KalyJay's Agenda 111 idea is the government's own offer, 20 months on

Just after midnight on Sunday 25 October, the X user KalyJay posted that young men investing in apartments, Airbnbs, restaurants and salons in Accra should instead team up, take one of the abandoned Agenda 111 hospital projects, finish it under a government-private partnership, run it for an agreed number of years to recover their money with interest, and then hand it over. The post passed 318,000 views by Monday.

Most of the replies and quote posts objected that citizens already pay taxes for public hospitals. KalyJay replied the same day that he was addressing people who already invest, and that the President and the Health Minister had invited partners to help complete the projects.

The government's own invitation

The record supports him on that point. Meeting the Christian Council on 24 February 2025, President John Mahama said that if some of the missions were interested, "they could finish some of the hospitals and manage them". In his State of the Nation address three days later he said the government was "open to public-private partnerships and franchising to complete and operationalize these hospitals". In March 2025 he asked entrepreneurs in hospital management to finish the hospitals and manage them over a period of time.

Where the project stands

Agenda 111 began with a sod-cutting at Trede in the Ashanti Region in August 2021: 101 district hospitals, seven regional hospitals and two psychiatric hospitals, at roughly $17 million each, over 18 months. In February 2025 President Mahama said $400 million had been disbursed and that no dedicated funding source had been secured. Three hospitals were described as commissioned in January 2025; in March 2025 the Health Ministry said they had no equipment.

In July 2026 Health Minister Mintah Akandoh told Parliament that about ₵4.8 billion had been spent, that more than ₵1 billion was owed to contractors, and that "we don't have a single one of them that could save a life today". The Audit Service has ordered 35 contractors to refund about $7.9 million in advances for work not done. President Mahama has put the cost of completing the programme at $1.7 billion.

The plan

The 2026 budget promised to complete ten of the projects. In August 2026, at Paga, the President said 35 sites at least 70% complete had funds to finish them, with 20 more planned for 2027 and 20 for 2028. In October the Health Minister said the government was in talks with church and Muslim missions to finish, equip and run some sites. As of 26 October, QMS News found no signed agreement with any mission or private investor.

How an investor would be repaid

A private partner can be repaid through patient fees, National Health Insurance claims or fixed government payments. NHIS reimbursements have run late: in April 2026 the NHIA paid claims dating back to 2019. The Christian Health Association of Ghana already runs more than 300 facilities on a non-profit basis, with government paying staff and NHIS paying for services.