SOUTH DISTRICT ASSEMBLY

IMPLEMENTATION OF DISTRICT MEDIUM-TERM DEVELOPMENT PLAN (2014-2017)

ANNUAL PROGRESS REPORT FOR 2014

PREPARED BY: MUNICIPAL PLANNING COORDINATING UNIT MARCH 2015 AKATSI SOUTH DISTRICT ASSEMBLY

CHAPTER ONE GENERAL INTRODUCTION 1.1 Introduction The 2014 Annual Progress Report (APR) of the Akatsi South District Assembly provides an assessment of the first year implementation of policies and strategies outlined in the Shared Growth and Development Agenda II (GSGDA II), 2014–2017. It is the eleventh in the series of APRs prepared since 2003. Overall, the GSGDA II of the District is to improve the living standard of the people in the District by facilitating effective sustained growth and poverty reduction through effective resource mobilization and management. Policy measures and strategies to achieve this overall goal are prioritized in six out of seven thematic areas of the GSGDA II namely:

• Ensuring and sustaining macroeconomic stability • Enhanced competitiveness of Ghana’s private sector • Accelerated agricultural modernization and sustainable natural resource management; • Infrastructure and human settlements development • Human development, productivity and employment and • Transparent and Accountable Governance.

The 2014 Annual Progress Report (APR) is a review of the status of action taken on the implementation of policies outlined in the Ghana Shared Growth and Development Agenda II. The objectives of the APR are to: • Provide a single source of information on progress the District is making through the implementation of the GSGDA II. • Identify weaknesses that are likely to hinder the achievement of the goals and objectives of the GSGDA II and • Propose policy recommendations for addressing the shortcomings. The outlines and assesses the status of the following: • The core indicators agreed in the 2014 Annual Action Plan including the additional ones that have since been identified. • The linkage between the 2014 Annual Budget and the GSGDA II • Policy initiatives prioritized in the 2014 Annual Budget • Follow-up actions on policy recommendations made in the 2013 APR.

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The document is presented in four chapters as follows: Chapter One: General Introduction Chapter Two: Implementation status of 2014 Annual Action Plans and other programmes Chapter Three: Updates on critical development and poverty alleviation programmes Chapter Four: Summary of recommendations and conclusion

1.2 Objectives of the M&E The Monitoring and Evaluation was to provide regular reports on project progress to different stakeholder groups in a format appropriate for their needs. It would further, not only facilitate the collection, analysis and dissemination of performance and outcomes, but also will enable the National Development Planning commission (NDPC) and other Ministries, Department and Agencies to integrate the outcome of the District Annual Progress Reports (APR) into the National Annual Report which will in the long run be used for the national policy and decision making process.

1.3 Dissemination of the 2013 Annual Progress Report It is important to stake here that the 2013 APR was disseminated to key stakeholders of development agenda. The objectives for disseminating the 2013 APR to key stakeholders include: • Promoting awareness on the content of the 2013 APR; • Obtaining feedback and assessing the impact of the progress made in the implementation of key policy and programme interventions undertaken in the seven thematic areas of the GSGDA; • Maintaining stakeholder ownership of the end products of their diligence; and • Collecting data for the preparation of 2014 Annual Progress Report.

1.4 Preparing the 2014 Annual Progress Report (APR)

1.3. 1 Process Involved The compilation of this report was the outcome of data collection and activity review of the District Planning and Co-ordination Unit of the Akatsi South District Assembly and other stakeholders. There was desktop review of the quarterly reports from various departments and units, group discussion, review meetings and compilation of feedback from the sub-district level

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structures. Annual progress reports of decentralized and non-decentralized department were also used in compiling this report. Data was also collected on social intervention programmes such as School Feeding Programme, Free Uniform Distribution, Capitation programme, NHIS etc.

1.3.2 Data Collection Challenges Among the difficulties encountered in the compilation of this report were the late submission of departmental progress reports and inconsistencies in the reporting format over the years. In some cases, quarterly reports were in arrears of two or one quarter and in the extreme cases some departments completely failed to submit their respective reports for the compilation by the DPCU. The preparation of this Annual Progress Report therefore has again revealed the general weaknesses in data collection and analysis by some of the departments. DPCU had to exert extra effort to be able to complete the report. As part of the effort to address these challenges, several changes will be introduced among which are; • Technical training in the conduct of monitoring and evaluation activities at all levels. • Provision of adequate logistics to support routine monitoring and evaluation. • Technical training in data collection, analysis and report preparation.

1.4 Summary of Progress Made: Status of Plan implementation in 2014 As compared to the previews years, the implementation of the 2014 Action Plan did not run smoothly. There was a general delay in delivery of expected funding to implement the approved programs and projects. Only a little over half (52.3%) of the total revenue was received. The total income received in the year was only GH¢ 2,315,424.75 instead of the budgeted revenue of GH¢ 4,430,740.00.

In the light of the above, most of the projects are still on-going due largely to delays and inadequacy of funds.

Ensuring and Sustaining Macroeconomic Stability More of the projects here are ongoing projects from previous year. Much progress was not recorded in 2014 because most contractors did not report back to site during the period.

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Construction of 1No. open market shed and completion of slaughter house in the Akatsi market were also not started due to lack of funds.

Enhancing Competitiveness in the Private Sector Under Enhancing Competitiveness of Ghana’s Private Sector, much progress was recorded. Through the REP support, the Business Advisory Center developed entrepreneurial skills among SMEs/FBOs/Youths groups and individuals within the period. Training is done in the following areas; • Technology improvement in Cassava Processing • Technology improvement in Pepper Processing • Technology Improvement in Hairdressing • Technology improvement in Beekeeping

The SMEs/FBOs database is up to date. 93 SMEs/FBOs were registered so far as at end of 2014. The Volta Trade Fair which creates an avenue for artisans/farmers to display their handwork to the general public was not organized within the period.

Accelerated Agricultural Modernization and Sustainable Natural Resource Management

For Accelerated Agricultural Modernization and Sustainable Natural Resource Management, about 87.5% success was recorded in the implementation of approved projects. Most of the projects were carried out. Agric Extension Agents were trained, farmers were educated on post harvest losses, plan implementation and management was strengthened, sustain programme of vaccination was introduced for livestock and improved breed of livestock were also introduced. Only construction of 2No. dams was not carried out due to lack of funds.

Infrastructure, Energy and Human Settlements Development Again, under Infrastructure and Human Settlements Development, only about 77% of approved programs/projects were implemented. Some of these projects include ICT centre at Akatsi No. 1 JHS and Avenorpeme, opening of virgin roads, street naming, water and sanitation programmes and installation of street lights.

Human Development, Productivity and Employment For the Human Development, Productivity and Employment, most of the projects are ongoing from the previous years and are currently at various levels of completion. For most of the classroom projects, contractors have not been to site since the previous years. However, within

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the period, construction of 1No. 6 unit classroom blocks with ancillary facilities at Kpodzivi has been completed. Also, cladding of 6 unit classroom block at Tsigbene was also completed. In health care delivery, the Assembly supported the following programmes; • provision of Long Lasting Insecticide Nets • Expanded Programme on Immunization (EPI) • Public awareness on the outbreak of cholera and Ebola and their prevention • National Immunization Programme

The Department of Social Welfare and Community Development, in collaboration with NGOs also carried out the following programmes; • Increase awareness on HIV/AIDS prevention • Sensitization programmes on stigmatization and discrimination against PLWHA • Provision of counselling service to PLWHA • Facilitate distribution of free condoms to the general public • Provide support in income generating activities to 10 PWDs • Provide medical/technical support to 10 PWDs • Support 10 PWD's in formal education annually • Organize public education on disability prevention on the international day of the Disability • Provide ICT training for 50 PWDs • Organise workshop on child abuse (Act 560) • Organise study group discussions in 4 communities on environmental cleanliness and communal spirit • Organize 10No. mass meetings to educate the general public on District Assembly Concept, Government Policies, District Assembly Elections and encouraging women to take up leadership positions • Organize orientation forum for women groups in income generating activities and Home management

Transparent and Accountable Governance A little over 90 percent of programs approved were implemented under the seventh thematic area which is Transparent and Accountable Governance. However, most of the rollover projects were at a standstill because contractors have abandoned them due to lack of funds. During the period under review, the following projects/programmes were completed/carried out; • Renovation of District Fire Officer’s Bungalow, • Organize capacity building workshop for Assembly Staff on database management

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• Organize capacity building workshop for Assembly Staff on file management and record keeping • Purchase of office equipment, machines and stationeries • Organize workshop on violence against women and Gender equity. • Organize advocacy seminars & workshop to change harmful customs & traditions against women • Create public awareness on women participation in local governance

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CHAPTER TWO IMPLEMENTATION STATUS OF PROJECTS AND PROGRAMMES 2.1 Introduction This section looks the progress made in the implementation of projects in the 2014 annual Action Plan. The issues are assessed in terms of whether target are achieved, project on-going, not implemented or abandoned. Some Reasons for non-achievement of result are also assigned for planning purposes.

