valentineghanem-bit/ghana-health-systems-spatial-261districts

Spatial Analysis of Health System Performance and Geographic Equity — Ghana 261 Districts # Spatial Analysis of Health System Performance and Geographic Equity — Ghana 261 Districts **Author:** Valentine Golden Ghanem | Ghana COCOBOD Cocoa Clinic, Accra, Ghana **ORCID:** 0009-0002-8332-0220 **Affiliation:** Ghana COCOBOD Cocoa Clinic, Accra, Ghana **Reporting standard:** STROBE · RECORD-Spatial · TRIPOD+AI **Date:** 2026 **Status:** Manuscript in preparation ## 1. Abstract This study provides a district-level spatial analysis of health system performance across Ghana's 261 districts and 16 administrative regions. A composite performance index (0–100) integrating facility density, service coverage, workforce ratios, geographic accessibility, quality indicators, and health equity metrics was constructed and mapped. Spatial autocorrelation analysis (Moran's I = 0.62, p **Tip:** The dashboard works fully offline once downloaded. The poster is print-ready at A0 (841 × 1189 mm). ## 9. Reporting Standard This study follows the **STROBE** (Strengthening the Reporting of Observational Studies in Epidemiology) reporting guideline for observational ecological studies. Spatial components follow **RECORD-Spatial**. Machine learning components follow **TRIPOD+AI**. ## 10. Ethical Statement This study uses aggregated administrative and national survey data. No individual-level or identifiable data were used. Data were obtained from publicly available national repositories. Ethical review was not required under Ghana Health Service guidelines for aggregate spatial analyses. ## 11. Citation **APA:** Ghanem, V. G. (2026). *Spatial Analysis of Health System Performance and Geographic Equity — Ghana 261 Districts.* GitHub. github.com **BibTeX:** ```bibtex @misc{ghanem2026healthsystems, author = {Ghanem, Valentine Golden}, title = {Spatial Analysis of Health System Performance and Geographic Equity -- Ghana 261 Districts}, year = {2026}, url = {github.com …