This document outlines a plan to improve maternal and child health outcomes in Ghana through strengthening various components of the health system. It involves: 1) Training frontline workers to expand maternal and neonatal service provision and increase capacity of community and district providers to reduce under-five mortality. 2) Coordinating community and clinic activities to standardize access to malaria prevention and treatment. 3) Easing information capture for community health workers and providing supportive feedback to strengthen data collection below the district level. 4) Developing an essential drug and equipment supply monitoring system.

1. Information for
decision-making
Essential drug supply
& logistics
Leadership &
governance
Integrated service
components
Health Systems
Development
Interventions
Changes in service
activities & content: (e.g..
Kangaroo mother, maternal
health care, improving
access to preventive health
technologies etc)
Health financing and
planning
Enabling
sub-system inputs…
•Train frontline workers to provide evidence-based maternal
and neonatal health services that are currently not being
provided.
•Implement interventions that are proven to reduce under-five
mortality by increasing the capacity of providers at community,
sub-district, and district-level service points.
•Coordinate community and clinic-based activities to
standardize access to anti-malarial preventive measures and
therapeutic regimes.
Health workforce
size, composition
& training

2. Information for
decision-making
Essential drug supply
& logistics
Leadership &
governance
Health Systems
Development
Interventions
Health financing and
planning
Enabling
sub-system inputs…
Changes in workforce inputs
(investment in staff, staff
composition, and in-service
training on essential services
to address gaps in service
delivery)Health workforce
size, composition
& training
Integrated service
components
Strengthen referral systems to reduce

3. Essential drug supply
& logistics
Leadership &
governance
Health Systems
Development
Interventions
Health financing and
planning
Enabling
sub-system inputs…
Strengthen information capabilities
below the district level with
simplified paper procedures and
mobile technology.
Pillar #3:
Changes in HMIS
procedures for data
capture, data content,
feedback, visualization,
and data access
Integrated service
components
Health workforce
size, composition
& training
Information for
decision-making

4. Pillar #3: Easing information capture for community-based healthcare
workers and provide supportive information feedback

5. Information for
decision-making
Leadership &
governance
Health Systems
Development
Interventions
Health financing and
planning
Enabling
sub-system inputs…
•Strengthen the operation of
the essential medicine
distribution system in GEHIP
districts.
Integrated service
components
Health workforce
size, composition
& training
Essential drug supply
& logistics
Pillar #4: Develop a
supply monitoring
system for essential
drugs and equipment.

6. Information for
decision-making
Essential drug supply
& logistics
Leadership &
governance
Health Systems
Development
Interventions
Enabling
sub-system inputs…
• Adapt Tanzania’s PlanRep tool for allocating
healthcare resources according to burden of
disease to facilitate rational healthcare
planning and decision-making at the district
level: District Health Planning, Analysis,
and Reporting Tool (DiHPART)
• Utilize DiHPART for informing resource
allocation at Levels A, B, and C
• Add $0.75 per year to the Common Fund
Integrated service
components
Health workforce
size, composition
& training
Pillar #5
Adapting Tanzania’s district
planning and reporting toolkit
to Ghana: PLANREP.
The District Health Planning
and Reporting Tool (DiHPART)
Health financing and
planning

7. Information for
decision-making
Essential drug supply
& logistics
Health Systems
Development
Interventions
Health financing and
planning
Enabling
sub-system inputs…
•Improve health system leadership by developing a
public health leadership program that promotes
integrated health care at each level of the system.
Integrated service
components
Health workforce
size, composition
& training
Leadership &
governance
Changes in
leadership
capabilities at each
level in the system.