The World Health Organisation(WHO), Representative to Ghana, Dr Francis Kasolo, has called for concerted action to bridge the equity gap in the distribution of doctors between rural and urban areas.
He said the unfair distribution of doctors and other health care worker in the country was a threat to efforts towards improving the health and wellbeing of the people, and urged stakeholders to take action immediately to address the situation, according to a statement, copied the Ghanaian Times.
Dr Kasolo was delivering the keynote address at the 64th Annual General Conference of the Ghana Medical Association (GMA) on theme:“Doctor Distribution dilemma – the case of Ghana and its underserved areas.”
He said: “The inequitable distribution of doctors between rural and urban areas is now a crisis. It seriously undermines our progress towards Universal Health Coverage and we must all work together to address it”.
Dr Kasolo said the country has made tremendous gains in the doctor to population ration, improving from one doctor to 17,899 in 2005 to one doctor to 6,500 in 2020.
However, he indicated that available data also showed that 42 percent of the doctors were in Accra alone, and up to 81.3 percent of all doctors were concentrated in Greater Accra, Ashanti, Central, Northern and Volta regions with the Teaching Hospitals in these five regions together having over 60 percent of all the doctors in Ghana.
“Over the years, Ghana has made progress in improving the doctor to population ratio, but we must remember that the unfair distribution of these doctors leads tounmet health needs in rural and remote areas resulting in a decreased life expectancy; higher preventable maternal and under-five mortality rates,”he added.
Dr Kasolo identified migration and retention challenges as some of the causes of the shortages of doctors in Ghana and recommended some key interventions in line with WHO guideline on health workforce development, attraction, recruitment and retention in rural and remote areas.
“Providing differential incentives for those working in rural and under-served areas and re-engineering the training and regulation of doctors to include extensive exposure to rural and under-served areas will help improve the situation.”
“We must also provide deliberate opportunities for the admission of medical students from rural and deprived areas and providing financial support for their training,” he said.
WHO has been supporting the Government of Ghana to improve the maldistribution of doctors and other healthcare workers in Ghana.
This includes an assistance to develop the multi-criteria deprivation index to be used to objectively classify the districts according to their relative levels of deprivation.
This, when implemented can address both monetary and non-pecuniary aspects of encouraging retention in rural and under-served areas.
In addition, WHO is helping the development and implementation of health sector staffing norm while also providing support for training needs assessment of health workers.
WHO with funding from the UK Department of Health and Social Care, (UK-DHSC) is also currently helping Ghana to embark on a health labour market analysis to contribute to future polices and strategies in addressing the health worker challenges, especially the needs of rural and under-served areas.
Dr Kasolo pledged the WHO’s continuous support to Ghana in ensuring that no one anywhere is left behind in the access to healthcare services.
“As WHO, we will continue to work with all partners to help drive government’s efforts to achieveequitable distribution of doctors and other healthcare workers in Ghana,”he assured.