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Free Primary Healthcare Policy Targets 80% Universal Coverage by 2030

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Government has announced an ambitious plan to raise Ghana’s universal health coverage (UHC) to 80 percent by 2030 through the rollout of a Free Primary Healthcare policy, a major reform aimed at expanding access and prioritising preventive care.

Speaking during the Government Accountability Series, Minister of Health, Hon. Kwabena Mintah Akandoh, said the policy is designed to remove financial barriers at the point of care while strengthening early detection and community-based health services.

“Our universal health coverage index now stands at about 56 percent, and we need to hit a target of 80 percent by 2030,” he stated. “This policy is about ensuring that every Ghanaian can access care early, easily and without worrying about cost.”

The Minister explained that the initiative will provide free access to a defined package of essential services at the primary healthcare level, including CHPS compounds, health centres and polyclinics nationwide.

According to him, the policy responds to persistent gaps in the health system, particularly low enrolment in the National Health Insurance Scheme (NHIS) and high out-of-pocket spending.

“Only about two-thirds of the population is actively enrolled in NHIS, which means a significant number of Ghanaians still face financial barriers when they seek care,” he noted. “In practical terms, many families are still paying out-of-pocket and risk catastrophic expenditure.”

Hon. Akandoh emphasised that the reform represents a shift from a treatment-focused system to one that prioritises prevention and early diagnosis, especially in the face of rising non-communicable diseases.

“We are facing a triple burden of disease. While we continue to manage infectious diseases, non-communicable diseases such as hypertension, diabetes, cancers and mental health conditions are rising steadily,” he said.

He warned that low awareness and late detection remain major challenges.

“Hypertension develops silently, diabetes progresses quietly, and many people do not know their status until complications occur. By the time they enter the health system, treatment becomes more expensive, more complex and less effective,” he explained.

Under the Free Primary Healthcare policy, routine screenings for conditions such as hypertension, diabetes and certain cancers will be provided at no cost, alongside maternal and child health services, immunisation, health promotion and treatment of common illnesses.

“What is changing is that care will no longer depend on when you become seriously ill. Screening becomes routine, and the system shifts from reacting to illness to preventing it,” the Minister said.

He clarified that while primary healthcare services will be free, the NHIS will remain essential for accessing higher-level care.

“When you are referred to district, regional or teaching hospitals, it is your National Health Insurance that will save you. So NHIS remains very relevant and important,” he stressed.

The policy will be implemented in phases between 2026 and 2028, beginning with 150 underserved districts across all regions.

“We are going to start with underserved districts, learn from the implementation and smoothen the edges before scaling up nationwide,” Hon. Akandoh indicated.

As part of preparations, government has procured more than 24,000 pieces of essential medical equipment to strengthen service delivery at the primary level.

“We cannot announce policies without preparing. These investments are to ensure that our facilities are equipped to deliver timely and quality care,” he said.

The Minister added that the policy will extend beyond health facilities into communities through structured outreach programmes, including home visits, school health services and public education campaigns.

“Health workers will not only wait at facilities; they will be in homes, schools, churches and workplaces—screening, educating and supporting people to stay healthy,” he noted.

On financing, Hon. Akandoh disclosed that the programme will be funded through the National Health Insurance Scheme, following the uncapping of the NHIS fund and allocations captured in the 2026 budget.

“We are not reinventing the wheel. Financing has been aligned with NHIS, and budgetary provisions have been secured,” he assured.

He concluded that the policy is central to improving health outcomes and building a resilient health system.

“This is about reducing avoidable illness and preventable deaths. Free primary healthcare is a reset towards prevention, equity and a stronger Ghana,” he said.

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GTA Regional Directors Raise Concerns Over CEO Maame Efua Houadjeto’s Leadership

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Fourteen Regional Directors of the Ghana Tourism Authority (GTA) have raised concerns about the leadership approach of the Authority’s Chief Executive Officer, Maame Efua Houadjeto, during a meeting with the Board of Directors to address what they describe as persistent organisational challenges.

The meeting, held on Monday, October 12, 2026, at 3:00 p.m., was convened to discuss issues the Regional Directors say have remained unresolved since July 2026.

According to the Directors, the engagement was not intended to serve as an arbitration process but rather to obtain responses to questions and concerns they had previously raised.

During the meeting, the Directors expressed their displeasure with the CEO’s leadership approach, highlighting concerns about stakeholder engagement, regional coordination and other issues they believe are affecting the effective operation of the Authority.

They indicated that the concerns extend beyond individual disagreements and touch on broader institutional matters that require attention to ensure the smooth functioning of the GTA.

