Built two clinics and a diagnostics business. Learned most of it the hard way.
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Running clinics, pharmacies and hospitals in Ghana: regulation, staffing, equipment and cash.
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From licensing with the HeFRA to hiring nurses who stay: what it actually takes to open and run a clinic that survives its second year.
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Total cost of ownership, service contracts, spare parts availability and the vendor questions that separate a good purchase from a machine that sits idle.
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From licensing with the HeFRA to hiring nurses who stay: what it actually takes to open and run a clinic that survives its second year.
Joseph Amankwah · 17d ago
NHIS reimbursement timelines in 2026 - what are you seeing?1 replies · 10 likes
Why nurses leave small private facilities, what they say they want, and what actually kept mine.
Fourteen months of late reimbursements, a departing head nurse and a loan I could not service. How we got through it, and what I would do differently.
From licensing with the HeFRA to hiring nurses who stay: what it actually takes to open and run a clinic that survives its second year.
Licensing, wholesalers, expiry management, staff and the margin realities of a community pharmacy.
Eight years administering a regional hospital: staffing, equipment procurement, governance and the things that break at 2am.
Clinical excellence does not run a business. Six patterns I see repeatedly in doctors, pharmacists and health-tech founders who struggle.
Fourteen months of late reimbursements, a departing head nurse and a loan I could not service. How we got through it, and what I would do differently.
Licensing, wholesalers, expiry management, staff and the margin realities of a community pharmacy.
Total cost of ownership, service contracts, spare parts availability and the vendor questions that separate a good purchase from a machine that sits idle.
Why nurses leave small private facilities, what they say they want, and what actually kept mine.