Ghana has a population of about 24.4 million. The country is divided into 10 geo-political regions and 170 decentralized districts. Approximately 70% of the population in Ghana lives in rural areas. Women of Reproductive Age (15-45 years) make up a total of 24% of the population (GHS 2009) . The average life expectancy is 64 years for women and 57 years for men (WHO 2010) . In 2009 HIV-prevalence in Ghana was 1.8. Ghana ranks 135 of 187 on the Human Development Index (UNDP 2012) . In 2009, 60% of the population was living on less than $1 a day (WHO 2012) .
Key MNH Indicators for Ghana
- Maternal Mortality Ratio: 319/100,000 live births
- Neonatal Mortality Ratio: 29/1000 live births
- % Skilled Birth Attendance: 75%
- Ante-Natal Care (at least one visit): 97%
- Ante-Natal Care (at least four visit): 87% (DHS 2014)
CMNH has been working in Ghana since 2011 and has been involved in the following projects/studies:
The MiH programme aims to reduce maternal and newborn mortality and morbidity by increasing the availability and improving the quality of Skilled Birth Attendance (SBA) and Emergency Obstetric and Newborn Care (EmONC). The programme was delivered in 11 countries: in Sub-Saharan Africa and in Asia between 2011- 2015.
The MiH programme in Ghana resulted in:
• 1,049 in service health care workers trained in EmONC
• 82 course facilitators trained in EmONC
• 242 health care workers trained in data collection and usage
The KSRS was conducted in six African countries including Ghana assessing how long knowledge and skills are retained after EOC&NC training and looking at the optimum time for the retraining of health care.
The study also identified factors that influence knowledge and skills retention post training including workload and cadre of staff. Skills and knowledge were tested before and immediately after training and then at 3, 6, 9 and 12 month intervals.
The total recruitment across the five countries was 512 health care providers or 87.5% of the target.
• Nurse/midwives knowledge and skills at 12 months were higher than levels immediately post training