It is late, the ward is crowded, and the clock is moving faster than everyone would like. A doctor has stabilised the patient as best they can, but one thing is missing – blood.

A relative is asked to “try somewhere else”, and within minutes, the family is on the phone, calling friends, contacting church groups, posting in WhatsApp chats, hoping that someone nearby is eligible, willing and able to reach the hospital in time.

In that moment, healthcare stops being only about medicine. It becomes about networks, trust and whether a lifesaving resource can be found quickly enough.

This is not an unusual drama in Ghana. It is a recurring reality, quietly shaping outcomes in emergencies, childbirth, surgery and severe illness. Ghana has made progress, but the gap between what is needed and what is available remains wide.

In 2024, Ghana’s National Blood Service collected 187,280 units of blood. This falls far short of the World Health Organization recommended annual stock requirement of 308,000 units. The consequences are tangible, including delays to surgery, difficult clinical decisions, and families carrying the burden of searching for blood at the worst possible time.

One way to gauge the scale is the “blood collection index”, defined as donations per 1,000 people. Ghana’s index increased from 5.9 in 2023 to 6.1 in 2024, but it remains well below the ten per 1,000 level that is often cited as a basic benchmark by the WHO.

The contrast is stark. The WHO’s global figures show an average (median) donation rate of 31.5 per 1,000 in high-income countries, compared with 6.6 per 1,000 in lower- and middle-income countries and 5.0 per 1,000 in low-income countries. Ghana is a........

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