AMANSIE WEST DISTRICT ASSEMBLY

ANNUAL PROGRESS REPORT

2012

Prepared by District Planning Coordinating Unit

1 CHAPTER ONE GENERAL INTRODUCTION 1.1 INTRODUCTION Like all districts In Ghana, The Amansie West District assembly in 2010 prepared its 2010 – 2013 medium Term development plan based on the Ghana Shared Growth development Agenda (GSGDA) spanning the period 2010 - 2013. To measure performance of the 2010 – 2013, DMTDP, there is the need to prepare an annual progress. This report is the third in the series of reports showing the extent of implementation of the 2010 – 2013 DMTDP.

The District has prepared a Monitoring and Evaluation plan to guide the implementation of the Medium term Development Plan 2010 – 2013. This report therefore is to measure the extent to which indicators set in M&E plan is being achieve.

1.2 PROCESSES This document has been prepared based on the guidelines set in the monitoring and evaluation plan , prepared to measure the extent of implementation of the medium term development plan. as a first step, the District Planning and Coordinating Unit (DPCU) under the auspices of the chairman informed all heads of decentralized department to submit its annual report for incorporation.

The unit was guided by the guidelines for the preparation of the 2010- 2013 Monitoring and Evaluation plan prepared to track the implementation of the DMTDP 2010 - 2013 with special reference to the manual for the operationalisation of District Planning Coordinating Unit, roles were assigned to respective members.

The core monitoring team comprising the Planning Officer, the Budget Officer and the District Works Engineer were tasked to monitor all ongoing physical projects and report to the unit. Even though this team has been doing this for every quarter, the DPCU directed that the team does this monitoring specifically for the preparation of this document. All other members were tasked to make available to the unit, progress made so far in their respective departments. To this end, a format for reporting was thus circulated to all departments for reporting and a deadline for submission was declared.

2 1.3 CHALLENGES AND DIFFICULTIES Development of any report is usually froth with many challenges. The following are some of challenges faced by the DPCU in the preparation of this Annual Progress Report. • Inadequate logistics • Low access to vehicle for monitoring • Inadequate motivation • difficulty in accessing data • poor accessibility to communities

3 CHAPTER TWO PERFORMANCE IN THE DISTRICT

2.1 INTRODUCTION This part of the report is devoted for the discussion on the achievements made in attempting to reach the targets set in the District Medium Term Plan. This has been discussed in accordance with the thematic areas of the Ghana Shared Growth development Agenda (GSDA).

2.1.1 BROAD GOAL OF THE DISTRICT The Amansie west district assembly set the following broad goal to be achived under the DMTDP ““To achieve accelerated growth through modernized agriculture increased industrial activities, deepening decentralization within the framework of increased public-private partnership to achieve the Millennium Development Goals”

2.2 STATUS OF IMPLEMENTATION OF THE 2010-2013 DMDTP The implementation of DMTDP prepared in 2010 is at its third year. The year under review saw the final submission of the document to the National Development Planning Commission.

2.3 UPDATE ON FUNDING BY SOURCES The table below shows update of funding sources from 2011 and 2012. The District Assembly Common Fund (DACF) continues to be the main source of funding to the Assembly. However, with the district passing to access the district development fund, the D.D..F has now become the main source of fund flow into the district.

Table 2.1 Funding Sources 2011 and 2012 2011 2012 DACF 980,189.89 320,736.12 IGF 271,877.83 274,805.16 HIPC FUNDS 65,000.00 25,000.00 GOG GRANTS 32,962.56 552,945.30 DONOR GRANTS (DDF/GSFP) 360,238.40 964,207.53 TOTAL REVENUE 1,710,268.68 2,060,998.54 Source: District Assembly Account Office, Manso Nkwanta (Feb 2013)

4 a) Releases of fund The release of funds as usual to the Assembly has not been regular. This does not only affect expected dates of completions but also impacts negatively on cost of projects.

b) Efforts to generate funds Internal revenue generation continuous to be a challenge for the district. This situation basically is as a result of inadequate data for revenue projections and more importantly, the inadequacy of logistics for revenue mobilization. Efforts being made to generate more funds include: • Embarking on educational campaign on revenue generation • Provision of training, incentives and logistics to our revenue collectors • Revaluation of Properties

2.4 ENHANCING COMPETITIVENESS IN GHANA’S PRIVATE SECTOR Under this thematic area, the following objectives were set • To train 200 entrepreneurs in small scale business management skills by 2013. • To support 10 practicing entrepreneurs to attend local and international trade fairs. • To improve agro- based processing. • To improve human resource capacity for Local Economic Development. • To assist 150 entrepreneurs to access credit from MASLOC by 2013. • To enhance the formation of co-operative societies in the district.

