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Ghana closes healthcare quality triangle as private sector joins SafeCare framework

Ghana has achieved a major milestone in its national healthcare quality improvement journey, as the private health sector formally joins the SafeCare quality framework through a licensing agreement between the Healthcare Federation of Ghana (HFG) and PharmAccess.

The agreement marks a significant policy and operational shift, as it brings together all three major pillars of Ghana’s healthcare system – public, ‘private, and faith-based – under one quality improvement model. This alignment makes Ghana one of the few African countries to establish a unified, cross-sectoral framework for assessing, improving and benchmarking healthcare quality.

In an interview with JoyNews, Country Director for SafeCare at PharmAccess Ghana, Bonafasia Agyei, said the new licensing agreement with the Healthcare Federation of Ghana completes a long-standing effort to align all key sectors of the country’s health system – public, private and faith-based – under one unified quality improvement framework.

She explained that SafeCare has already been successfully implemented within the faith-based healthcare facilities. At the same time, the Ghana Health Service (GHS) is steadily adopting the model as part of its national quality improvement efforts.

The SafeCare Country Director further added that with the private sector now formally on board, Ghana can move forward with a comprehensive approach to improving healthcare quality across all levels and providers.

“Until now, what remained was the private sector. Today marks a significant day and a major milestone. Through this licensing agreement with the Healthcare Federation of Ghana, we have effectively closed the triangle. We now have all major healthcare sectors – public, private, and faith-based – on board.”

“This agreement gives us the opportunity to fully engage the private sector and support them in institutionalising quality care. Through the Healthcare Federation, we will be able to access private healthcare facilities and implement the SafeCare standards and processes to help build and sustain a long-term culture of quality,” she said.

For the past five years, PharmAccess has partnered with the Christian Health Association of Ghana (CHAG) to institutionalise SafeCare standards within faith-based facilities. At the same time, collaboration with the Ghana Health Service has seen strong momentum toward adopting SafeCare as a national quality strategy within the public sector.

With the private sector now formally integrated, the SafeCare model becomes a nationwide standard. Through the agreement, PharmAccess will support HFG to train assessors and roll out SafeCare across its vast and diverse membership – ranging from maternity homes and hospitals to pharmacies and laboratories.

“This agreement gives us the opportunity to fully engage the private sector and support them in institutionalising quality care. Through the Healthcare Federation, we will be able to access private healthcare facilities and implement the SafeCare standards and processes to help build and sustain a long-term culture of quality,” Ms. Agyei explained.

According to her, the impact of this integration is both clinical and operational. Facilities that adopt SafeCare are expected to improve client satisfaction, enhance service delivery and boost patient outcomes. But the benefits go even deeper – into how facilities are run, financed and perceived by partners and investors.

“Studies have shown that within about two years of implementing SafeCare, healthcare providers also achieve significant efficiency gains. That’s because SafeCare doesn’t just focus on clinical care—it looks at the entire ecosystem around service delivery: how you manage your stock, how you treat your clients, how the business side of care is handled.

By using SafeCare standards, facilities enhance their efficiency, reduce operational risks, and become more attractive to investors and development partners. This is a powerful opportunity for private sector healthcare providers to grow their businesses, improve service quality, and deliver better outcomes to the people they serve,” she indicated.

SafeCare is a digitally supported and continuous quality improvement cycle. Under this new phase, a cohort of professionals from within HFG will be trained as internationally certified assessors. These assessors will evaluate facilities using globally recognised SafeCare standards and then work alongside quality facilitators to support improvements through targeted coaching and structured planning.

“This improvement cycle will continue, building and reinforcing a sustainable culture of quality within the private health sector,” Agyei said.

One of the most transformative features of this model is the ability to benchmark quality across sectors. With SafeCare now active in the public, private, and faith-based spaces, Ghana can for the first time speak a common language of quality – allowing for performance comparisons, shared learning and recognition of excellence.

 “Another key benefit of this approach is benchmarking. With SafeCare now present in the public, private, and faith-based sectors, we’re using a common language and framework to measure quality. This allows us to accurately assess and compare facilities across sectors, identify high performers, and drive improvements across the entire health system in Ghana,” she said.

The quality healthcare assessor described the licensing agreement not simply as a contractual event but as a transformational step toward building a healthcare system that is accountable, patient-focused, and globally competitive.

With this “triangle of quality” now complete, Ghana’s health system is poised to enter a new era – where quality is not fragmented or optional, but embedded and measurable across every level of care.

