WAAF currently works on many projects both autonomously and with partners. Below are some short summaries of current projects active in 2018. If you would like to know more about previous projects, please visit our Past Projects here. You can also contact us for more information regarding all current activities here. You can discover more regarding our clinic at the International Health Care Clinic website here.
Scroll down this page to view all of our projects, or click on a Project Title to skip to that project:
STAR-Ghana Anti-corruption project in Ghana’s health sector
Project Name: Not in our Name – Tackling extortion in the Ghanaian health care system
Partners: WAAF, the lead on this project is co-implementing it with Hope for Future Generations and Socioserve Ghana.
Project Timeframe: 2 years – 2018 through 2020
Geographical Scope: The project is being implemented across 6 regions of the country. Each implementing partner is focusing on 2 regions and the 6 regions are:
- Greater Accra Region – managed by Hope for Future Generations
- Central Region – managed by Hope for Future Generations
- Volta Region – managed by Socioserve Ghana
- Eastern Region – managed by Socioserve Ghana
- Northern Region – managed by WAAF
- Upper East Region – managed by WAAF
Project Objective: To reduce the occurrence of corruption within private and public healthcare systems through:
- Addressing the root causes of extortion in the healthcare sector
- Increasing the exposure of corruption
- Increasing client confidence in healthcare system delivery
- Improving the overall quality of care
Rationale for the Project: Extortion within the healthcare system is harmful towards the health of the public in general, and the impact is particularly acutely felt by the poorest individuals who are easily exploited due to their lack of knowledge of their rights, including people who do not speak English. Those who live in rural communities who may have made a long journey for medical attention then face a choice between paying a higher price than they had anticipated or can afford for treatment, or going home with their problem unsolved.
Those who cannot afford to pay the bribes for quicker treatment are pushed down the queue, which can make serious health issues worse. Often this can include People with Disabilities – PWDs. The health of women and girls may not be prioritized in such a situation in farming households where male family members provide financially for the rest of the family.
Corruption within the health service decreases the efficiency and quality of care for all patients, and diminishes trust and confidence in healthcare workers
Extortion at the point of use within both private and public sectors can take several forms. These include:
- Demands of unapproved and unnecessary fees by healthcare workers, without issuing of official receipts;
- Healthcare workers referring patients to private facilities or services where suitable public alternatives are available – ‘quiet corruption’;
- Doctors vacating or using paid hours for locum;
- The extortion of bribes in order to be treated more quickly;
- Demands for payment for items covered by the patients’ insurance; and
- Unnecessary overnight admission of patients for profit
Evidence to support the need of such a project: Studies have been conducted including a 2012 KNUST paper ‘Corruption in Ghanaian Healthcare System: The Consequences’, which focused on patient experiences of corruption in the Ashanti Region. The paper concluded that ‘quiet corruption’ is endemic, with doctors viewed as the most corrupt workers in the healthcare system. This can and does lead to loss of life resulting from delay in medical care and/or lack of financial capacity.
WAAF and its partners believe – When patients are dying as a result of corruption, we must act.
Progress so far: Having kicked off in March 2018, a baseline study to ascertain the actual status of monetary extortion from patients in the selected districts of the project has taken place and the findings presented to key stakeholders such as District health Management teams/Directors, National Health Insurance Schemes and other key stakeholders during a stakeholder meeting.
Community entry exercise is now taking place and then the project will roll out. We shall be presenting updates as it moves along.
Project CAPHA Positive Action for Children Fund (PACF) (ViiV*)
Project Name: Communities Against paediatric HIV and AIDS – CAPHA
Donor: Positive Action for Children’s Fund (PACF) of the ViiV healthcare
Project Timeframe: 3 years (2017 -2020)
Partners: WAAF as the lead organization is implementing this project in collaboration with GEP Social Marketing Foundation
Geographical Scope: 3 Regions of the Country
- Central Region – managed by GEP Social Marketing
- Volta Region – managed by GED Social Marketing
- Brong Ahafo Region – managed by WAAF BAR – office
Project Goal/Objective: With the overall goal of contributing to Ending Paediatric HIV in Ghana, the West Africa AIDS Foundation, put together a proposal that sought to assist the Ghana Health Services (GHS) and the National AIDS Control Program (NACP) address four (4) key bottlenecks that continue to hinder progress in Ghana’s National Prevention of Mother to Child Transmission of HIV (PMTCT) response. These are:
- Low numbers of women who know their HIV status
- Low percentage of HIV+ women who receive anti retroviral to reduce MTCT
- Low % of infants born to HIV positive mothers who received an HIV test within 2 months of birth
- The increasing numbers of loss to follow up cases which include HIV positive pregnant women.
