Annual Pprogress Report 2015

MINISTRY OF LOCAL GOVERNMENT AND RURAL DEVELOPMENT BOSOME FREHO DISTRICT ASSEMBLY

ANNUAL PPROGRESS REPORT 2015

Compiled by:

District Planning & Coordination Unit

February 2016

TABLE OF CONTENTS

Contents Page

1.1 Introduction ...... 1

1.1.2 District Profile...... 1 1.1.3 District Governance...... 1 1.1.4 District Assembly and its Objectives...... 2 1.1.5 Purpose of the 2015 Annual Progress Report (APR) ...... 2 1.2 The key M&E Objectives for the Year...... 3

1.3 Processes Involved and Difficulties Encountered...... 4

2.1 Status of Implementation of DMTDP...... 5

2.2 M&E Activities Report...... 9

2.2.1 Programme and Projects Status as at 31st December 2015...... 9

2.3 Update of Disbursement from Funding Sources...... 19

2.3.1 The Sources of External Inflow...... 19

2.3.2 Comments on the Releases of Funds...... 22

2.3.3 Efforts to Generate More Revenue...... 22

2.3.4 Challenges with Regard to Disbursement...... 22

3.1 Updates on Indicators and Targets...... 23 3.1.1 Agriculture...... 23 3.1.2 Education ...... 25 3.1.3 Health ...... 28 3.2 Updates on Critical Development and Poverty Issues...... 36 3.2.1 The School Feeding Programme...... 36 3.2.2 Incentives for Business Development ...... 38 3.2.4 The Sustainable Management of Lake Bosomtwe Project ...... 40 3.2.5 Social Welfare...... 41 3.2.6 Poverty Status of the District...... 42 4.1 The Way Forward...... 43 4.2 Conclusion...... 44

List of Tables

Table 1: Programmes Activities and Achievements for 2015...... 05

Table 2a: District’s Development Fund (DDF) Projects...... 09

Table 2b: District Assemblies Common Fund (DACF) Project...... 12

Table 2c: GETFund Projects...... 14

Table 2d: GOG and Other Projects ...... 16 Table 3: Revenue Mobilisation Performance as at 31st December 2015...... 33 Table 4: District Indicators and Parameters Agriculture...... 36 Table 5: Registered Farmers in Bosome Freho...... 38 Table 6: Staffing Situation in Public Schools ...... 26 Table 7: District Indicators and Parameters (Education)...... 27 Table 8: BECE Pass Rate 2010-2015...... 28 Table 9: District Indicators and Parameters (Health)...... 29 Table 10: Situation of Core Health Staff ...... 30 Table 11: District Indicators and Parameters (HIV)...... 32 Table 12: District Indicators and Parameters (Transp. & and Account Gov.) 32 Table13: No. of Births Registered for 2015...... 33 Table 14: Beneficiaries under the School Feeding Programme...... 34 Table 15: Beneficiaries of Rural Enterprises Project...... 36 Table 16: Trained and Start Up Beneficiaries (2015)...... 37 Table 18: Update on Indicators and Targets (GYEEDA)...... 38 Table 19: Access to Safe Water and Sanitation ...... 39 Table 20: Categories of Disabled Persons Registered...... 40 Table 21: Family Welfare Cases Handled From 2007 to 2015...... 40

1.1 Introduction

In compliance with statutory requirements for monitoring and evaluation, mechanisms are put in place to measure progress of planned programmes and projects undertaken by the district, the Bosome Freho District Assembly on an annual basis prepare a District Annual Progress Report.

The Annual Progress Report 2015 was prepared within the context of programmes and projects, which are in line with the seven thematic areas of the Medium Term Development Plan (MTDP) as follows:

 Ensuring and sustaining macroeconomic stability  Enhanced competitiveness of Ghana’s Private Sector  Accelerated agricultural modernization and natural resource management  Oil and Gas  Infrastructure and Human settlement Development  Human development, employment and productivity  Transparent and accountable governance.

In addition to programmes and projects initiated at the local level, the Assembly also monitor and report on direct national and development partner interventions ongoing at the local level and report on their status of implementation. Beside these, the Assemblies report on core indicators which give indication to the level of welfare of the people and therefore serve as tools of evaluation for the various poverty reduction interventions put in place by central government and development partners at the grassroots level.

1.1.2 District Profile The Bosome Freho District Assembly is among the 30 political and Administrative Districts in the Ashanti Region, established under the Legislative Instrument (L.I.).

1.1.3 District Governance The District has 4 Area Councils made up of the following (Bosome, Bosomtwe East, Sunso Freho and Nsuta). By the creation of more electoral areas, the District now has 21 electoral areas. The Assembly has 21 elected members and 9 government appointees making the sum total of 30. They constitute the District Assembly and perform legislative functions of the

Assembly. The District Chief Executive and the Member of Parliament for the Constituency are also ex-officio members of the Assembly Traditionally, the District is mostly ruled by ‘Adikrofo’, most of the land belong to the Kokofu

Paramountcy and Dadease Traditional Council which is an oberempon stool.

1.1.4 District Assembly and its Objectives

The Assembly is the highest political and administrative body in the District and therefore exercises deliberative, legislative and executive functions. It has the mission and responsibility to improve the quality of life of the people through sustainable development. To achieve this mission, the District has set itself certain objectives namely:

 To facilitate the effective functioning of the local government administration in the District.  To ensure efficiency and effectiveness in the use of resources of the District and the decentralized departments.  To monitor, co-ordinate and harmonize the implementation of development plans and activities in district.  To facilitate the provision of basic social and economic infrastructure and services in the district.  To facilitate community based and private sector development in the district.

1.1.5 Purpose of the 2015 Annual Progress Report (APR) The purpose of the 2015 Annual progress Report is to assess and evaluate the performance of the Assembly, review and provide information on the impacts and achievements of the district based on the objectives set –out in the Medium Term Development Plan (2014-2017) in relation to the programmes and projects targeted for the year 2015.

This report therefore indicates the level of progress of development programmes and projects initiated both by the District and the Government. Also the core indicator levels were examined to access their performance. The report also accessed the medium term development plan 2014- 2017 in its first year of operation. As part of the exercise, funding sources of revenue for project implementation were also reviewed to indicate the volume that was made available during the period and timeliness. Critical poverty interventions being implemented in the District were also reviewed to see their progress.

1.2 The key M&E objectives for the year

The report is to assess and evaluate the performance of the District Assembly, review and provide information on the impacts and achievements of the District based on the objectives for the year 2015. This was achieved by assessing and collating achievement by various departments within the District based on the objectives set by them and the implementation of major projects and programmes that the Assembly planned to undertake. Among the primary objectives of the Assembly for the year were among the following;

A. Ensuring and Sustaining Macroeconomic Stability

i. Increase Internally Generated Fund by 40% by December 2015

B. Enhancing Competitiveness in Ghana’s Private Sector

 To improve upon 220 private businesses access to finance by December 2015

 To improve upon the knowledge and skills of 210 small scale business entrepreneurs by December 2015

C. Accelerated Agricultural Modernisation and Agro-based Industrial Development

 To promote the adoption of modern technology among 50% of farmers within the District by 2017.

D. Infrastructure and Human Settlements Development

 To improve access to energy supply for both domestic and commercial purposes by 23% by 2017  To improve upon 5Key Road Networks in the District by December 2017  To draw a comprehensive settlement scheme for ten (10) communities by Dec. 2017  To Improve upon coverage of potable water from 35% to 45% by December 2017  Electricity Coverage Increased by 20% in the District by 2017

E. Human Development, Productivity and Employment

 Open a register of businesses/entrepreneurs for Local firms

 Organise business development training programmes for 200 small and medium Scale Entrepreneurs by December 2017

 Reduce diseases of public health importance by 10%

 To halt and reverse the further spread of HIV/AIDS

 Give financial support to 30 men and 10 disabled women to support their education

F. Transparent and Accountable Governance

 To strengthen the capacity of 4 Area councils by Dec. 2017  To strengthen the capacity of the Assembly in efficient and effective service delivery by 2017.  To improve women’s participation in local governance from in 2009 to 45% by 2017.

1.3 Processes Involved and Difficulties Encountered.

Beside the review of major programmes and projects of the District Assembly the Decentralised Departments also reported on their performance against set targets. Among the key departments which reported on their performance to the Assembly were Education, Health and Agriculture, Department of Community Development, Department of Social Welfare and the Business Advisory Centre.

Major challenges encountered during the process of compiling the report were as follows;

. Limited funding for the implementation of programmes and projects outlined in the District annual action plan. The District relied mostly on the District Assemblies Common Fund and there was a huge deficit. The Internally Generated Fund (IGF) of the Assembly has been very low over the years of the Assembly’s operation.

. Excessive delay in the release of the District Assemblies Common Fund

. Inadequate logistical support for monitoring and evaluation of the Assembly activities

. Excessive delay in the release of the District Development Facility (DDF)

. Delay in the preparation and submission of reports by Departments of the District.

2.1 Status of Implementation of the MMTDP in 2015

The Bosome Freho District Assembly is in the third year of implementing the 2014-2017 District’s Medium Term Development Plan.

