DOCSLIB.ORG

NYARKO, LILY-VERSTA.Pdf

Total Page：16

File Type：pdf, Size：1020Kb

Download full-text PDF Read full-text
NYARKO, LILY-VERSTA.Pdf KWAME NKRUMAH UNIVERSITY OF SCIENCE AND TECHNOLOGY COLLEGE OF HEALTH SCIENCES SCHOOL OF MEDICAL SCIENCES DEPARTMENT OF COMMUNITY HEALTH DETERMINANTS OF MALNUTRITION IN CHILDREN LESS THAN FIVE YEARS IN THE BOSOMTWE DISTRICT, ASHANTI, GHANA BY NYARKO, LILY-VERSTA NOVEMBER, 2008 KWAME NKRUMAH UNIVERSITY OF SCIENCE AND TECHNOLOGY, KUMASI COLLEGE OF HEALTH SCIENCES SCHOOL OF MEDICAL SCIENCES DEPARTMENT OF COMMUNITY HEALTH A THESIS SUBMITTED TO THE SCHOOL OF GRADUATE STUDIES, KWAME NKRUMAH UNIVERSITY OF SCIENCE AND TECHNOLOGY IN PARTIAL FULFILLMENT OF THE REQUIREMENTS FOR THE DEGREE OF MASTER OF SCIENCE (M.SC) IN HEALTH SERVICE PLANNING AND MANAGEMENT BY LILY-VERSTA NYARKO NOVEMBER, 2008 DECLARATION I hereby declare that this submission is my own work towards the M.Sc and that, to the best of my knowledge, it contains no materials previously published by another person nor material which has been accepted for the award of any degree of the University, except where due acknowledgement has been made in the text. Lily-Versta Nyarko2006421 9…………………… …………………………………. (Student Name and ID) Signature Date Certified by …………………………….. ……………………………………. Peter Agyei-Baffour Signature Date (Supervisor) Certified by ……………………………… ………………………………………. Dr. E. Otupri ……………………………… ……………………………………….. (Head of Department) Signature Date I DEDICATION This thesis is dedicated to Nana Kofi Sarfo Adom. (M.Sc baby, my son). II ACKNOWLEDGEMENT I would like to express my sincere gratitude to the almighty God for seeing me through this M.Sc programme especially this thesis. My special thanks goes to Professor E. Addy and Peter Agyei Baffour my supervisors who were available to offer suggestions and for their patience and encouragement during the supervisor of this thesis. I am also grateful to all lecturers at the Department of Community Health College of the Health Sciences, as well as lecturers outside the department and the entire staff of the Department for their immense contribution and encouragement, which have brought me this far. Many thanks also go to the Bosomtwe District Health Workers especially the District Director, Dr. Mrs. Agartha Bonney, and Medical Superintendent Dr. Jeckey-Nyarko, the pharmacist, Mr.Timothy Mensah, for their criticisms and support. I wish to remember all those who have been of help, especially the Appiah-Adjei family, my Mother Mary Appiah, my cousins, my course mates, especially Sammy and Nana, the Addision family, the Dadzie-Bonney family and the entire staff of Kumasi Senior High Technical School, especially Miss Sandra Nkansah to these I am most grateful. I duly acknowledge here, the financial support from my husband, Daniel Appiah- Adjei and Hon. Dr. Richard W. Anane (Minister for Roads and Transport). III ABREVIATION AND ACRONYMS AK - Atwima Kwanwoma ANC - Antenatal Care DHA - District Health Administration GHS - Ghana Health Services GSS - Ghana Statistical Services GDHS - Ghana Demographic Health Survey KNUST - Kwame Nkrumah University of Science and Technology MDGs - Millennium Development Goals MOH - Ministry of Health SPSS - Statistical Package for Social Sciences UNICEF - United Nations Children Fund UN - United Nations WFP - World Food Programme WHO - World Health Organisation IV TABLE OF CONTENT Page Declaration…………………………………………………………………….i Dedication……………………………………………………………………..ii Acknowledgement…………………………………………………………….iii Abbreviations/Acronyms………………………………………………………iv Table of Content……………………………………………………………….v List of Tables…………………………………………………………….……..x List of Figures ……………………………………………………………..…xi Abstract………………………………………………………………………...xii CHAPTER ONE Introduction……………………………………….……..1 1.0 Background information………………………………………………1 1.1 Problem Statement……………………………………………………..3 1.2 Rationale of study……………………………..……………………....4 1.3 Research questions…………………………………………………..…4 1.4 Objectives………………………………………………………………5 1.4.1 General Objective....................................................................................5 1.4.2 Specific Objectives..................................................................................5 1.5 Conceptual Framework…………………………………………………6 1.6 Scope of the study………………………………………………….…....7 1.7 Organisation of work……………………………………………….…..8 V CHAPTER TWO LITERATURE REVIEW…………………………………………….9 2.0 Introduction …….………….………….………………………………………9 2.1 Brief concept of malnutrition and causes ………………………………...........9 2.2 Measuring nutritional status of children less than 5 year……………………10 2.3 Influence of socio-economic characteristics on children nutritional status….11 2.4 Maternal health care and child morbidity relationship with malnutrition …...12 2.5 Feeding practices, water and sanitation and malnutrition……………………12 2.6 Malnutrition rates among children less than 5 years…….……..……………13 CHAPTER THREE METHODOLOGY……………………………...…………….….14 3.0 Study Design…………………………..……………………………….......14 3.1 Study Area……... …………………………….