DDI-GHANA-HHFA-2023-vFINAL World Health Organization 2025-06-23 NADA Final version (report) Ghana Harmonized Health Facility Assessment 2022-2023 HHFA 2022-2023 GH-MOH-HHFA-2023-vFINAL Ghana Ministry of Health Ghana Health Services World Health Organization NADA HHFA vFINAL: edited report, final version released to the public The Ghana HHFA was impemented in 2021/22 by the Ghana Ministry of Health and Ghana Health Services, in collaboration with the World Health Organization and other partners. The overall goal of conducting the G-HHFA was to generate comprehensive facility-based information on the availability, readiness, and quality of health services in Ghana. The specific objectives of the G-HHFA were to: 1. Assess the status of health facilities in Ghana in terms of human resources, infrastructure, and capacity to provide health services. 2. Assess the type, quantity and quality of health services provided to the population. 3. Provide data for monitoring and measuring changes in health service readiness and availability. 4. Provide external validation for self-reported information on service delivery, quality of care and system functioning through the routine system. 5. Generate evidence to feed into Ghana's annual planning to guide resource allocation. Ghana National coverage Health facilities The survey covered health faciilities of all levels, except tertiary level facilities. Sample survey data [ssd] The G-HHFA implemented 3 modules: Service availability, Service readiness (avaialbility and functionality of key resources to provide services), and Management and finance systems (to enable service delivery in facilities). The survey inlcuded all health facility levels in the country, except tertiary hospitals. The Ghana HHFA (G-HHFA) was a cross-sectional survey covering all levels of healthcare facilities (except the tertiary facilities) irrespective of ownership in the sixteen administrative regions of Ghana. The sampling frame for the study was drawn from the list of health facilities registered in the District Health Information Management System (DHIMS2), which serves as a national database for health facilities in Ghana. A sample of facilities from the national database was drawn for the survey using a combination of purposive and stratified sampling methods. All regional and district hospitals and polyclinics in Ghana were included purposively. The remaining facility types (other hospitals, health centres, maternity homes, clinics and CHPS) were stratified and a random sample was taken from each region to ensure fair regional representation. Only CHPS with compounds were included in the sample. A total of 1,370 facilities were sampled for the survey. In addition to this number, 117 facilities identified as hubs in the NoP were added to attain an overall total sample of 1,487 facilities. Face-to-face [f2f]