Health Delivery System Flashcards
What kind of Health delivery system Ghana do we have? What does it comprise of? This kind of health delivery system comprises of what?
District health services are organized in two how many levels and name them
The Ghana health service has a deconcentrated structure comprising how many national divisions ,how many regional entities and how many district health directorates
Health delivery system Ghana has a pluralistic health system, comprising allopathic public private sectors the traditional and alternative medicine sector, each participating in financing, resource creation and service delivery, with the Ministry of Health performing the overall stewardship role.
•It is a three-tier system, comprising district (primary), regional (secondary) national (tertiary) levels.
•District health services are further organized into three levels: CHPS zone (community), subdistrict (health centres, clinics) and district (district hospital and district health directorate).
•The GHS, the agency responsible for PHC, has a deconcentrated structure comprising 10 national divisions, 10 regional entities, and 216 district health directorates.
What are the agencies responsible for health in Ghana
Functional heads are usually found at which levels
Teaching hospitals are under which body
Ministry of Health
•Ghana Health Service
•Teaching hospitals
•The Ghana Health Service consists of government hospitals and clinics, hospitals and clinics
•Christian Health Association of Ghana( CHAG)(CHAG doesn’t report directly to Ghana health service ) and private facilities.
•The Ghana government pays most of the salaries of the staff physicians, house officers, nurses, and some others in the government and CHAG hospitals.
•Ghana Medical and Dental Council
Tactical and strategic levels
Ministry of health not Ghana health service
What is the vision and goal and mission of Ghana health service
What is the objective of the health sector
VISION OF THE M.O.H
•Improved health status and reduced inequalities in health outcomes of all people living in Ghana.
MISSION
•Is to work in collaboration with all partners to ensure that every individual household and community in Ghana is adequately informed about health and has access to high quality health and health services
GOAL
•Working together for equality and good health for all people living in Ghana.
OBJECTIVE OF HEALTH SECTOR
•to promote good health – very easily among all people in Ghana service
What are the strategic objectives of the ministry of health
Increased geographical and financial access
- Better quality of care in all health facilities
- Improved efficiency in the health sectors.
- Closer collaboration and partnership between the health sector and communities, other health sectors and private providers both allopathic and traditional
Increased over all resources in the health sector
equitably and efficiently distributed.
6. Bridged inequity gap in access to quality health
service. In emphases on the four deprived region,
Northern, Upper East, Upper West and Central
regions.
1.Sustainable financing arrangements that protects
the deprived and vulnerable.
What are the functions of the ministry of health
Policy and institutional development
•strategic planning
•resource mobilization
•co-ordination of all agencies and partners involving health development
•Co-ordinate investments in the service. Capital investment.
•Management of training institutions
When was the Ghana health service established
Which act was it established under
What is it responsible for
It was established in 1996 as part of the Health Sector Reform of Ghana.
•It is under the Ministry of Health.
•The Health service primarily administrates the health services provided by the government and in implementing government policies on healthcare.
The Ghana Health Service (GHS) is a Public Service body established under Act 525 of 1996 as required by the 1992 constitution.
• It is an autonomous Executive Agency responsible for implementation of national policies under the control of the Ghana Minister for Health through its governing Council – the Ghana Health Service Council.
Where does GHs receive funds from
Are it’s employees part of civil service ?
What is the independence of GHS designed for? Which bodies are not included in GHS
The establishment of GHS is an essential part of key strategies identified where?
What is the benefit of the reforms built on the recognition of MOH
What themes were central to the reorganization of 1993 that remain important for the GHS
The GHS continue to receive public funds and thus remain within the public sector. However, its employees are no longer part of the civil service,
GHS managers are no longer required to follow all civil service rules and procedures.
•The independence of the GHS is designed primarily to ensure that staffs have a greater degree of managerial flexibility to carry out their responsibilities, than would be possible if they remained wholly within the civil service.
•Ghana Health Service does not include Teaching Hospitals, Private and Mission Hospitals.
- The establishment of the Ghana Health Service was an essential part of the key strategies identified in the Ghana Health Sector Reform process, as outlined in the Medium Term Health Strategy (MTHS), which were necessary steps in establishing a more equitable, efficient, accessible and responsive health care system.
- The reforms built on the reorganization of the MOH that began in 1993, was explicitly designed to set the scene for the establishment of the Ghana Health Service.
- It also provided a sound organizational organizational framework for the growing degree of managerial responsibility that has already been delegated to districts and hospitals.
