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The Danish support to the health sector in Ghana started with the Ghana-Denmark Health Sector Support Programme in 1994-1998. This was followed by a Phase II (1998-2002) with a total budget of DKK 225 million, out of which a large proportion was allocated as sector budget support. The remainder was earmarked for various components.
The support during Phase II was guided by the Ministry of Health 5-Year Programme of Work (1997-2001) and the Common Management Arrangements (for procurement, financial management, planning, performance monitoring and reporting) developed by the Ministry of Health (MOH) in close consultation with its main development partners, including Danida, within the framework of the government's Medium Term Health Strategy.
The HSPS III is the third phase of the Danish support to the Ghanaian Health Sector. The support is in line with the Ministry of Health's Medium Term Health Strategy and the
Second Five-Year Programme of Work (POW II 2002-06); the latter also bring in line with the Ghana Poverty Reduction Strategy. The majority of funds are channelled through the
common Health Account for all MOH expenditure items except staff salaries. The rest of
the funds are utilised for support in specific areas.
Content of the Health Sector Programme Support, Phase III
The HSPS III covers the period 2003-07 with a total budget of DKK 340 million. The Phase III support will reach one year beyond the current POW II (2002-06) subject to activities continuing along the same lines as in the POW II. Look further into Publications: Danida Programme Support Document of August 2002.
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The programme consists of:
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Approximately 75% budget support to the POW II through contributions to the Health Fund along with other health partners, namely DFID, WB and Netherlands Embassy ( If found appropriate and agreed to other channels than the Health Fund can be used for channelling the support, e.g. an insurance fund.) Look further into Partnership Arrangements, available on this web site. |
In order to ensure sustainability of some of the ongoing Danida activities and to secure funding for areas of crucial importance to the success of the POW II but at risk of being sidelined, part of the Phase III support is earmarked for:
A budget is set aside for the management of Danida's support and for monitoring the implementation of the POW II, including the risk areas like financial management and proper use of funds, the actual allocation of resources to district and sub-districts and their capacity to spend it the implementation of the capital budget in terms of procurement of drugs, equipment, civil works areas of high priority to Danida, such as gender and poverty issues.
To facilitate this the Danida Health Sector Support Office will be continued. Look further into About us.
The Programme impact targets (intermediate/immediate objectives)The most important programme impact targets have been set for the end of year 2006 to:
- HIV/AIDS sero prevalence among reproductive age, 15-19, 20-24 (figure represents prevalence among reproductive age group. Details on sub-groups to be presented in analysis from 3 to 2.6%;
- reduce the infant mortality rate from 57 to 50 deaths per 1000 live births;
- reduce under five mortality from 108 to 95 per 1000 live births;
- reduce maternal mortality from 214 to 150 per 100,000 live births;
- TB cure rate improved from 44,9% to 63%;
- Procent of family planning acceptors from 24,9% to 40%
- EPU coverage - Measles from 84,4% to 90%
- reduce the case fatality rate of malaria for children under 5 years from 1,7% to 1%
- reduce Guinea Worm cases from 4,738 to 0
- increase ANC coverage from 98,4% to 99%
- increase supervised deliveries from 50,4 to 60
- increase Family Planning from 14% to 40%
The Sector-wide indicators measure Health Status, Service, Access, Quality, Efficiency, Partnership and Finance. For complete list: Look further into Indicators.
Coherence with Danida policies
The analysis, priorities, strategies and activities contained in the MTHS and the POW II as well as the GPRS are in accordance with the overall strategy for Danida, Partnership 2000, including the specific concerns regarding access to adequate health care for the poor and for women, as well as the Danida strategy for support to the health sector.
HSPS Annual Reports
The Annual reports 1999, 2000, 2001, 2002 on the HSPS are available under Publications.
Other Danida Support to the Health Sector
A programme of Enhancement of Research Capacity in developing countries, was initiated by Danida in 1989. The ENRECA research projects deal with a wide range of subjects within health, agriculture, other natural sciences and social and behavioural sciences. In 1996, the ENRECA health research network was established. Look further into Links.
Fellowships
Funding for fellowships is part of the Health Sector Programme Support budget. It is used for short and long term fellowships i.e. the Masters Programme in International Health located at the Institute of Public Health, Faculty of Health Sciences, University of Copenhagen. Fellowships are also provided for shorter regional courses. A number of Ghananians have participated in the Master Programme. Look further into Publications
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