THE HEALTH SECTOR

IN GHANA

FACTS AND FIGURES

2015
 FOREWORD
The Ghana Health Service has the mandate to collect data from all facilities offering services

in Ghana from the district level on behalf of the Ministry of Health of Ghana. This role of

Ghana Heath Service is performed through the Centre for Health Information Management

(CHIM) a unit in the Policy Planning Monitoring and Evaluation of the Ghana Health

Service. This involves collecting data from all the agencies of the Ministry that offers health

care service to the citizens of the country.

In order to fulfill this mandate, there is the need for CHIM to collect accurate, relevant and

timely information that will aid in decision making in the health sector. This will facilitate

improvement in coverage and quality of health services delivery and ultimately the health

status people living in Ghana.

This document, The Health Sector in Ghana: Facts and Figures, 2015 is handy reference on

the performance of the health sector as an information tool for health policy makers, health

service / programme managers, health partners and stakeholders, as well as researchers and

students.

The Ghana Health Service acknowledges the significant role of other agencies such as the

Ghana Statistical Services in the compilation of this document. Some of the data used in this

document were obtained from their reports.

It is the hope of that the document will be of immense value to all stakeholders particularly

Directors of the Service and the Ministry of Health.

DR. EBENEZER APPIAH-DENKYIRAH

DIRECTOR GENERAL
GHANA HEALTH SERVICE

i
TABLE OF CONTENTS
TABLE OF CONTENTS...........................................................................................................ii
List of Acronyms ..................................................................................................................... iii
INTRODUCTION .................................................................................................................... iv
2014 HEALTH SECTOR OBJECTIVES.................................................................................. v
1.0 Demography and Vital Statistics ......................................................................................... 1
1.1 Population Distribution by Region – 2014 ...................................................................... 1
1.2 Population Distribution by District, Ashanti Region – 2014 ........................................... 1
1.3 Population Distribution by District, Brong Ahafo Region – 2014 .................................. 2
1.4 Population Distribution by District, Central Region – 2014............................................ 3
1.5 Population Distribution by District, Eastern Region – 2014 ........................................... 4
1.6 Population Distribution by District, Greater Accra – 2014 ............................................. 5
1.7 Population Distribution by District, Northern Region – 2014 ......................................... 5
1.8 Population Distribution by District, Upper East Region – 2014 ..................................... 6
1.9 Population Distribution by District, Upper West Region – 2014 .................................... 7
1.10 Population Distribution by District, Volta Region – 2014 ............................................ 7
1.11 Population Distribution by District, Western Region – 2014 ........................................ 8
2.0 Vital Statistics ...................................................................................................................... 9
2.1 Health Status Indicators ................................................................................................... 9
2.2 Total Fertility Rate by Region ......................................................................................... 9
2.3 Percentage of Population with no Education ................................................................. 10
2.4 Infant and Under Five Mortality Rate ............................................................................ 11
2.5 Demographic and Socioeconomic Indicators ................................................................ 12
2.6 Health-Related Millennium Development Goals........................................................... 13
2.7 Health Expenditure Indicators ....................................................................................... 14
3.0 Health Infrastructure .......................................................................................................... 15
3.1 Health Facilities by Type and Ownership, 2013 ............................................................ 15
3.2 Number of Hospital Beds by Region and Ownership - 2014 ........................................ 16
3.3 Distribution of Health Professionals by Region – 2013 ................................................ 17
3.4 Doctor to Population Ratio ............................................................................................ 20
3.5 Nurse to Population Ratio .............................................................................................. 21
3.6 Hospital Bed Utilisation Statistics ................................................................................. 22
4.0 Health Service Outputs ...................................................................................................... 23
4.1 Number of Outpatient Attendance by Region ............................................................... 23
4.2 Outpatient Attendance per Capita .................................................................................. 24
4.3 Number of Inpatient Admissions by Region ................................................................. 25
4.4 Hospital Admission Rate ............................................................................................... 26
4.5 Case Fatality Rate for Malaria ....................................................................................... 27
4.5 Top Twenty Causes of Outpatient Morbidity 2002 -2013 ............................................. 28
5.0 PUBLIC HEALTH SERVICES ........................................................................................ 33
5.1 HIV Prevalence among pregnant women attending ANC clinics ................................. 33
5.2 HIV Prevalence among pregnant women by Age Groups ............................................. 33
5.3 Guinea Worm Cases ...................................................................................................... 33
5.4 Tuberculosis Case Notification per 100,000 Population ............................................... 34
5.5 Tuberculosis Cure Rate .................................................................................................. 34
5.6 Tuberculosis Success Rate ............................................................................................. 35
6.0 Expanded Programme On Immunization........................................................................... 36
7.0 Reproductive Health Services ............................................................................................ 40
APPENDIX 1 ........................................................................................................................... 43
APPENDIX 2 ........................................................................................................................... 45

ii
List of Acronyms

BMC Budget Management Centre

CFR Case Fatality Rate

CHAG Christian Health Association of Ghana

CHIM Centre for Health Information Management

CHPS Community Health Planning and Services

EPI Expanded Programme on Immunization

GDHS Ghana Demographic and Health Survey

GHS Ghana Health Service

GSS Ghana Statistical Services

HRD Human Resource Division

NACP National AIDS Control Programme

NHIS National Health Insurance Scheme

PHD Public Health Division

PMR Proportional Mortality Rate

PPME Policy Planning Monitoring and Evaluation

iii
INTRODUCTION

The Health Sector Medium Term Development Plan (HSMTDP), 2014–2017, provides an

outline of the health sector response to governments Medium Term Development Policy

Framework (2014-2017). It also provides the basis for planning within the health sector in

Ghana and defines the sectors contribution to the achievement of national medium term

development goals and objectives.

The HSMTDP builds on the general principles of providing affordable primary health care to

all people living in Ghana and it is underpinned by the desire to attain Universal Health

Coverage for basic health services in Ghana. It also aims to improve the health status of

Ghanaians in line with the country’s Lower Middle Income Status. In this regard, the plan

provides a framework for cost-effective general health systems development, bridging current

equity gaps in access to health care services and a reinforcement of the principle of

continuum of care. It builds on lessons and experiences of the Ghana Shared Growth and

Development Agenda (GSGDA), which had a focus on human development, productivity and

employment and attempts to hasten the achievements of the goals of the better Ghana

Agenda.

The need for reliable and timely health information for decision making at all levels of the

Service cannot be overemphasized. The DHIMS2 database manned by GHS provides the

framework for gathering and managing health service data in the country. The capture of

outpatient and inpatient data from the Korle-bu Teaching Hospital and Komfo Anokye

Teaching Hospital remains a challenge. The level of private level service data also need to be

improved.

Though data is readily available online, most managers are unable to access them due to their

busy schedules, hence the need for the facts and figures to be generated. It is expected that

the document will serve as an easy reference and support managers to make timely and

appropriate decisions to improve service delivery.

iv
2014 HEALTH SECTOR OBJECTIVES

The strategic objectives within the Sector Medium Term Development Plan 2014-2017 are

to:

HO 1. Bridge the equity gaps in geographical access to health services.

HO 2. Ensure sustainable financing for health care delivery and

financial protection for the poor.

HO 3. Improve efficiency in governance and management of the health system.

HO 4. Improve quality of health services delivery including mental health services.

HO5. Enhance national capacity for the attainment of the health related MDGs and

sustain the gains.

HO 6. Intensify prevention and control of non-communicable and other

communicable diseases.

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1.0 Demography and Vital Statistics

1.1 Population Distribution by Region – 2015

NATIONAL TARGET POPULATION BY REGION - 2015
Target Population
Regional less than 1 year and Target Population for
Region
Projection expected pregnancy WIFA (24%)
(4%)
1 Ashanti 5,461,534 218,461 1,310,768
2 Brong Ahafo 2,589,256 103,570 621,421
3 Central 2,564,978 102,599 615,595
4 Eastern 2,921,493 116,860 701,158
5 Greater Accra 4,671,362 186,854 1,121,127
6 Northern 2,860,449 114,418 686,508
7 Upper East 1,110,863 444,35 266,607
8 Upper West 771,394 30,856 185,135
9 2,396,608
Volta
95,864 57,5186
10 2,623,319
Western
104,933 629,597
27,971,256
National 1,118,850 6713101
Source: GSS 2010 Census (Projection)

1.2 Population Distribution by District, Ashanti Region – 2015

ASHANTI REGION TARGET POPULATION BY DISTRICT - 2015
Target Population
District less than 1 year and Target Population
District
Projection expected pregnancy for WIFA (24%)
(4%)
1 Adansi North 122,350 4,894 29,364
2 Adansi South 131,818 5,273 31,636
3 Afigya-Kwabre 155,539 6,222 37,329
4 Ahafo-Ano North 107,720 4,309 25,853
5 Ahafo-Ano South 138,994 5,560 33,359
6 Amansie Central 103,671 4,147 24,881
7 Amansie West 153,472 6,139 36,833
8 Asante Akim Central 81,697 3,268 19,607
9 Asante Akim North 79,044 3,162 18,971
10 Asante Akim South 133,951 5,358 32,148
11 Asokore-Mampong 348,248 13,930 83,580
12 Atwima-Kwanwoma 103,548 4,142 24,852
13 Atwima-Mponua 136,162 5,446 32,679
14 Atwima-Nwabiagya 170,259 6,810 40,862
15 Bekwai Municipal 134,841 5,394 32,362
16 Bosome-Freho 69,003 2,760 16,561

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17 Bosomtwi 107,291 4,292 25,750
18 Ejisu-Juaben 164,247 6,570 39,419
19 Ejura Sekyedumasi 97,621 3,905 23,429
20 Kumasi Metro 197,6791 79,072 474,430
21 Kwabre East 132,022 5,281 31,685
22 Mampong Municipal 100,597 4,024 24,143
23 Obuasi Municipal 192,671 7,707 46,241
24 Offinso Muncipal 87,852 3,514 21,084
25 Offinso North 64,986 2,599 15,597
26 Sekyere-Afram Plains 32,601 1,304 7,824
27 Sekyere Central 81,382 3,255 19,532
28 Sekyere East 71,031 2,841 17,047
29 Sekyere-Kumawu 74,721 2,989 17,933
30 Sekyere South 107,404 4,296 25,777
5,461,534
Total 218,461 1,310,768
Source: GSS 2010 Census (Projection)

1.3 Population Distribution by District, Brong Ahafo Region – 2015

BRONG AHAFO REGION TARGET POPULATION BY DISTRICT - 2015
Target Population
District less than 1 year and Target Population
District
Projection expected pregnancy for WIFA (24%)
(4%)
1 Asunafo North 139,699 5,588 33,528
2 Asunafo South 107,089 4,284 25,701
3 Asutifi North 59,381 2,375 14,251
4 Asutifi South 59,207 2,368 14,210
5 Atebubu-Amanten 118,694 4,748 28,487
6 Banda 22,724 909 5,454
7 Berekum 145,237 5,809 34,857
8 Dormaa East 56,997 2,280 13,679
9 Dormaa Municipal 125,611 5,024 30,147
10 Dormaa West 53,419 2,137 12,821
11 Jaman North 93,060 3,722 22,334
12 Jaman South 103,805 4,152 24,913
13 Kintampo North 106,977 4,279 25,674
14 Kintampo South 90,753 3,630 21,781
15 Nkoranza North 73,830 2,953 17,719
16 Nkoranza South 113,082 4,523 27,140
17 Pru 144,811 5,792 34,755
18 Sene East 67,797 2,712 16,271
19 Sene West 65,319 2,613 15,677
20 Sunyani Municipal 138,062 5,522 33,135
21 Sunyani West 95,540 3,822 22,930
22 Tain 98,713 3,949 23,691

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23 Tano North 89,603 3,584 21,505
24 Tano South 87,537 3,501 21,009
25 Techiman Municipal 165,584 6,623 39,740
26 Techiman North 66,181 2,647 15,883
27 Wenchi Municipal 100,545 4,022 24,131
Total 2,589,256 103,570 621,421
Source: GSS 2010 Census (Projection)

