The Ghanaian Experience of a Visiting Radiologist

Total Page：16

File Type：pdf, Size：1020Kb

The Ghanaian experience of a visiting Radiologist Ato Quansah Liz Joekes RCR Global Health Day 2014 LESSONS LEARNT: RADIOLOGY IN LMIC • Tailor provision to local setting • Far greater diagnostic impact • Risk of draining of resources, better used elsewhere • Quality assurance and safety challenges • Greater role of non-radiologist readers/operators LESSONS LEARNT • Listen, look and learn, before starting to teach • Awareness of our impact on local relationships • Choose collaborations with care and address your understanding of needs together THE EFFECT OF A VISIT DR ATO QUANSAH MAY 2014 AFRICA WEST COAST GHANA SUNYANI HOSPITAL TAMALE TEACHING HOSPITAL KORLE-BU TEACHING HOSPITAL KOMFO ANOKYE TEACHING HOSPITAL DISTRIBUTION OF RADIOLOGISTS IN GHANA REGION NUMBER OF RADIOLOGISTS UPPER WEST 0 UPPER EAST 0 NORTHERN 2 (NON RESIDENT) BRONG AHAFO 1 VOLTA 0 WESTERN 1 ASHANTI 6 CENTRAL 1 EASTERN 1 GREATER ACCRA 23 DR ELIZABETH JOEKES • DR GENNY SCARISBRICK 2000-2003 • IN K.AT.H JAN 2004 – DEC 2006 NARRATION • Medical school at KATH 1996-2002 • Housemanship / internship at KATH 2002-2003 • Residency – dept of surgery 2003-2004 • Medical officer– radiology 2004-2007 • Resident/registrar from 2007-2012 TRAINING COLLEGES • WEST AFRICA COLLEGE OF SURGEONS AND PHYSICIANS • GHANA COLLEGE OF SURGEONS AND PHYSICIANS TRAINING INSTITUTIONS • KORLE BU TEACHING HOSPITAL – 15YRS • 37 MILITARY HOSPITAL – 8YRS • KOMFO ANOKYE TEACHING HOSPITAL- 7YRS OUR STATE IN 2004 • ONE RADIOLOGIST • ONE MEDICAL OFFICER WORK STATIONS IN THE ACCIDENT AND EMERGENCY UNIT2014/2004 CT UNIT OUR CURRENT STATE NEW MRI UNIT OTHER EFFECTS • Better recognition to the department of radiology • More relevance of radiological input into clinical work • Training to a new generation • A different approach to training and teaching in radiology • More medical students and medical officers becoming interested in radiology as a specialty • Better sense of duty OTHER EFFECTS CONTINUED • Better technical advice to management • Better organised department with good work flow • Collaboration with other departments around the world • 12 radiologists visited within the three year period with various expertise to share (compared to 5 within the last 7 years) • Early exposure of medical students to radiology OLD UNIT/ACCIDENT AND EMERGENCY INTERIOR OUR CURRENT STATE • 5 RADIOLOGISTS • 9 RESIDENTS • 3 MEDICAL OFFICERS GET READY THOUGH... • To see some mind blowing pathologies • To be a “jack of all trade” depending on where you are • To improvise when the needed logistics are all not available • To be surprised by the attitude of some indigenes STRANGE PATHOLOGIES GUESS WHAT.. INTERVENTIONS RADIOLOGIST’S RENUMERATION • ABOUT A £1000 A MONTH • COMPARE POSSIBLE END RESULT REPLICATE YOURSELF SOMEWHERE IN THE WORLD THANK YOU FOR YOUR ATTENTION .

