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How do you tackle maternal mortality in Sierra Leone? Try asking a midwife

mortality

Osman was born in Freetown's Susan's Bay slum district in 2007. Like many women in Sierra Leone, his mother died in childbirth. Photograph: David Levene for the GuardianHow do you tackle maternal mortality in Sierra Leone? Try asking a midwife

26 October 2012

The post-2015 development framework must be shaped by people with first-hand knowledge of the challenges that lie ahead

Posted by Francess Fornah, Friday 2 November 2012

{sidebar id=11 align=right}My worry, as the high-level panel on post-2015 development goals meets this week, is that my voice – and those of many others working at the sharp end of development – won't ultimately have much influence.

Every day, thousands of community health workers, voluntary groups, teachers, entrepreneurs and civil servants engage in development activities in their own communities. They're hands on, responding to the needs of their communities – sometimes with the assistance of NGOs and donors, sometimes not. They know what works, because they're out there doing it; and they know what doesn't work, because they've seen it fail.

There's a real danger that the post-2015 process – though inspired by the same noble aims as the millennium development goals (MDGs) – will also share their failings. That is to say, they'll be a set of goals and targets created by distant elites, and they'll treat people as passive recipients of aid and development. Yet people are tired of being told what they need.

{sidebar id=12 align=right}I'm not saying the MDGs have brought no benefits. They have focused attention and funding on important areas. Working in midwifery in Sierra Leone, where one in eight women still dies during pregnancy or childbirth (pdf) and thousands more bleed to death after giving birth, I'm all too aware of the focus on reducing maternal mortality and the impact MDG five has had. Yet every day I work with nurses training to be midwives, and they don't know what the MDGs mean for their work. To them the goals are distant targets, far removed from the daily realities faced by a midwife in a developing country.

My midwifery school in Makeni trains community health nurses to become midwives, responding to the appalling lack of trained birth attendants in Sierra Leone. Previously, only state registered nurses could train to be midwives. Many would undertake further training and enter other fields, leaving us still short of practising midwives. Our aim is to train new midwives who remain in their communities – particularly in rural areas – helping women to give birth safely. This year, another 69 students graduated and are doing just that.

Sierra Leone has a shortage of midwives in rural areas. The problem is compounded by a lack of support for the childbirth assistants who do serve rural communities, who often have to leave their families behind in towns and cities to work in areas hard to access by road. Thus isolated, they have difficulty caring for, educating and – because they are based in distant villages with no mobile reception – even communicating with their own children. They often struggle to find somewhere to live, and have to manage without regular electricity and running water. It's little wonder some leave the profession or try to get work closer to home, once more leaving the community they served without a midwife.

Birth assistants working in maternity wards and communities don't need another system that replaces MDG five, creates a whole new layer of bureaucracy, and forces donors and governments to rethink their priorities. Particularly not one based on a document that comes out of London or New York. We need a framework that recognises the good work that's already happening in our poorest communities, and focuses on supporting and enhancing it.

We also need to be empowered to hold governments to account on these targets. When it comes to maternal health, leaders should be accountable to the women who are risking their lives just by having a baby. Poor and marginalised communities must have a say in measuring whether poverty-reduction measures are working. And we need specific goals and targets to tackle the inequality faced by women, who are excluded from so many of the decision-making processes that affect their lives.

In my country it is, slowly, getting safer for women to give birth. As I watched new midwives graduate this year, I could see the progress we are making. The MDGs have certainly played a part, and whatever comes after them has the potential to achieve much, much more. But to avoid squandering that potential, the panel must remember three things.

First, they must listen to people actively engaged in development in their own communities, ensuring those people are genuinely able to influence the post-2015 development framework, so that it supports the work they're doing.

Second, they must build on what has already been achieved. Don't tear up the MDGs and start again, and don't create new international commitments where they already exist. Instead, strengthen and implement what we already have.

Third, we need to find better ways to ensure governments are accountable to people living in poverty, and to the people actively working in poor and marginalised communities.

It's these points that I will make when I address the panel on Friday. If they are serious about tackling poverty, and I hope they are, they will need to listen to the thousands of people already actively engaged in development, and work together with them.

