The Ghapoha Hospital team (L-R): Selina Dussey, Acting Head QMU/MOH; Dr. George Yankey, Asst. Medical Director Ghapoha Hospital; other members of hospital quality management team. Photo credit: George Woode

Quality Services for Health (Q4H)

The Challenge

The Government of Ghana has made great strides in strengthening its health system in recent years. Its commitment to achieving universal health coverage is anchored by the National Health Insurance Scheme and Community-Based Health Planning and Services, which is a global model for decentralized health care – strengthening and expanding the delivery of community-level primary and preventative care.

Despite these successes, systemic and behavior challenges persist to improving population health, such as limited harmonization, coordination, and linkages across the health system and its service delivery levels. As a result, health outcomes are trending in the wrong direction, including increasing mortality rates and disparities in access to quality services.

Overview and Objectives

Improving the quality of care requires coordinated, system-wide action with buy-in from key actors. Through the Q4H Activity in Ghana, URC and our partners and collaborators are integrating our experience in quality improvement, social and behavior change, and gender equity and social inclusion to support Ghana’s public and private health system actors to sustainably improve health services quality across Ghana.

Q4H’s objectives include:

  • Strengthening national, regional, and district leadership and governance of quality management (QM) structures and processes;
  • Instituting processes to empower and capacitate local leaders to identify and address systemic, local QM challenges, including improving the use of data at public and private service delivery points; and
  • Strengthening the Community Health Management Committees’ (CHMC) capacity to coordinate and promote a culture of quality. CHMCs supervise volunteer health workers and coordinate with health service providers and communities.

We are supporting shared learning and cross-fertilization using behavior-led quality management approaches from national to community levels in part by working with the Ghana Ministry of Health’s Policy, Planning, Monitoring, and Evaluation Division, the National Quality Strategy Steering Committee, Ghana Health Service, and other relevant agencies.

For example, we are improving coordination with the Christian Health Association of Ghana and private self-financing practitioners to support public-private investments and align quality management initiatives across the health system.

The all-Ghanaian Q4H project team builds on the foundation of URC’s previous successful implementation in Ghana, including through the Systems for Health (S4H) and Promoting Malaria Prevention and Treatment (ProMPT) projects.




Adolescent Health, Community Health, Health Service Delivery, Health Workforce, Quality Health Systems, and Social and Behavior Change


Navrongo Health Research Centre and WI-HER