Journal of Public Health

, Volume 26, Issue 2, pp 225–234 | Cite as

The health MDGs in Ghana: lessons and implications for the implementation of the sustainable development goals

  • Ama Pokuaa Fenny
  • Aba O. Crentsil
  • Charles Ackah
Original Article
  • 71 Downloads

Abstract

Purpose

The Millennium Development Goals (MDGs), an initiative by the United Nations, consisted of eight broad goals, which were envisaged to improve the living conditions of the world’s populations. In spite of the momentum and investments made to achieve the MDGs, significant challenges still exist at the global and national levels. In Ghana, the attainment of some MDGs was uneven across the goals and within the country. This paper critically reviews the implementation of the health MDGs in Ghana: specifically, MDG 4, MDG 5 and MDG 6. The study focuses on drawing key lessons from the national implementation strategies and institutional reforms adopted by Ghana towards achieving these health MDG targets.

Methods

The study uses content analysis of policy documents in selected programmatic interventions which have been deemed influential in reaching the health MDGs in Ghana.

Results

In brief, the results indicate that 73% of the 37 MDG indicators for Ghana were either achieved or could show significant progress. Ghana did not achieve MDG 4 and MDG 5 due to the slow progress it made in improving child and maternal health. The study indicates that key investments need to be made in the health sector, especially in the areas of access to good quality care, to narrow gaps in access and financing.

Conclusions

Reducing maternal and child mortality in Ghana will require transforming the sectors that drive development, such as energy, agriculture and transportation. It is expected that the lessons learnt will enhance evidence-based policy-making towards achieving the SDGs in Ghana.

Keywords

Millennium Development Goals 

Notes

Compliance with ethical standards

Ethical approval

This article does not contain any studies with human participants or animals performed by any of the authors.

Competing interests

The authors declare no competing interests.

