Adansi North District Assembly Annual Progress Report 2016

ADANSI NORTH DISTRICT ASSEMBLY

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

ANNUAL PROGRESS REPORT 2016

PREPARED BY: DISTRICT PLANNING COORDINATING UNIT ADANSI NORTH DISTRICT ASSEMBLY 2016 ANNUAL PROGRESS REPORT (APR) INTRODUCTION

1.1 Purpose of the Monitoring and Evaluation for 2016 The primary intention of preparing Monitoring and Evaluation plan is to establish an efficient system for tracking the execution of programmes, projects and activities, and to produce timely reports to various stakeholders to enable them make informed decisions. Report on annual progress of M&E is the mode envisaged to successfully compare outcomes with targets and thereby assessing project achievements on regular basis. Decision makers thereupon are informed about the outcome of progress, observation and the gaps at each level of activity. Therefore the status of key indicators are of primary importance as they facilitate measuring achievement being made with regard to meeting developmental goals and objectives and targets outlined in the District Medium Term Development Plan. (DMTDP). The specific Purpose of the Report. The specific purpose of the report is to;

• To review actions on implementation of various interventions.

• To assess the performance of set indicators and targets which have been adopted for monitoring and evaluating the achievements of programmes and interventions implemented in 2016.

• To devise strategies and recommendations for addressing the shortfalls. The district performance indicators report thus reports highlight and updates on the status of action taken by the Adansi North District on core and specific indicators in the GSGDA and M&E plan and captures additional indicators that have since been identified in the course of implementing programmes and projects. It has been recognized that as a result of the lessons learnt in the previous performance. Detailed analysis of this is found in the summary tables presented below;

• Data and information for preparation of the report were obtained from the decentralized departments and agencies as well as specific stakeholders.

• Data were initially difficult to collect due to improper documentation and inconsistencies

1.2 Processes Involved and Difficulties Encountered Data and information for the preparation of report were obtained from the various decentralized departments and agencies as well as specific stakeholders in the district. District Planning Co-ordinating Unit (DPCU) meeting was organized to provide an opportunity to departments and line heads or agencies to present details of their annual progress reports. Every sector after presentation was given the opportunity to explain the reasons for their performance. They were made to answer questions from other sectors heads, elaborating the reasons for the sector performance either positively or negatively. After thorough discussions, inputs from the various heads were used to prepare this monitoring and evaluation report. Due to improper documentation of data, there were inconsistencies in data from almost all the sectors, but further probing helped in getting the correct data. Inadequacy of updated data coupled with in availability of established baselines and targets, especially on many of the new indicators selected to track progress, posed another challenge to the effective monitoring of the implementation of the District Development Plan.

2.0 DISTRICT PROFILE 2.1 INTRODUCTION This report covers the period from January – December, 2016. It covers the activities and programmes of the District; during the period under review. The District Assembly was created by Legislative Instrument (L.I. 1758) dated 17th February, 2004, and was officially inaugurated on Thursday 19th August, 2004 at Fomena. The District was carved out of two defunct Districts of Adansi East (now Adansi South) and Adansi West (now Obuasi Municipal Assembly); respectively.

2.2 LOCATION OF THE DISTRICT The district is located between Longitude 1.50 W and latitude 6.30 N. The district therefore falls within a typical Tropical region of Africa, which characteristically experiences high temperatures and high rainfall throughout the year. This puts the Adansi North District into a Semi-Equatorial climatic region. The Adansi North District covers an area of approximately 1140 sq km representing about 4.7% of the total area of Ashanti Region. The district is bounded in the South –West by Obuasi Municipality, in the South by Adansi South District, in South-East by Bosome Freho District, in the North-East by Bekwai Municipality Assembly and in the West is Amansie Central District. It has its capital at Fomena located on the Kumasi – Cape Coast main road. The district has 41 electoral areas and two constituencies (Fomena and Asokwa). The District has seven area councils i.e. Akrokerri, Anhwiaso, Asokwa, Bodwesango, Dompoase, Fomena and Fumso area Councils. There are 125 communities in the district. The district population stands at 107,091 people based on the last census conducted in 2010 with a growth rate of 2.6% per annum. The population density is about 94 persons per square km. The male – female ratio is 49.5% to 50.5%.

2.3 ADMINISTRATION The District is under the political and Administrative authority of the District Chief Executive Hon. Alhaji Majdoub Lateef, whiles Mr. Samuel Donkor is the District Co-ordinating Director. 3

2.4 VISION OF THE ASSEMBLY The vision of the assembly is to become an excellent institution well-resourced to effectively and efficiently manage scarce resources to improve the living standards of our people. 2.5 MISSION STATEMENT OF THE ASSEMBLY Our Mission is to improve the quality of life of the people in partnership with major stakeholders through the formulation of sound policies and programmes in areas of poverty reduction, human resource and infrastructural development.