70% of Ghana’s health facilities private, embrace SafeCare to improve quality care

Ghana’s private healthcare sector, which accounts for the majority of health facilities in the country, is taking a bold step toward quality assurance and global alignment by embracing the internationally recognised SafeCare standards.

At the centre of this transformation is the Healthcare Federation of Ghana (HFG), which has secured a license to roll out SafeCare Version 5 – recently accredited by the International Society for Quality in Healthcare (ISQua) – across its broad membership of hospitals, clinics, maternity homes, hospitals, pharmacies, laboratories, wholesalers and manufacturers.

According to HFG President, Mr. Charles Fordjour, the role of the private sector in Ghana’s healthcare delivery is both dominant and indispensable.

“Over 70% of facilities in Ghana fall under what we call the private sector. In the same way, when it comes to utilisation of healthcare, over 60% of Ghanaians access healthcare in the private sector,” he stated.

Despite this critical role, the sector has long lacked a unifying quality benchmark that could ensure consistency, safety and transparency across its many provider types. That gap, Mr. Fordjour argued, is what makes the partnership with PharmAccess – licensing SafeCare standards to HFG – so timely and essential.

The SafeCare model offers a structured path for facilities to improve service delivery through a cycle of assessments, capacity building and continuous quality improvements. Facilities that achieve accreditation under SafeCare can confidently claim that their services meet international benchmarks for safety, performance and patient experience.

“It is very critical that we come together as private sector players to ensure that whatever we do is aligned with global standards,” Mr. Fordjour said.

Under the new arrangement, PharmAccess will train healthcare professionals under HFG as quality assessors who will be responsible for guiding member facilities through the SafeCare certification process. This shift places responsibility and ownership of quality squarely within the private sector – moving from external audits to sector-led quality leadership.

The Federation believes that the SafeCare rollout will improve health outcomes, strengthen patient trust and make Ghana’s private providers more competitive both locally and regionally. It also opens up new opportunities for collaboration with private insurers, employers and international partners who are increasingly demanding verifiable quality standards from healthcare providers.

As Ghana seeks to modernise its healthcare system and reduce inequality in care quality across regions and providers, SafeCare accreditation may well become the standard that distinguishes reliable facilities from the rest and positions the country as a serious player in regional healthcare delivery.

SafeCare a game-changer – Healthcare Federation of Ghana poised to improve patient care

Ghana’s private health sector is embracing SafeCare accreditation as a strategic shift to raise healthcare standards and position the country as a competitive hub for medical tourism in West Africa.

The initiative, led by the Healthcare Federation of Ghana (HFG), seeks to embed globally recognised quality benchmarks across private facilities nationwide.

With over 70% of all health facilities in Ghana operating under the private sector and more than 60% of citizens relying on them, the rollout of SafeCare Version 5, recently accredited by the International Society for Quality in Healthcare (ISQua), is expected to significantly improve both patient trust and service delivery.

Speaking at the signing ceremony of the SafeCare Licensing Agreement in Accra, President of the Healthcare Federation of Ghana (HFG), Charles Fordjour described the move as a turning point.

“Today is a very important day in the annals of what we aim to achieve for our country, Ghana. Healthcare is wealth, and healthcare is what will drive the economy. Whatever we must do to ensure that every Ghanaian has access to quality healthcare is what we are committed to pursuing,” he said.

Mr. Fordjour explained that the partnership with PharmAccess will enable HFG to train assessors and accredit its member facilities under the SafeCare model. This means that private clinics, hospitals, pharmacies and even medicine importers under the federation will now work toward meeting internationally benchmarked quality standards.

He added that, “So, as a Ghanaian, anywhere you go and see the SafeCare logo, it tells you that when you enter that facility and access healthcare, it is comparable to what you would get globally.”

Beyond improving domestic healthcare outcomes, the HFG President indicated that SafeCare is also a strategic tool to reverse the tide of outbound medical tourism, where Ghanaians with financial means travel abroad for treatment due to perceived quality gaps at home.

“We want to minimise outbound medical tourism and position Ghana as a destination for medical tourism. Most people with money, when they want to access healthcare, do not travel to another country to go to the public sector. They seek care in the private sector of that neighboring country,” the HFG president said.

He stressed that only quality-driven, verifiably accredited care will convince international patients and regional neighbours to see Ghana as a serious contender in healthcare delivery. To that end, the Federation sees SafeCare not just as a technical framework, but as a bold economic and health policy intervention.