Copy Link

Recommended publications

Application of Information and Communication Technology in Radiological Practices: a Cross-Sectional Study Among Radiologists in Ghana
Edzie EKM, Dzefi-Tettey K, Gorleku PN, et al. Application of information and communication technology in radiological practices: a cross-sectional study among radiologists in Ghana. Journal of Global Health Reports. 2020;4:e2020046. doi:10.29392/001c.13060 Research Articles Application of information and communication technology in radiological practices: a cross-sectional study among radiologists in Ghana Emmanuel K M Edzie 1, Klenam Dzefi-Tettey2, Philip N Gorleku 1, Ewurama A Idun 3, Bernard Osei 4, Obed Cudjoe 5, Abdul Raman Asemah 1, Henry Kusodzi 1 1 Department of Medical Imaging, School of Medical Sciences, College of Health and Allied Sciences, University of Cape Coast, Cape Coast, Ghana, 2 Department of Radiology, Korle Bu Teaching Hospital, Accra, Ghana, 3 Department of Radiology, 37 Military Hospital, Accra, Ghana, 4 African Institute for Mathematical Science, Ghana, Accra, Ghana, 5 Department of Microbiology and Immunology, School of Medical Sciences, College of Health and Allied Sciences, University of Cape Coast, Cape Coast, Ghana Keywords: radiological practices, application, information communication technology, ghana https://doi.org/10.29392/001c.13060 Journal of Global Health Reports Vol. 4, 2020 Background There is an inadequate number of radiologists in Ghana whose distribution are skewed in favour of urban areas, creating a huge service gap with the few radiologists overburdened with work. The only way to bridge this service gap while increasing numbers of radiologists by training is from the application of information communication technology (ICT), hence this study. Methods This was a cross-sectional questionnaire administered study conducted between 16th - 18th May 2019 during the annual general meeting of the Ghana Association of Radiologists involving 46 consented radiologists.
[Show full text]
BREMANSU OSA-ANDREWS, Ph.D
Bremansu Osa-Andrews_CV Page 1 BREMANSU OSA-ANDREWS, Ph.D. Division of Animal and Nutritional Science 72 Clear Spring Drive Morgantown West Virginia 26508 [email protected] [email protected] +1 (605) 651 3989 Highlights Dynamic, passionate and charismatic teacher with 10 years of uninterrupted university-level teaching experience in biochemistry and chemistry (both lecture and laboratory). Research interests/experience in molecular biology and analytical biochemistry, spectroscopy and biochemical and analytical instrumentation make me the ideal candidate for academic career. Vast undergraduate and graduate students-mentoring, undergraduate student-advising, student- recruitment and other service experience. Decent overall professional experience and leadership. EDUCATION 2018 Ph.D. Biochemistry South Dakota State University, Brookings, SD. Thesis: Engineering of two-color ABC transporter protein biosensors for discovery of novel substrates and inhibitors. Advisor: Surtaj Iram, Ph.D. 2010 MPhil Clinical Chemistry (Chemical Pathology) University of Ghana Medical School, Korlebu-Ghana Thesis: Circulating Endothelial Progenitor Cells and Microvascular Damage in Sickle Cell Patients. Advisor: Ben Gyan, Ph.D. 2005 Bsc (HONS) Biochemistry Kwame Nkrumah University of Science and Technology, Kumasi-Ghana Honors Thesis: Physico-Chemical Properties of Cassava Advisor: Isaac William Ofosu, MSc. PROFESSIONAL EXPERIENCE 2018 Science Communication Fellow, NASA-EPSCoR funded. 2018 Scientific Teaching Fellow, Summer Institutes on Scientific Teaching, Yale Center for Teaching and Learning/Howard Huges Medical Institute (hhmi) /National science foundation (NSF)/South Dakota State University. 2018 Leader, students’ recruitment at ACS Midwest regional meeting, Ames IA, for Soutth Dakota State University 2016-2018 Mass Spectrometry Qtrap and LC-MS/MS, Project Lead Experience Bremansu Osa-Andrews_CV Page 2 South Dakota State University.
[Show full text]
ANNUAL REPORT 2019 AO Alliance Educational Events
ANNUAL REPORT 2019 AO Alliance educational events Operating Room Personnel (ORP) course Dharan, Nepal Trauma and Orthopedic resident practical teaching course Lomé, Togo ORP course Colombo, Sri Lanka To our valued supporters: message from the chair and managing director Five years on, we are pleased to report 2019 was another successful year for the AO Alliance, as we continued local capacity-building programs for the care of the injured in 23 sub-Saharan African and eight Asian low- and middle-income countries (LMICs), together with a devoted and loyal network of trauma and orthopedic healthcare workers (HCW). During 2019, we made important aspects of this new infection remain progress to improve our ability to meet uncertain, COVID-19 could have the the needs of the local frontline HCW greatest impact in LMICs where health and communities we serve. Our tailored systems are weak and resources scarce. fracture care education programs, along with faculty development curricula, “COVID-19 shines a light on our common reinforced our reputation in this neglected humanity and shared vulnerabilities, field of medical education in LMICs. and it is only through a collective, Rolf Jeker Working closely with our network of over collaborative response that all our Chair of the board 400 faculty, and with central support essential interests can be served.” from our AO Alliance team, we delivered Gro Harlem Brundtland, The Elders. 120 courses and seminars in 2019, double the 2015 number. Each AO Alliance We will continue to nurture alliances, event trains at least 30 HCW who go on partnerships, and collaboration opportu- to teach three more.
