1. No category

Table 1.46: Health Facilities in the Nkoranza South District
S/N
Name of Facility
Location
Management/Ownership
1
St. Theresa’s Hospital
Nkoranza
Catholic Mission
2
Ayerede Health Center
Ayerede
Public
3
Ahyiaem Health Center
Ahyiaem
Public
4
Donkro-Nkwanta Health Center
Dondro-Nkwanta
Public
5
Nkoranza Health Center
Nkoranza
Public
6
Nkwabeng Health Center
Nkwabeng
Public
7
Bonsu Health Center
Bonsu
Public
8
Akuma Health Center
Akuma
Public
9
Nsunensa CHIPS Compound
Nsunensa
Public
Source: Ghana Health Service, Nkoranza
Table 1.47: Top Ten Causes of Morbidity / OPD Attendance in the Nkoranza South
District.
2007
No.
Diseases
2008
No. of
cases
53096
13124
%
Diseases
47.1 Malaria
11.3 URTI
No. of
cases
67002
13710
1.
2.
Malaria
URTI
3.
Skin
Diseases
Rheumatism
Intestinal
worm
Home Acc.
Diarrhea
7263
6.3
7200
6649
6.2
5.7
3112
2914
27
2.5
2,778
2.4
9.
Acute
Eye
Inf.
Hypertension
Skin
Diseases
Rheumatism
Intestinal
worm
Home
Acc.
Acute
Eye Inf.
Dysentery
1728
1.5
Hypertension
10.
Dysentery
1,216
1.0
Chicken Pox
11.
Others
Total
4.
5.
6.
7.
8.
17207 14.8 Others
116,297 100
Total
2009
%
Diseases
44.6 Malaria
9.1 Other ARI
No. of
cases
59688
14468
47
11.4
10409
6.9
10004
8
9673
8186
6.4
5.4
Skin
Disease
Int. Worms
Rheumatism
7118
6789
7
5.4
3311
3271
2.2
2.2
Diarrhea
Home Acc.
4206
2915
3.3
2.3
2085
1.4
Acute URTI
2383
2
1836
1.2
2027
1.6
1378
1
Acute Eye
Inf.
1435
1.0 Mal. In
pregnancy.
2943
19.6 Others
150,354 100
Total
Source: Nkoranza District Directorate of Health Service, 2009
%
15656 12.4
126,632 100
Table 1.48: Top ten causes of mortality in Nkoranza South District (2007-2009)
2007
No. Diseases
%
2008
Diseases
27.1
10.6
Malaria
AIDS
Pneumonia
CVA
Aneamia
Hypertension
Hepatitis
Diabetes
Tuberculosis
Cardio
Respiratory
failure
Others
Total
1.
2.
Malaria
CVA
No. of
cases
51
20
3.
4.
5.
6.
7.
8.
9.
10.
Pneumonia
AIDS
Hypertension
Hepatitis
Septiceamia
Aneamia
Diabetes
Tuberculosis
16
13
12
12
10
9
4
4
8.5
6.9
6.4
6.4
5.3
4.8
2.1
2.1
11.
