| Abstract |
The overall goal of conducting the Ghana 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.
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. |