[Show full text]
List of Medical Services Providers.(PDF)
LIST OF MEDICAL SERVICES PROVIDERS IN GHANA U.S. EMBASSY, ACCRA January 2021 These medical facilities and practitioners are located here in the Greater Accra, and provide services to Americans, expats and locals. The U.S. Embassy in Accra assumes no responsibility for the professional ability or integrity of the persons or practitioners whose names appear here. Alcoholics Anonymous (AA): Obstetrics & Gynecology: Adabraka, 6 Watson Loop Dr. Luitgaard E. Darko Mondays, 7:00 pm-8:00pm Egon German Clinic 0202-018-540 0302-775-772 Office 0244-218-238 Mobile Cantonments, Prison HQs Chapel Email: egon/german/[email protected] Monday, 5:00pm-7:00pm, or as requested 0242-142-384/0243-558-412 Dr. Edem Hiadzi Lister Hospital Dentistry: 0303-409-030 Office Dr. Jihad Joseph Akl 0302-812-326 Office Pro-Denticare Ltd 0244-320-720 Mobile 4 Onyasia Crescent, Roman Ridge 0244-313-883 Mobile 0302-780-077 Office Email: [email protected] 0244-329-332 Mobile Web: www.lister.com.gh Email: [email protected] or contact@pro- denticare.com Pediatrics: http://www.pro-denticare.com/index.asp Prof. Janet Neequaye Akai House Clinic, Osu or Dr. Irene Sogbodjor Korle-Bu Teaching Hospital Spaes Dental Clinic, #10 0302-763-821 Office 4th Ringway Estates 0302-784-772/3 Office 0302-223-250 Office Email: [email protected] 0289-109-198 Office Dr. Frank Djabanor Dermatology: St. Luke’s Clinic, Nyaho Med Center, Airport Dr. Margaret Lartey Residential Akai House Clinic/Korle-Bu Teaching Hospital 0302-775-405 Office 0244-165-851 Mobile 0302-676-101/0302-662-266 Office Dr.
[Show full text]
DENTAL SURGERY AS at Feb, 2020 Accreditation Committee Meeting S/ No COUNTRY DATE VISITED ACCREDITATION EFFECTIVE INSTITUTION GRANTED NO
ACCREDITATION STATUS CHART FACULTY : DENTAL SURGERY AS AT Feb, 2020 Accreditation Committee Meeting S/ No COUNTRY DATE VISITED ACCREDITATION EFFECTIVE INSTITUTION GRANTED NO. OF RESIDENTS ROTATIONS DATE DATE DUE 13 Part I Junior Residents 13 Part II Level Senior Residents Oral & Maxillofacial (3SR, 3JR), Partial: Paediatric Dentistry (2 SR, 2 Korle Bu Teaching 31st October- 1st 1 Ghana Membership & JR), Oral Pathology ( 2SR 2JR), Feb., 2018 January, 2020 Hospital, Accra November, 2017 Fellowship Orthodontics(2 SR, 2JR), Conservarive Dentistry (2 SR, 2 Jr),Oral Medicine ( 1SR 1 JR), The panel recommended training Community Dentistry (1 SR, 1 to Part I level in Oral Radiology, JR) Periodontology, Prosthodontics Ahmadu Bello 10 Junior Residents in Oral & University Teaching 17th-19th June, Maxillofacial, 5 2 Nigeria Feb, 2019 Jan, 2021 Hospital, Zaria Zaria 2019 Senior Residents in Oral & The Residents are to undergo (Maxillo-facial Unit) Maxillofacial Partial (2 other postings in accredited Year) institutions 57 Junior Residents 30 Senior Residents Oral & Maxillofacial(10JR, 5SR), Paediatric Dentistry(9JR,5SR), Obafemi Awolowo 11th-13th April, Oral Pathology(3JR, 3 Teaching Hospital , Ile- Nigeria Not applicable Feb, 2018 Jan, 2020 2019 1SR),Orthodontics(9JR, 5SR), Ife Conservative(6JR, 3SR), Oral Medicine(6JR,3SR), Periodontology(3JR, 2SR), Partial Prosthodontics(6JR, (2 years) 3SR),Community Dentistry( 50 Part I Junior Residents 25 Part II Senior Residents Oral and Maxillofacial (7SR, 14JR), Paediatric Dentristry (2SR, 4JR),Oral Pathology
[Show full text]
Holistic Assessment Report June 2014
