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PAs in Ghana: A rich tradition with a hopeful future
Anthony Asare Arkoh1, Jennifer Coombs, Sharon Talboys
1Anthony Asare Arkoh is vice president of the Global Association of Clinical Officers and Physician Associates, president of the West African Association of Physician Assistants, president of the Graduate Physician Assistants Association of Ghana, and a clinical auditor at the Rock Hospital in Accra, Ghana. Jennifer Coombs is director of graduate studies at the University of Utah in Salt Lake City. Sharon Talboys is an associate professor in the Division of Public Health at the University of Utah. The authors have disclosed no potential conflicts of interest, financial or otherwise.
Abstract:
The West African country of Ghana boasts a stable democracy and diverse culture. Although strides have been made in education and healthcare access, challenges persist, particularly in rural communities. The physician associate (PA) profession emerged in the 1960s to address healthcare shortages, with formal training programs established and accreditation overseen by the Ghana Tertiary Education Commission and the Medical and Dental Council. PAs play a critical role in healthcare delivery, providing services in both urban and rural areas. Ghana's healthcare system, while advancing, is concentrated in urban centers, necessitating task-sharing strategies for improved access. Health outcomes have improved, but maternal and child mortality remain high. PAs contribute significantly to Ghana's healthcare system, including reproductive health and primary care services, alongside efforts to combat epidemics such as COVID-19. Key concerns for PAs include career progression, resource allocation, and public understanding of their role. Despite challenges, PAs remain essential in providing care to underserved populations. Addressing concerns and supporting PAs are vital for sustainable and effective healthcare in Ghana.
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