In this regard the 2014, budget of the Assembly and other expenditure were prioritized in favour of policies programmes, projects and interventions within the seven thematic areas of the MTDP. The performance of the Assembly in terms of programmes and projects were deduced from the 2015 Annual Action Plan and Budget.

Table 1: Programmes Activities and Achievements for 2015

S/N Activities Location Achievement Absolute Achievement Result (%)

001 Organise 4no. General Assembly Asiwa Two meetings organised 50% meetings 002 Organise 4 Executive committee Asiwa 1meeting organised 25% meetings 003 Organise 28 subcommittee meetings Asiwa 6meetings organised 21.4%

004 Organise 4 DPCU meetings Asiwa 4meetings organised 100%

005 Contract a mechanic to maintain Asiwa D/A vehicles maintained 100% District Assembly vehicles 006 Procure library and publication Asiwa Library and publication supplies 100% supplies procured 007 Procure cleaning materials Cleaning materials procured 100%

008 Maintain street lights on quarterly Districtwide Street lights maintained 100% basis 009 Support to area council activities Districtwide Activities of area councils supported 100%

010 Support to the activities of presiding Asiwa Presiding members activities 100% member supported 011 Provide maintenance to office Asiwa Office machines maintained 100% machines 012 Embark on quarterly auditing of all Districtwide Revenue heads audited 70% revenue heads at their stations 013 Support MP's project annually Districtwide MPs project supported 100%

014 Support activities of the district District Business Advisory Centre 100% business advisory centre supported 015 Organise training workshop for 40 Districtwide WATSAN Committees trained 100% WATSAN committee members 016 Organise half yearly workshop for area Asiwa, , Nsuta 8 workshops orgainsed 100% council members Morontuo and Abosamso 017 Provide capacity building for staff Staff capacity building organised 100%

018 Embark on minor maintenance on Districtwide Assembly buildings maintained 80% Assembly Buildings 019 Support 2 national celebrations Asiwa 6th March and Independence Days 100% Celebrated 020 Provide maintenance for grader on Assembly Grader Maintained 100% quarterly basis

021 Branding/marketing of Bosome Freho Assembly’s website with Macks 100% District annually Publication operational 022 Organise periodic public fora Districtwide Public Fora organise 100%

023 Support culture and security related Districtwide Culture and Security activities 100% issues supported 024 Support DPCU activities annually Asiwa DPCU activities supported 100%

025 Organised half yearly pay your levy Two pay your levy campaigns 100% campaign organised 026 Embark on planning scheme for four Asiwa, Bobiam, - communities annually Anyinase and Anyanso 027 Provide assistance to decentralised Districtwide Decentralised departments supported 100% departments 028 Support to NALAG activities Nalag Activities Supported 100%

029 Procure and supply 200 low tension Districtwide Low tension poles 100% poles to support rural electrification 030 Construct 2no. area council blocks at Nsuta and Morontuo 1area council block constructed 50% Nsuta and Morontuo 031 Completion of 1No. 44 office Asiwa Central Administration Block 100% Administration Block Completed 032 Completion of construction of 12 Asiwa Junior Staff Quarters Completed 70% Room Nurses Junior Staff Quarters 033 Completion of construction of 1No. Asiwa Construction of Staff Bungalow 100% Semi-Detached Staff bungalow (No.3) Completed

034 Support to Community Self Help Districtwide Community Innitiated Project 100% Project supported 035 Procure office equipments Asiwa -

036 Improve capacity of the registry staff, Asiwa Trainning programmes orgsnied for 100% secretaries, and DPCU members registry staff, secretaries and DPCU members 037 Strengthen the capacity of district Gender Desk officer trained 100% gender desk officer 038 Maintenance of Educational Facilities Districtwide District Education Facilities 60% maintained 039 Create a District Education Fund Districtwide -

040 Construction of 1No. 3Unit Classroom Supom 1No.3Unit Classroom Block under 100% Block construction 041 Construction of 1No.3-unit classroom Kwame-Ntowkrom 1No.3-unit classroom block with 100% block with office and store office and store under construction 042 Construction of 1No. 12-seater Aqua Anyanso Construction of 1No. 12-seater Aqua 100% Privy Toilet Privy Toilet ongoing 043 Cladding of 1No. 6-unit pavilion block Beposo Cladding of 1No. 6-unit pavilion 100% block ongoing 044 Construction of D/A Model School Asiwa D/A Model School under 100% construction 045 Procure Poly-tank for Schools Selected Schools -

046 Support to School Feeding programme 27 selected schools School Feeding programme 100% supported

047 Support to Sport Development Districtwide District sporting activities supported 100%

048 Support to District Immunisation Disstrictwide District Immunisation Campaign 100% Campaign supported 049 Support to Malaria Control Districtwide Malaria Control Programmes 100% Programmes supported 050 Organise Educational Campaign on Districtwide HIV/ AIDS educational campaign 100% HIV/AIDS organised 051 Organise behavioural Change Districtwide Behavioural change communication 100% communication Campaign in mining campaign organised communities 052 Organise programmes to improve upon Districtwide Maternal health activities suported 100% maternal health 053 Support District Sanitation Districtwide Disrictwide sanitation programmes 100% programmes supported 054 Collect data on water and sanitation Districtwide Data on water and sanitation 100% facilities collected 055 Embark on Districtwide Cocoa Districtwide Cocoa spraying exercise conducted 100% Spraying Exercise 056 Maintain Office facilities Asiwa Office facilities maintained 100%

057 Organise capacity building training for Asiwa Capacity building organised for D/A 100% Staff and D/A members members and staff 058 Organise fire fighting campaign Asiwa Anti bush fire campaign organised 100%

059 Organise National Farmers Day Dwoamin National farmers day organised 100%

060 Embark on Social Education Districtwide Social education organised 100%

061 Support to Disabled persons Districtwide Disable persons supported 100%

062 Support to Districtwide Tree Planting Districtwide Disrict Tree planing activities 100% Exercise supported 063 Maintenance of Feeder Road Districtwide Feeder Roads maintained 100%

064 Support to Disaster Management Asiwa Disaster management activites 100% supported

2.2 M&E Activities Report

2.2.1 Programme / Project status for the year 2015

During the year under review the District Worked on about thirty-one (31) infrastructural projects. About half of the projects (15) of them were projects which were started earlier whilst the other 50% were started in the year. At the close of the year the projects were at various level of completion as indicated from the tables below. Among the sources of funding for the projects were the District Assemblies Common Fund (DACF), Districts Development Fund (DDF), Community Based Development Project (CBRDP) and the Ghana Education Trust Fund (GETFund).

PROGRAMME AND PROJECTS STATUS AS AT 31ST DECEMBER 2015

Reporting Period: January – December 2015

Table1: District’s Development Fund (DDF) Projects

No. Project Title Location Funding Contractor Contract Sum Rev. Payment Award Start Expected Actual Status Stage Source (Gh¢) Contrac To Date Date Date Completion Compl. (%) t Sum 01 Supply of 1,000 Districtwide DDF Anapim 69,000.00 69,000 25/10/10 15/11/1 28/02/2011 13/12/ 1,000 pcs of 100% Dual Desk Company 0 2010 furniture supplied Limited 02 Cladding of 2 No. Anyanso DDF Mountplex 52,838.73 51,612.00 28/10/10 15/11/1 28/02/2011 02/03/ Project 100% 3-Unit Classroom Limited 0 2 011 Completed Block with office and store

03 Construction of 1 Nsuta DDF Gyensuaa 44,932.23 43,851.60 25/10/10 12/11/ 25/02/2011 14/03/2 Project 100% No. 12 Seater Aqua Company 2010 011 Completed

Privy Toilet and Limited Urinal 04 Construction of 2 Nsuta DDF Anapim 44,988.93 40,487 25/10/10 12/11/ 25/02/2011 28/01/ Project 100% No. 10- Unit Company 2010 2011 Completed Market Stalls Limited

05 Construction of 1 Esaase DDF Gafak Elect. 55,505.47 54,007.9 28/10/10 12/11/ 12/03/2011 20/06/ Project 100% No. 3- Unit And Const. 2010 2011 Completed

Classroom Block Works with Office and Store 06 Construction of 6- Asiwa DDF Ernboat 123,813.80 123,735.0 28/10/10 12/11/ 28/04/2011 06/04/ Project 100% Unit Market Stores Const. and 8 2010 2011 Completed and Banking Hall Trading Ent. 07 Cladding of 1 No. Korkyekrom DDF Oppong 53,243.40 49,227.5 28/10/10 12/11/ 28/02/2011 25/05/ Project 100% 6-Unit Classroom Kwabia 2010 2011 Completed Block with Office Enterprise and Store 08 Construction of 3- Asiwa DDF Ernboat 118,307.75 118,547.5 07/03/12 15/03/1 15/09/12 9/07/12 Project 100% unit Market Stores, Const. and 2 Completed 10Unit Mkt Stalls Trading Ent. and Banking Hall 09 Construction of Nsuta DDF Osbel 129,791.20 123,197.9 07/03/12 13/03/1 13/11/12 26/10/ Project 100% 7Unit Market Enterprise 0 2 12 Completed Stores with Police Ltd. Post attached 10 Rehabilitation of Anyanso DDF Osbel 39,907.01 37,803.40 07/03/12 14/02/1 14/06/12 19/09/1 Project 100% 1No. 4Unit Enterprise 2 2 Completed Classroom Block Ltd. for Ahmadiyya JHS