Ministry of Health Ghana Holistic Assessment of the Health Sector Programme of Work 2013 Ghana Final version 30th July 2014 List of abbreviations and acronyms ................................................................................................................... 4 Acknowledgements ........................................................................................................................................... 5 Executive summary............................................................................................................................................ 6 1. Introduction ............................................................................................................................................... 8 2. Assessment of the Health Sector Performance in 2013 using the Holistic Assessment Tool .................... 8 3. Assessment of indicator trends ................................................................................................................ 10 3.1 HO 1: Bridge equity gaps in health care and ensure sustainable financing arrangements that protect the poor ....................................................................................................................................................... 10 3.2 HO 2: Strengthen governance and improve efficiency and effectiveness of the health system ....... 14 3.3 HO3: Improve access to quality maternal, neonatal, child and adolescent health and nutrition services .......................................................................................................................................................
[Show full text]
School of Nursing and Midwifery College of Health Sciences University of Ghana Legon
University of Ghana http://ugspace.ug.edu.gh Running Head: PAIN MANAGEMENT OF ROAD TRAFFIC ACCIDENT CASUALTIES SCHOOL OF NURSING AND MIDWIFERY COLLEGE OF HEALTH SCIENCES UNIVERSITY OF GHANA LEGON EXPLORING PAIN MANAGEMENT BY NURSES AMONG ROAD TRAFFIC ACCIDENT CASUALTIES AT A MILITARY HOSPITAL IN GHANA BY THOMAS KWAME TATA 10089068 THIS THESIS IS SUBMITTED TO THE UNIVERSITY OF GHANA, LEGON IN PARTIAL FULFILMENT OF THE REQUIREMENT FOR THE AWARD OF MPHIL NURSING DEGREE JULY 2019 University of Ghana http://ugspace.ug.edu.gh PAIN MANAGEMENT OF ROAD TRAFFIC ACCIDENT CASUALTIES DECLARATION This is to attest that this thesis is the result of research conducted by Thomas Kwame Tata for the Award of Master of Philosophy Degree in Nursing at the School of Nursing and Midwifery of the University of Ghana. This thesis has not been presented either in whole or part to any university for award of any degree or certificate. Authors and publishers whose work have been cited in this study have been duly acknowledged in the text and the reference list. ……………………………… ……………………… THOMAS KWAME TATA DATE (STUDENT) ……………………………….. ……………………… PROF LYDIA AZIATO DATE (SUPERVISOR) ………………………………. …………………….. DR LILLIAN AKORFA OHENE DATE (CO-SUPERVISOR) i University of Ghana http://ugspace.ug.edu.gh PAIN MANAGEMENT OF ROAD TRAFFIC ACCIDENT CASUALTIES ABSTRACT The quest for pain relief has been the reason why casualties visit the emergency department to seek appropriate intervention. The aim of the study was to explore pain management by nurses among Road Traffic Accident casualties at the 37 Military Hospital. A qualitative descriptive design guided by the caregiver aspect of the Social Communication Model of Pain (Craig, 2009) was used in the study.