2.2 Implementation Status of Projects and Programmes The level of implementation of various programmes/project scheduled for implementation in 2014 are presented in the table below.

Table 2.1 Implementation Status of Projects and Programmes ENSURING AND SUSTAINING MACROECONOMIC STABILITY ACTIVITIES LOCATION INDICATORS LEVEL OF ACHIEVEMENT TARGET ACHIEV STATUS REMARKS EMENT OBJECTIVE: To increase IGF by 10% by Dec, 2014 Construction of Lockables Akatsi 2 storey block lockable 1 1 at a standstill Contractor did not stores at Akatsi Market stores completed report back to site (Phase 1) during the period Completion of Lorry Park Akatsi Lorry Park in the Market 1 1 at a standstill Contractor did not in the Market (LOT 3) Constructed report back to site during the period Construction of restaurant Akatsi Restaurant constructed 1 1 at a standstill Contractor did not near Assembly premises near Assembly premises report back to site during the period Construction of 1No. Akatsi 1No. Open Market sheds 1 0 not done Lack of funds Open Market sheds constructed Creation and update of revenue database 1 1 On-going revenue database created and updated regularly

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Organize capacity Akatsi Capacity building 40 40 done 37 males and 3 females building programmes for programmes organized (total = 40) between revenue collectors for revenue collectors the ages of 30-70 years took part in the training Completion of slaughter Akatsi market Slaughter house 5 0 not done Lack of funds house completed Valuation of properties in District Wide Properties valued for 1 0 not done Lack of funds the District revenue collection ENHANCING COMPETITIVENESS IN THE PRIVATE SECTOR OBJECTIVE: Improve efficiency and competitiveness of MSMEs ACTIVITIES LOCATION INDICATORS LEVEL OF ACHIEVEMENT TARGET ACHIEVE STATUS REMARKS MENT Up-date registration District Wide Register of SMES up- 100 93 On-going We registered 93 of SMES/FBOs in dated SMEs/FBOs/Youths so the District far (50 males, 43 females) Develop enterpreneurial skills among SMES/FBOs/youth Organize stakeholder Akatsi Stakeholder consultation 60 65 done 34 females and 31 consultation to organized to prepare participant participants males between the ages prepare work plan work plan and budget s of 18 to 40 years were and budget for for intervention counseled intervention Technology Dzuepe/Avenor Knowledge of the people 25 18 done 18 females between the improvement in pedo in cassava processing beneficiari ages of 18 to 40 years cassava processing improved es took part in the training Technology Torve/Yaluvi Knowledge of the people 25 15 done 9 females and 6 males improvement in in pepper processing beneficiari between the ages of 18 pepper processing improved es to 40 years took part in the training

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Technology Akatsi Knowledge of the people 25 28 done 28 females between the improvement in hair in hair dressing beneficiari ages of 18 to 40 years dressing improved es took part in the training Technology Kpohegah Knowledge of the people 25 24 done 11 females and 13 improvement in bee in bee keeping improved beneficiari males between the ages keeping es of 18 to 50 years took part in the training Business counseling Akatsi Business received 50 65 done 21 females and 34 counseling beneficiari males between the ages es of 18 to 40 years were counseled OBJECTIVE: Expand opportunities for job creation Participate in Volta Ho Participation in Volta 1 0 not done Fair was not organized Trade Fair Trade Fair by VRCC ACCELERATE AGRICULTURE MODERNIZATION AND SUSTAINABLE NATRUAL RESOURCE MANAGEMENT OBJECTIVE 1 : Increase access to extension services and re-orientation of agriculture PROGRAMME ACTIVITIES INDICATORS LEVEL OF ACHIEVEMENT TARGET ACHIEVE STATUS REMARKS MENT Build the Capacity of District wide 15 9 done Only 9 AEAs received Agric Extension Capacity of Extension training Agents and other agents and other staff staff built OBJECTIVE 2: Promote seed and planting material development Reduce the high District wide Incidence of crop pests 85 68 On-going 68 farmers were trained incidence of crop and diseases reduced in correct used of pests and diseases pesticides OBJECTIVE 3: Promote irrigation development Rehabilitation of Gefia, 2No. Dam irrigated 2 0 not done Lack of funds 2No, dam Avenorpeme OBJECTIVE 4: Promote sustainable environment, land and water management

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Strengthen plan District wide Plan implementation and 42 30 done implementation and monitoring strengthened monitoring OBJECTIVE 5: Improve post-production management Conduct education to District wide Farmers educated on post- 200 150 On-going need funds to lay farmers on post- harvest management demonstration harvest management Train and resource District wide Extension Staff trained 11 7 On-going need funds to lay Extension Staff in and resourced in Post demonstration Post Harvest handling Harvest handling technologies technologies Introduce sustained District Wide Sustained programme of 600 705 On-going programme of vaccination for all vaccination for all livestock introduced livestock Introduce improved District Wide Improved livestock and 80 57 On-going 8 of the pigs passed on livestock and poultry poultry breeds introduces breeds INFRASTRUCTURE , ENERGY AND HUMAN SETTLEMENTS DEVELOPMENT ACTIVITIES LOCATION INDICATORS LEVEL OF ACHIEVEMENT TARGET ACHIE STATUS REMARKS VEMEN T ICT OBJECTIVE:• Promote rapid development and deployment of the National ICT infrastructure Complete the Avenorpeme 1No. Library with office 1 1 completed Work is completed but renovation and and store renovated and not yet in use conversion of 1No. converted into ICT Centre Library with office and store into ICT Centre Complete 1 No Library Akatsi 1 No computer laboratory 1 1 On-going Contractor did not and Computer project completed report back to site laboratory projects at during the period

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No. 1 JHS Akatsi

ROAD AND TRANSPORT Support road safety District wide Road safety programmes supported programmes supported Reshaping of Feeder District wide Feeder roads in the On-going Roads in the District District reshaped Rehabilitation of feeder District wide Feeder roads in the not done Lack of funds roads District rehabilitated Construction of Akatsi Akatsi Town Roads in Akatsi On-going Town Roads Constructed. Open up virgin roads in Akatsi Proposed roads opened On-going Akatsi Township Human Settlement OBJECTIVE: Streamline spatial and land use planning system Prepare base map for District wide District have base map 1 1 On-going the District Prepare layout for Akatsi Layout prepared for 1 0 not done Lack of funds Akatsi town Akatsi Provision of logistics Akatsi Logistics and equipments 1 1 Implemented The Office was equipped and equipments for provided with 2No. Desktop Town & Country Computers, 1No. laptop Planning Department computer, 1No. Photocopier, 2No. UPS, 2No. GPS and 1No. Motorbikes. Provide training for Akatsi Training provided for 1 1 done Three (3) staff were trained TCP/DWD/DPCU staff staff in Ho in LUPMIS and GPS Undertake street Akatsi All Streets are named and 1 1 On-going 30 street were named but naming and property all properties numbered no properties are named yet addressing programme Water, Environmental Sanitation and Hygiene

