The United Nations Population Fund - UNFPA
 in Ghana

Reproductive Health, 
Including Family Planning and Sexual Health

  The main aim of UNFPA’s reproductive health programme is to increase the utilization of quality reproductive health and family planning services. UNFPA’s national programme focuses on: improving access to reproductive health services, especially in under-served areas; meeting the needs of adolescents; collaborating with other partners to combat the spread of HIV/AIDS and other sexually transmitted infections; and strengthening the country’s capacity for programme coordination and monitoring.

   As a result of the stark contrasts between the northern and southern regions of the country, UNFPA’s new Country Programme concentrates on 24 districts in three northern provinces. These three provinces contain 18 per cent of the country’s population, but have only a fraction of health care services available in the south.

   At the national level, UNFPA’s support helps to strengthen the capacity of the Reproductive and Child Health Unit of the Ministry of Health to coordinate activities of the implementing agencies and donors, expand reproductive health information and services designed for adolescents, and monitor the implementation of the reproductive health programme throughout the country.

   A major new initiative, launched in 2000, was the African Youth Alliance (AYA) funded by the Bill and Melinda Gates Foundation. The founding members of the Alliance are: UNFPA, PATH and Pathfinder International. Ghana is one of four countries participating in this pan-African initiative. The others are: Botswana, Tanzania and Uganda. The main objective of the Alliance is to assist governments in their response to the growing menace of HIV/AIDS, especially among youth. This five year program will channel about $14 million into Ghana for the prevention of HIV/AIDS and related activities, including the launching of a nation-wide advocacy campaign aimed at youth.

   One area where UNFPA funding has been critical is in expanding the availability of gender-sensitive, quality reproductive health services. Community-based health services have been strengthened considerably through support for training and the placement of community health nurses/midwives in under-served communities.

   In terms of helping to ensure contraceptive commodity security, UNFPA, USAID, IPPF and DFID (the UK Department for International Development) provide the bulk of Ghana’s contraceptive supplies. In addition, the World Bank, through UNFPA, has provided $4.5 million for contraceptives over the next few years.

Population and Development

   The main objective of UNFPA’s assistance in the area of population and development is to ensure the integration of population and gender concerns in national and regional development planning and programmes. Key challenges in this respect include: improving data collection for the design, implementation and evaluation of population and reproductive health policies and programmes; strengthening capacity to collect, analyze and utilize information and data on population and reproductive health issues; bolstering awareness of population and development inter-relationships; and better integration of population and reproductive health concerns into overall development policies and programmes.

   In connection with UNFPA’s assistance in this area, three outputs are expected:

  • Increased availability of population and reproductive health data and information on gender equality, women’s empowerment and on the socio-economic impact of HIV/AIDS.
  • Increased integration at the national level and at the district level in the three northern regions of population and gender concerns in development policies and programmes.
  • Improved environment for population programmes.

Advocacy

   Ghana’s advocacy efforts are concentrated on providing youth-friendly reproductive health services, ensuring gender-sensitive information and services, and ensuring that in the 24 northern districts where UNFPA is focusing its activities youth and gender issues are integrated into the overall approach.


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