…………..….…………….14 3.2 Study Population....………………………………………………………..16 3.3 Study variable.....……………………………………………………….…...16 3.4 Sample size……...………………………….………………………………..17 3.5 Sampling Techniques…………………….……………………….………....17 3.6 Data Collection Techniques and Tools…………………………….………...18 3.6.1 Pre-testing of Tools.........................................................................................18 3.6.2 Structured Interviews......................................................................................18 3.6.3 Anthropometric Technique...........……………………………………………18 3.6.4 Key Informant Interview................................................................................19 VI 3.7 Data Analysis ………………………………………………………………..19 3.8 Ethical Consideration…..…………………………………………………….20 3.9 Study Assumptions…………………….…………………………………….20 3.10 Limitations..................…………………….………………………………..20 CHAPTER FOUR RESULTS…………………………………………………................................………….21 4.0 Introduction……………………………………….………………………. ............21 4.1 Socio-demographic characteristics.…….………………………….………………..21 4.2 Influence of socio-economic characteristics on malnutrition …….…………...........23 4.3 Influence of Maternal health seeking behaviour and child morbidity on the nutritional status of the child …………………………………………….………...25 4.4 Influence of feeding practices, water source and sanitation on child malnutrition ……………………………………………………………….............27 4.5 Malnutrition estimate among children in the district……………..……………..….29 CHAPTER FIVE DISCUSSION …………………………………………………………….........................32 5.0 Introduction ……………….……………………………………………………...32 5.1 Background characteristics ………………………………………………………..32 5.2. Influence of socio-economic characteristics on nutritional status of the child…...33 5.3 Influence of Maternal health seeking behaviour and child morbidity on nutritional status of the child………......................................................................35 VII 5.4 Influence of feeding practices, water source and sanitation on child Malnutrition………………………………………………………………………..36 5.5. Malnutrition estimate among children in the district.….…………………….……37 CHAPTER SIX CONCLUSION AND RECOMMENDATION………………………….. ....................39 6.0 Conclusion……..…………………………………………………………..………........39 6.1.1 Influence of socio-economic characteristics on nutritional status of the child………..39 6.1.2 Influence of Maternal and Child health seeking behaviour on nutritional status of the child.....................................................................................................................39 6.1.3 Influence of feeding practices, water source and sanitation on child malnutrition…...39 6.1.4 Malnutrition estimate among children in the district...................................................40 6.2 Recommendation……………..……………………………………………….…….40 6.2.1 Community and Opinion Leaders should....................................................................40 6.2.2 District Health Administration should ……...............................................................40 6.2.3 District Assembly should............................................................................................40 6.2.4 Parent should..............................................................................................................41 6.3 Concluding Remarks...............................................................................................41 REFERENCES ……………………………………………………………………………….………………………………...42 APPENDIX A: STRUCTURED INTERVIEW GUIDE FOR HOUSEHOLD......... …......45 APPENDIX B: STRUCTURED INTERVIEW FOR KEY INFORMANTS......................50 APPENDIX C: ANTHROPOMETRIC MEASUREMENTS..............................................52 VIII LIST OF TABLES Table No. Title Page 3.1 Population Distribution by Sub-districts and the number of 15 communities in the Bosomtwe district 3.2 Distribution of Health Facilities in the district 2007 15 3.3 Operational definition of Study Variables 16 4.1 Background characteristics of respondents 22 4.2 Relationship between socio-economic factors and malnutrition 24 4.3 Influence of Maternal health seeking behaviour and child 26 morbidity on nutritional status of the child 4.4 Influence of feeding practices, water source and sanitation on 29 child malnutrition 4.5 Descriptive statistics of background characteristics of respondents 30 4.6 Influence of characteristics on the malnutrition 31 X LIST OF FIGURES Figure Title Page No. 1.1 A conceptual frameworks showing the factors that influences 6 malnutrition directly or indirectly 4.1 Summary of background characteristics of respondents 21 4.2 Major meals
Load more

Recommended publications
  • Hydrology of the Major Water Sources of Lake Bosomtwe in Ghana