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OBJECTIVE 1: Accelerate the provision of adequate, safe and affordable water Complete the Akatsi 1No. Boreholes 1 1 completed completed and in use construction of 1No. constructed and pumped Borehole at Akatsi District Hospital Training of WATSAN District Wide WATSAN committee 100 92 done committee trained Complete the Avenorpeme High level tank project 1 1 completed completed and in use installation of High completed Level Tank Reformation and District wide WSMT reformed and 100 92 done training of WSMT trained Replacement of EHA's Akatsi 1No. Motorbike procured 1 1 not done Lack of funds motorbike for EHA Water service District Wide Water services monitored 1 1 On-going Lack of funds monitoring Half yearly water District Wide Water quality for 1 1 not done Lack of funds quality monitoring for boreholes monitored half boreholes yearly Administrative support District Wide Administrative support 1 1 On-going Lack of funds for water section of rendered to the water DWD section of DWD Replacement of hand District Wide Broken own hand pumps 66 0 not done Lack of funds pumps replaced Drilling of 2No. Ayitikope & 2No. Boreholes drilled 2 2 completed completed and in use Boreholes Nogokpo OBJECTIVE 2: Accelerate the provision of improved environmental sanitation facilities Acquisition of sanitary District wide Sanitary tools and not done Lack of funds tools and equipment equipment acquired and distributed to staff Completion of 1No. Akatsi 1No. Slaughter house 1 0 not done Lack of funds Slaughter house in the completed and in use market

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Construction of urinal Akatsi Urinal constructed in the 1 1 On-going at the Market Akatsi market Acquisition of 10 No. District Wide Motor bikes acquired 10 0 not done Lack of funds motor bikes EHSU staff OBJECTIVE 3: Ensure the development and implementation of health and hygiene education as a component of all water and sanitation programmes School Health/Hygiene District Wide Health and Hygiene done Education Education conducted in schools Medical screening of food District wide Food vendors screened done 2,445 food and drink vendors vendors were screened Sensitize communities on District Wide Communities sensitized done environmental sanitation on environmental health activities and sanitation activities Acquisition of and District Wide Sanitary farms acquired 1 1 On-going Land acquired development of sanitary and developed for solid farms for final disposal of and liquid waste solid and liquid waste Organize public District Wide Household latrines and 50 47 On-going 47 out of 50 latrines education on construction urinals constructed were being constructed of urinal and household latrine Community Led Total District Wide At least 20 20 16 On-going 16 communities Sanitation (CLTS) Communities declared declared basic ODF Open Defecation Free communities, 47 new latrines were being constructed, with 23 currently ongoing Construction of Animal Akatsi Animal pounds 1 0 not done Lack of funds Pounds constructed Energy Supply to Support Industries and Households OBJECTIVE 4: Provide adequate, reliable and affordable energy to meet the national needs and for export Fix all non-functional District Wide All streetlights done All non-functional street

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AKATSI SOUTH DISTRICT ASSEMBLY street lights functioning lights were fixed Supply and installation of District Wide Street lights supplied and 100 100 done 100 No. street lights street light installed with its accessories supplied and installed in selected areas of the District HUMAN DEVELOPMENT, PRODUCTIVITY AND EMPLOYMENT ACTIVITIES LOCATION INDICATORS LEVEL OF ACHIEVEMENT TARGET ACHIEV STATUS REMARKS EMENT EDUCATION OBJECTIVE 1: Increase inclusive and equitable access to, and participation in education at all levels Completion of 2No. 3unit Adetsewui, 2No. 3 unit classroom 2 2 On-going Contractor did not report classroom block with Wute block completed with back to site during the office and store office and store period Completion of 9No. 6 unit Akatsi, 9No. 6 unit classroom 9 9 On-going Contractor on most of classroom block with Duowodome, block completed with the projects did not ancillary facilities Wuxor, ancillary facilities report back to site during Kpodzivi, the period except for Avadre, Atidzive, Logote, Logote, Agorve, Duawodome. Wute, Kpodzivi is completed Agorve, & Atidzive Completion of 1 No 2 Dagbamatey 1 No 2 storey classroom 1 1 at a Contractor did not report storey classroom blocks blocks completed standstill back to site during the with office, store and period Library Cladding of 1No. 6 Unit Tsigbene 1No. 6unit classroom 1 1 complete Classroom Block block clad d Construction of 1No. 6unit Akuave 1No. 6 unit classroom 1 1 On-going classroom block with block constructed with office and store office and store

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OBJECTIVE 2: Improve quality of teaching and learning Supply of 200 Mono Desk District wide 200 mono desk supplied 200 100 On-going for Basic Schools to all basic schools Organize best District Wide Best teachers/workers 1 1 done teacher/workers awards awarded OBJECTIVE 3: Improve management of education service delivery Increase supervision of District wide Effective supervision 1 1 done teaching and learning conducted Organize common mock District wide Common exams 1 1 done exams organized OBJECTIVE 4: Promote the teaching and learning of science, mathematics and technology at all levels Support Science, Technology District wide STME supported 1 1 done & Mathematics Education (STME) HEALTH OBJECTIVE 1: Bridge the equity gaps in access to health care Completion of Akatsi District Akatsi Akatsi District Hospital 1 1 On- Hospital completed going Completion of 1No Staff Wute 1No. Staff bungalow at 1 1 On- bungalow at Wute Wute completed going Construction of 1 No CHPS Apeyime 1 No CHPS Compound 1 0 not done Lack of funds Compound constructed Construction of 1No. 3 Akatsi 1No. Staff bungalows 1 0 not done Lack of funds bedroom Staff bungalow with constructed boys quarters for UHAS programme OBJECTIVE 2: Enhance national capacity for the attainment of lagging health MDGs, as well as non-communicable diseases (NCDs) and Neglected Tropical Diseases (NTDs) Support the provision of District wide LLINs supplied done LLIN Intensify and sustain District wide Expanded Programme on done Expanded Programme on Immunization intensified Immunization (EPI)

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Create public awareness on District wide Public awareness created 1 1 done the outbreak of cholera and on the outbreak of cholera Ebola and their prevention and Ebola and their prevention Support National District wide National Immunization 1 0 done Immunization Programme Programme Supported HIV/AIDS/STI/TB OBJECTIVE 4: Ensure eradication of new HIV and AIDs/STIs, especially among the vulnerable groups Increase awareness on Akatsi, Awareness on HIV/AIDS done HIV/AIDS prevention in the Avenorpeme, prevention in the four four area councils. Gefia, Wute. area councils increased. Organize sensitization District wide Sensitization done 582 males and 672 programmes on programmes held on females were reached stigmatization and stigmatization and within the period discrimination against discrimination against PLWHA PLWHA Provision of home based care District wide Home based care for 5 5 0 not done Lack of funds for 5 PLWHA PLWHA provided Organize preventive District wide Preventive education done 408 males and 304 education on HIV/AIDs organized on HIV/AIDs females were reached within the period (facilitated by Bethel Clinic Compassion Foundation) Provision of counseling District wide Counseling services to done service to PLWHA PLWHA provided Facilitate distribution of free District wide Both male and female done 3,833 male and 500 condoms to the general condoms are distributed female condoms were public to people distributed to people within the period (facilitated by Homes Fountain) DISABILITY

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OBJECTIVE 6: Ensure effective appreciation of and inclusion of disability issues Identify and collate data on District wide Data collected on 100 1000 821 On- A total of 415 males and PWDs in the District PWDs annually going 406 females were identified as PWDs with varying types Provide support in income District wide Support provided to 10 10 28 Done target exceeded generating activities to 10 PWDS in income PWDs generating activities Provide medical/technical District wide Medical/Technical support 10 4 done target not met support to 10 PWDs provided to 10 PWDS Provide logistics, tools & District wide Logistics, tools & 10 0 not Lack of funds employment to 10 PWDs employment to 10 PWDs done provided Register 10 PWDs with District wide 10 PWDs registered with 10 0 not Lack of funds NHIS annually NHIS annually. done Support 10 PWD's in formal District wide 10 PWD's in formal 10 22 Done target exceeded education annually education supported annually. Organize public education on District wide Public education on done 33 males and 29 females disability prevention on the disability prevention on the took part in this international day of the international day of the programme (facilitated by Disability Disability Organised GHS) Provide ICT training for 50 District wide 50 PWDs trained in ICT 50 59 done Training sponsored by PWDs RLG CHILD DEVELOPMENT AND PROTECTION OBJECTIVE 7:Advance the implementation of the compulsory component of FCUBE Increase public awareness District wide Public awareness on the done 213 males and 238 on the rights of the child in rights of the child in 3 females took part in this 3 communities of each of communities increased programme the four Area Councils. Formation of child panels in Akatsi, Child panels in each area not Lack of funds each area council. Avenorpeme, council formed. done Gefia, Wute.