The Directors maintained that their position was motivated by the need to safeguard the integrity of the institution and restore effective operations across its regional structures.

They also called on the Board of Directors to facilitate a formal response from the Office of the CEO to the issues raised, stressing the need for the concerns to be addressed through the appropriate institutional channels.

The engagement provided an opportunity for the Regional Directors to formally communicate their grievances to the Board and seek its intervention in resolving the outstanding matters.

The meeting ended with a call for further intervention by the Board of Directors to ensure that the issues raised receive the necessary attention and responses.

It remains unclear what specific questions have been pending since July, what responses the Regional Directors expect from the CEO, or what steps the Board intends to take following the meeting.

The outcome of any subsequent engagement between the Board, the CEO and the Regional Directors is expected to be important in determining how the concerns will be addressed and how coordination within the Authority will be strengthened.

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Gamal Gorkeh Nkrumah, Son of Ghana’s First President, Dies in Cairo

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Gamal Gorkeh Nkrumah, son of Ghana’s founding President, Osagyefo Dr Kwame Nkrumah, has died in Cairo, Egypt, following a prolonged illness.

The Nkrumah family announced his death in a statement posted on the Facebook page of Samia Nkrumah, daughter of Ghana’s first president.

According to the statement, Gamal passed away peacefully in Cairo, where he had been receiving care at a rehabilitation centre after suffering a stroke.

The family described him as a beloved son, respected journalist, writer and intellectual who dedicated much of his life to examining the political, social and cultural developments shaping Africa and the wider world.

It said Gamal remained deeply committed to the ideals of justice, human dignity, African unity and international solidarity throughout his life.

As a journalist and commentator, he used his voice and intellect to analyse issues affecting Africa and the international community, earning recognition among friends, colleagues and readers who valued his insights and perspectives.

The family further described him as a man of profound intellectual curiosity, independent thought and quiet conviction, noting that he carried forward his father’s legacy in his own distinctive way while building a reputation based on his personal principles and achievements.

His death, the family said, represents a significant loss not only to his relatives and loved ones but also to the wider community of people who appreciated his work, humanity and engagement with important issues of his time.

The statement added that the family remembers Gamal with immense love, gratitude and pride, describing his wisdom, kindness and commitment to his values as an enduring source of inspiration.

The Nkrumah family also expressed appreciation to those who supported Gamal throughout his illness, particularly the medical professionals and caregivers in Cairo who provided him with treatment and care.

It extended its gratitude to the governments and people of both Egypt and Ghana for their support during the difficult period.

The family has appealed to the public to respect its privacy as it mourns the loss.

Details of memorial arrangements and opportunities for the public to pay tribute to Gamal Gorkeh Nkrumah’s life and legacy, according to the statement, will be communicated in due course.

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FOUR PROFESSORS SUE TO HALT GIMPA RECTOR SEARCH PROCESS AMID CONTROVERSY

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Four professors at the Ghana Institute of Management and Public Administration (GIMPA) have filed a lawsuit seeking to halt aspects of the process to select a search committee for the appointment of a new Rector, escalating tensions over the institution’s leadership transition.

The plaintiffs are Professors Lord Mawuko Yevugah, Wisdom Akpalu, Kwami Adanu and Patrick Tandoh-Offin. They filed the action on October 5, 2026, challenging aspects of the process involving the Chairman of GIMPA’s Governing Council, the Institute’s Secretary and the Rector.

At the centre of the dispute is the Convocation register used to determine who could vote for representatives on the Rector Search Committee. The professors contend that about 30 newly appointed or promoted lecturers were included on the register despite questions over whether their appointments had received the necessary approval from the Governing Council.

They argue that allowing the lecturers to participate in the election could undermine the legitimacy of the process and have asked the court to ensure that the selection of the search committee complies with GIMPA’s 2020 Statutes. They also want the committee’s composition and the respective roles of the Governing Council and Convocation clarified.

GIMPA management, however, has indicated that a special ad hoc committee audited the Convocation register and confirmed that those listed had valid appointments, based on Human Resource Management records. Exceptions reportedly applied to staff on leave of absence or secondment.

The Convocation election proceeded on October 6. According to reports, Professor Patrick Tandoh-Offin contested to represent the professorial class but lost to Professor Emmanuel Gyamfi Numapau, who received 118 votes against Tandoh-Offin’s 35.

The legal challenge comes as GIMPA prepares for the end of Rector Professor Samuel Kwaku Bonsu’s tenure in August 2027. The Institute’s statutes require the search process to begin ahead of the incumbent’s departure.