    Hydrology of the major water sources of Lake Bosomtwe in Ghana Frederick K. Amu-Mensah1* , Marian A. Amu-Mensah 2, Mark O. Akrong3, Gloria Addico4, Humphrey Darko5 1,2,3,4,5Council for Scientific and Industrial Research, Water Research Institute, Accra, Ghana 1*Corresponding Author: [email protected] Abstract The paper seeks to identify the major inflows of Lake Bosomtwe, the meteoritic lake sited in the Ashanti Region of Ghana. It seeks to establish major annual flows as against the lake evaporation in an attempt to establish the water balance of the lake with a view to understanding the factors that are critical to the sustainability of the lake. The average annual rainfall observed in the catchment was estimated to be 350 mm. This is far lower than the average long-term rainfall recorded in the area, of 1,565.9 mm for the period 1950-1971 or that of 1,263.4 mm for the period 1971 to 1991. Even though there appears to be a decline in the two periods, indicating reduction in rainfall amounts with time, the recorded rainfall is not representative. Based on the recorded rainfall and stream flow data, an estimated annual inflow of 0.14027 km3 was derived, with the major inflows being direct rainfall onto the lake surface (99.81%), Nana Abrewa stream (0.15%), Abono bɔ stream (0.04%) and Atafram stream (0.00% insignificant). In view of the reduced flows as a result of lower rainfalls, it is prudent to both conserve and adapt measures to ensure the lake is sustainably managed.
    [Show full text]
  • Composite Budget for 2019-2022 Programme Based Budget Estimates for 2019 Afigya Kwabre South District Assembly
    TABLE OF CONTENTS PART A: STRATEGIC OVERVIEW ........................................................................................................... 1 Vision Statement ......................................................................................................................................... 17 Mission Statement ...................................................................................................................................... 17 REPUBLIC OF GHANA Key Achievements in 2018 ......................................................................................................................... 17 COMPOSITE BUDGET Revenue and Expenditure Performance .................................................................................................. 20 Financial Performance – Expenditure ..................................................................................................... 22 FOR 2019-2022 PART B: STRATEGIC OVERVIEW ......................................................................................................... 24 NMTDF Policy Objectives in Line with SDGs and Targets and Cost .................................................. 24 PROGRAMME BASED BUDGET ESTIMATES Core Functions............................................................................................................................................ 28 Policy Outcome Indicators and Targets ................................................................................................... 28 FOR 2019 PART C: BUDGET PROGRAMME
    [Show full text]
  • Bosome Freho District Assembly Is to Be a Unique District with Sustainable Performance in All Aspects of Service Delivery in Its Statutory Functions
    BBoossoommee FFrreehhoo DDiissttrriicctt AAsssseemmbbllyy MMeeddiiuumm--TTeerrmm DDeevveellooppmmeenntt PPllaann 22001144--22001177 Page | 1 CHAPTER ONE PERFORMANCE REVIEW AND DISTRICT PROFILE 1.0 INTRODUCTION At the start of the plan preparation period for 2014 -2017 medium term, there was the need to review the performance of the Assembly over the 4 year period to identify successes and failures, problems encountered and development gaps which need to be addressed in the district’s development effort. 1.1.1 Vision The Vision of the Bosome Freho District Assembly is to be a unique district with sustainable performance in all aspects of service delivery in its statutory functions. 1.1.2 Mission of the Assembly The Bosome Freho District Assembly exists to empower citizens to participate in making decisions that affect their welfare and also involve them in the governance processes in a decentralised democratic environment. 1.1.3 Objectives As the highest political and administrative body in the District, the Assembly exists to improve the quality of life of the people through efficient service delivery. To achieve this, the Assembly has set itself to achieve the following: To facilitate the effective functioning of the local government administration in the District To ensure effectiveness and efficiency in the use of resources of the District and the decentralized departments. To monitor, co-ordinate and harmonize the implementation of development plans and activities in the District. To facilitate the provision of basic social and economic infrastructure and services in the District. To facilitate community based and private sector development in the District. 1.1.4 Functions Page | 2 The functions of the Assembly are derived from the Local Government Act 1993 (Act 462), National Planning Systems Act 1993 (Act 480), the Civil Service Act 1993, the Local Government Service Act 2004 etc.