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Organise workshop on child District wide Workshop on child abuse done 213 males and 238 abuse organized females took part in this programme POVERTY REDUCTION AND INCOME INEQUALITIES Organise study group District wide Study group discussions 4 4 done Communal activities are discussions in 4 held in 4 communities on ongoing in the four communities on environmental cleanliness communities and these environmental cleanliness and communal spirit communities appear cleaner and communal spirit than before. They are Ahlihadzi, Avedzi, Kpevi and Logote Organize 10No. mass District wide Mass meetings organized 10 9 done Lack of funds meetings to educate the to educate the general general public on District public on District Assembly Concept, Assembly Concept, Government Policies, Government Policies, District Assembly Elections District Assembly and encouraging women to Elections and encouraging take up leadership positions women to take up leadership positions Organize orientation forum District wide Orientation forum done for women groups in organized for women income generating activities groups in income and Home management generating activities and Home management TRANSPARENT AND ACCOUNTABLE GOVERNANCE ACTIVITIES LOCATION INDICATORS LEVEL OF ACHIEVEMENT TARG ACHIE STATU REMARKS ET VEME S NT Local Governance and Decentralization OBJECTIVE 1: Ensure effective implementation of the decentralization policy and programmes

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Completion of 1 No. Area Gefia 1 No. Area Councils’ 1 1 at a Contractor did not report Council Office Office completed standstill back to site during the period Completion of 2 No. Semi- Akatsi 2 No. Semi- detached 2 2 at a Contractor did not report detached Bungalows Bungalows completed standstill back to site during the period Completion of District Akatsi District Police Head 1 1 at a Contractor did not report Police Head Quarters Quarters constructed standstill back to site during the period Completion of 2No Akatsi 2 No Bungalow 1 1 at a Contractor did not report Bungalow for GPS & BNI completed and in use by standstill back to site during the GPS commander and period BNI Officer Completion of District Akatsi District Court completed 1 1 On-going contractor is currently on Magistrate court site Revamping dormant Area Gefia, Wute, Dormant Area Councils 1 1 On-going Councils Avenorpeme are functioning Renovation of 1No. Staff Akatsi 1No. Staff bungalow 1 1 completed completed and in use bungalow for District Fire renovated for District officer Fire officer Support National Day District Wide National Day 4 4 done Four National Celebrations Celebrations (Farmer's day, celebrations supported were supported Independence day, Senior (Independence Day, May Citizens day etc) Day, Republic Day and Farmers Day) Installation of office Akatsi Office intercom installed 1 1 On-going ongoing intercom for the Assembly for the Assembly offices offices Organise capacity building Akatsi Capacity for the 1 1 done 10 DPCU staff trained in workshop for Assembly Assembly staff built on database management Staff on database database management management

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Organise capacity building Akatsi Capacity for the 1 1 done 25 Registry staff trained workshop for Assembly Assembly staff built on file management and Staff on file management file management and record keeping and record keeping record keeping Purchase of office Akatsi Office equipment, done 1No. Office projector, equipment, machines and machines and stationeries 1No. Projector screen, stationeries purchased 1No. Office scanner, 1No. Flip charts stand, 10 toners, 5No. Air conditioners and reams of A-4 were purchased Gender Equity and Women Empowerment OBJECTIVE 2: Promote gender equity in political, social and economic development systems and outcomes Organise workshop on District wide Workshop on violence done 106 people participated violence against women and against women and Gender equity. Gender equity organized Carry out research to District wide Research to identify not done Lack of funds identify harmful traditional harmful tradition practices against women, practices against women, disables & children the Disables & children effected Organize advocacy seminars District wide Advocacy seminars & done 106 people participated & workshop to change workshop to change harmful customs & harmful customs & traditions against women traditions organised Create public awareness on District wide Public awareness on done 138 women participated women participation in local created women governance participation in local governance Public Safety and Security OBJECTIVE 3: Improve internal security for protection of life and property Conduct monthly road District wide Road safety and security done safety and security campaign conducted

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Organize quarterly disaster District wide Disaster prevention done prevention education education organized quarterly Support relieved for disaster District wide Disaster victims relieved done victims

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2.3 Implementation Status of other Programmes 2.3.1 Education Update on Educational Institutions The table below presents information on the various levels of educational institutions and ownership status in the district as at 2014. Table 2.2: Update on Educational Institutions – Akatsi District No. Type Public Private Total 1 KG 76 20 96 2 Primary 76 18 94 3 Junior High School 37 9 46 4 Senior High /Technical School 1 - 1 5 Vocational/Technical School 1 - 1 6 College of Education 1 - 1 Total 192 47 239 Source: Akatsi South District Education Directorate, Jan, 2015.

Staff strength at the Education Sector The table below present information on staff strength for the District Education Service as at 2014 Table 2.3: Staff Strength No. Level Total Number of Staff 1 District Directorate 49 2 SHS 122 3 TVET NA 4 JHS 234 5 Primary 365 6 KG 103 7 Special school 1 Source: Akatsi South District Education Directorate, Jan, 2015.

School Enrolments Kindergarten Enrolment in public KGs decreased from 6,927 in 2012/2013 academic year to 4,014 in 2013/2014 academic year. Possible reason could be as a result of the separation of the district into South and North.

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Primary At the primary level, enrolment in the public schools decreased from 15,779 in 2012/2013 academic year to 11,085 in 2013/2014 academic year. Possible reason could be as a result of the separation of the district into South and North.

Junior High School (JHS) At the JHS level, enrolment in the public schools decreased from 5,550 in 2012/2013 academic year to 4,053 in 2013/2014 academic year. Possible reason could be as a result of the separation of the district into South and North.

Senior High School (SHS) At the SHS level, enrolment in the public schools increased from 893 in 2012/2013 academic year to 1,462 in 2013/2014 academic year. This could be attributed to more students being enrolled into the school because of performance and more students being churned out from the basic levels.

School infrastructure/facilities and activities School infrastructure School infrastructure such as classrooms and furniture influence the quality of education. In line with the Government effort of eliminating schools under trees in the medium term, a total of twenty projects are currently under construction/being constructed as at 2014.

Text books Children’s learning is influenced by the availability of textbooks and other learning materials. The District distributed textbooks for basic schools throughout the district including the private schools. The books covered all subjects in primary and JHS.

ICT Free laptops were distributed to some selected teachers that participated in training workshop organized by RLG communications in 2013/2014 academic year to help enhance quality education through ICT. Renovation and conversion of Library to ICT Centre at Avenorpeme was completed within the period Construction of ICT Centre at Akatsi No. 1 JHS is also ongoing.

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School Health Facilities Good health is a recipe for the promotion of enrolment growth, retention and regular school attendance which brings about improvement in learning. The District executed activities such as screening of basic school children for early detection of visual and hearing impairment. Workshop was also organized to educate teachers on preventive measures on malaria and the used of Insecticide Treated Bed Net, as well as Cholera and Ebola prevention.

Science Technology and Mathematics Innovative Education (STME) During the year under review, two training programs on STME were organized. These are; • Training programs to upgrade staff skills for all curriculum leaders in the district in Science and Mathematics • Training program to prepare TLMs using local materials facilitated by JICA Volunteer

Girl Child Education During the year under review, material and financial supports were provided to needy girls to help bridge the gender gap in education. Mentoring camps were also organized for selected participants to build their self esteem.

Performance of the District in B.E.C.E There was an improvement in B.E.C.E performance in 2014. The District recorded a score of 40.20 percent in 2014 (an increase of 37.90% from the previous year. The BECE performance trend for the District is shown in the table below. Table 2.4: Trend of B.E.C.E performance in the District YEAR % SCORE 2010 48.44 2011 33.43 2012 31.72 2013 29.02 2014 40.20 Source: Akatsi South District Education Directorate, Jan, 2015.

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Key Achievement During the year under review, the following can be said to be part of the success stories of the directorate. • Identification and provision of support to children with special needs • Organization of District Common Examination at all levels • Provision of school health sanitation and safety system • Identification and provision of basic school needs to needy pupils • Organization and training of school health organizers.