11 Construction of Freboye DDF Osorommoa 69,985.30 66,373.65 07/03/12 14/03/1 14/07/12 10/07/1 Project 100% 1No. 3Unit Construction 2 2 Completed Classroom Block Ltd. for Freboye D/A JHS 12 Construction of Awheaso DDF Illimitable 69,897.30 69,897.00 07/03/12 15/3/12 15/8/12 13/812 Project 100% 2No. 2Unit and Ampaha Ghana Co. Completed Kindergarten Ltd. Blocks 13 Clearing of Mmorontuo DDF Works 15,000 15,000 Project 100% Ankaase- – Ankaase Dept(Direct Completed Mmorontuo feeder Labor) road 14 Construction of 50- Anyanso DDF M/S Osbel 189,789.00 - 186,739 08/02/13 08/10/2013 18/06/2 Works Completed 100% Unit Market Stalls Limited 013

15 Construction of Danso DDF Panquit 40,222.35 - 39,987.00 25/02/13 27/05/2013 4/07/13 Project 100% 1No. 2-Unit KG Completed Block with Office and Store 16 Construction of Nyamebekye DDF Ernboat 70,289.52 - 63,655 08/02/13 10/06/2013 22/5/13 Project 100% 1No. 12-Seater re Const. and Completed Aqua Privy Toilet Trading Ent. 17 Rehabilitation of Ankaase DDF Ernboat 113,581.47 - 79,696.50 08/02/13 10/06/2012 22/5/13 Works Completed 100% 2No. 3Unit Const. and Classroom Block Trading Ent. with Office and Store for Methodist Prim. School

18 Construction of Nsuaem I DDF Almay 125,111.36 - 112,340.3 19/06/14 19/09/14 Project 100% 1No. 3Unit Construction 4 Completed and is Classroom Block Limited in use

19 Construction of Anyanso DDF OSBEL ENT. 156,895.09 135,898.9 19/06/14 19/09/14 22/12/1 Works Completed 100% 6Units Lockable LTD. 2 4 Stores 20 Construction of Anyinase DDF Amenfi 72,104.23 64,893.81 19/06/14 31/12/14 22/12/1 Project completed 100% 1No 12-Seater Building & 4 and is in use Aqua Privy Toilet Trad. Ent.

21 Construction of Dunkuraa DDF Panquit 72,150.78 64,935.88 19/06/14 19/09/14 23/12/1 Works completed 100% 1No 12-Seater Company 4 Aqua Privy Toilet Limited

23 Construction of Kwamentow DDF Panquit 131,724.69 19,758.70 08/09/15 08/01/16 Laying of 50% 1No. 3Unit krom Company superstructure Classroom Block Limited block work is in with Office and pro19,gress Store 24 Cladding of 2No. Beposo DDF Obeline 74,833.86 11,225.08 08/09/15 08/01/16 Mobilisation is in 3Unit Pavillion Company progress Classroom and Limited Construction of Office and Store 25 Construction of Anyanso DDF M/S Osbel 100,000.00 15,000.00 08/09/15 08/01/16 Mobilisation is in 6Unit 1st floor Enterprise progress Stores for the limited completion of Anyanso Market

Construction of Supom DDF ASCOTUR 130,149.36 19,522.40 08/09/15 08/01/16 Work is at 45% 1No. 3Unit K Company superstructure Classroom Block Limited level with Office and Store

Table 2: Project: District Assemblies Common Fund (DACF) No. Project Title Location Funding Contractor Contract Sum Rev. Payment To Award Start Date Expected Actual Status Stage Source Contract Date Date Compl. Compl. (%) Sum 01 Construction of Nsuaem DACF M/S Kayak 68,712.69 66,019.49 4/07/07 20/07 /07 04/02/08 June Works Completed 100% Police Station II Enterprise 2010

02 Construction of Appiah DACF M/S 49,986.55 45,035.17 09/05/07 9/6/2007 09/09/07 15/6/20 Project Completed 100% 1No. 3Unit krom 09 Classroom Block

03 Construction of Asiwa DACF M/S Ernogyan 301,92.08 124,757.96 26/07/07 30/08/07 10/04/08 Nov. Works Completed. 100% 1No. 3-Unit Company Ltd 2011 Const. of Kitchen Dormitory Block and Dining Hall with Sanitary terminated House, Kitchen and Dining Hall and 1No. 6Unit Classroom Block for Bosome Freho Secondary School 04 Construction of Asiwa DACF M/S Philip 62,599.29 61,549.92 22/02/08 10/10/09 25/10/08 Feb. Project 100% 1No. 2-Bedroom Duba Co. Ltd 2010 Completed Semi Detached Staff Bungalow (No. 1)

05 Construction of Asiwa DACF M/S Edu-K 75,048.82 90,915. 90,915.46 25/01/08 25/07/08 25/10/08 July Project 100% 1No. 3-Bedroom 46 2010 Completed Staff Quarters 06 Construction of Asiwa DACF Ernogyan 115,709.05 115,709.05 25/01/08 22/02/08 25/10/08 July Project 100% Executive Company Ltd. 2009 Completed Bungalow

07 Completion of Nsuta DACD/SIF M/S 49,598.79 49,598.79 10/11/08 10/11/08 05/02/09 25/03 / Work Completed 100% Const. of Obodantwi 09 Enhanced Rural Const. Ltd. Clinic

08 Construction of Asiwa DACF M/S Nickseth 83,011.40 82,136.50 30/09/09 1/9/09 5/4/10 24/03/1 Project Completed 100% 1No. 2 Bedroom Construction 0 Staff Bungalow at Co. Ltd Asiwa (No. 2) 09 Construction of Asiwa DACF M/S Nickseth 55,877.08 53,298.29 14/10/09 20/10/09 15/04/10 13/10/2 Project Completed 100% 1No. 3-Unit Construction 010 Classroom Block Co. Ltd with Office, Store and Sanitary Facility for Presby Primary 10 Construction of 1 Asiwa DACF M/S Opong 32,046.10 32,046.10 14/10/09 20/10/09 15/04/10 10/6/10 Project 100% No. 12 Seater Health Kwabia Aqua Privy Toilet Center Enterprise Completed 11 Construction of 1 Ankaase DACF M/S 30,982.46 30,981,.49 14/01/10 18/01/10 18/04/20 17/05/1 Project Completed 100% No. 12 Seater Boakyewah 10 0 Aqua Privy Toilet Enterprise 12 Construction of 2- Asiwa DACF M/S Osbel 863,613 1,573, 1,257,132. 21/01/11 26/01/11 26/07/12 Work is 94% Storey 44-Offices Enterprise 322.58 61 substantially Administration limited completed Block

13 Fencing of DCE’s Asiwa DACF M/S Opong 65,374.10 35,181.73 22/2/12 02/03/12 22/2/213 Contract 70% Bungalow Kwabia Terminated Enterprise

14 Construction of Asiwa DACF M/S Osbel 400,000 434,96 160,551.95 08/10/13 07/10/13 08/10/14 Plastering and 65% 1No. 12-Room Enterprise 4.00 fixing of door and Nurses Quarters Ltd. window frames is in progress

15 Construction of Asiwa DACF Obeline 356,343.3 309,107.32 15/05/14 15/05/15 Works completed 100% 1No. Semi Company Ltd 5 Detached Staff Quarters No. 3

16 Construction of Asiwa DACF Direct Labour 29,000 24,000.00 04/08/14 04/04/12 Works completed 100% 3room office with store and sanitary facility for District Electoral Office

17 Construction of Asiwa DACF True 340,000.00 12,782.09 29/09/1 12/08/16 Laying of footing 10% 1No. 6Unit Engineers 5 walls is in progress Classroom Block Const. Ltd. with Office, Store and Library with Sanitary Facilities (Model School)

18 Construction of Anomaw DACF True 85,213.96 51,410.96 29/09/1 29/09/16 Work is at 45% CHPS Compound obi Engineers 5 superstructure level Const. Ltd.

