO-ADDO ON TUESDAY, 26TH DAY OF JUNE, 2018 COMMISSION OF INQUIRY INTO In case of reply, the CREATION OF NEW REGIONS number and date of this Tel: 0302-906404 Letter should be quoted Email: [email protected] Our Ref: Your Ref: REPUBLIC OF GHANA 26th June, 2018 H.E. President Nana Addo Dankwa Akufo-Addo President of the Republic of Ghana Jubilee House Accra Dear Mr. President, SUBMISSION OF THE REPORT OF THE COMMISSION OF INQUIRY INTO THE CREATION OF NEW REGIONS You appointed this Commission of Inquiry into the Creation of New Regions (Commission) on 19th October, 2017. The mandate of the Commission was to inquire into six petitions received from Brong-Ahafo, Northern, Volta and Western Regions demanding the creation of new regions. In furtherance of our mandate, the Commission embarked on broad consultations with all six petitioners and other stakeholders to arrive at its conclusions and recommendations. The Commission established substantial demand and need in all six areas from which the petitions emanated. On the basis of the foregoing, the Commission recommends the creation of six new regions out of the following regions: Brong-Ahafo; Northern; Volta and Western Regions. Mr. President, it is with great pleasure and honour that we forward to you, under the cover of this letter, our report titled: “Equitable Distribution of National Resources for Balanced Development”.
    [Show full text]