Rationale: With the advancement in HIV care, it is not surprising that many countries today are working tirelessly towards reaching Elimination of Mother to Child Transmission of HIV as any child born to an HIV infected mother today, with all the available treatment and prophylaxis is unacceptable. Children today are the future tomorrow and anything we can do to ensure they are healthy is top priority. WAAF therefore has taken Prevention of Mother to Child Transmission efforts to the next level and will ensure it can do all it can to contribute to Ghana’s efforts in eliminating Mother to Child transmission of HIV. However to achieve this means that all loop holes need to be addressed and that is where this project comes in as it seeks to ensure very hard to reach communities who fall through the cracks are not left out. Many a time in reaching such goals, communities themselves need to be at the forefront and that is what project CAPHA focuses on – it is all about Communities against Pediatric HIV and AIDS.
Evidence to support need for the project: Although Ghana continues to make good strides in HIV care, there are still loopholes and programmatic data from the National AIDS Control Program continue to showcase the constraints with women who default from treatment, women of child bearing age who are not tested for HIV and therefore do not know their HIV status, women who are HIV positive and pregnant who do not have access to ARVs due to various reasons, mainly ART sites inaccessible to them and their communities, infants born to HIV positive mothers who do not undergo Early Infant Diagnosis (EID) due to various factors including poor knowledge of the importance of this. As a way to address some of these bottlenecks, involving the communities, especially hard to reach communities is key and therefore WAAF and it’s partner GEP Social Marketing in collaboration with the Ghana Health Services in selected districts in the 3 Regions are ensuring to leave no woman of child bearing age and their infants behind when it comes to HIV.
Progress so far: Half way through the project, lots of gains have been made.
- 71207 women of child bearing age reached with PMTCT education
- 13560 women age 25 years and above tested for HIV and know their status
- 651 women age 20 -24 years tested for HIV and know their status
- 42 babies tested for EID
Additionally, to ensure access to ARVs, a center in one of the communities was assisted by WAAF to complete check list to qualify as an ART site. This will ensure ARVs are brought closer to the women. Children have been tested for EID and so far no positive infant case has been detected. Detailed reports of the project will be appearing on our website as we move along with the project.
USAID Strengthening of the Care Continuum Project
Project Name: USAID Strengthening the Care Continuum
Donor: USAID & the American People through John Snow Research and Training Institute Inc (JSI)
Project Timeframe: 4 year project starting 2016 – Remaining an IP is based on performance that is reviewed each year
Partners: WAAF together with 11 other NGOs are Implementing partners on this USAID/JSI funded project
Geographical Scope: Whereas the overall geographical scope of the project is in 5 regions, namely GAR, ER, WR, BAR and ASR, WAAF’s project is restricted to 5 Sub metro’s in the Accra Metropolitan Assembly (AMA) of the GAR. The target group is MSM
Project Goal/Objective: The USAID Care Continuum mission is to collaborate with the Government of Ghana (GoG), its partners, to provide high quality and comprehensive HIV services for Key Populations (KPs) and Persons living with HIV (PLHIV). KPs here refers to Men who have Sex with Men (MSM), Female Sex Workers (FSW) and Transgender people. Through the grant program the following objectives are hoped to be achieved:
- Increased availability and access to comprehensive prevention care and treatment services, including reliable coverage across the continuum of care for MSM, FSW and PLHIV
- Enhanced and sustained demand for comprehensive prevention, care and treatment services among KPs
- Strengthened linkage and retention in care of KPs who test HIV positive
- Strengthened systems for planning, monitoring, evaluating and ensuring the quality of programs
Rationale & Evidence of need for the project: According to the National HIV & AIDS Strategic Plan 2016-2020, MSM are at higher risk of contracting and transmitting STIs and HIV. Stigma and discrimination against MSM in Ghana also makes it difficult to reach them with HIV testing services (HTS) and discourages those living with HIV to disclose their status and/or seek care (2017 Ghana HR Report). While the national HIV prevalence among the general population is 1.7%, (NACP 2017), the rate among MSM remains high and is estimated to be 18% (GAC 2017). Additionally, through WAAFs own efforts at the onsite clinics as well as various clinical drop in centers, the STI rate is alarming and with that automatically the HIV risk is increased. With the double stigma faced by MSM who continue to be highly at risk of HIV they cannot be left behind in the fight.
