Ghana Holistic Assessment of the Health Sector Programme of Work 2013
Third Round
Ghana, 2013
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Reference ID
GHA-MOH-HA-2013-v1.0
Producer(s)
Ministry of Health
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Metadata
Created on
Sep 12, 2014
Last modified
Sep 12, 2014
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182001
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Identification
Survey ID Number
GHA-MOH-HA-2013-v1.0
Title
Ghana Holistic Assessment of the Health Sector Programme of Work 2013
Subtitle
Third Round
Translated Title
No translation
Country
| Name | Country code |
|---|---|
| Ghana | GHA |
Study type
Administrative Records, Health (ad/hea]
Series Information
This study is the third and final assessment for the Health Sector Medium Term Development Plan (2011 -2013) [HSMTDP 2011 - 2013]
Similar assessments were done for years 2011 and 2012
Similar assessments were done for years 2011 and 2012
Abstract
The year 2013 represented the last year of the implementation of the current Health Sector Medium Term Development Plan (2010-2013). The review has placed emphasis on the performance of the sector according to identified health objectives as outlined in the Four-Year Sector Medium Term Development Plan and the derived Annual Programme of Work for 2013. The review assessed the overall sector performance for the year 2013 using the agreed Holistic Assessment tool. The Holistic Assessment tool was adopted in 2008 and has been used to assess the sector performance since then.
Since no population surveys were conducted in 2013, the analysis of indicators and trends are based on routine data alone.
Since no population surveys were conducted in 2013, the analysis of indicators and trends are based on routine data alone.
Kind of Data
Aggregate data [agg]
Unit of Analysis
Administrative levels: i.e Regional and District Levels
Version
Version Description
Version 1.0 (September, 2014)
Version Date
2014-07-30
Version Notes
This study is the third and final assessment for the Health Sector Medium Term Development Plan (2011 -2013) [HSMTDP 2011 - 2013]
Scope
Notes
The scope of this assessment covers the following areas:
1. Assessment of the Health Sector Performance in 2013
2. Indicator Trends
3. Regions of Excellence and Regions Requiring Attention
4. Implementation Status of the POW 2013
5. Summary of Recommendations by the Review Team
6. Agencies' Assessments
7. Conclusion
8. Annexes
1. Assessment of the Health Sector Performance in 2013
2. Indicator Trends
3. Regions of Excellence and Regions Requiring Attention
4. Implementation Status of the POW 2013
5. Summary of Recommendations by the Review Team
6. Agencies' Assessments
7. Conclusion
8. Annexes
Topics
| Topic | Vocabulary |
|---|---|
| Health Systems & Financing | World Bank |
| Health | World Bank |
| HIV/AIDS | World Bank |
| Malaria | World Bank |
| Nutrition | World Bank |
| Mental Health | World Bank |
| Population & Reproductive Health | World Bank |
| Tuberculosis | World Bank |
Coverage
Geographic Coverage
National level
Universe
Health Service Providers
Producers and sponsors
Primary investigators
| Name | Affiliation |
|---|---|
| Ministry of Health | Government of Ghana |
Producers
| Name | Role |
|---|---|
| Danish International Development Agency | Technical Assistance |
| Department for International Development | Technical Assistance |
| United States Agency for International Development | Technical Assistance |
Funding Agency/Sponsor
| Name | Abbreviation | Role |
|---|---|---|
| Governement of Ghana | GoG | Funding |
| Japan International Cooperation Agency | JICA | Funding |
| United Nations Children's Fund | UNICEF | Funding |
| United States Agency for International Development | USAID | Funding |
| Joint United Nations Programme on HIV/AIDS | UNIADs | Funding |
| Department for International Development | DFID | Funding |
| European Union | EU | Funding |
| Danish International Development Agency | DANIDA | Funding |
Other Identifications/Acknowledgments
| Name | Affiliation | Role |
|---|---|---|
| Dr. Afisah Zakariah | Ministry of Health | Chair, Holistic Assement Team |
| Daniel Degbotse | Ministry of Health | Convenor, Holistic Assement Team |
| Dan Osei | Ghana Health Service | Member, Holistic Assement Team |
| Dr. Anthony Ofosu | Ghana Health Service | Member, Holistic Assement Team |
| Nicholas Nyagblornu | Ministry of Health | Member, Holistic Assement Team |
| Dr. Andreas Bjerrum | Ministry of Health | Member, Holistic Assement Team and M&E Advisor - MOH |
Sampling
Sampling Procedure
The assessment is based on indicators and milestones specified in the operational annual POW. More specifically, the analysis underlying the holistic assessment is based on the following elements:
