The goal of USAID's integrated health, population, and nutrition program is to increase equitable access and use of quality health care. The GhiLMIS provides the capability of interfacing with every system which enhances data exchange, standardizing the data to enable real time reporting and access to . Healthcare leaders continue to put infrastructure and governance practices in place to support value-based models even as providers still have significant fee-for-service revenue. Further, the system can facilitate policy transformation only when the place of mental health in district, regional and national health discourse improves. There is a substantial difference in the quality of healthcare received by older people in developing and developed countries. However, stagnating active membership, reports of poor quality health care rendered to NHIS-insured clients and cost escalations have raised concerns on the operational and financial sustainability of the scheme. The aim of this work is to describe the application of the Bottleneck analysis (BNA) process to assess gaps in immunization services in Ghana and implications for sustaining the gains in Immunization coverage. The Integrated Disease Surveillance and Response (IDSR) strategy was developed and adopted in 1998 for Africa as a comprehensive public health approach and subsequently, Ghana adopted the IDSR technical guidelines in 2002. In 2015 and 2016, immunization information system assessments (IISAs) were conducted in Kenya and Ghana using . Mr Kwaku Agyeman-Manu, the Minister of Health, said the financing gap, the poor adherence to standards, low workforce capacity and other challenges in health information systems, were not . Traditional medicine is widespread in Ghana, with 80% of Ghanaians relying on its methods for primary health care. Traditionally, the health centre has been the first point of contact between the formal healthcare system and the client in the management of clinical conditions [ 23 ]. Malaria is most prevalent in the developing countries of the world. Deprived communities and vulnerable groups are contending with various challenges related to the National Health Insurance Scheme (NHIS) as they try to get access to basic health care, a situation that is undermining the country's efforts to scale-up effective malaria case management and also accelerate Ghana's march towards universal health coverage (UHC).
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