Francess Fornah is based at King's Health Partners in London as part of a three-month commonwealth fellowship placement organised by VSO. She is head of the school of midwifery in Makeni, Sierra Leone. On 2 November she will address the high-level panel as part of the civil society roundtable dialogues

Source: The Guardian UK

Check Health Status - Korle Bu Hospital Urges Presidential Aspirants

finess

Professor Nii Otu Nartey, Chief Executive Officer KBTH    Check Health Status - Korle Bu Hospital Urges Presidential Aspirants

26 October 2012

The Management of Korle Bu Teaching Hospital (KBTH) has urged all presidential aspirants in the December elections to take a health check in view of the rigorous nature of their campaign.

The hospital maintained that most of the aspirants are beyond 40 years, and at that age, too much travelling around is not good for their health.

Professor Nii Otu Nartey, Chief Executive Officer KBTH gave the advice when the presidential aspirant of the Progressive People’s Party (PPP) Dr Paa Kwesi Nduom called at the hospital to enlighten the management of the hospital on the party’s plan to upgrade facilities at the institution to meet current challenges.

{sidebar id=10 align=right}The visit formed part of the PPP’s presidential candidate’s campaign tour of constituencies in the Greater Accra Region. The hospital is located in the Ablekuma South Constituency.

Prof Nartey said it is extremely important that every presidential aspirant includes a physician specialist in his or her campaign team to regularly check for health anomalies.

“It is important and you all need to be healthy to withstand this rigorous routine as you criss-cross the country to canvass for votes,” he said.

Prof Nartey said the Korle Bu Teaching Hospital is ready to provide the service free of charge to all presidential aspirants, adding that all they need to do is to place a call “and we will be at your service”.

He cited the case of a presidential candidate in the US who rescinded his decision to run for the presidency when he discovered after a medical check that he was not fit for that race, asking whether other politicians would emulate that example?

Prof Nartey called for stability in the country, calling on politicians to conduct their campaigns peacefully in order to maintain the stable environment Ghana is enjoying before, during and after the December polls.

Dr Nduom gave the assurance that the PPP would not negate the current peaceful atmosphere in the country and would always strive to engender unity even in diversity.

He said it is important that institutions of State are adequately recognise and commended the hospital for the sterling service it is providing.

The PPP presidential candidate assured the management of the hospital that when voted into power, the party would expediently ensure that the facility is given the adequate facelift and equipment upgrade to handle emergency cares.

Source: GNA/Ghana

NPP flagbearer lays out health policy; read it here

health

Speech by Nana Addo Dankwa Akufo-AddoNPP Nana Akuffo-Addo's Policy Health

“SAVING OUR HEALTH SERVICE, KEEPING OUR PEOPLE HEALTHY”

Speech by Nana Addo Dankwa Akufo-Addo, 2012 Presidential Candidate of the New Patriotic Party, at the Sunyani Nurses Training College, Sunyani, on 17th October, 2012.

Good evening. I have just been told that NDC propagandists are at it again on FM stations in Accra. This time, the story is that I collapsed on a platform whilst touring the Kumawu constituency. I toured Kumawu some two weeks ago on 1st October and it is strange that this matter should come up now on the eve of my speech. It’s a total fabrication. I did not collapse; I have never felt stronger; and I am very fit to deliver a speech on health. I thank the authorities of this college for this opportunity to talk about a subject of utmost concern to all of us: good health, our individual health and the health of the nation.

{sidebar id=12 align=right}When you meet somebody, family, friend or stranger, the greeting that is exchanged is an enquiry about each other’s health. You ask after each other’s state of health and you wish each other good health and you wish good health for their family. It is for good reason that we do this. We dread being sick and we know we have to be healthy to do life’s work and achieve our aspirations.

The wealth of the nation depends on the health of its people. We have to be healthy to transform Ghana, we have to be healthy to try to make a brighter future for Ghana, we have to be healthy to work for ourselves, never mind, try to work for you.

And to talk about this subject, I don’t think we could have a better place or audience than a Nurses Training College and an audience mostly of student nurses. When it comes to healthcare, you are at the front line and the policies that government adopts affect you directly and you are in a position to tell what works and what doesn’t.

