THE PROJECT
Cosmopolitan Miracle Hospitals under the umbrella of the Cosmopolitan Aid Foundation is established in Ghana as a charitable Trust Deed, duly registered on 21st February, 2014 at the Registrar-General's Department in Accra with the registration number CG089012014. On the 16th January, 2015, the foundation's name was changed from Mawuena Foundation to Cosmopolitan Aid Foundation.
We strive to close the loop holes in the healthcare delivery process in Ghana. Our hallmark is to serve the people of Ghana and the West Africa sub region with quality health care, providing all the tools for diagnosis and /or therapeutics for the first time in the history of the region. Extend healthcare to expand happiness, a world in which the daily lives of people are freed of diseases to all patients independent of their origin, religion, culture, race, ethnicity and political affiliation.
The inspiration came from the fact that we still lack some specialties and medical equipment which will ultimately promote the quality of life, prevent the death of patients and avoid their flock abroad in search of the standards that are not available in Ghana.
Our philosophy is based on the reality that every human being is a unique individual and that we all have a right to good health and basic needs and should access means to a comfortable life in one way or another.
This International Hospital, a health tourism facility, is expected to be a number one in class hospital in the West Africa sub-region.
Our vision is that it will be opened to doctors from all walks of life, regardless of their country of origin and culture. Some doctors are coming from North, Central and South America and Eastern Europe.
The NGO International Hospital will solve the deficiencies of specialists through foreign doctors who will fill the initial vacant slots. The International Hospital will have schools of Health Sciences, including but not limited to a Medical School, Nurses College, X-ray Technicians, Laboratory Technicians Schools, Physical, Occupational, and Speech Therapists Schools, School of Bioengineering , School of Pharmacy, School of Dieticians and Nutritionist, etc. which will carry out the training of the locals by both national and foreign specialists. We will not like to depend on foreign doctors eternally, so we shall take advantage of foreign doctors of all specialties, nurses and paramedical personnel to train our local ones who will finally begin to take over from 3years in the least of the cases (nurses and paramedical personnel) to 10 years in the case of medical doctors doing specialization courses. The locals will be gradually serving as replacement for the foreign doctors. We will also be opened to train students from Africa and impoverished communities of the developed nations who will go to do likewise in their countries.
We shall have a Research Institute which will be principally concentrating on tropical diseases with emphasis on the discovery of vaccines for HIV/AIDS and Ebola fever. The research facility for tropical diseases will have wards and out-patient departments for such cases with access to free HIV/AIDS clinics and free AIDS medications. There will another institute of research for medical and non-medical purposes.
The Board of Trustees of the Cosmopolitan Aid Foundation, led by Dr. Emmanuel Yao Voado, MD., the Founder, will select the Management Committee that will see to the day to day administration of the Cosmopolitan Miracle Hospitals. He is a Ghanaian neurosurgeon trained in Cuba. He was the medical doctor who first opened a neurosurgical service in the country of Belize. He practiced there for 5 years and worked in the United States for 6 years before relocating to Africa in September, 2013. He is working diligently on the cure of Spinal Cord Injuries.
The Cosmopolitan Miracle Hospitals will be located in headquartered in the Greater Accra Metropolitan Area of Ghana.
1.0 THE SUMMARY
Cosmopolitan Miracle Hospitals under the umbrella of the Cosmopolitan Aid Foundation was established in Ghana as a charitable Trust Deed, duly registered on 21st February, 2014 at the Registrar-General's Department in Accra with the registration number CG089012014. On the 16th January, 2015, the foundation's name was changed from Mawuena Foundation to Cosmopolitan Aid Foundation.
We pursue breaking the backbone of generational poverty where the captives of destiny, the marginalised, shall become the frontliners.
Our purpose is to close the loop holes in the healthcare delivery process in Ghana. Our hallmark is to serve the people of Ghana and the West Africa sub region with quality health care, providing all the tools for diagnosis and /or therapeutics for the first time in the history of the region. Extend healthcare to expand happiness, a world in which the daily lives of people are freed of diseases to all patients independent of their origin, religion, culture, race, ethnicity and political affiliation.
The inspiration came from the fact that we still lack some specialties and medical equipment which will ultimately promote the quality of life, prevent the death of patients and avoid their flock abroad in search of the standards that are not available in Ghana.
Our philosophy is based on the reality that every human being is a unique individual and that we all have a right to good health and basic needs and should access means to a comfortable life in one way or another.
The Board of Trustees of the Cosmopolitan Aid Foundation, led by Dr. Emmanuel Yao Voado, MD., the Founder, will select the Management Committee that will see to the day to day administration of the Cosmopolitan Miracle Hospitals. He is a Ghanaian neurosurgeon trained in Cuba. He was the medical doctor who first opened a neurosurgical service in the country of Belize. He practiced there for 5 years and worked in the United States of America for 6 years before relocating to Africa in September, 2013. He is working diligently on the cure of Spinal Cord Injuries. The headquarters of the Cosmopolitan Aid Foundation will be located in Bundase in the Greater Accra Region.
2.0 ABOUT GHANA