    [Show full text]
  • The Study on the Comprehensive Urban Development Plan for Greater Kumasi in the Republic of Ghana Final Report
    13-203 13-203 The Study on the Comprehensive Urban Development Plan for Greater Kumasi in the Republic of Ghana Final Report Table of Contents Volume 3 Page PART VIII Capacity Development Programme for Spatial Development Planning and Implementation Chapter 25 Capacity Development Programme for Spatial Planning and Implementation 25.1 Introduction ................................................................................................................ 25-1 25.2 Institutional Analysis for Spatial Planning and Implementation ................................ 25-1 25.2.1 Town and Country Planning Department (becoming the Land Use and Spatial Planning Authority (LUSPA) under the forthcoming new law). ................................ 25-1 25.2.2 Regional Office of TCPD (becoming the Physical Planning Department of the RCC) .......................................................................................................................... 25-3 25.2.3 Physical Planning (Town Planning) Departments at Metropolitan, Municipal and District Assembly (MMDA) Level ............................................................................. 25-4 25.3 Basic Framework for Capacity Development Programme for Spatial Planning and Implementation........................................................................................................... 25-7 25.3.1 Primary Objective ...................................................................................................... 25-7 25.3.2 Identifying Capacity Development Needs .................................................................
    [Show full text]
  • Bosomtwe District Assembly Medium Term Developmet Plan (2014 – 2017)
    BOSOMTWE DISTRICT ASSEMBLY MEDIUM TERM DEVELOPMET PLAN (2014 – 2017) TABLE OF CONTENTS LIST OF TABLES IV LIST OF FIGURES VI LIST OF ACRONYMS VII EXECUTIVE SUMMARY IX CHAPTER ONE 1 PERFORMANCE REVIEW/PROFILE/CURRENT SITUATION/BASELINE 1 1.1 Vision Statement 1 1.2 Mission Statement 1 1.3 Functions of the Bosomtwe District Assembly 1 1.4 Performance Review 3 1.5 Analysis of Current Situation/Baseline/District Profile 15 1.8 Demographic Characteristics 20 1.9 Political Administration 22 1.10 Social and Cultural Structure 25 1.11 Nationality 26 1.12 Religious Affiliation 26 1.13 Economy 26 1.14 Tourism 27 1.15 Economic Potential 27 1.16 Distribution of Roads 27 1.17 Water Supply 28 1.18 Household Conditions 28 1.19 Sanitation 28 1.20 Markets 29 1.21 Agriculture 29 1.22 Educational Institutions 29 1.23 Health Institutions 30 1.24 Financial Institutions 31 1.25 Use of ICT 31 1.26 Vulnerability and Social Protection Analysis 32 1.27 HIV and AIDS 35 1.28 Human Settlement Patterns (Spatial Analysis) 36 1.29 Environment, Climate Change and Green Economy Situation 48 1.30 Gender Situation 48 1.31 Science, Technology and Innovation 49 1.32 Migration (Emigration and Immigration) 49 i | P a g e 1.33 Baseline Indicators of Development of the District 50 1.34 Community Perspective on Current Needs and Aspirations 52 CHAPTER TWO 56 PRIORITISATION OF DEVELOPMENT ISSUES 56 2.1 Introduction 56 2.2 Local/Community Development Plans 56 2.3 Identified Key Development Gaps/Problems/Issues (Performance Review and Profile) 57 2.4 Harmonisation of Community Needs
    [Show full text]
  • Bosomtwe District
    BOSOMTWE DISTRICT Copyright (c) 2014 Ghana Statistical Service ii PREFACE AND ACKNOWLEDGEMENT No meaningful developmental activity can be undertaken without taking into account the characteristics of the population for whom the activity is targeted. The size of the population and its spatial distribution, growth and change over time, in addition to its socio-economic characteristics are all important in development planning. A population census is the most important source of data on the size, composition, growth and distribution of a country’s population at the national and sub-national levels. Data from the 2010 Population and Housing Census (PHC) will serve as reference for equitable distribution of national resources and government services, including the allocation of government funds among various regions, districts and other sub-national populations to education, health and other social services. The Ghana Statistical Service (GSS) is delighted to provide data users, especially the Metropolitan, Municipal and District Assemblies, with district-level analytical reports based on the 2010 PHC data