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Primary Health Care and Progress Toward UHC – Ghana

Over the past two decades, Ghana has committed to increasing both access to health services and financial protection in pursuit of universal health coverage (UHC) through targeted health service delivery and financing reforms. In 2005, the national government developed a close-to-client health care delivery system, called the Community-based Health Planning and Services Strategy (CHPS) to minimize geographic barriers and reach remote populations with primary health care. Around the same time, the government implemented a national health insurance scheme to boost financial protection. Key health indicators have improved over time.

Despite the recent progress, out-of-pocket spending on health, poor coverage of promotive and preventive services, workforce shortages and increasing expenditure in the health insurance system remain a challenge.

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