Ghana is located in Western Africa and borders Burkina Faso, Cote d’Ivoire, and Togo. This country occupies a total area of 238,533 square kilometers and has a population of approximately 29,786,408 as of January 5, 2019. The population of West Africa is estimated at 387,246,061 people as of January 8, 2019.

Formed from the merger of the British colony of the Gold Coast and the Togoland trust territory, Ghana in 1957 became the first sub-Saharan country in colonial Africa to gain its independence. Ghana endured a series of coups before Lt. Jerry RAWLINGS took power in 1981 and banned political parties. After approving a new constitution and restoring multiparty politics in 1992, RAWLINGS won presidential elections in 1992 and 1996 but was constitutionally prevented from running for a third term in 2000. John KUFUOR of the opposition New Patriotic Party (NPP) succeeded him and was reelected in 2004. John Atta MILLS of the National Democratic Congress won the 2008 presidential election and took over as head of state, but he died in July 2012 and was constitutionally succeeded by his vice president, John Dramani MAHAMA, who subsequently won the December 2012 presidential election. In 2016, however, Nana Addo Dankwa AKUFO-ADDO of the NPP defeated MAHAMA, marking the third time that the Ghana’s presidency has changed parties since the return to democracy.

Economy:

Ghana has a market-based economy with relatively few policy barriers to trade and investment in comparison with other countries in the region, and Ghana is endowed with natural resources. Ghana's economy was strengthened by a quarter century of relatively sound management, a competitive business environment, and sustained reductions in poverty levels, but in recent years has suffered the consequences of loose fiscal policy, high budget and current account deficits, and a depreciating currency.
Agriculture accounts for about 20% of GDP and employs more than half of the workforce, mainly small landholders. Gold, oil, and cocoa exports, and individual remittances, are major sources of foreign exchange. Expansion of Ghana’s nascent oil industry has boosted economic growth, but the fall in oil prices since 2015 reduced by half Ghana’s oil revenue. Production at Jubilee, Ghana's first commercial offshore oilfield, began in mid-December 2010. Production from two more fields, TEN and Sankofa, started in 2016 and 2017 respectively. The country’s first gas processing plant at Atuabo is also producing natural gas from the Jubilee field, providing power to several of Ghana’s thermal power plants.
As of 2018, key economic concerns facing the government include the lack of affordable electricity, lack of a solid domestic revenue base, and the high debt burden. The AKUFO-ADDO administration has made some progress by committing to fiscal consolidation, but much work is still to be done. Ghana signed a $920 million extended credit facility with the IMF in April 2015 to help it address its growing economic crisis. The IMF fiscal targets require Ghana to reduce the deficit by cutting subsidies, decreasing the bloated public sector wage bill, strengthening revenue administration, boosting tax revenues, and improving the health of Ghana’s banking sector. Priorities for the new administration include rescheduling some of Ghana’s $31 billion debt, stimulating economic growth, reducing inflation, and stabilizing the currency. Prospects for new oil and gas production and follow through on tighter fiscal management are likely to help Ghana’s economy in 2018.
GDP (purchasing power parity): $134 billion (2017 est.)
GDP (official exchange rate): $47.02 billion (2017 est.) (2017 est.)
GDP - real growth rate: 8.4% (2017 est.)
GDP - per capita (PPP): $4,700 (2017 est.)