In 50 days’ time, we will go to the polls to choose not just between candidates for president and Members of Parliament, but we will also decide between two profoundly different visions for the future of our country’s education and healthcare systems. This evening I intend to lay out the differences and hope it would help make your choice easier and you would choose the NPP vision for Ghana and for your future.

On December 7, the nation has a chance to make a decision on two major issues: (1) whether Ghanaians should have universal access to free quality education for every child under the age of 18, and (2) which party can be trusted to deliver access to affordable quality healthcare for every Ghanaian. The NPP believes that free quality education up to secondary level and affordable healthcare are essential for the healthy, educated workforce we need to transform the economy, create wealth and enhance the welfare and wellbeing of every Ghanaian.

Tonight’s talk is about the health of the nation but I want first to say a few words about the NPP education policy that seeks to provide free quality education to all our children from kindergarten to senior high school. Regardless of all the propaganda and distortions, the good people of this country know that this is something we should do, we can do, and we will do. The people of this region, I am told, know all too well that while our new caretaker President, the NDC presidential candidate, is going around the country struggling to convince parents that Ghana is not ready and cannot afford free secondary education, reports from the ground are that his party activists, sensing that this position will damage their electoral prospects, are going around rural communities with a picture of the NDC presidential candidate to lie and say he is the person promising free SHS. This is typical NDC duplicity. It appears that their capacity for deceit and double dealing is limitless.

The NDC adopted the same attitude when the NPP, under the leadership of President Kufuor, introduced the National Health Insurance Scheme. NDC MPs’ of the time, including their current presidential candidate, then MP for Bole Bamboi, walked out of Parliament and boycotted its proceedings dealing with the NHIS law because of their opposition to its passage. But, when the programme was successful, they claimed falsely it was their idea and that they had a pilot scheme at Nkoranza, near here. They don’t have the vision to deliver to the people of Ghana, so they try to rewrite history.

The NPP will go a step further to save our health system and keep our people healthy: we will offer all children free access to the NHIS. This means that parents no longer have to be a subscriber to the NHIS for a child to benefit. Millions more children will be covered by free healthcare.

The NHIS shows that the NPP believes in fairness as a principle of social action. We believe that access to social services should be on the basis of need, and that government has a duty to keep its people healthy. We are proud that we are helping to create a society of fairness and opportunities for everyone, including the most vulnerable. The NDC now admits that the NHIS is preferable to the cash and carry system they were operating, but if you look at their performance managing the system, you have to doubt their sincerity. We must save our health system, and keep our people healthy.

If you look at their performance at managing the scheme these past four years, you have to conclude that either they do not really believe in a national health insurance system, and their advocacy of a one-time premium reinforces this perception; or they lack the competence to administer it. We must save the NHIS now from the incompetent hands of the NDC.

This election presents the people of Ghana with a clear choice between a well-thought out and comprehensive plan for education, health and the economy on the one hand, and on the other, a President who is offering four more years of visionless leadership from a government that pretends to be working for you. Four more years of the reckless borrowing this government have been doing will mean more of our money having to go to debt payments and even more excuses for why they won’t invest in our health and education.

The wealth of the nation depends on the health of its people. To transform Ghana, we have to be healthy, and our government has a duty to ensure that the most vulnerable have access to quality healthcare.The NPP has a record of care and achievement. The last NPP government introduced significant initiatives to expand health service coverage. The next NPP government, God willing, will introduce comprehensive measures to tackle the fundamental problem of too many Ghanaians dying because they can’t get proper care. I want to see ambulances carrying the sick to the hospital for treatment and not turned into hearses. We will continue the policy started under President Kufuor to establish an efficient ambulance service well-coordinated with emergency care in the hospitals and nationwide to be sure when patients get to you, you can still help them.


PRIMARY HEALTHCARE

{sidebar id=12 align=right}As I have gone round this country, I have heard enough to know that when it comes to health, what people want is more investment in the primary and community health sector. We need preventive care and regular access to doctors. An improved primary healthcare system is a vital component of saving our health system and keeping our people healthy. The NPP will focus on primary healthcare infrastructure and personnel because improving the health of all people will reduce visits to hospitals.

