Implementation of MDG Acceleration Framework (MAF) as a Strategy to Overcome Inequalities in Access to Maternal Health Services in Ghana

03 Mar 2014


The paper shares Ghana’s experience in the development of MDG Acceleration Framework (MAF) for MDG 5. It identifies gaps in Ghana’s existing policies; programmes in maternal health interventions, which inhibit the attainment of MDG 5; maps the various steps leading to the development of MAF for MDG 5; identifies, priorities, and states the bottlenecks, and their solutions to the attainment of MDG 5;outlines the successes and challenges of the MAF process from development to implementation; and makes recommendations for other countries intending to develop MAF. It will serve as a one-stop reference material for other countries intending to develop MAF.


  • While MDGs 1 and 2 are on course to be achieved, 3 and 7 are likely to be partially achieved, 6 has the potential to be achieved, and goals 4, 5 and the sanitation aspect of 7 are lagging.
  • Hemorrhage accounts for 24 percent of maternal deaths in Ghana while abortion comes second, with a 15 percentage point.
  • The current maternal mortality ratio of 350 per 100,000 live births is so slow that it is unlikely that Ghana will attain the national MDG target by 2015 without acceleration.