President Akufo-Addo laying blocks with mortar for the construction of Atwima Kwanwoma District Hospital

President Nana Addo Dankwa Akufo-Addo has announced that the hospitals under his administration’s ‘Agenda 111’ flagship project will provide 20,100 jobs to health professionals in the country when completed.

Agenda 111, which has described by many as the biggest ever investment in Ghana’s healthcare sector involves the construction of 111 state-of-the-art district and regional hospitals across the country in 18 months.

These include 101 district hospitals, seven regional Hospitals for the new regions, including a new one for the Western Region, the construction of two new psychiatric hospitals for the Middle Belt and Northern Belt, respectively; and the rehabilitation of the Effia-Nkwanta Hospital in the Western Region.

President Akufo-Addo announced these yesterday at Trede, in the Atwima Kwanwoma District of the Ashanti Region where he cut the sod for the commencement of the project.

According to him, many skilled workers including architects, civil mechanics, related professionals and artisans will be some of the beneficiaries.

“We have incorporated into this agenda the strategy of direct and indirect job openings to stimulate the economies of the various communities in which the facilities are to be located.

“This include the creation of an estimated 25,000 jobs during the construction and design phase ie jobs for architects, electrical and biomedical engineers, masons, carpenters, tailors and related professionals and artisans as well as other indirect jobs.

“I expect Ghanaian entrepreneurs to take advantage of the opportunities provided by the significant investment and produce quality building and construction materials required by the hospitals,” President Akufo-Addo added.

The projects, which started simultaneously at 88 sites across the country yesterday, will help to bridge health infrastructure gap following the outbreak of the COVID-19 pandemic and promote the quality healthcare delivery in the country.

Government has already set aside an amount of US$100 million as commencement funding for its ambitious Agenda 111 project.

Effect of COVID-19

President Akufo-Addo indicated that the COVID-19 pandemic did not only disrupt lives and livelihoods, but also exposed the deficiencies of the nation’s healthcare system, because of years of under-investment and neglect.

With 88 out of the 101 sites identified for the commencement of work on the construction of the district hospitals, President Akufo-Addo gave assurance that the acquisition of the remaining 13 sites will be completed shortly for work to begin.

“Each hospital is being constructed at a cost of US$16.88 million, that is US$12.88 million for construction and US$4 million for medical equipment. All the hospitals are to be completed in eighteen (18) months. Work will commence on the regional and other hospitals in the latter part of the year,” he assured.

These modern, fully equipped state-of-the-art hospitals, according to the President, will have facilities for outpatient services, including consultation facilities for medical and surgical cases, ophthalmology and dental services, a physiotherapy unit, maternal and child health unit, public health unit, four state of the art surgical theatres for maternity, obstetrician and gynaecology, accident and emergency, and for general surgery and imaging facilities.

“In addition, each hospital will have the full complement of male, female, paediatric and isolation wards. Provision has made for support facilities, which will include a kitchen, laundry, sterilisation department, mortuary, energy centre, maintenance department, and staff accommodation for doctors, nurses and other health workers,” he said.

Ghana First Agenda

Describing Agenda 111 as a “Ghana First” agenda, which has been carefully thought through to inspire activity and growth in various sectors of the economy, and help also bring jobs to the youth, President Akufo-Addo explained that a consortium, comprising some 20 Ghanaian consulting firms, made up of architects, civil, structural, electrical and mechanical engineers, quantity surveyors, bio-medical engineers, and other technical teams, have designed these hospitals to reflect the nation’s unique domestic requirements

“They will also supervise the construction of these hospitals, which will be built by some two hundred and fifty (250) domestic contractors, and maintained by domestic facility management professionals, as part of Government’s policy of developing domestic capability in the building and construction sectors of the economy. This will, undoubtedly, help retain most of the money in the country, to engender further investment in the economy,” he added. 

With all hospitals being of a standard design, the President noted that the execution of Agenda 111 will require significant domestic inputs, which will give impetus to private sector investments into the “One-District-One-Factory” policy. 

West Africa’s Medical Hub

Beyond the building of these new healthcare facilities, President Akufo-Addo indicated that his vision is to help make Ghana the Centre of Excellence for Medical Care in West Africa by 2030, leveraging on Ghana’s favourable status in the Region as the most peaceful country in West Africa, a beacon of democracy on the continent, and a land of opportunities.

“This we will achieve by investing more in the development of our healthcare infrastructure, mapping our regional health facilities to specialisations, as well as upgrading selected facilities in our regional and teaching hospitals into world class standards. India and South Africa have shown the way in this regard,” he stressed.

Massive investment

President Akufo-Addo explained that, during his first term in office, a programme to revitalise health care infrastructure in Ghana’s premier hospitals was put in place.

“Investments were made at the Korle-Bu Teaching Hospital in Accra to build a new four hundred-bed Maternity and Gynaecology Block, and a new one hundred-bed Urology and Nephrology Centre of Excellence. Government will build on this foundation, and include two additional projects, currently in the planning stage, namely, the Trauma and Acute Pain Centre and a new Surgical Services Block with modern in-patient facilities. These major investments in the Korle-Bu Teaching Hospital will contribute to its transformation into a modern world-class teaching hospital,” he said.

President Akufo-Addo added that, “Further investments are being made at the Komfo Anokye Teaching Hospital in Kumasi, beginning with the new five hundred and fifty (550) bed Maternity and Children Block. Specialised centres for infectious diseases, orthopaedics, cancer treatment, cardiovascular health, specialist eyecare, amongst others, will be assigned to some of the Regional Hospitals, including those to be constructed under Agenda 111.”

Medical education

President Akufo-Addo gave assurance that whilst upgrading these facilities, Government will invest in medical education and training of the nation’s health personnel, including expanding the use of IT for medical diagnosis and treatment in the Agenda 111 healthcare facilities being developed.

This network of primary, secondary and tertiary health facilities, he stressed, will form the backbone of the vision to make Ghana the leading health care destination in West Africa.

“It is envisioned, under a Public Private Partnership, that the Ghana Medical Corps, a volunteer corps of medical specialists which will tap into the skills and resources of Ghanaians and non-Ghanaians locally and abroad, using IT and telemedicine to support the delivery of health care and training, will be established by 2023. This will offer, in particular, to Ghanaian medical experts resident outside Ghana, the opportunity to give back to their motherland in ways that will support and expand healthcare delivery,” he added.

All these programmes, collectively, according to the President, will position Ghana as a leading medical travel destination in West Africa, with the potential to add some two billion dollars (US$2billion) to the nation’s GDP by 2030, and, in the process, create some fifty thousand (50,000) jobs in the sector.