Major Challenges The following are some of the major challenges of the service in the District • Teacher deficit • Look-warm attitude of some parents, community Heads, SMC/PTA Chairs, School Heads and some Circuit Supervisors. • Infrastructural deficit especially at the KG level • Late release of funds from Central Government.

Policy Recommendations/Way forward: The following recommendations are made on key issues which need to be addressed so as to improve the efficient delivery of policies and programmes being implemented under this thematic area.

• Organization of Teacher’s durbar to sensitize them on the need to show more commitment in teacher professionalism to help improve the BECE performance • Organize Zonal Parent/Teacher’s durbar to sensitize the parents on the roles expected of them to help in the development of education in their communities and the District as a whole. • Strengthening the monitoring and supervision of schools to enhance effective teaching and learning in the District. • There is the need to deepen the incentive for attracting enrolment in science, technology and mathematics courses on the supply of skills required to accelerate growth.

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• The quality teaching, especially in the deprived areas should be enhanced. • The provision of school infrastructure and other teaching and learning facilities needs to be accelerated to reduce pressure on the existing infrastructure as a result of increasing enrolment arising out of the instruction of the Capitation Grant. • The School Feeding Programme and the Capitation Grant Scheme should be sustained. • There should be an increase level technical and vocational education.

Non-Formal Education During the year under review, the unit carried a lot of activities which were undertaken to create awareness and also improve upon literacy delivery particularly on English. By the end of 2014, we have 13 English batch 4 classes with a total number of 321 learners. This is made up of 28 males and 293 females.

Major Challenges Lack of operational cost fund from National headquarters coupled with delays in the release to the district is affecting smooth implementation of the programme.

2.3.2 Health Care The promotion of good health to increase access to quality health care and sustained environmental sanitation was the main objective under the health sector focus area. Progress made towards the achievement of the health sector target was quite remarkable though with limited resources.

Health Facilities There are 38 health facilities in the district. Out of this number, 33 of them belong to the Government whiles the remaining five (5) are privately owned. We have one mission health facility in the district (Cuniberto Clinic). Akatsi Health Centre has been upgraded to a District Hospital but serious cases that report at the facility are always referred to District Hospital and St. Anthony Catholic Hospital, .

Out of the thirty three government facilities, four are health Centers, one District Hospital and Twenty eight (28) are CHPS zones. The health centers provide curative, preventive and

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Maternity services whiles FHU clinics provide only preventive and promotive services. The CHOs in the CHPS zones provide both curative and preventive services modeled along the Navrongo Family Health Project. Most of the CHPS Zones do not have facility. The Akatsi South District Hospital provides out and in-patient facilities as well as laboratory services for 24 hours.

The health Centers are located at Gefia, Avenorpeme, Avenorpedo and Wute. The privately owned facilities are one hospital manned by a Medical Doctor, and the rest three are clinics, manned by a doctor and Medical Assistants whiles the other is a maternity clinic. One of the clinics and the hospital has in-patient and theatre facilities. Four privately owned facilities are located in Akatsi township whiles the last one is located in Lume-Ahugakorpe in Gefia Sub- district.

Staff Strength The staffing position in the district currently is 211 (permanent staff). We have twenty five (25) casual staff and 20 Health Promotion Assistants (BGMS) who are seconded workers. The district has only four Medical Officers, two in the public sector and two in private practice.

Health Status The total OPD attendance was 147,695 in the period under review as compared to 110,884 in 2013 and 100,345 in 2012. The per capita OPD attendance stands at 0.8 There has been no change in the number of diseases that presented at the OPD. Malaria was still the commonest cause of OPD attendance. This had been the issue looking at the records retrospectively. The number of malaria cases that had been recorded from Jan-Dec was 68,049 in 2014 as compared to 48,889 and 46,984 respectively in 2013 and 2012.

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Top Ten Diseases In 2014 Table 2.5: Top Ten Diseases in Akatsi South District, Jan. - Dec. 2012-2014 DISEASES NO. OF % DISEASES NO. OF % DISEASES NO. OF % 2012 CASES 2013 CASES 2014 CASES 68,049 49.64 Malaria 46,984 38.8 Malaria 48,889 36.6 Malaria Acute Acute Acute 16,447 11.99 Respiratory Respiratory Respiratory Tract Tract Tract Infection 16,478 17.5 Infection 15,672 15.0 Infection Rheumatism Rheumatism 10,296 7.51 and Joint and Joint Pains 9,668 10.3 Anaemia 14,732 14.1 Pains 9,545 6.96

Anaemia 7,241 7.7 Diarrhoea 7,666 7.3 Anaemia Rheumatism Intestinal 9,166 6.69 and Joint Worms Diarrhoea 5,967 6.4 Pains 6,457 6.2 Skin Hypertension 6,604 4.82 Diseases and Skin disease Ulcers 5,908 6.3 and Ulcers 6,374 6.1 Intestinal Intestinal Skin disease 6,099 4.45 Worms 5,372 5.7 Worms 5,718 5.5 and Ulcers Diarrhoea 5,842 4.26 Hypertension 3,124 3.3 Hypertension 5,501 5.3 Acute Acute pneumonia 2,583 1.88 Urinary Tract urinary tract Infection 2,492 2.6 infections 2,492 2.4 Acute Eye 2,453 1.79 Acute Eye Infection Infection 1,342 1.4 pneumonia 1,584 1.5 Source: Akatsi South District Health Directorate, Jan, 2015.

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Top Ten causes of in-patient Malaria continues to be the most cause of in-patient in the District. This is followed by Acute Respiratory Infection and skin diseases. The table below presents the details. Table 2.6: Ten Top causes of in patient No. Diagnosis 2013 Diagnosis 2014 1 Malaria 6994 Diagnosis 2014 2 Acute Resp. Infect. 3313 Malaria 13011 3 Skin Disease 1494 Acute Resp. Infect 3585 4 Rheu. & Joint Pain 1477 Diarrhoea Disease 1866 5 Diarrhoea Disease 1459 Rheu. & Joint Pain 1784 6 Intestinal Worm 1272 Intestinal Worm 1648 7 Anaemia 1256 Anaemia 1502 8 Hypertension 791 Hypertension 1274 9 Acute Urinary Inf. 445 Pneumonia 980 10 Road Traffic Accident. 247 Skin Disease 832 Source: Akatsi South District Health Directorate, Jan, 2015.

Ten Top Causes of Deaths (2013- 2014 compared) Malaria and C.V.A continues to be the top most causes of death in the district in 2014, recording 6 and 5 causes respectively. The details are presented in the table below. Table 2.7: Top ten causes of death Diagnosis 2013 Diagnosis 2014 1 Malaria 9 Malaria 6 2 C. V. A. 4 C . V . A 5 3 Hypertension 2 Hiv/Aids 4 4 Neonatal Sepsis 2 Septicaemia 3 5 Pneumonia 2 Anaemia 3 6 Anaemia 2 Trauma Cellulitis 3 7 Gastroenteritis 1 Diabetes Ketoacidosis 3 8 Hiv/Aids 1 Gastroenteritis 2 9 Typhoid Fever 1 Road Trafic Accident 2 10 Chest Ifection 1 Hypoglycaemia 2 Source: Akatsi South District Health Directorate, Jan, 2015.

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Comparism of OPD attendance OPD attendance continued its upward trend in 2014, recording 95,589 attendants. Table 2.8: Comparism of OPD attendance by sex from Jan-Dec 2012-2014 YEAR Total Male Female 2012 100,345 34383 65,962 2013 110,884 41,281 70,103 2014 147,695 52,106 95,589 Source: Akatsi South District Health Directorate, Jan, 201

Malaria Cases Positive test to malaria has also seen an increase from 1,056 in 2013 to 2,838 in 2014 from total test of 1,894 and 5,951 respectively. Table 2.9: Malaria cases Indicators 2012 2013 2014

Malaria Cases (Clinical & Lab Confirmed) 11,232 5,938 13,011

Total Tested 9,861 1,894 5,951

Total Positive 427 1,056 2,838

Source: Akatsi South District Health Directorate, Jan, 2015.

Malaria Cases of Children Under- 5 Years Table 2.10: Malaria cases under five Indicators 2012 2013 2014 No. of Out Patient Cases 5799 5756 8196 No. of Cases On Admission 2936 1365 2869 Total Malaria Death 526 768 1410 Source: Akatsi South District Health Directorate, Jan, 2015.

