The Municipal Hospital like all other hospitals is an integral part of the Municipal Health System and derives its mandate as a public sector body from the Ghana Health Service and Teaching Hospitals Act, 1996 (Act 525).
The Municipal Hospital plays a crucial role in the entire Municipal health system among which includes;
- Providing support to health workers in clinics and community services, both in terms of clinical care and public health expertise.
- Providing first level hospital care for the residents of the Municipality and beyond.
- A primary place of referral from referral clinics and/or community health centres, private health facilities and also responsible for referring patients to higher levels of care, when necessary.
- Bed Compliment & Departments/Units: In all, the hospital has five main wards for in-patient admissions. These include the Male with 30 beds, Female with 30 beds, Maternity/Gynaec ward with 50 beds, Paediatric ward with 28 beds and NICU with 11 cots. The hospital has an Accident & Emergency ward with 12 beds. In addition to these wards, the hospital has the following departments; the OPD, Pharmacy, Radiology, Laboratory, Theatre, Antenatal, Public Health Unit, General Administration, Nursing Administration, Accounts, Procurement and Supply, Clinical Engineering and Estates, Laundry, Mortuary and the Environmental unit.
- Introduction: The Nsawam Government Hospital, which is referred to as the Nsawam District Hospital, was established in 1928. The hospital was moved to its present location on the Nsawam-Aburi road where new but largely uncompleted structures had earlier been built. This movement was necessitated by lack of space for expansion, as the hospital was located in the heart of the Nsawam Township. The 147-bed capacity Hospital was formally commissioned on 2nd February 1982.
- Human Resource Situation: The hospital currently has total staff strength of 468, including 19 Doctors (5 on study leave, 2 Dentists and 2 Optometrists), 388 Nurses and midwives of various grades and professional designations. The Doctors composition includes 11 General Practitioners, One Gynaecologist and 2 Dentist. In addition, there were 3 Physician Assistants, 2 Optometrists and 2 Senior House Officers.
The Nsawam Adoagyiri Municipality is one of the twenty-six administrative Districts in the Eastern region of Ghana. It lies at the South Eastern part of the Eastern Region and covers a land area of about 205 Sq km.
The Municipality before its separation by the Legislative Instrument (LI 1839) into two (2) in September, 2012 was called Akwapim South Municipality. The name Akwapim South was given to the new district created out of the then Akwapim South Municipality and is now called Nsawam-Adoagyiri Municipality. It was elevated from District to a Municipality in January 2008.
In terms of spatial interaction, it is enclosed to the south by the Ga West District in the Greater Accra Region and to the North by Ayensuano District, to the West by Upper West Akim District and the East by Akwapim South District.
The Municipal capital Nsawam, is a gap town along the main highway linking the coastal lands to the Northern part of the country that is the Accra-Kumasi Road. This provides opportunities for commercial activities in the town, particularly the marketing of bread, fried yam and pastries.
The Municipality consists of Four (4) sub Municipals namely; Adoagyiri, Djankrom, Nsawam and Panpanso with about 120 communities. The current projected population estimated is One Hundred and Seven Thousand, Three Hundred and Two (107,302). The Map below shows the Municipality.
The Municipality has two (2) main ecological zones namely the moist semi-deciduous forest and coastal savannah grassland. The rainfall pattern is all over the year. This accounts for the deciduous forest and semi-deciduous forest that supports the cultivation of cash crops such as cocoa, coffee and non-traditional crops such as pawpaw and pineapples. The Municipality experiences a double maximal rainfall, recording an annual average rainfall of between 12.5cm and 200cm. Relative humidity is generally high with maximum and minimum temperature of 30°C and 26°C respectively.
The key economic activities are agriculture. Mainstream of the people engage in commercial farming especially in the area of Pineapple, pawpaw, mango and other fruits that are exported. Some are also sent to the open market for sale. Bakery is also one area of commercial activity that people engage in. Nsawam, the Municipal capital is prominent for hawking along the main Accra-Kumasi road. The most common commodity trade by these hawkers is bread, turkey tails and fried yam. The Municipality has many fruit processing factories and these employ a significant number of people, especially the youth.
With regards to water and sanitation, residents of Akwapim South district depend on the River Densu as their source of water supply. About 30% depend on pipe-borne treated water from Ghana Water Company. The adequacy is about 30% of the required volume of water needed. The remaining 70% depend on unsafe water sources such as streams, shallow wells, ponds, etc. Several studies conducted to measure the pollution load and water quality of the Densu River found it to be under serious threat of pollution. The water quality is quite poor. A community mapping exercise conducted by the District Health Directorate revealed that 33% of communities depend on wells for their source of water whilst 17.4% and 13% respectively depend on rivers/streams and ponds. It has been established that the environmental conditions of the Densu River Basins leave much to be desired. Economic development, farming near water bodies, encroachment and other human activities exacerbate the existing pollution problem, which subsequently affects the lives of inhabitants.
Disposal of liquid waste in the Municipality is burdened with numerous problems from overflowing pit latrines to absolute lack of toilet facilities in some communities.
With regards to the provision of health care services, the municipality is endowed with different types of health facilities that engage in health service delivery and provide different kinds of services. The health facilities available in the municipality to provide health care services include one Municipal Hospital, six health Centres, three private hospitals and five CHPS compounds. The others include two Mission (CHAG) health facilities, an Orthopedic Centre and one optical centre.
The major health burdens of the Municipality are in the areas of, Buruli ulcer, Maternal Mortality, U5 Mortality, U5 Malnutrition and Food Hygiene and safety. The others include Environmental sanitation, and Environmental management (pollution of Densu). Apart from these major health issues, the Municipality is also saddled with numerous sanitation problems that largely precipitate some of the health problems enumerated above.