Skip to main content

Table 2 Trends in the performance of the Ghanaian health system

From: Frameworks for health systems performance assessment: how comprehensive is Ghana’s holistic assessment tool?

Indicator

2012

2013

2014

2015

2016

2017

2018

Health status indicators:

 Life expectancy at birth, total (years)

61.56

61.86

62.15

62.45

62.74

63.03

63.4

 Death rate, crude (per 1000 people)

8.8

8.7

8.4

8.3

8.1

8.0

 Neonatal mortality rate (per 1000 live births)

29

28

27

26

25.1

24.2

 Infant mortality rate (per 1000 live births)

44.8

42.8

40.7

38.9

37.2

35.7

 Under-5 mortality rate (per 1000 live births)

65.2

61.5

58

54.7

51.8

49.3

 Prevalence of HIV, total (% of population ages 15–49)

1.9

1.8

1.8

1.7

1.7

1.7

1.7

 Malaria under-5 case fatality rate

0.76

0.69

0.54

0.51

0.32

0.2

0.16

 Tuberculosis treatment success rate

84

85

87

85

86

87

86

 DALY rate per 100,000 individuals

52,138.7

50,693.7

49,503.3

48,514.9

47,401.8

45,910.5

Health workforce indicators:

 Physician to population ratio

1:11,515

1;10,170

1:9043

1:8934

1:8301

1:8100

1:7196

 Nurse to population ratio

1:1362

1:1084

1:959

1:865

1:834

1:799

1:839

 Midwife to women in fertility age ratio

1:1611

1:1525

1:1374

1:1216

1:943

1:746

1:689

Health financing indicators:

 Total health expenditure as a % of GDP

5.5

6.1

5.6

6.1

4.4

 Health expenditure as a % of government expenditure

7.6

9.3

10.6

7.0

6.8

6.5

 Out-of-pocket expenditure (% of current health expenditure)

39.8

38.9

45.1

35.8

37.8

 Per capita expenditure on health (US$)

89.85

111.04

81.52

82.41

67.51

Health services utilization:

 Outpatient services utilization per capita

1.17

1.16

1.15

1.08

1.06

0.98

1.05

  1. DALY Disability Adjusted Life Years.
  2. Data sources: Ministry of Health Ghana Holistic Assessment Report, 2014–2018; The World Bank; National Health Account of Ghana, 2015; Ghana Demographic and Health Survey, 2014.