“The way we can convince the whole world and the rest of West Africa and sub-Saharan Africa – that Ghana is a destination for medical tourism is through the quality accreditation we have. That is why we say this is a game changer for private healthcare in Ghana,” Mr. Fordjour said.

To support uptake, HFG also plans to work closely with private insurers, HR departments and other corporate players within the healthcare system to promote SafeCare-certified facilities as preferred providers. This, Federation noted, will help guarantee consistent and reliable healthcare experiences for workers and their families.

He further said that, “When your employee goes to a facility with SafeCare accreditation, you are guaranteed assured care. We promise you that together, Ghana will be a different place and by extension, West Africa will be a different place.”

With SafeCare Version 5 now in hand, Ghana’s private sector is signalling that the path to healthcare excellence begins with quality and that it is ready to lead that journey on the continent.

ISQua accredits SafeCare version 5; Ghana rolls out improved standard

The newest version of the globally recognised SafeCare healthcare quality standards has been officially accredited by the International Society for Quality in Healthcare (ISQua) and Ghana’s private healthcare sector will be among the first in Africa to implement it.

The release of SafeCare Standard Version 5 marks a major milestone in the ongoing effort to improve the quality of healthcare delivery in low- and middle-income countries. Developed under the PharmAccess Foundation, this version represents the most advanced set of standards yet in a system designed to help health facilities progress through a cycle of continuous quality improvement.

The Country Director for PharmAccess Ghana made the revelation at the signing ceremony of the SafeCare Licensing Agreement with the Healthcare Federation of Ghana (HFG) in Accra.

Dr. Maxwell Antwi emphasised the transformative potential of the newly accredited standards. He described SafeCare not merely as a compliance tool, but as a comprehensive framework designed to instill a lasting culture of quality improvement across healthcare systems.

“SafeCare Foundation is a sister organisation under the PharmAccess Foundation Family. It uses ISQua-accredited standards to embed health system culture that improves care in a stepwise manner. So you move from Level 1 to Level 5. And it does this through cycles of assessment, quality improvement planning, quality improvement facilitation, capacity development and reassessment. So the cycle of SafeCare never ends.

Only yesterday, Mr. President, I’m happy to announce that, International Society of Quality Healthcare accredited SafeCare Standard Version 5 – which is the newest accreditation standard. So on this signing occasion, Healthcare Federation of Ghana will have the opportunity to use the newest accreditation standard accredited by ISQua.”

The new standards, which come after years of refinement, aim to strengthen how healthcare providers approach safety, efficiency, risk management and clinical outcomes. They are built to help facilities of all sizes – from small clinics to tertiary hospitals – diagnose operational weaknesses, build targeted improvement plans and track measurable progress over time. The updated framework also includes stronger digital tools, clearer benchmarking and deeper integration of patient-centered practices.

This comes at a critical time, particularly in Africa where inconsistent care quality continues to undermine health outcomes. Dr. Antwi stressed that Ghana and similar countries must shift focus from expanding access alone to ensuring that services provided meet minimum quality thresholds. Quality of care, he argued, is no longer a luxury – it is the frontline of public health.

His call to action is supported by alarming global data. He cited figures from the World Health Organisation showing that poor quality healthcare – not the absence of care – is the leading cause of avoidable deaths in many developing nations. While access remains a challenge, the bigger and often hidden crisis is that millions of patients die after reaching healthcare facilities that are unable to provide effective or safe treatment.

“WHO (2020) reports 5.7–8.4 million deaths annually in LMICs due to poor quality care, compared to 3–5 million from lack of access,” Dr. Antwi noted.
“Poor quality kills twice as many people annually as COVID-19 did at its peak.
60% of deaths from treatable conditions occur in facilities where patients already sought care, highlighting treatment deficiencies rather than access gaps.
These numbers are stark: poor quality doesn’t just fail to heal – it harms,” PharmAccess Country Director said.

Dr. Antwi also noted that SafeCare offers a proven model to reverse this trend. It has already been implemented in 27 countries and across 9,500 health facilities. More than 8,500 digital quality assessments have been conducted using the framework, powered by a network of nearly 1,000 internationally certified assessors. These assessments, he explained, are rigorous, transparent and focused on practical change, with over 70 percent of facilities showing measurable quality improvements.

He added that in Ghana, the Ministry of Health has formally adopted SafeCare as the national quality standard and the Health Facilities Regulatory Agency (HeFRA) recognises it as an official accreditation benchmark. With the latest version now available, the country is poised to deepen its quality agenda in both public and private sectors.