Table 3: GETFund Project

No. Project Title Location Funding Contractor Contract Rev. Payment Award Start Expected Actual Status Stage Source Sum Contract To Date Date Date Completion Compl. (%) Sum 01 Construction of 1No. Morontu GETFund 110,000 01/04/0 01/04 01/12/08 28/11/ Works 100% 6Unit Classroom o 8 /08 13 Completed Block with office store and library

02 Construction of 1No. Dagyans GETFund 110,000 01/04/0 01/04 01/12/08 01/03/1 Project 100% 6Unit Classroom o 8 /08 1 Completed Block with office store and library

03 Construction of 1No. Anoma- GETFund Ernboat Const. 156,891.02 135,770. 26/07/1 17/04/2011 14/12/ Project 100% 6Unit Classroom wobi and Trading 71 0 11 Completed Block with office Ent. store and library

04 Construction of 1No. Semdadi GETFund Osrommoa 156,644.6 149,034. 26/07/ 12/04/2011 14/12/ Project 100% 6Unit Classroom e -so Const. 2 35 2010 11 Completed Block with office Company store and library

05 Construction of Asiwa Invergold 353,337 353,337 7/11/07 7/11/ 24/03 Completed 100% 2Storey Dormitory Construction 07 /11 and Block for Bosome GETFund Company Ltd. Inaugurated Senior High Technical School

06 Construction of 1No. Yapesa MP’s Kwamok 45,895.30 49,613.6 13/05/ 21/05 21/09/2010 17/09/2 Project 100% 3-Unit Classroom GETFund Enterprise 0 2010 /2010 010 Completed Block with Office and Store

07 Construction of 1No. Nsuaem GETFund M/S Amfrank 181,447.6 39,815.4 7/10/20 14/10 14/06/12 Plastering is 70% 6Unit Classroom II Company Ltd 3 4 11 /11 ongoing Block with office store and library

08 Construction of 1No. Duase GETFund F-Nyark 181,350.5 39,815.4 07/10/1 14/10 14/06/12 Work is at 65% 6Unit Classroom Enterprise 4 4 1 /11 plastering Block with office level store and library

09 Construction of 1No. Ampento GETFund Project 100% 6Unit Classroom Completed Block with Office, Store and Sanitary Facilities

10 Construction of 1No. Freso GETFund Project 100% 6Unit Classroom Completed Block with Office, Store and Sanitary Facilities

11 Construction of Anyinase DANIDA M/S Okorogya Works 100% District Education EnterpriseLtd completed Office Block for Bosome Freho District Assembly

Table 4: Other Projects No. Project Title Location Funding Contractor Contract Rev. Payment Award Start Expected Actual Status Stage Source Sum (Gh¢) Contract To Date Date Date Compl. Compl. (%) Sum 01 Rehabilitation of Asiwa NHIS/MPs M/S K. 56,283.51 _ 39,398 30/03/11 15/04 1/08/11 March2 Project 100% Asiwa Health KUMI /11 013 completed Centre 02 Extension of Brofoyedru, GOG Project 100% Electricity Ampantubuo Completed m, Yapesa, Kokoben, Adeito, Anumso, Freboye, Nsutem 03 Partial Bomfa GoG Ussuya Gh. Construction Reconstruction of Junction Ltd. of Culverts Bomfa Jn.-Asiwa Asiwa Completed. Road (km 0.0-26.2 Bitumen surfacing has been done up to Peminase.

04 Rehabilitation of Amoaful – GoG Surfacing has Bekwai (Amoaful) Ampaha – been done up Ampah – Asiwa Asiwa to Abosoma Road

05 Construction of Tebeso II & GPEG M/S Ofei 38,728.73 33,196.0 16/07/20 20/08 7/10/20 Project 100% 2No. 3-Unit Aqua Nsuaem II Brothers 5 13 /2013 13 completed Privy Toilet Const. Works

06 Construction of Anyinase & GPEG M/S Ofei 38,623.73 33,106.0 16/07/20 20/08 7/10/20 Project 100% 2No. 3-Unit Aqua Dunkuraa Brothers 5 13 /2013 13 completed Privy Toilet Const. Works

2.3 Update of Disbursement from Funding Sources

The Assembly has two major sources of revenue for its programmes and projects.

These are the Internally Generated Funds (IGF) and External Inflows

Sources of Internally Generated Funds for the Assembly are;

. Rates . Lands Revenue . Fees and Fines . Licenses . Rent . Investment income . Miscellaneous

2.3.1 The Sources of External Inflow included;

. District Assembly Common Fund . GOG Grants (GETFUND, MP’s Fund etc) . Development Partners Grant (World Bank, GETFund, DDF, MSHAP etc.)

During the year under review revenues accruing to the Bosome Freho District Assembly was as follows;

Table 3: Revenue Mobilisation Performance as at 31st December 2015

Revenue 2011 2012 2013 2014 2015 Source Approved Actual % Approved Actual to % Approved Actual % Approved Actual % Approved Actual % Estimate Performance 2011 Budget for Date 2012 Estimate Performance 2013 Estimate Performance 2014 Estimate Performance 2015 2011 2011 2012 Gh¢ Gh¢ 2013 2013 2014 2014 2015 2015

DACF 1755674.87 540,402.39 31 1,596,068.6 290,514.48 18 2,123,445.5 715,402.62 34 2,662,491.00 601,458.27 2,401,099.76 1,309,738.04 151 6 9

IGF 150,297 172,717.95 115 112,675 89,461.97 79.4 197,878.00 116,755.34 59 200,243.40 87,273.19 223,687.00 183,158.30 82

MP’S 112137.12 43,047.39 38 93,447 92,527.66 99 142,898.24 54,230.08 38 142,898.24 59,663.37 142,898.24 292,781.24 205 C’ Fund

MSHAP 8000 4,000.00 50 5,800 - 5,000.00 2,400.00 48 - - 50,000.00 8,164.75 163

CWSA 35,000 - - 3,5000 144.02 0.42 - - - - - = = =

CBRDP/ 68,000 18,081.00 27 45,000 ------GSOP

GSFP 120,000 123,597.20 103 180,000 363,051.40 202 441,285 604,945 137 441,285.00 782,115.50 441,285.00 417,265.00 94 .00 .40 DDF 548643.19 631,297.99 115 649,733.14 - 427,563.00 244,798.00 47 538,031.00 331,048.03 555,588.00 52,599.02 9

Disability ------21,402.06 48,684.00 34,064.43 69

Source: District Finance Office, (BFDA) February 2015

From the table above, it could be realized that, the Assembly could not achieve its target under any of the revenue source. Yet the performance under Rates, Lands and rent were encouraging.

The Assembly’s performance on Fees and Fines, licenses, and grants was poor. This indicates that the Assembly is not performing well in revenue mobilisation. The Assembly should therefore come out with strategies to improve upon internally generated revenue.

2.3.2 Comments on the Releases of Funds

The District Assembly Common Fund remains the singular major source of funds for investment to the District Assembly. The problem with this fund is the high statutory deductions made at source which at times are not planned at the District level. Also there has been shortfall in the District’s allocation in the fund in recent years which makes it impossible for the District to implement all its planed programmes and projects for the year. The introduction of the District Development Facility (DDF) has supplement the common fund to finance investment activities in the District though the releases per year is not comparable in value to that of the common Fund. Yet it has been very reliable. The District’s Internally Generated Fund (IGF) sources were also limited which made it difficult to finance the Assembly’s recurrent expenditure solely from IGF sources.

2.3.3 Efforts to Generate More Revenue On the IGF, the Assembly was not able to generate enough revenue to meet its recurrent expenditure let alone get additional funds for capital projects. Improving the collection of IGF would involve the following measures:

. Widening the revenue base to bring in more revenue items which were not covered previously . Engaging more commission revenue collectors to work in communities where there are no collectors . Continued and sustained tax education . Formation of revenue mobilization task force. . Motivating hard-working collectors and supervisors . Improving the data base of the district, by enumeration of the rateable population and the preparation of valuation list of all properties? . Formation of revenue mobilization task force to improve the IGF

. Motivating hard-working collectors and supervisors to improve the IGF

. Ceding certain revenue items to the Area councils for collection.

2.3.4 Challenges with Regard to Disbursement.

 Inadequate funding for programmes and projects  Delays in the release of funds which affect project implementation.  Poor Records keeping in the District Assembly’s which affects the extraction of information for report writing  Difficulty in tracking funds from GOG paid direct to beneficiaries without

records to the Assembly.(e.g. GETFUND etc)

3.0 UPDATES ON CORE INDICATORS AND TARGETS

3.1.1 Agriculture

The District’s agriculture is mainly rain fed. During the year under review, the season remained wet and dry. There was moderate rainfall during the first half of the year coupled with intermittent sunny conditions. Performance of crops was general satisfactory. However, the prolonged drought in the third quarter which affected crop yields adversely especially cereals and vegetables.

Table 4: District Indicators and Parameters Agriculture

District Indicators and 2013 Indicator 2014 Indicator 2015Target 2015Achievement Parameters Level Level 1. Percentage (%) increase in yield of selected crops, livestock and fish

Staples i. Maize 8,027 8,100 6,306 12,668 ii. Cassava 9,112 9,200 8,127 136,817 iii. Rice 620 650 620 985 iv. Plantain 79,520 80,000 8,901 12,675 v. Yam 4,200 4,200 396 5,704 vi. Cocoyam 21,250 21,500 3,858 93,277

Vegetables i. Cabbage 11,850 11,900 527 741 ii. Garden Eggs 184 240 219 296

Livestock i. Sheep/Goats 9,950 10,000 3000 110

i. Organisation of Field Days One field day was held maize sites during fertilizer application. Two filed days were organised for cassava sites at Semdadieso and Ankaase . a field day was also organised on maize and the emphasis was on reducing post-harvestb losses. ii. Farm Demonstration by MOFA Maize The department organised five (5) demonstration farms at Mmorontuo, Beposo, Anhwiaso, Anyinase and Abosamso. The sites were used to educate farmers on planting technology and they were also used for post harvest management. Cowpea Cowpea demonstration farms were organised in all 16 operational areas. Farmers were invited witness the use of improved planting materials, spacing of the crop, weed control, pest control and disease management techniques.