2.5 ACCELERATED AGRICULTURAL MODERNIZATION AND SUSTAINABILITY NATURAL RESOURCE MANAGEMENT The following are the main objectives set under this thematic area • To provide 700 farmers access to farming inputs and extension services through MOFA by 2013. • To promote irrigation farming. • To reduce environmental degradation caused by galamsey operations • To reduce deforestation by 2013 • To increase farmers access to storage facilities to 60% by the year 2013.

5 • To train 1100 farmers in modern farming methods and practices in the district by the year 2013.

• To provide Micro credit for 200 farmers under the MASLOC by the year 2013 The main spirit behind this thematic area and the set objectives is to increase agricultural produce. The table below indicates the trends in output levels in the district.

6 Table 2.2 TRENDS IN OUTPUT LEVELS (2010 – 2013) Indicator National National District 2010 2011 2012 Baseline Target Baseline Target Actual Target Actual Target Actual (2005) Percentage(%) Maize = 0.35 0.52 1.26mt/ Ha 1.9mt/ Ha 1.5mt/ Ha 1.5mt/ Ha 1.0mt/ Ha 1.6 ha 1.10mt/ Ha increase in yield of selected crops, livestock and fish Rice = 0.06 01.56 1.4mt/ Ha 1.5mt/ho 2.5mt/ho 2.5mt/ho 2.45mt/ho 2.5 mt/ ha 2.5mt/ho Cassava= 0.52 mmm0.76 6.1mt/ Ha 1.0mt/Ha 1.3mt/Ha 1.3mt/Ha 13.20mt/Ha 13 mt/Ha 13.50mt/Ha Yam = 0.45 0.65 - - - Cocyam - 5.13mt/Ha 4..5mt/Ha 8mt/Ha 8mt/Ha 6.8mt/Ha 8mt/Ha 7.2 mt/Ha Plantain - 4.88mt/Ha 5.0mt/Ha 9.5mt/Ha 9.5mt/Ha 9.6mt/Ha 9.5mt/Ha 10.20mt/Ha Source: District Agric Department, Manso Nkwanta (FEB. 2013)

7 TABLE : 2.3 EXTENSION DELIVERY IN AMANSIE WEST DISTRICT

No.

OPERATIONAL AREAS PARAMETER 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 TOTAL EXTENSION TRAININGS 1. Number of Planning Sessions organized 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 2. Number of AEA trainings 4 organized 4 4 4 4 4 4 4 4 4 4 4 4 4 4 4 4 4 4 4 4 4 4 3. Number of study tours 0 0 0 organized for AEAs 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4. Number of stakeholders meetings organized 3 3 2 4 3 2 3 4 3 4 3 3 3 3 2 3 3 3 4 3 2 2 65

FARMER EMPOWERMENT 5. Number of farm visits 69 58 68 52 37 66 80 51 88 56 60 48 61 56 34 40 38 38 65 54 58 58 1226 6. Average number of farmers in 418 105 each operational area 219 315 770 645 513 197 394 562 93 388 156 265 179 155 238 178 375 206 235 512 7118 7. Indicate number of farmers 386 353 serviced by each AEA in an 214 290 461 318 335 186 347 504 99 326 152 218 186 96 158 172 141 248 278 223 5691 operational area 8. Number of farmers reached with improved technologies Female 244 208 297 205 203 263 225 289 353 185 312 234 228 231 167 226 185 229 239 255 241 222 5241 Male 249 225 290 223 201 233 247 291 401 196 255 199 230 241 192 216 184 196 249 307 246 217 5270 9. Number of on-farm Adaptive Trails established 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 10. Number of farmers participating in On-farm Adaptive Trails. Female 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 Male 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 11. Number of field demonstrations 4 established 3 3 4 4 3 3 3 3 3 3 3 3 3 3 3 3 3 3 3 4 4 71 12. Number of farmers participating in field demonstrations. Female 244 183 272 183 183 238 200 264 328 160 293 209 203 206 142 201 160 204 214 230 216 208 4711 Male 227 203 277 201 179 211 225 269 381 174 233 177 208 219 161 196 164 176 229 287 224 201 4834 13 Number of farmers adopting improved technologies Female 235 336 287 202 194 256 218 281 345 178 311 226 219 223 161 218 179 221 231 249 234 220 5087 Male 238 214 286 212 188 222 236 280 378 189 244 188 219 231 162 208 174 186 238 292 235 212 5033

