The Ankaful Psychiatric Hospital is suffocating from debts, and unless it gets help, it could soon be turning away the hundreds of patients who need attention.
Apart from that, the hospital, one of the three leading psychiatric facilities in the country which serves the Central, Western and Western North regions and even parts of Cote d’Ivoire, is also facing serious logistical constraints that are hampering effective healthcare delivery.
In addition to providing specialist services in mental health delivery, it also provides general medical care for the public.
At the moment, the hospital owes its suppliers GH¢2 million — GH¢1,003,564.07 owed to suppliers and a judgement debt of GH¢1,118,422.04 awarded in favour of a supplier who sought legal resolution.
Some of the indebtedness to suppliers date back to between 2015 and August 2018.
In an interview, the Head of Administration of the hospital, Chireh Thomas Kuusanoo, said the hospital was facing dire financial challenges because it had been operating on its internally generated funds (IGFs), as government subvention had not been forthcoming.
The last time it received subvention was June last year and the IGFs are raised from hospital charges and affiliate fees from nursing schools for internships.
Ankaful
The Ankaful Psychiatric Hospital was built by Ghana’s first President in 1965 to host mentally ill patients from the then Akuse Asylum who had to be relocated to make way for the construction of the Akosombo Dam.
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It currently has seven active wards and two others for temporary detentions, as well as an outpatients department (OPD) for general medical care.
As of the time of the Daily Graphic’s visit, it had 121 patients, made up of 73 males and 48 females.
The hospital has different categories of patients, including vagrants, patients referred to the hospital by the courts, paupers who have traceable relatives but who cannot afford treatment and some others who can afford.
Feeding outsourced
Mr Kuusanoo said with the rising cost of food items and its inability to stock up its kitchen due to suppliers’ refusal to continue doing business with the facility, management had had to temporarily outsource the feeding of patients to caterers who charge GH¢26 for three meals a day per person.
“Up until June last year, we were running the hospital’s kitchen to feed patients. However, with the constant increases in prices and no subventions coming in from the government, the management decided to outsource patients’ feeding to outside caterers who charge GHC26, tax inclusive, for three meals a day,” he indicated.
No grain
The administrator said the decision to outsource the feeding to caterers was a necessary action to keep the hospital running.
“In fact, by the last week of May last year, we didn’t have a single grain in the stores. We were left with only a box of chicken or something like that,” he said.
He said in the past the hospital had support from benevolent groups to feed patients, but that had also not been forthcoming.
Challenges
Mr Kuusanoo listed a plethora of challenges the hospital faced, including the deplorable state of its OPD, inadequate staff and security and lack of resources to operate a forensic ward.
Inadequate staff
He said per the staffing requirements for a psychiatric hospital, the hospital needed to have a minimum of five specialists, a maximum of nine and an average of seven.
Presently, the hospital had two specialists, in addition to the medical director and five medical officers, he said, noting that the two specialists were due for retirement next year.
He said in the past the hospital had support from benevolent groups to feed patients, but that had also not been forthcoming.
Challenges
Mr Kuusanoo listed a plethora of challenges the hospital faced, including the deplorable state of its OPD, inadequate staff and security and lack of resources to operate a forensic ward.
Inadequate staff
He said per the staffing requirements for a psychiatric hospital, the hospital needed to have a minimum of five specialists, a maximum of nine and an average of seven.
Presently, the hospital had two specialists, in addition to the medical director and five medical officers, he said, noting that the two specialists were due for retirement next year.