Others
Total
37
188
19.7
100
No. of
cases
41
23
%
2009
Diseases
24
13
Malaria
Anaemia
15
10
9
9
8
6
5
4
9
6
6
6
5
4
3
3
46
176
27
100
No. of
cases
32
21
%
HIV/AIDS
Pneumonia
Meningitis
Hypertension
Hypoglcaemia
Heart Failure
N.Y.D
Puerperal
Sepsis
11
6
6
5
4
4
4
3
6
3.3
3.3
2.7
2.2
2.2
1.6
43.5
Others
Total
88
184
100
Source: Nkoranza District Directorate of Health Service, 2009
Table 1.49:
2008
DISEASES
Cases
Death
Measles
0
0
Pertusis
0
0
Yellow Fever
0
0
Meningitis
3
2
Acute Flaccid Paralysis (AFP)
0
0
Poliomyelitis
0
0
Diphtheria
0
0
Neonatal Tetanus
0
0
Tuberculosis
52
11
HIV/AIDS
100
23
Source: Nkoranza District Directorate of Health Service, 2009
2009
Cases
5(suspected)
0
0
7
4(suspected)
0
0
0
64
156
Death
0
0
0
1
0
0
0
0
1
11
17.4
11.4
1.9.6: Malaria Control
Malaria is the lead health problem in the Nkoranza South District, with 32.7%
cases affecting children and pregnant women in 2009 (see table 1.50)
Table 1.50: OPD Malaria Trends in 2007 – 2009
Patient Grouping
Under 5 malaria
2007
Cases
%
12,288 22.7
2008
Cases
%
16,534 24.3
2009
Cases
%
18,594
30.4
Above 5 malaria
40,808
75.3
50,468
74.1
41,094
67.3
Malaria in pregnancy
1,119
2.1
1,107
1.6
1,378
2.3
Total
54,215
100
68,109
100
61,066
100
Source: District Health Directorate, Annual Report, 2009
Table 1.51: Patronage of Health Facilities
Health Provider
Hospital
Health Centre
Clinic
Pharmaceutical /Chemical
shop
Herbalist
Others
Total
Frequency
267
153
49
33
Percentage
51
29.3
9.3
6.3
19
2
523
3.7
0.3
100
Source: Nkoranza South DPCU Survey, 2010
1.9.9: Medical Staffing
Below is a table showing the number of staff available and that are required.
Table 1.52: Staff Available and Required
Category
No. Available
No. Required
Shortfall
Medical Doctors
3
12
9
Medical Assistants
1
5
4
Midwives / Nurses
36
45
9
Dispensary Staff
0
8
8
Laboratory Staff
7
10
3
Technical Officers
8
15
7
Total
55
95
40
Source: GHS, Nkoranza, 2010
Table 1.53: Doctor – Patient and Nurse – Patient Ratios
Ratio
District
Regional
Standard (UN)
Doctor – Patient
1:32,123
1:22,012
1:8,000
Nurse – Patient
1:2,677
1:1,169
1:500
Source: GHS, Nkoranza 2010
Table 1.54: Citizen’s Assessment of Health Care in the District
Weight
Number
Percentage (%)
Very satisfied
58
10.7
Satisfied
310
57.4
Dissatisfied
138
25.6
Very dissatisfied
28
5.1
Indifferent
6
1.2
Total
540
100
Source: DPCU Survey, 2010
Table 1.55: Status of National Immunization Programme
Achievement
2008
2009
Age Group
Target Immunization %
Coverage
Target Immunization %
coverage
0 – 5 yrs
16,060
19,888
16,970
100.93
19,817
99.6
Source: GHS, Nkoranza, 2009
Table 1.56: Use of family Planning Methods
Contraceptive
Male Condom
Female Condom
Combined Pill
Mini Pill
Intra-Uterine Device (IUD)
Depo Provera
Norigynon
Sterilization
Implant
Total
No. of Acceptors
23.08
8
1,239
98
15
2,130
763
7
40
6,608
%
34.9
0.1
18.8
1.5
0.2
32.2
11.5
0.1
0.6
100
Source: 2009 Annual Report, GHS Nkoranza
Table 1.57: District Health Insurance Registration for 2009
Exempt
SSNIT
Pensioners
25,533
SSNIT
Contributor
s
923
39.6%
1.4%
0.3%
169
Under
18
years
30,42
1
47.1%
Pregnant
Women
Indigent
Male
Female
2,498
70
years
+
3,453
1,536
27,772
36,761
3.9
5.4
2.4
43%
57%
Note: these figures include both New and Old members of the Scheme for 2009
Source: Nkoranza District Health Insurance Scheme.
Total
64,533
Informal
Table 1.58 depicts HIV / AIDS cases in the district.
Indicators
Clinical Cases
Blood Donors
CT
PMTCT
Know Your Status
Total
No. Tested
2007
2860
425
355
410
0
1,476
2008
533
527
468
1,284
775
3,587
No. Positive
2009
581
1,164
783
2,844
881
6,253
2007
99
14
106
21
0
240
2008
174
30
86
27
16
332
2009
147
37
63
49
7
303