to facilitate their planning and decision-making. The District Analytical Report for the Bosomtwe District is one of the 216 district census reports aimed at making data available to planners and decision makers at the district level. In addition to presenting the district profile, the report discusses the social and economic dimensions of demographic variables and their implications for policy formulation, planning and interventions. The conclusions and recommendations drawn from the district report are expected to serve as a basis for improving the quality of life of Ghanaians through evidence- based decision-making, monitoring and evaluation of developmental goals and intervention programmes.
    [Show full text]
  • Quantifying the Spatio-Temporal Patterns of Settlement Growth in a Metropolitan Region of Ghana
    GeoJournal DOI 10.1007/s10708-016-9719-x Quantifying the spatio-temporal patterns of settlement growth in a metropolitan region of Ghana Ransford A. Acheampong . Felix S. K. Agyemang . Mohammed Abdul-Fatawu Ó The Author(s) 2016. This article is published with open access at Springerlink.com Abstract Retrospective understanding of the mag- increase occurred in the last 13 years alone, with UEII nitude and pace of urban expansion is necessary for value of 0.605 indicating a moderate intensity of urban effective growth management in metropolitan regions. expansion. Moreover, the metropolitan-core of the The objective of this paper is to quantify the spatial– sub-region, being the focal point of urban develop- temporal patterns of urban expansion in the Greater ment and the historical origins of expansion, Kumasi Sub-Region (GKSR)—a functional region accounted for more than half of the total built-up land comprising eight administrative districts in Ghana, increase over the 28-year period. Over the last decade West Africa. The analysis is based on Landsat remote and half however, urban expansion has spilled into the sensing images from 1986, 2001 and 2014 which were neighbouring peripheral districts, with the highest classified using supervised maximum likelihood algo- intensity and fastest rate of expansion occurring in rithm in ERDAS IMAGINE. We computed three districts located north and north east of the sub- complementary growth indexes namely; Average regional core. We recommend a comprehensive Annual Urban Expansion Rate, Urban Expansion regional growth management strategy grounded in Intensity Index (UEII) and Urban Expansion Differ- effective strategic partnerships among the respective entiation Index to estimate the amount and intensity of administrative districts to curb unsustainable urban expansion over the 28-year period.
    [Show full text]
  • Atwima Kwanwoma District
    ATWIMA KWANWOMA DISTRICT Copyright ©2014 Ghana Statistical Service ii PREFACE AND ACKNOWLEDGEMENT No meaningful developmental activity can be undertaken without taking into account the characteristics of the population for whom the activity is targeted. The size of the population and its spatial distribution, growth and change over time, in addition to its socio-economic characteristics are all important in development planning. A Population census is the most important source of data on the size, composition, growth and distribution of a country’s population at the national and sub-national levels. Data from the 2010 Population and Housing Census (PHC) will serve as reference for equitable distribution of national resources and government services, including the allocation of government funds among various regions, districts and other sub-national populations to education, health and other social services. The Ghana Statistical Service (GSS) is delighted to provide data users, especially the Metropolitan, Municipal and District Assemblies, with district-level analytical reports based on the 2010 PHC data to facilitate their planning and decision-making. The District Analytical Report for the Atwima Kwanwoma District is one of the 216 district census reports aimed at making data available to planners and decision makers at the district level. In addition to presenting the district profile, the report discusses the social and economic dimensions of demographic variables and their implications for policy formulation, planning and interventions. The conclusions and recommendations drawn from the district report are expected to serve as a basis for improving the quality of life of Ghanaians through evidence-based decision-making, monitoring and evaluation of developmental goals and intervention programmes.
