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Ghana is widely considered to have a high-performing primary health care system, and the Community-Based Health Planning and Services system is frequently cited as an exemplar approach to service delivery and community engagement. Despite these achievements, there are significant gaps in access to affordable, respectful and high-quality care. Ghana ranks highly in continuity of care; however, limited-skilled health workers affect the quality of care and inequity between rural and urban areas. Ghana’s recent shift to middle-income status means that transition from external support—from partnerships such as Gavi, the Vaccine Alliance—leaves a potential gap of 80 percent coverage for vaccines.

PAI partners with Alliance for Reproductive Health Rights—a civil society health advocacy organization and member of the Primary Health Care Strategy Group—to advance an agenda of strengthening the primary health care system in order to achieve universal health coverage.