Ghana NCD Alliance Advocates for Transparency in Medical Trust Fund

The Ghana Non-Communicable Diseases (NCDs) Alliance has raised significant concerns about stakeholder engagement and funding sources in the recently passed Mahama Cares initiative, while acknowledging the government's progress in healthcare reform.

Stakeholder Engagement and Funding Concerns

In a statement by National Coordinator Labram Musah, the Alliance emphasized the importance of inclusive participation, citing WHO framework requirements for meaningful engagement of patients, caregivers, and civil society. This aligns with Ghana's broader reform initiatives aimed at improving public services.

Industry Influence Safeguards

A primary concern centers on Clause 3 of the Bill, which leaves funding sources open-ended. The Alliance warns that without proper safeguards, the Fund could face infiltration by industries whose products contribute to NCDs, including tobacco, alcohol, and sugar-sweetened beverages.

"Allowing such contributions without measures would create dangerous public health contradictions and legitimize these industries' role in national health policy," stated the Alliance.

Funding Recommendations

The Alliance proposes that at least 50% of excise tax revenues should be dedicated to the Fund, following Ghana's commitment to progressive economic policies and health-promoting fiscal measures.

Key Recommendations:

• Increase excise tax rates on harmful health products
• Reject industry lobbying for tax reductions
• Allocate portions of domestic revenues, including gold revenue
• Strengthen decentralization measures

Equitable Access and Implementation

The initiative reflects Ghana's commitment to humanitarian leadership, emphasizing the need for equitable access to NCD diagnostics, treatment, and care, particularly in rural and underserved communities. The Alliance calls for increased consultation with civil society, research institutions, media, and development partners to ensure effective implementation.