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Table 2.11 Reproductive & Child Health Services INDICATORS 2012 2013 2014 Antenatal Registrant 1415 1410 1461 Antenatal Visit 8290 9457 8875 Normal Deliveries 1016 976 1041 Caesarian Section 46 105 120 Total Deliveries 1062 1083 1161 Post Natal 963 993 1052 Macerated Still Birth 12 9 9 Fresh Still Birth 8 4 14 Neonatal Death 3 2 2 Maternal Death 0 2 1 Hb of Mother at Regist < 11gm (70%) 508 188 204 Hb of Mother at 36wks < 11gm (70%) 175 57 153 Source: Akatsi South District Health Directorate, Jan, 2015.

NHIS Submission for 2013 To 2014

Table 2.12: NHIS submissions Indicators 2013 2014

Amount Submitted 588,736.02 704,403.78

Amount Received 213,836.04 622,469.02

Outstanding Amount 374,899.98 81,934.76

Source: Akatsi South District Health Directorate, Jan, 2015.

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EPI Performance Table 2.13: Shows the EPI performance from Jan-Dec 2012-2014 Antigen 2012 % cov 2013 % cov. 2014 % cov. BCG 3193 93.5 3580 84.7 3939 91.0 Quinvaxem 1 3044 89.2 3094 73.2 3409 78.7 Quinvaxem 3 2964 86.8 3014 71.3 3337 77.0 OPV1 3044 89.2 3094 73.2 3409 78.7 OPV3 2964 86.8 3014 71.3 3337 77.0 Measles 2889 84.6 3194 75.6 3360 77.6 /Rubella Measles 2 2161 63.3 2351 55.6 2952 68.1

PCV 1 2374 69.5 3084 72.9 3409 78.7 PCV3 2291 67.1 3021 71.5 3337 77.0 Rota 1 2374 69.5 3076 72.8 3409 78.7

Rota 2 2188 64.1 2868 67.8 3312 76.4

YF 2889 84.6 3194 75.6 3360 77.6 TT2+ 2100 61.5 2195 51.9 2640 60.9

Source: Akatsi South District Health Directorate, Jan, 2015.

National Immunization Days Activity (NIDS) Round 1 In all, the district dosed 16,637 children representing 98.1% children 0-59 months with OPV based on the number of Children present in their various houses. For the Sub-districts performance for OPV, Akatsi Sub -district emerged to be the best performing Sub district (114.9%) followed by Wute Sub-district (91.4.%), Avenorpeme Sub- district (85.5%) whiles Gefia Sub-district was the least performing one for the three days (82.7%).

Round 2 The district dosed 16,795 children representing 99.0 % children 0-59 months with OPV and 14,681children with vitamin A representing (96.2%) based on the number of Children present in their various houses Akatsi Sub -district emerged to be the best performing Sub district with OPV coverage of (103.0%) and (99.8%) for vitamin A followed by Wute Sub-district (101.9%) for OPV and

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(96.4%) for vitamin A, Avenorpeme Sub-district (94.2%) for OPV and (93.1%) for vitamin A whiles Gefia Sub-district was the least performing one for the four days with a coverage of (93.2%) for OPV and (91.4%) for vitamin A.

School Deworming Exercise The exercise was successful in all the 10 Circuits in the district and all schools were covered including both private and public giving the district 100% coverage. In all, 19,170 school children were dosed out of a total of 21,112 pupils in the register using 19,461 tablets of Albendazole and 41,532 tablets of Praziquantel giving district coverage of 90.80%.

Antenatal Services The number of ANC registrants was 2,920 in 2014 as compared to 2,613 and 3,096 in 2013 and 2012 respectively. This constitutes district coverage of 66.0% in 2012, 61.8% in 2013 as against 67.4% in 2014.

Supervised Delivery The number of supervised deliveries in the period under review is 910 (21.0%) in 2014 as compared to 1,561 (52.7%) in 2013 and 1,545 (32.9%) in 2012.

Post Natal Care The total number of postnatal registrants in 2014 increased to 1,139 (36.4%) in 2014 as compared to 2,296 (77.5%) in 2013 and 4323 (92.2%) in 2012. Table 2.14: PMTCT/Syphilis from January to Dec 2012-2014

Indicators 2012 2013 2014 ANC Registrants 3096 2613 2920 Rec.Pre-Test Counseling 1804 2025 2520 No. Tested 1347 1764 2433 No. Positive 23 13 16 Mother(s) on ARV - - 2 Rec. Post-Test 1347 1764 2025 Counseling

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Tested for Syphilis 1613 1821 1797 Tested Pos. Syphilis 16 13 11 Treated for Syphilis 10 12 10 Source: Akatsi South District Health Directorate, Jan, 2015.

Table 2.15: IPT Distribution for Akatsi South District Jan. To Dec. 2012-2014 Year Registrants IPT1 % IPT 2 % IPT 3 % IPT 4 % IPT 5 % 2012 3096 2,074 66.9 1639 52.9 1107 35.7 0 0 0 0 2013 2613 1502 57.4 1222 46.7 864 33.0 0 0 0 0 2014 2920 1968 67.4 1003 34.3 573 19.6 156 5.3 8 0.3 Source: Akatsi South District Health Directorate, Jan, 2015.

The District recorded a low coverage in IPT 3 because the mothers visit antenatal clinics later after twenty weeks which makes them to deliver before the third dose.

Maternal Death The district recorded three (3) maternal deaths during the period under review Table 2.16 Maternal death Facility No. of Mat. Death(s) Cause(s) Dist.Hosp. AK 1 1.Septic Abortion

St. Paul’s Hosp. 2 1.Pre-eclampsia 2.PPH

Total 3

Source: Akatsi South District Health Directorate, Jan, 2015.

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Family Planning Family planning is one of the services provided to prevent pregnancy and help people with infertility. The indicators below showed a reduction in almost all the devices in the period under review except the oral contraceptives. Table 2.17: C.Y.P. From Jan.-Dec 2012-2014 Commodity 2012 2013 2014 CONDOM 184 55.16 25.328 PILLS 86.0 71.6 77.4 DEPO PROVERA 1604 1437.1 670.5 JADELLE 72 175.1 269.5 IMPLANON 0 0 125 NORIGYNON 28.58 16.75 43.98 COPPER T 9 0 24.5 Female sterilization 22 Source: Akatsi South District Health Directorate, Jan, 2015.

Method of Preference Generally Clients are now patronizing short term methods more than the long term e.g. Depo Provera

Child Health Service: Child health services comprised mainly of childhood immunizations, growth monitoring, health and nutritional education, treatment of minor illnesses and nutritional rehabilitation of children five years and below. The total CWC registrant for 2014 is 3,523 as against 3,646 and 3,897 in 2013 and 2012 respectively.

School Health Programme The school health programme is a reproductive and child health activity designed to promote the health of children of school going age. The aim of the programme is to ensure early detection, treatment and referral of both communicable and non-communicable disease conditions to appropriate health facilities for prompt attention. During the year under review, school health activities remained one of the health promotion activities of the FHU/FP division that did not

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receive enough support in terms of funding. Health Education talks were given in all the schools. Topics covered included personal hygiene, teenage pregnancy, STIs including HIV/AIDs, Malaria awareness and prevention, nutrition education, inspection of school compound and food vendors, etc.

2.3.3: Water & Sanitation Water Households in the District derive their drinking water from varied sources but the main sources are well, standpipes, rain water, dugout and borehole which together constitute the main sources for 70 percent of households. The largest proportion of households (18.0%) gets their main source of drinking water from boreholes/pumps/tube well. There are other notable sources including pipe-borne outside the dwelling (11.1%), public tap/standpipe (11.4%), harvested rain water (6.0%), and protected wells (0.1%). Only 2.6 percent of households have pipe-borne water inside dwelling. However, the use of unprotected well (7.3%), unprotected spring (0.4%), dugout/pond/lake/dam/canal (13.2%) or river/stream (17.4%) collectively recorded 38.3 percent in the District. The proportions for these four sources are 52.9 percent and 9.7 percent of the rural and urban localities respectively. The proportions who use harvested rain water are 13.2% percent and 2.3 percent of urban and rural localities respectively.