[Show full text]
Ghana Human Resources for Health Country Profile Human Resources for Health Country Profile
GHWO: Human Resources for Health Country Profile Ministry of Health Ghana Human Resources for Health Country Profile Human Resources for Health Country Profile Ghana Edition 2011 GHWO, February 2010 GHWO: Human Resources for Health Country Profile Acknowledgement The Health Workforce Profile for Ghana is edited by: Seth Duodu Acquah - Independent Consultant, Human Resources for Health, with the support of: McDamien Dedzo – Director Human Resources Division, Ghana Health Service; Ebenezer Appiah-Denkyira - Director Human Resources for Health Development Division of the Ministry of Health; and Selasie D’Almeida, Health Economist from the WHO Country office. We acknowledge with thanks the political and technical support of the Minister of Health, Mr. Joseph Yielleh-Chireh his Deputy, Mr. Robert Joseph Mettle-Nunoo, and the Chief Director of the Ministry of Health, Dr. Sylvester Anemana We also acknowledge the support and contributions of the Director-General of the Ghana Health Service, Dr. Elias Sory, the Director of Policy, Planning, Monitoring and Evaluation (PPME) of the Ghana Health Service, Dr. Frank Kojo Nyonator, other Directors in the Ministry of Health, the Ghana Health Service, at both the headquarters and in the regions, the Chief Executive Officers of Korle Bu, Komfo Anokye and Tamale Teaching Hospitals, and Registrars of all the Health Professionals Regulatory Bodies, including Medical and Dental Council, Nursing and Midwifery Council, and Pharmacy Council who reviewed and commented on earlier versions of the document. We are grateful for the logistics and editorial support of the Africa Health Workforce observatory, coordinated by a team composed of Jennifer Nyoni, Adam Ahmat, Gulin Gedik, Mario Dal Poz.
[Show full text]
MEDICAL JOURNAL (USPS 464-820), a Monthly Publication, Is Michael K
RHODE ISLAND M EDICAL J OURNAL SPECIAL SECTION SPORTS MEDICINE GUEST EDITOR: RAZIB KHAUND, MD October 2016 VOLUME 99 • NUMBER 10 ISSN 2327-2228 Your records are secure. Until they’re not. Data theft can happen to anyone, anytime. A misplaced mobile device can compromise your personal or patient records. RIMS-IBC can get you the cyber liability insurance you need to protect yourself and your patients. Call us. 401-272-1050 IN COOPERATION WITH RIMS-IBC 405 PROMENADE STREET, SUITE B, PROVIDENCE RI 02908-4811 MEDICAL PROFESSIONAL/CYBER LIABILITY PROPERTY/CASUALTY LIFE/HEALTH/DISABILITY RHODE ISLAND M EDICAL J OURNAL 18 Collaboration and Collegiality: The Fuel For Growth in Sports Medicine RAZIB KHAUND, MD GUEST EDITOR R. Khaund, MD 19 Preparticipation Physical Exams: The Rhode Island Perspective, A Call for Standardization PETER K. KRIZ, MD,FAAP, FACSM AILIS CLYNE, MD, MPH, FAAP SARA R. FORD, MD, FAAP On the cover P. Kriz, MD A. Clyne, MD S. Ford, MD Photos: CDC, Public Health Image 23 Current Concepts in Library/Amanda Mills Sports-related Concussion http://phil.cdc.gov/phil/home.asp JEFFREY P. FEDEN, MD J. Feden, MD 27 Diagnosis and Management of Meniscal Injury JACOB BABU, MD, MHA ROBERT M. SHALVOY, MD STEVE B. BEHRENS, MD J. Babu, MD R. Shalvoy, MD S. Behrens, MD 31 Understanding Athletic Pubalgia: A Review BRIAN COHEN, MD DOMINIC KLEINHENZ, MD JONATHAN SCHILLER, MD RAMIN TabaddOR, MD B. Cohen, MD D. Kleinhenz, MD J. Schiller, MD R. Tabaddor, MD RHODE ISLAND M EDICAL J OURNAL 8 COMMENTARY The Not-So-Near Death of Autopsies in the U.S.