14 Number of farmers adopting integrated pest management Female 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 male 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 Number of field days organized 3 3 4 2 3 2 3 3 3 3 2 3 3 3 2 3 3 3 3 3 4 4 64 15 by AEAs 16 Number of farmers participating in field days Female 222 185 274 185 180 240 202 266 320 162 295 211 205 208 120 203 162 206 216 232 218 186 4711

8 Male 228 204 278 202 180 212 226 270 382 175 234 178 209 220 140 200 165 177 230 288 225 202 4834

17 Number of study tours 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 organized by AEAs 18 Number of farmers participating in study tours Female 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 Male 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 FBO DEVELOPMENT 19 Number of New FBOs formed 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 20 Number of active FBOs 1 0 1 2 1 1 1 1 1 0 1 1 1 1 0 1 1 1 1 1 1 1 20 accessing credit 21 Number of district Union of 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 FBOs formed 22 Number of FBOs accessing 1 0 1 2 1 1 1 1 1 0 1 1 1 1 0 1 1 1 1 1 1 1 20 market information Number of FBOs interacted 23 with

24 Number of trainings organised 1 1 1 0 0 1 0 0 0 0 0 0 1 0 0 1 0 0 0 0 0 0 6 for FBOs

25 Total number of FBOs 1 1 1 1 1 1 1 1 1 0 1 1 1 1 0 1 1 1 1 1 1 1 20

COLLABORATION WITH PRIVATE SERVICE PROVIDERS 26 Number of NGOs/CBOs involved in extension delivery 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 27 Number of field staff of NGOs 5 5 5 5 5 5 5 5 5 5 5 5 5 5 5 5 5 5 5 5 5 5 5 involved in extension delivery ALTERNATIVE EXTENSION METHOD

28 Number of AEI centers 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 established 29 Number of farmers visiting AEI centers Female 0 0 0 0 0 0 0 62 0 0 0 0 0 0 0 0 0 0 0 0 0 0 62 Male 72 72 30 Number of radio stations 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 collaborated with in disseminating agric.technologies

EMERGING ISSUES 31 Number of HIV/AIDS focal persons trained from MOFA 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 32 Number of farmers participated in HIV/AIDS & malaria campaigns organized by AEAs Female 176 166 171 163 175 170 165 173 164 174 170 158 180 158 181 162 176 169 171 169 173 177 3734 Male 150 146 144 96 98 142 144 102 150 141 100 166 97 143 144 98 144 102 94 99 142 149 2789

9

33 Number of HIV/ AIDS 5 7 6 7 5 7 5 6 6 7 5 5 7 5 5 5 5 5 5 5 4 5 122 campaigns organized 34 Number of children orphaned 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 by HIV/AIDS 35 Number of campaign on 5 4 5 5 4 5 5 4 5 4 5 4 5 4 5 5 4 5 5 4 5 5 102 prevention of child labour in agriculture organized Female 96 153 100 95 96 97 108 105 121 102 94 91 94 97 98 102 95 88 105 87 102 100 2223 Male 98 105 102 111 92 92 95 94 109 96 90 87 93 94 100 92 90 93 94 90 136 102 2098 EXTENSION ORGANIZATION 36 Number of AEAs Female 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 1 Male 1 1 1 1 1 1 1 1 1 1 1 0 1 1 1 1 1 1 1 1 1 1 21 37 Number of supervisors 6 6 6 6 6 6 6 6 6 6 6 6 6 6 6 6 6 6 6 6 6 6 6 female 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 Male 5 5 5 5 5 5 5 5 5 5 5 5 5 5 5 5 5 5 5 5 5 5 5

38 Number of 0 1 1 1 1 1 0 1 1 1 1 0 1 1 1 1 0 0 1 0 1 1 16 motorbikes Serviceable 0 1 1 1 1 1 0 1 1 0 1 0 1 1 1 1 0 0 1 0 1 1 15 Unserviceable 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 1