2.6 Status of Implementation of the Medium Term Development Plan Even though, the district strengthened its performance in the implementation of programmes and projects contained in the 2016 annual Action plan achievements were not significantly different from what was obtained in 2015. This could largely be attributed to the limited in flow of funding to the district. Status of implementation according to sectors has been outlined below;

GHANA YOUTH EMPLOYMENT AGENCY. N.Y.E.P was implemented in the district in the year, 2006. IMPLEMENTED MODULES Currently, the modules being run in the district fall under two (2) main categories. These are Paid and Unpaid Modules. The Paid Modules consist of Community Education Teaching Assistant (C.E.T.A), Health Extension Workers (H.E.W), Prisons Service Assistant (P.S.A), Fire Service Assistant (F.S.A), Community Policing Assistant (P.S.A) and Waste and Sanitation (Zoom lion).

The Unpaid Modules also consist of Youth in Dressmaking, Youth in Hairdressing, Youth in Auto Mechanics and Youth in Auto Electrician.

DIAGRAMMATICAL ILLUSTRATION OF THE ABOVE MODULES WHICH HAVE BEEN IMPLEMENTED SO FAR

The Youth in the district who have benefited from the programme can be illustrated diagrammatically as follows. PAID MODULES

S\N MODULE NO. OF BENEFICIARY MALE FEMALE 1. C.E.T.A 92 60 32 2. H.E.W 97 09 88 3. P.S.A 03 02 01 4. F.S.A 02 02 - 5. C.P.A 03 02 01 6 WASTE/MANAGEMENT 196 83 113 TOTAL 393 158 235

UNPAID MODULES/TRADE AND VOCATION

S\N MODULE NO OF BENEFICIARY MALE FEMALE 1. YOUTH IN DRESSMAKING 65 4 61 2 YOUTH IN HAIRDRESSING 30 30 30 3 YOUTH IN AUTO ELECTRICIAN 6 6 - 4 YOUTH IN AUTO MECHANICS 6 6 - TOTAL 107 16 91

PAYMENT OF BENEFICIARIES’ MONTHLY ALLOWANCES (THOSE UNDER THE PAID MODULES) Formerly all the beneficiaries were paid by N.Y.E.P. The Better Ghana Management Service Ltd took over the payment of allowances for the beneficiaries under such modules as Internship, C.E.T.A and H.E.W’s from August 2013 to date. This helped to remove some of the bottlenecks in the payment system. The payment of allowances for beneficiaries under the other paid modules still remained the responsibility of N.Y.E.P.

PROPOSED MODULES Two (2) major modules were proposed at the later part of the year, 2012 for implementation in 2013. These are Youth in Leather Work and Youth in Tricycle Motor.

PROBLEMS/CHALLENGES The problems confronting the programme were many but measures were put in place to address some of them. The problems worth citing included irregular payment of beneficiaries’ allowances, lack of logistics for such exercise as monitoring, dissemination of information and poor system of payment.

RECOMMENDATION Sound and innovative measures should be put in place to ensure that payment of beneficiaries’ allowance is made regularly. There should be regular supply of logistics and the system of payment needs to be improved to avoid anomalies in the payroll.

ADANSI NORTH DISTRICT MUTUAL HEALTH INSURANCE The Adansi North District Mutual Health Insurance Scheme is situated at Fomena, the District capital but serves all communities in the District. Since clients are mainly farmers (cocoa), income is high when it gets to the cocoa seasons (October- December). The Scheme therefore capitalized on the situation to embark on a massive mass registration exercise to increase the total number of clients both renewal and new registration thereby generating income for the Scheme and truly the exercise was successful.

Registration of both formal and informal sector from office and field registration amounted 13,072. Total number of clients who renewed their expired cards amounted to 11,918. The Scheme received total ID cards of 8,662 from NHIA as a result of the batch sent to the National office. Out of the 8,662 cards received, 1,894 cards have been distributed to clients. Registration of pregnant women is free of charge and it is still on going at the Scheme office. The photo taking is also free and registration is still on going in our various communities by Health Insurance agents.

The introduction of capitation affected activities of the Scheme at the beginning of the year. Clients were reluctant to register or renew their cards due to the misconceptions about the new payment module (Capitation). But through effective sanitization tour embarked by the Scheme the situation was control by the latter part of the year. As a result of the activities conducted during the year, the total premium collected at the end of the year was 47,916 with 79,302 as processing fees. The Adansi North Scheme received an amount of GH¢340,746.00 as subsidy from National Health Insurance Authority for 2016 claims payment to all facilities amounted to GH¢375,265.45 as of August, 2016.