Sanitation Toilet Facilities During the period under review, six (6) institutional toilets have been constructed. This brought the number of institutional toilets in the District to 146. Additionally, while no communal latrines have been constructed, efforts were advanced to increase the patronage of household latrines. The table below presents the summary of toilet facilities in the District.

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Table 2.18: Toilet facilities by type AREA INSTITUTIONAL COMMUNAL HOUSEHOLD Avenorpeme 32 12 2672 Wute 25 5 2225 Gefia 37 2 2896 Akatsi 52 13 6893 Total 146 35 21579

Water, Sanitation and Environment activities During the year, the following activities were carried out; • House to house inspection • Waste management • Clean up exercise • Implementation of CLTS concept • Inspection and hygiene education in schools • Radio discussion on good sanitation and hygiene practices • Health and hygiene education in homes and schools • Inspection and follow-ups on residential/restaurants, Market, hotels, drinking and chop bars • Medical Screening of food and drink vendors

Policy Recommendations: The following recommendations are made on key issues which need to be addressed so as to improve the efficient delivery of policies and programmes being implemented under this thematic area. • There is the need to evolve measures to deal with the management of plastic waste, particularly in the big town on a more permanent basis. • A system for adequate data collection on sanitation on a regular basis should be set up. In this regards, a district study to establish appropriate baseline to support the assessment of the status of progress towards accelerating the provision of adequate sanitation in rural and urban communities.

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2.3.4 Public Safety and Security During the year under review, a total of 60 accident cases were recorded. Out of this number, 47 cases were as a result of motor accident, while the rest, 13 were from car accident. This alarming figures call for public education on road safety, especially for motor riders. Currently, road safety committee has been formed who are championing the safety campaign in the District. On the contrary, defilement, rape and robbery cases saw decreases in the number of cases from 2012. Conversely, murder case has also shot by to 2. Table 2.19: No. of cases before District Police Station CASE 2009 2010 2011 2012 2013 2014 Domestic Violence - 30 35 - - Rape - - 3 5 1 Defilement 3 5 20 19 3 Robbery - 4 4 3 2 Murder 4 3 2 1 3 Possessing Narcotic Drug. - - 2 - - No. of accident cases involving vehicles 26 16 30 8 47 No. of accident cases involving motorbikes 9 12 4 3 13 Source: Ghana Police Service, Jan, 2015.

2.3.5: Justice Administration During the year, three (3) social enquiry reports (SERs) were submitted on orphan and vulnerable children. See attached table for details. Table 2.20 Justice Administration TYPE OF CASE B/F NEW CASE CLOSED PENDING REMARKS Fit Person order - - - 2 - Probation - - - - - SERS to Court - 3 3 - - Supervision - - - - - Licensees - - - - - Committed to - - - - - Inst. (Senior Correctional Centre) TOTAL 3 3 - Source: Department of Social Welfare, Jan, 2015.

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Table 2.21: Family Tribunal TYPE OF CASE B/F NEW CASE CLOSED PENDING REMARKS Maintenance 20 6 4 22 - Custody 2 1 1 2 - Paternity - - - - - Access - - - - - Child Abandonment - - - - - Juvenile Case 2 3 3 2 - TOTAL 24 10 10 26 - Source: Department of Social Welfare, Jan, 2015.

Table 2.22: Child Rights Promotion and Protection TYPE OF CASE B/F NEW CASE CLOSED PENDING FAMILY TRIBUNAL Maintenance 31 76 97 10 - Paternity 4 4 4 - - Custody 1 10 10 - 1 Family Welfare/Reconciliation 2 63 58 7 - General Advice - - - - - Child Abandonment - - - - - Child Trafficking - - - - - TOTAL 38 153 169 17 1 Source: Department of Social Welfare, Jan, 2015.

Table 2.23: Early childhood Development Centre Description Score Number of known centers in the District 8 Number of unregistered centers 7 Number of registered centers 1 Number of boys 210 Number of girls 227 Number of children in the centre 437 Number of trained attendants 3 Number of untrained attendants 16 Source: Department of Social Welfare, Jan, 2015.

Orphanages There are no orphanages operating in the District.

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2.3.6: Persons with Disabilities and Community Care The total number of persons with disability known to the department is eight hundred and twenty-one (821). Below is the breakdown of the PWDs by type of disability in the District. Table 2.24: Type of disability Type of disability Male Female Total Difficulty in seeing 35 23 58 Difficulty in hearing 30 28 58 Difficulty in moving 340 344 684 Strange behavior (psycho-social disability) 5 4 9 Fits and others 5 7 11 Total 415 406 821 Source: Department of Social Welfare, Jan, 2015. During the year, an amount of Eighteen Thousand, Nine Hundred and Seventy-Six Ghana Cedis and Seventy Ghana Pesewa (GHC 18, 976.70) was disbursed to a total of 54 PWDs. Applications honoured are in the area of educational support for 22 PWDs, technical/medical support to 4 PWDs and income generating activities support for 28 PWDs.

2.3.7: HIV/AIDs During the year, 1,375 people were tested and 12 were confirmed positive to HIV/AIDs. There were a series of preventive education on HIV and HCT in the District. Both Male and female condoms were also distributed within the year. Besides the preventive education, anti-stigma discrimination messages were carried out in seven basic schools and other public gatherings. Table 2.25 HIV/AIDs

No. of Patient Tested No. of Patient Positive 2012 2013 2014 2012 2013 2014 980 1125 1375 24 12 12

2.3.8: Fire Service During the year under review, 32 fire cases were recorded. Of this number, the dominant type resulted from domestic fires (20) while bush fire, electric and road traffic recorded 1, 7 and 4 respectively.

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Table 2.26: No. of Reported Fire Cases in the District No. Type of Fire 2009 2010 2011 2012 2013 2014 1 Domestic Fires 6 6 13 33 30 20 2 Bush Fires 1 - - 6 4 1 3 Electric 1 - 2 10 6 7 4 Road Traffic - 2 8 9 4 4 Collision Total 8 8 23 58 44 32 Source: District Fire Office, Jan, 2015

Fire Education and training

The following education and training were carried out during the year under review

• Education on Fire prevention and safety for students of Akatsi College of Education • Training on the use of fire extinguishers for staff of Akatsi District Hospital • Education on Fire precaution and safety for personnel of Kpoviadzi Childhood Development Centre

Key achievement in 2014 • Tremendous reduction in fire outbreaks and accident cases • quick response to fire outbreaks • Increased interaction between the fire service and other disaster management agencies like NADMO and Forestry Division

2.3.9: Disaster management Within the period, some disaster victims were relieved. Additionally, there were series of public education on disaster occurrence and prevention across the District.

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CHAPTER THREE UPDATES ON CRITICAL DEVELOPMENTS AND POVERTY ISSUES

3.1 Introduction Specifically, this section briefly outlines the annual budget of the District and the actual releases in 2014. In other words, it looks at the total releases of the District in 2014 and the actual expenditures from all available funding sources. In 2014, the existing poverty reduction interventions in health, education and general well-being were continued. The status of progress of the National Health Insurance Scheme, the Capitation Grant, the School Feeding Programme, GYEEDA, and other livelihood Programmes are specifically assessed in these chapter.

3.2: Income and Expenditure Trends During the year under review, only a little over half (52.3%) of the total revenue was received. The total income received in the year was only GH¢ 2,315,424.75 instead of the budget revenue of GH¢ 4,430,740.00.

