Performance of Capital Investment Programme in 2004

1. Performance of Capital Investment Programme in 2004 CAPITAL INVESTMENT MANAGEMENT UNIT PPME - MOH December 15, 2004

2. Policy issues • Provision of basic services for the poor, with emphasis on district and sub-district community- based health care. • Reducing geographical inequalities in accessing health, by directing resources to the provision of facilities in the deprived regions. • Developing human resource capacity through the rehabilitation and expansion of training schools.

3. Policy Issues - cont. • Emphasis on rehabilitation and refurbishment of health facilities • Retention of staff through the provision of staff accommodation. • Provision of staff accommodation to attract staff to the rural areas

4. Funding Sources • GOG • HEALTH FUND • HIPC • EARMARKED FUNDING - ADB, VAMED, BADEA, DFID, OPEC CONCESSIONARY CREDIT

5. Performance – National Projects • Major Rehabilitation of Central Medical stores - Work is far advanced and would be completed by mid February 2005. • Tamale Hospital - Works for the minor rehabilitation would be completed by January 2005. - Major refurbishment – Consultations with the World Bank to finalise selection of Consultant. • Polyclinics - Two Polyclinics ie Mamprobi and Kaneshie approved by MOFEP for upgrade and re-equipping.

6. National Projects - cont. • OPEC FUND Projects - Upgrade of 4 District Hospitals and 16 Health Centres at practical completion. - Mobile Dental Facilities for outreach dental services in operation. • SAUDI FUND Projects - 15 Health Centres completed and handed over. • BADEA Projects - Rehab. of Bolgatanga Regional Hospital in progress

7. National Projects – cont. • School of Allied Health - Civil works for Offices and Laboratory completed; Classrooms and Administration Block under construction. • Sunyani Regional Hospital - Pre-contract activities for Staff Accommodation completed. Construction by IHG to start in early 2005 • Pharmacy council - Rehabilitation and Extensions to office block

8. National Projects – cont. • HIPC Projects - Consultants and contractors appointed in collaboration with RCC/DCE’S/RHA/DHA for the implementation of the HIPC sponsored projects in beneficiary districts. • Clinical Laboratory Improvement Programme - 1st phase contract signed with FSE for the re- equipping of 22 facilities nationwide

9. National Projects – cont. • Expansion Training Institutions - Projects in 15 Selected training Institutions started KATH, Korle-Bu, Atibie, Jirapa, Bawku, Berekum, Sunyani, Pantang, Agogo, Offinso, Nkawkaw, Cape Coast, Koforidua, Ho and Sekondi. • Transport and Equipment – Heads will provide update.

10. Korle-Bu Projects • Maternity - Work is almost completed on the theatres. - Work on the tower block is yet to be started. - Neonatal Intensive Care Unit (NICU) completed and fully equipped. • Medical block - Work progressing in earnest. • Cardiothoracic Centre. - Installation of lifts in progress

11. Korle-Bu Projects - cont. • Other Projects - Children’s Block - Feasibility studies being carried for rehabilitation works. - Clinical Genetics - Works completed. - Work is progressing steadily on Polyclinic. - Construction of Administration Block in progress. - A&E Centre rehabilitated and re-equipped. - Reactivation of construction of 14 No. Flats for Doctors with a ¢ 25.00 billion loan from SSNIT.

12. KATH Projects • Maternity and Children’s Block - Construction on course and additional land required to complete the project has been acquired. • Nurses’ quarters and Doctors’ flats - Construction progressing steadily. • Polyclinic - Rehabilitation works underway and due for completion by early Feb 2005.

13. Other projects • Food and Drugs Board Offices & Laboratories - Designs completed & contract yet to be awarded. • College of Physicians and Surgeons - Construction has already commenced. • Nurses and Midwives Council Office Complex, - Pre-contract completed. Awaiting no objection of Evaluation Report from the World Bank. • First Aid Training Centre. - Constructional works progressing steadily.

14. Expenditure • Estimated Total Expenditure as at end of October, 2004 is ¢ 90 billion (MOH/GHS) Health Fund and GOG out of a budget of ¢124 billion approved by the MOFEP representing about 72.6%.

15. Challenges • Rate of implementation of capital programme. • Harmonising reporting system on progress of projects in terms of actual physical performance and expenditure.

16. Outlook for 2005 • Continuation of the expansion of training institutions and commencement of new ones. • Scale up CHPS programme. • Building capacity and supporting agencies in the use of the Capital Investment Planning Model. • Construction of countrywide staff accommodation. • Continuation of the construction & rehabilitation of Health Centers nationwide. • Setting up of 8 National Blood Transfusion Centers (Earmarked ADB III)

17. Outlook for 2005 - cont. • Construction/Rehabilitation of 11 District Hospitals (Earmarked). - Enraf Nonius Projects (3) Winneba, Dodowa, Sefwi Wiawso - African Development Bank III (2) Bekwai, Tarkwa - VAMED Engineering BV (6) Gushiegu, Tumu, Nkawie, Akim Oda, Madina/Adenta, Dansoman/Malam

18. Outlook for 2005 - cont. • Major rehabilitation of Tamale Teaching Hospital • Provision of infrastructure support to strengthen the regulatory bodies and the GCPS. • Major rehabilitation of Wa Regional Hospital (Earmarked - VAMED BV). • Implementation of the Laboratory improvement Programme to cover 22 selected facilities. • Rehabilitation of Children’s and Maternity Block at KBTH.

19. Budget for 2005 • GOG - ¢ 38.70 Billion • Health Fund - ¢ 110.00 Billion • Total Budget - ¢ 148.70 Billion • Est. Total Expenditure - ¢ 250.00 Billion