The Clinic and the Ministry

Public health policy, from the directive to the ward

Kwabena Osei-Bonsu2 episodes2 min of audio113 playsEpisodic

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S1 · E2Oct 4, 20260:5240 plays Preview

Adding a Vaccine to the Schedule

How a new vaccine gets added to a national childhood schedule: the advisory committee, the cost per dose, cold chain capacity, and a community health worker on the first month of giving it.

S1 · E1Jul 1, 20260:5673 plays Members

Deciding Which District Gets the Nets First

A malaria bed net campaign cannot reach every district at once. Kwabena asks a programme manager how the order was decided, and a district nurse what the wait felt like on the ground.

About the show

The Clinic and the Ministry is a fortnightly show about how public health policy is made and what happens when it reaches a clinic. Host Dr Kwabena Osei-Bonsu worked as a district medical officer in Ghana's Ashanti Region and later in a national immunisation programme, and he explains both ends of the chain in calm, specific detail: how a vaccination schedule is decided, why a malaria programme chooses one district before another, how a health budget is split between hospitals and prevention, what a surveillance system watches for, and how a new guideline on blood pressure gets to a nurse in a rural post. Each episode runs 35 to 45 minutes and pairs a policymaker with a frontline worker who lived with the result. It is for public health students, health workers, journalists and anyone curious why the system behaves the way it does. Kwabena asks questions without blame and explains trade-offs without pretending they do not exist.

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