1. Annual POW including budget
2. Annual Performance Review Reports and presentations from MoH and its Agencies
3. Annual MoH Financial Statement
4. National survey reports (Ghana DHS, MICS etc.)
5. Health Sector Medium Term Development Plan 2010-2013
As part of the annual health sector review process, the review team has conducted an initial assessment of milestones' realization and indicator trends. The assessment was guided by a predefined methodology that ensured full transparency of calculations.
The assessment will be presented at the April Health Summit where overall performance of the sector and possible factors, which may have influenced the performance, can be discussed.
The purpose of the initial assessment is to form a basis for a balanced discussion between the Ministry of Health, its agencies and development partners to reach a common conclusion of the sector's performance.
The initial assessment has three steps:
Step 1:
Each indicator and milestone is assigned a numerical value of -1, 0 or +1 depending on realization of milestones and trend of indicators. While indicators which normally are measured on annual basis are included in each year's assessment, indicators which are not measured on annual basis (e.g. survey based information like MICS, DHS etc.) are only included in the assessment if new information is available.
Milestones are assigned the value +1 (colour coded green) if the review team is provided with evidence from the relevant authority that documents the realization of the milestone; otherwise it is assigned the value -1 (colour coded red).
Indicators are assigned the value +1(colour coded green) if
? The indicator has attained the specified annual target regardless of trend, or
? The indicator has experienced a relative improvement by more than 5% compared to the previous year's value
Indicators are assigned the value -1(colour coded red) if
? The indicator is below the annual target and has experienced a relative deterioration by more than 5%, or
? No data is available (only applies to annually measured indicators and not to survey indicators)
Indicators are assigned the value 0(colour coded yellow) if
? The relative trend of the indicator compared to previous year is within a 5% range, or
? The indicator was not reported the previous year (for annually measured indicators) or the previous survey (for survey indicators)
Step 2:
the indicators and milestones are grouped into Health Objectives as defined in the HSMTDP and the sub total of indicators and milestone values are calculated for each group. Health Objectives with a positive score are assigned a value of +1, -1 if the total score is negative and 0 if the total score is 0.
Step 3:
after assigning a numerical score to each of the Health Objectives the scores are added to determine the sector's score. A positive sector score is interpreted as a highly performing sector, a negative score is interpreted as an underperforming sector and a score of zero is considered to be sustained performance.
1. Annual POW including budget
2. Annual Performance Review Reports and presentations from MoH and its Agencies
3. Annual MoH Financial Statement
4. National survey reports (Ghana DHS, MICS etc.)
5. Health Sector Medium Term Development Plan 2010-2013
As part of the annual health sector review process, the review team has conducted an initial assessment of milestones' realization and indicator trends. The assessment was guided by a predefined methodology that ensured full transparency of calculations.
The assessment will be presented at the April Health Summit where overall performance of the sector and possible factors, which may have influenced the performance, can be discussed.
The purpose of the initial assessment is to form a basis for a balanced discussion between the Ministry of Health, its agencies and development partners to reach a common conclusion of the sector's performance.
The initial assessment has three steps:
Step 1:
Each indicator and milestone is assigned a numerical value of -1, 0 or +1 depending on realization of milestones and trend of indicators. While indicators which normally are measured on annual basis are included in each year's assessment, indicators which are not measured on annual basis (e.g. survey based information like MICS, DHS etc.) are only included in the assessment if new information is available.
Milestones are assigned the value +1 (colour coded green) if the review team is provided with evidence from the relevant authority that documents the realization of the milestone; otherwise it is assigned the value -1 (colour coded red).
Indicators are assigned the value +1(colour coded green) if
? The indicator has attained the specified annual target regardless of trend, or
? The indicator has experienced a relative improvement by more than 5% compared to the previous year's value
Indicators are assigned the value -1(colour coded red) if
? The indicator is below the annual target and has experienced a relative deterioration by more than 5%, or
? No data is available (only applies to annually measured indicators and not to survey indicators)
Indicators are assigned the value 0(colour coded yellow) if
? The relative trend of the indicator compared to previous year is within a 5% range, or
? The indicator was not reported the previous year (for annually measured indicators) or the previous survey (for survey indicators)
Step 2:
the indicators and milestones are grouped into Health Objectives as defined in the HSMTDP and the sub total of indicators and milestone values are calculated for each group. Health Objectives with a positive score are assigned a value of +1, -1 if the total score is negative and 0 if the total score is 0.
