REACH OUT

Ghana has made progress in reproductive health, with improvements in maternal mortality, family planning coverage, and skilled birth attendance. Key initiatives include the integration of family planning into the National Health Insurance Scheme (NHIS), the Ghana Health Service (GHS) 2021 abortion policy expanding access to safe care, HIV self-testing and Pre-exposure Prophylaxis rollouts, breast cancer awareness programs, and Hepatitis B vaccination campaign for girls aged 9–14.

Despite these gains, progress remains uneven. Contraceptive prevalence among women aged 15–49 is only 30.6%, and 15% of adolescents have experienced pregnancy (GDHS, 2022). Unsafe abortion persists, with an estimated 327,600 cases annually, contributing to maternal deaths. Gender disparities in HIV infections remain, while adolescents, young people, marginalised groups such as female sex workers, adolescents, migrants, and persons with disabilities face persistent barriers, including stigma, discrimination, financial constraints, and poor confidentiality in care. Systemic challenges like rural healthcare gaps, commodity supply shortages, and inadequate provider capacity further slow progress.

This project seeks to strengthen SRHR service delivery in Ghana through person-centred and digital health innovations. Strategies include community-based outreaches and partnerships to extend equitable access, expansion of digital health platforms models to deliver affordable, quality services. These interventions will improve service utilisation, reduce disparities, and ensure inclusive, responsive care for women, adolescents, and key populations.