Ghana, a lower-middle-income country, was the first country to sign a Global Fund grant in late 2002. The country faces significant challenges from malaria, HIV and TB. Malaria accounts for 8 percent of deaths in the country. Ghana is also one of the countries with the highest burden of multidrug-resistant TB in the world. A recent survey showed that TB prevalence had been underestimated at 71 per 100,000, establishing that the prevalence is now estimated at 264 per 100,000 – a more than 300 percentage difference. In response, Ghana is making robust commits to increase its domestic investments in health. Working with the Global Fund partnership, Ghana has distributed 19 million mosquito nets, and lowered the death rate among children under five due to malaria from 14 percent in 2000 to less than 1 percent in 2012. The country has registered a 43 percent decrease of new HIV infections since 2010, and increased coverage of prevention of mother-to-child transmission coverage from 32 percent to 81 percent. Over 76,000 new tuberculosis cases have been detected and treated.The Global Fund / Nana Kofi Acquah
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