Ending the AIDS Epidemic and Achieving Universal Health Coverage by 2030 in Africa

Dr. Anthony Nsiah-Asare
Director General, Ghana Health Service
UNAIDS@ 22ND IAS, JULY 2018

HIV & AIDS in Ghana

Ghana’s 2017 HIV Sentinel Survey (HSS) Report, shows that there has been a decline in ANC HIV prevalence in Ghana from 2.4% 2016 to 2.1% in 2017.

However, we note also that there is still a significant burden of disease that needs to be addressed.

The estimated Adult National HIV Prevalence is 1.67%, with an estimated 19,101 new infections among adults and children, and 15,694 deaths from AIDS in 2017.

Prevalence amongst Key Populations is 3 to 10 times higher than in the general population (7% in Female Sex Workers to 18.1% in MSM).

Ghana is a priority country among the 35 Fast Track countries that account for 80-90% of the people newly infected with HIV globally, and a priority country for implementation of the 90-90-90 targets.

Leaving No One Behind

For interventions to yield the needed results, there is the need to address issues of ;

–Access,

–Equity,

–Stigma and Discrimination,

–Partnership

–To ensure no one is left behind as we work towards attaining our 90/90/90 targets and ending AIDS by 2030

UNIVERSAL HEALTH COVERAGE

UHC requires that all people nationwide have access to necessary health coverage.

Ensure equitable distribution of human resources and services.

Address barriers to health care service.

There are multiple strategies that are being used within the Ghana health landscape to reach this goal.

Health Financing

Since 2005, Ghana has been operating a National Health Insurance Scheme (NHIS), which all residents of Ghana, including non-citizens can subscribe to.

The benefit package of the NHIS covers 95% of diagnosed conditions, and it has no cost-sharing requirements. Members pay no out of pocket costs for services or pharmaceuticals based on policy.

Ghana finances its health insurance scheme primarily through value-added tax (VAT) revenue, which creates an implicit subsidy for basic care.

Overtime, NHIS enrollment has expanded and become more equitable. As of 2015, NHIS covered about 42% of the population and we are working to increase the coverage.