GDP - composition, by end use:

household consumption: 80.1% (2017 est.)

government consumption: 8.6% (2017 est.)

investment in fixed capital: 13.7% (2017 est.)

investment in inventories: 1.1% (2017 est.)

exports of goods and services: 43% (2017 est.)

imports of goods and services: -46.5% (2017 est.)

GDP - composition, by sector of origin:
agriculture: 18.3% (2017 est.)
industry: 24.5% (2017 est.)
services: 57.2% (2017 est.)

Agriculture - products: cocoa, rice, cassava (manioc, tapioca), peanuts, corn, shea nuts, bananas; timber
Industries: mining, lumbering, light manufacturing, aluminum smelting, food processing, cement, small commercial ship building, petroleum
Industrial production growth rate: 16.7% (2017 est.)

Labor force: 12.49 million (2017 est.)

Labor force - by occupation:
agriculture: 44.7%
industry: 14.4%
services: 40.9% (2013 est.)

Inflation rate (consumer prices): 9.6 % ( July,2018.)

3.0 ABOUT AFRICA
Africa is the second-largest continent about 30.2 million km2 (11.7 million sq. mi), after Asia, in size and population. The continent is surrounded by the Mediterranean Sea to the north, both the Suez Canal and the Red Sea along the Sinai Peninsula to the northeast, the Indian Ocean to the southeast, the Atlantic Ocean to the west and Europe to the north. The continent includes Madagascar and various archipelagos.
The population of Africa is estimated at 1.30 billion people as of 2018 accounting for about 16.64% of the world's human population. Africa's population is the youngest among all the continents; 50% of Africans are 19 years old or younger. The median age is 19.4 years. 41% of the population is urban. Algeria is Africa's largest country by area and Nigeria is the largest by population.
Africa, particularly central Eastern Africa, is widely accepted as the place of origin of humans and the Hominidae clade (great apes), as evidenced by the discovery of the earliest hominids and their ancestors, as well as later ones that have been dated to around seven million years ago.History:
At about 3300 BC, the historical record opens in Northern Africa with the rise of literacy in the Pharaonic civilization of Ancient Egypt. One of the world's earliest and longest-lasting civilizations, the Egyptian state continued, with varying levels of influence over other areas, until 343 BC.Climate:
Africa straddles the equator and encompasses numerous climate areas; it is the only continent to stretch from the northern temperate to southern temperate zones.
The climate of Africa ranges from tropical to subarctic on its highest peaks. Its northern half is primarily desert, or arid, while its central and southern areas contain both savanna plains and very dense jungle (rainforest) regions. In between, there is a convergence, where vegetation patterns such as Sahel and steppe dominate. Africa is the hottest continent on earth and 60% of the entire land surface consists of dry lands and deserts.Politics:
Today, Africa contains 54 sovereign countries, nine territories and two de facto independent states with limited or no recognition. Connected with the Indian Ocean, the islands of Africa are the Union of the Comoros, Republic of Madagascar, Republic of Seychelles, and Republic of Mauritius. In the Atlantic Ocean we have Republic of Cape Verde, Democratic Republic of São Tomé and Príncipe. Others are Djibouti, Equatorial Guinea, and Eritrea.
The vast majority of African states are republics that operate under some form of the presidential system of rule. The improved stability and economic reforms have led to a great increase in foreign investment into many African nations, mainly from China, which has spurred quick economic growth in many countries, seemingly ending decades of stagnation and decline.
Some seven African countries are in the top 10 fastest growing economies in the world. If you look at countries like Mozambique, Angola, Ethiopia, Zambia, and Togo – all of those markets have shown exceptional growth and real stability and with that you almost get a new investment climate for these countries. This allows you to have a new emerging middle class and with that comes a very vibrant entrepreneurship culture, businessmen or women who want access to technology and to innovate.Natural Resources:
The continent is believed to hold 90% of the world's cobalt, 90% of its platinum, 50% of its gold, 98% of its chromium, 70% of its tantalite, 64% of its manganese and one-third of its uranium. The Democratic Republic of the Congo (DRC) has 70% of the world's coltan, a mineral used in the production of tantalum capacitors for electronic devices such as cell phones. The DRC also has more than 30% of the world's diamond reserves. Guinea is the world's largest exporter of bauxite.Economy:
From 1995 to 2005, Africa's rate of economic growth increased, averaging 5% in 2005. Some countries experienced still higher growth rates, notably Angola, Sudan and Equatorial Guinea, all of which had recently begun extracting their petroleum reserves or had expanded their oil extraction capacity.
Several African economies are among the world’s fastest growing as of 2011. As of 2013, these are some of the Africa countries growing by more than 5.0% in real Gross Domestic Product (GDP). These are South Sudan, Sierra Leone, Liberia, Cote d’Ivoire, Ghana, Rwanda, Mozambique, Eritrea, Tanzania, Ethiopia, Gabon, Burkina Faso, The Gambia, Mauritania, Niger, Congo, Zambia, Angola, Uganda, Togo, Nigeria, Morocco and Kenya.
Africa really has the ideal conditions for steady economic growth. A skyrocketing population made up of predominantly younger people is the perfect recipe for a booming economy.
In 2018 we continue to see the same trend for population growth. Compared to 2017, African’s overall population has increased by more than 30 million – 1,256,268,025 in 2017 versus 1,287,920,518 in 2018.
The World Bank’s projections for the sub-Saharan Africa area. According to their 2018 projections for the continent: regional GDP growth of 3.2% (compared to 2.4% last year) is expected this year and an even greater increase of 3.5% is forecasted for 2019.
That’s why keeping an eye out for the top African countries with the fastest economic growth in 2018 is a total must for every potential investor. The abundance of natural resources and a young workforce is what has driven the economic surge on the continent in recent years.
A significant number of 2018’s top performers are non-commodity intensive economies. The list is led by Ghana, followed by Ethiopia and Côte d’Ivoire, with Senegal, Tanzania and Djibouti occupying the fourth, fifth and sixth spots respectively. Africa has six of the world’s ten fastest growing economies this year, according to the World Bank.
The latest forecast places East African country, Ethiopia at 8.2 percent with the West African nation, Ghana leading the continent at 8.3 percent. Topping the list from the first to the tenth position are: Ghana, Ethiopia, Côte d’Ivoire, Senegal, Tanzania, Sierra Leone, Burkina Faso, Benin, Rwanda and Niger.
As the growth in Africa has been driven mainly by services and not manufacturing or agriculture, it has been growth without jobs and without reduction in poverty levels.
4.0 PERSONAL PROFILE
Born in 1971 to a Christian family of scarce resources in Tefle, Volta Region, Ghana, he always dreamed of breaking the back bone of poverty through education. At the age of 12, he received a prophecy that he would be going abroad to further his education. In 1985, at age 14, the prophecy was accomplished but not without difficulties. After taking the exams to send students to Cuba, he placed first in his district but was unlawfully replaced by the son of the most powerful politician of the district. A concerned citizen sent him to the office of President Jerry John Rawlings, when he was allowed to participate in the national test in which he became first. This event was indeed a shock to many.
He was in Cuba for 17 years, right from the junior high school to the medical school and subsequently to the postgraduate specialist course of Neurosurgery. While in Cuba as a student, he continued the brilliant academic work; he won many awards including best student in Chemistry at the Cuban National Level Quizzes for 3 consecutive years where students from 35 countries then studied. He wrote an Organic Chemistry book which was meant for the preparation of the high performance students who aspired to participate in the World Olympiad of Chemistry. He was summa cum laude (first) in all the levels of education including the medical school and the Specialty of Neurosurgery. At the end of the neurosurgical training, he wrote another book in the field of Spinal Surgery called Lumbosacral Discopathies.
When he completed the Neurosurgical course in 2001, the people of Belize found him and took him to that country as they needed Neurosurgical Services which they had never had the privilege of enjoying locally. He performed simple and complex surgeries on many people including the elite of Belize with no surgical mortality in his 5 consecutive years of practice. In the USA, under Dr. Robert Grossman, a well-known neurosurgeon, he worked as a Clinical Research Specialist where he was invited by the Congress of Neurological Surgeons of America to present six papers in their international conferences.
