Healthcare delivery in the Upper West Region is nearing collapse as the majority of newly assigned medical doctors have declined their postings.
Regional health officials report that only 7 out of 32 doctors posted to the region for the 2025/2026 service year have taken up their positions.
The Upper West Regional Health Services says 25 doctors failed to report, a development that threatens to further weaken a system already struggling with severe staff shortages.
Regional Health Director Dr. Joshephat Nuzagl warns that the gap created by the mass refusals will have an immediate and damaging effect on care for nearly one million residents.
He told JoyNews.
The region currently operates with just 55 medical doctors This leaves one doctor responsible for the health needs of about 18,181 people—far above internationally accepted standards and the World Health Organization’s recommended ratios.
The new postings were expected to ease the pressure, but the widespread refusal has instead worsened the situation, leaving critical roles unfilled across district and municipal facilities.
Dr. Nuzagl revealed that the regional health directorate is now directly engaging the doctors who rejected their postings, urging them to reconsider in the interest of public health.
He said the directorate is still reaching out and appealing to the affected doctors, hoping some will eventually report to improve healthcare delivery in the region.
The unwillingness of newly posted doctors to accept positions in remote regions has long challenged the health sector. Among the key concerns often raised by medical professionals are:
• Inadequate infrastructure, including limited housing, inconsistent utilities, and insufficient medical equipment
• Professional isolation, with fewer opportunities for career development or collaboration
• Social and family concerns, particularly around schools and quality of life in remote communities