The case raises questions about voting eligibility, institutional governance and the procedures for selecting the next Rector. The court’s determination could affect the process, although the available reports do not establish that an injunction has been granted or that the election

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EPA ORDERS IMMEDIATE HALT TO UNAPPROVED RECLAMATION WORKS NATIONWIDE — GOVERNMENT AGENCIES, CONTRACTORS ON NOTICE

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The Environmental Protection Authority (EPA) has ordered an immediate halt to all land reclamation, mine-site rehabilitation, dredging and water-body restoration activities being undertaken without the requisite environmental permits across Ghana.

In a public notice issued on Wednesday, October 14, 2026, the Authority warned that institutions, companies, contractors and individuals operating without its approval must cease work immediately and report to the nearest EPA regional office or its head office for regulatory assessment.

The directive applies to both public and private projects, including government-sponsored, privately funded and donor-supported initiatives. The EPA specifically mentioned the Ministry of Lands and Natural Resources, Forestry Commission, Ghana Gold Board (GoldBod), Minerals Commission and Mineral Development Fund among the institutions required to ensure compliance.

Under Regulation 40 of the Environmental Protection (Environmental Assessment) Regulations, 2025 (L.I. 2504), reclamation and restoration activities fall within Ghana’s environmental assessment and permitting framework.

The covered activities include rehabilitating abandoned mining sites, backfilling excavated areas, restoring degraded land, revegetation, dredging and desilting rivers, modifying river channels and restoring polluted water bodies, wetlands and aquatic ecosystems.

The Authority stressed that securing a contract, obtaining funding approval, holding a mining lease or receiving authorisation from another public institution does not replace an EPA Environmental Permit. Similarly, consent from traditional authorities, memoranda of understanding and participation in government programmes cannot substitute for the required approval.

Contracting institutions have also been directed to verify the environmental permit status of projects before allowing contractors to mobilise to their sites.

The EPA acknowledged the importance of restoring lands and water bodies damaged by illegal and irresponsible mining but cautioned that rehabilitation efforts must not create further environmental destruction by bypassing regulatory safeguards.

It warned that individuals and institutions that continue unapproved operations after the notice would face action in accordance with applicable Ghanaian laws.

The directive reinforces the Authority’s position that environmental restoration, regardless of its funding source or purpose, must comply with the country’s permitting requirements.

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North Korea and China Open Long-Delayed Bridge

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The opening of the long-awaited New Yalu River Bridge marks a significant step towards strengthening cross-border transport and trade between China and North Korea.

China and North Korea have officially opened a major bridge linking the two countries, ending a 12-year delay that kept the infrastructure project unused despite its completion in 2014.

The New Yalu River Bridge connects the Chinese border city of Dandong, in Liaoning province, with Sinuiju in North Korea. The four-lane crossing stretches approximately three kilometres across the Yalu River and is expected to improve the movement of goods between the neighbouring countries.

The project was originally intended to begin operating in 2014. However, the opening was postponed for years as infrastructure on the North Korean side, including connecting roads and customs facilities, remained incomplete. Analysts have also pointed to strained bilateral relations and disagreements surrounding economic cooperation as possible contributing factors.

Trade and economic implications

The new crossing is expected to ease pressure on the older China–North Korea Friendship Bridge, which has served as a major route for official trade between the two countries.

By providing additional road capacity, the new bridge could improve freight transportation, reduce congestion and support the movement of essential goods. Its strategic location is particularly important because China remains North Korea’s principal trading partner.

Nevertheless, the opening does not automatically guarantee a rapid increase in trade. International sanctions imposed in response to North Korea’s nuclear and weapons programmes continue to constrain economic activity, while the scale of future commercial traffic will depend on border arrangements and the two governments’ economic policies.

A signal of closer bilateral engagement

The bridge’s inauguration comes amid renewed diplomatic engagement between Beijing and Pyongyang. It also highlights China’s continued economic importance to North Korea as the latter seeks to maintain relationships with key regional partners.

For China, improved transport links could facilitate cross-border commerce and support economic activity in Dandong. For North Korea, the bridge offers additional capacity for importing goods and developing commercial infrastructure around Sinuiju.

However, the project’s long delay illustrates how political disagreements and economic considerations can obstruct infrastructure intended to improve regional connectivity.

What happens next?

Attention will now turn to how quickly the bridge becomes an established route for commercial traffic and whether the additional capacity translates into measurable growth in bilateral trade.

While the opening represents an important infrastructure milestone, its longer-term economic and diplomatic impact will depend on the willingness of both governments to sustain cooperation and the restrictions governing North Korea’s international trade.

The opening ends a lengthy wait for the two countries, but the bridge’s ultimate significance will be measured by the trade and cooperation it enables in the years ahead.

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