He is Belizean and American citizen by naturalization. After 28 years, he has decided to come back to Africa to help his people as he has come to the convincing realization that he is more needed here than in the United States of America.
5.0 TRACK RECORD
Dr. Emmanuel Voado, MD., is a Ghanaian neurosurgeon trained in Cuba. He was the medical doctor who first opened a neurosurgical service in the country of Belize. He practiced there for 5 years before going to the United States where he resided with his family for 6 years before relocating to Africa in September, 2013.
In Cuba, he was directly involved in the educational system for 17 years and impacted by their health care delivery for 11 years which can all be emulated by third world countries like Ghana who have more natural resources and foreign exchange earners than Cuba. He saw the Cuban government training thousands of students of foreign nations in different courses at the polytechnic and university levels, who then went to their home countries to contribute to their development.
He lived in Belize where he contributed to the healthcare delivery in that nation. Once in the USA, he was personally impacted by all the good things of the American system. One area is the safety network to cater for the destitute.
He saw the compassionate character of the Americans in the hospitals and churches which were the two environments he worked and worshiped and he saw how the two organizations will selflessly use their vacation days to go about doing good to the impoverished nations giving out their substance and technical knowhow.
He was deeply touched by this spirit of selflessness and all this helped to shape his world view in the subconscious level till he came to the conscious realization that a meaningful life is not being rich, being popular, being highly educated or being prefect...It is about being real, being humble, being able to share ourselves and touch the lives of others. It is only then that we could have a full, happy and contented life. That is the motive why, by divine grace, he had been able to abandon the lucrative and most rewarding jobs in the Diaspora and now back home to give back to his people.
6. BACKGROUND OF THE PROBLEM
With the booming economy, health care delivery which is one of the faces of economic growth needs to improve in Ghana. When those who have the resources need to get medical care, they go to South Africa, India, America and the other developed nations because there is no facility in the West African sub-region to find an appreciable level of quality health care. Considered a regional model for political and economic reform, Ghana has to appear as a flag bearer of health care delivery not only for its people but also for West Africa as many patients from the sub-region flock to Ghana looking for a better medical care. Meanwhile, Ghana itself does not have facilities like those in the developed countries and the countries with emerging economies.
The leading government hospitals in Ghana are not fully equipped. In the areas in which they are well-equipped, maintenance of equipment is problematic. This is because this is not done in a timely manner, or there are no government funds available in that moment in time to carry out the maintenance/repair. We lack some specialties and medical equipment which will ultimately prevent the flock of patients abroad.
The efforts of having a strategic plan for training human resources, especially general medical practitioners, specialists, nurses and other allied health workers at home or abroad for the challenges the health sector is facing or will face in the short term or long term have not yet yielded the expected outcomes.
Having all our health care needs locally is the only way we can stop the efflux of the rich abroad fora better health care when they are also dying in their numbers if it is an emergency condition that does not allow for a sufficient waiting window for its transfer outside the country.
We do not have local experts on the diagnosis and treatment of brain aneurysm which is an emergency condition that continues to claim the lives of many in this country.
A patient who needs a complex spinal surgery to avoid or improve the condition of paralysis due to a spinal cord injury is in a similar situation because whether the person can pay or cannot pay there is no amount of money that can save his life since emergency treatment is not available in the country.
Some of our medical practices in Ghana need to catch up with time. For example in the field of Spine Surgery, the technique of laminectomy which was used to treat lumbar disc herniations in the 1960's is still used in Ghana today due to deeply rooted paradigms, leaving patients not only with big scars on the back but also with an unnecessary destruction of the bony structures that guarantee stability to the spine.