Problems Clients complained about the delay of their National ID cards since sometimes it takes more than three (3) months. The slow nature of the STL software the Scheme uses in capturing clients’ data sometimes makes it difficult for the clients to get their cards on time.

Solutions Management saw the need to visit collection agents more regularly to discuss and solve their grievances and also to educate clients about capitation and general issues concerning Health Insurance, in order to make their work more smoothly. The introduction of temporal cards to children below five years and pregnant women has solved the issue clients complaining of delays in getting their cards.

ENVIRONMENTAL HEALTH AND SANITATION UNIT WATER SUPPLY Small town water supply system is nearly to completion in Akrokerri, Bobriase& Sampakrom. Construction of 2 bore-holes for mechanization, pipe lines and over-head tank are under construction. Work is 60% completion. If all these projects are accomplished, water supply coverage will hit 87.5%

Water supply data

TYPE OF FACILITY NO REMARKS SMALL TOWN WATER SUPPLY 3 34 STAND PIPES BORE HOLE WITH HAND PUMP 293 COMMUNITY OWNERSHIP AND MANAGEMENT HAND DUG WELL WITH H/PUMP 18 COMMUNITY OWNED HAND DUG WELL WITH ROPE 37 Private OWNED &BUCKET WATER PRODUCING COMPANY 2 PRIVATE OWNED

WASTE MANAGEMENT Two types of waste are generated in the district, solid and liquid, and both poses challenge to the District Assembly. Almost all the communal refuse containers for evacuation of refuse to final disposal site had broken down. Provision had been made in the 2013 D/A budget to acquire new ones, the challenge is how to manage the volume of refuse in the district before the new containers will be purchased. The Assembly had taken delivery of one new refuse truck, containers for refuse evacuation is yet to arrive.

LIQUID WASTE DISPOSAL

There are 46 modern public Toilets serving the people in the district. This is inadequate considering the district population of 58,582. The J I C A project for the construction of 10 seater water closet toilets at Fomena, Fumso, and Dompoase respectively, to enhance adequate liquid waste disposal is completed and yet to be commissioned for official use.

The table below shows the sanitation facilities existing in the District.

HOUSE INSTITUTI COMMUNIT COMMUNAL COMMUNAL HOUSE HOUSE HOLD ONAL Y K.V.I.P A/PRIVY WATER HOLD HOLD WATER LATRIENE CLOSET K.V.I.P VIP CLOSET S 105 22 4 38 4 50 676

SOLID WASTE DISPOSAL

Sources of Solid wastes generated in the District are made up of both domestic and communal. Zoom Lion Ghana Ltd is solely responsible for storage, collection and Transportation of solid waste to final disposal site. Open dumping is practice at the final refuse disposal ground. After a given period, bulldozer from the regional zoomlion Gh ltd comes to the site to push the heap refuse.

MOSQUITO CONTROL PROGRAMME The Anglo Gold Ashanti – Obuasi, programme to Control malaria in the District is ongoing. This is an indoor residual spraying programme to fight against Malaria in the District. This exercise involves using a W. H. O approved Public Health Insecticide from the classes of Organophosphate, Pyrathroids and Carbamates to spray the inner walls surface of all dwelling houses in all communities.

In addition, the national mosquito programme of Zoom Lion Ghana Limited from Kumasi carried out opening air-spraying exercise to fight mosquito breeding on refuse dumps and public toilets in some selected communities. This was done under the supervision of the District Environmental Health Officer. Cross interview of the people who has benefited from the spraying exercise expressed their dissatisfaction of the stench emulating from the chemical after spraying. However education is still ongoing to sensitize the populace about the importance the spraying exercise. Treated mosquito nets for prevention of mosquito bite, were distributed district wide during the year under review.

PREMISES INSPECTION 10,673 houses were inspecting during the period under review, this represents 40.1% of the total houses of 26627 in the district. 9

EATING AND DRINKING PREMISES 353 Eating and drinking premises were inspected during the period, representing 315 % of 112 in the district. This is as a result of inspecting most of these eating premises more than four times during the year.

CONTROL OF STRAY ANIMALS Controlling and arresting of stray animals is still on going. Unit committee members have been mandated to affect the arrest of stray animals and convey them to the District headquarters for impounding.

PUBLIC CEMETERIES ACTIVITIES Sanitary activities at the public cemeteries is progressing, Revenue from Kyekyewere public cemetery is quite impressive due to its proximity to Adansi Obuasi. 120 burials took place at the cemetery. 5 0ut this were pauper. A total amount of GH 4,860.00 was recorded as proceed from the burial.

The place is managed by a sexton and a sanitation guard for revenue mobilization and proper control of the area. A watchman has also been engaged to ensure adequate security of the cemetery Cemeteries at other areas are managed and control by area council staffs and chiefs

CONSTRAINTS The outfit lacks sanitary equipment’s, tools and chemicals for official service.

