The conference, held on Thursday, February 26, 2026, at the Omanye Aba Hall, brought together the Mayor of Accra, Hon. Michael Kpakpo Allotey, the Presiding Member, Hon. Musah Ziyad, Assembly Members, traditional and religious leaders, heads of departments, medical superintendents, facility managers, development partners, and the media.

Presenting the annual review, the Metro Health Director, Dr. Louisa Ademki Matey, described 2025 as a challenging year for the Metro Health Service, as it responded to two major disease outbreaks—cholera and Mpox—while maintaining routine healthcare delivery.

She said the cholera outbreak, which began in October 2024, ended in February 2025 after recording 66 cases and two deaths. The outbreak, she explained, was driven by poor environmental sanitation, weak personal hygiene, inadequate waste management, poor toilet facilities, and limited access to clean water.

On Mpox, Dr. Matey indicated that the outbreak started in May 2025 and continued to rise until December 2025, when a targeted vaccination campaign was carried out in the metropolis. A total of 57 cases were recorded with no deaths, although four new cases had already been reported in 2026 as of the time of the conference. She noted that the low mortality rate reflected improved patient care and a coordinated emergency response, commending health workers for maintaining quality clinical management under pressure.

Touching on human resources, Dr. Matey said management was engaging the Regional Director of Health Services to address staffing gaps, stressing that health facilities in Accra serve both residents and non-residents and therefore require special consideration in resource allocation.

She also highlighted infrastructure challenges, citing the deteriorating condition of the Princess Marie Louise Hospital and the stalled expansion of Ussher Hospital since 2025, both of which are affecting service delivery.

Despite these constraints, Dr. Matey said the directorate would continue to collaborate with stakeholders, including the Assembly, to improve infrastructure at the affected facilities, strengthen customer care and patient safety, and ensure effective use of health budget allocations.

She noted that although the Metro Health Service performed strongly overall—achieving a score of 4.59 out of 5 to rank among high-performing districts—some indicators remained concerning.

Maternal mortality, she said, stood at 498 per 100,000 live births, far above the national target of 125 per 100,000. She also pointed to a stillbirth rate of 23 per 1,000 births and low early antenatal care attendance, with only 35 per cent of expectant mothers reporting in the first trimester against a target of 55 per cent.

The review further examined service delivery outcomes, disease control efforts, HIV and TB cases, non-communicable diseases, mental health, teenage pregnancy, human resource constraints, infrastructure and equipment gaps, customer care, partnerships, and priority actions needed to improve healthcare quality in Accra.Education