Analysis of Ghana's health budget and comparison with that of Nigeria

1. Analysis of Ghana's
Ministry of Health Budget
(A subtle comparative with Nigeria’s Health Budget)

2. Interswitch - INTERNAL
Agenda
 National Budget Analysis – 2018 and Trend Analysis
 Ministry of Health’s Budget – 2018 and Trend Analysis
o Nigeria and Ghana’s Health – in Context
o Nigeria and Ghana’s Health Budget – 5yrs Trend
 Budgets of Critical Sectors – Education & Public Safety
o Ghana & Nigeria – Education Budget
o Nigeria and Ghana’s Education Budget – 5yrs Trend

3. Interswitch - INTERNAL
National Budget
Component Allocation (GH¢)
Compensation of Employees 19,595,126,198
Goods & Services 3,532,475,909
Capital Expenditure (CAPEX) 3,339,114,808
Internally Generated Funds (IGF) 3,761,240,072
Development Partners' Funds 3,557,187,083
MDA Total Funding 33,785,144,071
Other Government Obligations 33,494,811,014
Grand Total 67,279,955,085
1GH¢ = N80.00; The national budget of Ghana is therefore: N5,382,396,406,800
while that of Nigeria is N8,612,236,953,214.
All financial figures are in 1GH¢ except otherwise state.

4. Interswitch - INTERNAL
National Budget
Component Allocation (GH¢)
Compensation of Employees 19,595,126,198
Goods & Services 3,532,475,909
Capital Expenditure (CAPEX) 3,339,114,808
Internally Generated Funds (IGF) 3,761,240,072
Development Partners' Funds 3,557,187,083
MDA Total Funding 33,785,144,071
Other Government Obligations 33,494,811,014
Grand Total 67,279,955,085
Compensation of Employees takes 29%
of the total Budget.
Capital Expenditure is just 4.96% of the
national budget.

5. Interswitch - INTERNAL
National Budget – Trend Analysis (2014 – 2018)
Component 2018 2017 2016 2015 2014
Compensation of
Employees
19,595,126,198 16,005,515,552 14,023,994,591 10,286,474,000 11,038,925,089
Goods &
Services
3,532,475,909 3,518,496,364 2,536,775,746 1,970,009,170 899,960,111
CAPEX 3,339,114,808 2,779,694,661 1,783,212,516 2,557,357,298 1,441,546,800
IGF 3,761,240,072 2,204,808,044 3,532,373,894 2,833,040,000 2,805,994,376
DP’s Funds 3,557,187,083 4,348,017,110 4,893,664,746 4,399,423,200 4,525,797,540
MDA Total
Funding
33,785,144,071 28,856,531,731 24,468,835,505 22,046,303,668
Other
Government
Obligations
33,494,811,014 36,610,873,139 25,641,017,349 21,954,963,253 16,938,746,546
Grand Total 67,279,955,085 65,467,404,869 50,109,852,855 44,001,266,921 36,209,423,662

6. Interswitch - INTERNAL
Ministry of Health’s Budget – 2018
Component National Health
Compensation of Employees 19,595,126,198 2,588,541,794
Goods & Services 3,532,475,909 11,888,550
CAPEX 3,339,114,808 63,000,000
IGF 3,761,240,072 1,345,406,689
DP’s Funds 3,557,187,083 413,511,210
MDA Total Funding 33,785,144,071 4,422,348,243
Other Government Obligations 33,494,811,014 0
Grand Total 67,279,955,085 4,422,348,243
The sum of GH¢ 4.42 billion (N353.79 billion) has been allocated to the Ministry of Health.
This is approximately 6.57% of its National budget.
On the other hand, Nigeria has proposed the sum of N340.46 billion, which is 3.95% of it’s
National budget.

7. Interswitch - INTERNAL
Ministry of Health’s Budget – Abuja Declaration
Abuja
Declaration
(15%)3.95%
6.57%

8. Interswitch - INTERNAL
Nigeria and Ghana’s Health – in Context
28.21
186
0
20
40
60
80
100
120
140
160
180
200
Ghana Nigeria
Population
353.79
340.46
330
335
340
345
350
355
Ghana Nigeria
Health Budget
0
0.5
1
1.5
2
2.5
3
3.5
4
4.5
5
Ghana Nigeria
WEF: Pillar 4
Country Population
Ghana 28.21 million
Nigeria 186 million
Country Health Budget
Ghana N353.79 billion
Nigeria N340.46 billion
Country WEF: Health & Pry Education
Ghana 4.5 (out of 7) / 120 of 137 Nations
Nigeria 3.0 (out of 7) / 136 of 137 Nations
WorldBankEstimate