CHALLENGES This district was confronted with shortage of staff when three of our staff applied for study leave and left the district with a vacuum. This challenges were turn around when two new E.H.A’s were posted to the district to fill the vacuum.

WAY FORWARD More workshops should be organized at the regional level for Environmental Health staff to sharpen their skills

RECOMMENDATIONS

The Environmental Health and Sanitation Unit wishes to recommend to the Assembly to release money to embark on district wide health education to ensure better living style of the people.

DISTRICT HEALTH DIRECTORATE

KEY ACTIVITIES UNDERTAKEN “ Reproductive and Child Health “ Advocacy, communication and social mobilization “ National Immunization Days (NID’s) “ Outbreak Investigations (CSM and Cholera) “ Outreach Services (ANC and Family Planning) “ Medical Care services “ Breastfeed week celebration “ World TB Day Celebration “ Expanded Programme on Immunization (EPI) “ Acute Flaccid Paralysis (AFP) Surveillance (Disease Surveillance) “ HIV/AIDS Know Your Status Campaign “ School Health services “ Training

“ Reproductive & Child Health Care “ Growth Monitoring “ Vaccination “ Family Planning “ School Health services “ Comprehensive Abortion Care “ Annual Performance Review & DHMT Meetings “ Medical care “ Home visits “ Follow up on AFP

TRAININGS } Training of volunteers on registration and the LLINs distribution exercise. } Training on the New Vaccine Policy (Rota and pneumococcal) } National Immunization Days (NID’s) } Training of CHOs and CBAs on Home Based Care sponsored by NMCP. } Updates in Family Planning Counselling by Engender health } Report writing and reporting formats } Onchocerciasis and Ivermectin Distribution

} Orientation of New posted staff } Midwives on hypertension in pregnancy.

DISTRICT HEALTH MANAGEMENT TEAM SUPPORT VISITS } Monitoring and Supervision (All Facilities) } AFP Surveillance (Prayer camps, Home visit) } Yaws Surveillance (schools). } Record reviews and EPI data validation } Family planning (Outreach Jadelle Insertions) } Trainings (Onchocerciasis, NID, Malaria (HBC), TB, etc)

DISEASE CONTROL DISEASES OF PUBLIC HEALTH IMPORTANCE

DISEASE 2014 2015 2016 Yaws 136 116 Onchocerciasis 16 3 0 Buruli Ulcer 0 2 (on treatment) 0 HIV / AIDS 83 10 121 Tuberculosis 27 31 1

TB cases from 2007-2012

INDICATOR 2011 2012 2013 2014 2015 2016 Target 2016 annual

Number of TB case notified 27 37 38 27 31 60 17 Number of TB cases cured 18 22 16 15 20 10 2 (sputum microscopy) Number of TB cases completing 7 12 13 9 7 7 5 treatment

The number of TB cases in the year 2016 drop comparing with the year 2015. The district carried out a series of health educational activities in communities, churches and other organized group meetings to sensitize members of the disease. The district has also introduce cough registers in all the facilities to help monitor the cough patients and to refer them for the appropriate diagnosis. The district within the year carried out review meetings, monitoring and supervision, world TB celebration, provision of enabler’s package to client and treatment supporters in the district. The activities were sponsored by the Global fund which the district receives bi- annually. Funding has not been adequate to support fully the activities of TB activities in the district.

ONCHOCERCIASIS The district is one of the onchocerciasis endemic districts in the region. The district conducts bi- annual distribution of ivemectin to 42 endemic communities in the district. In April 2016, the district carried out the second round of ivemectin distribution with coverage of 83.1% and the 3rd round in August 2016, with a coverage of 83.7% a slight improvement on the first round. The programme implementation in the communities has been very difficult because of lack of interest of some community drug distributed. Even though social mobilisations are carried out on regular basis before the programme, some communities continue to record low coverage’s. Funding of the programme has not been adequate for both the CDDs and monitoring which sometimes makes it difficult for effective monitoring of the activities. Ivemectin distribution coverage’s from 2015 to 2016

2014 2015 2016

Round 1 Round 2 Round 1 Round 1 76% 80% 81% 83.1%

DISEASES EARMARKED FOR ELIMINATION

DISEASE 2014 2015 2016 Neonatal Tetanus 0 0 0 Leprosy 1(treated) 1 (treated) 2 Lymphatic Filariasis 0 1 0

The district did not record any case of lymphatic Filariasis, and Neonatal Tetanus. The district however picked 2 cases of leprosy that are on treatment at St Louis clinic and Anhwiaso health centre, facilities within the district. The district has embarked on a series of educational activities in the communities aimed at sensitizing the community members on the mode of transmission, signs and symptoms of the diseases and the need to report early for prompt treatment and care. However, the leprosy case identified in 2011 has completed treatment at the St Louis health centre Bodwesango, while the Lymphatic filariasis case is receiving treatment at Fumso health centre.