Beyond the health outcomes, there is also a compelling economic case. PharmAccess Country Director referenced a collaborative study between the University of Ghana, the University of Health and Allied Sciences and the University of Dundee, which shows that facilities performing better in quality assessments also tend to attract more patients. In short, quality brings growth.

“Additionally, we found that quality improvement scores have a positive association (not causality) with health service utilisation and service output. This revelation suggests that health facilities that performed well in QI assessments also recorded higher client attendance across the service delivery components,” he said.

In a landscape where patients are becoming more discerning and data more transparent, quality-certified facilities are gaining a strategic edge. Dr. Antwi explained that SafeCare helps providers reduce errors, streamline operations, and become more attractive to both investors and health insurers. The returns, he argued, are clear.

“Globally, studies indicate that every dollar invested in healthcare quality yields a 300% (threefold) return through efficiency gains, reduced errors, and improved patient satisfaction,” he indicated.

Dr. Maxwell Antwi challenged regional stakeholders to embrace this opportunity and take bold steps toward reversing the quality gap that fuels distrust, medical tourism and poor outcomes. By aligning with the newest ISQua-accredited standards, he said, Ghana and the region can redefine what healthcare excellence looks like – not in theory, but in practice.

“Let me seize this opportunity to challenge the other country federations within FOASPS to come onboard this journey of transforming healthcare in West Africa and stemming the tide of medical tourism by our country-fellows to outside of the continent for healthcare.”

With SafeCare Version 5 now officially accredited and ready for implementation, Ghana is setting the pace. The rest of Africa and the global community will be watching how this next chapter in quality healthcare unfolds.

MPOX cases surge: 20 new infections push total to 302

Ghana is experiencing a significant increase in MPOX (formerly Monkeypox) cases, with health authorities confirming 20 new infections as of July 30, 2025.

This latest surge brings the total number of confirmed cases nationwide to 302, with one fatality, highlighting a concerning trend in the country’s public health landscape.

The Ghana Health Service (GHS) and other relevant health agencies continue to monitor the situation closely, reminding the public about the transmission and symptoms of the viral disease.

MPOX primarily spreads through close contact with someone who has the infection, including direct physical contact with rashes, scabs, or body fluids, as well as prolonged face-to-face contact, or touching contaminated items like clothing or bedding.

Understanding MPOX: Symptoms to Watch For:

Health officials reiterate the common symptoms associated with MPOX infection, urging individuals to seek medical attention if they experience any of these signs:

• Fever: Often the initial symptom, indicating the body’s response to infection.
• Headache: A common complaint accompanying many viral illnesses.
• Muscle aches: Generalized body pain, similar to flu-like symptoms.
• Swollen lymph nodes: A distinctive feature of MPOX, often appearing in the neck, armpits, or groin.
• Chills: A sensation of coldness, often associated with fever.
• Tiredness: General fatigue and lack of energy.
• Rash: A characteristic symptom that usually develops within a few days of fever. The rash often starts as flat, red spots, which then turn into raised bumps, then blisters, and finally scabs. It can appear on various parts of the body, including the face, palms of the hands, soles of the feet, and genitals.

Public Health Response and Prevention:

The current MPOX situation in Ghana mirrors regional and global trends, where the virus continues to circulate, albeit at lower levels than the peak observed in 2022. The increase in confirmed cases underscores the importance of public awareness and adherence to preventive measures.

Ghana’s health authorities have been actively involved in surveillance, contact tracing, and case management since the initial detection of MPOX in the country. Public health advisories regularly emphasize:

• Avoiding close contact with individuals who have symptoms, particularly rashes.
• Practicing good hand hygiene, including frequent washing with soap and water or using alcohol-based hand rub.
• Avoiding contact with contaminated materials, such as bedding, towels, or clothing used by an infected person.
• Isolating confirmed cases to prevent further spread.
• Seeking prompt medical attention if symptoms develop.

While there is no specific treatment for MPOX, supportive care is crucial, and antiviral medications can be used in severe cases. Vaccines, originally developed for smallpox, also offer protection against MPOX and have been part of targeted vaccination strategies in some countries for high-risk groups. The GHS continues to work with international partners, including the World Health Organization (WHO), to enhance its response capabilities and implement effective strategies to control the spread of the virus.

The public is encouraged to stay informed through official channels and cooperate with health directives to curb the rising number of MPOX cases and protect community health.