The environment and the physical conditions we live in to a large extent influence the state of public health. It is therefore in these areas of sanitation, proper ventilation, personal hygiene, good nutrition, provision of safe water and immunization to which we will pay the greatest attention. An Akufo-Addo government will concentrate efforts on the provision of good water for the people as this will eliminate at least 75% of the communicable and infectious diseases such as cholera, typhoid, guinea worm, billharzias and most diarrhoeas that plague our people. It is a great relief that we seem to be on the verge of eradicating guinea worm infestation from our country, (I hope nobody collects the 200 cedis on offer for the report of any new case) but we cannot say the same about the regular outbreaks of cholera that have been occurring in our cities. We must all see this as a disgrace to our nation and work on personal hygiene to eradicate such diseases from our society.

Our health education efforts will be increased to promote the total wellness of the body. Our diets are changing for the worse as our life styles become more sedentary and this is leading to new diseases and conditions that were unknown to us in the past.

As a people, we no longer exercise enough; we might know more about sports and support a wider variety of football teams than in the past, but sports participation and physical activity among the population have decreased. Our abysmal performance in recent Olympics games is a sad demonstration of this fact.

We shall seek to remedy this situation with a start in promoting school sports. The old saying of a sound mind in a sound body is as true today as it ever was.

Of course, this is the time and place for me to congratulate the great performance of the Black Maidens in the FIFA Under 17 competition, where they emerged as bronze medallists. They have brought joy to our hearts and they have set a good example to us all.

Better sanitation, personal hygiene, good nutrition, an active lifestyle and exercise will all help to keep us healthy, but being human, we shall fall ill and there will be accidents and we will need doctors and hospitals and nurses, and laboratory technicians and pharmacists and all the allied health workers that make health facilities work.

Trying to fashion the financing for a sustainable and effective healthcare system has proved challenging to virtually all countries and societies throughout the ages, but I think it is fair to say that there is universal agreement that a nation must have a healthcare system that ensures that the most vulnerable are assured of protection. The National Health Insurance Scheme introduced by the NPP in 2003 sought to do just that.

THE NHIS

The NHIS is one of the greatest legacies of the NPP and a precious asset for the nation. It has been acclaimed as the most pro-poor healthcare system on the entire African continent.

An insurance scheme only works when clients and the service providers are confident in the stability of the system. The NDC government has created so much instability in the system, no one has confidence in it. As is their usual practice, they think they can use propaganda to cover their failure in the health sector as well. Unfortunately for the NDC, the human body cannot be lied to.

The government would have us believe that there is a significant increase in usage of the NHIS, which they offer as proof of their commitment to widening access to healthcare. But, their own annual reports show up this claim to be false. There is a decline in membership in the NHIS and a corresponding increase in visits to the hospital by NHIS cardholders. The NHIA’s own annual reports indicate that active membership dropped from 9,914,256 at the end of December, 2008, to 8,204,116 by the end of 2011 and according to the NDC Manifesto, there have been 25 million visits to hospitals by NHIS cardholders in the past year. This means that we have a decline in membership and a corresponding rapid increase in visits to hospital by NHIS cardholders. There is something quite unnatural about this and the only explanation there can be is that we are getting sicker than before. Compare this to the constant growth in membership of the scheme under the NPP, with NHIS membership increasing from 6.6 million in 2007 to 9.9 million in 2008, for example.

The most worrying indicator of loss of confidence is the decline in renewal rates of membership in the scheme. I suspect that many people were holding out on their renewal as they waited for the NDC promise of a one-time premium payment to materialise. If the consequences of this farcical NDC promise were not so tragic, it would be a source of great joy. Four years down the road they have not been able to implement their one-time premium policy. We can only assume that it was made to deceive Ghanaians just to get their votes.

As if it wasn’t bad enough that they dangled the one-time premium payment promise, they introduced a form of payment that has brought a lot of confusion and instability to the scheme.


