Sissala East District Human Development Report 2011 SISSALA EAST DISTRICT
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Sissala East District Human Development Report 2011 SISSALA EAST DISTRICT HUMAN DEVELOPMENT SISSALA EAST DISTRICT REPORT 2011 HUMAN Resource Endowment, Investment Opportunities DEVELOPMENTand the Attainment of MDGs REPORT 2011 Resource Endowment, Investment Opportunities and the Attainment of MDGs Government of Ghana United Nations Development Programme Ghana Office Accra January 2011 United Nations Development Government of Ghana Programme Ghana Office Accra Sissala East District Human Development Report 2011 © UNDP, Ghana 2011 ALL RIGHTS RESERVED No part of this publication may be produced, stored in a retrieval system or transmitted, in any form or by any means, electronic, mechanical, photocopying, recording or otherwise, without prior permission of UNDP, Ghana ISBN 978-9988-8521-2-2 Cover Design by ARTBANC Typesetting by ClayDord Consult, Accra Printed by ARTBANC Sissala East District Human Development Report 2011 Sissala East District Human Development Report 2011 Sissala East District Human Development Report 2011 Acknowledgements Initiation, Sponsorship and Report Writing: and Policy Unit): Paul Derigubaa (former This is the third set of the District Human Programme Specialist — Strategy and Policy Development Reports but a maiden one for Unit), Ruby Sandhu-Rojon (the Resident Sissala East District initiated and funded by Coordinator of the UN System and Resident the United Nations Development Programme Representative of UNDP of Ghana Country (UNDP). Many people contributed to the Office); K. K. Kamaluddeen (Country realization of this report. We acknowledge Director, UNDP), Pa Lamin Beyai the efforts of Dr. Charles Amoateng of (Economic Advisor, UNDP); Shigeki GIMPA Consultancy Services, the consultant Komatsubara (Deputy Country Director — for the field work and the writing of this Programs, UNDP); Coretta Jonah (Economic report. Analyst — Strategy and Policy Unit, UNDP); Kordzo Sedegah (Economic Secondary and Field Research: We Specialist and the Report Coordinator — appreciate the enormous contribution Strategy and Policy Unit, UNDP); and (information and validation) from the Magnus Ebo Duncan (Head, Economic and leadership especially the District Chief Industry Statistics Division, Ghana Statistical Executive of the Sissala East District and the Service). officers-in-charge of the following depart- ments and services: Mr. David Yakubu — Editing, Review and Advisory: The editorial Regional Coordinating Director, Mr. James work comprised of structural and substantive Dasah — Regional Economic Planning editing, technical and copy editing, Officer, and Mr. Baba Osman — Deputy proofreading and review, and bibliographical Regional Economic Planning Officer, editing as well as further study and re- Agriculture, Co-operatives, Works, National analysis of selected sections and the Disaster Management Organization numerous gaps identified in the report at the (NADMO), Ghana Education Service and editorial stage. These were undertaken by Ghana Health Service. Prof. Cletus K. Dordunoo (team leader and Chief Executive Officer, ClayDord Consult, To all the respondents we say thank you. Accra, Ghana) as well as the principal associates of the ClayDord Consult, namely, We thank the Technical Committee members Dr. Kwaku Mensah Ganu, Mr Woeli Atsu for their inputs and validation of the report. Dekutsey and Mrs. Gertrude Missodey, The report was finalized with active parti- among others. The advisory support, cipation and in consultation with members of comments and suggestions for improvement the Economic Policy Unit of the UNDP, from ClayDord Consultancy Services and particularly and Daouda Toure (former Associates were responded to and provided Resident Coordinator of the UN System and by Pa Lamin Beyai (Economic Advisor) and Resident Representative of UNDP of Ghana Kordzo Sedegah (Economic Specialist and Country Office), Prof. Amoah Baah-Nuakoh the Report Coordinator — Policy and (former Senior Policy Advisor — Strategy Strategy Unit) of the UNDP Ghana. Sissala East District Human Development Report 2011 Abbreviations ADB Agricultural Development Bank AIDS Acquired Immune Deficiency Syndrome BECE Basic Education Certificate Examination BNI Bureau of National Investigation CBRDP Community Based Rural Development Project CEPS Customs Excise and Preventive Services CFR Case Fatality Rate CHPS Community Health Planning Service CWIQ Core Welfare Indicators Questionnaire DA District Assembly DACF District Assembly Common Fund DHDR District Human Development Report DWHIS District Wide Health Insurance Scheme DHIMS District Health Information management System FGER Female Gross Enrolment Rate GCS GIMPA Consultancy Services GER Gross Enrolment Ratio GOG Government