1.4 Population Distribution by District, Central Region – 2014

CENTRAL REGION TARGET POPULATION BY DISTRICT – 2014
Target Population
Target
District less than 1 year and
District Population for
Projection expected pregnancy
WIFA (24%)
(4%)
1 Abura Asebu Kwamankese 136,510 5,460 32,762
2 Agona East 100,089 4,004 24,021
3 Agona West 134,382 5,375 32,252
4 Ajumako-Enyan-Essiam 160,812 6,432 38,595
5 Asikuma-Odoben-Brakwa 131,293 5,252 31,510
6 Assin North 187,948 7,518 45,108
7 Assin South 121,435 4,857 29,144
8 Awutu-Senya 102,205 4,088 24,529
9 Awutu-Senya East 125,310 5,012 30,074
10 Cape Coast 197,912 7,916 47,499
11 Efutu 79,910 3,196 19,178
12 Ekumfi 60,845 2,434 14,603
13 Gomoa East 241,220 9,649 57,893
14 Gomoa West 157,483 6,299 37,796
15 Komenda-Edina-Eguafo-Abirem 168,569 6,743 40,457
16 Mfantsiman 168,134 6,725 40,352
17 Twifo-Hemang Lower Denkyira 64,223 2,569 15,414
18 Twifo-Atti-Mokwa 71,925 2,877 17,262
19 Upper Denkyira East 84,817 3,393 20,356
20 Upper Denkyira West 69,958 2,798 16,790
2,564,978
Total 102,599 615,595
Source: GSS 2010 Census (Projection)

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1.5 Population Distribution by District, Eastern Region – 2015
EASTERN REGION TARGET POPULATION BY DISTRICT – 2015
Target Population
District less than 1 year and Target Population
District
Projection expected pregnancy for WIFA (24%)
(4%)
1 Afram Plains South 128,326 5,133 30,798
2 Akwapim North 151,428 6,057 36,343
3 Akwapim South 41,607 1,664 9,986
4 Akyemansa 108,037 4,321 25,929
5 Asuogyaman 108,782 4,351 26,108
6 Atiwa 122,736 4,909 29,457
7 Ayensuano 84,574 3,383 20,298
8 Birim Central 160,733 6,429 38,576
9 Birim North 87,548 3,502 21,012
10 Birim South 132,882 5,315 31,892
11 Denkyembour 87,082 3,483 20,900
12 East Akim 186,281 7,451 44,707
13 Fanteakwa 120,508 4,820 28,922
14 Kwaebibirem 126,567 5,063 30,376
15 Kwahu East 85,570 3,423 20,537
16 Kwahu North 113,806 4,552 27,313
17 Kwahu South 77,396 3,096 18,575
18 Kwahu West 103,832 4,153 24,920
19 Lower Manya Krobo 99,019 3,961 23,765
20 New Juaben 203,846 8,154 48,923
21 Nsawam-Adoagyiri 95,417 3,817 22,900
22 Suhum 101,324 4,053 24,318
23 Upper Manya Krobo 79,986 3,199 19,197
24 Upper West Akim 96,583 3,863 23,180
25 West Akim 120,157 4,806 28,838
26 Yilo Krobo 97,466 3,899 23,392
2,921,493
Total 116,860 701,158
Source: GSS 2010 Census (Projection)

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1.6 Population Distribution by District, Greater Accra – 2015
GREATER ACCRA TARGET POPULATION BY DISTRICT - 2015
Target Population
District less than 1 year and Target Population
District
Projection expected pregnancy for WIFA (24%)
(4%)
1 Accra Metro 1,939,680 77,587 465,523
2 Ada East 834,90 3,340 20,038
3 Ada West 68,874 2,755 16,530
4 Adentan Municipal 91,114 3,645 21,867
5 Ashaiman Municipal 222,466 8,899 53,392
6 Ga Central Municipal 50,038 2,002 12,009
7 Ga East 172,107 6,884 41,306
8 Ga South 565,732 22,629 135,776
9 Ga West 25,6034 10,241 61,448
10 12,7982
Kpone-Katamanso 5,119 30,716
11 La-Dade-Kotopon 21,3794 - -
12 La-Nkwantanang-
Madina Municipal 13,0384 8,552 51,311
13 Ledzokuku-Krowo 26,5521 5,215 31,292
14 Ningo Prampram 8,2381 10,621 63,725
15 Shai-Osudoku 60,712 3,295 19,771
16 Tema Metropolis 341,055 2,428 14,571
4,671,362
Total 13,642 81,853
Source: GSS 2010 Census (Projection)

1.7 Population Distribution by District, Northern Region – 2015

NORTHERN REGION TARGET POPULATION BY DISTRICT - 2015
Target Population
District less than 1 year and Target Population
District
Projection expected pregnancy for WIFA (24%)
(4%)
1 Bole 71,057 2,425 32,514
2 Bunkpurugu-Yunyoo 141,428 4,961 57,166
3 Central Gonja 101,380 3,823 44,056
4 Chereponi 61,598 2,661 25,146
5 East Gonja 15,6263 5,274 71,683
6 East Mamprusi 139,603 5,352 58,463
7 Gushiegu 128,355 5,384 55,699
8 Karaga 89,646 3,727 37,866
9 Kpandai 12,5536 4,853 53,525
10 Kumbungu 44,869 1,797

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 19,642
11 Mamprugu-Moaduri 54,100 1,991 23,267
12 Mion 93,829 3,886 40,217
13 Nanumba North 163,339 6,669 69,311
14 Nanumba South 107,825 4,408 46,737
15 North Gonja 50,238 2,029 21,904
16 Saboba 75,802 3,076 31,861
17 Sagnarigu 170,856 4,803 87,853
18 Savelugu-Nanton 160,685 6,258 70,620
19 Sawla-Tuna-Kalba 115,208 3,981 44,711
20 Tamale Metro 257,556 7,808 132,775
21 Tatale-Sanguli 68,497 2,506 29,881
22 Tolon 84,722 3,222 36,468
23 West Gonja 47,508 1,545 22,193
24
West Mamprusi 139,728 5,352 58,463
25 Yendi 136,432 5,056 61,986
26 Zabzugu 74,388 2,942 32,934
2,860,449
Total 105,788 1,266,941
Source: GSS 2000 Census (Projection)

1.8 Population Distribution by District, Upper East Region – 2015

UPPER EAST TARGET POPULATION BY DISTRICT - 2015
Target Population
District less than 1 year and Target Population
District
Projection expected pregnancy for WIFA (24%)
(4%)
1 Bawku Municipal 104594 3,270 51,177
2 Bawku West 99813 3,461 42,796
3 Binduri 65360 2,158 27,620
4 Bolgatanga 139635 4,104 74,495
5 Bongo 89741 2,924 39,605
6 Builsa North 59948 1,831 28,780
7 Builsa South 38758 1,277 18,309
8 Garu-Tempane 137993 4,839 55,302
9 Kassena Nankana 116701 3,706 57,197
10 Kassena Nankana West 75010 2,132 37,068
11 Nabdam 35905 1,138 16,218
12 Pusiga 61222 2,189 26,796
13 Talensi 86184 2,794 39,505
1,110,863 35,823 514,868
Total
Source: GSS 2010Census (Projection)

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1.9 Population Distribution by District, Upper West Region – 2015
UPPER WEST TARGET POPULATION BY DISTRICT - 2015
Target Population
District less than 1 year and Target Population
District
Projection expected pregnancy for WIFA (24%)
(4%)
1 Daffiama Bussie Issa 35,799 1,189 15,928
2 Jirapa 97,125 3,034 41,595
3 Lambussie-Karni 56,751 1,850 24,617
4 Lawra 61,123 1,741 26,184
5 Nadowli-Kaleo 67,903 1,923 29,786
6 Nandom 49,766 1,431 23,338
7 Sissala East 62,106 2,004 29,786
8 Sissala West 54,465 1,877 23,767
9 Wa East 79,186 2,926 33,921
10 Wa Municipal 117,794 3,250 64,077
11 Wa West 89,375 2,758 37,403
771,394
Total 23,983 350,321
Source: GSS 2010 Census (Projection)

1.10 Population Distribution by District, Volta Region – 2015

VOLTA REGION TARGET POPULATION BY DISTRICT - 2015
Target Population
District less than 1 year and Target Population
District
Projection expected pregnancy for WIFA (24%)
(4%)
1 Adaklu 33,883 1,066 20,475
2 Afadjato South 107,518 3,311 47,575
3 Agortime-Ziope 38,984 946 14691
4 Akatsi North 37,376 995 15516
5 Akatsi South 107,966 3,316 51,112
6 Biakoye 74,561 2,344 33,697
7 Central Tongu 67,218 2,063 30,915
8 Ho West 200,577 3,080 47469
9 Ho 107,031 4,867 106,220
10 Hohoe 188,963 5,426 90,741
11 Jasikan 66,958 2,087 30,939
12 Kadjebi 67,096 2,051 30,772
13 Keta 167,016 4,576 77,131
14 Ketu North 113,042 3,384 51,570
15 Ketu South 181,881 5,921 87,825

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16 Kpando 60,797 1,627 28,822
17 Krachi East 132,153 4,910 60,229
18 Krachi Nchumuru 82,240 3,003 36,379
19 Krachi West 55,911 1,982 25,217
20 Nkwanta North 73,036 2,861 31,866
21 Nkwanta South 133,368 5,001 59,965
22 North Dayi 45,158 1,283 19,257
23 North Tongu 101,574 2,835 48,395
24 South Dayi 52,793 1,612 23,699
25 South Tongu 99,507 3316 44730
2,396,608
Total 73,863 1,115,207
Source: GSS 2010 Census (Projection)

1.11 Population Distribution by District, Western Region – 2015

WESTERN REGION TARGET POPULATION BY DISTRICT – 2015
Target Population
District less than 1 year and Target Population
District
Projection expected pregnancy for WIFA (24%)
(4%)
1 Ahanta West 117,270 4,243 60,010
2 Aowin 130,523 4,641 70,828
3 Bia East 29,118 1,213 16,782
4 Bia West 99,322 3,468 51,233
5 Bibiani-Anhwiaso-
Bekwai 136,102 4,483 72,623
6 Bodi 58,326 2,116 30,217
7 Ellembelle 96,608 3,147 51,384
8 Jomoro 165,730 5,675 87,959
9 Juabeso 65,054 2,432 35,523
10 Mpohor 47,390 1,668 24,425
11 Nzema East 67,159 2,364 35,838
12 Prestea-Huni Valley 175,884 6,289 93,556
13 Sefwi Akontombra 91,050 3,457 48,314
14 Sefwi-Wiawso 153,688 5,163 81,521
15 Sekondi-Takoradi 617,786 16,762 366,836
16 Shama 90,497 3,042 44,874
17 Suaman 22,298 795 13,305
18 Tarkwa-Nsuaem 99,894 3,428 56,722
19 Wassa Amanfi
Central 75,678 2,748 38,916
20 Wassa Amenfi East 92,166 3,328 46,925
21 Wassa Amenfi West 102,262 3,640 54,200
22 Wassa East 89,511 3,316 44,098
2,623,319
Total 87,418 1,426,089
Source: GSS 2010 Census (Projection)

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 2.0 Vital Statistics

2.1 Health Status Indicators

Indicator 1988 1993 1998 2003 2008 2014
Infant Mortality Rate (per 1,000 live births) 77 66 57 64 50 41
Under 5 Mortality Rate (per 1,000 live births) 155 119 108 111 80 60
Neonatal Mortality Rate (per 1,000 live births) 44 41 30 43 30 29
Post-Neonatal Mortality Rate (per 1,000 live births) 33 26 27 21 21 13
Child Mortality 84 57 54 50 31 19
Crude Birth Rate (per 1,000) 47 44 39 33 29 30.6
Crude Death Rate (per 1,000) 17 12.5 10 10 9.4
Life Expectancy at birth (in years) 54 55.7 57 58 60
Total Fertility Rate 6.4 5.5 4.6 4.4 4.0 4.2
Source: GDHS, 1988, 1993, 1998, 2003, 2008, 2014

2.2 Total Fertility Rate by Region

Region 1988 1993 1998 2003 2008 2014
Western 6.1 5.5 4.7 4.5 4.2 3.6
Central 6.6 5.6 4.8 5.0 5.4 4.7
Greater Accra 4.6 3.6 2.7 2.9 2.5 2.8
Volta 6.7 5.4 4.4 4.4 3.8 4.3
Eastern 5.7 5.1 4.4 4.3 3.6 4.2
Ashanti 5.9 5.6 4.5 4.1 3.6 4.2
Brong Ahafo 6.9 5.5 5.4 4.8 4.1 4.8
Northern 6.8 7.4 7.0 7.0 6.8 6.6
Upper East 6.8 6.4 5.0 4.7 4.1 4.9
Upper West 6.8 6.0 6.1 5.5 5.0 5.2
National 6.4 5.5 4.6 4.4 4.0 4.2
Rural 6.6 6.4 5.4 5.6 4.9 5.2
Urban 5.1 4.0 3.0 3.1 3.1 3.4
Source: DHS 1988, 1993, 1998, 2003, 2008, 2014