- Themes that were central to the reorganization of 1993 remain important today for the Ghana Health Service:
- careful stewardship of resources,
- clear lines of responsibility
- control, decentralization, and accountability for performance rather than inputs.
What is the mandate of GHS
What are the objectives of GHS
GHS to provide and prudently manage comprehensive and accessible health service with special emphasis on primary health care at Ghana regional, district and sub-district levels in accordance with approved national policies.
Implement approved national policies for health delivery in Ghana.
•Increase access to good quality health services
•Manage prudently resources available for the provision of the health services.
What are the functions of GHs
For the purposes of achieving its objectives the GHS performs the following functions amongst others:
•Provide comprehensive health services at all levels in Ghana directly and by contracting out to other Ghana agencies. As part of this function, the GHS is:
•Develop appropriate strategies and set technical guidelines to achieve Ghana national policy goals/objectives.
•Undertake management and administration of the overall Ghana health resources within the service.
Undertake management and administration of the overall Ghana health resources within the service.
•Promote healthy mode of living and good health habits by people in Ghana.
•Establish effective mechanism for disease surveillance, prevention and control in Ghana.
Determine charges for Ghana health services with the approval of the Ghana Minister of Health.
•Provide in-service training and continuing education in Ghana.
•Perform any other functions relevant to the promotion, protection and restoration of health in Ghana
Administratively GHS is organized at how many levels
Functionally GHS is organised at how many levels name them
Administratively GHS is organized at 3 levels:
•National level
• Regional level
• District Level
Functionally GHS is organised at Five (5) Levels: •National Level •Regional Level • District Level •Sub-district Level •Community Level
GHS is governed by a how many member council and what’s the name of this council
What are the functions of this council
GHS is governed by a 12-member Council-The Ghana Health Service Council.
Its functions are:
•Ensure the implementation of the functions of the Service
•Submit to the Minister recommendations for health care delivery policies and programmes
•Promote collaboration between the Ministry of Health, Teaching Hospitals and the Service
•Advise the Minister on posts in the Service and other matters that the Minister may request
Name the directorates under Ghana health service
Which of them are under line structure ? Which are under staff? Which are under functional organization?
Why?
Which people provide institutional care?
Office of the Director General •Family Health •Public Health •Research and Development •Supplies, Stores and Drugs Management •Finance •Internal audit •Health administration and Support Services •Human Resources •Institutional care •Policy, Planning Monitoring and Evaluation
Office of the director general and institutional care are line structure
The rest of the directorates are specialized therefore they aren’t line structure
Finance to human resource are staff organization
Supplies,Stores and drugs are functional structure
Doctor,PAs ,nurses give institutional care and form line structure
Which bodies are under the national level under the administrative levels of
GHs
How many national division directors are there?
In the regional level,the regions are headed by how many regional directors of health services ?
They are supported by which people?
How many districts are there?
And are headed by which people? Supported by which people?
National Level
•Ghana Health Service Council
•Office of the Director General and Deputy Director General
•Eight National Divisional Directors
Regional Level
- Regions are headed by 16 Regional Directors of Health Services
- Supported by Regional Health Management Teams
- Regional Health Committees
Districts Level
•All 216 districts are headed by District Directors of Health Services
•Supported by the District Health Management Teams
•District Health Committees
•Sub District Health Management Teams
What is the structure of delivery of services at the regional and district administration
Structure of Delivery of Services
•At the regional level, curative services are delivered at the regional hospitals and public health services by the District Health Management Team (DHMT) as well as the Public Health division of the regional hospital. The Regional Health Administration or Directorate (RHA) provides supervision and management support to the districts and sub-districts within each region.
•At the district level, curative services are provided by district hospitals many of which are mission or faith based. Public health services are provided by the DHMT and the Public Health unit of the district hospitals. The District Health Administration (DHA) provides supervision and management support to their sub-districts.
What are the functions and roles of district hospitals
What should the district hospital provide ?
District Hospitals
•Functions and Roles
•District hospitals are the facilities for clinical care at the district level. District hospitals serve an average population of 100,000–200,000 people in a clearly defined geographical area. The number of beds in a district hospital is usually between 50 and 60. It is the first referral hospital and forms and integral part of the district health system.
•A District Hospital should provide the following:
•Curative care, preventive care, and promotion of heath of the people in the district
District Hospitals
Functions and Roles
•Quality clinical care by a more skilled and competent staff than those of the health centers and polyclinics
•Treatment techniques, such as surgery not available at health centers
•Laboratory and other diagnostic techniques appropriate to the medical, surgical, and outpatient activities of the district hospital
•Outpatient and in-patient