Progress so far: Moving on into its 3rd year, WAAF has made some great achievements in the provision of HIV services to its target group. Specific achievement have been:
- 3263 MSM reached with preventive education
- Tested 2256 MSM for HIV
- Detected 314 MSM to be HIV positive
- Initiated 194 MSM on ART
Additionally, with support from this grant, WAAF has received capacity building in Organizational Development and has been able to update and/or put in place various governing documents such as :
- Strategic plan
- Various documents reviewed/updated/developed:
- Finance and Accounting manual
- HR Manual
- Employees manual
- Succession Plan
- Communication Strategy
- Fundraising Strategy
- Procurement Manual and many more
- Rebranding of WAAF to include its treatment arm which is the work of its onsite clinic that showcases WAAF’s effort across the care cascade.
Tuberculosis (TB) Project
Project Name: Active TB Case Finding & TB Treatment – DOTS (Directly Observed Treatment) – short course
Donor: National Tuberculosis Control Program through the Stop TB Partnership – Ghana
Project Timeframe: Since 2010 and ongoing
Partners: Ghana National TB Voice Network, District Hospital TB teams, District Health Directorates
Geographical Scope: Ensuring integration of services, WAAF reaches to a wide geographical scope with TB related work. Depending on where an HIV activity will take WAAF, TB will also be dealt with and asuch areas that continue to be covered are:
- Communities within the Greater Accra Region
- Communities within the Western Region
- Communities within the Brong Ahafo Region
WAAF’s onsite clinic in Haatso in the Greater Accra Region is an accredited DOTs center and provides the full treatment for TB. It also provides laboratory services such as Sputum Smear microscopy as well as Gene x pert testing which is currently done at an external site but soon to be done onsite at the WAAF clinic.
Project Goal/Objective: To ensure no one is left behind when it comes to TB as missing 3 million TB cases a year is unacceptable.
Rationale for the project: Ensuring to contribute to finding the 3 million TB cases who go undiagnosed each year, WAAF ensures to use any evidence based strategy to find the missing cases. With an onsite clinic, diagnostic TB services are provided but knowing that the majority of cases are at the community level, WAAF goes out to look for them. This is done through contact tracing of index cases that WAAF does in collaboration with various hospital staff, active case finding where during TB education events, sputum of presumptive cases are taken on the spot for analysis and cases are followed up, linked to treatment and followed up to ensure they adhere to treatment.
Evidence to support need for the project: Despite all efforts we know that about 3 million TB cases world wide continue to go undiagnosed each year leading to high death rates as a result of a condition that is preventable. This is documented constantly by various bodies such as the Stop TB Partnership, various TB activists and many more. CSOs play an active role to complement the efforts of formal health service delivery points actively looking for such cases.
Progress so far:
- Over 80,000 people screened for TB
- 75 cases detected
- over 85% initiated on treatment
- 78% treatment success rate
- 45% HIV/TB co-infection
Coming out Proud
Project Name: Coming out Proud – tackling self stigma amongst MSM
Donor: US Embassy – Accra
Project Timeframe: April 2018 through September 2018
Geographical Scope: Western and Eastern Region of Ghana
Project Goal/Objective: Empowering MSM to address self stigma as a gateway to enhancing health and wellness.
Rationale / Evidence for the need for the project: The MSM community in Ghana experience various forms of stigmatisation and discrimination and many of such cases involve abuse of basic human rights. Over the years, therefore different interventions have been deployed by various entities to tackle stigma and discrimination however within all of these, Self Stigma has not received the necessary attention. As such this has continued to remain a huge barrier for MSM accessing services such as quality health care. As one of the few entities equipped to provide services across the HIV care cascade, WAAF is realizing more and more how Self Stigma amongst the MSM community continues to be a major obstacle not only for MSM accessing care but also in complementing the efforts of other programs seeking to address barriers to quality health care.
Progress so far: 2 support MSM support groups formed in the Western Region. These groups meet regularly and form a place where MSM feel comfortable discussing issues of concern to them especially in relation to health. They get advice and support from group members who through the project have undergone capacity building in various areas such as:
- Pros and Cons of living openly as an MSM with or without HIV
- homophobia communication skills
- sexism assertiveness training
- Workplace issues and many more
1 vibrant MSM support group formed in the Eastern Region of Ghana doing the exact same thing as those in the Western Region.
Capitalizing on these groups will enable WAAF continue to address the issue of self stigma especially in relation to how MSM seek health care.