The agents of change are coming into the system every year after undergoing training in the developed countries; but they are either absorbed by the status quo or they are marginalised to health facilities where they do not have the tools to effect those changes for the benefit of the people. They end up giving in to the status quo, so the teaching hospitals do not always experience the changes that the new brains coming into the system could bring.
Because of the inadequate attention to preventive medicine, all the government hospitals are choked with patients. In this atmosphere, only the well-connected and economically solvent get access to a swift medical care in both the out-patient department and the usual 18 month long queues for surgery. The fact is that many of them will suffer from pains and/or die waiting.
The poor and vulnerable do not really have access to these facilities as many of them have to wait for hours with pains before they see the emergency room doctor or wait for 18 months for an electivesurgery. The poor do not have any practical access to emergency surgeries because the National Health Insurance Scheme (NHIS) does not cover all the emergency investigations, medications, supplies and surgeries.
We still lack some medical services in Ghana after 60 years of independence. This is because of ineffective strategic planning particularly for the training of specialists in the fields where there are deficits.
There appears to be a lack of commitment to insert those new specialists into the system after their training in terms of giving them practical support like getting ready the equipment they need to work on their return to the country and the necessary basic incentives. When this happens, the danger is that there is a brain drain back to the developed countries where they were trained.
The common denominator of the private hospitals in Ghana is that they are poorly equipped. They do not have the latest radiological and pathological investigations and many of them lack well-supplied pharmacies. All of them lack Critical Care Units. As a result of this, we see patients moving from one facility to the other trying to complete an investigation for diagnosis before their doctors are able to treat them.
Once the final treatment is prescribed, they have to move around the city looking for the medication. Some of the pathology samples have to be sent abroad for analysis. Some surgical treatments have to be done abroad because of lack of equipment and/or lack of the trained personnel to execute them.
The foreign personnel who live and work here and those on short visit to the region need the specialised health care facilities at the height of the developed countries to live/travel peacefully so that they do not die due to those emergency conditions whose treatment do not wait for transfer to specialized centres in the developed countries.
Dangerous conditions like the Ebola Virus Disease are emerging and threatening to invade the world from Africa and if we do not have first class health facilities not only the poor people of Africa will die but also the foreign aides/visitors who travel to our region to help in our socioeconomic development or simply for cultural exchange.
7.0 THE SOCIETAL NEED
A comprehensive non-governmental organisation (NGO) International Hospitals with all the specialties and specialists, all the latest equipment, a complete pathology laboratory, Critical Care Units for different purposes and a well-supplied pharmacy is what we need in Ghana. This will permit more efficient medical attention to patients. It will not only save cost but also it will save thousands of the lives of both nationals and foreigners who die because they suffer from emergency conditions whose treatment is unavailable in the country at the moment.
Therefore, there is a need for this hospital to serve to:
• improve the delivery of health care in Ghana and our West Africa sub-region.
• reduce remarkably the flock of patients abroad.
• reduce the loss of life of patients including that of foreigners in cases of emergency conditions which at the moment do not have treatment within the borders of Ghana.
• provide the foreigners, tourists, the diplomatic corps, and the corporate bodies with an option for excellent health care within Ghana.
• train health and allied health human resources to help close the gap of deficit we currently have in the country.
• provide all the specialties and specialists, all the latest equipment’s, a complete pathology laboratory, diagnostic services, Critical Care Units for different purposes and a well-supplied pharmacy.
8. TECHNICAL PROPOSAL