    [Show full text]
  • Chapter 3 Present Situation of Ghana, Ashanti Region and Greater Kumasi Sub-Region 3.1 Past Development Trend and Current Development Policies of Ghana
    13-203 13-203 The Study on the Comprehensive Urban Development Plan for Greater Kumasi in the Republic of Ghana Final Report Table of Contents Volume 1 Page Study Area: Greater Kumasi Sub-Region ................................................................................. 1 Photos of Greater Kumasi Sub-Region ..................................................................................... 2 Brief on the Study Project ......................................................................................................... 3 Executive Summary .................................................................................................................. 4 Conclusion ............................................................................................................................... 14 Part I Introduction Chapter 1 Introduction 1.1 Background .................................................................................................................. 1-1 1.2 Goals of the Study Project ............................................................................................ 1-2 1.3 Objectives of the Study Project .................................................................................... 1-2 1.4 Study Area .................................................................................................................... 1-3 1.5 Executive Agency, Implementing Agency and Other Counterpart Agencies ............... 1-3 1.6 Phases of the Project ...................................................................................................
    [Show full text]
  • Bosomtwe District Assembly
    REPUBLIC OF GHANA THE COMPOSITE BUDGET OF THE BOSOMTWE DISTRICT ASSEMBLY FOR THE 2016 FISCAL YEAR OCTOBER, 2015 CONTENTS TOPIC PAGE 1.0 INTRODUCTION……………………………………….…………………………………………………….……………….............................................1 1.1 DISTRICT PROFILE………………………………….……………………………………………………………….…………………………………........2-3 1.2 DISTRICT ECONOMY………………………………………………….…………………………………………………………………………………......4-5 1.3 KEY ISSUES…………………………………………………………………………………………………………………………………………………….6 1.4 VISION……………………………………………………………….………………………………………………………………………………….……….6 1.5 MISSION……………………………………………………………….………………………………………………………………………………….….....6 1.6 BROAD SECTORIAL OBJECTIVES…………………………………….…………………………………………………………………………….…....7 2.0 OUTLOOK FOR 2015 COMPOSITE BUDGET(FINANCIAL PERFORMANCE,IGF ONLY)……...…………………………………….……………8-9 2.1.1a ALL REVENUE SOURCES………………………………………………………………………………………………………………..……...……...9 2.1.2 EXPENDITURE PERFORMANCE………………………………………………………………………………………………………………..………10 2.2 DETAILED EXPENDITURE FROM 2014 COMPOSITE BUDGET BY DEPARTMENT…………………………………………………….………..10-11 2.2.2 NON-FINANCIAL PERFORMANCE BY DEPARTMENT AND BY SECTOR……………………………………………………………………....11-20 2.3 SUMMARY OF COMMITMENT ON OUTSTANDING PROJECTS………………………………………………………………………………….….20-21 2.4 CHALLENGES AND CONSTRAINTS……………………………………………………………………………………………………………………...21 3.0 OUTLOOK FOR 2016 (REV. PROJECTIONS,IGF ONLY)…………………………………………………………………………………...........…….22 3.1.2 ALL REVENUE SOURCES………………………………………………………………………...……………………………………………………..22-23 3.3 EXPENDITURE PROJECTIONS……………………………………………………………………………………………………………………………23
    [Show full text]
  • Toxic Sites Identification Program (TSIP) in Ghana