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 2.3 Percentage of Population with no Education
Region 1988 1993 1998 2003 2008 2014
Female Male Female Male Female Male Female Male Female Male Female
Western 43.6 17.8 34.1 11.8 29.6 7.3 22.3 6.1 13.9 5.1 14.2
Central 47.6 18.5 35.6 13.4 32.7 9.3 25.2 6.6 16.2 5.1 15.1
Greater 21.9 9.8 19.4 9.4 19.6 5.8 12.4 3.5 7.7 2.9 8.3
Accra
Volta 38.0 20.8 34.3 19.3 31.4 7.9 20.7 8.4 22.9 4.7 19.1
Eastern 27.6 16.9 27.1 12.1 22.8 7.9 15.9 2.5 10.7 1.8 10.4
Ashanti 30.0 17.4 33.0 13.2 30.0 9.4 16.8 6.6 9.9 4.6 10.8
Brong 42.8 21.7 30.8 20.4 32.6 14.2 27.4 17.1 24.9 10.1 20.5
Ahafo
Northern 81.7 62.0 75.9 63.8 79.7 59.5 78.8 48.4 65.7 47.4 65.8
Upper 81.7 50.9 66.5 57.4 69.4 48.9 72.4 34.4 49.0 23.5 40.0
East
Upper 81.7 56.9 67.9 59.0 68.4 44.9 63.3 30.2 48.1 30.7 48.7
West
National 39.7 26.2 38.3 20.6 34.0 17.6 28.2 13.3 21.2 9.4 19.1
Rural 46.4 32.9 46.8 25.5 39.8 25.4 39.5 19.9 30.8 15.3 28.5
Urban 26.7 12.2 22.3 10.4 22.4 8.0 16.3 5.6 10.9 4.1 11.0
Source: DHS 1988, 1993, 1998, 2003, 2008, 2014

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2.4 Infant and Under Five Mortality Rate
Infant Mortality Rate Under Five Mortality Rate
Region
1988 1993 1998 2003 2008 2014 1988 1993 1998 2003 2008 2014
Western 76.9 76.3 68.0 66.0 51.0 40.0 151.2 131.8 109.7 109.0 65.0 56.0
Central 138.3 71.6 83.8 50.0 73.0 48.0 208.2 128.0 142.1 90.0 108.0 69.0
Greater
Accra 57.7 58.4 41.4 45.0 36.0 37.0 58.4 41.4 45.0 36.0 50.0 47.0
Volta 73.5 77.8 53.8 75.0 37.0 42.0 132.7 116.4 98.0 113.0 50.0 61.0
Eastern 70.1 55.9 50.2 64.0 53.0 43.0 138.1 93.2 89.1 95.0 81.0 68.0
Ashanti 69.8 65.2 41.9 80.0 54.0 63.0 144.2 97.6 78.2 116.0 80.0 80.0
Brong
Ahafo 65.0 48.7 77.3 58.0 37.0 38.0 122.6 94.6 128.7 91.0 76.0 57.0
Northern 103.1 113.7 70.1 69.0 70.0 53.0 221.8 237.0 171.3 154.0 137.0 111.0
Upper East 103.1 105.0 81.5 33.0 46.0 46.0 221.8 180.1 155.3 79.0 78.0 72.0
Upper West 103.1 84.5 70.6 105.0 97.0 64.0 221.8 187.7 155.6 208.0 142.0 92.0
National 77 66 57 64 50 41 155 119 108 111 80 60
Rural 86.8 82.2 67.5 70.0 56.0 46.0 162.5 149.2 122.0 118.0 90.0 75
Urban 66.9 54.9 42.6 55.0 49.0 49.0 131.1 89.9 76.8 93.0 75.0 64
Source: DHS 1988, 1993, 1998, 2003, 2008 2014

11
2.5 Demographic and Socioeconomic Indicators
Africa Global
Ghana
Indicator Averag Average
Value e§ §
1 Population density (per sq. km) (2010 pop census) 103.4 N/A N/A
Population age structure (%) (male)(2010 pop
2 49.0 N/A N/A
census)
Population age structure (%) (female)(2010 pop
3 51.0 N/A N/A
census)
4 Median age of population (2010 pop census) 20 19.0 30.0
Proportion of population below 15 years (%) (2010
5 39.3 42.0 26.0
pop census)
Proportion of population above 60 years (%) (2010
6 6.5 5.0 12.0
pop census)
Proportion of population living in urban areas (%)
7 49.0 38.0 53.0
(2010 pop census)
8 Coverage of birth registration (%) (2014)* 70.5 N/A N/A

9 ^Coverage of death registration (%) (2012) 21.0 N/A N/A

Adult mortality rate (15 - 60 years) per 1,000
10 261 343 124
population – male (2013)§
Adult mortality rate (15 - 60 years) per 1,000
11 222 298 187
population – female (2013)§
13 Life expectancy at birth (male) (2013)§ 62 56 70

14 Life expectancy at birth (female) (2010)§ 64 59 68

15 Life expectancy at birth (both sexes) (2010)§ 62 58 73

Net primary school attendance ratio - male (%)
16 69.6 80.0 92
(2014)*
Net primary school attendance ratio - female (%)
17 69.6 76.0 90
(2014)*
18 Total gross domestic product (2014)§ $90.41bill N/A N/A

19 Gross domestic product per capita (2014)§ $4,100 N/A N/A

20 Annual economic growth rate (%) (2014)§ 4.2 N/A N/A

Population living on less than 1 US$ dollar per day
22 28.6 47.0 14.6
(2014)§

NA: Not available

Source:
§World Health Statistics 2015 – WHO;
**Population and Housing Census 2010 GSS (2013)
* DHS 2014
§The World Fact book: www.cia.gov/library/publications/the-world-factbook/geos/GH

12
2.6 Health-Related Millennium Development Goals
Africa Global
Ghana
Indicator Average Average
Value
§ §
Adolescent fertility rate (per 1,000 girls aged
1 76.3
15-19 years) (2014)*
2 Unmet need for family planning (%) (2014)* 29.9 25 12
Prevalence of HIV among adults aged 15 -
3 0.8 N/A N/A
24years (2014)
Proportion of males aged 15-24 years with
4 comprehensive correct knowledge of 27.2 N/A N/A
HIV/AIDS (%)(2014)*
Proportion of females aged 15-24 years with
5 comprehensive correct knowledge of 19.9 N/A N/A
HIV/AIDS (%) (2014)*
Antiretroviral therapy coverage among people
6 58 63 61
with advanced HIV infection (%) (2012)
Malaria mortality rate per 100,000 population
7 69 63 11
(2012)§
Children aged less than 5 years sleeping under
8 47.0 25 N/A
insecticide-treated bed-nets (%) (2014)*
Children aged less than 5 years who received
9 any antimalarial treatment for fever (%) 48.5 N/A N/A
(2014)*
Access to improved drinking-water sources
10 89.8 66.0 90.0
(%) (2014)*
11 Access to improved sanitation (%) (2014)* 14.0 33.0 64.0
Infants exclusively breastfed for the first
12 36.2
6 months of life (2014)*
Alcohol consumption among adults aged 15
13 years and above (liters per person per year) 4.8 6.0 6.2
(2010)§
14 Prevalence of tobacco use – male (%) (2014)* 5.1 24.2 36.1
Prevalence of tobacco use – female (%)
15 0.4 2.4§ 6.8
(2014)*

NA: Data Not Available

Source: *DHS 2014, §World Health Statistics 2015 - WHO

13
2.7 Health Expenditure Indicators
Ghana Africa Global
Indicator
Value Average Average
Total expenditure on health as % of gross domestic
1 5.2 5.6 8.6
product (2012)
General government expenditure on health as % of total
2 68.3 50.8 38.8
expenditure on health (2011)
Private expenditure on health as % of total expenditure
3 31.7 49.2 42.3
on health (2011)
General government expenditure on health as % of total
4 10.6 11.4 14.1
government expenditure (2011)
Out-of-pocket expenditure on health as % of private
5 91.9 60.6 52.6
expenditure on health (2011)
Per capita total expenditure on health at average
6 86.0 105 1,025
exchange rate (US$) (2011)
Per capita government expenditure on health at average
7 59 53 615
exchange rate (US$) (2011)

Source: World Health Statistics 2015 - WHO

14
3.0 Health Infrastructure

3.1 Health Facilities by Type and Ownership, 2015

District Health Midwife / Psychiatric
Region CHPS Clinic Hospital Centre Hospital Maternity Mines Polyclinic Hospital
Ashanti 906 116 25 141 94 71 0 0 0
Brong Ahafo 423 107 18 83 13 41 0 4 0
Central 219 67 12 64 15 35 0 2 1
Eastern 477 112 14 84 16 25 0 2 0
Greater Accra 176 277 6 20 70 86 0 12 2
Northern 185 57 15 83 12 9 0 4 0
Upper East 233 48 6 44 1 2 0 0 0
Upper West 176 15 3 68 6 5 0 5 0
Volta 273 39 17 146 11 16 0 2 0
Western 267 144 18 59 20 36 3 1 0
National 3335 982 134 792 258 326 3 32 3

15
3.2 Number of Hospital Beds by Region and Ownership - 2014

Quasi % By
Region Government CHAG Islamic Private Total
Government Region
Ashanti 1230 1063 52 131 555 3,031 15.2
Brong Ahafo 895 1303 0 0 186 2,384 12.0
Central 1523 424 0 72 11 2,030 10.2
Eastern 1088 1054 0 134 0 2,276 11.4
Greater Accra 1581 41 0 13 52 1,687 8.5
Northern 1268 414 0 0 0 1,682 8.4
Upper East 679 375 0 0 70 1,124 5.6
Upper West 525 370 0 0 0 895 4.5
Volta 1400 895 0 0 62 2,357 11.8
Western 1499 500 0 228 209 2,436 12.2
Total 11,689 6,441 52 580 1,145 19,907 100
% By
58.7 32.4 0.3 2.9 5.8 100
Ownership
Source: CHIM/PPME-GHS
NB: Data for Quasi Government and Private Hospitals are incomplete