39 Number and type of 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 technologies disseminated with the use of Audio Visual Vans

40 Number of RELC activities 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 carried out 41 Amount of money spent on 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 RELC activities 1. Ayiem 2. Kensere 3. Watreso 4. Antoakrom 5. Atobrakrom 6.Datano7.Akyekyekrom 8.Kumpese 9. Bonsaaso 10. Adubia 11. Odaho 12. Agroyesum 13. Moseaso 14. Keniago 15. Nipankyeremia 16. Nsiana 17. Abore 18. Manso Mem 19. Akropong 20. Esaase 21. Essuowin 22 Mpatuam

(Key for operational areas)

10 2.6 INFRASTRUCTURE, ENERGY AND HUMAN SETTLEMENTS DEVELOPMENT The following are the objectives set under this thematic area. • To improve upon the surface accessibility of 70% of roads in the district by 2013. • To connect 10 communities to the National Grid by 2013 • Ensuring stable and reliable access to electricity • To promote the use of Information Technology in the District through the planning period • To improve and enhance the usage of marketing facilities in 5 communities in the district by 2013. • To develop planning schemes for 10 communities by the end of 2013.

2.6.1 ROAD REHABILITATION 2012 saw the continuation of various road projects in the District. The surfacing of Mem Jn. – manso Nkwanta Highways was extended to Abore. However, the contractor on the mem – Edubia Highway vacated site without any written letter to various stakeholders. During the period under reporting, almost all feeder roads in the district received routine maintenance

Table 2.4 ROUTINE MAINTENANCE ROADS AND TOWNS ACTIVITY KILOMETERS Domiposo Jun – Ayiribikrom Reshaping 6.0 Datano-Tontokrom – Groso Reshaping 20.2 Bonsaaso-Yawkasa-Nkrumakrom Reshaping 11.0 Manukrom Jun – Manukrom Reshaping 2.5 Abudia – Asuadie-Ajajokrom Reshaping 4.1 Abore-Nkaasu Reshaping 6.0 Apenimadi-Aboaboso Reshaping 5.0 Domi Jun – Domi Reshaping 1.8 Nkaasu Jun – Adubiaso Reshaping 8.8 Nyamebakyere Jun – Nyamebekyere Reshaping 1.9 Mem Jun – Agroyesum Reshaping 6.1 Antoakrom – Nsiana - Mosseasso Reshaping Antoakrom - Nenhin Reshaping Dawusasso - Abouso

Source: DPCU (2013)

11 2.6.2 Rural Electrification Programme The period under review saw the provision of electricity for selected rural communities under the various electrification projects in Ghana. All electricity extension programme started in the preceding year were successfully completed. The table below indicates the communities connected to the national grid.

Table 2.5 RURAL ELECTRIFICATION PROJECTS NO. COMMUNITY TYPE OF PROJECT STATUS 1. Adwuman SHEP Completed

2. Brofoyedru SHEP Completed

3. Kobeda SHEP Completed

4. Nsiana Kaniango SHEP Completed

5. Mpreniase SHEP Completed

6. Bonteso SHEP Completed

7. Akataniase SHEP Completed

8. Jineso SHEP Completed

9. Kwakokrom SHEP Completed

10. Tontokrom SHEP Completed

11. Watereso SHEP Completed

12. Asuadei SHEP Completed

13. Bonsaaso SHEP Completed

14. Aboaboso SHEP Completed

15. Wonipeninadue SHEP Completed

16. Apenamedi SHEP Completed

17. Siabotre SHEP Completed

18. Bensaso SHEP Completed

19. Manso Abore SHEP Completed

Source: DPCU (2013)

12 2.7 HUMAN DEVELOPMENT, PRODUCTIVITY AND EMPLOYMENT various objectives were set for the key sectors that form this thematic area and these key sectors include education, health and employment.