Root and Tuber Improvement and Marketing Programme on Tertiary Distribution of Planting Materials to the Tertiary Farmers

During the year 700 farmers registered for improved cassava planting materials and out of the number three hundred and fifteen were supplied the District Agric Development Unit has a capacity for 500 farmers which implies 200 farmers could not be supplied with planting materials.

iii. Extension Services Extension services agric technologies were delivered to farmers through home visits educational meetings, training workshops, field demonstration, method demonstration, field days and farmers day. Technologies extended to farmers included; row planting, soil erosion, use of improved planting materials, post harvest management, sustainable land and water management practices, improved housing etc. iv. Lands under irrigation There is no organised irrigation facility in the district yet, however, irrigation is done mainly by motorised pumping machines along the Anum, Fre, and other streams in the District. An estimated area of fifty (54) hectares is under irrigated cultivation. Irrigation is mainly practiced by vegetable farmers in the district who grow hot pepper, tomatoes, okro, garden eggs and cabbage. v. Field Demonstration Four demonstration farms were established during the year for maize, cowpea and cabbage. Field days was organised on six occasions for cabbage, maize and cowpea production, vi. Block Farm Project

Under the programme, the government give support to group farmers in the form of agricultural inputs so that they pay back after harvesting their crops.

The district benefited und the President’s Block Farm Project under the Better Ghana Agenda. Since 2011, three farm crops (i.e. cowpea, rice and cabbage) were cultivated on 100 acre land at Yapesa, Kokoben, Freso, Brofoyedru, Nsonamoa and Adeito. During the year farm credit worth GH₵33,000.00). An additional amount of GH₵7,000.00 extended to 30 farmers at Fereso enabled them to crop an 80 acre land with Jasmine Rice which engaged 200 additional hands for land preparation, farm maintenance and harvesting.

However the recovery of the assistance extended in the form of cash has been very difficult. In 2011, cabbage farmers in Aeito, kokoben, Yapesa and Nsonoamoa were assisted with insecticides and fertilizers to the tune of GH₵33,000.00 but only 60% of the amount has been recovered as of 3013.

Also, only 30% of an assistance of GH₵7,000.00 extended to Freso Rice farmers had been recovered by the end of December 2013. vii. Fertiliser Subsidy Programme Under the government’s programme 50 kg of NPK was supplied at GH₵51.00, 50kg of SOA at GH₵44.00, 50kg Urea at GH₵50.00.

During the year 230 bags of NPK, 100bags SOA and 20 bags Urea were sold to farmers. viii. National Farmers Day Celebration. The District’s celebration of the National Farmers Day took place on Friday, 4th December 2015 at Ampento. ix. Farmer Registration A total of 200 farmers were registered in the year bringing total registered farmers in the District to 14,000. The trend of farmers registration in the District is as follows;

Table 5: Registered Farmers in Bosome Freho No. Year No. of Farmers Male Female Total 01 2011 2,800 1,200 3000 02 2012 1,500 1,300 2800 03 2013 120 89 200 04 2014 210 116 326 05 2015 150 200 350 Total 4,630 2,705 6676

x. Cocoa Diseases and Pest Control (CODAPEC) programme CAPSID Control There has been a major shift in the implementation of the CODAPEC programme. Unfortunately the District now does not have a central store or input distribution point. Communities in the Bosome and Bosomtwe East Area councils access their inputs from Bekwai cocoa district, whilst those from susnso freho are zoned for Adansi-Brofodru cocoa district in the Adansi North District. Communities in the Nsuta Area Council are now part of the New Edubiase (Adansi South) Cocoa District.

This situation has resurfaced the myriad of problems the programme when the District was first created when the projects was being managed in a similar arrangement. The programme is thus fraughted with a lot of challenges among which are non-supply of inputs to many farmers who continuously complain to the Assembly which has virtually no clout to resolve them.

It was therefore difficult to get statistics of the programme as part of this report because the District Agric Development Unit could not provide a report on the project.

xi Fish Farming There is only one farmer into fish farming in the district with a pond measuring 50ft by 50ft located at Nyamebekyere. However, there is rising interest in fish farming in the District. xii. Challenges of the District Agric Sector i. Lack of irrigation facility ii. High cost of labour iii. Poor road network iv. Activities of illegal mining v. Lack of staff accommodation vi. Inadequate office accommodation vii. High cost of agricultural inputs viii. Unreliable rainfall pattern

3.1.2 Education 1 Overview of Directorate

The District is divided into Six (6) Circuits which are supervised by Six Circuit Supervisors. The Circuits are; Asiwa, Abosamso, Dunkura, Dompa, Nsuaem, and Nsuta. The District has fifty-six (58) kindergartens, fifty-five (55) Primary Schools, thirty-eight (38) Junior High Schools, one (1) Senior High School at Asiwa.

The directorate performed creditably well in all the key activity indicators. As shown below

1.0 Key activities identified for performance during the period

Table 2.1: Key Activities identified for performance by objectives Strategic Key Activity/ Project Implemented Funding Unit/Department/Agency objective source responsible Access -Organized a sensitization durbar on GPASS Scholarship DFID Girls’ Education Unit Scheme - embarked on enrolment drive in communities - organized a SPAM at Esaase Basic School and community HRMD Unit Gender - Performed a yearly harvest of schools and communities DFID Girls’ Education Unit - Distributed GPASS Scholarship packages - A talk show on girls on the need to appreciate the GPASS packages Special Education Quality - Attended the planning meeting at the regional and district Girls’ Education Unit levels on the activities of the year. Management - Interviewed 74 Head Teachers in the district with the view GPEG Management Unit of reassessing their management prowess. BECE 2015 - Organization of mock examination for BECE candidates District Examination Unit help improved the District’s performance Assembly, Hon. Member of Parliament.

i. The distribution of the District’s teacher population was as follows;

Table 6: Staffing Situation in Public Schools Level 2013 2014 2015 Teaching Staff No. No. Total Teaching Staff No. No. Total Teaching Trained Untrained Total at Post Trained Untrained at Post Trained Untrained Staff Male Female Male Female M F KG 69 144 43 170 213 60 150 47 163 210 87 130 81 136 217

Primary 384 84 211 257 468 335 90 241 184 425 303 102 265 140 405

JHS 93 49 204 138 342 283 51 232 102 334 272 64 252 84 336

SHS 25 8 22 11 33 29 6 28 7 35 30 8 29 9 38

TVET 4 1 5 0 5 3 2 5 0 5 -

Total 575 286 485 576 1061 710 299 553 456 1009 692 304 627 369 996

Table 7: District Indicators and Parameters (Education)

No. District Indicators and 2013 Indicator 2014 Indicator 2015 Target 2015 Parameters Level Level Achievement 1 Gross Enrolment Rate (indicates the number of pupils/ students at a given level of schooling-regardless of age – as proportion of the number of children in the relevant age group) - Pre-School 134.2 130 138.8% - Primary 99 98.6 99.8 85.8 - JHS 68.8 71.8 63.7 66.2 - SHS 15.7 19.5 12.9 14.3

Net Admission Rate in primary Schools (indicates primary one 81.5 84.2 67.6% 45.8 enrolment pupils aged 6 years)

2 Gender Parity Index (ratio between girls and boys enrolment rate, the balance of parity is 1.00)

- Preschool 0.96 1.12 1.01 0.96 - Primary 0.99 1.03 0.92 0.88 - JHS 0.84 0.87 0.95 0.78 - SHS 0.97 1.06 1.45 0.81

3 BECE Pass Rate - JHS 67% 29.07 46.8 87.7 - SHS 82.9 86.7 92.3

4 Improvement in Pupils / Teachers Ratio:

 Pre-school 24:1 26:1 26 22  Primary 22:1 23:1 24 23  JHS 9:1 12:1 11 10

5 Increase in % of Trained and untrained Teachers Ratio:

 Pre-school 20% 24.8 - 60.65  Primary 45% 47.5 - 6.8  JHS 59% 63.4 - 24

Table 8: BECE Pass Rate 2011-2015 Year Enrolment Registered Candid. Candidates Sitting Candidates Passing Rate Exams Male Fem. Total Male Fem Total Male Fem. Total Male Fem Total %

2011 541 293 834 541 293 834 540 293 833 315 171 171 58.3

2012 530 376 906 530 376 906 527 322 899 243 147 390 43

2013 486 307 793 486 307 793 486 301 793 331 201 532 67

2014 502 390 892 515 392 907 513 387 900 150 114 264 29.07

2015 477 380 857 447 380 857 474 379 853 425 323 748 87.7

Generally the pass rate has been unpredictable being a little high initially dipping in 2012 rising in 2013 and falling in 2014 again. Over the past five years the results in 2015 was the best. Rising as high as 87%. Mechanism should therefore be put in place to ensure consistency in the pupils’ performance.