PharmAccess Ghana, HFG sign SafeCare license agreement; to use newest ISQua-certified version 5

In a landmark development poised to reshape private healthcare delivery in Ghana, PharmAccess and the Healthcare Federation of Ghana (HFG) have officially signed a licensing agreement that grants HFG access to the globally recognised SafeCare Quality Improvement Programme.

HFG will be among the first to use the International Society of Quality Healthcare (ISQua) accredited SafeCare standards version 5, which is the newest version.

The agreement, signed in Accra, signals a renewed commitment to driving quality healthcare across the private sector using internationally recognied benchmarks and digital tools. It represents the final piece in a broader strategy that has already seen SafeCare embedded within Ghana’s faith-based and public sectors.

Speaking at the signing ceremony in Accra, Country Director of PharmAccess Ghana, Dr. Maxwell Antwi, said the agreement is a bold initiative to transform private sector healthcare in the country.

“PharmAccess is a development organisation that has, for over two decades, focused on unlocking the power of connectivity and data to strengthen inclusive health markets – so more people can access better healthcare, lead healthier lives, and reach their full potential. SafeCare, a sister foundation, is central to that mission.”

According to Dr. Antwi, SafeCare is currently operational in 27 countries and works with 34 partners, impacting over 9,500 healthcare facilities. It has conducted more than 8,500 digital quality assessments using ISQua-accredited standards and has trained nearly 1,000 internationally certified assessors.

“Over 70% of facilities that use the SafeCare approach show measurable improvements in quality, and these facilities together serve nearly 100 million patients annually,” Dr. Antwi revealed.

He added that earlier this year, Ghana’s Ministry of Health formally adopted SafeCare as a national quality standard – a move he described as a “watershed moment” for quality assurance in the country. The Health Facilities Regulatory Agency (HeFRA) has also recognised SafeCare as an accreditation benchmark.

Highlighting the urgency of prioritising quality, Dr. Antwi cited World Health Organisation (WHO) statistics showing that between 5.7 and 8.4 million deaths occur annually in low- and middle-income countries due to poor-quality healthcare – more than from lack of access.

“Poor quality care kills twice as many people annually as COVID-19 did at its peak,” he warned. “And 60% of deaths from treatable conditions occur in facilities where patients already sought care. These are facilities failing not because people didn’t arrive – but because their care was ineffective.”

He further added that healthcare providers must recognise quality not just as an ethical obligation but as a strategic imperative. It builds patient trust, increases utilization, reduces errors and costs, and opens access to finance and investment. It also gives facilities a competitive edge in an increasingly transparent, data-driven healthcare environment.

Also speaking at the event, the President of the Healthcare Federation of Ghana, Mr. Charles Fordjour, praised the partnership as a major breakthrough for private healthcare providers.

“Today is a very important day in the annals of what we aim to achieve for our country, Ghana,” he declared. “Healthcare is wealth – and it will drive our economy. We are committed to ensuring every Ghanaian has access to quality healthcare,” he said.

Mr. Fordjour noted that over 70% of Ghana’s healthcare facilities fall within the private sector, and more than 60% of Ghanaians use private healthcare services. The partnership, he explained, would empower HFG to train assessors and certify member facilities to meet global standards using SafeCare Version 5.

He added that, “This agreement allows us to say, with confidence, that our services meet global benchmarks. Wherever you see the SafeCare logo, it means that facility delivers healthcare comparable to the best in the world.”

He emphasised that this development could stem the tide of outbound medical tourism and, instead, position Ghana as a destination for high-quality healthcare within West Africa and beyond.

“This is a game-changer and we will ensure that all stakeholders – private insurers, corporate HR directors and the Ghanaian public – recognise SafeCare accreditation as a mark of guaranteed care,”he stressed.

Also gracing the occasion was the President-Elect of the West African Federation of Private Health Sector (FOASPS), Dr. Linda Deka who described the signing agreement as deeply personal and profoundly important.

“We all know that quality doesn’t come cheap. Often, clients don’t see the value immediately but eventually, they feel it, and it translates into higher trust, loyalty, and improved outcomes,” she indicated.

Dr. Deka expressed optimism that SafeCare could be expanded beyond Ghana into at least two or three more West African countries within the next two years.

Adding a provider’s perspective, the CEO of FOCOS Orthopaedic Hospital, Dr. Irene Adorkor Wulff expressed strong support for the SafeCare initiative.