References

  1. Abdulai T, Abobi-Kanbigs DA, Joseph SKK, Kanchiimanyoro J, Gerald A, Chemogo S (2017) Bridging the inequitable distribution of physicians in Ghana: factors medical students and house officers at UDS and TTH will consider in accepting postings to northern Ghana. J Health Commun 2:2.  https://doi.org/10.4172/2472-1654.100059 CrossRefGoogle Scholar
  2. Amugsi DA, Mittelmark MB, Lartey A, Matanda DJ, Urke HB (2014) Influence of childcare practices on nutritional status of Ghanaian children: a regression analysis of the Ghana demographic and health surveys. BMJ Open 4:e005340.  https://doi.org/10.1136/bmjopen-2014-005340 PMID: 25366675 CrossRefPubMedPubMedCentralGoogle Scholar
  3. Annim SK, Awusabo-Asare K, Amo-Adjei J (2015) Household nucleation, dependency and child health outcomes in Ghana. J Biosoc Sci 47(5):565–592.  https://doi.org/10.1017/S0021932014000340 CrossRefPubMedGoogle Scholar
  4. Campbell OMR, Graham WJ (2006) Strategies for reducing maternal mortality: getting on with what works. Lancet 368:1284–1299.  https://doi.org/10.1016/s0140-6736(06)69381-1 CrossRefPubMedGoogle Scholar
  5. Der EM, Moyer C, Gyasi RK, Akosa AB, Tettey Y, Akakpo PK et al (2013) Pregnancy related causes of deaths in Ghana: a 5-year retrospective study. Ghana Med J 47(4):158–163PubMedPubMedCentralGoogle Scholar
  6. Dettrick Z, Firth S, Jimenez Soto E (2013) Do strategies to improve quality of maternal and child health care in lower and middle income countries lead to improved outcomes? A review of the evidence. PLoS One 8(12):e83070.  https://doi.org/10.1371/journal.pone.0083070 CrossRefPubMedPubMedCentralGoogle Scholar
  7. Gallopin G, Khoday K, Lewis N, Lubchenco J, Melillo J, Schmidt-Traub G, Sombilla M (2005) Implications for achieving the millennium development goals. In: Ecosystems and human well-being: policy responses. Island, Washington, DCGoogle Scholar
  8. Gamsu M, Denoris L (2012) Making an impact with Healthwatch. Local Government Association, LondonGoogle Scholar
  9. Ghana Statistical Service (2013) 2010 Population and housing census, national analytical report. Retrieved from http://www.statsghana.gov.gh/docfiles/2010phc/National_Analytical_Report.pdf. Accessed October 2017
  10. Ghana Statistical Service (2015) Ghana Health Service and ICF International. Ghana Demographic and Health Survey 2014: key indicators. Accra, Ghana: GSS GHS and ICF InternationalGoogle Scholar
  11. Gumanga SK, Kolbila DZ, Gandau BBN, Munkaila A, Malechi H, Kyei-Aboagye K (2011) Trends in maternal mortality in Tamale teaching hospital, Ghana. Ghana Med J 45(3):105–110PubMedPubMedCentralGoogle Scholar
  12. ISSER (2015) State of the Ghanaian economy report (SGER). ISSER 2014, University of Ghana, Legon, GhanaGoogle Scholar
  13. Katahoire AR, Henriksson DK, Ssegujja E, Waiswa P, Ayebare F, Bagenda D, Mbonye AK, Peterson SS (2015) Improving child survival through a district management strengthening and community empowerment intervention: early implementation experiences from Uganda. BMC Public Health 15(1):797CrossRefPubMedPubMedCentralGoogle Scholar
  14. Koblinsky M, Moyer CA, Calvert C, Campbell J, Campbell OMR, Feigl AB et al (2016) Quality maternity care for every woman, everywhere: a call to action. Lancet 388:2307–2320.  https://doi.org/10.1016/S0140-6736(16)31333-2 CrossRefPubMedGoogle Scholar
  15. Koelen MA, Vaandrager L, Wagemakers A (2012) The healthy alliances (HALL) framework: prerequisites for success. Fam Pract 29:1132–1138CrossRefGoogle Scholar
  16. Kyei-Nimakoh M, Carolan-Olah M, McCann TV (2016) Millennium development goal 5: progress and challenges in reducing maternal deaths in Ghana. BMC Pregnancy Childbirth.  https://doi.org/10.1186/s12884-016-0840-0
  17. Lozano R, Wang H, Foreman KJ, Rajaratnam JK, Naghavi M, Marcus JR, Dwyer-Lindgren L, Lofgren KT, Phillips D, Atkinson C, Lopez AD, Murray CJ (2011) Progress towards millennium development goals 4 and 5 on maternal and child mortality: an updated systematic analysis. Lancet 378(9797):1139–1165.  https://doi.org/10.1016/S0140-6736(11)61337-8 CrossRefPubMedGoogle Scholar
