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health sector

A healthy population is an asset for economic productivity and nation development. In the AES District, there are a number of factors that affect the health delivery system. These include the state of health facility, the number of health personnel and the level of equipment.

Currently, there is a continuous and vigorous awareness campaign on communicable diseases and the deadly HIV/AIDS menace so that all presentable diseases could be controlled.

Health Population
The District have one public hospital located at Winneba as well as three public hath centers located Bawjiase, Senya and Kasoa.There are two PRAG clinics at Bontrase and Awutu and one Islamic Community clinic at Kasoa.In addition, there are twelve maternity homes/clinics of which six of them are located at Kasoa.

The Community Health Nursing School
The Community Health Nursing School in Winneba, established in 1980 is the only one in Central Region and runs a two-year program to train nurses who would provide preventive health services to the rural communities of Ghana. As part of the practice training, the school provides health services to the communities around Winneba namely Gyahadze,Nsuekyir,Gyangyenadze,atekyedo,ateety,osudonpanyin,Worabeba,Sanko  and Winneba township.

HIV /AIDS
The number of HIV / AIDS reported in the district has been increasing from 10 in 2002 to 50 in November 2002.  The female dominated the cases but the male outdistanced the female in 2002.  Eight (8) HIV /AIDS related deaths were recorded in 2001 as compared to single cases in 2000 and 2002.  Even though HIV /AIDS disease is not among the top five diseases, several factors tend to favor its spread in the district.  These include:

Commercial activities
The larger communities, especially Kasoa, Bawjiase and Winneba have become commercial centres and thus become centre for long distance drivers in transit.  Similarly, itinerant traders, who are mostly the youth, who move from market to market often engage in unsafe sexual activities while they spend days and sometimes months outside their traditional homes.  Fishermen and fishmongers also travel wide and sometimes to neighbouring countries in pursuit of their fishing ventures.

The establishment of a refugee camp at Gomoa Buduburam:  The camp falls in the heart of the AES District even though it is administratively under Gomoa district.

Establishment of the University
The upgrading of the three teacher attendant increase in enrolment.  Meanwhile, these students come from all regions of Ghana as well as from the neighbouring countries. Anaemia is a major public health problem especially among children and pregnant mothers;thus require a lot of blood transfusion. The district is a motor accident prone area.

The activities of untrained quacks and traditional surgeons are qyuite high in the district but their practise often do not keep with the approved medical norms and standards such as sterile circumsision.

Environmental Health And Sanitation
Environmental Health and Sanitation is an essential contributing to the health, productivity and welfare of people of the AES District.  Health statistics indicates that most diseases reported at he health facilities (e.g malaria, diarrhoea, typhoid and intestinal worms) are sanitary related.

The objective of the unit is to develop and maintain a clean,. Safe and pleasant physical environment in all settlements to promote the social, economic and physical well-being of the population as pertains in the Environment sanitation policy of Ministry of Local Government and Rural Development.

The principal components of environmental health and sanitation include:
  1. Collection and sanitary disposal of waste-solid, industrial, health care and other hazardous wastes.
  2. Cleansing of thorough fares, markets and other public spaces.
  3. Storm water drainage
  4. Control of pests and vectors of diseases
  5. Food hygiene
  6. Environmental Health Education
  7. Inspection and enforcement of sanitary regulations
  8. Disposal of the dead
  9. Control of rearing and straying of animals
  10. Monitoring the observance of environment standards
The current environmental health and sanitation status in the district leaves much to be desired.  There are 23 technical members of staff made up of 4 technical officers and 19 technical assistants. There are also 60 sanitary Laborers made of 43

Permanent
and 17 casual staff.  The technical staff is adequate but that of sanitary labourers is woefully inadequate and does not make way for efficient working and supervision.

Status Report On Awutu-Effutu-Senya District Mutual Health Insurance Scheme.  The Awutu-Effutu-Senya District Mutual Health Insurance Scheme (AESDMHIS) took off on January 3rd this year, after several months of  vigorous campaign. This was the outcome of a successful launching of the scheme on December 19th, 2005, by Deputy Minister of Health and MP for Effutu, Hon. Samuel Kofi Owusu-Agyei, and Mr. Solomon Kwashie Abbam-Quaye, District Chief Executive for the area. As at now, the scheme had registered 52,242 clients out of the district’s total population of about 189,000 people.

