1. Ghana Health Services RCC REVIEW 2015

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

3. 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 22,629 135,772 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 77,585 465,510 REGION 4,671,226186,849 1,121,094

4. 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 20,458 122,750 Ablekuma790,095 31,604 189,623 Accra Metro1,939,623 77,585 465,510

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

6. 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.

7. BCG Coverage for Jan-Sept 2015

8. OPV 3 Coverage for Jan-Sept 2015

9. Penta 3 Coverage for Jan-Sept 2015

10. Measles 1 Coverage for Jan-Sept 2015

11. YF Coverage for Jan-Sept 2015

12. PCV 3 Coverage for Jan-Sept 2015

13. Measles 2 Coverage for Jan-Sept 2015

14. Rota 1 Coverage for Jan-Sept 2015

15. Rota 2 Coverage for Jan-Sept 2015

16. GAR Summary EPI Coverage for Jan-Sept 2015

17. ANC Coverage for Jan-Sept 2015

18. PNC Coverage for Jan-Sept 2015

19. Sup Del Coverage for Jan-Sept 2015

20. TT2+ Coverage for Jan-Sept 2015

21. IPT 2 & 3 Coverage for Jan-Sept 2015

22. Still Births for Jan-Sept 2015 DistrictsFreshMacTotal Ga Central033 La-Nkwant.-Madina133851 Ledzokuku-Krowor193554 Ada East122638 Ga West141832 Tema111141252 La-Dade-Kotopon2583108 Accra Metro341469810 Ashaiman4812 Adentan336 Ada West101 Kpone-Katamanso011 Ningo Prampram134 Ga South347 Shai-Osudoku121628 Ga East4913 REGION5638571,420

23. Still Births for Jan-Sept 2015 DistrictsLive BirthsStill BirthsSB Rate Ga Central7733 0.39% La-Nkwant.-Madina4,68751 1.08% Ledzokuku-Krowor3,60354 1.48% Ada East1,26538 2.92% Ga West4,81632 0.66% Tema9,609252 2.56% La-Dade-Kotopon5,390108 1.96% Accra Metro35,213810 2.25% Ashaiman5,10512 0.23% Adentan6476 0.92% Ada West4701 0.21% Kpone-Katamanso1,0921 0.09% Ningo Prampram1,4554 0.27% Ga South4,6717 0.15% Shai-Osudoku2,11328 1.31% Ga East2,11013 0.61% REGION83,019 1,4201.68%

24. Still Births for 2011-2015 20112012201320142015(Jan-Sept) Fresh SB920967780915563 Macerated SB937102011111241857 Total1857 (2.04%)1987 (1.85%)1891 (1.85%)2156(2%)1420(1.68%)

25. Anaemia in Preg at 36wks for Jan-Sept 2015

26. FP Coverage for Jan-Sept 2015

27. Trend in Maternal Deaths and MMR for GAR

28. 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

29. Cholera for 2015

30. 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

31. OPD cases by Insurance Status for Jan-Sept 2015

32. 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

33. Bed state Indicators forJan-June 2015 HospitalAvg. daily Occupancy % Occupancy ALOSTurnover /bed Ridge209.35107.91%4.058.05 Tema Gen.180.0892.75%5.065.49 La Gen85.4852.75%4.043.94 PML68.7183.97%5.224.85 Achimota62.2875.95%2.618.77 Ada East57.7596.25%3.877.49 Shai Osudoku25.0569.78%2.239.46 LEKMA56.5450.07%3.654.14 Ga West53.5054.07%2.277.19 Maamobi Gen53.9275.94%4.644.93 Ga South3.8517.50%1.343.94 Pantang159.2645.69%60.180.23 Region1015.7852.25%4.4620.61

34. Top 20 Causes of Admission Jan-June 2015 DiseasesTotalProp. Gastroenteritis 1,6428.78 Uncomplicated Malaria 1,5688.38 Severe Malaria 9725.20 Septicaemia 6763.61 Abortion 6513.48 Anaemia 6043.23 Neonatal Sepsis 5392.88 Hypertension 5382.88 Infection of Urinary Tract (UTI) 4282.29 Neonatal jaundice 3912.09 Bronchopneumonia 3731.99 Diabetes Mellitus 2951.58 Accident Cerebrovascular (CVA) 2871.53 Preterm infants 2561.37 Febrile Convulsion 2431.30 Other disorders related to pregnancy 2271.21 Uterine Fibroid 2111.13 Threatened Abortion 1901.02 Hernia Inguinal 1850.99 Birth Asphyxia 1850.99 Total of Top 20 10,46155.91 All Others 8,24844.09 Total 18,709100.00

35. Top Ten Causes of Death Jan-June 2015 CauseTotalProp. Cerebrovascular Accident (CVA)1099.5 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 Ten44638.8 All Other Causes70461.2 Total1150100.0

36. 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.

37. 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.

38. 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

39. Thank you