2.7.1 EDUCATION • To increase classroom blocks and facilities at the basic level by 30% by 2013. • To improve upon the physical structures of 16 Basic schools by 2013. • To increase the number of trained teachers in the district from 35.36% to 45% by 2013 • To provide adequate logistics for all circuit supervisors by 2013. • To provide accommodation for teachers in all area councils by 2013

Table 2.6 Human Resource Development (Educational Performance) No Indicator National National 2011 2012 Baseline Target 13 Gross enrolment rate Primary 95.6 100 117.3 117.3 JHS 90.0 100 87.5 87.5 SHS - - 32.0 32.0 Net admission rate in primary schools 0.95 100 105.5 105.5 14 Gender parity index KG 0.98 1.0 1.00 1.00 Primary 0.95 1.0 0.90 0.90 JHS 0.90 1.0 0.80 0.80 SHS - - TVET - - PUPIL TEACHER RATIO KG 42:1 40:1 45:1 45:1 Primary 40:1 35:1 34:1 34:1 JHS 25:1 20:1 18:1 18:1 SHS - - 20:1 20:1 Source: District Education Directorate, Manso Nkwanta (FEB, 2013)

2.7.2 THE SCHOOL FEEDING PROGRAMME The District has since the inception of the school feeding programme been implementing it. With a humble beginning with two schools, the district as at the end of 2011 had the programme in 13 schools. The year under review saw an increase of beneficial school by one. The district therefore currently has 14 schools benefiting from the programme. The total enrolement under the

13 programme rose from 6,107 Pupils 2011 to 7,051 in 2012. The table below shows the schools, number of pupils who benefited from the programme and the total employment created.

Table 2.7.1 School Feeding Programme – DISTRICT ASSEMBLY

COMMUNITY SCHOOL ENROLMENT 2011 2012 1. Manso Nkwanta Manso Nkwanta D/A Primary 476 456 2. Pakyi No. 2 Presby A 520 520 3. Pakyi No.2 Presby B 575 599 4. Pakyi No.1 D/A PRIM - 671 5. Pakyi No.2 Islamic Primary 658 637 6. Manso Abore Abore D/A Primary 415 538 7. Manso Abore Abore R/C Primary 508 510 8. Essouwin Essouwin D/A Primary 413 456 9. Essuowin Essouwin Meth. Primary 433 448 10. Esaase Esaase Meth. Primary 467 490 11. Esaase Esaase R/C Primary 530 547 12. Dome – Beposo Dome – Beposo Ang. Prim 270 301 13. Brofoyedru Brofoyedru D/A Primary 268 279 14. Mem Methodist Primary Primary 574 600 TOTAL 6,107 7,051 Source: GES District Office Manso Nkwanta (FEB 2013)

The MVP is providing feeding for schools in its cluster for the under listed schools.

14 Table 2.7.2 School Feeding Programme - MILLENNIUM VILLAGES PROJECT School Grand Total (KG & Prim) Community Boys Girls Total 1 Domi-Keningo R/C Domi-Keningo 220 219 439 2 Domi-Keniago D/A Domi-Keniago 244 236 480 3 Apenimadi D/A Apenimadi 130 113 243 4 Anglican Primary School Ayiem 99 81 180 5 Kobriso D/A Kobrido 127 123 250 6 Essienkyem D/A Prim Essienkyem 82 92 174 7 Nyamebekyere Prim Nyamebekyere 79 79 158 8 Bonsaaso D/A Prim Bonsaaso 211 300 511 9 Jumakro D/A Prim Jumakro 72 68 140 10 Dadease D/A KG Dadease 37 39 76 11 Tabosere D/A prim Tabosere 67 65 132 12 Groso D/A prim. Groso 61 59 120 13 Adagya D/A Prim. Adagya 88 93 181 14 Datano D/A Prim. Datano 102 102 204 15 Datano Meth. Prim. Datano 350 366 716 16 Edwenase D/A Prim. Edwenase 142 149 291 17 Fahiakobo Meth. Prim Fahiakobo 100 134 234 18 Watreso D/A Prim. Watreso 407 376 783 19 Tontokrom R/C Prim. Tontokrom 217 169 386 20 Yawkasa D/A Prim Yawkasa 128 106 234 21 Aboaboso D/A Prim. Aboaboso 244 223 467 22 Gyegyetreso D/A Prim Dawusaso 218 186 404 23 Takorase R/C Prim. Takorase 249 240 489 24 Wonnipaniadue D/A Prim Wonnipaniadue 29 31 60 25 Akyerekyekrom D/A Prim Akyerekyekrom 143 153 296 26 Hiamankwa D/A Prim Hiamankwa 16 24 40 27 Manukrom D/A Manukrom 74 78 152 28 Tontokrom Saviour Prim. Tontokrom 194 169 363 29 Asammang D/A Prim Asammang 208 167 375 4338 4240 8578 Source: M.V.P. – MANSO NKWANTA (FEB 2013)