EPIDEMIC PRONE DISEASES

DISEASE 2011 2012 2013 2014 2015 2016

CSM 0 0 0 1 (Negative) 2 (Negative) 0 (Meningitis) Cholera 0 0 0 0 2 (1 +ve) 1 (-ve) Yellow Fever 1 0 0 6 (Negative) 10 (All Negative) 3 (-ve) Measles 1 10 0 7 (Negative) 40 (40 Negative) 15(14-ve), 1 pending

The district made remarkable improvement in surveillance in 2015. However, the first half of 2016 has seen a downward trend in identifying epidemic prone diseases in all the facilities in the district. This however does not mean the surveillance activities has stopped but rather the number of cases reporting at the facilities has reduced. One suspected sample for cholera from Aboabo II to the regional laboratory for investigation was negative. The number of visitation to prayer camps and shrines increased remarkably which enhanced our detection of epidemic prone diseases and immunization.

EPIDERMIC DISEASES 2011-2016

0 2011 2012 2013 2014 2015 2016

MLS YF CHOL CSM

DISEASES EARMARKED FOR ERADICATION

DISEASE 2014 2015 2016 Polio (AFP) 1 2(negative) 3 Guinea worm 0 0 0

The district was able to pick 2 AFP (suspected Polio) cases in 2014. The laboratory results of the two (2) cases were all negative. The sixty (60) follow up for both cases were conducted, but there were no residual paralysis in both cases.

AFP CASES DETECTED, 2011-2016

NO. OF OF CASES NO. YEARS

AFP case detection over the period has improved, moving from zero (0) in 2011 to 3 cases in 2016. The improvement has come as a result of continuous sensitization of Health staff, community based volunteers, prayer camps and shrines in the district.

IMMUNIZATION

INDICATOR 2011 2012 2013 2014 2015 2016 2016 annual Target Number of children immunized by 6005 6062 6507 6425 (102%) 5745 (88.5%) 4518 4941 (109.3) age 1 –BCG Number of children immunized by 5372 5949 6477 5809 (92.5%) 5341 (82.3%) 4518 4737 (104.8) age 1 - Penta 1 Number of children immunized by 5225 5949 6056 5511 (87.7%) 5079 (78.2%) 4518 4546 (100.6) age 1 - Penta 3 Number of children immunized by 5372 5949 6477 5809 (92.5%) 5341 (82.3%) 4518 4737 (104.8) 17

age 1 -OPV1

INDICATOR 2011 2012 2013 2014 2015 2016 2016 annual Target Number of children 5225 5949 6050 5511 (87.7%) 5079 (78.2%) 4518 4546 (100.6) immunized by age 1 - OPV3 Number of children 5452 5949 6360 6010 (95.7%) 5633 (86.8%) 4518 4947 (105) immunized by age 1 –Measles Number of children 5452 5949 6360 6010 (95.7%) 5633 (86.8%) 4518 4947 (105) immunized by age 1 - Yellow Fever

immunization coverage 2011-2016

120

100

0 2011 2012 2013 2014 2015 2016

BCG MLS PENTA 3 OPV 3 TT2+

Immunization coverage’s for 2016 improved compared to coverage’s in the previous years. The improvement may be attributed to commitment of health staff, and the reduction in population which also had effect on the denominator. The district intermittently carried out mop-up campaign in 2016, which might have contributed to the high coverage’s achieved by the district. The activity was to increase the coverage for all antigens The district is putting measures in place to help maintained the gains made in the coming years.

The year 2016 has new vaccines been introduced into the routine immunization schedule in Ghana in May 2016, to help reduce diarrhoea, pneumonia and also create a second opportunity for children to receive the measles vaccine. The district recorded 44.1% for pneumococcal conjugate vaccine third dose (PCV3), 51% for Rotarix vaccine and 54% of 2nd dose of measles vaccine which was introduced in February 2016. A series of educational campaign was carried out prior to the introduction of the new vaccines, which we believe contributed to the high coverage’s for the newly introduced vaccines.