16
3.3 Distribution of Health Professionals by Region – 2015

17
Category AR BAR CR ER GAR NR UER UWR VR WR Total
Accountant 2 3 - - 6 - 1 - - 1 13
Accounts Officer - 3 2 2 8 1 1 2 5 2 26
Administrative Manager - 1 - - 7 - - 1 - - 9
Artisan 1 - 4 2 2 2 1 2 2 - 16
Auditor 3 - - - 2 - - - - - 5
Biomedical Scientist 5 3 3 2 6 2 1 2 1 - 25
Biostatistics Assistant 13 5 5 6 15 4 1 3 10 8 70
Biostatistics Officer 1 1 - 1 - - - - - - 3
Catering Officer 1 - - 1 - - - - - - 2
Clinical Engineering Manager - - - - 1 - - - - - 1
Clinical Psychologist 1 - 1 - - - - - - - 2
Community Health Nurse 267 161 190 193 207 84 84 162 296 244 1,888
Cook - 2 1 2 1 - - - 2 3 11
Dental Technician 5 2 1 - 4 - 2 1 1 3 19
Deputy Director - - - - - - - - 1 - 1
Dietician - - 1 - - - - - - - 1
Director - - - - 1 - - - - - 1
Dispensing Assistant 1 - - 3 2 - 1 - 3 2 12
District Director - 1 - - - - - 1 - - 2
Driver 7 3 1 1 11 4 1 5 2 2 37
Emergency Medical Technician - - 1 - - - - - - - 1
Enrolled Nurse 465 258 170 98 414 265 71 189 231 513 2,674
Environmental Health Assistant - - - - 2 - - - - - 2
Estate Officer - - - 1 - 2 - - - 1 4
Executive Officer - - - - 4 1 - - 2 1 8
Field Technician 19 21 11 13 21 14 - 18 10 9 136
Finance Officer - 1 2 1 - 1 - - 1 1 7
18
Health Assistant 20 6 10 6 10 1 - - 11 10 74
Health Educator 1 - - 1 4 - 2 - - 2 10
Category AR BAR CR ER GAR NR UER UWR VR WR Total
Mortuary Attendant - - 2 1 - 1 - - - 1 5
Nutrition Officer - 1 1 2 3 - 2 - - 1 10
Nutrition Technical Officer 5 3 2 2 1 - - 1 1 5 20
Occupational Therapist - - 1 - - - - - - - 1
Optometrist - - - 1 2 - - - - - 3
Orderly 36 8 8 15 12 4 5 4 36 9 137
Pharmacist 13 4 2 2 14 - - - 4 4 43
Pharmacy Technician 21 - 1 2 - 1 1 - 2 3 31
Physician Assistant 9 - 3 - 5 1 2 2 1 1 24
Physiotherapist - - - - - - 1 - - - 1
Physiotherapy Assistant 4 1 2 2 2 - 1 - 2 - 14
Porter - - - - - - - - 2 - 2
Private Secretary - - - - 1 - - - - - 1
Procurement Manager - - - 1 - - - - - - 1
Quantity Surveyor - - - - 1 - - - - - 1
Radiographer - - - 1 - - - - - 1 2
Receptionist/Telephonist 1 - - - - - - - 1 - 2
Records Officer - - - - 1 - - - - - 1
Registered Nurse 360 99 96 93 351 66 54 73 123 99 1,414
Seamstress - - - - - - - - 1 - 1
Security Guard 3 - 8 1 3 - 2 - 1 - 18
Specialist 1 - - 1 9 - 1 2 - - 14
Stenographer Secretary 1 - - 1 5 - - - - - 7
Sterilisation Machine Operator - - - - - 1 - - - - 1
Storekeeper 1 1 1 2 - 2 1 - 2 - 10
Supply Officer 2 - 1 1 2 1 - 1 - 1 9
Technical Assistant 20 7 3 8 6 4 - 1 1 7 57 19
Technical Officer (Bio/HI/CDC) 23 10 6 10 16 8 6 11 10 7 107
Technical Officer (Lab/X'ray/Orth) 10 4 4 4 16 2 2 1 4 6 53
Source: HRD-GHS
NB: Data includes Korle Bu Teaching Hospital, Komfo Anokye Teaching Hospital and CHAG facilities

3.4 Doctor to Population Ratio

2014 2013 2012 2011
Number of Doctor Doctor Doctor Doctor
REGION Number of Number of Number of
Doctors Population Population Population Population
Doctors Doctors Doctors
Ratio Ratio Ratio Ratio
Ashanti 541 9,830 558 9,280 630 7,793 630 7,793
Brong Ahafo 145 17,455 148 16,695 154 15,352 154 15,352
Central 114 21,823 111 21,700 107 21,216 107 21,216
Eastern 171 16,733 159 17,582 166 16,195 166 16,195
Greater Accra 1651 2,744 1356 3,240 1085 3,810 1085 3,810
Northern 117 23,759 131 20,685 117 21,801 117 21,801
Upper East 34 3,2285 40 27,391 27 39,226 27 39,226
Upper West 21 36,048 19 38,692 18 39,747 18 39,747
Volta 114 20,510 111 20,625 91 23,859 91 23,859
Western 108 23,814 97 26,048 91 26,632 91 26,632
National 3016 9,043 2,730 9,749 2,477 10,209 2,477 10,209

2010 2009 2008

REGION Doctor Population Doctor Population Doctor Population
Number of Doctors Number of Doctors Number of Doctors
Ratio Ratio Ratio
Ashanti 684 7,184 589 8,288 495 9,861
Brong Ahafo 99 22,967 134 16,919 103 22,012
Central 113 18,218 84 22,877 72 26,689
Eastern 163 15,801 148 16,132 134 17,817
Greater Accra 935 4,099 839 5,103 827 5,177
Northern 134 18,257 46 50,751 33 70,744
Upper East 33 31,214 29 35,010 30 33,843
Upper West 25 27,050 14 47,932 15 44,736
Volta 64 32,605 73 26,538 68 28,490
Western 75 31,190 77 33,187 78 32,761
National 2,325 10,423 2,033 11,929 1855 13,074
20
Source: CHIM/HRD-GHS

3.5 Nurse to Population Ratio

2014 2013 2012
Nurse
REGION Number of Number of Nurse Population Nurse Population
Population Number of Nurses
Nurses Nurses Ratio Ratio
Ratio
Ashanti 7170 1,088 2,308 2,244 2,096 1,550
Brong Ahafo 2993 1,132 815 1,072 720 1,470
Central 3735 996 960 1,046 858 1,250
Eastern 4142 900 1,117 1,214 1,019 1,237
Greater Accra 7722 764 3,508 1,904 3,336 917
Northern 4438 1,255 1,067 1,170 900 1,601
Upper East 2256 669 604 470 505 930
Upper West 1397 813 311 322 288 941
Volta 3237 925 785 988 712 1,244
Western 3772 1,077 770 1,092 691 1,422
National 40859 959 2,308 2,172 11,125 1,251

2011 2010 2009 2008

Nurse Nurse Nurse Nurse
REGION Number of Number of Number of Number of
Population Population Population Population
Nurses Nurses Nurses Nurses
Ratio Ratio Ratio Ratio
Ashanti 1,789 1,568 4,252 1,156 4,161 1,173 3,533 1,382
Brong Ahafo 672 1,495 1,826 1,245 2,283 993 1,940 1,169
Central 713 1,309 1,715 1,200 2,369 881 2,104 913
Eastern 921 1,173 2,703 953 2,871 832 2,454 973
Greater Accra 2,941 1,255 4,793 800 4,897 874 4,656 919
Northern 785 1,547 1,716 1,426 1,708 1,367 1,480 1,577
Upper East 424 914 1,112 926 1,262 805 1,051 966
Upper West 259 950 803 842 895 750 758 885
Volta 659 1,242 1,914 1,090 2,421 800 2,132 909
Western 614 895 1,673 1,398 2,107 1,213 1,753 1,458
National 9,777 1,240 22,507 1,077 24,974 971 21,861 1,109
Source: CHIM/HRD-GHS

21
3.6 Hospital Bed Utilisation Statistics

Percentage Occupancy Average Length of Stay

Region
2014 2013 2012 2011 2010 2009 2008 2014 2013 2012 2011 2010 2009 2008
Ashanti 55.1 78.1 53.5 50.4 69.4 65.5 63.3 2.6 2.7 2.8 2.6 3.9 4.0 4.2
Brong Ahafo 69.1 74.3 55.4 63.5 62.2 57.9 60.5 3.2 3.2 3.5 3.6 3.8 3.5 3.9
Central 46.9 43.3 66.5 56.4 50.5 51.4 52.5 3.1 3.6 4.6 4.5 3.6 3.5 4.0
Eastern 60.3 56.7 56.7 59.6 57.4 55.9 55.6 3.9 3.7 3.7 4.1 4.2 4.2 4.4
Greater Accra 77.5 63.1 116.6 87.7 86.1 78.3 72.0 4.7 4.2 5.6 4.7 6.4 6.0 6.4
Northern 76.4 70.2 82.2 82.2 71 59.1 61.3 2.6 2.5 2.8 2.9 3 2.2 2.7
Upper East 60.2 58.3 64.0 60.1 52.5 49.7 42.2 3.3 2.8 2.8 2.7 2.7 2.8 2.9
Upper West 71.7 68.5 79.6 72.6 66.1 62.1 59.4 3.1 3.3 2.8 3.2 3.5 3.5 3.4
Volta 61.2 52.4 66.5 61.0 52.9 54.1 51.1 3.5 3.9 4.1 4.2 4.2 4.5 4.9
Western 49.3 58.4 48.3 56.9 53.8 52.0 51.5 2.8 3.0 2.8 3.2 3.3 3.3 3.7
National 61.3 61.5 64.5 51.4 63.2 59.8 58.3 3.2 3.5 3.6 3.9 3.8 4.2

Turnover Per Bed Turnover Interval

Region
2014 2013 2012 2011 2010 2009 2008 2014 2013 2012 2011 2010 2009 2008
Ashanti 99.1 104.1 70.6 71.3 64.6 59.7 54.7 2.7 0.8 2.4 2.5 1.7 2.1 2.5
Brong Ahafo 98.1 85.6 57.4 65 60.5 59.8 56.6 3.0 1.1 2.8 2.0 2.3 2.6 2.6
Central 98.6 44.4 53.0 48.1 51 54.2 47.9 3.1 4.7 2.3 2.9 3.5 3.3 3.6
Eastern 98.5 56.3 56.3 52.9 49.7 49.0 46.1 4.9 2.8 2.8 2.8 3.1 3.3 3.5
Greater Accra 96.9 54.7 76.4 68 49.5 47.3 41.4 5.3 2.5 -0.8 0.7 1 1.7 2.5
Northern 98.7 101.9 106.0 100 87.8 98.2 81.6 2.8 1.1 0.6 0.6 1.2 1.5 1.7
Upper East 97.4 76.5 82.3 80.0 72 65.0 52.8 3.5 2.0 1.6 1.8 2.4 2.8 4.0
Upper West 98.5 75.9 102.4 83.1 68.9 64.0 63.2 3.7 1.5 0.7 1.2 1.8 2.2 2.4
Volta 99.1 49.1 60.0 52.9 46.3 44.1 38.4 3.4 3.5 2.0 2.6 3.7 3.8 4.7
Western 98.7 71.8 62.7 65.4 60.3 57.0 50.6 2.5 2.1 3.0 2.4 2.8 3.1 3.5
National 99.7 70.1 68.0 68.7 58.8 57.1 51.1 3.3 2.0 1.9 2.0 2.3 2.6 3.0
Source: CHIM/PPME-GHS

22
4.0 Health Service Outputs

4.1 Number of Outpatient Attendance by Region

Region 2014 2013 2012 2011 2010 2009
Ashanti 4,868,656 4,660,325 4,846,942 5,773,869 4,728,463 4,323,256
Brong Ahafo 4,615,603 4,206,031 3,933,372 3,504,469 3,329,194 2,612,168
Central 2,636,021 2,413,049 2,338,360 1,802,886 1,259,663 1,370,625
Eastern 3,501,425 3,643,316 3,771,103 3,166,197 2,668,644 2,272,375
Greater Accra 3,745,804 3,515,736 4,040,356 2,651,707 3,731,034 2,179,283
Northern 1,845,607 1,589,509 1,385,832
2,207,019 1,891,044 1,245,261
Upper East 2,033,729 2,277,818 2,129,019 1,459,504 1,516,610 1,387,025
Upper West 957,563 891,475 814,406 758,084 598,533 484,513
Volta 2,815,038 2,509,238 2,240,690 1,883,185 1,515,544 1,335,027
Western 3,706,966 3,530,033 3,550,476 3,271,384 2,650,328 2,538,306
National 31,087,824 30,849,253 29,510,331 25,860,794 23,383,845 19,747,839

Region 2008 2007 2006 2005 2004 2003 2002

Ashanti 3,427,329 3,272,767 1,912,396 1,502,660 1,350,769 1,248,955 2,226,059
Brong Ahafo 2,869,659 2,193,079 900,881 875,734 860,430 824,193 1,190,139
Central 1,281,602 1,293,818 1,477,204 1,278,852 1,186,311 1,057,649 734,932
Eastern 2,279,528 2,186,024 1,785,471 1,828,929 1,779,887 1,621,972 984,570
Greater Accra 2,105,980 2,352,191 652,054 681,667 638,455 526,678 1,639,943
Northern 1,113,699 685,085 538,202 561,182 565,659 561,455 536,880
Upper East 1,018,813 689,124 290,449 339,923 307,946 289,252 604,645
Upper West 459,309 420,775 745,979 750,000 735,727 664,788 294,325
Volta 1,378,484 958,330 1,324,909 1,114,579 1,128,674 964,450 610,526
Western 2,140,855 1,724,606 2,613,618 2,711,662 2,517,396 2,459,629 931,615
National 18,075,258 15,775,799 12,241,163 11,650,188 11,071,254 10,219,021 9,753,634
Source: CHIM/PPME-GHS

23
4.2 Outpatient Attendance per Capita
(This is the average number of outpatient visits per person per year)