  18. Malaria 1st Quarter Bulletin (2016) National Malaria Control Surveillance Bulletin issue 5. https://ghanahealthservice.org/downloads/1st%20Quarter%20Malaria%20Bulletin%20%202016_14th%20July%202016.pdf. Accessed October 2017
  19. Ministry of Health (2014a) Ghana holistic assessment of the Health Sector Programme of Work 2013. Ministry of Health, AccraGoogle Scholar
  20. Ministry of Health (2014b) Ghana National Newborn Health Strategy and Action Plan 2014–2018, p 489 45–6. https://www.ghanahealthservice.org/downloads/Ghana_National_Newborn_Strategy_Final_Version_March_27.pdf. Accessed October 2017
  21. National AIDS/ STI Control Programme (2016) HIV sentinel survey report. Ghana Health Service, Ministry of Health, AccraGoogle Scholar
  22. NMCP Annual Report (2016) file:///C:/Users/guesthouse/Downloads/NMCP_2015_ANNUAL_REPORT.pdf. Accessed 12 October 2017
  23. Oduro-Mensah E, Kwamie A, Antwi E, Amissah Bamfo S, Bainson HM, Marfo B et al (2013) Care decision making of frontline providers of maternal and newborn health services in the Greater Accra region of Ghana. PLoS One 8:e55610CrossRefPubMedPubMedCentralGoogle Scholar
  24. Oladapo OT, Adetoro OO, Ekele BA, Chama C, Etuk SJ, Aboyeji AP, Onah HE, Abasiattai AM, Adamu AN, Adegbola O, Adeniran AS, Aimakhu CO et al (2016) When getting there is not enough: a nationwide cross-sectional study of 998 maternal deaths and 1451 near-misses in public tertiary hospitals in a low-income country. BJOG 123:928–938CrossRefPubMedGoogle Scholar
  25. Requejo J, Bryce J, Victora C, Berman P, Lawn J, Mason E, et al (2014) Fulfilling the health agenda for women and children. The 2014 Report [Internet]. Geneva. Available from: http://www.msdformothers.com/docs/Countdown_to_2015.pdf. Accessed October 2017
  26. Senah K (2003) Maternal mortality in Ghana: the other side. Res Rev NS 19(1):47–55Google Scholar
  27. Tuncalp O, Hindin MJ, Adu-Bonsaffoh K, Adanu RM (2013) Assessment of maternal near-miss and quality of care in a hospital-based study in Accra, Ghana. Int J Gynaecol Obstet 2013(123):58–63CrossRefGoogle Scholar
  28. UNGASS report (2015) Country aids response progress report – Ghana, January 2013 – December 2014. http://www.unaids.org/sites/default/files/country/documents/GHA_narrative_report_2015.pdf. Accessed October 2017
  29. UNICEF, WHO, World Bank, UN-DESA Population Division (2013) Levels and trends in child mortality. Retrieved from http://www.who.int/maternal_child_adolescent/documents/levels_trends_child_mortality_2013.pdf?ua=1. Accessed October 2017
  30. Velleman Y, Mason E, Graham W, Benova L, Chopra M, Campbell OMR, Gordon B, Wijesekera S, Hounton S, Mills JE, Curtis V, Afsana K, Boisson S, Magoma M, Cairncross S, Cumming O (2014) From joint thinking to joint action: a call to action on improving water, sanitation, and hygiene for maternal and newborn health. PLoS Med 11(12):e1001771.  https://doi.org/10.1371/journal.pmed.1001771 CrossRefPubMedPubMedCentralGoogle Scholar
  31. Victora CG, Requejo JH, Barros AJD, Berman P, Qar Bhutta Z, Boerma T, Chopra M, de Francisco A, Daelmans B, Hazel E, Lawn J, Maliqi B, Newby H, Bryce J (2015) Countdown to 2015: a decade of tracking progress for maternal, newborn, and child survival. Lancet 387(2016):2049–2059PubMedGoogle Scholar
  32. WHO (2014) Trends in maternal mortality: 1990 to 2013. Estimates by WHO, UNICEF, UNFPA, World Bank and United Nations population division. World Health Organization, GenevaGoogle Scholar
  33. WHO, UNICEF (2014) Every newborn. WHO, Geneva, pp 1–40Google Scholar
  34. Wiggins N (2011) Popular education for health promotion and community empowerment: a review of the literature. Health Promot Int 27(3):356–370CrossRefPubMedGoogle Scholar
  35. World Bank (2012) World development indicators 2012. World Bank, Washington, DCCrossRefGoogle Scholar

Copyright information

© Springer-Verlag GmbH Germany 2017
corrected publication January/2018

Authors and Affiliations

  1. 1.Economics Division, Institute of Statistical, Social and Economic Research (ISSER)University of GhanaAccraGhana
  2. 2.Social Division, Institute of Statistical, Social and Economic Research (ISSER)University of GhanaAccraGhana

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