    Toxic Sites Identification Program (TSIP) in Ghana Prepared by: Pure Earth Prepared for: UNIDO Date: November 2018 Pure Earth 475 Riverside Drive, Suite 860 New York, NY, USA +1 212 647 8330 www.pureearth.org 1 Pure Earth 475 Riverside Drive, Suite 860 New York, NY, USA +1 212 647 8330 www.pureearth.org TABLE OF CONTENTS LIST OF ACRONYMS 3 LIST OF ANNEXES 3 INTRODUCTION 4 TOXIC SITES IDENTIFICATION PROGRAM (TSIP) 4 IMPLEMENTATION STRATEGY/COORDINATION WITH GOVERNMENT 4 SUMMARY OF KEY RESULTS 6 ORIGINAL RESEARCH 14 REGIONAL TRAINING IN SENEGAL 15 PILOT PROJECT 15 AGBOGBLOSHIE SCRAP METAL SITE PHASE 1 15 OBJECTIVES 16 LAUNCH OF E-WASTE FACILITY 16 CONCLUSION - CHALLENGES AND RECOMMENDATIONS 16 CHALLENGES 16 RECOMMENDATIONS 16 ANNEXES 16 2 Pure Earth 475 Riverside Drive, Suite 860 New York, NY, USA +1 212 647 8330 www.pureearth.org LIST OF ACRONYMS ADB Asian Development Bank AMA Accra Metropolitan Assembly EC European Commission EEE Electrical and Electronic Equipment EPA Environmental Protection Agency GAEC Ghana Atomic Energy Commission GAHP Global Alliance on Health and Pollution GASDA Greater Accra Scrap Dealers Association GreenAd Green Advocacy Ghana GSA Ghana Standards Authority ISS Initial Site Screening LMIC Low and Middle-Income Countries MESTI Ministry of Environment, Science, Technology and Innovation MMDAs Metropolitan, Municipal and Districts Assemblies NDPC National Development Planning Commission NGO Non-Governmental Organization NYA National Youth Authority PAHs Polycyclic Aromatic Hydrocarbons PCBs Polychlorinated Biphenyls
    [Show full text]
  • Government of Ghana Ministry of Local Government and Rural Development Afigya-Kwabre District Assembly Kodie – Ashanti Draft F
    GOVERNMENT OF GHANA MINISTRY OF LOCAL GOVERNMENT AND RURAL DEVELOPMENT AFIGYA-KWABRE DISTRICT ASSEMBLY KODIE – ASHANTI PEACE, UNITY & DEV’T DRAFT FOR DISTRICT MEDIUM TERM DEVELOPMENT PLAN (2014 - 2017) UNDER THE GHANA SHARED GROWTH DEVELOPMENT AGENDA PREPARED BY: AFIGYA-KWABRE DISTRICT ASSEMBLY SEPT. 2014 1 TABLE OF CONTENTS Title Page i Table of Content ii List of Tables ix List of Figures xiii List of Acronyms xv Executive Summary xix CHAPTER ONE PERFORMANCE REVIEW AND DISTRICT PROFILE 1.1 INTRODUCTION 1.1.1 The 2009-2013 Medium Term Development Plan 1 1.1.2 Goal of the 2009-2013 Development Plan 1 1.1.3 Objectives of the 2009-2013 Development Plan 2 1.1.4 Status of Implementation of the 2009-2013 Medium Term Plan 3 1.1.5 Statement of Income and Expenditure of the District from 11 2009-2013 1.1.6 Key Problems/Challenges Encountered During the 14 Implementation of the 2010-2013 Plan 1.1.7 Lessons Learnt 15 1.2 DISTRICT PROFILE 16 1.2.1 Location and Size 16 1.2.2 Climate 20 1.2.3 Vegetation 20 2 1.2.4 Relief and Drainage 21 1.2.5 Soils and Geological Formation 23 1.2.6 Conditions of the Natural Environment 26 1.2.7 Conditions of the Built Environment 27 1.2.8 Climate Change Issues 28 1.2.9 Development Implications 28 1.3 DEMOGRAPHIC CHARACTERISTICS 27 1.3.1 Population Size 27 1.3.2 Spatial Distribution of Population 29 1.3.3 Age-Sex Structure 30 1.3.4 Population Density 31 1.3.5 Rural Urban Split 32 1.3.6 Household Characteristics 33 1.3.7 Dependency Ratio 33 1.3.8 Religious Affiliation 33 1.3.9 Migration Trends 33 1.3.10 Culture 34 1.3.11 Labour Force 34 1.4 SPATIAL ANALYSIS 38 1.4.1 Scalogram Analysis 38 1.4.2 Functional Hierarchy of Settlements 41 1.5 Physical Accessibility to Services 41 1.5.1 Accessibility to Health 44 1.5.2 Accessibility to Second Cycle Institutions 46 3 1.5.3 Accessibility to Agriculture Extension Services 48 1.5.4 Accessibility to Banking Services 50 1.5.5.
    [Show full text]