From the table above it has been shown that number of girls completing JHS 3 has been increasing steadily. However girls registering for BECE exams and passing showed a downward trend. 2015 was exceptional year in the sense that total number of JHS leavers was highest since 2011. Female candidates and performance was also the best for the past five years.

vi. Challenges to Education Service Delivery in the District . Large proportion of untrained teaching staff in the classrooms . Lack of ICT infrastructure . Inadequate permanent structures for KGs . Inadequate store room for the Education directorate . High incidence of child labour . Low pass BECE pass rate

vii. The way forward . Upgrade the knowledge and skill of untrained teachers through the UTDBE programme . Strengthen supervision . Provide logistics for technical education

3.1.3 Health

4.1.2 Performance of service indicators

1. Expanded Programme on Immunization (EPI) a. The district recorded 64.3% for Penta-3 which is a proxy indicator for routine childhood vaccination services. Measles and Yellow fever vaccination for children under 5yrs achieved 66.7%. b. The district carried out Sub-National Polio Immunization Days (SNIDs) campaign exercise in October, 2015 with coverage of 101.4% of children under 5yrs vaccinated for Polio and 94.4% dosed Vitamin A.

OPD clinical services The OPD health services saw 47.7% of the total population in the district accessing health care at various health facilities in the district. Among the client who sought for service, 62.2% were insured whiles the other 37.8% came without national health insurance.

c. Coverage for antenatal services was 45% of expected pregnancies.

4.1.3 Some key activities

Disease Control/Prevention

1. Malaria control a. Continuous distribution of Long Lasting Insecticide Nets (LLIN) to pregnant women during their first antenatal clinic and children eighteen (18) months and above to prevent malaria transmission. There was also continuous administration of Sulfadoxine Pyramethamine (SP) prophylactic treatment of pregnant women against malaria.

b. Mass campaign of LLIN point distribution exercise was also carried out in December, 2015 to households where an average of every two persons received a treated bed net. A total of 40,031 treated bed nets were given to 70,810 people in 17,163 registered households, giving coverage of 99.8% achieved in the district.

2. HIV/AIDS control The District Assembly, Health Directorate and other partners collaborated in HIV/AIDS control activities. a. Routine PMTCT/HTC services were carried out in all health facilities. Know your status campaign was also carried out.

b. Midwives, Public Health Nurse and other health workers were trained on HIV/AIDS updates. c. Aware creation activities in all 5 sub-districts were done. d. World AIDS Day was celebrated on 1st December, 2015 in the district with grand durbar at Asiwa.

3. Onchocerciasis control The district is hyper-endemic for Onchocerciasis. Three rounds Mass Ivermectin drug distribution for Onchocerciasis control has been carried out in the district. Geographic coverage for all 61 endemic communities was 100% with therapeutic coverage of 87%.

4. School deworming exercise A total of 11,913 out of 15,036 pupils per class enrolment were treated, giving a therapeutic coverage of 79.2%. The exercise achieved geographic coverage of 92.1%, where 105 of 114 schools were covered. Out of school children treated were 1645.

4.14 CHPS Implementation

The District Assembly, Health Directorate, Community leaders and other key stakeholders have are working hard to roll-out CHPS to increase access to health services.

a) The district has demarcated 27 CHPS zones in 21 electoral areas for implementation. All 27 zones are functional with 8 compounds. Two new compounds have been completed for commissioning in January, 2016 at Tebeso I and Abosamso, making total compounds 10. b) The District Assembly has awarded contract for the construction of new CHPS compound at Anomawobi in Nsuta sub-district and work is ongoing. c) A total of 115 health staff has been oriented/trained on CHPS with resource persons from National, Region and District Health Directorate. d) Series of community and key stakeholder sensitization on CHPS concept and meetings have been carried in all 27 zones. e) Community Health Management Committees (CHMCs) have been selected through due process and trained for twenty four (24) of twenty seven (27) zones. f) Community Health Volunteers (CHVs) have been selected through due process and trained for twenty four (24) of twenty seven (27) zones. g) Community leaders and stakeholders have been very supportive with office, residential accommodation and some basic equipment. h) Extensive work has also been done for the implementation of the Community Health Worker 1million CHW) programme in the district.

4.1.5 Health Promotion

Other health promotion activities included;

1. Focus group discussion on reproductive health, teenage pregnancy, etc under Adolescent Health 2. Health talkS to identifiable groups such as Churches, Mosques, information centres and durbars.

4.1.6 Trainings

1. CHPS training for all Health Staff at Bosome Freho District. 2. Training of Community Health Management Committees and Community Health Volunteers 3. Training of Community-Based Surveillance Volunteers on Onchocerciasis drug distribution 4. TB case management training for Health Staff 5. Malaria case management training for selected staff 6. Facilitative supervision for health staff 7. HIV/AIDS training for health staff 8. Training and sensitization of health staff on Mental Health ACT 9. Family planning (FP) training on longterm contraceptives including jadel insertion and removal, logistics management for health staff.

4.1.67Transport System

a. The district has 24 motorbikes but only 6 are functional with as high as 18 broken down. b. The only pick-up for the Health activities is also broken down. The District Assembly and other departmental vehicles including staff personal vehicles and motorbikes are used to support health service delivery.

4.1.8 Infrastructure

Both office and staff accommodation for health have remain a challenge though there has been some improvement. Getting rooms to even hire at Asiwa the district capital for officers is difficult and expensive. The following were achieved:

a. The District Assembly completed construction of residential accommodation for District Director of Health Services. b. CHPS rollout; ongoing activities to commission CHPS compounds at Abosamso and Tebeso I. c. The Assembly has awarded the construction of a new CHPS compound at Anomawobi in Nsuta sub-district. d. A shed was constructed at Nsuta CHPS Compound for routine services. e. Some community leaders and individuals have provided free rooms as accommodation for some health workers in CHPS zones.

4.1.9 Way forward for the year 2016

1. Strengthen CHPS/MCHNP/CHW implementation;

a. Commissioning of two CHPS compounds at Tebeso I and Abosamso b. Ensure all staff stay in their assigned zones c. Launching all CHMCs/CHVs/CHOs in CHPS zones d. Providing basic equipment/tools e. Train/retrain CHOs/CHMCs/CHVs f. Reporting CHPS performance into District Health Information Management Systems software (DHIMS) 2. Strengthen Integrated Disease Surveillance and Response (IDSR) activities to detect cases such as Tuberculosis (TB), Cholera, Acute Flaccid Paralysis, etc. 3. Intensification of health promotion activities. 4. Continue to advocate for improvement in staff and office accommodation. 5. Advocate for strong motorbikes and 4WD vehicles for health 6. Ensure routine servicing and proper maintenance of motorbikes and vehicle. 7. Improve technical support through monitoring and supervision of health activities 8. Ensure periodic DHIMS (District Health Information Management System) validation to check accuracy, timeliness and completeness of indicators. 9. Continuous orienting of newly and existing staff on the objectives of the District to achieve desired results. 10. Conduct staff appraisal as performance improvement tool

The situation of key health indicators in the district is as presented below;

Table 9: District Indicators and Parameters (Health)

No. DISTRICT INDICATORS AND 2013 2014 Target 2015 Achievement 2015 PARAMETERS Performance Performance

1 No. of ANC registrants 1437 (73%) 1332 1500 1392

2 No. of clients making 4+ visits 752 914 1,500 992

3 ANC registrants receiving IPT 1 906 (63%) 534 995 654

4 ANC registrants receiving IPT 2 746 (51.9%) 238 1200 460

5 ANC registrants receiving IPT 3 407 (28.3%) 139 500 185

6 No. of pregnant women receiving TT2 1434 (73%) 1078 1500 110 + 7 Total Deliveries 1036 (52.8%) 953 1100 983 8 No. of deliveries by skilled attendants 624 (60.2%) 602 700 630 9 No. of deliveries by TBAs 412 (39.8%) 351 200 329 10 No. of maternal deaths (institutional) - 1 11 Institutional Maternal Mortality Ratio - 118 (per 100,000) 12 No. of institutional maternal deaths - 1 audited