[Show full text]
GHANA an Operational Manual
Introduction 1 DIFFERENTIATED SERVICE DELIVERY FOR HIV IN GHANA An Operational Manual December 2017 i Chapter 1 CONTENTS Acknowledgements iii Foreword v Abbreviations vii How to use this book viii Chapter 1: Introduction to differentiated service delivery for HIV 1 Chapter 2: Summary of recommendations for differentiated service delivery for HIV in Ghana 9 Chapter 3: Differentiated HIV testing services 17 3.1 The building blocks of HTS services for the general adult population 18 3.2 Partner notifcation and index client testing 22 3.3 Differentiated HTS for men 25 3.4 Linkage to ART services 26 Chapter 4: Differentiated ART delivery 27 4.1 Decentralization of ART delivery 28 4.2 Differentiated ART initiation 30 4.3 Follow-up schedule on ART 33 4.4 Differentiated ART delivery for stable adult clients 35 4.5 Standard operating procedures (SOPs) for tracing clients with missed appointments 53 Introduction ii Chapter 5: Differentiated service delivery for HIV in specifc populations 55 5.1 Differentiated service delivery for HIV in children and adolescents 56 5.2 Differentiated service delivery for HIV in pregnant and breastfeeding women 67 5.3 Differentiated service delivery for HIV in key populations 69 Chapter 6: Differentiated ART delivery for clients with high viral load 73 Chapter 7: Differentiated ART delivery for clients with co-infections and co-morbidities 83 Appendices 87 Appendix 1: Questionnaire for baseline assessment of differentiated service delivery for HIV 88 Appendix 2: M&E tools for differentiated ART delivery for stable
[Show full text]
Whole Genome Sequencing and Antimicrobial Resistance of Staphylococcus Aureus from Surgical Site Infections in Ghana
pathogens Article Whole Genome Sequencing and Antimicrobial Resistance of Staphylococcus aureus from Surgical Site Infections in Ghana Beverly Egyir 1,*, Jeannette Bentum 1,2 , Naiki Attram 2, Anne Fox 2, Noah Obeng-Nkrumah 3, Labi Appiah-Korang 4, Eric Behene 2, Selassie Kumordjie 2, Clara Yeboah 2, Bright Agbodzi 2, Ronald Essah Bentil 2, Rhodalyn Tagoe 1, Blessing Koﬁ Adu Tabi 1, Felicia Owusu 1,2, Nicholas T. K. D. Dayie 5 , Eric S. Donkor 5, Josephine Nsaful 6, Kwaku Asah-Opoku 7 , Edward Nyarko 8, Edward Asumanu 8, Anders Rhod Larsen 9 , David M. Wolfe 2 and Andrew G. Letizia 2 1 Bacteriology Department, Noguchi Memorial Institute for Medical Research, University of Ghana, Accra 00233, Ghana; [email protected] (J.B.); [email protected] (R.T.); koﬁ[email protected] (B.K.A.T.); [email protected] (F.O.) 2 Naval Medical Research Unit—Three, Ghana Detachment, Accra 00233, Ghana; [email protected] (N.A.); Ghana; [email protected] (A.F.); [email protected] (E.B.); [email protected] (S.K.); [email protected] (C.Y.); [email protected] (B.A.); [email protected] (R.E.B.); [email protected] (D.M.W.); [email protected] (A.G.L.) 3 Department of Medical Laboratory Sciences, School of Biomedical and Allied Health Sciences, University of Ghana, Accra 00233, Ghana; [email protected] 4 Department of Microbiology, Korle-Bu Teaching Hospital, Accra 00233, Ghana; [email protected] 5 Department of Medical Microbiology, University of Ghana Medical School, University of Ghana, Accra
[Show full text]
Ghana Health Service
GHANA HEALTH SERVICE 2016 ANNUAL REPORT JUNE 2017 decline. There was a 1% decrease in FOREWORD OPD attendance at our public health facilities compared to the previous year I am honoured and humbled to present the Ghana 2015 Health Service 2016 Annual Report as the newly , appointed Director-General of an organisation that has altho for the last two decades maintained its commitment to ugh expanding healthcare services across every region, we every district and every community in Ghana. I would saw like to acknowledge my predecessor Dr Ebenezer a Appiah-Denkyira, who is now retired from active duty muc for his work over the last few years. The Ghana Health h Service through the drive and innovation of its staff large and health partners continues to transform the face of r the health sector in Ghana, pursing a wider population decr reach and surmounting many challenges that beset the ease provision of adequate and quality healthcare services in of nearly 4% in 2015 compared to 2014. Ghana. It is my vision to lead the Ghana Health We also saw a percentage drop in Service unto its next phase as the country embraces the insured patients from 83% in 2015 and new Sustainable Development Goals (SDGs). Together 2014 to 82% in 2016. Although some we will work to strengthen weak and poor performing have attributed this decline to delayed areas, whilst consolidating and building on our gains reimbursements from National Health made under the Millennium Development Goals Insurance, there is need for further (MDGs). review to address the gaps or challenges The Ghana Health Service (GHS) remains committed that persist, and to understand the to providing quality and adequate health care services population’s changing preferences in in every community throughout Ghana by expanding seeking healthcare outside of the public its community health planning and services (CHPS) to health system.
[Show full text]