8.1 DESCRIPTION OF THE PROJECT
This Cosmopolitan Miracle Hospitals, a health tourism facility, is expected to be a number one in class hospital in the West Africa sub-region. Apart from patients of West Africa, it will also attract the USA and other developed countries’ workers in the region, United Nations (UN) workers and other tourists who will come to Ghana to look for that medical service which is available in only few countries or only in our medical facility in the entire world. The hospital will be opened to doctors from all walks of life, regardless of their country of origin and culture.
This project will serve as the basis for those Ghanaian doctors who are undergoing training outside Ghana to join them on their return. Cuba now allows their personnel to travel outside their country freely for two years. We can contact these professionals on personal grounds so that after the two years, they only have to return to Cuba on vacations for a month to report themselves and come back to Ghana and continue with their contract. If we do this, we will get an unlimited number of doctors, nurses and paramedical personnel from Cuba to fill the vacant positions.
The hospital can also be reinforced by doctors from developed nations to come to Ghana to treat patients and share their experience with their colleagues in Ghana.
Also, our local health personnel will occupy various positions thereby creating employment in the country.
There are some specialties which we lack in Ghana or have very few specialists representing them. The NGO International Hospitals will solve these deficiencies through foreign doctors who will fill the initial vacant slots. The International Hospitals will have schools of Health Sciences, including but not limited to a Medical School, Nurses College, X-ray Technicians, Laboratory Technicians Schools, Physical, Occupational, and Speech Therapists Schools, School of Bioengineering , School of Pharmacy, School of Dieticians and Nutritionist, etc. which will carry out the training of the locals by both national and foreign specialists.
We will not like to depend on foreign doctors eternally, so we shall take advantage of foreign doctors of all specialties, nurses and paramedical personnel to train our local ones who will finally begin to take over from 3years in the least of the cases (nurses and paramedical personnel) to 10 years in the case of medical doctors doing specialisation courses. If we do this, all things moving well, the local graduates will turn into professors of their fellow locals and the dependency on foreign health care human resources can cease in about 15 years. The locals will be gradually serving as replacement for the foreign doctors. We will also be opened to train students from Africa and the impoverished communities of the developed nations who will go to do likewise in their countries.
There will be a Business School that will have the mandate of carrying out training of personnel in Human Resources, Business Management, Procurement Specialist, Accounting, Financing and Economics. There will be an ICT School for training students in Software Engineering, Network Engineering, Website design (graphics) and development, Programming, Smartphone Application Development, and Bachelor of Science in Information Technology, among others.
We shall have a Research Institute which will be principally concentrating on tropical diseases with emphasis on the discovery of vaccines for HIV/AIDS and Ebola fever. The research facility for tropical diseases will have wards and out-patient departments for such cases with access to free HIV/AIDS clinics and free AIDS medicine. There will be another institute of research for medical and non-medical purposes.
There will be buildings to house the students, workers and our national and international volunteers. There will be a health tourism hotel for relatives, visitors who are interested in what is happening in the complex and tourists and other professional visitors. This hotel will be equipped to be one of the best in the nation to host international conferences so that what is happening there can have wide international exposure to ease its sustainability.
The NGO hospital will continually be tapping from doctors and allied medical personnel from the developed world because there are many non-profit international medical missions from the developed countries to the third world countries who are not only willing to come with their expertise but also with numerous resources in medical equipment, supplies and medications.
These can be donated to the Hospitals if they are convinced that the donations are being used for the purpose originally targeted with honesty and transparency.
Health Care Delivery
All patients who will come on emergency basis will be treated without pre-conditions and the revenue generated will wholly be targeted towards the auto-sustainability of the hospital.
We shall also introduce the practice of telemedicine linking our centres with each other and our headquarters with sister mega hospitals in the developed world and at the same time with underdeveloped medical centres in Ghana which will refer patients to our facility in order to improve our health care delivery. We will use technology to televise/videotape surgeries in real time which will be done in Ghana to the USA and other nations by networking both hospitals so that colleagues with their expertise in those countries can give us valuable opinion on difficult cases.
Other methods of Information, Communication Technology (ICT) will be applied in both surgical and nonsurgical specialties. We shall use ICT to make our distant services available to referring medical centres in Ghana so that before patients with head injury, spinal cord injury, heart attack and stroke come to our centre they would coordinate with us and know the appropriate course of action they would need to execute initially before referring the patients.
The hospital will be fully computerised and the documents which at that time cannot be computerised will be scanned and kept in the computer so that patient information and other matters which pertain to the hospital will be well kept for future references.
Private Health Insurance Schemes have emerged and have come to stay as the booming economy has increased their demand. The NGO hospital will be a provider for these private health insurances. Those who have private health insurance will be able to access it. Their deductibles could be paid on instalments if they are workers. The National Health Insurance Scheme of Ghana has the mission of providing financial risk protection against the cost of quality basic health care for all residents in Ghana. The International Hospital would be a provider for the National Health Insurance Scheme of Ghana as this would help increase the access of all the people to our services.
Those procedures which are partially or not covered by the NHIS will be paid on instalments if the patient is employed. If the patient is not employed, the cost will be absorbed by donations directed to the NGO. Some patients may not have the NHIS or private insurance but can pay from their pockets.
Students of the various schools affiliated with the hospital will be encouraged to pay and the countries of those who cannot pay will be asked to give them scholarships or other possible sources of scholarships will be resourced for them.
Location

