Ghana lies on the coast of West Africa covering an area about the same as the U.K. The population is around 24 million (UK 61 million) with a life expectancy of around 57 years (UK c.79yrs). Ghana is facing increasing urbanisation but high priorities for health remain the reduction of child and maternal mortality, combating infectious diseases and the management of trauma. However, the Ghanaian government is becoming increasingly concerned about the impact of westernization as they are already experiencing rising obesity, diabetes, heart disease, substance misuse and alcoholism, and they foresee an increase in mental health problems.

Ghana spends around 6% of GDP on health (UK 8%) which amounts to approximately $90 / person (UK $2600 / person). The spending on mental health in Ghana is around £3 million / year (UK c £9000 million).

The main language spoken in Ghana is English with a predominately Christian faith in the South and Muslim in the North. Medication and tests in Ghana are subsidised and admission to hospital is free.

The Kintampo College of Health (CoHK) is situated in the town of Kintampo in the Brong Ahafo region of Central Ghana . Kintampo is an important transit point lying on the main Kumasi-Tamale trunk road. The ‘rural’ setting of CoHK is ideal for its purpose of training rural health workers, but it can also present challenges, such as, internet connectivity (needs satellite), lack of ‘urban glamour’ (which can deter younger tutors / employees) etc. The Kintampo Project is helping CoHK address these challenges.