Region 2014 2013 2012 2011 2010 2009 2008 2007 2006 2005 2004 2003 2002
Ashanti 0.92 0.9 0.96 1.1 1.04 0.89 0.73 0.72 0.59 0.63 0.61 0.62 0.58
Brong Ahafo 1.8 1.7 1.63 1.4 1.25 1.15 1.30 1.02 0.91 0.73 0.67 0.64 0.62
Central 1.0 1.0 1.00 0.97 0.81 0.71 0.68 0.70 0.50 0.50 0.50 0.49 0.44
Eastern 1.2 1.3 1.38 1.1 1.04 0.95 0.97 0.94 0.65 0.57 0.53 0.48 0.45
Greater Accra 0.82 0.8 0.95 0.67 0.97 0.51 0.51 0.60 0.47 0.51 0.52 0.49 0.52
Northern 0.79 0.7 0.70 0.74 0.54 0.53 0.49 0.31 0.30 0.33 0.31 0.27 0.28
Upper East 1.8 2.1 1.99 1.7 1.47 1.37 1.01 0.69 0.55 0.58 0.59 0.59 0.64
Upper West
1.3 1.2 1.12 1.4 0.91 0.72 0.70 0.65 0.46 0.54 0.50 0.48 0.49
Volta 1.2 1.1 1.01 0.74 0.76 0.69 0.73 0.51 0.41 0.42 0.42 0.38 0.36
Western 1.4 1.4 1.44 1.1 1.16 0.69 0.86 0.72 0.57 0.49 0.52 0.46 0.45
National 1.1 1.16 1.14 1.0 0.98 0.81 0.77 0.69 0.55 0.54 0.52 0.50 0.49
Source: CHIM/PPME-GHS

24
4.3 Number of Inpatient Admissions by Region
Region 2014 2013 2012 2011 2010 2009
Ashanti 274,623 256,377 234,092 206,415 225,629 207,089
Brong Ahafo 196,098 172,945 165,801 135,478 123,187 111,521
Central 111,696 105,719 103,453 83,030 79,562 77,620
Eastern 167,945 170,622 172,819 149,163 139,159 127,050
Greater Accra 119,394 122,761 119,432 99,734 132,975 112,314
Northern 195,484 190,010 186,069 155,020 118,499 116,818
Upper East 71,581 81,779 87,349 71,825 66,538 56,324
Upper West 72,858 62,225 62,690 58,106 51,605 44,287
Volta 164,888 143,582 125,588 112,866 101,653 93,829
Western 159812 153,435 149,276 132,651 121,263 115,246
National 1534379 1,459,455 1,406,569 1,204,288 1,160,070 1,062,098

Region 2008 2007 2006 2005 2004 2003 2002

Ashanti 145,316 163,357 147,223 158,436 153,891 150,209 133,495
Brong Ahafo 104,976 83,034 81,607 77,798 67,931 67,009 62,531
Central 60,658 96,404 67,628 63,932 59,611 55,820 54,871
Eastern 121,985 99,555 91,578 100,222 82,859 99,469 90,329
Greater Accra 79,974 136,823 92,890 98,561 81,874 76,606 88,299
Northern 66,146 69,185 60,547 67,063 72,368 74,733 69,801
Upper East 48,507 57,428 41,166 42,971 41,695 39,164 38,910
Upper West 42,061 36,721 29,716 36,047 32,157 30,656 31,846
Volta 83,093 70,162 69,919 70,000 68,144 66,241 63,844
Western 94,037 88,332 85,446 85,407 84,908 78,984 71,949
National 846,753 901,001 767,720 800,437 745,438 738,891 705,875
Source: CHIM/PPME-GHS

25
4.4 Hospital Admission Rate

(This is the average number of hospital admissions per 1,000 population)

Region 2014 2013 2012 2011 2010 2009
Ashanti 51.9 49.51 46.43 40.9 45.92 33.16
Brong Ahafo 77.2 69.90 68.56 56.0 54.18 49.29
Central 43.2 43.81 44.20 35.5 38.65 38.81
Eastern 56.8 60.88 62.96 54.3 54.03 36.36
Greater Accra 26.4 27.93 28.02 23.4 34.69 17.97
Northern 70.3 70.34 70.87 59.0 48.44 49.24
Upper East 65.2 75.39 81.50 67.0 64.6 56.22
Upper West 97.0 83.76 85.99 79.7 76.31 67.03
Volta 70.5 62.94 56.43 50.7 48.71 51.28
Western 59.2 60.85 60.39 53.7 51.84 45.71
National 55.6 54.88 54.24 46.4 47.87 38.96

Region 2008 2007 2006 2005 2004 2003 2002

Ashanti 30.78 35.78 33.3 37.1 37.3 37.6 34.6
Brong Ahafo 47.46 38.48 38.8 37.9 33.9 34.3 32.8
Central 32.23 52.30 37.5 36.2 34.4 32.9 33.0
Eastern 51.81 42.87 40.0 44.4 37.2 45.3 41.7
Greater Accra 19.50 34.83 25.0 27.3 23.7 23.2 27.9
Northern 29.13 31.32 28.2 32.1 35.6 37.8 36.3
Upper East 48.30 57.81 41.9 44.2 43.4 41.2 41.4
Upper West 63.75 56.60 46.6 57.5 52.1 50.6 53.4
Volta 43.71 37.61 38.2 39.0 38.7 38.3 37.6
Western 37.98 36.82 37.0 37.9 38.9 37.3 35.1
National 35.91 39.29 34.4 36.9 35.3 36.0 35.3
Source: CHIM/PPME-GHS

26
4.5 Case Fatality Rate for Malaria
Region 2014 2013 2012 2011
Under 5 All Ages Under 5 All Ages Under 5 All Ages Under 5 All Ages
Ashanti 0.18 0.20 0.42 0.37 0.35 0.39 0.39 0.37
Brong Ahafo 0.35 0.30 0.46 0.50 0.77 0.97 1.13 1.25
Central 1.2 1.39 0.86 1.72 0.98 1.89 1.84 3.04
Eastern 0.32 0.26 0.43 0.45 0.38 0.46 0.50 0.47
Greater Accra 0.52 0.61 0.92 0.93 0.66 0.91 0.94 1.13
Northern 1.1 0.94 1.11 0.93 1.19 1.01 1.74 1.54
Upper East 0.4 0.62 0.69 0.87 0.70 1.00 0.95 1.23
Upper West 0.43 0.71 0.76 1.12 0.70 1.42 1.16 1.56
Volta 0.5 0.57 0.70 0.88 0.95 1.26 0.15 0.40
Western 0.42 0.35 0.58 0.55 0.78 0.77 0.83 0.82
National 0.54 0.53 0.69 0.74 0.78 0.92 1.04 1.11

Region 2010 2009 2008 2007 2006 2005

Under All Under All Under All Under All Under All
Under 5 All Ages
5 Ages 5 Ages 5 Ages 5 Ages 5 Ages
Ashanti 0.76 0.59 0.6 0.5 0.7 0.5 3.0 1.5 1.7 1.2 2.2 1.3
Brong Ahafo 1.59 1.38 1.3 1.1 1.4 1.1 1.6 1.5 1.9 4.5 1.8 1.6
Central 1.81 2.81 2.9 3.2 3.0 3.4 3.9 3.9 4.2 4.0 4.5 4.1
Eastern 0.76 0.76 0.8 0.8 1.0 0.8 1.5 1.3 1.5 1.5 1.5 1.2
Greater Accra 3.06 2.33 1.0 1.2 1.2 1.5 1.5 4.0 1.0 2.3 1.2 2.0
Northern 2.41 2.03 3.0 2.6 3.3 2.6 2.8 2.1 5.1 4.1 3.1 2.6
Upper East 1.40 1.61 1.6 1.8 2.0 1.9 2.1 1.9 2.6 2.4 2.5 2.2
Upper West 1.02 1.25 1.6 1.8 0.8 1.1 1.3 1.4 3.0 2.0 3.0 2.5
Volta 1.56 1.78 1.9 2.3 2.1 2.9 3.0 2.7 3.1 3.0 4.8 4.4
Western 1.36 1.21 1.8 1.5 2.1 1.9 3.0 2.7 2.7 2.3 3.4 2.9
National 1.47 1.41 1.7 1.6 1.6 1.4 2.4 2.1 2.7 2.6 2.8 2.3

27
4.5 Top Twenty Causes of Outpatient Morbidity 2002 -2013
2013 2012 2011
Disease Number of % of Disease Number % of Disease Number of % of
# Cases Total of Cases Total Cases Total
1 Malaria 10,839,392 34.71 Malaria 10,171,448 39.98 Malaria 1,0171,448 40.0
2 Other ARI(Acute
Upper Respiratory Tract Other ARI(Acute
Respiratory
Infections Respiratory Infection)
3,549,464 11.37 2,718,135 10.68 Infection) 2,718,135 10.7
3 Skin Diseases &
Diarrhoea Diseases Skin Diseases & Ulcers
1,530,739 4.90 1,168,196 4.59 Ulcers 1,168,196 4.6
4 Skin Diseases 1,511,787 4.84 Diarrhoea Diseases 1,083,005 4.26 Diarrhoea Diseases 1,083,005 4.3
5 Rheumatism & Other Rheumatism and Joint Rheumatism and
Joint Pains 1,369,466 4.39 Paints 948,428 3.73 Joint Paints 948,428 3.7
6 Anaemia 955,001 3.06 Hypertension 860,745 3.38 Hypertension 860,745 3.4
7 Hypertension 936,958 3.00 Anaemia 555,159 2.18 Anaemia 555,159 2.2
8 Intestinal Worms 804,472 2.58 Intestinal worms 540,733 2.13 Intestinal worms 540,733 2.1
9 Acute Eye Infection 566,833 1.82 Acute Eye infection 517,397 2.03 Acute Eye infection 517,397 2.0
1 Acute Urinary Tract Acute Urinary Tract Acute Urinary Tract
0 Infection 506,402 1.62 Infection 363,418 1.43 Infection 363,418 1.4
1 Pregnancy and
Pregnancy and Related
1 Typhoid Fever Related
Complications
339,877 1.09 247,570 0.97 Complications 247,570 1.0
1 Other Acute Ear Typhoid/Enteric Fever Typhoid/Enteric
2 infection 284,236 0.91 (Typhoid) 247,303 0.97 Fever (Typhoid) 247,303 1.0
1 Pregnancy Related
Acute Ear infection Acute Ear infection
3 Complications 259,287 0.83 238,910 0.94 238,910 0.9
1 Home Accidents and Home Accidents and
Pneumonia
4 236,585 0.76 Injuries 213,925 0.84 Injuries 213,925 0.8
1
Diabetes Mellitus Diabetes Mellitus Diabetes Mellitus
5 220,098 0.70 204,812 0.81 204,812 0.8
1 Gynaecological Gynaecological
Vaginal Discharge
6 209,327 0.67 conditions 190,073 0.75 conditions 190,073 0.7
1 Home Injuries (Home
Vaginal Discharge Vaginal Discharge
7 Accidents and Injuries) 208,617 0.67 180,892 0.71 180,892 0.7
1 Gynaecological
Pneumonia Pneumonia
8 conditions 203,061 0.65 177,404 0.70 177,404 0.7
28
1 Road Traffic
Referrals Road Traffic Accidents
9 158,841 0.51 108,201 0.43 Accidents 108,201 0.4
2 Transport injuries (Road
Dental Caries Dental Caries
0 Traffic Accidents) 126,112 0.40 98,996 0.39 98,996 0.4
All other Diseases 6,409,098 20.53 All Other Diseases 4,606,662 18.11 All Other Diseases 4,606,662 18.1
31,225,653 28,728,687 25,441,412