DROP OUT RATE 2016

40 35 30 25 20 15 10 5 0 BCG-MLS PENTA PCV ROTA

The annual dropout rate of antigens in the district is considered to be appreciably good. The district is putting measures in place to further reduce the dropout rate in the coming years. The dropout rate could further reduce with the road networks to some parts of the district are improved, which will enhance easy access to high to reach communities

COMMUNITY BASED SURVEILLANCE ACTIVITIES, 2016. CBSV BIRTHS

SUB DISTRICT MALE FEMALE TOTAL ABOABO 98 114 212 ASOKWA 39 36 75 AKROKERRI 108 89 197 21

FOMENA 65 83 148 FUMSO 44 54 98 ANHWIASO 138 169 307 TOTAL 492 545 1037

Community based surveillance volunteer’s recorded 1037 births in the various communities. This information is taken during routine services in the communities. CBSV DEATHS

SUB DISTRICT < 1 YR. 1 – 5 YRS PREG. OTHERS TOTAL ABOABO 0 0 0 23 23 ASOKWA 0 0 0 76 76 AKROKERRI 0 0 0 56 56 FOMENA 0 0 0 59 59 FUMSO 0 0 0 16 16 ANHWIASO 0 0 0 19 23 TOTAL 0 0 0 249 253

The volunteer’s did not record any infant deaths, and pregnancy related deaths in the community.

MALARIA CASES BY CATEGORY, 2014-2016

INDICATORS 2014 ANNUAL 2015 ANNUAL 2016 ANNUAL

Case % Case % Case % Children < 5yrs. 12930 29 15972 29 8470 27.6

5 yrs and above 31236 69 38811 70 21765 71

Pregnant women 857 2 744 1 443 1.4

TOTAL MALARIA 45023 55527 30678 CASES

The district recorded a decline in malaria cases from 29% in 2014 to 27.6% in 2016 in children <5years. Malaria cases in general reduced from 55527 in 2014 to 30678 in 2016. The reduction may be attributed to certain intervention been carried out in the district. The district also trained 183 community based agents (CBAs) for the implementation of the Home Based Care programme which seeks to equip agents on the management of malaria, diarrhoea and ARI for children 6months to 5 years.

Malaria,< 5 years 29.5 29 29 29

28.5

28 27.6 27.5

26.5 2013 2014 2015

The district in the first quarter of the year embarked on free distribution and hanging of long lasting insecticide treated bed nets (LLINs) to households. AngloGold Ashanti from Obuasi has been carrying out indoor residual spraying exercise in the district, which we believe may have contributed to the reduction in the number of malaria cases in the district.

60000

50000

40000

30000

20000

10000

0 2013 2014 2015 2016

TOTAL MALARIA CASES LAB CONFIRMED CASES

RDTs supply to the district for confirmation of cases has not been coming on regular basis, making cases confirmation very difficult for the facilities. RECORDS REVIEW The district surveillance team carried out records review of both facility consulting room register and community based registers in the communities. The district team will continue to review the records of the facilities to help improved on the surveillance situation in the district.

CHPS IMPLEMENTATION As a strategy to improve geographical access to health service in Ghana, the Ghana health service adopted the CHPS strategy as a means of making accessible healthcare to the general populace. The district subsequently re-demarcated the various sub districts into the new zones as required by the new re-positioning of CHPS. Based on the re-positioning, the district had 41 demarcated zones. As at the end of f year 2016, the district has 10 functional zones operating. The district carried out a lot of community sensitization to whip the interest of community and opinion leaders for the CHPs programme

WAYFORWARD FOR 2017 “ Improve on Data Management “ Continue to Improve on surveillance “ Maintain gains made in immunization coverage “ Improve on TB case detection “ Support the implementation of CHPS “ Strengthen collaboration with stakeholders. “ Support activities of the district

REPRODUCTIVE AND CHILD HEALTH ANTENATAL REGISTRANTS The total population of Adansi North district is107, 097 per the 2010 population census with WIFA (women in fertile age) as 27108 and expected pregnancies as 4518 which is 4% of the total population. The number of pregnant women who reported at the antenatal clinic for the first time were 4161 given a percentage coverage of 91.5%.The total attendance were12511 which gave the average visit per client as 3.0 .the increase in the antenatal cases was due to the fact that the right population has been used and those who made the 4 visit in the year under review were 1886. The number of women who received tetanus toxoid 2 plus (TT2+) were 3966 given percentage coverage of 87.7%.

DURATION OF PREGNANCY Out of the 4161 registrants at the antenatal clinic those whose duration of pregnancy were in the 1st trimester were 2180, 2nd trimester were 1548 and those in the3rd trimester were 433 and the coverage are as below

ANTENAL REGISTRANTS TRIMESTER NO COVERAGE

4137 1 2180 52.3 2 1548 37.2 3 433 10.4

The above chart shows that 52.3% of pregnant women were in their first trimester. Meaning about half of the pregnant women who came to the clinic for the first time reported early which is a good sign.

PARITY OF MOTHER AT RISTRATION The above indicator is showing the number of deliveries per each woman who visited the antenatal clinic for the first time. Those who reported at the clinic who were nullipara were1172 those who have delivered 1-2 children were1487 3-4 deliveries were 967 and those who have delivered five and above were also 535 pregnant women.