Step 3:
after assigning a numerical score to each of the Health Objectives the scores are added to determine the sector's score. A positive sector score is interpreted as a highly performing sector, a negative score is interpreted as an underperforming sector and a score of zero is considered to be sustained performance.
Deviations from the Sample Design
No deviations
Response Rate
Overall data completeness rate for the period was 86%
Weighting
No weighting was done:
Data Collection
Dates of Data Collection
| Start | End | Cycle |
|---|---|---|
| 2013-01-01 | 2013-12-31 | 1 Year |
Time periods
| Start date | End date | Cycle |
|---|---|---|
| 2014-01-01 | 2014-12-31 | 1 Year |
Data Collection Mode
Other [oth]
Supervision
Data collection was supervised by the Ministry of health
Data Collection Notes
The primary data collection was done using the following tools:
1. OPD Register
2. Consulting Room Register
3. Ward Registers
4. Payroll Data
5. Administrative Data
1. OPD Register
2. Consulting Room Register
3. Ward Registers
4. Payroll Data
5. Administrative Data
Data Collectors
| Name | Abbreviation | Affiliation |
|---|---|---|
| Ghana Health Service | GHS | Ministry of Health |
| Teaching Hospitals | THs | Ministry of Health |
| Christian Health Association of Ghana | CHAG | Ministry of Health |
| Private Health Service Providers | PHs | Ministry of Health |
| Ghana Association of Quasi-Government Health Institutions | GAQHI | Ministry of Health |
Questionnaires
Questionnaires
The scope of this assessment covers the following areas in the databsed accessible to all health facilities.
1. Assessment of the Health Sector Performance in 2013
2. Indicator Trends
3. Regions of Excellence and Regions Requiring Attention
4. Implementation Status of the POW 2013
5. Summary of Recommendations by the Review Team
6. Agencies' Assessments
7. Conclusion
8. Annexes
1. Assessment of the Health Sector Performance in 2013
2. Indicator Trends
3. Regions of Excellence and Regions Requiring Attention
4. Implementation Status of the POW 2013
5. Summary of Recommendations by the Review Team
6. Agencies' Assessments
7. Conclusion
8. Annexes
Data Processing
Data Editing
Data collected was coallated at the health facility level, validated and entered into a web based application (DHIMS2).
Other Processing
Data is checked for accuracy, completeness and consistency at the District and Regional Levels. the necessary tables are generated using the data from DHIMS2.
Data Appraisal
Estimates of Sampling Error
This assessment is not a sample survey.
Data Appraisal
Periodically, data validations are done to comapre data reported in the database to what is domcuemtned in the registers
Access policy
Contacts
| Name | Affiliation | URL | |
|---|---|---|---|
| Director, Policy Planning Monitoring and Evaluation | Governement of Ghana | info@moh.gov.gh | Link |
Confidentiality
Ghana Statistical Service (GSS) requires all users to keep information and microdata strictly confidential. In this regard, before being granted access to microdatasets, all users have to formally agree to observe the following:
1. Not to make copies of any files or portions of files to which access has been granted except with the authorization by GSS
2. Not to willfully identify any individual or household or establishment in the microdataset
3. To hold in strictest confidence, the identity of any individual or household or establishment that may be inadvertently revealed in any documents or discussion, or analysis. Such unintended identification revealed should be immediately brought to the attention of GSS.
4. Microdata obtained from GSS are protected by copyright law and therefore not for re-distribution or sale
5. Prospective clients or data users may be required to submit and sign an affidavit of confidentiality of microdata they access
Access conditions
The Ghana Statistical Service as a public institution has the obligation to promote data dissemination to facilitate national development. Making mcrodata available will enable students and the academia to conduct research works, assist investors to take business decision, help the individual to evaluate and take appropriate decisions. It will also assist the government to formulate appropriate policies and programmes to facilitate national development. GSS' policy framework provides access to data through:
1. Public use files. These categories of data sets are accessible by all without any payment. They are available on-line to all interested users, for research and statistical purposes only.
