Ghana Health Services RCC REVIEW 2015

Outline Review of some selected Indicators – EPI – Maternal Health Indicators – Child Health Services – Clinical Care Millennium Accelerated Framework (MAF) Activities

GAR Population for 2015 DistrictTot PopExp Preg/< 1 yr WIFA (24.0%) Kpone Katamanso District 127,978 5,119 30,715 Tema Metro 341,045 13,642 81,851 Ada East District 83,488 3,340 20,037 Ada West District 68,872 2,755 16,529 Adenta Municipal 91,111 3,644 21,867 Ashaiman Municipal 222,459 8,898 53,390 Ga Central Municipal 50,036 2,001 12,009 Ga East District 172,102 6,884 41,304 Ga South Municipal 565,715 22, ,772 Ga West District 256,026 10,241 61,446 La Dade-Kotopon 213,788 8,552 51,309 La-Nkwantanang Madina 130,380 5,215 31,291 Ledzekuku Krowo 265,513 10,621 63,723 Ningo Prampram District 82,379 3,295 19,771 Shai Osudoku District 60,710 2,428 14,570 Accra Metro 1,939,623 77, ,510 REGION 4,671,226186,849 1,121,094

Sub Metros Population for 2015 Sub MetrosTot PopExp Preg/< 1 yr WIFA (24.0%) Osu Clottey147,362 5,894 35,367 Okai Koi355,416 14,217 85,300 Ashiedu Keteke135,290 5,412 32,470 Ayawaso511,460 20, ,750 Ablekuma790,095 31, ,623 Accra Metro1,939,623 77, ,510

Mission To provide and prudently manage comprehensive and accessible health service with special emphasis on primary health care in accordance with approved national policies

Shared Vision Healthy individuals, households and communities served by highly motivated well resourced; adequately trained; delivering high quality, equitable, efficient, geographically and financially accessible service to all residents of Greater Accra Region that is responsive to their needs, exceeds their expectations and delights them.

BCG Coverage for Jan-Sept 2015

OPV 3 Coverage for Jan-Sept 2015

Penta 3 Coverage for Jan-Sept 2015

Measles 1 Coverage for Jan-Sept 2015

YF Coverage for Jan-Sept 2015

PCV 3 Coverage for Jan-Sept 2015

Measles 2 Coverage for Jan-Sept 2015

Rota 1 Coverage for Jan-Sept 2015

Rota 2 Coverage for Jan-Sept 2015

GAR Summary EPI Coverage for Jan-Sept 2015

ANC Coverage for Jan-Sept 2015

PNC Coverage for Jan-Sept 2015

Sup Del Coverage for Jan-Sept 2015

TT2+ Coverage for Jan-Sept 2015

IPT 2 & 3 Coverage for Jan-Sept 2015

Still Births for Jan-Sept 2015 DistrictsFreshMacTotal Ga Central033 La-Nkwant.-Madina Ledzokuku-Krowor Ada East Ga West Tema La-Dade-Kotopon Accra Metro Ashaiman4812 Adentan336 Ada West101 Kpone-Katamanso011 Ningo Prampram134 Ga South347 Shai-Osudoku Ga East4913 REGION ,420

Still Births for Jan-Sept 2015 DistrictsLive BirthsStill BirthsSB Rate Ga Central % La-Nkwant.-Madina4, % Ledzokuku-Krowor3, % Ada East1, % Ga West4, % Tema9, % La-Dade-Kotopon5, % Accra Metro35, % Ashaiman5, % Adentan % Ada West % Kpone-Katamanso1, % Ningo Prampram1, % Ga South4, % Shai-Osudoku2, % Ga East2, % REGION83,019 1, %

Still Births for (Jan-Sept) Fresh SB Macerated SB Total1857 (2.04%)1987 (1.85%)1891 (1.85%)2156(2%)1420(1.68%)