2010 2009 2008

Disease Number of % of Disease Number of % of Disease Number of % of
# Cases Total Cases Total Cases Total
1 Malaria 8,208,670 43.9 Malaria 7,096,440 46.2 Malaria 5,041,025 47.4
2 Other ARI(Acute Other ARI(Acute Upper respiratory
Respiratory Infection) 1,695,666 9.1 Respiratory Infection) 1,306,354 8.5 tract infection 794,301 7.5
3 Skin Diseases & Skin Diseases & Diarrhoeal Diseases
Ulcers 814,224 4.3 Ulcers 622,391 4.1 385,737 3.6
4 Diarrhoea Diseases 737,804 3.9 Diarrhoea Diseases 590,286 3.8 Skin Diseases 422,948 4.0
5 Hypertension 644,134 3.4 Hypertension 497,845 3.2 Hypertension 321,994 3.0
6 Rheumatism and Joint Rheumatism and Joint Home/Occupational
Paints 603,834 3.2 Paints 429,708 2.8 Injuries 133,051 1.3
7 Intestinal worms 374,637 2.0 Acute Eye infection 285,328 1.9 Acute Eye Infections 185,175 1.7
8 Acute Eye infection Intestinal worms Pregnancy and
Related
325,269 1.7 256,699 1.7 Complications 158,458 1.5
9 Anaemia Anaemia Rheumatic and Joint
321,792 1.7 211,318 1.4 Diseases 254,518 2.4
10 Pregnancy and Related Pregnancy and Anaemia
Complications 214,008 1.1 Related Complications 201,566 1.3 139,593 1.3
11 Acute Urinary Tract Home Accidents and Intestinal Worms
Infection 209,728 1.1 Injuries 167,689 1.1 165,534 1.6
12 Home Accidents and Acute Urinary Tract Gynaecological
Injuries 181,254 1.0 Infection 157,383 1.0 Diseases 92,719 0.9
13 Typhoid/Enteric Fever Typhoid/Enteric Pneumonia
(Typhoid) 179,497 1.0 Fever( Typhoid) 141,607 0.9 85,386 0.8
14 Acute Ear infection 174,320 0.9 Gynaecological 139,574 0.9 Malaria in 89,402 0.9
29
 2010 2009 2008
Disease Number of % of Disease Number of % of Disease Number of % of
# Cases Total Cases Total Cases Total
conditions Pregnancy
15 Gynaecological Acute Ear infection Acute Ear Infection
conditions 144,652 0.8 134,661 0.9 90,562 0.9
16 Diabetes Mellitus 143,713 0.8 Pneumonia 106,858 0.7 Typhoid Fever 93,026 0.9
17 Vaginal Discharge 127,920 0.7 Diabetes Mellitus 96,856 0.6 Road Traffic Injuries 54,139 0.5
18 Pneumonia Vaginal Discharge Other Oral
121,477 0.6 96,160 0.6 Conditions 40,827 0.4
19 Road Traffic Road Traffic Dental Caries 44,496 0.4
Accidents 82,247 0.4 Accidents 76,423 0.5
20 Dental Caries 69,197 0.4 Dental Caries 63,646 0.4 Chicken Pox 77,790 0.7
All Other Diseases 3,344,569 17.9 All Other Diseases 2,681,973 17.5 All Other Diseases 1,968,865 18.5
Total 18,718,612 15,360,765 10,639,546

30
 2007 2006 2005
Number of % of Number of % of Number of
% of Total
# Diseases Cases Total Cases Total Cases
1 Malaria 5,384,685 42.5 3,861,348 37.83 3,799,158 44.76
2 Upper respiratory tract infection 920,806 7.3 632,755 6.20 581,323 6.85
3 Diarrhoeal Diseases 452,250 3.6 345,454 3.38 352,384 4.15
4 Skin Diseases 539,197 4.3 341,044 3.34 352,295 4.15
5 Hypertension 505,180 4.0 283,591 2.78 249,342 2.94
6 Home/Occupational Injuries 194,695 1.5 167,029 1.64 192,033 2.26
7 Acute Eye Infections 288,908 2.3 192,984 1.89 190,293 2.24
8 Pregnancy and Related Complications 188,731 1.5 136,958 1.34 172,253 2.03
9 Rheumatic and Joint Diseases 270,296 2.1 183,144 1.79 162,162 1.91
10 Anaemia 185,293 1.5 143,171 1.40 144,606 1.70
11 Intestinal Worms 208,429 1.6 130,071 1.27 134,440 1.58
12 Gynaecological Diseases 182,349 1.4 100,913 0.99 110,199 1.30
13 Pneumonia 124,403 1.0 91,491 0.90 83,154 0.95
14 Malaria in Pregnancy 114,577 0.9 86,730 0.85 94,135 1.11
15 Acute Ear Infection 165,834 1.3 89,163 0.87 80,154 0.95
16 Typhoid Fever 89,444 0.7 67,780 0.66 76,293 0.90
17 Road Traffic Injuries 82,152 0.6 64,646 0.63 76,486 0.90
18 Other Oral Conditions 94,449 0.7 52,073 0.51 52,394 0.62
19 Dental Caries N/A N/A 53,632 0.53 52,615 0.62
20 Chicken Pox N/A N/A N/A N/A N/A N/A
All Other Diseases 2,599,905 20.5 2,696,156 26.41 1,167,593 13.76
Total Cases 12,667,324 10,208,310

31
 2004 2003 2002
Diseases Number of % of Number of % of Number of % of
Cases Total Cases Total Cases Total
1 Malaria 3,379,527 44.1 3,359,191 43.9 3,140,980 43.7
2 Upper respiratory tract infection 549,398 7.2 519,652 6.8 532,531 7.4
3 Diarrhoeal Diseases 331,998 4.3 322,404 4.2 287,816 4.0
4 Skin Diseases 314,436 4.1 325,262 4.3 308,848 4.3
5 Hypertension 206,925 2.7 212,354 2.8 195,655 2.7
6 Home/Occupational Injuries 177,971 2.3 187,943 2.5 140,723 2.0
7 Acute Eye Infections 162,182 2.1 187,234 2.4 183,735 2.6
8 Pregnancy and Related Complications 145,079 1.9 151,475 2.0 178,937 2.5
9 Rheumatic and Joint Diseases 142,834 1.9 146,552 1.9 146,907 2.0
10 Anaemia 129,315 1.7 128,009 1.7 141,059 2.0
11 Intestinal Worms 119,885 1.6 151,330 2.0 133,302 1.9
12 Gynaecological Diseases 101,786 1.3 103,251 1.4 101,862 1.4
13 Pneumonia 76,742 1.0 77,477 1.0 77,064 1.1
14 Malaria in Pregnancy 74,279 1.0 58,113 0.8 28,969 0.4
15 Acute Ear Infection 74,002 1.0 71,974 0.9 73,441 1.0
16 Typhoid Fever 65,333 0.9 53,825 0.7 31,791 0.4
17 Road Traffic Injuries 64,300 0.8 61,296 0.8 98,026 1.4
18 Other Oral Conditions 52,381 0.7 49,459 0.6 33,987 0.5
19 Dental Caries 47,867 0.6 50,262 0.7 60,284 0.8
20 Chicken Pox 45,512 0.6 19,614 0.3 35,667 0.5
All Other Diseases 1,398,759 18.3 1,409,845 18.4 1,262,699 17.6
Total Cases 7,660,241 7,646,522 7,194,283

Source: CHIM/PPME-GHS
NA: Data Not Available
About 60% of all outpatient cases are made up of Malaria, Upper Respiratory Tract Infection, Diarrhea and Diseases of the Skin.
Hypertension has consistently remained the 5th cause of Outpatient morbidity constituting about 3% of all Outpatient reported cases.

32
5.0 PUBLIC HEALTH SERVICES

5.1 HIV Prevalence among pregnant women attending ANC clinics

Region 2014 2013 2012 2011 2010 2009 2008
Ashanti 2.8 3.2 2.6 3.1 3.0 3.9 3.0
Brong Ahafo 2.6 2.1 2.0 2.0 2.0 2.9 2.6
Central 1.4 1.1 1.9 4.7 1.9 3.0 2.0
Eastern 3.7 3.7 3.6 3.6 3.2 4.2 4.2
Greater Accra 3.1 2.7 3.5 3.2 2.6 3.2 3.0
Northern 0.6 0.8 0.9 0.3 0.7 2.0 1.1
Upper East 1.4 1.7 2.1 1.5 2.4 2.2 2.0
Upper West 1.3 0.8 1.2 1.0 1.7 3.1 1.6
Volta 2.2 1.2 2.5 2.2 1.8 2.6 1.7
Western 2.4 2.4 2.4 1.9 2.5 3.1 2.9
National 1.6 1.9 2.1 2.1 2.0 2.9 2.2
Source: NACP/ PHD

5.2 HIV Prevalence among pregnant women by Age Groups

Age Group 2014 2013 2012 2011 2010 2009 2008
15 – 19 Yrs 0.9 0.8 0.7 1.9 1.1 1.9 1.2
20 – 24 Yrs 2.1 1.4 1.5 1.5 1.7 2.2 2.3
25 – 29 Yrs 2.0 2.4 2.8 2.7 2.5 3.7 3.0
30 – 34 Yrs 2.8 2.5 3.0 2.9 2.8 3.4 2.8
35 – 39 Yrs 3.2 3.2 3.3 2.8 2.8 3.6 2.9
40 – 44 Yrs 2.1 2.7 3.2 2.7 2.1 4.0 1.8
45 – 49 Yrs 1.7 3.3 0.0 2.8 2.7 1.8 2.6
15 – 24 Yrs 1.8 1.2 1.3 1.7 1.5 2.1 1.9
Source: NACP/ PHD

5.3 Guinea Worm Cases

Region 2014 2013 2012 2011 2010 2009 2008
Ashanti 0 0 0 0 0 2 5
Brong Ahafo 0 0 0 0 0 2 11
Central 0 0 0 0 0 0 1
Eastern 0 0 0 0 0 1 2
Greater Accra 0 0 0 0 0 0 0
Northern 0 0 0 0 8 237 479
Upper East 0 0 0 0 0 0 1
Upper West 0 0 0 0 0 0 1
Volta 0 0 0 0 0 0 1
Western 0 0 0 0 0 0 0
National 0 0 0 0 8 242 501
Source: Guinea Worm Eradication Programme

33
5.4 Tuberculosis Case Notification per 100,000 Population

Region 2014 2013 2012 2011 2010 2009 2008 2007 2006 2005 2004
Ashanti 55.5 58 63 59 53 54 51 49 53 53.4
Brong Ahafo 52.9 26 43 44 37 38 30 36 31 28 32.7
Central 63.0 62 67 67 73 80 67 69 61 75 79.6
Eastern 61.9 65 65 68 72 80 71 71 72 75 67.0
Greater Accra 60.4 74 81 81 82 80 69 78 67 63.7
Northern 26.3 23.4 24 27 22 24 31 25 20 18 24.1
Upper East 57.0 57 68 63 48 48 51 32 34 38.5
Upper West 40.6 43 40 38 37 35 29 28 35 34.8
Volta 68.8 66.9 71 71 66 80 68 58 61 64 69.6
Western 63.7 66 74 76 74 74 73 75 76 66.6
National 57.8 61 63 63 64 61 57 57 57 56.6
Source: National TB Programme (PHD)

5.5 Tuberculosis Cure Rate

Region 2013 2012 2011 2010 2009 2008 2007 2006 2005 2004 2003
Ashanti 76.1 76.4 96.9 77.4 81.4 82.3 80.5 74.7 71.9 69.0
Brong Ahafo 76.5 67.0 65.9 71.3 70.9 64.1 59.0 60.8 61.1 63.7
Central 82.4 82.1 86.0 86.3 87.1 81.8 71.4 62.9 42.4 46.3
Eastern 68.6 71.0 61.4 73.8 75.5 72.9 68.8 63.1 61.4 60.0
Greater Accra 85.8 82.7 83.5 81.7 82.0 82.5 76.0 80.5 82.0 77.7
Northern 64.9 62.3 76.4 79.3 74.8 76.3 66.4 66.0 47.0 64.0
Upper East 81.3 85.2 87.6 88.3 72.2 75.0 73.6 66.9 67.4 59.6
Upper West 64.7 62.3 50.5 54.6 42.1 44.5 56.3 47.4 62.5 52.0
Volta 69.4 74.9 73.8 78.7 88.0 79.8 74.0 77.3 74.4 74.7
Western 69.5 72.3 75.2 77.6 73.5 74.2 59.9 57.6 55.6 38.7
National 74.5 75.5 75.6 79.1 78.8 77.5 76.1 67.6 64.0 61.0
Source: National TB Programme (PHD)
34
5.6 Tuberculosis Treatment Success Rate
Region 2013 2012 2011 2010 2009 2008 2007 2006 2005 2004 2003
Ashanti 89.2 90.9 90.0 91.8 88.8 90.3 90 86 80 79 81
Komfo Anokye
Teaching Hospital 83.3 77.3 77.3 75.7 70.8 73.5 86 70 57 64 71
Brong Ahafo 89.8 85.3 83.5 76.6 78.9 82.3 77 70 66 67 69
Central 86.1 85.7 87.0 87.7 90.4 90.0 87 75 67 54 53
Eastern 84.4 81.8 83.7 72.1 80.5 82.0 79 77 72 67 64
Greater Accra 91.4 90.8 87.5 89.3 87.5 84.9 87 85 79 82 79
Korle Bu Teaching
Hospital 74.5 78.2 78.5 72.7 65.8 70.8 70 69 68 77 71
Northern 86.5 73.1 81.2 85.0 84.5 87.8 83 80 80 74 75
Upper East 88.1 85.8 85.7 88.3 89.1 76.9 79 78 72 72 70
Upper West 89.7 83.2 77.2 73.0 73.6 61.8 71 71 65 85 69
Volta 87.7 86.5 86.1 87.7 87.1 93.4 87 83 84 82 81
Western 84.5 90.4 88.1 91.0 90.9 86.5 86 74 67 68 61
National 87.1 86.7 86.2 85.5 87.0 85.4 84 79 73 72 70
Source: National TB Programme (PHD)

