In Ghana's four-tier health system, which level includes community level health centers providing outpatient services?

• A. Level A
• B. Level B
• C. Level C
• D. Level D

Answer: (A)

The community level is where outpatient care is first delivered in Ghana’s four-tier system. At this level, community health centers (often organized as CHPS compounds) bring services directly to people in their communities, handling common illnesses, basic maternal and child health, and preventive and promotive care. They function as the initial point of contact with the health system, with clear referral pathways to higher levels when more advanced care or inpatient services are needed. This setup explains why these community-level facilities providing outpatient services sit at the lowest tier—the community level.