Notwithstanding the above, the performance of the Assembly in terms of internal revenue generation within the period was encouraging. An amount of GH¢360,252.22 was realized instead of the budgeted figure of GH¢ 345,191.00 (representing 104.4% achievement). Table 3.1 reports on funding by sources (GHC). FUNDING 2011 2012 2013 2014 TOTAL SOURCE DACF 2,233,111.80 1,101,386.98 694,837.16 746,427.50 4,775,763.44 DDF 0 580,939.23 198,196.00 419,350.83 1,198,486.06 OTHER GOG 1,061,660.43 1,359,922.31 782,397.62 671,081.53 3,875,061.89 IGF 281,548.99 290,156.50 275,195.74 360,252.22 1,207,153.45 MP’s CF 329,758.83 49,087.66 116,680.78 118,312.67 613,839.94 TOTAL 3,906,080.05 3,381,492.68 2,067,307.30 2,315,424.75 11,670,304.78 Source: District Finance Office, 2014

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Table 3.2 Update on Disbursement EXPENDITURE SOURCE 2011 2012 2013 2014 TOTAL DACF 220,051.48 106,336.46 707,983.83 741,138.51 1,775,510.28 DDF 672,212.71 549,530.94 227,500.71 360,512.47 1,809,756.83 OTHER GOG 1,016,193.58 1,110,525.08 618,857.18 720,964.53 3,466,540.37 IGF 344,770.65 594,958.87 272,176.07 335,830.03 1,547,735.62 MPS CF 267,366.44 118,262.78 50,237.52 115,541.00 551,407.74 TOTAL 2,520,594.86 2,479,614.13 1,876,755.31 2,273,986.54 9,150,950.84 Source: District Finance Office, 2014

An amount of GH¢2,273,986.54 was spent in the running of the Assembly’s businesses within the period.

3.3. District Assembly Common Fund (DACF) The DACF is expected to be released quarterly by the administrator of common fund. Unfortunately these releases more often than not delays seriously which invariably affect development project and other sociable programmes in the district. The funds are not released regularly and timely as expected. Additionally, huge mandatory deductions also affect the DACF balance which derailed the budgeted plans for the district. In effect what is left for development projects is very meager considering the number of projects at hand.

3.4: Internally Generated Fund (IGF) Revenue mobilization is the key function of all Assembly since revenue is the main engine of growth. Even though estimated IGF was exceeded, the Assembly faces the following challenges in its effort to raise fund in the District. 1. Absence of reliable revenue data base. 2. Lack of education and sensitization of the public. 3. Lack of incentives and motivation of staffs and taskforce team members. 4. Inadequate revenue sources.

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Strategies envisaged to generate enough funds for development among others in subsequent years include the following; Revenue Mobilization Strategies For key revenue sources in 2015 Key revenue sources Strategies for collection Property rate • Compile revenue database • Engage a consulting firm • Intensify public education and monitoring • Motivate revenue collectors and revenue taskforce • Prosecute revenue defaulters

Market tolls • Compile revenue database • Intensify public education and monitoring • Motivate revenue collectors and revenue taskforce. • Prosecute revenue defaulters

3.5: Donor Grants- Release of Funds Release of Donor Grants in 2014 was not regular as before.

Updates on Poverty Alleviation Programmes 3.6: National Health Insurance Scheme During the year under review, 58,036 new registrations/renewals were recorded. With the same trend over the years, children under age 18 recorded the highest figure of 21,103. More indigents were also registered within the period. The table below is the break down. Table 3.3: NHIS Registration Coverage. Category 2009 2010 2011 2012 2013 2014

New 11,36`6 11,895 13,265 25,025 58,036 registrations/renewals 3,371 Total Membership 27,569 21,626 38,283 46,956 66,008 Informal Sector 7,473 5,754 6,825 13,824 24,241 16,243 SSNIT Pensioners 18 17 21 106 73 248 Children Under 18 12,967 10,997 6,959 22,182 43,383 21,103 SSNIT Contributors 1,434 1,474 2,717 Aged 70+ 2,868 1,711 1,261 5,579 5,996 3,626 Indigents 25 4 3 2 10,320 11,137 Pregnant women 3,827 5,546 2,962 Total Exempt 15,878 12,729 8,244 33,130 66,792 Source: Akatsi District Health Insurance Scheme Report, Jan, 2015.

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3.7: Ghana Youth Employment and Entrepreneurial Development Agency (GYEEDA). The programme had undergone restructuring during the period under review and therefore no serious activity was carried out within the period.

3.8: School Feeding Programme The provision of Food Rations and School Feeding Program has been ongoing and currently, fifteen (15) schools, with total enrolment of 3,242 are benefiting from the program.

3.9: Capitation Grants Under this, a total of GH¢ 59,034.00 was released as Capitation Grant for the 1st and 2nd terms of 2013/2014 academic year. In addition, decentralized resource planning development and management at the District and school levels were intensified for the proper management of the funds at the district level especially on good record keeping by head teachers.

3.10: BECE Subsidy Government absorbed 75% of Basic Education Certificate Examination fees for 1,160 students in both public and private schools in the district that took part in the 2014 BECE.

3.11: Provision of Free School Uniform As part of the Social Protection Intervention, 1,630 school uniforms have so far been distributed to needy children in public basic schools in deprived communities of the district in 2014.

3.12: Rural Enterprise Programme (REP) Rural Enterprise Programme (REP) is in its starting phase of the second year in the District. The programme seeks to achieve the following in the District,

‹ To reduce Poverty in the Rural Areas. ‹ Improve living conditions and Increase the incomes of woman and vulnerable groups through increased self and Wage Empowerment. ‹ Increase in the number of profitable rural MSEs, ‹ Increase number of growing rural MSEs, ‹ Increase number of rural MSEs that create employment opportunities. ‹ Reduce rural-urban drift in the District.

Within the period under review, 5 activities were executed which benefited 140 participants (53 males, 87 females)

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Table 3.4 REP Activities carried out: S/N Activity Participants Community(s) Remarks M F Total Age bracket 1 Technology in 0 18 18 18-40 yrs Dzuepe and Successful Improvement in Avenorpedo Cassava Processing 2 Technology 6 9 15 18-40 yrs Torve and Yaluvi Successful improvement in Pepper Processing 3 Technology 0 28 28 18-40 yrs Akatsi Town Successful Improvement in Hairdressing 4 Technology 13 11 24 18-50 yrs Kpohega Successful improvement in Beekeeping 5 Business Counseling 34 21 55 18-40 yrs Akatsi Successful

Source: BAC, Akatsi South, Jan, 2015

So far, 93 applicants have registered to the programme. This is made up of 50.males and 43 females.

3.13 Street Naming and Property Addressing Systems The Assembly procured and furnished the street naming secretariat /DPP office with equipments to facilitate the process. Among the equipments procured are 2No. Desktop Computers, 1No. laptop computer, 1No. Photocopier, 2No. UPS, 2No. GPS and 1No. Motorbikes.

Akatsi South District Assembly phased out the implementation of the SNPA. During the first phase, 30No. signage are being installed on some selected street in the Akatsi Township. The Assembly is currently in the process of procuring Auto photo to facilitate the exercise.

Challenges • Inadequate Funding • Inadequate trained staff with knowledge in street naming and property addressing.

Way Forward • Adequate funding is needed

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3.14: Gender and Disability Issues The District Assembly recognizes women participation in decision making and has been carrying out sensitization programmes as a way of building their capacity as well as encouraging their participation in decision making. The Assembly intends to undertake the following activities so as to deepen women participation in decision making on development issues. ‹ Train women in ICT and micro businesses ‹ Integrate people with disabilities into social and cultural life ‹ Support inclusive education programme in basic schools

However, lack of funds constrained the Assembly in investing in some of these important ventures.

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CHAPTER FOUR CONCLUSION AND RECOMMENDATIONS 4.1 Introduction In sum, it is expected that more funds would be mobilized in 2014 to enable the District Assembly implement all on-going projects in the District to improve the standards of living of the people.

4.2 Recommendations The flow of funds from Central Government for development projects in 2014 was inadequate and irregular. This has resulted in delay in the implementation of projects and programmes earmarked for the year. It is expected that while the government is addressing the problem the District Assembly will also consider other alternative sources of funding development projects and programmes.

Heads of the decentralized departments would also be made aware that timely preparation and submission of Quarterly and Annual Progress Reports partly determine the effectiveness and efficiency of the District Assembly in administering the District and do well to submit such reports as early as possible.

In a nutshell, the concept of decentralization through establishment of MMDAs can be achieved through documented and evidence based information on programmes and projects through involvement of stakeholders to be part of the planning process at the local level.

4.3 The Way Forward A number of key issues which needed to be addressed immediately at the district level include the following: ∇ Capacity building of Sub-district structures in the area of community mobilization to enable them initiate and implement programmes of the Area Council ∇ Capacity building of District Assembly staff in ICT to improve the Management Information System ∇ Implement the recommendation on capacity building Plans

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