Ghana - Healthcare waste management improvement project for Korle Bu teaching hospital and environs (AFDB-P-GH-E00-012)

Regions
  • Africa
Geographic location where the impacts of the investment may be experienced.
Countries
  • Ghana
Geographic location where the impacts of the investment may be experienced.
Specific Location
Acra
Whenever identified, the area within countries where the impacts of the investment may be experienced. Exact locations of projects may not be identified fully or at all in project documents. Please review updated project documents and community-led assessments.
Financial Institutions
  • African Development Bank (AFDB)
International, regional and national development finance institutions. Many of these banks have a public interest mission, such as poverty reduction.
Project Status
Approved
Stage of the project cycle. Stages vary by development bank and can include: pending, approval, implementation, and closed or completed.
Bank Risk Rating
A
Environmental and social categorization assessed by the development bank as a measure of the planned project’s environmental and social impacts. A higher risk rating may require more due diligence to limit or avoid harm to people and the environment. For example, "A" or "B" are risk categories where "A" represents the highest amount of risk. Results will include projects that specifically recorded a rating, all other projects are marked ‘U’ for "Undisclosed."
Voting Date
Dec 15, 2024
Date when project documentation and funding is reviewed by the Board for consideration and approval. Some development banks will state a "board date" or "decision date." When funding approval is obtained, the legal documents are accepted and signed, the implementation phase begins.
Borrower
Government of Ghana - Ministry of Finance
A public entity (government or state-owned) provided with funds or financial support to manage and/or implement a project.
Sectors
  • Education and Health
  • Technical Cooperation
  • Water and Sanitation
The service or industry focus of the investment. A project can have several sectors.
Investment Type(s)
Grant
The categories of the bank investment: loan, grant, guarantee, technical assistance, advisory services, equity and fund.
Investment Amount (USD)
$ 15.49 million
Value listed on project documents at time of disclosure. If necessary, this amount is converted to USD ($) on the date of disclosure. Please review updated project documents for more information.
Bank Documents
Primary Source

Original disclosure @ AFDB website

Updated in EWS Jun 30, 2025


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Project Description
If provided by the financial institution, the Early Warning System Team writes a short summary describing the purported development objective of the project and project components. Review the complete project documentation for a detailed description.

According to the Bank’s website, Korle Bu Teaching Hospital (KBTH) is a 2,000-bed facility located in the Ablekuma South sub-metropolitan Area, that hosts many medical and allied health institutions. Notable among them are Nurses Training College, Midwifery Training School, University of Ghana Dental School, University of Ghana Medical School, Ghana Medical Association, School of Medical Laboratory Technology, School of Radiology, School of Allied Health Science, Accra School of Hygiene, Medical Students Hostel, Ghana Aids Commission, Hospital and Council for Scientific and Industrial Research (CSIR) Residential Facilities. To address the gaps in waste management and its resultant deterioration of water quality of the Korle lagoon and the ocean environment, consultants were engaged in 2014 and 2017 to assess KBTH's solid and liquid waste systems. Nevertheless, due to lack of funds there was no progress from assessment to physical interventions. The proposed Project seeks to update the 2014 and 2017 studies to attract investments for waste management improvements at Ghana's premiere healthcare provider and its surrounding communities.

The overall project objective is to contribute to: a) increasing access to improved healthcare waste management services; and (b) creating opportunities for increased healthcare waste management investments. Specifically, the proposed project seeks to update the 2014 and 2017 feasibility studies and detailed designs, including requisite activities for the development of an investment project to improve sanitation, medical and solid waste management in and around Korle Bu Teaching Hospital (KBTH).

The project's direct beneficiaries are the sector ministries (MSWR and MoH) and other relevant public sector entities, including sub-national authorities (municipal assemblies). Following realization of the downstream investments, the direct beneficiaries would be the over 0.75 million outpatients and surrounding communities of KBTH. Project results will also restore public confidence by reviving aquatic and marine life in the Korle Lagoon and Gulf of Guinea. Other indirect beneficiaries are Private Sector Operators, local NGOs and CSOs.

Early Warning System Project Analysis
For a project with severe or irreversible impacts to local community and natural resources, the Early Warning System Team may conduct a thorough analysis regarding its potential impacts to human and environmental rights.

Environmental Category: [1] High Risk

Investment Description
Here you can find a list of individual development financial institutions that finance the project.

Finance Type: Standard grant
Commitments (UA): 11,651,707
Conversion Rate USD (2024-12-16): 1,32974


Contact Information
This section aims to support the local communities and local CSO to get to know which stakeholders are involved in a project with their roles and responsibilities. If available, there may be a complaint office for the respective bank which operates independently to receive and determine violations in policy and practice. Independent Accountability Mechanisms receive and respond to complaints. Most Independent Accountability Mechanisms offer two functions for addressing complaints: dispute resolution and compliance review.

Name: Fredrick TUMUSIIME
Email: f.tumusiime@afdb.org

ACCESS TO INFORMATION

You can submit an information request for project information at: https://www.afdb.org/en/disclosure-and-access-to-information/request-for-documents. Under the AfDBÕs Disclosure and Access to Information policy, if you feel the Bank has omitted to publish information or your request for information is unreasonably denied, you can file an appeal at https://www.afdb.org/en/disclosure-and-access-to-information/appeals-process.

ACCOUNTABILITY MECHANISM OF AfDB

The Independent Review Mechanism (IRM), which is administered by the Compliance Review and Mediation Unit (CRMU), is the independent complaint mechanism and fact-finding body for people who have been or are likely to be adversely affected by an African Development Bank (AfDB)-financed project. If you submit a complaint to the IRM, it may assist you by either seeking to address your problems by facilitating a dispute resolution dialogue between you and those implementing the project and/or investigating whether the AfDB complied with its policies to prevent environmental and social harms. You can submit a complaint electronically by emailing crmuinfo@afdb.org, b.kargougou@afdb.org, b.fall@afdb.org, and/or s.toure@afdb.org. You can learn more about the IRM and how to file a complaint at: https://www.afdb.org/en/independent-review-mechanism/

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