NHIS CAPITATION

The chaos that followed the decision by this NDC government to introduce the capitation method of payment in the Ashanti Region has been well documented and is fresh in all our minds. This most populous region was a poor choice for a pilot program, and it shows in the results. Subscriber confidence has been reduced. There is reduction in active membership in all schemes and in some schemes, as much as 80% in the first 3 months of implementation. Premiums collected from subscribers were reduced by as much as 35.5% for the period January –July 2012 as compared to the same period for 2011.

The private health providers, who form the bulk of the health service delivery in the region, withdrew from the scheme. Some re-joined in April when some of their concerns were addressed, making it clear that there had not been enough stakeholder consultation and education throughout the process. This brought unnecessary hardship and confusion to the subscribers and providers. It impacted the health of the people of the region. Most health institutions in the Ashanti Region have been forced to introduce what is called a Co-Payment -- or to call it by its real name, Cash & Carry -- through the back door.

Capitation, as the pilot project in the Ashanti Region has shown clearly to all Ghanaians, has failed. But we discover the NDC is not quite finished- they are promising more chaos and more suffering for subscribers to the scheme instead of quietly withdrawing capitation. The NDC Manifesto calls for the expansion of capitation! Yes, you heard right. At page 23 of their 2012 Manifesto, they are threatening to bring it back in a big way. It reads “In the next four years, the NDC government will… roll out capitation nationwide.” Yes, that is what the NDC is promising. Fellow citizens, the NDC intends to spread the ills of capitation to every corner of the country if re-elected into office. Call it a timely warning because we cannot claim we have not been warned. The ruling party is sending out a clear message to the Ghanaian voter: ‘The NDC Can Be Dangerous to Your Health’. Vote for NDC and pray you don’t fall sick for another 4 years. Ladies and gentlemen, this is too high a risk to take, if you ask me. The NHIS is not safe in NDC hands.

The NDC either does not believe in national health insurance, or they are incapable of operating the scheme successfully. Both of them are unacceptable. Today, the scheme is to all intents and purposes bankrupt. In 2008, under the NPP, the NHIS was a net lender to Ghanaian banks. Now it is a net borrower; and as at December 31, 2011, the scheme owed the banks GHC105 million.

They have had four years to operate the one-time premium policy, and have been unable to implement it. The Capitation system of payment has been shown to be a disaster and will collapse the scheme. Ladies and Gentlemen, when the NPP is voted into office on December 7, God willing, we will inject new life into the scheme and rebuild the confidence of the service providers and the clients. We believe in it and we will make it work. We must save our health system to keep our people healthy.

HEALTH WORKERS

But, in order for the NHIS to deliver, we must have well trained nurses, midwives, health technicians, pharmacists, doctors and other allied health workers in sufficient numbers serving with job satisfaction. We shall increase the capacity of the institutions that train health workers; we have done it before. Under President J A Kufour, all the existing health training institutions were expanded and new ones established across the country. Some private health training institutions were also established. Intake for Diploma Nurses, for example, was increased from 968 in 2000 to 7,068 in 2008. Community Health Nursing intake increased from 500 to 2,214 in 2008. To improve skills in the nursing profession, the health care assistant training program was established and a number of Health Assistant Training Institutions were also put up across the country. Intake into such institutions increased from 477 in 2006 to 2,541 in 2008. This did not happen by accident. We will expand health facilities and train more of our health workers to attend to the sick. There are lots and lots of young people who want to become nurses, we need lots and lots of nurses, we will make it possible for them to train as nurses. Our priority will be to train our doctors locally. We will expand existing medical schools and establish a National Institute for Biomedical Sciences, where medical students will have their basic sciences and this will make it possible to increase the intake of the medical schools.

At a time when Ghanaian students on government scholarships across the world are crying for their fees and allowances to be paid, and at a time when students at our nursing training colleges are crying against the sudden 100% hikes in fees, the NDC government, under an opaque scheme, operated by then Vice President Mahama, found GH¢160 million to send people to Cuba to be trained as doctors. The Cubans still insist it was a scholarship scheme. If so, then it is most expensive. The cost of this translates into GH¢106,000 per year for each of the 250 Ghanaians sent to Cuba. On the other hand, the cost of training a Ghanaian doctor in Ghana is a fraction of that, at just GH¢30,000 annually, according to the Ghana Medical Association. Can you imagine what the UDS Medical School, for example, would have done with just a third of this GH¢160 million investment over the next five years? We shall invest in our own medical schools to train more doctors locally.