2.7.3 HEALTH

• To reduce the prevalence rate of HIV/AIDS in the district from 3% to 2% by 2013. • To achieve 60% success on malaria prevention campaign by 2013. • To equip Abore and Antoakrom health centres in the district by 2013. • Upgrade Manso Nkwanta Health Center into a district hospital by 2013

15 The achievements of set targets are represented by the table below in the form of indicators

Table 2.8.1 HEALTH (PERFORMANCE INDICATORS) Indicator INDICATORS 2010 2010 2011 2012 2012

NEONATAL, CHILD & MATERNAL HEALTH

Number of ANC registrants 6,355 7,582 6,990 Number of Clients making 4+ visits 3,425 4,493 4,722 Number of pregnant women receiving TT2 4,548 4889 5407 MATERNAL HEALTH –IPT IMPLEMENTATION

Average # of ANC visits per registrant 2.8 3.1 3.5 % ANC Registrants receiving IPT 1 66.1 44.6 60 % ANC Registrants receiving IPT 2 48.6 31.6 40 % ANC Registrants receiving IPT 3 31.9 17.3 22 DELIVERY INDICATORS % supervised deliveries 71.8 56.9 70 Maternal deaths 2 4 6 % maternal deaths audited 100 100 83.3 Still births 44 48 47 ACCESS TO QUALITY HEALTH CARE Total number of OPD visits 91,685 163,253 164,301 Number of OPD visits by insured clients 73,750 134000 118851(72.3%) (60.4%) (82.1%) Outpatient visits per capita 0.60 1.1 1.2 # of Cases seen & treated by CHOs 35,324 20702 30706 OPD MALARIA CASES Confirmed only 10814 26418 14373 Malaria < 5yrs 11999 24428 22178 Confirmed only 2560 10622 6377 Malaria > yrs 22608 38665 37555 Confirmed only 10814 26418 7996 CHILD HEALTH Number of under five admissions 564 1956 2139 Number of under five institutional deaths 11 8 14 Total number of under 5 deaths due to Malaria 8 4 3 Under Five Mortality Rate 0.5 0.3 0.6 Under Five Malaria CFR 0.10 0.02 0.01 Source: Ghana Health Services Manso Nkwanta (FEB 2013)

16 2.7.4 NATIONAL HEALTH INSURANCE SCHEME

This progress report gives the detailed picture or activities of the Amansie west district scheme office for the year 2012 and 2011 that is from the month of January to December 2012. This report will give an account of what was done in areas like; New Membership Registration, Membership Renewal, ID Cards Distribution, Finances, Claims Management, Human Resource Issues, Capitation, Logistics and many more. The two years were taken into consideration for the purposes of comparison.

2.7.5 MEMBERSHIP The table below gives the total number of clients the scheme was able to register and renewed their membership within the various specified period.

Table 2.8.2 MEMBERSHIP 2012 Informal SSNIT Und 18 SSNIT 70 yrs Indi Preg. Total Activity Sector Can’t Yrs Pen. Woman New Reg 1,451 45 4082 1 94 179 2,465 8,098 Renewal 12,801 866 16387 37 2056 792 1,853 33,002 Total 14,252 911 20,469 38 2154 971 4,318 41,100 2011 Informal SSNIT Und 18 SSNIT 70 yrs Indi. Pregnant Total Activity Sector Can’t Yrs Pen. Woman New reg. 5,759 232 11 18 10,977 237 4,193 73,554 Renewal 29,154 3,500 314 46 33,785 3,871 2,884 21,127 Total 34,913 5,820 325 46 44,762 4,108 7,077 94,681 Remarks 1. The membership drive in the district experienced a decline of 56.59% as compare to the achievement of the scheme in the year 2011.

2.7.6 ID CARD The table below gives the total number of ID Cards batch that we sent for production, the number of cards that we received as well as the number of distributed with the period.