Accra, the capital of Ghana, is furthermore the anchor of a larger metropolitan area, the Greater Accra Metropolitan Area (GAMA), which is home to about 4 million people, making it the largest metropolitan conglomeration in Ghana by population, and the eleventh-largest metropolitan area in Africa.
The headquarters of the Cosmopolitan Aid Foundation will be located in Bundase in the Greater Accra Region of Ghana. This is going to be the site for the new international airport which will become the center of West Africa to the world in the travel and pleasure industry. Apart from this huge international airport, there will be an Airport City with skyscrapers of the Dubai style, the seat of the government and all the ministries, an Olympic Stadium among other infrastructures.
We are acquiring 25, 000 acres of land extending from the Volta River to an area behind the new International Airport in Bundase, to build The Kingdom City which will englobe all the structures of the Cosmopolitan Aid Foundation. As coalition builders, in the effort of making our projects become auto-sustainable in the future, we will work co-operatively with all individuals and groups, for profit and not for profit corporations and organisations, with government agencies and international bodies committed to the fight to extend help to the needy, subject only to the policies and priorities set by our governing bodies.

8.2 TARGET GROUP
We target all patients independent of their origin, religion, culture, race, ethnicity and political affiliation seeking for medical and diagnostic solutions.
9. SYNERGY
We are grounded on the values of Integrity, Compassion, Accountability, Respect and Excellence (I CARE) principle. We welcome and respect ongoing international initiatives and national policies to take care and give support to mentally disabled, vulnerable children and disadvantaged people, fight poverty, ignorance and diseases such as Diabetes, Hypertension, Cancer, Malaria, Immunisable diseases and AIDS. Our activities will be in union and collaboration with other stakeholders.
With these values and your collaboration, we both tried to achieve the following that:
• it will enhance access to quality health care.
• it will help train doctors, nurses and allied health personnel who will reduce our chronic deficit of medical personnel.
• patients, both the foreigners and nationals, will be tremendously helped by avoiding their flock to South Africa, India and the first world countries.
• impact investing, as it is a socially conscious form of investing that seeks to generate both a social benefit and a meaningful financial return.
• it would create jobs for thousands who will be directly and indirectly involved.
• it will leave a landmark of good foreign policy for our foreign governmental agencies who will ever be remembered in the annals of history for the good they have done to elevate the quality of health care in Ghana with repercussions in the West African sub region.
10. FINANCIAL PROPOSAL
Our own contribution has been in this project but we acknowledge that we cannot do this alone, so we are calling on donors of every nation to help build this project to affect millions of lives inside and outside Ghana.