COMMUNITY HEALTH NURSE

In line with our primary healthcare policy, the NPP will ensure that every village or deprived community has access to a Community Nurse to provide the primary healthcare that often makes the difference between life and death. These Community Nurses, with a small and basic surgery, will be responsible for basic public health education and primary healthcare.

MOBILE THEATRES

There are simply not enough specialists and facilities to serve patients, especially in rural and remote communities. To solve this problem, we need to think outside the box. The next NPP government will, therefore, revolutionise the concept of taking healthcare closer to patients’ homes with the use of mobile theatres and mobile clinics. The use of mobile units will mean we can, through a shift system, send the best of our medical personnel and the state-of-the-art facilities to patients in a way that mitigates the need for capital spending, whilst allowing the best of medical care, including surgical operations, to be deployed across the nation in a way that is responsive to local needs. With mobile theatres, the next NPP government will seek to deliver thousands of cataract operations and other such treatments nationwide.

REFERRAL HOSPITALS

It is time that we took the bold step of establishing a number of world-class referral hospitals and medical centres of excellence in our country. Prof Frimpong Boateng, with the successful Cardio-Thoracic Centre in Korle Bu, has taught us that these can become income-generation ventures, as well. The next NPP government will introduce policies to promote Ghana as a centre of medical tourism in Africa. We will assist those already doing so in the private sector to do more. This would not only help to provide a satisfactory working atmosphere for our specialist doctors, it would attract many doctors to come and work in Ghana, and would help turn our country into an attractive health tourism destination.

PHARMACEUTICAL INDUSTRY

Ghana has a successful local pharmaceutical industry, which deserves special attention from government. My government would help them to serve our people well and become more competitive in the international market. We will borrow from the experiences of India and elsewhere to become the masters of this lucrative industry. Under the NDC, what we have seen in recent years are measures that are counterproductive to the growth of the local industry, with Facility Audit Fees, for example, going up from $7,000 in 2008 to $15,000. At the same time, the Food & Drugs Board has seen its share of the national budget decreasing in real terms. We will change this as part of our policy to focus more on preventive and primary health care.

HEALTH OMBUDSMAN

In our efforts to enhance the quality of care, the NPP will create an ombudsman with the power to investigate and support complaints from patients in both public and private hospitals.

PERSONS WITH DISABILITY

As part of our efforts to build a society of opportunities for all, we shall actively promote the provision of facilities for persons with disabilities and invest more public funds to ensure their proper integration to enable them achieve their potential in life. I will ensure that the provisions in the Persons With Disability Act, 2006, Act 715 are implemented. I must here declare a personal interest; this is one of the laws that I feel a personal attachment to, having started work on it as Attorney General. Ghana cannot afford to ignore the contributions of the many talented people in the society simply because they are disabled. The likes of Prof Bashirudeen Koray of the Ministry of Justice, a blind lawyer, whose appointment I had the honour of approving as Attorney General, bear testimony to what persons with disability can do in a society where all have an equal opportunity of exploiting existing opportunities and contributing to the creation of new, exciting ones.

MENTAL HEALTH

One of the greatest challenges we have in the health sector is in the area of mental health. There is an alarming shortage of psychiatrists and mental health practitioners in general. There are said to be only five specialist psychiatrists in the public health system and this means that every mental health problem rapidly deteriorates into a full scale crisis. We shall offer incentives to make it attractive for young doctors to specialize in psychiatry and we shall tackle the long standing problem of the disgraceful state of the Psychiatric Hospital in the middle of Accra.

CARING FOR THE ELDERLY

Ladies and gentlemen, we all continue to tell ourselves that we have a society in which the elderly are respected and taken care of. The truth, the reality, ladies and gentlemen, is very far from this. In villages and cities around the country, we are leaving our elders in pitiful conditions. There are many elderly people who have been left by themselves, who have no one to care for them.

