1. 7/4/20151 SAVANNAH ACCELERATED DEVELOPMENT AUTHORITY (SADA) SADA HEALTH FORUM KEY CONCLUSIONS AND RECOMMENDATIONS BY DR. SAM BUGRI, CHAIR OF SADA HEALTH FORUM & AG. DEAN, SMHS, UDS

2. 7/4/20152 OUTLINE OF PRESENTATION 1. COVERAGE OF THE SADA AREA 2. OBJECTIVES OF SADA HEALTH FORUM 3. KEY HEALTH CHALLENGES IDENTIFIED AT FORUM 4. KEY RECOMMENDATIONS 5. SPECIFIC DEMANDS TO HEALTH SUMMIT SAVANNAH ACCELERATED DEVELOPMENT AUTHORITY (SADA)

3. 7/4/20153 The SADA Area (63 Districts in 5 REGIONS)

4. 7/4/20154 COVERAGE OF SADA AREA  SADA area covers 54.4% of land space of Ghana;  About 30% of population of Ghana;  Poorest part of the country according to GLSS6;  Huge potential for agric, tourism, mining, solar and hydro energy generation etc,  Parliament passed ACT 805, 2010 to address equity gaps and to accelerate development in this zone;  New CEO and Board since June 2014. SAVANNAH ACCELERATED DEVELOPMENT AUTHORITY (SADA)

5. 7/4/20155 OBJECTIVES OF SADA ZONE HEALTH FORUM Goal To improve health outcomes within the SADA zone of Ghana. Objective To improve health sector planning, M& E and coordination within the SADA zone of Ghana. Theme Bridging the equity gap in health delivery in the SADA zone. SAVANNAH ACCELERATED DEVELOPMENT AUTHORITY (SADA)

6. 7/4/20156 ORGANISATION & PARTICIPATIONS  JOINTLY ORGANISED BY SADA AND GHS  DREW 120 PARTICIPANTS INCLUDING: -MoH, Health Research Institutions, DPs, NGOs, MPs, Private sector reps, chiefs, Ministers  Financed by SADA, WHO, USAID, UNICEF, UNFPA and WFP SAVANNAH ACCELERATED DEVELOPMENT AUTHORITY (SADA)

7. 7/4/20157 HEALTH CHALLENGES IDENTIFIED 1. Absence of comprehensive health plan for SADA zone encompassing all health actors and the determinants of health; 2. Multiple health M&E frameworks and indicators making it difficult to track impact; 3. Weak coordination of health actors and interventions in the zone; 4. Quality issues with some CHPS in the zone; 5. Inadequate and inconsistent funding of health and health determinants relative to need SAVANNAH ACCELERATED DEVELOPMENT AUTHORITY (SADA)

8. 7/4/20158 HEALTH CHALLENGES IDENTIFIED 6. Huge human resource gaps-doctors, specialists, midwives etc: Attraction & retention of health professionals big challenges. 7. Serious issues with NHIS-registration, accredited pharmacies and overall implementation in the zone; 8. Challenges with health research and dissemination. 9. Poor application of ICT innovation in health delivery, monitoring and information sharing. 10. Disconnect between plans and budgets SAVANNAH ACCELERATED DEVELOPMENT AUTHORITY (SADA)

9. 7/4/20159 KEY RECOMMENDATIONS 1. Include comprehensive health plan in SADA master plan and 5-year implementation framework- TA assistance and strong sector participation required; 2. Put in place a framework for joined-up annual consolidated health work plans, M&E and budget for the SADA zone possibly starting 2016; 3. Map-out health actors in SADA zone for better coordination; 4. Establish a one-stop information platform linking the DHIMS to the SADA digital health map. 5. Establish SADA zone health working group for networking, integration and sharing; SAVANNAH ACCELERATED DEVELOPMENT AUTHORITY (SADA)

10. 7/4/201510 KEY RECOMMENDATIONS 6. Conduct a comprehensive assessment of state of CHPS implementation in SADA zone; 7. Investigate enhanced incentive model for attracting and retaining key health professionals in the SADA zone; 8. Roll-out health innovations in SADA zone-tele-medicine, adoption of India technology for manufacturing low- cost and hygienic sanitary pads for girls in the SADA zone, computerisation of health records; 9. Develop a strategy to promote private sector investments and PPP in the health sector in the zone; 10. Facilitate linkages between private sector models such as Sanford with the public sector for synergies and innovation; 11. Address the funding needs of the zone in the context of the determinants of health. SAVANNAH ACCELERATED DEVELOPMENT AUTHORITY (SADA)

11. 7/4/201511 KEY RECOMMENDATIONS 11. Improve NHIS registration and number of accredited pharmacies in SADA Zone; 12. Include SADA zone annual health forum in MoH planning cycle; 13. Develop priority health research agenda for SADA zone. SAVANNAH ACCELERATED DEVELOPMENT AUTHORITY (SADA)

12. 7/4/201512 SPECIFIC DEMANDS TO THE HEALTH FORUM 1. Technical and financial support from the health summit to support SADA in developing the health component of its 5 year master plan; 2. Technical and financial support to conduct an assessment of the state of CHPS implementation in the SADA zone; 3. Technical and financial support SADA to map-out health actors in the SADA zone to improve coordination; 4. Technical and financial support to enable the integration of DHIMS and other health information into the SADA digital platform. SAVANNAH ACCELERATED DEVELOPMENT AUTHORITY (SADA)

13. 7/4/201513 SAVANNAH ACCELERATED DEVELOPMENT AUTHORITY (SADA) THANK YOU!!