9. Interswitch - INTERNAL
Nigeria and Ghana’s Health – in Context
At the national level, how much does each country spend on each Citizen?
Country Health Budget Population Expenditure per Citizen
Ghana N353.79 billion 28.21 million N12,541.22
Nigeria N340.46 billion 186 million N1,832.62
Based on the 2018 Budget, while Ghana will be spending N12,541 ($41) on
each Citizen’s health, Nigeria will be spending a paltry N1,832 ($6).
Ghana spends almost 700% more on
each Citizen’s health than Nigeria!

10. Interswitch - INTERNAL
Ministry of Health Budget – Trend Analysis
Component 2018 2017 2016 2015 2014
Compensation of
Employees
2,588,541,794 2,117,502,279 1,609,719,924 1,271,838,482 1,122,792,776
Goods & Services 11,888,550 356,519,625 3,646,660 35,293,320 70,586,640
CAPEX 63,000,000 56,000,000 33,000,000 44,550,000 15,443,598
IGF 1,345,406,689 977,254,679 1,293,579,755 1,003,783,071 1,363,622,800
DP’s Funds 413,511,210 718,875,771 446,816,525 712,779,755 781,262,001
Other Government’s
Obligations
0 0 1,497,275,000 -
Grand Total 4,422,348,243 4,226,152,354 4,884,037,900 3,068,244,628 3,353,707,814
Nation Budget 67,279,955,085 65,467,404,869 50,109,852,855 44,001,266,921 36,209,423,662
% 6.57% 6.46% 9.75% 6.97% 9.26%

11. Interswitch - INTERNAL
Ministry of Health Budget – Trend Analysis
9.26%
6.97%
9.75%
6.46%
6.57%
0.00%
2.00%
4.00%
6.00%
8.00%
10.00%
12.00%
2014 2015 2016 2017 2018
Percentage of Health Budget

12. Interswitch - INTERNAL
Nigeria and Ghana’s Health Budget – 5yrs Trend
9.26
6.97
9.75
6.46 6.57
5.63 5.78
4.13 4.14
3.95
0.00
2.00
4.00
6.00
8.00
10.00
12.00
2014 2015 2016 2017 2018
Trend Analysis of Nigeria and Ghana Education Budget
Ghana Nigeria

13. Interswitch - INTERNAL
Budgets of Critical Sectors – Education & Public Safety
Component National (GH¢) Education (GH¢) Public Safety (GH¢)
Compensation of Employees 19,595,126,198 7,199,744,624 3,717,258,110
Goods & Services 3,532,475,909 92,852,960 211,480,143
Capital Expenditure (CAPEX) 3,339,114,808 12,822,910 167,721,462
Internally Generated Funds (IGF) 3,761,240,072 1,627,370,946 82,651,712
Development Partners' Funds 3,557,187,083 326,048,386 21,281,623
Other Government Obligations 33,494,811,014 0 3,717,258,110
Grand Total 67,279,955,085 9,258,839,827 4,200,393,050
% 13.76% 6.24%
Public Safety is made up of the following: Ministry of Justice and Attorney General's Department, Ministry of Defence, Commission on Human Rights and
Administrative Justice, Judicial Service, Ministry of Interior, Ministry of National Security

14. Interswitch - INTERNAL
Ghana & Nigeria – Education Budget
Country Education Budget Population Expenditure per Citizen
Ghana N740.71 billion 28.21 million 26,256.90
Nigeria N605.80 billion 186 million 3,256.97
Based on the 2018 Budget, while Ghana will be spending N26,257 ($86) on
each Citizen’s Education, Nigeria will be spending a paltry N3,257 ($11).
Ghana spends over 800% more on
each Citizen’s Education than Nigeria!

15. Interswitch - INTERNAL
Nigeria and Ghana’s Education Budget – 5yrs Trend
16.06%
15.32% 15.07%
12.72%
13.76%
10.54% 10.78%
7.92%
7.40%
7.03%
0.00%
2.00%
4.00%
6.00%
8.00%
10.00%
12.00%
14.00%
16.00%
18.00%
2014 2015 2016 2017 2018
Trend Analysis of Nigeria and Ghana Education Budget
Ghana Nigeria