35
6.0 Expanded Programme On Immunization
6.1 Measles Immunisation Coverage Rate, 2002 - 2014
REGION
2014 2013 2012 2011 2010 2009 2008 2007 2006 2005 2004 2003 2002
Ashanti 92.0 86.0 87 84.7 87.8 87.1 80.7 77.7 73.7 79 68 70 77.0
Brong Ahafo 93.3 91.0 97 96.4 95.5 93.9 96.6 102.0 99.4 89 87 86 87.0
Central 84.6 85.0 88 98.5 97.4 98.1 94.4 94.0 89.0 85 83 81 83.5
Eastern 78.8 79.0 87 94.4 96.0 94.0 95.1 95.5 93.8 92 86 93 91.6
Greater Accra 77.9 76.0 78 71.4 71.2 74.0 67.3 69.2 65.9 67 63 66 75.6
Northern 107.3 107.0 113 112.4 107.1 119.7 109.2 116.4 112.4 96 94 92 106.4
Upper East 83.2 79.0 83 85.0 83.6 105.9 93.1 102.2 95.8 85 88 84 93.3
Upper West 76.6 75.0 75 75.8 82.0 90.6 90.0 97.7 101.1 78 92 88 89.7
Volta 78.2 73.0 77 78.9 78.4 78.3 78.8 78.8 71.0 69 70 68 65.3
Western 85.4 85.0 96 86.4 85.7 85.2 87.5 92.1 90.3 80 86 87 86.8
National 86.7 84.0 89 87.7 87.7 89.1 86.5 88.6 85.1 81 78 79 83.8
Source: Expanded Programme on Immunisation

6.2 Penta 3 (DPT3) Immunisation Coverage Rate, 2002 - 2014

REGION
2014 2013 2012 2011 2010 2009 2008 2007 2006 2005 2004 2003 2002
Ashanti 98.4 88.0 88 85 86.5 83.7 76.8 72.3 71.0 73 66 66 70.3
Brong Ahafo 99.2 92.0 96 94 94.3 95.0 97.3 100.2 96.8 91 83 81 82.7
Central 86.9 83.0 86 95 94.3 96.6 92.2 92.6 88.4 88 86 83 82.0
Eastern 87.9 83.0 87 93 93.6 94.5 93.0 93.0 88.6 89 79 81 80.1
Greater Accra 78.0 74.0 85 66 70.1 72.7 68.3 67.8 65.4 66 55 62 71.5
Northern 119.6 110.0 110 114 109.2 123.0 114.5 123.7 115.2 112 93 85 90.2
Upper East 93.8 83.0 84 87 83.1 105.9 94.8 101.6 92.6 97 87 83 90.7
Upper West 86.0 79.0 76 83 83.0 90.1 87.5 93.9 92.4 76 90 87 84.9
Volta 86.8 75.0 78 81 81.4 82.9 83.8 83.8 77.5 75 71 67 64.7
Western 95.4 88.0 95 89 86.4 88.6 89.0 93.3 91.1 85 86 88 85.4
National 93.3 86.0 88 87 87.1 89.3 86.6 87.8 84.2 83 76 76 78.1
Source: Expanded Programme on Immunisation

36
 6.3 OPV3 Immunisation Coverage Rate, 2002-2014
REGION
2014 2013 2012 2011 2010 2009 2008 2007 2006 2005 2004 2003 2002
Ashanti 93.4 88.0 87.5 84.7 86.3 83.61 76.7 72.3 70.6 72 66 68.0 70.5
Brong Ahafo 95.1 92.0 95.2 93.8 94.1 93.76 97.2 101.3 97.1 91 82 80.2 81.2
Central 84.2 83.0 86.5 94.4 92.9 93.66 90.9 92.7 88.2 102 89 83.9 85.5
Eastern 83.2 85.0 87.4 92.6 93.1 94.15 92.7 93.3 88.8 91 79 81.3 80.4
Greater Accra 74.3 74.0 74.5 66.1 70.3 72.28 68.4 67.4 64.8 66 56 60.5 71.8
Northern 113.4 108.0 109.2 114.1 109.0 122.13 114.2 122.5 113.3 112 93 84.7 92.0
Upper East 88.8 83.0 86.4 86.5 82.8 105.35 89.2 100.8 92.6 96 87 82.9 91.9
Upper West 81.7 79.0 75.7 79.8 81.7 89.27 87.4 93.8 92.3 75 90 86.2 85.0
Volta 82.2 75.0 77.3 81.2 81.5 83.11 83.8 83.6 78.0 76 71 67.1 65.0
Western 90.6 91.0 93.9 87.9 86.0 88.00 88.4 92.4 89.6 85 86 87.4 87.1
National 88.8 86.0 87.4 86.7 86.8 88.69 86.1 87.6 83.7 84 76 75.5 78.8
Source: Expanded Programme on Immunisation

6.4 BCG Immunisation Coverage Rate, 2002 -2014

REGION
2014 2013 2012 2011 2010 2009 2008 2007 2006 2005 2004 2003 2002
Ashanti 110.7 103.0 105.4 107.1 105.5 101.6 95.7 90.5 87.5 86 72 77.0 84.2
Brong Ahafo 110.5 109.0 114.1 114.4 111.6 111.1 111.6 114.5 111.6 99 98 96.7 94.6
Central 100.8 105.0 114.1 124.0 120.5 123.9 118.6 124.0 114.5 115 111 109.0 110.9
Eastern 92.4 95.0 103.8 110.3 114.3 114.2 111.7 110.6 110.2 114 104 102.3 107.1
Greater Accra 80.9 78.0 83.9 77.5 74.8 75.6 76.4 73.7 73.6 83 72 79.3 83.3
Northern 131.2 126.0 130.2 134.7 126.8 139.5 131.0 130.8 128.7 117 113 101.7 107.9
Upper East 90.7 87.0 89.5 99.3 91.3 123.5 107.3 112.5 110.6 96 108 109.1 116.1
Upper West 84.8 82.0 81.5 85.8 92.3 104.6 105.2 109.1 110.0 88 106 98.5 95.6
Volta 90.0 84.0 90.9 95.8 94.1 94.5 98.1 98.1 91.4 89 88 82.3 80.5
Western 106.9 106.0 117.1 104.9 99.0 100.6 103.0 107.8 103.8 98 100 101.0 104.4
National 101.3 98.0 104.3 104.8 102.1 103.8 102.6 102.4 99.6 97 92 92.0 95.6
Source: Expanded Programme on Immunisation

37
 6.5 Tetanus Toxiods Immunisation Coverage Rate, 2006-2014
REGION
2014 2013 2012 2011 2010 2009 2008 2007 2006
Ashanti 58.5 75.0 76.5 80.6 78.0 83.1 80.2 69.0 68.3
Brong Ahafo 69.0 76.0 74.4 81.6 84.9 82.2 89.8 90.9 88.9
Central 57.5 72.0 82.6 86.4 94.3 89.6 93.2 81.9 78.7
Eastern 55.0 76.0 71.9 80.2 83.6 85.1 80.7 67.3 68.1
Greater Accra 50.0 61.0 66.8 65.4 67.4 66.8 59.6 50.3 56.8
Northern 107.1 97.0 94.3 82.2 93.5 108.0 97.9 95.0 78.5
Upper East 70.8 59.0 62.3 70.3 63.8 85.5 66.2 90.4 78.3
Upper West 58.5 55.0 56.2 64.1 69.4 71.2 71.6 67.4 52.3
Volta 53.8 56.0 60.0 67.8 60.8 63.9 63.7 57.0 59.7
Western 49.1 65.0 72.3 64.1 62.8 62.6 62.7 58.8 57.1
National 61.7 71.0 73.6 75.7 76.2 78.6 76.3 70.1 68.2
Source: Expanded Programme on Immunisation

6.6 Yellow Fever Immunisation Coverage Rate, 2005-2013

REGION
2014 2013 2012 2011 2010 2009 2008 2007 2006
Ashanti 96.3 86.0 86.8 84.3 87.4 86.8 80.4 76.9 72.9
Brong Ahafo 97.8 90.0 92.4 95.3 95.1 94.0 94.8 100.9 98.4
Central 87.8 85.0 86.2 96.9 95.1 96.8 91.3 91.9 86.6
Eastern 82.9 80.0 85.8 93.9 95.9 94.2 95.4 95.5 90.8
Greater Accra 81.9 76.0 77.3 71.4 43.2 73.2 66.8 68.3 64.4
Northern 111.5 105.0 110.1 111.4 106 118.7 107.6 115.0 110.0
Upper East 86.2 77.0 96.0 83.3 81.5 107.5 84.8 101.1 92.6
Upper West 80.4 75.0 74.5 75.1 82.6 89.5 88.0 97.0 96.2
Volta 83.0 73.0 76.3 79.1 78.5 78.2 79.0 77.0 71.6
Western 88.3 86.0 93.8 85.9 85.5 84.7 93.1 96.6 93.6
National 90.6 84.0 87.8 87.1 87.5 88.8 86.0 88.1 84.0
Source: Expanded Programme on Immunisation
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 6.7 Rotarix 2 Coverage 2012-2013
REGION
2014 2013 2012
Ashanti 93.7 88.0 49.0
Brong Ahafo 93.8 88.0 53.0
Central 81.0 80.0 43.0
Eastern 80.5 79.0 44.0
Greater Accra 72.0 70.0 43.0
Northern 115.3 107.0 55.0
Upper East 87.7 81.0 46.0
Upper West 81.9 77.0 43.0
Volta 81.7 75.0 40.0
Western 89.5 84.0 46.0
National 87.7 83.0 47.0
Source: Expanded Programme on Immunisation

6.8 PCV 3 Coverage 2012-2013

REGION
2014 2013 2012
Ashanti 99.0 88.0 42.0
Brong Ahafo 100.4 92.0 46.0
Central 87.3 80.0 37.0
Eastern 87.7 83.0 41.0
Greater Accra 78.6 74.0 39.0
Northern 119.2 104.0 48.0
Upper East 93.6 83.0 40.0
Upper West 86.1 78.0 35.0
Volta 86.9 75.0 35.0
Western 95.8 84.0 37.0
National 93.6 84.0 40.0
Source: Expanded Programme on Immunisation

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 REGION 6.9 AFP Non-Polio Rate 2006-2013
2014 2013 2012 2011 2010 2009 2008 2007
Ashanti 1.29 1.98 1.17 2.09 1.48 2.10 1.35 0.89
Brong Ahafo 8.76 6.35 3.40 2.80 2.4 3.70 4.22 1.44
Central 2.67 2.66 2.22 2.38 1.38 4.25 2.00 3.13
Eastern 1.75 2.29 1.80 2.00 1.6 4.10 2.70 1.30
Greater Accra 1.47 1.52 0.25 0.60 0.95 1.06 1.06 0.50
Northern 3.30 2.73 1.64 3.30 2.2 2.50 3.40 2.11
Upper East 4.89 6.15 3.50 4.50 2.0 5.50 4.50 2.00
Upper West 6.33 5.77 3.33 5.00 4.0 4.33 3.33 3.00
Volta 2.30 2.09 1.67 3.13 3.13 2.25 1.63 1.75
Western 3.45 1.42 0.75 2.00 2.18 1.82 2.10 2.80
National 2.95 2.71 1.53 2.20 1.82 2.68 2.24 1.60
Source: Disease Surveillance Department