of Ghana GPI Gender Parity Index HD Human Development HIV Human Immune Virus IPT Intermittent Preventive Therapy ITN Insecticide Treated Nets JHS Junior High School MDG Millennium Development Goal MGER Male Gross Enrolment Rate MOFA Ministry of Food and Agriculture NGOs Non-Governmental Organizations OPD Out Patient Department PLWHA People Living With HIV/Aids PMR Proportional Morbidity/Mortality Rate TBA Traditional Birth Attendants UNDP United Nations Development Programme UNICEF United Nations Children Education Fund UWADEP Upper West Agricultural Development Programme Sissala East District Human Development Report 2011 Contents Foreword …………………………………………………………………………………….. iii Preface ……………………………………………………………………………………….. iv Acknowledgements …………………………………………………………………………… v Abbreviations …………………………………………………………………………………. vi List of Tables ………………………………………………………………………………… x List of Illustrations …………………………………………………………………………… xi Executive Summary …………………………………………………………………………… xii 1 INTRODUCTION ………..…………………………………………………………….. 1 Background ………………………………………………………………………………. 1 Objectives and Scope of the Assignment ………………………………………………… 1 Understanding of the Assignment ………………………………………………………… 1 Approach and Methodology ………………………………………………………………. 3 General Approach …………………………………………………………………………. 3 Specific Methods ………………………………………….…………………….…………. 3 Field Organization and Data Collection …………………………………………………… 3 Organization of Report ……….……………………………………………………………. 4 2 PROFILE OF SISSALA EAST DISTRICT …………………………………………… 5 Location and Size …………………………………………………………………………. 5 Feature …………………………………………………………………………………….. 6 Relief and Drainage ……………………………………………………………………….. 6 Geology and Soils …………………………………………………………………………. 6 Land Use and Land Cover ………………………………………………………………… 9 Land Suitability for Selected Crops (Major Crops) ……………………………………….. 12 Climate and Vegetation …………………………………………………………………… 16 Human Settlement ………………………………………………………………………… 16 Background ………………………………………………………………………………. 16 Housing Situation ………………………………………………………………………… 17 Demographic Characteristics …………………………………………………………….. 18 Population Size and Growth Rate ………………………………………………………… 18 Household Characteristics ………………………………………………………………… 18 Occupational Distribution of the Population ……………………………………………… 19 Ethnicity and Religion ……………………………………………………………………. 19 Governance (traditional and state) ………………………………………………………... 20 Structure of the District Administration ………………………………………………….. 20 Traditional Setup …………………………………………………………………………. 21 Contribution of Traditional Authority to District Development …………………………. 22 Problems of Traditional Authority ……………………………………………………….. 22 Security ………………………………………….……………………………………….. 22 Sissala East District Human Development Report 2011 Sissala East District’s Status of the MDGs ………………………………………………. 23 The Millennium Development Goals ………………………………………………..…… 23 Status of MDGs in Sissala East …………………………………………………………… 23 3 ECONOMIC ACTIVITIES AND POVERTY ………………………………………… 25 Introduction ……………………………………………………………………………….. 25 Major Economic Activities ………………………………………………………………. 25 Agriculture ……………………………………………………………………………….. 25 Industry ………………………………………….……………………………………….. 26 Commerce and Service …………………………………………………………………… 27 Financial Sector (Banking) ………………………………………………………………. 27 Employment, Unemployment and Underemployment Situation in the District …………. 28 Unemployment Situation in Sissala East District ………………………………………… 28 Underemployment ………………………………………………………………………... 29 Poverty Situation in the District ………………………………………………………….. 29 4 EDUCATION AND LITERACY ………………………………………………………. 30 Introduction ………………………………………………………………………………. 30 Education Infrastructure ………………………………………………………………….. 30 Number of Schools ……………………………………………………………………….. 30 Distribution of School in the District …………………………………………………….. 30 Number of Schools – Physical Conditions ……………………………………………….. 32 School Enrolment and Access ……………………………………………………………. 33 Access to School …………………………………………………………………………. 33 Limitations to School Access …………………………………………………………….. 35 5 HEALTH, WATER AND SANITATION ……………………………………………… 37 Human Development ……………………………………………………………………… 37 Health Services Delivery ………………………………………………………………….. 37 Health Infrastructure and Personnel ……………………………………………………… 38 Health Care Access and Quality of Health Services ……………………………………… 40 Disease Control/Surveillance …………………………………………………………….. 40 Epidemic-prone Diseases ………………………………………………………………… 41 Top Diseases of OPD Attendance ………………………………………………………… 42 Malaria ………………………………………….………………………………………… 42 Integrated Management of Childhood Illnesses (IMCI) ………………………………….. 44 Water and Sanitation ……………………………………………………………………… 44 Water Situation: Opportunities and Challenge…………………………………………… 44 Management of Tumu Town Water Supply System …………………………………….. 48 Sanitation …………………………………………………………………………………. 48 6 RESOURCE