A lot of efforts have hitherto been made by government and non-governmental organizations to improve social conditions of its citizenry. However, much still remains undone since majority of Ghanaians are still deprived of relevant social amenities like schools, water, food, hospitals etc. The municipality has various social services including:
Health Service Delivery
Health services delivery in the Ga South municipality is provided principally by government health centers and a number of private clinics and maternity homes. Below is the distribution of health facilities in the municipality.
As of the year 2008 the Ga South Municipality had only two (2) functioning CHPS zones at Anyaa and Kofi Kwei. Three CHPS compounds at Kofi Kwei, Balagono and Osofo Lante have not been completed.
The major issue of the health service delivery in the municipality is the problem of inadequate access to health care for the majority of the population. A significant number of the population lives in scattered rural settlements. In order to make up for the inadequate coverage of health facilities, outreach services are organized (by public/GHS) to selected communities weekly, bi-weekly or monthly. By this means, basic preventive and curative services are provided for various communities.
The top ten causes of OPD attendance in 2007 at the CDH include malaria, skin infections and ulcers, acute respiratory infections etc. Malaria accounted for over 43% of total cases at the OPD. Below is the OPD attendance by top ten.
In addition to these diseases are others like Buruli Ulcer, Tuberculosis and HIV/AIDS, which although do not appear among the top ten, yet cause severe suffering and death and have profound negative effect on the total development of the municipality.
Malaria and HIV/AIDS incidence are shown in the tables below:
Tuberculosis (TB) is one of the diseases that are being recorded in the municipality. A TB control programme is being implemented in the municipality and the goal of this programme is to halt transmission of TB and prevent development of drug resistance.
Of all the TB cases reported in 2008 was pulmonary tuberculosis with new sputum
Status of Municipal Health Insurance Scheme
The National Health Insurance is being implemented in the municipality with majority of populace registered but not without difficulties. Accessing the ID cards has been very difficult. Unfortunately most of the private health facilities do not provide services under the NHIS. This is because of the bureaucratic and delay nature of the scheme.
However, more female clients are seeking services than male clients irrespective of the insurance status. Below is the age and sex distribution of clients.
The scheme is not performing as expected because of the following problems associated with it:
• Lack of office space in the municipality.
• Inadequate health personnel.
• Inadequate logistics.
• Lack of laboratory facilities
• Inadequate sanitation facilities.
Because of the peri-urban nature of the municipality, the scheme really has an indispensable role for the health wellbeing of its populace and must be made effective.
Accessibility of health facilities in the municipality is been very difficult because of the few health facilities located in some key parts of the municipality.
The status of HIV/AIDS in the municipality was made available by the Municipal Health Directorate. The HIV/AIDS control embarked on strategies to curb the transmission of the Disease. The goal of the HIV/AIDS control is to halt transmission of HIV the strategies include; PMTCT for pregnant women, VCT for general population, condom promotion, Health education and BCC, ART.
The Counselling and Testing (CT) embarked revealed the prevalence rate as indicated in the table below;
The Assembly has embarked on a number of projects aimed at sensitizing people on the prevalence and protection and preventive measures through the Municipal Response Initiative.
The major health facilities are located in Obom, and Weija. The other health centers, provided by a French NGO, Entrains Medical International (EMI) in collaboration with the local counterparts are located in Oduman and Ngleshie Amanfro.