She emphasised that healthcare providers needed to recognise that quality was not merely an ethical obligation but a strategic imperative. According to her, quality helped build patient trust, increased utilisation, reduced errors and costs, and opened access to finance and investment.

She also noted that quality gives facilities a competitive advantage in an increasingly transparent and data-driven healthcare environment.

“From our founding in 2011, quality has been our hallmark. We’re outcomes-oriented and patients who come in for treatment return not because their problems weren’t solved, but because they trust us,” she said.

The FOCOS Orthopaedic Hospital, she revealed, is currently undergoing preparations for Joint Commission International (JCI) accreditation – an ambitious goal that places it among the most quality-focused institutions in the country.

“It’s not easy. That’s why many shy away from it. It requires real investment. You have to put the right processes, standards, and SOPs in place. You have to train staff to know and follow these protocols. It’s not like in Ghana where we often say. There’s a law for everything but no law at all. That doesn’t work in healthcare. After you establish the policies, the staff must be trained to actually implement them.”

“Yes, it’s expensive. You might need to upgrade infrastructure, change layouts, or add facilities. But it’s an investment – and a worthwhile one. Once you’ve done it and get to where we are today, patients say, I’m not going anywhere else. They know we might be slightly more expensive, but they stay because nobody treats them the way we do. We give them exactly what they want, how they want it. That is quality healthcare,” she added.

Country Director for SafeCare at PharmAccess Ghana, Ms. Bonafasia Agyei, called the licensing agreement a historic milestone that closes the triangle of quality integration across Ghana’s health system.

“We’ve worked for years with CHAG in the faith-based sector. We’re collaborating closely with the Ghana Health Service in the public sector. What remained was the private sector. Today, with HFG on board, we’ve completed the puzzle,” she said.

Ms. Agyei emphasised that SafeCare is not just about clinical performance – but overall efficiency, business performance, patient handling and operational risk reduction.

The SafeCare Ghana Director, indicated that “In just two years, SafeCare improves facility efficiency and makes them more attractive to investors. This is an opportunity to grow businesses, improve patient experience, and strengthen Ghana’s health system.”

Looking ahead, she outlined plans to train healthcare professionals from the Federation to become certified assessors. These professionals will lead assessments and guide facilities through a digitally enabled cycle of continuous quality improvement.

The ceremony was attended by several high-level dignitaries, including the President of FOASPS, Dr. Joseph Boguifo, President-Elect, FOASPS, Dr. Linda Deka as well as Country Director, PharmAccess Nigeria and President of Healthcare Federation of Nigeria, Njide Ndili.

As the Healthcare federation of Ghana takes this bold step toward institutionalising quality across its healthcare system, the SafeCare license agreement stands as a transformative milestone. With the private sector now aligned alongside public and faith-based institutions under a unified quality framework, the country is poised to set a new benchmark for healthcare delivery in West Africa.

Ghana renews commitment to One Health in high-level policy dialogue

Ghana has reaffirmed its commitment to the One Health approach, with human, animal and environmental health stakeholders aligning priorities to advance integrated action.

A national policy dialogue in Accra provided a platform to review progress and chart next steps. The meeting was promoted by the Evidence-Informed Policy Approaches for One Health (OH-EVI) project, led by the Global Health and Infectious Disease Research Group at the Kumasi Centre for Collaborative Research in Tropical Medicine (GHID-KCCR), KNUST, with support from the Friedrich-Loeffler-Institut (FLI), the World Health Organization (WHO) and the German Ministry of Health.

The event built on findings from a three-day stakeholder engagement in November 2024, which produced Evidence Briefs for Policy (EBPs) to strengthen Ghana’s evidence-based decision-making on One Health and antimicrobial resistance (AMR).

Ghana’s COVID-19 response demonstrated the value of cross-sector coordination during public health emergencies. Since then, the country has created a One Health Platform and developed a draft policy, though implementation has not yet begun.

Dr. Michael Owusu, lead of the Virology and Diagnostic Group at KNUST and co-lead of the One Health Virology Group at KCCR, said the gap between evidence generation and policy use must be closed.

“Who collects the evidence and feeds it into our surveillance systems?” he asked. “Reports are published, but key lessons often fail to inform policy uptake.”

Dr. John Amuasi, Principal Investigator of the OH-EVI project, said the unfinished policy could be an advantage.

