Ghana's Ministry of Health faces a Right to Information (RTI) request demanding all details of private sector involvement in the Agenda 111 hospital project. Rights Accountability Network filed the request, seeking transparency on potential privatization of the government's flagship healthcare initiative. This move raises fresh questions about the future ownership and management of these crucial health facilities.
The RTI request specifically asks for records of all dealings with companies, religious bodies, foundations, and investors since January 2025. It seeks 15 categories of documents, including memoranda of understanding and financial models. The request aims to uncover any proposed ownership, lease, concession, or management arrangements by private entities. It also demands information on the current status of each potential deal.
Agenda 111 was launched by the Akufo-Addo government to construct 111 district and regional hospitals nationwide. Many of these projects remain uncompleted, leading to concerns about their delayed operationalization. The government has reportedly spent GHS 4.8 billion on the project without any hospital becoming operational. This situation puts pressure on the government to find alternative funding or completion strategies.
Health policy analysts suggest the RTI request indicates the government may be considering Public-Private Partnerships (PPPs) to complete the hospitals. This consideration comes without any formal public announcement or competitive procurement process for such partnerships. The request highlights allegations of plans to "sell off" the hospitals through private partnerships, which would be a significant policy shift.
The Ministry of Health has 14 days to respond to the RTI request under the RTI Act, 2019 (Act 989). The outcome will reveal the extent of private sector interest and government negotiations for the Agenda 111 facilities. Stakeholders will closely watch for details on financial terms, ownership structures, and operational agreements. This transparency is crucial for public confidence in the project's future.
The request also demands copies of legal opinions and due diligence reports related to private participation. This information will clarify the legal and institutional framework for private entities in Agenda 111. The public awaits clarity on how these vital healthcare infrastructure projects will be completed and managed. Any move towards privatization without clear public procurement could face scrutiny.