2023 Annual Ghana Health Policy Dialogue

24th – 27th Sept. 2023

THEME

THE EXODUS OF HEALTHCARE WORKERS IN GHANA: IMPLICATIONS FOR SKILL-MIX AND NETWORK OF PRACTICE INNOVATIONS TOWARDS ACHIEVING UHC

 

KEY PARTNERS

 

 

 

Hon. Kwaku Agyemang-Manu

Hon. Kwaku Agyemang-Manu

Minister Of Health
Hon. Tina Gifty Naa Ayele Mensah

Hon. Tina Gifty Naa Ayele Mensah

Deputy Minister
Hon. Mahama Asei Seini

Hon. Mahama Asei Seini

Deputy Minister
Alhaji Hafiz Adam

Alhaji Hafiz Adam

Chief Director
Mrs. Emma Ofori Agyemang

Mrs. Emma Ofori Agyemang

DIrector PPME, MoH

 

PANEL MEMBERS

 

Prof. (Mrs.) Rita Akosua Dickson

Prof. (Mrs.) Rita Akosua Dickson

Vice-Chancellor, KNUST, Kumasi
Prof. Christian Agyare

Prof. Christian Agyare

Provost of College Health Sciences, KNUST, Kumasi
Prof. Sam Newton

Prof. Sam Newton

Dean of School of Public Health, KNUST, Kumasi
Prof. Peter Agyei-Baffour

Prof. Peter Agyei-Baffour

Head of Department, KNUST, Kumasi
Prof. Dr. Reinhard Busse

Prof. Dr. Reinhard Busse

Head of Department, Technische Universität Berlin (TUB), Germany
Prof. Dr. Wilm Quentin

Prof. Dr. Wilm Quentin

Technische Universität Berlin (TUB), Germany

 

PROGRAMME OUTLINE

From 14:00 GMT Arrival of participants
18:00 – 21:00 GMT Speakers working dinner
Host: Mrs. Emma Ofori, PPME Director & Prof. Peter Agyei-Baffour, KNUST HOD

Through an informal dinner, this meeting of the policy dialogue speakers will consolidate the presentations for the various sessions and discuss the overall programme outline for adjustments.

08:00 – 09:00 Protocol

– Registration of participants

MoH

KNUST

Rapporteurs Mr. Alex Moffatt, MoH

Dr. Peter Twum, KNUST

Moderators Prof. Anthony Edusei, KNUST

Mr. Benjamin Nyakutsey, MoH

Dr. Eric Nsiah-Boateng, MoH

Dr. Daniel Opoku, KNUST

Dr. Joseph Dodoo, MoH

Opening ceremony
Chair: Alhaji Hafiz Adam (Chief Director, MoH)

This is the official opening of the 2023 Annual Health Sector Policy Dialogue. It will introduce the policy dialogue theme and present the Health Minister’s reflection on the theme as well as the Keynote Speaker’s address. Also, the Policy Brief series (a byproduct of the policy dialogue) will be launched. Remarks from partners will highlight the critical role of the Annual Health Sector Policy Dialogue which has become the analytical hub of the MOH’s Health Summit to explores to explore strategic options for further health system reforms in support the strengthening of Ghana’s health system.

09:00 – 10:45 GMT

 

 

 

Opening Prayer

Introduction & Welcome

Opening Remarks

 

DPs’ Solidarity Messages

 

 


Health Minister’s Reflection:
Ghana’s human resource for health: Enhancing motivation and performance towards achieving UHC

Joint Launch of Policy Brief

 

Keynote Speaker’s Address:
Global workforce challenges and policy options against shortages


Concluding Remarks

 

Group photograph

Ms. Kafui Dansu

Alhaji Hafiz Adam, MoH Chief Director

Prof. Rita Akosua Dickson, KNUST Vice-Chancellor

Dr. Francis Chisaka Kasolo, WHO Country Representative
Dr. Wilfred Ochan, UNFPA Country Representative
Mr. Osama Makkawi Khogali, UNICEF Country Representative

 

Hon. Kwaku Agyeman-Manu, Minister for Health

Hon. Kwaku Agyeman-Manu, Minister for Health & Prof. Rita Akosua Dickson, KNUST Vice-Chancellor

 Prof. Wilm Quentin, TUB

 

 Alhaji Hafiz Adam, MoH Chief Director

 

10:45 – 11:15 Coffee Break
Policy Dialogue sessions
Session I: Novel insights on the exodus of healthcare workers from Ghana
 

Chair: Kwasi Addai-Donkoh (Faculty, KNUST)

This session will present and discuss intriguing insights from current research on the factors associated with turnover intentions as well as those pushing healthcare workers away from Ghana and those attracting them to other countries; ultimately culminating into the current exodus.