13 Total number of still births 3 6 0 4

14 Total Number of fresh still births 1 2 0 3

115 No of PNC registrants 1124 (57.3%) 1468 1600 1300

16 No. of family planning acceptors 7541 2784 8,00 2890

17 % WIFA accepting family planning 2563 (14.7%) 15.5 14

18 Total couple years of protection (CYP) 835.5 2080.5 1704

19 No. of institutional infants deaths 0 0 0 0

20 No. of infants admission 0 0 0 0

21 Clients (15-24yrs) who accepted FP 526 (20.5%) 504 612 Service

22 No. of pregnant women sleeping under 1885 350 123 ITN

23 No. of Children immunized OPV 1 2207 (112.4%) 2155 1940

24 No. of Children immunized OPV 3 2090 (109.6%) 2094 1850

25 No. of children immunized measles 2040 (103.9%) 2073 1900

26 No. of children immunized yellow fever 2040 (103.9%) 2073 1890

27 No. of Children receiving at least one 12261 1748 1790 dose of Vitamin A

28 No. of children immunized by age 1 12261 1983 1901 (BCG) 29 No. of children immunized Penta 1 2207 (112.4%) 2155 2207 30 No. of children immunized Penta 3 2090 (109.6%) 2094 2120 31 No. of Non polio AFP detected 3 2 2 32 No. of Leprosy cases 6 2 1 33 No. of OPD cases due to malaria 16410 (53.0%) 13413 1550 34 Total no. of OPD cases that is lab 5062 (16.3%) 8388 8930 confirmed (Mic. & RDT) 35 No. of TB cases notified 11 9 8

36 No. of TB cases cured (sputum 6 2 2 microscopy) 37 No. of TB cases completing treatment 2 3 2

Table 10: Situation of Core Health Staff S/No. Indicator 2012 2013 2014 2015 2015 Indicator Indicator Indicator Target Indicator 01 Doctor 0 0 0 1 0 02 No. of Med. Assistants 2 2 2 4 3 03 No. of Nurses (all 57 92 91 100 83 categories) 04 No. of midwives 3 6 8 12 11

3.1.4 HIV/AIDS The District monitoring of HIV/ AIDS cases is hampered by lack of a hospital. Also the District do not have a sentinel site hence it difficult to calculate the prevalence rate. The only indicator used is the numbers of people who tested positive during the District know your status campaign. In 2009 during the District-wide know your status campaign, forty-five (45) adults between the ages of 15-49 years of age whilst in 2010, one hundred and fifteen (115) persons in the same age bracket tested positive. However in 2011, only twenty-four (24) out of three thousand, two hundred and forty-nine tested positive. In 2012 through ‘know your status campaign’ and prevention of mother to child transmission programme 68 cases were diagnosed.

Table 11: District Indicators and Parameters (HIV) HIV / AIDS HIV/AID Cases

2012 2014 2015 Male Female Total Male Female Total Male Female Total

No. of HIV positive 35 33 68 7 11 18 8 14 22 diagnosed No. of HIV+ cases 13 26 39 3 5 8 4 8 12 receiving ARV therapy No. Tested (PMTT) 511 511 - 702 702 41 816 830

No. HIV+ (PMTCT) - 10 10 - - - 1 2 3

No. Tested (HIV Know 1115 1208 2,323 128 182 310 496 864 1360 Your Status Campaign) No. HIV+ ( KYSK) 33 35 68 - - - 13 18 31

Table 12: District Indicators and Parameters (Transparent and Accountable Governance)

No District Indicators and 2013 Indicator 2014 Indicator Target 2015 Achievement Parameters Level Level 2015 01 Total amount of internally generated revenue 89,561.97 197,878.00 1,046,846 02 Amount of Development Partners and NGO funds 649,847.14 432563.00 432563.00 247,198.00 contribution to DMTDP implementation 03 % of DA expenditure within the DMTDP budget (how much 80% 90% 90% 78% of DA’s expenditure was not in the annual budget?) 04 Number of reported cases of - - - - abuse (children, women and men) 05 Police citizen ratio. 1:8,629 1:3271 1:3271 1:8178

The District’s revenue situation improved over the previous year but it could not match the performance in 2011. The amount of support from development partners towards the implementation of planed programmes and projects in the district reduced had reduced drastically. This is attributable to the fact that support after the implementation of the CBRDP and CWSP projects there has not been any other major projects in the District, also funding from the Ghana AIDS Commission (GAC) towards implementation of HIV/AIDS programmes had virtually ceased.

The problem is further compounded by the fact that three major departments in the district (i.e. the Department of Agriculture, Department of Education and Department of Health) refuse to report on their sources revenue and its corresponding expenditure hence the Administration finds it difficult to report on the inflows of development partners support through these departments who happens to be major recipients.

Birth and Death Registry The registry exists to register compile data on all births and deaths for planning purposes. Though it is evident that not all births and deaths are registered in the district, the following the data captured for the District for from January – December 2013

Table13: No. of Births Registered for 2014

Month New Births Late Registration

2014 2015 2014 2015

Male Fem Total Male Female Total Male Female Total Male Fem Total

January 16 56 177 9 10 19 4 2 6 6 6 12

February 39 24 63 81 73 154 8 1 9 5 2 7

March 32 32 64 30 29 59 1 9 10 1 4 5

April 40 33 73 29 28 57 7 3 10 5 1 6

May 67 63 130 87 91 178 4 1 5 1 7 8

June 57 52 109 51 55 106 3 4 7 6 4 10

July 24 26 50 15 8 23 5 5 10 4 1 5

August 81 84 165 74 62 136 8 3 11 7 1 8

September 79 63 142 43 38 81 4 3 7 2 - 2

October 67 61 128 29 26 55 4 3 7 5 4 9

November 65 71 136 99 113 212 1 - 1 12 6 18

December 87 121 208 41 63 104 3 4 7 5 1 6

Total 699 686 1385 588 596 1184 52 38 90 59 37 96

Deaths Registered Month 2014 2015

Male Female Total Male Female Total

January 1 2 3 6 6 12 February 1 1 2 5 2 7 March 1 1 2 1 4 5 April 1 1 2 5 1 6 May 2 - 2 1 7 8 June - - - 6 4 10 July 2 1 3 4 1 5 August - 2 2 7 1 8 September 1 1 2 2 - 2 October - - - 5 4 9 November 1 1 2 12 6 18 December - - - 5 1 6 Total 10 10 20 59 37 96

Challengers of the Registry i. The CBS volunteers find it difficult to refer people to the district capital to register their births. ii. Most of the inhabitants of the District register their birth and death in other districts such as Bekwai Municipal, Asante Akim South, Bosomtwe and Adansi South Districts due to limited accessibility and their proximity to these places.

The Way Forward i. The registry intends to liaise with midwives and CBS volunteers in the District to help offer door to door services to the new born in other to improve the number of new born registered ii. The registry will also embark on intensive and extensive education campaign through the District Information Services Department on the importance of registering births and deaths especially in the districts where they occur.

3.2 Updates on Critical Development and Poverty Issues 3.2.1 The School Feeding Programme Currently the number of schools under the School Feeding Programme has been increased to 30. During 2012 seventeen more schools were added and the number of beneficiary pupils increased from one thousand, three hundred and sixty-six (1,366) to eight thousand, six hundred and fifty-six (8,656).

Over the year there has been a 1percent increase in the enrolment figures of schools benefiting from the School Feeding Programme. The number of schools benefiting from the programme remained constant. Neither the government nor the NGO operating the programme increased the number schools.

Madamfo Ghana, a non-governmental Organisation operating in the District continues to support three schools in the District, i.e. Banso, Detieso and Apewu Primary Schools.

Major challenges to the efficient running of the programme in the District are;

i. Excessive delay in the release of grants to caterers. Beside the feeding grant being low, the release is always overly delayed which further burden the caterers by payment of high interest on loans secured to run the programme.

ii. Payment of Taxes on grant The five percent tax deducted on the 80p grant further worsen the woes of caterers operating under the programme

iii. Under payment of feeding grant Majority of the caterers recorded high discrepancies in their enrolment figures resulting in underpayment of school grant due them for services they had already performed.

3.2.2 Incentives for Business Development i. Employment Generation and Business Development The level of commercial activities in the District is very low. The major occupation in the District is farming, which engages about 80% of the population. The farming system is mainly subsistence with the exception of some cocoa farmers whose activity is for commercial purpose. Vegetable farming is gaining popularity with emphasis on cabbage production. This account for mass exodus of the youth who are not interested in farming to urban centres such as Bekwai, Obuasi, Konongo, Kumasi, Cape Coast, Takoradi and Accra after they complete basic education. The recent emergence of alluvial gold mining saw laour movement to small scale artisanal mining but farming remains the main stay of the people. ii. The Rural Enterprises Programme In an attempt to diversify the economy, the District in 2010 established District Business Advisory Centre to promote skill training and small and medium scale businesses development. The Rural Enterprises Project which was the financier of the activities of the Business Advisory Centre ended in December 2011, fortunately the programme was re-launched in 2012 and implementation continued through 2013. In the year under review the centre continued to monitor the groups trained and formed new groups. The emphasis of the second phase of the programme is on mushroom production, improving palm oil production and cassava processing.

