This study aims to determine means of strengthening the health system to accelerate achievement of MDGs 4 and 5 in the Volta
Region of Ghana, with a particular emphasis in the Ketu South and Keta municipalities. Secondary data have been used in this
study. High maternal and infant mortality is a crucial issue in Ghana. Maternal and infant mortality is high in rural area compared
to urban area due to unavailability of the service facilities. A community based health planning and services programs have been
established to improve access and quality of health care in Ghana. Our study suggests that health system strengthening with
community health care programs improved access to quality health care and resulted in a decrease of maternal and child mortality
in Ketu South and Keta Municipalities in Ghana