The Ghanaian government has described its 2026 budget as the “most people-focused and health-centred” in recent years, announcing a record GH¢34 billion allocation for the health sector.

However, Alliance for Reproductive Health Rights (ARHR), a leading health rights coalition in Ghana, warns that four persistent, important gaps threaten to undermine the potential of this investment, highlighting a disconnect between financial promises and on-the-ground realities.

Presented to Parliament in November 2025, the 2026 budget statement outlines a substantial commitment to health.

Health Minister Kwabena Mintah Akandoh hailed the GH¢34 billion allocation, which includes GH¢11 billion for the National Health Insurance Scheme (NHIS) and a GH¢1.5 billion Free Primary Healthcare package.

The plan also funds three new regional hospitals and earmarks GH¢16.7 billion for personnel, promising the deployment of 700 medical doctors and the timely payment of allowances.

Despite these headline figures, the Alliance for Reproductive Health Rights (ARHR) has identified four areas where the budget falls short, echoing concerns it raised over the 2026 budget.

These are not new issues but unresolved challenges that continue to hinder equitable healthcare access.

For the second year running, the budget allocates funds for free sanitary pads but provides no detailed implementation framework.

In April 2025, ARHR’s Programmes Officer, Nana Nyarko Konadu, highlighted this exact issue, stating the need for a “detailed breakdown” of costs, oversight, and funding sources.

The 2026 budget repeats this pattern, lacking clarity on distribution schedules, inter-ministerial coordination, and access for out-of-school adolescents. Without a costed, time-bound plan, advocates fear the initiative will remain a well-intentioned but ineffective policy.

The budget once again fails to allocate specific funds for constructing new mental health facilities or expanding existing ones.Ghana still relies on only three major psychiatric hospitals, a shortage flagged as a severe underfunding issue in the 2025 budget analysis.

The ARHR’s 2025 report noted that the budget “fails to outline concrete measures to improve mental health infrastructure”. This continued neglect comes despite rising mental health needs, particularly among women and girls, leaving a glaring hole in the nation’s health system.

While the budget commits funds for new infrastructure and personnel,it sidesteps the acute crisis of healthcare worker emigration and domestic unemployment.

This issue has been escalating for years.

In May 2025, the government acknowledged the problem, allocating GH¢480 million for nursing training allowances and proposing structured overseas deployment programs to manage the exodus.

However, the 2026 budget does not introduce new, concrete measures to address the root causes—poor pay, delayed postings, and limited career progression—that continue to push trained professionals abroad while many remain jobless at home.

A major primary healthcare pledge from 2025 has now descended into ambiguity.

In June 2025, the government announced a plan to construct 600 Community-based Health Planning and Services (CHPS) compounds by year’s end, with each district tasked to build two.

The 2026 budget, however, offers no update on the status of this commitment.

There is no published information on progress, funding utilisation, or completion timelines, creating a transparency gap that leaves communities in the dark about promised primary healthcare access.

The government’s increased investment is a necessary and commendable step. However, without targeted plans to build mental health facilities, retain healthcare workers, execute primary care projects, and transparently roll out social health initiatives, the budget’s transformative potential remains unrealised.