ABSTRACT

For more than a decade, Ghana has embarked on a number of health sector reform initiatives. These reforms have been aimed at improving access to quality healthcare and reducing financial risk, especially to the poor and vulnerable. The expectation is that these will contribute to bridging equity gaps and improving health outcomes. Through an evaluation of current reform initiatives, we portray their overarching impact on quality and safety. A brief historical account of the health system and its organization, current reform initiatives and their impact, the quality and safety landscape, and the future direction are tackled.