2. Licensed datasets. These categories of data sets are accessible under certain conditions. Thus, prospective clients/data users may access any data based on certain conditions set by the GSS
3. Datasets only accessible on location. We consider this category as a data enclave where some data sets are only accessible at GSS offices and prospective data users and researches have to physically be available at GSS offices for further discussions before data are released. Thus, data enclave would not be linked to the outside world through our web site or other medium.
The following terms and conditions apply:
Before being granted access to the dataset, all users have to formally agree:
1. To make no copies of any files or portions of files for which access has been granted, except those authorized by GSS.
2. Not to use any technique in an attempt to identify any person, establishment, or sampling unit.
3. To hold in strictest confidence, the identification of any establishment or individual that may be inadvertently revealed in any documents or discussion, or analysis. Such inadvertent identification revealed in her/his analysis will be immediately brought to the attention of the GSS.
4. The data and other materials will not be redistributed or sold to other individuals, institutions, or organizations without the written agreement of GSS.
5. The data will be used for statistical and scientific research purposes only.
6. The data will be used solely for reporting of aggregated information, and not for investigation of specific individuals or organizations.
7. No attempt will be made to identify respondents, and no use will be made of the identity of any person or establishment discovered inadvertently. Any such discovery would immediately be reported to the GSS.
8. No attempt will be made to produce links among datasets provided by the GSS with other datasets that could identify individuals or organizations.
9. Any books, articles, conference papers, theses, dissertations, reports, or other publications that employ data obtained from the GSS would cite the source of data in accordance with the citation statement provided with the dataset
10. An electronic copy of all reports and publications based on the requested data will be sent to the GSS.
1. Public use files. These categories of data sets are accessible by all without any payment. They are available on-line to all interested users, for research and statistical purposes only.
2. Licensed datasets. These categories of data sets are accessible under certain conditions. Thus, prospective clients/data users may access any data based on certain conditions set by the GSS
3. Datasets only accessible on location. We consider this category as a data enclave where some data sets are only accessible at GSS offices and prospective data users and researches have to physically be available at GSS offices for further discussions before data are released. Thus, data enclave would not be linked to the outside world through our web site or other medium.
The following terms and conditions apply:
Before being granted access to the dataset, all users have to formally agree:
1. To make no copies of any files or portions of files for which access has been granted, except those authorized by GSS.
2. Not to use any technique in an attempt to identify any person, establishment, or sampling unit.
3. To hold in strictest confidence, the identification of any establishment or individual that may be inadvertently revealed in any documents or discussion, or analysis. Such inadvertent identification revealed in her/his analysis will be immediately brought to the attention of the GSS.
4. The data and other materials will not be redistributed or sold to other individuals, institutions, or organizations without the written agreement of GSS.
5. The data will be used for statistical and scientific research purposes only.
6. The data will be used solely for reporting of aggregated information, and not for investigation of specific individuals or organizations.
7. No attempt will be made to identify respondents, and no use will be made of the identity of any person or establishment discovered inadvertently. Any such discovery would immediately be reported to the GSS.
8. No attempt will be made to produce links among datasets provided by the GSS with other datasets that could identify individuals or organizations.
9. Any books, articles, conference papers, theses, dissertations, reports, or other publications that employ data obtained from the GSS would cite the source of data in accordance with the citation statement provided with the dataset
10. An electronic copy of all reports and publications based on the requested data will be sent to the GSS.
Citation requirements
Ministry of Health, Holistic Assessment Report 2013 v1.0
Access authority
| Name | Affiliation | URL | |
|---|---|---|---|
| Govenment Statistician | Governement of Ghana | info@statsghana.gov.gh | Link |
Disclaimer and copyrights
Disclaimer
The original collector of the data, GSS and any producers or sponsors cited in this document bear no responsibility for use of the data or for interpretations or inferences based upon such uses.
Copyright
(c) 2014, Ministry of Health
Metadata production
DDI Document ID
DDI-GHA-MOH-HA-2013-v1.0
Producers
| Name | Abbreviation | Affiliation | Role |
|---|---|---|---|
| Ministry of Health | MOH | Government of Ghana | Metadata Documentation |
Date of Metadata Production
2014-09-12
DDI Document version
Version 1.0 (September, 2014)