At least 175 health infrastructure projects under the erstwhile government’s ambitious Agenda 111initiative have been suspended pending validation, following an audit of outstanding financial commitments by the Auditor-General’s Department.
The projects, collectively valued at GH¢685,850,934.20 are currently on hold as government reviews the legitimacy of the claims submitted for payment.
The revelation is contained in a report published by the Auditor-General, in collaboration with PricewaterhouseCoopers (PwC) and Ernst & Young (EY), after an extensive audit of financial commitments and claims from various Ministries, Departments and Agencies (MDAs) as of December 31, 2024.
The Auditor-General, Johnson Akuamoah Asiedu, explained that the audit was part of efforts to sanitise the public financial system and prevent illegitimate payments.
According to him, the Finance Ministry had submitted a list of commitments, claims and Bank Transfer Advices (BTAs) to be verified before any funds are disbursed.
“This exercise is to ascertain the legitimacy of the claims and BTAs before committing to pay them,” the Auditor-General stated in the preamble to the report.
He added that contractors, suppliers and implementing agencies were all engaged in the validation process, which began in May 2025 and ended in October 2025.
The suspended projects span nearly every region of the country and include district and regional hospitals, psychiatric facilities and specialised medical centres – core components of the government’s flagship ‘Agenda 111’ health infrastructure programme aimed at improving access to quality healthcare across Ghana.
Some of the high-value projects under review include: The construction of a regional psychiatric hospital in Kumasi by Kodrill Resources Ltd at GH¢13.2 million.
The supply and installation of medical gas systems by Lifecare Technology and Rikair Company Ltd, valued at GH¢31.5 million and GH¢35.1 million respectively.
District hospital projects in Ningo-Prampram, Kwahu Afram Plains, Wa East, and Atwima Mponua, each valued between GH¢5 million and GH¢10 million.
In the Western Region, CRCEG Ghana Ltd’s GH¢7.4 million claim for the construction of the Mpohor District Hospital remains unvalidated, while in the Ashanti Region, multiple contractors such as Antgya Ghana Ltd, Okwahou Logistics & Construction Ltd, and Reliance Logistics & Construction Ltd have pending claims for hospitals in Nyinahin, Trede and Atwima Mponua.
Similarly, in the Volta Region, EON Engineering Solutions Ltd and Top International Ltd are seeking payments exceeding GH¢15 million combined for projects in South Dayi and Ho West districts.
According to the report, all pending claims must be justified by November 7, 2025, after which any unverified commitments will be permanently expunged from the government’s arrears and commitments register.
This means affected contractors risk forfeiting payment if documentation and physical verification do not support their claims.
The report emphasizes that the validation exercise is a transparency and accountability measure designed to prevent wrongful payments and ensure that public funds are spent responsibly.
“This publication grants you the opportunity to contest or query the details published by submitting justifications, including all relevant documentation, through the implementing Ministries, Departments, and Agencies to the Ghana Audit Service for final validation,” the Auditor-General’s notice stated.
The Agenda 111 initiative, launched in 2021, aimed to construct 101 district hospitals, seven regional hospitals, two psychiatric hospitals and the redevelopment of the Accra Psychiatric Hospital, among others.
While the programme was heralded as a transformational step toward equitable healthcare delivery, delays and funding concerns have persistently dogged its progress.
Public reaction to the suspension of the 175 projects has been one of growing concern, particularly among communities expecting new hospitals.
Some stakeholders fear the indefinite freeze could exacerbate healthcare access inequalities, especially in rural and underserved districts.
A civil society budget analyst, who spoke to The Chronicle on condition of anonymity, said the report reinforces calls for stricter procurement oversight and project monitoring.
“When hundreds of millions of cedis worth of health projects are suspended over validation issues, it shows weak coordination and poor transparency in public infrastructure management,” the analyst said, adding “we must ensure these projects don’t become abandoned sites.”
The Public Accounts Committee (PAC) of Parliament is expected to scrutinise the report, inviting the Ministry of Health and Ministry of Finance to provide clarifications on the suspended Agenda 111 payments.
Meanwhile, contractors affected by the pending validation have been urged to provide all necessary documentation to facilitate speedy resolution and continuation of the projects.
If validated, the GH¢685.8 million could represent a major release for Ghana’s health infrastructure, but until then, the fate of the 175 projects and the communities that desperately need them remains uncertain.
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