Ghana Health Service

The Ghana Health Service (GHS) is a Public Service body established under Act 525 of 1996 as required by the 1992 constitution. It is an autonomous Executive Agency responsible for implementation of national policies under the control of the Minister for Health through its governing Council - the Ghana Health Service Council. The GHS continue to receive public funds and thus remain within the public sector. However, its employees will no longer be part of the civil service, and GHS managers will no longer be required to follow all civil service rules and procedures. The independence of the GHS is designed primarily to ensure that staffs have a greater degree of managerial flexibility to carry out their responsibilities, than would be possible if they remained wholly within the civil service. Ghana Health Service does not include Teaching Hospitals, Private and Mission Hospitals The establishment of the Ghana Health Service is an essential part of the key strategies identified in the Health Sector Reform process, as outlined in the Medium Term Health Strategy (MTHS), which are necessary steps in establishing a more equitable, efficient, accessible and responsive health care system. The reforms build on the reorganization of the MOH that began in 1993, which was explicitly designed to set the scene for the establishment of the Ghana Health Service. The reforms also provide a sound organizational framework for the growing degree of managerial responsibility that has already been delegated to districts and hospitals. Themes that were central to the reorganization of 1993 remain important today for the Ghana Health Service: careful stewardship of scare resources, clear lines of responsibility and control, decentralization, and accountability for performance rather than inputs.