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7.0 Reproductive Health Services
7.1 ANTE NATAL COVERAGE 7.2 SUPERVISED DELIVERY
REGION
2014 2013 2012 2011 2010 2009 2008 2007 2014 2013 2012 2011 2010 2009 2008 2007
Ashanti 76.6 81.9 82.3 84.3 84.7 80.7 86.1 76.1 54.4 55.4 50.1 45.9 53.4 42.4 35.0 26.7
Brong Ahafo 90.3 95.5 100.4 110.6 82.3 97.9 102.1 101.8 65.4 65.0 65.7 46.8 54.0 53.7 49.8 34.5
Central 86.6 89.3 97.7 107.7 106.1 109.1 115.5 108.7 57.7 53.7 58.7 51.6 51.6 52.5 56.3 22.3
Eastern 77.0 82.1 86.9 93.9 84.8 93.4 98.2 87.2 52.5 52.8 56.5 58.1 48.2 52.1 48.0 43.1
Greater Accra 87.9 86.9 88.7 91.7 89.5 77.4 85.2 77.2 59.7 56.4 56.6 58.8 54.4 47.9 50.3 43.1
Northern 117.5 113.6 112.0 135.0 120.9 120.8 127.7 116.8 53.4 46.8 43.3 44.5 36.8 36.1 26.0 27.7
Upper East 83.6 83.8 88.1 91.6 92.5 100.1 102.1 111.7 73.5 67.5 68.4 67.0 59.7 52.6 40.4 43.5
Upper West 85.2 87.7 84.4 86.2 88.8 88.9 93.5 96.3 64.0 58.2 52.5 39.0 46.5 36.7 40.6 32.9
Volta 77.1 78.3 81.8 88.7 81 88.9 93.4 87.4 45.3 43.4 44.8 44.3 36.9 39.4 37.5 33.3
Western 94.3 103.2 101.1 98.6 109.8 93.5 98.8 91.7 57.2 55.5 53.5 39.3 49.6 42.6 39.1 17.6
National 87.1 90.0 92.2 98.2 93.3 92.4 97.8 91.1 56.8 55.0 55.6 52.2 49.5 45.6 42.2 32.1
Source: RCH/PHD

7.3 POST NATAL CARE 7.4 FAMILY PLANNING ACCEPTORS

REGION
2014 2013 2012 2011 2010 2009 2008 2007 2013 2013 2012 2011 2010 2009 2008 2007
Ashanti 62.2 49.4 48.2 53.4 52.6 38.4 51.6 50.6 19.4 19.0 16.6 17.4 17.6 17.5 15.7 15.2
Brong Ahafo 82.4 71.3 66.0 64.0 59.2 53.7 57.2 57.1 37.2 35.3 26.4 28.3 33.0 43.4 36.3 40.9
Central 63.2 56.9 62.9 68.9 66.8 71.4 77.6 73.4 24.8 22.9 26.3 28.5 25.1 33.1 33.0 29.6
Eastern 73.1 68.5 68.7 71.7 64.5 67.0 61.5 61.5 29.2 28.1 31.6 36.3 31.5 32.9 33.1 33.3
Greater Accra 73.4 63.0 62.8 65.4 57.7 51.7 48.7 48.5 30.2 28.9 27.3 41.9 31.6 32.6 63.9 16.4
Northern 104.3 89.7 83.8 91.8 88.9 84.9 80.7 76.8 16.8 15.9 16.4 21.0 21.5 28.9 26.0 20.1
Upper East 80.5 76.6 77.0 78.7 76.2 77.8 57.3 66.9 28.0 26.9 28.1 29.7 24.3 33.0 26.2 27.4
Upper West 76.2 69.3 64.8 68.8 68.4 64.9 68.7 70.1 45.7 42.0 42.0 50.7 49.2 56.5 59.8 85.0
Volta 68.2 55.1 53.4 58.2 50.1 47.3 50.5 55.6 25.1 24.1 24.6 28.6 22.5 27.5 21.6 23.7
Western 65.6 63.2 59.6 55.5 54.4 49.5 45.6 37.6 22.1 21.2 18.9 22.8 13.0 18.9 19.6 13.9
National 73.4 64.1 62.7 65.3 58.1 56.4 57.5 56.7 25.9 24.7 25.2 28.1 34.7 31.1 33.8 23.2
Source: RCH/PHD

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7.5 Institutional Maternal Mortality Ratio
2014 2013 2012 2011 2010 2009 2008
Maternal Maternal Maternal Maternal Maternal Maternal Maternal
Region Maternal Mortality Maternal Mortality Maternal Mortality Maternal Mortality Maternal Mortality Maternal Mortality Maternal Mortality
Deaths Ratio Deaths Ratio Deaths Ratio Deaths Ratio Deaths Ratio Deaths Ratio Deaths Ratio
Ashanti 139 114.9 200 125.3 79 77 252 232 165 149.6 177 215 222 252.6
Brong Ahafo 95 134.9 95 139.2 112 167 93 208 73 138.7 94 194 81 185.3
Central 65 105.2 68 121.6 64 113 74 141 82 149.0 69 129 92 223.2
Eastern 117 175.5 124 199.5 116 179 935 207 115 191.6 82 136 98 170.7
Greater Accra 204 184.7 201 196.7 196 201 242 256 169 181.5 166 197 167 194.3
Northern 66 107.5 99 173.7 111 212 114 165 84 137.2 96 147 91 175.9
Upper East 45 138.7 33 108.4 40 136 36 120 37 137.9 30 131 27 152.2
Upper West 31 161.1 34 192.9 24 146 29 202 26 157.7 41 267 22 120.6
Volta 86 178.8 73 161.0 72 175 87 201 82 209.6 55 146 52 144.7
Western 93 149.5 85 152.7 75 132 60 114 99 176.1 79 148 101 269.5
National 941 143.9 1,012 154.5 889 152 1,122 195 932 163.2 889 170 953 199.7

2007 2006 2005 2004 2003 2002

Maternal Maternal Maternal Maternal Maternal Maternal Maternal Maternal Maternal Maternal Maternal Maternal
Region Deaths Mortality Deaths Mortality Deaths Mortality Deaths Mortality Deaths Mortality Deaths Mortality
Ratio Ratio Ratio Ratio Ratio Ratio
Ashanti 179 245.9 175 212.2 181 195.9 161 176.4 173 196.1 172 203.4
Brong Ahafo 88 222.0 116 225.8 75 211.4 104 229.6 84 196.2 102 235.1
Central 92 266.2 85 120.6 44 103.9 71 134.5 71 159.3 86 206.5
Eastern 146 265.3 118 227.3 143 288.1 109 267.0 113 262.6 92 198.2
Greater Accra 149 202.3 118 123.6 125 182.4 114 183.0 120 187.7 83 122.8
Northern 113 206.9 91 186.2 70 176.5 66 172.0 77 254.8 49 158.2
Upper East 29 140.7 43 219.9 34 172.3 46 170.9 34 203.5 59 378.3
Upper West 30 160.9 20 118.8 21 122.7 19 107.7 16 99.1 17 106.7
Volta 65 200.5 65 217.4 78 255.6 71 261.9 84 256.2 91 345.6
Western 104 341.0 126 284.3 92 244.0 63 155.4 82 209.5 86 231.9
National 996 230.2 957 187.2 863 196.8 824 186.0 854 204.5 837 204.4
Source: CHIM/RCH
Institutional Maternal Mortality Ratio is the number of maternal deaths occurring in health facilities per 100,000 live births.

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APPENDIX 1
8.1 TREND IN OPD ATTENDANCE PER CAPITA (2006-2014) 8.2 INFANT MORTALITY RATE-GHANA (1988-2014)

Figure 1 Figure 2

8.3 TOTAL FERTILITY RATE-GHANA (1988-2014) 8.4 PREVALENCE OF MALARIA PER 100,000 POPUATION
PREVALENCE OF MALARIA PER 100,000POPULATION
1996 - 2008

Prevalence per 100,000 Population

25000

20000

15000

10000

5000

0
1996 1997 1998 1999 2000 2001 2002 2003 2004 2005 2006 2007 2008

Figure 3 Figure 4

43
 8.5 DOCTOR POPULATION RATIO (2008-2013) 8.6 NURSE POPULATION RATIO (2008-2013)

Figure 5 Figure 6

8.7 IMMUNIZATION COVERAGE (2008-2013) 8.8 RCH COVERAGE (2002-2008)

Figure 7 Figure 8

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APPENDIX 2

9.0 MAJOR CAUSES OF ADMISSIONS AND DEATHS – 2014

Data on the causes of hospital admissions and deaths were collected from the regional hospitals and
district hospitals in all the ten regions excluding the two Teaching Hospitals.

9.1 Top Ten Causes of Admission All Ages – National

Total cases Proportional

Rank Cause of Admission seen Morbidity Rate (%)
1 Malaria 221111 18.4
2 Pneumonia 22059 1.8
3 Gastritis 12704 1.1
4 Spontaneous delivery 10392 0.9
5 Infection of Urinary Tract (UTI) 10162 0.8
6 Cellulitis 10085 0.8
7 Septicaemia 9391 0.8
8 Typhoid fever 7124 0.6
9 Bronchopneumonia 7001 0.6
10 Caesarean Section 5256 0.4
All others 887602 73.8
Total
1202887 100.0
th
Source: CHIM/PPME-GHS, EXTRACTED FROM DHIMS2 ON 12 June, 2016

9.2 Top Ten Causes of Death All Ages - National

Total cases Proportional
Rank Cause of Death seen Mortality Rate (%)
1 Malaria 1253 9.7
2 Anaemia 806 6.2
3 HIV/AIDS 781 6.0
4 Hypertension 679 5.2
5 Pneumonia 649 5.0
6 Asphyxia 364 2.8
7 Gastroenteritis 317 2.4
8 Liver Disease 285 2.2
9 Cerebrovascular Accident 227 1.7
10 Cardiac failure 154 1.2
All others 7457 57.5
Total 12972
100.0
Source: CHIM/PPME-GHS, EXTRACTED FROM DHIMS2 ON 12th June, 2016

45
9.3 Top Ten Causes of Admission for Children Under 5 Years - National
Total Proportional Morbidity
Rank Cause of Admission cases seen Rate (%)
1 Malaria 96178 46.9
2 Anaemia 23446 11.4
3 Enteritis 15685 7.7
4 Pneumonia 5473 2.7
5 Septicaemia 5179 2.5
6 Bronchopneumonia 4584 2.2
7 Infection of Urinary Tract 1019 0.5
8 Enteric Fever 864 0.4
9 Typhoid fever 829 0.4
10 Cellulitis 584 0.3
All others 51059 24.9
Total 204900 100.0
Source: CHIM/PPME-GHS, EXTRACTED FROM DHIMS2 ON 12th June, 2016

9.4 Top Ten Causes of Deaths for Children Under 5 Years - National
Total cases Proportional Mortality
Rank Cause of Death seen Rate (%)
1 Malaria 505 28.1
2 Anaemia 109 6.1
3 Asphyxia 106 5.9
4 Pneumonia 101 5.6
5 Tuberculosis Pulmonary 35 1.9
6 Hypoglycaemia 33 1.8
7 Heart Failure 24 1.3
8 HIV/AIDS 23 1.3
9 Liver Disease 3 0.2
10 Cerebrovascular Accident 2 0.1
Others 854 47.6
Total 1795 100.0
Source: CHIM/PPME-GHS, EXTRACTED FROM DHIMS2 ON 12th June, 2016

46
10.0 International and National Health Days

Theme Date

World Leprosy Day 1st January

1st National Immunization Day January
Ghana Health Service Awareness Month March
World Tuberculosis Day March
2nd National Immunization Day April
World Health Day 7th April
African Malaria Day 25th April
Dental Care Month May
Nurses Week May
Prevention of Blindness Awareness (Ghana) May
Family Planning Week (Ghana) May
World No Tobacco Day 31st May
Drug Abuse Day 26th June
Diabetic Week (Ghana) July
National Oral Health Week July
World Population Day 11th July
Midwives Day August
World Breastfeeding Day 1st August
World Aged Day 1st October
Mental Health Week 10th October
3rd National Immunization Day November
AIDS Awareness Month (Ghana) November
World Diabetic Day 14th November
4th National Immunization Day December
World AIDS Day 1st December

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