Background: Evidence shows that quality indicators such as the structure and process ofstroke rehabilitation can influence patient outcomes. However, not much attention has beenpaid to the study of these issues in low- and middle-income countries such as Ghana.Objectives: Our study evaluated the structure and process of stroke rehabilitation in primary,secondary and tertiary hospitals in the Greater Accra Region of Ghana.

Method: A cross-sectional survey was conducted involving 111 healthcare professionals. TheWorld Health Organization (WHO) situational analysis and Measure of Processes of Care forService Providers for Adults (MPOC-SP[A]) questionnaires were administered to gatherinformation on the structure and process of stroke rehabilitation. Descriptive statistics wereused to summarise data, and chi-square and Kruskal–Wallis tests were used to establishassociations and comparisons, respectively.

Results: A stroke unit was only available in the tertiary hospital. Although all three hospitalshad a multidisciplinary team approach to care, the constituents differed. Length of hospitalstay,duration of treatment and basis for discharge from acute care were not associated withthe hospitals. Therapy sessions, access to computed tomography (CT) and magnetic resonanceimaging (MRI) scanning were dependent on the hospitals.

Conclusion: The structure and process of stroke rehabilitation across the three hospitals weresimilar in some constructs and different in others.

Clinical implications: Data gathered will help to provide information on the availablestructure and processes of stroke rehabilitation, which could help assess the quality of careprovided.