11:15 –11:30 GMT Migration of healthcare workers in Ghana: the push and pull factors Anthony Edusei, KNUST

 

11:30 – 11:45 GMT Health professionals’ turnover intentions: A cross-sectional survey in selected CHAG facilities in Ashanti Region Matilda Yaa Gyanwah, KNUST
11:45 – 12:00 GMT Factors influencing turnover intentions of nursing and midwifery workforce in Ghana: The good, the bad and the ugly Philomina A.N. Woolley, NMC
12:00 – 12:30 GMT Plenary discussion (Q&A) Chair/Moderator
12:30 – 13:30 GMT Lunch

 

Session II: Human resource challenges in the (primary) healthcare system and international options for improvement
Chair: Opoku Ware Ampomah (CEO, KBTH)

With the aim to get to the heart of the problem and address same, this session will explore health workforce challenges in Ghana and present a profile of the healthcare workforce landscape in Ghana. The session will highlight strategies for improvement with international examples.

13:30 – 14:00 GMT Profiling (primary) healthcare workforce in Ghana: tasks, roles and rules of engagement Kwesi Asabir, MoH
14:00 – 14:30 GMT The heart of the problem: Workforce challenges in Ghana Peter Agyei-Baffour, KNUST
14:30-15:00 GMT Addressing health care workforce challenges in PHC: strategies and international examples Juliane Winkelmann, OBS

(virtual)

15:00 – 15:15 GMT Plenary discussion (Q&A) Chair/Moderator
15:15 – 15:30 GMT Mobility break
Session III: The impact of healthcare workers’ migration on the (primary) healthcare system
Chair: Anthony Ofosu (Deputy DG, GHS)

This session seeks to ascertain the actual effect of the exodus of healthcare workers from Ghana especially in such a critical time when healthcare workers are needed back home after the devastations of COVID-19 to re-build a resilient health system. Key stakeholders will hereby present on important assessment of the effect of healthcare workers migrating as experienced at the various levels of the health system.

 

15:30 – 16:15 GMT Panel Discussion:

Is the exodus of nurses, other health professionals (not) affecting healthcare delivery?

Impulse from Professional bodies

–      Allied Health Professionals Association of Ghana (AHPAG)

–      Ghana Medical Association (GMA)

–      Ghana Registered Nurses and Midwives Association (GRNMA)

•             Pharmaceutical Society of Ghana (PSGH)

16:15 – 16:30 GMT Brief reactions from MoH and stakeholders Kwesi Asabir, MoH

Barnabas Yeboah, MoH

Rep., MoF

16:30 – 17:15 GMT Plenary discussion:

How do various stakeholders assess

–      the policies, regulations and ethical standards for healthcare workers?

–      payment mechanisms and payment levels?

–      the main reasons for health workers to migrate?

–      government’s posture and understanding of the situation?

–      any other issues…

•             Why the exodus might continue?

Chair/Moderator
17:15 – 17:30 GMT Wrap-up Moderator
17:30 GMT – open Snack break & Networking All participants
 

9:00 – 9:15

 

Summary of results of day 1

 

Anthony K. Edusei, KNUST

Session IV: Exploring options for reforms: Skill-mix innovations
 

Chair: Kwesi Asabir (Director, MoH HRHD)

This session aims to proffer some reform options with a focus on skill-mix innovations (i.e. skill-mix and integrated care) as viable approach to mitigate against the migration of healthcare workers. The features of integrated care would be thoroughly discuss.

9:15 –

9:45 GMT

Creating and implementing skill-mix innovations: outcomes, drivers and trends

 

–      Brief reaction on presentation from stakeholders

 

Juliane Winkelmann, OBS
9:45 – 10:15 GMT Plenary discussion:

 

–      Perspective of stakeholders on skill mix innovations

o   Providers (GHS, CHAG, TH)

o   Professional bodies (physicians, nurses, allied health, pharmacists)

Chair/Moderator
10:45-11:15 GMT Skill-mix and integrated care: coordination

 

•             Brief reaction from stakeholders

Daniel Opoku, KNUST/TUB
10:45-11:15 GMT Coffee break

 

 

 

 

Session V: Implementing Network of Practice for primary healthcare I
 

Chair: Otchere Addai-Mensah (CEO KATH)

The GHS is implementing a concept of Network of Practice with the aim to strengthen the primary health care in Ghana at the sub-district level. This session will explore the approaches for implementing the concept in a bid to provide a common understanding for all key stakeholders.