AGE AT REGISTRATION During the annual year in 2016 the number of mothers under age (10-14years) who reported at the clinic for the 1st time was fourteen (14), those in the age category 15-19 years were 718. In the age 20-24 were 1256and in the age 25-29 years were 947. The registrants in the age 30-34 and 35years and above were 653 and 573respectively. The age at registration was also important for it enables the midwives to detect those who need special attention or special care to prevent complications. Every pregnancy is considered risky but those who are teenagers and those who have delivered more than five children cared for and the followed up to detect eminent complications and prevented. The number of adolescent who became pregnant in the annual of 2016 were 732 therefore the district public health nurse (DPHN) and the officer responsible for girl child education went to visit all senior high schools in the district. The safe motherhood report collated for annual performance review (2015) indicated that teenage pregnancy was 732 out of 4161 antenatal registrants, given a percentage coverage of 17.5%.With the coverage being so high, we therefore decided to embark on education on teenage pregnancy and its effect on adolescent in the four (4) senior high schools in the district. The objectives of the program were (1.) to educate the adolescent and (2.)That One sex act can lead to teenage pregnancy and sexually transmitted diseases (3.) Teenage pregnancy can be prevented. We explained who is a teenager? And that they fall into the adolescent stage of life. They were reminded that ,it is during this adolescent stage that new changes occur in their bodies .They were told that the boys have break in voice ,eating a lot ,manufacturing sperms with wet dreams (this was explained as a way of releasing excess sperms in the body ).They were told to take care of their bodies to prevent offensive odour ,since it is during this time that they develop hair over the body, especially in the armpit and the public areas. The girls were also motivated by giving them insight about the changes that occur in their bodies during the adolescent period, they were informed that they would start developing big breast and they would have their first menstrual flow (menarche).then they will grow big and develop define contours and that during this stage they could become pregnant because they would be ovulating. They were also informed to take personal hygiene seriously for the body odour in girls is most often more than that of boys. On personal hygiene they were also advised to change their pads frequently. They were given the chance to come out with the causes of teenage pregnancy and they explained that the causes were poverty, broken homes, delinquency, irresponsible parents, rape drug abuse such as 26

alcohol, watching of pornographic films, peer pressure and early sex. The facilitators, stressed on the fact that one sex act can lead to pregnancy and sexually transmitted diseases such as Chlamydia, gonorrhea, genital herpes and syphilis. They were shown pictures of sexually transmitted diseases as below During pregnancy: the teenager can go through the following problems during pregnancy; anaemia pre-eclampsia (PIH), they always go through episiotomy, she may also go through caesarean section, at this point the teenagers were asked to ask questions they were so interested in why caesarean section would be done and the facilitators took tends to explain why caesarean section and episiotomy would be done on a teenager who is in labour. They were told to desist from inserting certain objects into their vagina to induce abortion for that can damage their cervix leading to infertility. Examples of such objects arecytotec (misoprostol) which should only be prescribed by a medical officer. They were advised to dress well so that they don’t fall prey to rape. A video clip on how abortion is performed was shown to them. The facilitator pleaded with the students to stay away from the above mentioned causes. For teenage pregnancies and their subsequent deliveries have resulted in streetism, drug peddlers and users, leading to armed robbery .they were asked to use their time profitably and the facilitators told them they would talk to their parents at churches, mosques, PTA meetings and other gatherings to make their live a bit comfortable giving them enabling environment to study and meet some of their needs. In conclusion students enrolment were 2402 males and 2058 female totaling 4460 students educated, including their teachers and the entire program was very successful and with questions and answers.

RISK DETECTION DURATION OF PREGNANCY

1st Trimester 2nd Trimester 3rdTrimester

2180 1548 433

AGE AT REGISTRATION

10-14 15-19 20-24 25-25 30-34 35 and above

14 718 1256 947 653 573

PARITY AT REGISTRATION 0 1-2 3-4 5+

1172 1487 967 535

The table above tables show that in duration of pregnancies, women in the 1st trimester reported more than any period in their pregnancy.

SURPERVISED DELIVERY The total numbers of supervised deliveries in the year 2016 were 1616 deliveries which gave percentage coverage over expected deliveries as 36%. HAEMOGLOBIN LEVEL OF PREGNANT MOTHERS Total number of pregnant women whose haemoglobin (HB) was checked were 4258 and the number who were anaemic at registration were 1015 and those whose HB checked at term were also 1282. Meanwhile those who were anaemic at 36 weeks were 521. The situation was alarming so the midwives decided to talk in the communities as well as at the ANC and OPD on diet in pregnancy.

