Your Health,Our Concern

Committed to excellence in healthcare delivery across Ghana

Established in 1996

Profile of Ghana Health Service

An autonomous Executive Agency responsible for implementing national health policies and delivering comprehensive healthcare services across Ghana.

Background & Rationale

The 1992 Constitution of the Republic of Ghana (Chapter 14) provided for the establishment of the Ghana Health Service (GHS) as part of the Public Services of Ghana. In 1996, Parliament passed the Ghana Health Service and Teaching Hospitals Act 1996, Act 525, to pave way for the establishment of GHS.

The GHS is therefore 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 Minister for Health through its governing Council – the Ghana Health Service Council.

The establishment of the GHS was an essential part of the key strategies identified in the Health Sector Reform process in the 1990s, which was outlined in the Medium-Term Health Strategy and Five Year Programme of Work for the period 1997-2001.

The reforms built on the reorganization of the MOH that began in 1993, which was explicitly designed to set the scene for the establishment of the GHS. The reforms also provided a sound organizational framework for the growing degree of managerial responsibility that had already been delegated to districts and hospitals.

OurVision

All communities having access to timely, quality and comprehensive health care

OurMandate

To provide and prudently manage comprehensive and accessible health service with special emphasis on primary health care at regional, district and sub-district levels in accordance with approved national policies

OurCore Values

✓ Professionalism
✓ Team work
✓ Integrity
✓ Discipline
✓ Excellence
✓ People-centered

Governance Structure

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Organizational Structure

Ghana Health Service Organizational Chart

Ministry of Health (MOH)

The tenets of Act 525 (1996) that established the Ghana Health Service and Teaching Hospitals make the Ministry of Health (MOH) and the Divisions therein responsible for policy formulation, resource mobilization, allocation, and monitoring. The GHS as an agency of MOH is charged to implement approved health sector polices in such a manner as to ensure access to priority health interventions and to manage prudently resources available for provision of health services.

The MOH oversees the health sector in Ghana. It provides overall leadership and direction to the health sector and coordinates implementation of the Health Sector Medium Term Development Plan and Programme of Work to ensure achievement of the health sector objectives. The Ministry achieves its aims through policy formulation, standards setting, (acquisition for) resource mobilisation and monitoring and evaluating sector performance.

As a sector agency, the GHS executes the MOH's policies, submit plans and budgets and periodic returns and performance reports to the MOH. Other means by which the Ministry exercises oversight responsibility over GHS include representation on GHS Council, performance agreements, meetings and reviews, monitoring and evaluations and internal controls.

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Ghana Health Service Council

GHS is governed by a Council, the membership of which is appointed in line with the provisions of the Act (GHS & THs Act, 1996, Act 525) that sets up the Service. The Council under its chairman is responsible for directing and controlling the affairs of GHS.

Functions of the Council

Ensuring the implementation of the functions of the Service
Submitting to the Minister recommendation for health care delivery policies and programmes
Promoting collaboration between the Ministry of Health, Teaching Hospitals and the Service
Advising the Minister on the qualification for posts in the Service and other matters that the Minister may request

GHS Council Committees

Human Resource Committee
Disciplinary & Welfare Committee
Finance & Budget Committee
Audit Committee

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GHS Executives (Management)

1. National (Headquarters) Level

The Chief Executive Officer or the Executive Head of GHS is the Director General who serves as an Ex-officio member of the Council. The Director General leads and manages the Service and is responsible for the direction of the work as well as the day-to-day administration of the Service. Exercise of authority and responsibilities by the Director is derived from and consistent with Sections 3 & 11 of the Ghana Health Service and Teaching Hospitals Act, 1996 (Act 525) as well as authority and responsibilities delegated by the immediate superiors (GHS Council and MOH). In running the affairs of Service, the Director General is assisted by the Deputy Director General (DDG).

The National level has 11 Divisions:

Public Health (PHD)

Institutional Care (ICD)

Policy Planning, Monitoring and Evaluation (PPME)

Family Health (FHD)

Health Administration and Support Services (HASS)

Human Resource Development (HRD)

Research and Development (RDD)

Finance (FD)

Stores, Supplies and Drug Management (SSDM)

Internal Audit (IAD)

Health Promotion Division (HPD)

Each Division is headed by a Divisional Director who reports directly to the Director General. The Directors supervise all the activities of their Divisions and the Director General oversees all the activities of the Divisions of the Service including the regions.

2. Regional Level

The Regional Health Directorates (RHDs) represent the administrative apex of health services delivery at the sub-national level. The RHDs are headed by the Regional Directors of Health Service and they report directly to the Director General just like the Divisional Directors at the headquarters. The RHDs champion the implementation of health policies formulated by the MOH for implementation by GHS at the regional level.