11:15 – 12:00 GMT Network of Practice for primary healthcare: concept, aim, outcomes

 

Andy Ayim, GHS
12:00 – 12:30 GMT Plenary discussion/ Q&A

 

 

Chair/Moderator
12:30 – 13:30 GMT Lunch
Session VI: Implementing Network of Practice for primary healthcare II
 

Chair: Eric Kofi Ngyedu (CEO, CCTH)

This session will discuss in-depth the policy/regulatory regime for the network of practice, explore the training requirement of healthcare workers and payment/financing mechanisms for the network of practice.

13:30 – 13:45 GMT Panel discussion:

The policy and regulation for network of practice

 

 

Rep., GHS

Rep., NMC

Rep., GMDC

Rep., Pharmacy Council

Rep., Allied Health Council

Kwesi Asabir, MoH

Barnabas Yeboah, MoH

Moderator

14:15 – 14:45 GMT Plenary discussion:

Training for network of practice

Moderator
14:45 – 15:15 GMT Paying and financing network of practice and skill-mix innovations

–      Brief reaction from stakeholders

Wilm Quentin, TUB

 

 

 

(GHS, NHIA, CHAG, MoH)

15:15 – 15:30 GMT Mobility break
Session VII: Next steps and wrap up
Chair: Anthony Edusei (Professor, KNUST)

The aim of this session is to make recommendations for skill-mix innovations suitable for the Ghana health system. This session will highlight the key elements of the network of practice needed critical attention for the successful implementation of the innovative concept.

15:30 – 16:00 GMT Reflections from the previous discussions on skill-mix innovations Joseph Dodoo, MoH/ Daniel Opoku, KNUST/TUB
16:00 – 16:15 GMT Reflections from the previous discussions on network of practice Eric Nsiah-Boateng, MoH/ Daniel Opoku, KNUST/TUB

 

16:15 – 16:45 GMT Plenary discussion

The way forward

Moderator
16:45 – 17:00 GMT Closing remarks
Formal Dinner with Public Health Postgraduates in Ghana
18:00 – 21:00 Host: Mr. Kwakye Kontor (Unit Head, MoH) & Prof. Peter Agyei-Baffour (HoD, KNUST)

The PPME Directorate of the Ministry of Health and the School of Public Health at the KNUST will together play host to all participants of the policy dialogue to a networking and closing session over a roundtable dinner. This dinner session will see the interactions and professional networking between stakeholders in the Ghana health sector and postgraduate students of health systems and policies in Ghana.

Departure

Policy Dialogue Sessions

Session I: Novel insights on the exodus of healthcare workers from Ghana
Chair: Kwasi Addai-Donkoh (Faculty, KNUST)

This session will present and discuss intriguing insights from current research on the factors associated with turnover intentions as well as those pushing healthcare workers away from Ghana and those attracting them to other countries; ultimately culminating into the current exodus.

     
11:15 –11:45 Migration of healthcare workers in Ghana: the push and pull factors Anthony Edusei, KNUST
   
11:45 – 12:00 Factors influencing turnover intentions of health professionals in Ghana: The good, the bad and the ugly Matilda Yaa Gyanwah, KNUST
   
12:00 – 12:30 Plenary discussion (Q&A) Chair/Moderator
Session II: Human resource challenges in the (primary) healthcare system and international options for improvement
Chair: Opoku Ware Ampomah (CEO, KBTH)

With the aim to get to the heart of the problem and address same, this session will explore health workforce challenges in Ghana and present a profile of the healthcare workforce landscape in Ghana. The session will highlight strategies for improvement with international examples.

