Ghana : Readiness for Quality of Care Implementation
Demographics
| Population | 27,410,000 (*1) | |
| Fertility rate per woman | 4.2 (*2) | |
| Total institutional maternal deaths (2016) | 933 (*3) | |
| Neonatal mortality rate (per 1,000 live births) | 29 (*2) | |
| Stillbirth rate (per 1,000 total births) | 22.7 (*4) |
Ghana
Summary of Implementation Readiness
| 1. National QI approach | 2/11 |
| 2. Selection of learning sites | 2/6 |
| 3. QI management and response system | 1/6 |
| 4. QI coaching system and srtuctures | 0/5 |
| 5. Measurement | 7/8 |
| 6. Orientation to districts and facilities | 0/3 |
| 7. Learning hub | 0/5 |
Response: Yes
< 50%
50% – 80%
> 80
Coverage of essential interventions %
| Demand for family planning satisfied | 47.2 (*2) |
| Antenatal care (4 or more visits) | 87 (*2) |
| Skilled attendance at delivery | 74 (*2) |
| C-section rate | 13 (*2) |
| Early initiation of breastfeeding | 56 (*2) |
| Exclusive breastfeeding | 52 (*2) |
| Postnatal visit for baby (within 2 days) | 83 (*1) |
| Postnatal care for mother (within 2 days) | 81 (*2) |
Readiness to improve quality of care
| Leadership | |
| Functional Leadership Structure for Quality Improvement | |
| Quality of Care Committees established in District Health Management Teams | |
| Plans, strategies & standards | |
| National Quality of Care Strategy for the Health Sector | |
| National Strategy for Maternal and Newborn Health addresses Quality of Care | |
| National Quality of Care Standards and Protocols | |
| Data | |
| National Situational Analysis for Quality of Care up to date | |
| Assessment of Quality of Care in Health Facilities completed in the past two years | |
| Supporting systems | |
| Maternal and Perinatal Death Surveillance and Response System established | |
| All Maternal and Newborn Lifesaving Commodities on the Essential Medicine List Implementation of maternal and newborn standards | |
| Water Coverage in Health Care Facilities (%) | 68% |
| Skilled attendance at delivery (%) | 74% |
| National Availability of EmOC (% of recommended minimum) | 34% |
Achieved
Inprocess
Not Started
No Data
Examples of Implementation
References
1. Countdown to 2015, 2015 report. See http://countdown2030.org
2. Ghana DHS 2014
3. DHIMS (Family Healh Division, Annual report)
4. UNICEF, Maternal and Newborn Health Disparities in Ghana, 2016. https://data.unicef.org/resources/maternal-newborn-health-disparities-country-profiles/
5. All other data received fro the relevant Ministry of Health and WHO Country Offices.