Breakdown:
Formal:             6,081
In formal:        16,034
Dependants:  26,495
Indigents:             315
Aged:                 2,225
Pensioners;      1,092

Out of the registered members, 3,965 had been issued with Identification Cards to source health care from our trained service providers operating in the Eight (8)Government health facilities in  the district. The facilities include, Winneba Government Hospital, Kasoa, Senya-Beraku, Awutu-Beraku, Awutu-Bawjiase, Tawiakwaa, Awutu-Bontrase and Awutu-Okwampa Clinics.

Attendance
Between January 3rd and February 28th, this year, a total of 1,232 clients sourced health care with ID cards provided them by the scheme. Total expenditure incurred on them amounted to ¢113,906,802.00.

Breakdown
In January 292 ID card-hearers sourced health care throughout the district. The scheme spent a total sum of ¢26,564,597. 00, while   February clocked 940 hospital attendants, thus increasing bills paid to the various service providers of the scheme from ¢26 million plus to ¢87,342,205.00.
 
Averagely, the scheme spent ¢90,975.00 on each client that sourced health care from our service providers in January. In February, the percentage of cash spent on each client shot up slightly from nearly ¢91,000.00 to  ¢92,917.00.

Assistance
Since the scheme came into being, it had enjoyed tremendous support from the Awutu-Effutu-Senya District Assembly financially and materially, with the current District Chief executive, Hon. Solomon Kwashie Abbam -Quaye playing a commendable role. Notwithstanding the foregoing assistance, the scheme still required a major push with regards to the provision of transport, additional computers, printers and other equipment to meet the demands of the high patronage it is now enjoying from the public.

The Way Forward
Management of the scheme had initiated plans to intensify sensitization campaign this year with the view to register more members. Additionally, the Scheme laid, on 15th February 2006, signed a memorandum of understanding with tin remaining 12 (Twelve) sister Schemes in the Central Region. Under it, members of the Awutu-Effutu-Senya District Mutual Health Insurance Scheme could source health care from any of the health facilities in other districts.

Plans are also underway to train selected service providers in some well-equipped private hospitals and clinics within the jurisdiction of the scheme to augment the efforts of management to reach out to thousands of registered members who non-rely on the scheme for quality and affordable health care. Management and the Scheme’s dynamic and committed Board of Directors, will continue to collaborate with the key stakeholders of the Awutu-Effutu-Senya District Assembly to initiate and implement decisions and programmes that would promote the aims and objectives of the National Health Insurance Scheme (NHIS) in the area in the coming years.

MUTUAL HEALTH INSURANCE SCHEME

Basic Data
Name of Scheme: Awutu-Effutu-Senya District Mutual Health Insurance
Date Registered with NHIS: Yes
Region: Central Region
District: Awutu-Effutu-Senya
District Population: 188/585District

Premium
Total Registered: 52,876
Total Paid Up (Number): 1,425
Amount: ¢ 102,600,000.00
Partially Paid (Number): 2,479
Amount: ¢ 77,400,000.00

Exempt
SSNIT Contributors: 6,445
Children Below 18 years: 22,241
Aged (70+): 2,087
Pensioners: 1,451
Indigents: 968
Total Exempt: 33,192

Actual Membership
Total Membership (Fully paid +Exempt)
(Number): 34/617
Amount /Premium Collected: ¢180,000/000.00
Total ID Card bears: 3,900
Informal sector: 19,684
Total Premium Collected in respect of cardbears: 180,000,000.00

Benefits and Claims Management
Date of Commencement of Claims Management: January, 2006
Total Attendance to date: 292
Number of Months in Operation:1 month  
Monthly average attendance: 9
Total claims paid: 26,576,926.00
Monthly average of claims paid: 26,576,926.00
Average per capital of claims paid: 91,017.00

Financial Support
Total support received in respect of exempt:
18...................
70+ ....................
Pensioners..............
Indigents...............
SSNIT Contributors.......
Total Grand:641,980,000.00
Total amount in arrears: Nill

NHIS
Software in use: Soft NHIS

Date:  14th February 2006


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