     
13:30 – 14:00 Profiling (primary) healthcare workforce in Ghana: tasks, roles and rules of engagement Director HR, MoH
   
14:00 – 14:30 The heart of the problem: Workforce challenges in Ghana Peter Agyei-Baffour, KNUST
14:30-15:00 Addressing health care workforce challenges in PHC: strategies and international examples Juliane Winkelmann, OBS
   
15:00 – 15:15 Plenary discussion (Q&A) Chair/Moderator
Session III: The impact of healthcare workers’ migration on the (primary) healthcare system
Chair: Anthony Ofosu (Deputy DG, GHS)

This session seeks to ascertain the actual effect of the exodus of healthcare workers from Ghana especially in such a critical time when healthcare workers are needed back home after the devastations of COVID-19 to re-build a resilient health system.  Key stakeholders will hereby present on important assessment of the effect of healthcare workers migrating as experienced at the various levels of the health system.

     
15:30 – 16:15 Is the exodus of nurses, other health professionals (not) affecting healthcare delivery? –      Allied Health Professionals Association of Ghana (AHPAG)

–      Ghana Medical Association (GMA)

–      Ghana Registered Nurses and Midwives Association (GRNMA)

Pharmaceutical Society of Ghana (PSGH)

 
16:15 – 16:30 Brief reactions from MoH and stakeholders Director HR, MoH/

Director PPME, MoH

   
16:30 – 17:15 Panel discussion:

How do various stakeholders assess

–      the policies, regulations and ethical standards for healthcare workers?

–      payment mechanisms and payment levels

–      the main reasons for health workers to migrate?

–      government’s posture and understanding of the situation?

Why the exodus might continue?

Chair/Moderator
   
17:15 – 17:30 Wrap-up Moderator
Session IV: Exploring options for reforms: Skill-mix innovations
Chair: Kwesi Asabir (Director, MoH HRHD)

This session aims to proffer some reform options with a focus on skill-mix innovations (i.e. skill-mix and integrated care) as viable approach to mitigate against the migration of healthcare workers. The features of integrated care would be thoroughly discuss.

     
9:15 – 9:45 Creating and implementing skill-mix innovations: outcomes, drivers and trends Juliane Winkelmann, OBS
   
9:45 – 10:15 Panel discussion

–      Brief reaction on presentation from stakeholders

 

–      Perspective of stakeholders on skill mix innovations

o   Providers (GHS, CHAG, TH)

o   Professional bodies (physicians, nurses, allied health, pharmacists)

Chair/Moderator
   
10:45-11:15 Skill-mix and integrated care: coordination

 Brief reaction from stakeholders

xxx
Session V: Implementing Network of Practice for primary healthcare I
Chair: Otchere Addai-Mensah (CEO KATH)

The GHS is implementing a concept of Network of Practice with the aim to strengthen the primary health care in Ghana at the sub-district level. This session will explore the approaches for implementing the concept in a bid to provide a common understanding for all key stakeholders.

     
11:15 – 12:00 Network of Practice for primary healthcare: concept, aim, outcomes Rep., GHS
   
12:00 – 12:30 Plenary discussion/ Q&A Chair/Moderator
Session VI: Implementing Network of Practice for primary healthcare II
Chair: Eric Kofi Ngyedu (CEO, CCTH)

This session will discuss in-depth the  policy/regulatory regime for the network of practice, explore the training requirement of healthcare workers and payment/financing mechanisms for the network of practice.

 
13:30 – 13:45 Panel discussion on the policy and regulation for network of practice Rep., GHS

Rep., NMC

Rep., GMDC

Rep., Pharmacy Council

Rep., Allied Health Council

Director HR, MoH

Moderator

   
14:15 – 14:45 Plenary on training for network of practice Moderator
   
14:45 – 15:15 Paying and financing network of practice and skill-mix innovations

Brief reaction from stakeholders

Wilm Quentin, TUB

(NHIA, etc.)

Session VII: Next steps and wrap up
Chair: Anthony Edusei (Professor, KNUST)

The aim of this session is to make recommendations for skill-mix innovations suitable for the Ghana health system. This session will highlight the key elements of the network of practice needed critical attention for the successful implementation of the innovative concept.

 
15:30 – 16:00 Reflections from the previous discussions on skill-mix innovations Daniel Opoku, KNUST
Joseph Dodoo, MoH
   
16:00 – 16:15 Reflections from the previous discussions on network of practice Daniel Opoku, KNUST
Joseph Dodoo, MoH
   
16:15 – 16:45 Plenary discussion
The way forward
Moderator

Media / Downloads

Annual-Health Sector Policy Dialogue 2023
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