The RHDs are sub-divided into Departments:

Regional Public Health Department

Regional Clinical Care Department

Regional Health Administration and Support Services Department

Finance Department

The Departments at the RHDs are headed by Deputy Directors who report directly to the Regional Health Directors. They have technical liaisons with their Headquarters Divisions.

The Act that sets up the Service provides for the setting up of bodies known as Regional Health Committees. The Regional Health Committees do not have executive powers like the GHS Council. They are purely advisory bodies to support the Regional Directors.

3. District Level

District Health Directorates (DHDs) are established in each District of the regions. The DHDs provide leadership, supervision, management and technical support to their sub-districts. The DHDs are headed by the District Directors of Health Service (DDHS), who report directly to the Regional Directors of Health Service (RDHS). The DDHS are the representatives of the DG in the Districts and champion the implementation of health policies and programmes of GHS in the districts.

The Office of the DDHS is supported by the following Units:

Public Health Unit

Clinical Care Unit

Administration Unit

Finance Unit

At the District level, the Ghana Health Service and Teaching Hospital Act, 1996 (Act 525) provides for the setting up of District Health Committees which also play advisory role at the District level.

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Key Stakeholders of Ghana Health Service

In executing its mandate, the Service engages with a number of internal and external stakeholders that contribute to its outcomes. The stakeholders include: Workers' Unions, Professional and Managerial Groupings in the health sector, other Agencies of Ministry of Health (MOH), other Ministries, Departments and Agencies, Development Partners, Regional Coordinating Councils, District Assemblies and Traditional Authorities.

Unions, Professional and Managerial Groupings

The Unions, Professional and Managerial Groupings include:

Health Service Workers Union (HSWU)

Ghana Medical Association (GMA)

Ghana Registered Nurses Association (GRNA)

Ghana Registered Midwives Association (GRMA)

Ghana Hospital Pharmacists Association (GHOSPA)

Association of Health Services Administrators, Ghana (AHSAG)

Health Accounting Staff Association of Ghana (HASAG)

Allied Health Professionals Association

Physician Assistant Association

Ghana Association of Certified Registered Anaesthetists (GACRA)

District Health Directors and Medical Superintendent Groups

These unions and groupings are critical for the implementation of the mandate of the Service. The leadership of the groups play important roles in ensuring harmony on the industrial front and also keeping members in check when there are breaches of the code of conduct of the Service.

Other Agencies of MOH

Other agencies of MOH include:

Teaching Hospitals

National Blood Transfusion Service

Mental Health Authority

Health Facilities Regulatory Authority (HeFRA)

National Health Insurance Authority (NHIA)

National Health Training Institutions

Christian Health Association of Ghana (CHAG)

Quasi Government Hospitals

Police and Military Hospitals

Private Health Institutions

Collaborations with the agencies and the institutions are mainly through clinical and public health activities. The linkages involve sharing information, joint technical working groups, joint priority setting and implementation of common objectives such as planning, policy formulation, programme implementation as well as monitoring and evaluation. The linkages are also manifested in the referral systems.

Regional and District Level Partnerships

The Regional Coordinating Councils, which are headed by Regional Ministers are the highest administrative and political bodies charged under the laws of Ghana with ensuring the socio-economic development of the Regions. They formally engage development partners through the government machinery and provide leadership, and direction to contribute to the improvement of the health status of the people, and the socio-economic development of the regions.

The district assemblies have in line with the decentralization policies of the country been the main supporters of the health system through the provision of infrastructure, financial and other resources for human resource development, community mobilization, and providing oversight responsibility for health as a social service in each district.

The mobilization of communities for participation in health-related activities is carried out by the leadership of the communities with chiefs at the helm of affairs. The eventual release of land to the Service and its partners for construction of health-related infrastructure is the sole prerogative of the chiefs, or the leaders of clans to which land belongs.

Our Leadership

Our devotion shows in the comprehensive care we provide for the nation. All of us at Ghana Health Service are committed to our motto: Your health, our concern

Prof. Fred Newton Binka

Council Chairman

Experience

Specialization

Prof. Samuel Kaba Akoriyea

Ag. Director General

Prof. Samuel Kaba Akoriyea is a distinguished healthcare professional with extensive experience in public health administration and policy implementation. As the Acting Director General of Ghana Health Service, he provides strategic leadership to advance healthcare initiatives nationwide.

Experience25+ years

Specialization

Dr. Caroline Reindorf Amissah

Ag. Deputy Director-General

Dr. Caroline Reindorf Amissah is a respected medical practitioner with significant expertise in healthcare management and service delivery. Her leadership has been instrumental in strengthening primary healthcare systems across Ghana.

Experience20+ years

Specialization