“This may be a blessing in disguise,” he said. “Because the policy hasn’t been finalized, we now have the opportunity to incorporate recent evidence synthesized through the OH-EVI project, grounded in real stakeholder engagement, and aligned with important global currents like the Lancet One Health Commission Report and the WHO Pandemic Agreement. Ghana has a chance to lead in a way that is both informed and forward-looking.”

Ruth Arthur, Director of Disease Epidemics at the National Disaster Management Organisation, cited lessons from the UN Food and Agriculture Organization’s support in developing a multi-sectoral surveillance tool and work plan.

“We need to better communicate to leadership the value of One Health as an investment in national resilience,” she said.

Former Ghana Health Service Director of Public Health, Dr. Badu Sarkodie, stressed political will.

“Political buy-in is critical. Our leaders must understand it, own it, internalize it, and drive it,” he said. “Every government wants health security. One Health will provide that. Every government wants food security; One Health will provide that. Every government wants to reduce outbreaks; One Health will do that too.”

The OH-EVI project’s first phase built capacity and synthesized evidence. The current phase focuses on translating that evidence into policy options tailored to Ghana’s needs.

Participants identified three priorities: preparing a policy brief for national leadership, framing the social and economic value of One Health, and advocating for dedicated funding.

One participant summed up the challenge: “We have the knowledge. What we need now is coordinated action and leadership to ensure follow-through.”

Infertility! Have sex with the motive of fun

It is the desire of many people in their reproductive age to have children of their own by natural means. However, some are faced with difficulties in getting pregnant. After interacting with a few women in that situation, I observed that out of 10 women, 5 did not really know what ovulation is; 3 of them had knowledge about it but did not know when they were ovulating; and 2 of them had knowledge and were aware of their ovulation periods.

Further questions revealed that their main purpose for having sex was to get pregnant. Psychologically, this does not help the process of conceiving.

I started managing 3 of them with natural remedies—having sex with the motive of fun. After a series of medical and gynaecological investigations, the results proved that these patients were medically and gynaecologically fit.

These 3 women had been trying to get pregnant for 5 years. I took them through their menstrual cycles, educated them on the signs of ovulation, and emphasised having sex for pleasure and enjoying the moment together—not focusing on pregnancy. To the glory of God, they conceived.

Most causes are known, and others are unknown. This is a gynaecological problem affecting some women.

Understanding Infertility

Infertility is the inability to conceive after one year of regular, unprotected sexual intercourse for women under 35, and a period of six months for women over 35.

Based on the outcome of sex education I mostly share with couples, and my experience, regular unprotected sex means having sex 3–4 times a week.

Unplanned intercourse does magic sometimes.

In most cases, women are blamed for the issue of infertility, but the truth is that some of the causes of infertility are from the men.

Due to these reasons, some women go to various hospitals, take prescribed and unprescribed medications, and also resort to spiritual interventions and all sorts of concoctions just to conceive—affecting them both physically and psychologically.

Some Causes of Infertility (in females):

1. Irregular menstrual cycle
2. Damage or blockage to the fallopian tubes
3. Endometriosis
4. Hormonal imbalance
5. Polycystic Ovarian Syndrome (PCOS)
6. Uterine issues such as fibroids and other structural abnormalities
7. Quality and quantity of eggs
8. Some medical conditions e.g., diabetes

Some Causes (in males):

1. Low sperm count
2. Abnormal sperm motility or movement
3. Hormonal imbalance
4. Abnormal structure of the sperm
5. Absence of sperm in the ejaculate (Azoospermia)
6. Erectile dysfunction

These causes may result from medical conditions such as diabetes; infections like STIs, mumps, etc.; and the use of illicit drugs such as heroin, cocaine, and smoking.

Types of Infertility

Primary Infertility: When a woman has never been pregnant despite regular sexual intercourse

1. Secondary Infertility: When a woman cannot get pregnant after one successful pregnancy
2. Unexplained Infertility: When medical or obstetrical investigations give no reason for the inability to conceive

Shared Responsibility

In our communities, we hardly point fingers at the males regarding infertility; women usually carry the cross. What is unknown is that a man can ejaculate, but not all sperm can grab an egg and fertilise it; interestingly, some do not even have an erection.

To ensure a concrete diagnosis of infertility, a series of lab investigations must be carried out on both the man and the woman.

This is the point where most men refuse to come to the hospital for lab investigations and examination—until an investigation is done on the woman, which shows that she is fit to conceive. Even at this stage, some men still do not show up for medical investigation.

