Challenges in-country have been a low yield rate, severe linkage gaps, and high pre-ART caseloads because of the lack of reliable data at facility and national level. EQUIP’s intervention supports turning around these programs with intensive training of facility staff attending to file audits and monitoring and evaluation to strengthen support systems. In Ghana the main programme focus areas include Technical Assistance in the areas of rapid Test & Start support and differentiated models of ART delivery with a focus on multi-month scripting and dispensing at facility and community level.
Additional direct facility support includes index case testing, high yield testing at outpatient care, inpatient care, antenatal services; nutrition support, TB and STI clinic support as well as rapid scale-up of viral load monitoring and demonstration projects in Ghana. As the program evolves so too does EQUIP’s support levels.
Ghana is a stable, democratic country with a free press, active civil society, independent judiciary and apolitical military. Until recently, Ghana was hailed as a model for Africa growth but since 2013, its economy has endured a growing public deficit, high inflation and a weakening currency. Ghana has a universal health care system strictly designated for Ghanaian nationals, National Health Insurance Scheme (NHIS). Health care is very variable throughout Ghana.