17 Table 2.8.3 ID CARD

Activities/ Quantity Quantity Quantity Temporal Cards Months (Batch) Sent Received Distributed Issued 2011 23,575 19,280 14,258 2012 13,344 13,244 11,141 7,443 Total 36,919 32,524 11,141 21,701

The Scheme was able to Register and Renewed their Membership within the various specified period

Table 2.8.4 FINANCES (INCOME) Premium Processing/ Claims Adm. support Total Activity reactivation fees 2011 211,868.00 112,012.00 2,620,787.72 113,818.48 3,058,486.45 2012 124,418.00 157,593.00 1,833,687.91 8,1150.16 2,196,849.07 Total 336,286.00 269,605.00 4,454,475.63 194,968.64 5,255,335.52

Table 2.8.5 FINANCES (EXPENDITURE) Salaries Claims Others Total Activity 2011 121,933.20 2,626,277.15 94,086.43 2,842,296.78 2012 124,347.65 1,853,008.61 92,272.24 2,069,628.50 Total 246280.85 4479285.76 186358.67 4,911,925.28

2.7.7 CAPITATION The District has twenty two (22) health care service providers, which comprises of one (1) Hospital, being Catholic Mission Hospital, Seven (7) Health Centers, all being Government Providers, Two (2) Private Maternity Homes, One (1) Scan Center and Eleven (11) CHPS Compounds.

All these facilities are taken part in the implementation of the capitation pilot in the Ashanti region. The two private facilities opted out during the month of February, 2012, when their national association decided not to be part of the pilot. These facilities (Dora A. Donkor and Onyame Akwan Maternity Home later join the implementation of the pilot in the month of May 2012

18 The table below gives the detailed capitation enrollment for the year and the amount of transferred to facilities within the District on Capitation.

Table 2.8.6 CAPITATION

ACTIVITY NUMBER ENROLLED DATA CAPTURED AMOUNT TRANSFER 2012 24,008 22,099 582,655.27

Table 2.8.7 CLAIMS MANAGEMENT ACTIVITY Volume Amount Received Amount Paid Deductions Receive 2011 154,157 2,690,931.17 2,606,804.39 80,847.26 2012 100,655 1,736,775.36 1,080,479.63 61,230.58 Total 254,812 4,427,706.53 3,687,284.02 142,077.84

2.7.8 Water And Sanitation

• To increase accessibility to potable water supply in the district by 50% by 2013. • To increase accessibility to drainage and sanitation facilities to 90% by 2013.

2.7.9 NATIONAL YOUTH EMPLOYMENT PROGRAMME To generate 820 jobs for unemployed youth under the National Youth Employment Programme by 2013. The District engaged 384 youths comprising 132 males and 253 females under nine (9) modules of the National Youth Employment programme. The table below depicts the number recruited under the 9 modules.

19 Table 2.9 NYEP under the various Modules NO MODULE NO RECRUITED TOTAL MALES FEMALES 1 Health Extension Works 6 62 67 2 Rural Education Teacher Assistants 38 24 62 3 Youth In Mosquito Spraying 21 - 21 5 Sanitation 66 87 153 6 Youth in Hairdressing ( trainees) - 20 20 7 Youth in Hairdressing ( masters) - 4 4 8 Youth in Dressmaking (trainees) - 50 50 9 Youth in Dressmaking (masters) 1 6 7 TOTAL 132 253 384 Source: NYEP District Office, Manso Nkwanta (FEB 2013)

2.8.1 DEVELOPING INFORMATION AND COMMUNICATION TECHNOLOGY

With exception of GLO which has raised towers for its services and is yet to start, all other providers increased their services to cover almost all the communities in the district. The ICTC provided by the ministry of communication in Manso Nkwanta is now running internet for Manso Nkwanta and other surrounding communities.

2.8.2 Transparent and Accountable Governance This thematic area has a broad goal of “To ensure good governance and effective participation” and some of the specific objectives are outlined below

• To equip the 12 area councils in the district with logistics/furniture by 2013. • Build the capacity of staff in the area councils in the district by 2013. • To provide office and staff accommodation for all the area councils by 2013. • Provision of adequate resources for the district administration by 2013

During the period under review, the district made various stride in the achievement of the set objectives. This is for instance reflected in the revenue generation table explained already. Again, a capacity training programme was run for all heads of decentralized departments. Further to this is the fact that all unit committees were inaugurated and assembly members trained. The district is in the process of inaugurating the various area councils even though they have started working.

20

2.9 PROJECT STATUS FOR THE PERIOD 2012 During the period under review, the District emphasized on its aim of completing all ongoing projects by committing enough resources into this area. The table below indicates the status of ongoing projects in the district.

21

22