Health

Health Service delivery in Ghana is organized on hierarchical basis of hospitals, health centers/posts and clinics.

For efficient operation of these centers, there is the need for other support services like Doctors, nurses and other paramedics. The District is divided into five (5) sub-districts for health delivery. These are Adidome, KpoviadziAvedo, Mafi-Kumase, Mafi-Sasekpe and Kpogadzi.

There is one (1) District Hospital thus the Adidome Hospital, Five (5) Health Centers, Fifteen (15) CHPS Compound, (1) Private, Two (2) School Infirmaries, No. reporting into DHIMS 2 (24)

Health Personnel

The personnel covered include doctors, nurses, pharmacists, trained midwifes and family planning workers. The total GHS Staff strength in the District Health Directorate stood at 209 excluding temporal staff.

 Communicable Diseases Reported

The District in particular and Ghana as a whole is faced with a double burden of communicable diseases and increasing number of non-communicable diseases.

The situation necessitated a paradigm shift from merely providing health care services which are mainly medical to promotion, protective and restoration of health. Malaria continues to be the top most communicable disease in the District over the years followed by Rheumatism & Joint Pains.

There will be the need for health promotion activities on malaria prevention. The highest recorded disease in the District is Malaria which represent 15.6% of which Acute Eye Infection is the lowest representing 2.1%. The details of other diseases have listed in the table below:

Challenges faced in the health sector

Emergence of COVID-19 and Limited supply of personal protective equipment
 Inadequate health infrastructure
 Inadequate Staff
 Inadequate and inequitable distribution of critical staff mix

HIV and AIDS Programs HIV/AIDS related activities are embarked on in the District to interfere the transmission of STIs including HIV infection and to offer effective treatment to infected clients and contacts, and to eliminate Mother to Child Transmission of HIV.

The following interventions are undertaken by the District Assembly and the District Health directorate;

The delivery of a package of interventions to reduce HIV transmission through
HIV Testing and Counselling
 Prevention of Mother to Child Transmission
Management of Sexually transmitted Infections
Condom Promotion and distribution
Blood safety
 HIV exposure Prevention in the healthcare and other settings
 Advocacy, Communication and Social Mobilization for Demand Creation
 The delivery of package of care and support services for persons living with HIV
Prevention and management of Opportunistic Infections
Anti-retroviral Therapy
Continuous Support counseling i.e. Adherence counseling
Effective home based care
Working with PLHIVs and their Associations
Greater Involvement of persons living with HIV and AIDS (GIPA)
The delivery of strategic information on HIV and AIDS
 Publications and reprinting
HIV Sentinel Surveillance
STI Surveillance
HIV and AIDs estimation and Provision

Challenges Arising in HIV/AIDS Intervention
 HIV/AIDS and STIs Health Education are not properly documented.
 
OUTBREAK AND RESPONSE OF COVID-19 PANDEMIC

Ghana recorded its first two cases of the current COVID-19 pandemic in March 2020.

Case detection rate has increase from 12.1% in 2020 to 27.3% in 2021 which is partly as a result of the COVID19 pandemic we are battling with. There are plans to fully involve the community and sensitize chemical sellers to achieve the target as well as improve contact tracing and investigations in households of COVID-19 cases.

NUTRITION

Nutrition has contributed in several ways towards the survival and development of children and pregnant women in the District. This was through the consistent and effective collaboration with other services that fall under the public health unit in the District level to improve efficient integration of all community based nutrition activities that are geared towards the achievement of maternal and child health goals that outlined in the SDGs

DOCTOR TO POPULATION RATIO

The District is faced with staff inadequacy. The Doctor to population ratio which shows the availability of doctors as compared to the population of the District isn’t encouraging.

The District has the same number of doctors (4) over the years whiles population continue to increase.

The above table depicts an increase in doctor to population ratio for the District with four (4) medical officers to the district. The figure which currently stands at 1:19,195 which is far below the national target hence a very worrying situation for the District hence an increasing work load.