We find ourselves in a society where women are expected to conceive right after marriage, irrespective of the couple’s plans. If pregnancy does not result within a few months, the questions, gossip, and pressure from family and friends alone affect the couple psychologically—and their aim for having sex becomes solely pregnancy, which does not help the process.

I encourage young women not to ignore menstrual abnormalities or reproductive issues. Rather, they should seek help, even when they are not ready for kids. Men, kindly support your spouse and be ready to go through the necessary medical examinations required during the treatment process.

The Writer is:
Recheal Hesse Matey
2023 Best Practising Midwife – GAR Outstanding Midwife, Neonatal Resuscitation Team – GARH-Ridge, 2024

GARH-Ridge Hospital
Obstetrics & Gynaecology Department

hesseracheal16@gmail.com
TikTok – @midwiferacheal
Facebook – Racheal Hesse Matey

Presbyterian Hospital, Agogo acquires advanced OCT machine to boost eye care services

The Presbyterian Hospital, Agogo (PreHA) has enhanced its eye care services with the acquisition of a state-of-the-art Optical Coherence Tomography (OCT) machine.

The new device, which provides high-resolution imaging of the eye’s internal structures, is expected to significantly improve diagnosis and treatment outcomes at the hospital’s Eye Clinic.

The hospital’s leadership, led by General Manager Rev. Ezekiel Amadu Daribi, announced the addition, describing it as a milestone in the facility’s commitment to delivering top-tier ophthalmic care.

The OCT machine adds to an expanding range of advanced diagnostic tools already available at the clinic, including a recently acquired fundus camera, AB scan, non-contact tonometer, and an automatic lens edger.

The remarkable intervention was fully funded through the hospital’s internally generated funds, reflecting strong financial management and a clear prioritization of patient-centered care.

According to Rev. Daribi, the move is in line with the hospital’s vision to transform the Eye Clinic into a center of excellence that meets international standards.

The leadership of the hospital has expressed gratitude to God for the continued progress and is confident that the new equipment will enable specialists to work more efficiently and accurately.

The intervention offers hope to patients suffering from various eye conditions.

School of Hygiene trainees reject gov’t allowance claims, demand action

Trainees from the country’s Schools of Hygiene have strongly refuted recent public statements by the Minister of Health and Finance, rejecting as “inaccurate and misleading” claims that all trainees, including Hygiene students, have been paid their allowances up to June 2025.

In a press release issued by the Coalition of Hygiene Trainees, the group declared that no payments have been made to their members since January 2023, amounting to an unprecedented 30-month period of allowance arrears.

The coalition is now calling for an immediate retraction and clarification of the Ministers’ remarks, which they say misrepresent the realities faced by less than 4,000 affected trainees across the country.

“The assertion is inaccurate, misleading, and must be retracted in the interest of transparency and fairness to the down-spirited Hygiene trainees,” the statement read.

“Contrary to the claims made, trainees have not received a single allowance since January 2023, which is a staggering two-and-a-half-year period of financial aid abandonment,” it added.

These Hygiene trainees, who are being trained in critical areas of environmental health and sanitation, contend that their exclusion from government disbursements reveals systemic neglect and a lack of appreciation for their role in public health.

They stress that while nursing trainees may have received allowances, the assumption that all trainees have been paid is “a gross misrepresentation of the facts.”

“Our roles are equally important,” the release noted. “Nursing trainees become nurses in hospitals, while we become Environmental Health Officers at Assemblies, inspectors at ports, and more. Yet, we continue to be sidelined.”

The coalition further highlighted the devastating impact of the delay in allowance disbursement on trainees’ well-being.

The prolonged financial hardship has led to increased dropout rates, mental health challenges, and, in some tragic instances, the loss of life among students who could no longer bear the strain.

“This situation is a stain on the nation’s commitment to equitable education and health workforce development,” the group lamented. “It is deeply disheartening that students who served on the frontlines during the COVID-19 pandemic—providing services in sanitation, health education, and even the burial of the dead—are now being subjected to neglect and silence.”

The Coalition of Hygiene Trainees is therefore demanding the following:

1. An immediate public correction of the false claims regarding the payment of allowances to all trainees.
2. A clear and time-bound roadmap for the disbursement of all outstanding arrears owed to Hygiene trainees.

While reaffirming their commitment to peaceful advocacy, the group made it clear they would not remain silent in the face of what they described as “falsehoods detrimental to the mental health” of their members.

“Our schools are already underfunded. Trainees are struggling to survive, but we will not accept misrepresentations at the expense of our dignity and future.”