Anaemia in Preg at 36wks for Jan-Sept 2015

FP Coverage for Jan-Sept 2015

Trend in Maternal Deaths and MMR for GAR

Facilities Reporting Maternal Deaths for Jan-Sept 2015 FacilityMat DeathsFacilityMat Deaths Ridge Regional Hospital36Bengali Clinic1 Tema General Hospital30Queens Medical Centre1 LEKMA Hospital4New Crystal Clinic1 Achimota Hospital3Mother Of God Clinic1 La General Hospital3Tema Women Hospital1 Ga West Municipal Hospital3Nyaho Hospital1 Dangme East District Hospital2Oduman Health Centre1 Madina Polyclinic (Kekele)1Tema New Crystal Clinic1 Manhean Health Centre1Ankam (accra) Medicare Centre1 Total GHS 83 Paradise Fan Milk Clinic1 Korle-bu Teaching Hospital41Community Hospital1 37 Military Hospital10Pentecost Hospital2 Accra Police Hospital9 Total Private 13 Total Quasi60 Grand Total156

Cholera for 2015

OPD cases by Insurance Status for Jan-Sept 2015 DistrictsInsuredNon Onsured Accra Metro412,705407,028 Ada East40,30411,842 Ada West12,03010,317 Adentan23,85131,691 Ashaiman236,36750,681 Ga Central13,71619,699 Ga East52,54637,403 Ga South59,01999,889 Ga West80,06966,874 Kpone-Katamanso106,20638,106 La-Dade-Kotopon65,484102,913 La-Nkwantanang-Madina107,18085,546 Ledzokuku-Krowor88,97064,698 Ningo Prampram37,59423,200 Shai-Osudoku43,69814,385 Tema126,741114,857 Total1,506,4801,179,129

OPD cases by Insurance Status for Jan-Sept 2015

NHIS Indebtedness as at June 2015 As of the end of June the NHIA was indebted to facilities in the Greater Accra Region to the Tune of 19 Million Ghana Cedis

Bed state Indicators forJan-June 2015 HospitalAvg. daily Occupancy % Occupancy ALOSTurnover /bed Ridge % Tema Gen % La Gen % PML % Achimota % Ada East % Shai Osudoku % LEKMA % Ga West % Maamobi Gen % Ga South % Pantang % Region %

Top 20 Causes of Admission Jan-June 2015 DiseasesTotalProp. Gastroenteritis 1, Uncomplicated Malaria 1, Severe Malaria Septicaemia Abortion Anaemia Neonatal Sepsis Hypertension Infection of Urinary Tract (UTI) Neonatal jaundice Bronchopneumonia Diabetes Mellitus Accident Cerebrovascular (CVA) Preterm infants Febrile Convulsion Other disorders related to pregnancy Uterine Fibroid Threatened Abortion Hernia Inguinal Birth Asphyxia Total of Top 20 10, All Others 8, Total 18,

Top Ten Causes of Death Jan-June 2015 CauseTotalProp. Cerebrovascular Accident (CVA) Septicemia675.8 Anaemia494.3 Aspiration Pneumonia453.9 Congestive Cardiac Failure (CCF)403.5 Cardiovascular Accident353.0 Pneumonia292.5 Hypertension272.3 Birth Asphyxia232.0 HIV Infection221.9 Total Top Ten All Other Causes Total

MAF ACTIVITIES GAR Family Planning  Family Planning/MNH community awareness creation in 21 districts  Train all newly qualified CHNs on FP service provision and Contraceptive Update  Refresher training of Chemical Sellers and Pharmacy Shops on Contraceptive Updates in all districts.

MAF ACTIVITIES GAR SKILLED DELIVERY  To conduct training on Partograph use for midwives.  To conduct training on LSS for Midwives and Doctors  To organize blood donation campaigns in all the districts in GAR  Onsight Training of new Doctors, Physician Assistants and Midwives on management of Hypertensive Diseases in Pregnancy.  Half Yearly Meeting of OBGY's and Pediatricians (Public/Private&Teaching Hospitals) to deliberate on MNCH issues.

MAF ACTIVITIES CROSS CUTTING ISSUES  To organize stakeholder meetings to improve on the Referral System in Health Facilities.  Strengthen the capacity of the newly Established Call Center and sustain the call center.  Quarterly Meetings with Ambulance Drivers  Conduct Operational Research that will inform Practice  Strengthen Adolescent Health Services in the Region.  Conduct Peer Review for all Health Facilities

Thank you