Healthy Mum = Healthy Baby
Project Name: Healthy Mother Equals Healthy Baby (HM = HB)
Donor: GladStar Ministries with support from QWAAF, Save a Million Lives
Project Timeframe: Since 2004 and ongoing
Partners: International Health Care Center
Geographic Scope: Greater Accra Region
Project Goal / Objectives are:
Decrease the level of malnutrition among program participants
- Process: 100% of the mothers will be provided nourishment items once every month
- Outcome/Impact: 75% of the mothers will have a hemoglobin level which is normal and satisfactory for her age and stage of life by the completion of the program
Advance the maternal health status of our program participants
- Process: 100% of the participants will receive monthly counseling on how to effectively utilize health and nutrition information to aid themselves and their unborn child as well as routine medical treatment from the resident physician
- Outcome/Impact: 75% of the mothers will espouse a body weight at a level that is not immensely detrimental to her safety and wellbeing by the completion of the program
Improve the pregnancy outcomes of the mothers in our program
- Process: 100% of the mothers will be given antiretroviral drug treatment in addition to primary prophylaxis for their child
- Outcome/Impact: 75% of the mothers will give birth to healthy, communicably free children
Rational / Evidence for the need for the project: Nutrition plays a key role in the overall success of any HIV intervention. More so therefore for expecting mother who are HIV positive. Realizing that some women find it difficult to get adequate food for themselves, their unborn child as well as children, WAAF with support from Gladstar Ministries and others has since 2004 embarked on the Healthy Mother equals Healthy Baby project that ensures that HIV expectant mother get access to nutritional food that helps both them and their babies.
Progress so far:
- Over 70 HIV positive women assured of good nutrition during their pregnancy till their babies were 6 months old
- 99.5% PMTCT success rate
- 100% of babies born to women on the program have tested negative to HIV
- Over 70 HIV positive women have had access to education on various HIV related topics
- All women on the program have access to quality clinical care at WAAFs onsite clinic.
Mobile Van Health Project
Project Name: Differentiated Service Delivery
Donor: WAAF’s own initiative (Mobile Van purchased with funding from the Royal Dutch Embassy in Ghana)
Project Timeframe: Since 2016 and ongoing.
Geographical Scope: Greater Accra Region but through support of other programs, this mobile clinic goes to other areas in other regions of the country
Project Goal and Objectives: To make quality health care services available to all including the marginalized, those too sick to visit a health facility and those facing stigma which prevents them from accessing facility level health care.
Rational / Evidence for the need of the project: Mobile clinics have a critical role to play in providing high-quality, low-cost care to vulnerable populations. Despite WAAF being a very friendly NGO with an onsite clinic that is exceptionally nice and fair to all including the marginalized, key populations and more, we still see that many do not patronize the services. To bridge this gap, we need to go to them. These findings have been confirmed by various studies and has led in many countries to the differentiated models of care one of which is bringing services closer to the communities.
Progress so far: So far, WAAF has embarked on regular outreaches reaching especially those who otherwise will be left out. Home based care has been provided to very sick people in the home setting, MSM who despite assurance of quality friendly care do not come to the facility are reached through the services of the mobile clinic
Project Title: Health education and screening of the public through awareness campaigns at community level
Donor: Various including self funding by WAAF and IHCC
Project Timeframe: Since 1998 and ongoing
Partners: Osei Kusi Foundation, Community Health Committee Agbogba, Lions Club and many more.
Geographical Scope: Hard to reach communities in all regions of the country through partnerships
Project Goals and Objectives: To support communities by increasing access to screening and increasing access to better sexual/reproductive education.
Realizing that many either are not aware of or do not have the time to go in for regular check ups, preventative medicine is not being practiced and asuch many go to a health facility only when the problem is far advanced. Market women for instance do not have the time to go in for screening of NCDs and they are a high risk group as they are not very active and have more of a sitting job. Asuch it is very important that these services are brought to them.
They themselves confirm that a lot is not known to them and they are very appreciative and patronize the services very well.
Activities: Continuous provision of screening services for the general public as well as people who are most at-risk for HIV/AIDS transmission. Education of the public through awareness campaigns coupled with one-to-one knowledge sharing that focused on encouraging behavior change (increased condom usage, delaying sexual activity starting age, and reduction of sexual partners).
- Awareness of HIV,TB, STI but also NCDs has risen in vulnerable populations.
- Many have been screened and tested for various conditions
- Positive ones have been linked to formal health service delivery systems