Table 15: Beneficiaries of Rural Enterprises Project Training Location of Group Type of Activity No. of Persons Trained Male Female Total Ankaase Soap Making 3 19 22 Korkyekrom Baking and Confectionery 28 28 Nyamebekyere Soap Making 5 25 30 Tebeso II Baking and Confectionery 0 26 26 Total 8 98 106

Support for Start-up Kits to Clients Under Business Development Services No. Activity Area Location Male Female Total Hair dressers Asiwa, Bobiam, - 8 8 Ampaha Dressmakers - 8 8 Carpentry 5 - 5 Mason 2 - 2 Welder 3 - 3 Car Spraying 1 - 1 Barber 2 - 2

Total 13 16 29

iv. National Youth Employment Programme NYEP / GYEEDA At the beginning of the year seven modules of the Ghana Youth Employment and Entrepreneurial Development Agency were operational in the District. These included;

. Health Extension Workers . Community Education Teaching Assistants . Community Protection Assistants . Youth in Prisons Service . Youth in Dressmaking . Youth in Hairdressing and . Youth in Waste and Sanitation Management

By July 2014 all beneficiaries under six of the modules exited and their and allowances had been in areas for two months. The only operating module by the end of the year was Youth in Waste and Sanitation. The District Office is currently waiting for directives from the head office to commence recruitment.

Table 18: Update on Indicators and Targets (GYEEDA) Indicators 2011 2012 2013 2013 performance Performance Performance Targets Level level Level Proportion of unemployed N/A N/A N/A N/A youth benefiting from skills/ entrepreneurial training Number of operational 80 80 95 80 modules ( health Extension Workers Community Policing 4 4 4 4 Teaching 78 78 92 78 Prison Assistants - 2 2 2 Apprenticeship -Hairdressing - - - - Apprenticeship -Dressmaking - 50 - -

From the table it is evident that the District operates two main modules, Health Extension Workers and Community Education Teaching Assistants though beneficiaries have exited. The other modules had just a skeletal representation. This implies that youth who had the ambition of acquiring skills to establish their own micro enterprises could not have the opportunity to do so. It could be deduced that the youth in apprenticeship modules were rather a more sustainable means of crating livelihoods for the youth because the employment modules were only giving

short term support. It would then be prudent for the district to focus on the apprenticeship training modules. v. Water and Sanitation Water and sanitation coverage in the district is not the best. Over the years the people’s access to potable water and approved sanitation facilities is worsening. This might be due to lack of intervention in these areas. Prior to the creation of the district communities had benefited from development partners and government of Ghana interventions such as the CWSP 1 & II, RWSP 1V & and its addendum but since 2011 there had not been any intervention in the water and sanitation sector.

Another contributing factor to the problem has been poor maintenance of existing water and sanitation facilities on the part of communities who own the water points and toilet facilities. This has led to the breakdown of existing boreholes, this coupled with increase in population from natural factors and the influx of small scale miners in most communities in the district has contributed to reducing access and coverage of potable water.

Table 19: Access to Safe Water and Sanitation

No. District Indicators and 2011 2012 2013 2014 2014 Parameters Indicator Indicator Indicator Target Achievement Level Level 1 Percentage of population with 35% 40% 45% 50% 47% sustainable access to safe water sources 2 % of population with access 6% 8% 10 20% 10% to improved sanitation (flash toilet, KVIPs, households latrine)

3.2.4 The Lake Bosomtwe Man and Biosphere (MAB) Project Activities of man on the lake and the immediate surroundings is believed to be having negative impact on the lake which is seen to pose serious threat to the continuous existence of the lake. Over the years it’s been observed that shoreline of the lake has receded and fish stock had also reduced drastically. The problems being encountered has been attributed to overfishing and poor farming practices along the lake, natural reduction in annual rainfall and increasing population numbers. Also the rise in other activities of man such as pig rearing, washing of cars and utensils and bathing with soap in the lake are major contributing factors to problems associated with the management of the lake.

To promote sustainable management of the Lake, the United Nations Educational Scientific and Cultural Organisation (UNESCO) through stakeholders, (e.g, District Assemblies, Chiefs and partner organisations) had proposed the creation of the lake basin as a Biosphere Reserve to promote sustainable management of the lake.

Currently, processes are ongoing for the demarcation of the lake as a Biosphere reserve. Work done so far is itemised as follows; . Formation of Lake Bosotwe Community Resource Management Area(CREMA) . Formation of CREMA Executive Committee (CEC) . Research and Monitoring of water quality . Research into dying cultures that promote preservation of the lake . Research and monitoring of climatic conditions along the lake . Research into soil fertility and management As part of the projects sustainability strategy, UNESCO Ghana, has established a desk office at the Bosome Freho District Assembly at Asiwa.

3.2.4 Social Welfare The Department has one officer in charge who is assisted by two National Service Persons. During the year the department registered 114 persons with disabilities and they were able to form a disable Association. Five aged persons were also registered. The categories of physically challenged registered was as follows;

Table 20: Categories of Disabled Persons Registered No. Type of Disability 2013 Total 2014 Total % Male Female Male Female 01 Difficulty Seeing 6 4 10 15 9 24 140 02 Difficulty moving 23 17 40 47 39 86 115 03 Difficulty Hearing 11 8 19 7 9 16 100 /Speech 04 Other 8 6 14 - - - 0 Total 48 35 83 66 48 114 37

The office mainly handle child welfare issues, embark on working visits to disabled persons, and adjudicate Family welfare cases among others. During the period under review, the distribution of case handled by the department is as presented below;

Table 21: Family Welfare Cases Handled From 2009 to 2014

Total No. Child Welfare/ Paternity Child Year Cases Maintenance Reconciliation Custody Reported Boys Girls Men Women Boys Girls Boys Girls

2009 7 2 1 - - 2 - 1 1 2010 19 4 2 - 1 2 4 3 2 2011 17 4 2 - 1 2 2 2 2 2012 14 5 3 - 1 - 1 2 2 2013 31 6 5 - 3 2 - 5 3 2014 181 28 31 19 39 8 18 16 23

3.2.6 Poverty Status of the District Poverty in the district manifests in its agrarian economy. Agricultural production is mainly on subsistence level and food crop production is key. Farm sizes has also diminished greatly which implies that output from household food crop producers cannot feed themselves and leave a adequate surplus for marketing.

Another dimension of poverty that is exhibited in the District is lack of social amenities such as schools, health facilities, banking, and telephone facilities. The key District specific poverty indicators are poor food and nutritional status, poor infrastructural facilities and low school enrolment rates in these areas, inability to access health facilities despite the health insurance policy, low employment and income levels, water and sanitation problems which affects the quality of life of the people. This manifestation is prevalent in the remote communities which are characterized by low incomes, limited accessibility by road and generally poor living condition in areas such as Ohwimase, Anwiaso, Nsuta, Simedadieso, Fereso, Yapesa and Tebeso.

The spatial dimension of poverty is positively correlated to surface accessibility. The Nsuta Area Council, which is farthest from the District Capital and has the poorest road network happens to be the most poverty stricken area of the District. Similarly, the District part of the lake Bosomtwe basin which happens to be the next most poverty endemic zone at the same time have major poverty problems.

4.1 The Way Forward

Given the persistent weak financial position of the Assembly the District’s top priority continues to be the improvement of revenue mobilisation by embarking on an intensive revenue mobilisation campaign. The Assembly shall strengthen its task force to educate the people and enforce the payment of levies to support the Assembly. Effort shall also be made property rates and building permits where very small amount was collected during the previous years.

The Assembly will continue collaborate with other institutions suport departments like the District Education Office, District Agric Development Unit, District Health Management Unit, District Department of Social Welfare and Community Development among others. The Assembly shall also concentrate on completion of the construction of Junior Staff Quarters to improve housing situation for staff.

Attention will also be given to the operationalization of the four Area Councils, Revenue items shall be ceded for the councils and community development officers placed within the area councils. There is the need then to give them further training, encouragement and motivation for them to do their work and generate revenue to support their operation. The statutory allocation from the District Assemblies Common Fund will also be used to provide logistical support and capacity building for the newly elected members.

To realise her major aspirations, the District envisage the need to receive the backing of governmental institutions like the Ministry of Local Government Rural Development and Environment, Energy, Works and Housing, Community Water and Sanitation Agency, Head of Local Government Service, Finance and Economic Planning among others. As institutions of governance these shall provide the broader policy framework within which the Assembly’s initiatives shall conform to receive support from the broader national development agenda. With this mind set the Assembly’s priorities shall be in conformity with national priorities in order for her programmes and project to conform to national objectives.

4.2 Conclusion

It is highly advocated that for the Assembly to fulfil its core mandate of bringing development to the people, there is the need to pursue policies that will trigger sustainable economic activities which will empower the local people and improve upon their livelihoods. Skill upgrading for tradesmen such as carpenters, mechanics, weavers, food processors and small scale manufacturers of industrial products such as soap, powder etc should be at the centre of the training.

Also, the Assembly should not relent on her efforts to improve upon second cycle education and provision of social infrastructure such as markets, water and sanitation facilities, electricity provision and improvement in the road system because this forms the basis for industrial development.

The Assembly should also support agricultural production especially in the food crop production sector. Major rivers in the District such as the Anum, Pra and the Fre has wide flood plains that are suitable for rice cultivation, cabbage production along the slopes and valleys of the Bosomtwe ranges had also proved very profitable. Citrus and oil palm production are also

major potentials of the district beside cocoa. The Assembly should therefore liaise with the District Agric Development Unit to come up with interventions to support production of these crops which has ready market and has proved profitable.