We will introduce policies that will compel District Assemblies to take a more responsible role in catering for the needs of the elderly in our communities. Beyond that, my government will offer incentives to the private sector to provide the elderly with proper care homes. I know this will require a major cultural jump but I believe it is time we brought this silent and hidden problem out into the open and find solutions. Those who have served their families and Ghana deserve some dignity at the end of their lives.

Some of the other measures the next NPP government will introduce to improve healthcare delivery in Ghana will include:-

• Making dental care accessible to the poor and vulnerable

• Cutting down on red tape at both the NHIA and our hospitals to invest the millions saved in frontline health service delivery

• Refocusing capital investment on primary and community services

• Increasing health spending in real terms every year

• Making sure the Public Procurement Act works in the supply of pharmaceuticals and other health facilities

• Introducing eHealth policy to make access to healthcare and health tips easily accessible to consumers via the internet and mobile phones

We need to move away from management by crisis. The health sector needs a management culture that is proactive and not reactive. The Ghana Health Service will be helped to acquire a more efficient Medical Information Management Systems designed to better track performance across the delivery chain, and provide the data needed to make excellent health care decisions and save lives and keep Ghanaians healthy.

We will sit down with the private providers of health services to work out how to attract greater investments and offer lucrative incentives with the objective of creating a competitive, consumer-driven healthcare service delivery system.

Ladies and Gentlemen, we have it in our power to transform our country and its economy. We will do it with the support of people like you. Every day nurses and health workers around this country perform little miracles. They bring care and comfort to the sick and the distressed, they do it under trying conditions. Under an NPP government, you will have support from the top and together we will build a healthy and prosperous Ghana. We shall not go back to a failed government that is failing you, failing your health, failing your jobs, failing your education, failing your future. Let us move forward with the NPP.

God bless you

God bless Ghana.

From: NPP Communications Directorate

NPP to ensure nationwide access to quality healthcare

news

NPP to ensure nationwide access to quality healthcare

19 October 2012

{sidebar id=10 align=right}The former Chief Executive Officer of the Komfo Anokye Teaching Hospital (KATH), Dr. Anthony Nsiah Asare has called on Ghanaians to rally behind the New Patriotic Party's presidential candidate come December 7 polls to wrestle power from the ruling NDC to enjoy affordable quality health care.

According to him, the current state of accessing heatlh care in the country is too poor and expensive.

Speaking at a public forum organized by the Tertiary Education Students' Confederation of the New Patriotic Party NPP, University of Education Winneba (Kumasi-Campus), the former Chief Executive Officer expressed dissatisfaction with the NDC government's management of the country's healthcare, adding that the NPP, when voted into power, would ensure nationwide access to quality health delivery.

He noted that, the NPP will implementation of free maternal healthcare and free healthcare for less than 18 years old under the National Health Insurance Scheme (NHIS) if the party is voted into power in the December elections.

Dr. Nsiah Asare also touched on the need to solve the inadequacy of first class facilities and health personnel to tackle the current disease burden and problems of public health and sanitation.

According to him, the NPP administration will improve mental healthcare with collaboration between government and the private sector to ensure quality of services.

On food and nutrition, he said, an NPP government, when voted into power, will provide meals, two times a day for pupils from Kindergarten to Junior High School. He also touched on other planned programs for the the aged and explained how his party will transform the National Ambulance service into an Emergency services.

CEO of Korle-bu Teaching Hospital, Professor Kwabena Frimpong Boateng accused the NDC of corruption and called on Ghanaians to vote for the NPP to implement the free purposeful education and skill training. He added that, incubator companies will be formed in universities for practical training under a Nana Akuffo Addo administration.

Meanwhile, spokesperson for Senior Doctors at the Komfo Anokye Teaching Hospital, Dr. Frank Ankobeah appealed to the leadership of the NPP to make family planning one of its policy priorities.

From:Mahmud Mohammed-Nurudeen/Joy News Television

African women can blog

Lifestyle

Minna Salami. Photograph: Aiste Lei02 Oct 2012

African women can blog

Why do people assume that I must be writing about poverty, development, charity and village life?

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