The Geographical Distribution of Gastrointestinal Endoscopy Services Within Government and Faith Based Hospitals in Ghana

Abstract

Background: Gastrointestinal (GI) endoscopy is generally a very safe and effective diagnostic and interventional modality in the current practice of medicine. To plan a comprehensive equitable gastrointestinal endoscopy service, the geographical distribution of this essential facility needs to be mapped.Methods: This study was a cross sectional situational survey of gastrointestinal endoscopy services within government and faith based health facilities in Ghana. Information on the availability of GI endoscopy services as at December 2016 was obtained by interviewingdoctors from the various regions in Ghana. Five (5) doctors working in different hospitals were interviewed per region.Results: Gastrointestinal (GI) endoscopy service was available in 3 out of the 4 teaching hospitals and only one regional hospital (Sunyani) in Ghana. The upper east, Upper west and Volta regions have no GI endoscopy services within any government or faithbased facility. The Christian Health Association of Ghana (CHAG) complemented government effort with GI endoscopy units at 4 district hospitals located in the Eastern, Central, Brong Ahafo and Volta regions.Conclusion: The distribution of gastrointestinal endoscopy services within government and faith based facilities is uneven. There is an urgent need to establish these services equitably across Ghana.