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In March 1957 the Republic of Ghana was the first African country to achieve its independence from the United Kingdom. The first president, Dr. Kwame Nkrumah, commissioned health care facilities to care for indigenous people of Ghana. The health system was fully funded by state revenue; however, the lack of accessible health facilities in rural areas led to poor health outcomes (increase in communicable and non-communicable diseases, high infant and child mortality rates, etc.). The health system eventually experienced a budget crisis and, consequently, moved towards a cash system in which the patient pays for care and medication.
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Ghana: Health Care System