COMPREHENSIVE ABORTION CARE For the period under review which was the annual year of 2016, the abortions undertaken were 122 and out of this number, 105of them accepted family planning. There was not vesico vagina fistula identified. ESSENTIAL OBSTETRIC CARE The number of facilities conducting deliveries is eight (8) and the total deliveries performed in all the facilities were 1615. The midwives have been asked to continue their outreach ANCto motivate the mothers to deliver at the health facilities.

QUALITY MATERNAL CARE The facility heads are competing in improving the maternal area to give quality maternal care to their client by tiling the maternity wards and labour wards. This care includes giving of fruits to mothers after delivery and hot cup of Milo.

FAMILY PLANNING The family planning acceptors rate was 5896 as new and continuing aggregated with the visits as 11461 with the percentage coverage of the couple year of protection as 6176.86, meaning the number signifies the number of couples protected with family planning. To address the low coverage in family planning, the sub-district have been asked to liaise with the community based agents to sell the condoms in the community to increase the family planning coverage as well as the couple year protection(CYP).

MALE AS PARTNERS (MAP) The number of clients who came in to access family planning came with their partners and they were 84 for counseling the number. The numbers of condoms patronized by the male partners were .under family planning 156 clients were accompanied by their male partners, 299 had their husbands accompanying them to the ANC. 479 husbands followed their wives to the clinic to deliver and 126 followed their wives to the postnatal clinic. During child welfare clinics, 272 fathers accompanied their wives and children to the clinics. MAP percentage coverage would be as follows.

MAP PERCENTAGE COVERAGE ACTIVITIES NUMBER OF MALES PERCENTAGE COVERAGE Antenatal clinic 299 25.4% delivery 479 40.7% Post natal clinic 126 10.7% Child welfare clinic 272 23.1%

GROWTH MONITORING

INDICATOR 2014 2015 ANNUAL 2016

TAG. PERF. COV. TAG. PERF. COV. TAG. PERF. COV. 0-11 6278 6491 6491 6491 7136 109.9 4518 5506 121.9 MONTHS 12-23 6121 6329 6329 6329 3507 55.4 4405 2177 49.0 MONTHS 24-59 13497 13956 13956 13956 3075 22.0 9714 2369 24.4 MONTHS

Growth of children 0-59 months were monitored during the monthly child welfare clinic sessions (CWCS) held in the district from January to December, 2016. Achievement rate for 0-11, 12-23, 24-59 months respectively were as follows: 121.9%, 49.0%, 24.4%. As a result of the dwindling figures for 12-23 and 24-59 months especially, the nutritional surveillance at day centres were conducted within the year under review to make up for the missing children. Mothers will be entreated to send their children for weighing sessions to monitor their growth and subsequent development.

MALNUTRITION

INDICATOR 2014 2015 2016 PERF. MAL COV PERF. MAL. COV. PERF. MAL. COV. 0-11 5830 4 0.07 7136 103 1.4 5506 32 0.6 MONTHS 12-23 5086 4 0.08 3507 73 2.1 2177 45 2.1 MONTHS 24-59 7423 31 0.40 3075 67 2.2 2369 26 1.1 MONTHS

The rate of malnutrition recorded for the year was 32 in 5506 children 0-11months representing 0.6%,45 in 2177 aged 12-23 months and 26 in 2369 children, 24-59 months also representing 1.1%.mothers and caretakers of these children were educated on the food kinds and types to give the children in order to reduce malnutrition rates. They were also encouraged to report regularly at sessions to adequately monitor the children’s growth.

SCHOOL HEALTH The total number of schools in the district is 122. The total number of children enrolled were from preschool, primary one, primary three and junior high schools (JHS) which are the target classes are 20226. The schools visited were 85 in number and examined were 17543 given a percentage examined as total numbers receiving 3+ heath talks were 30. The total numbers referred to be sent to clinic were 30 children. The staffs hope to make more visits to the schools to improve upon the 3+ health talks.

INDICATOR 2014 2015 2016

NUMBER COV NUMBER COV NUMBER COV NO OF SCHOOLS 124 124 124 NO. OF SCHOOLS VISITED 144 98.0 115 92 85 69.6% NO. OF SCHOOL CHILDREN 22037 19296 20226 ENROLLED NO.OF CHILDREN 20576 93.0 17577 91 17543 86.7% EXAMINED NO.OF SCHOOLS REC.3+ 54 37.0 33 26 30 24.5% HED TALKS

PMTCT TRAINING Training was on 14th June, 2016 which was facilitated by Ms. Rita Anafu, Mrs. Benedicta Agyemang and Ms. Golder Sarpong. Rules for the training were set after participants had introduced themselves. They were taken through the basic facts of HIV/AIDS: the three types of HIV which are HIV 1 and 2 is mostly found in West Africa e.g. Mozambique and Angola and very real and its time of progression of its stage is low.

OBJECTIVES

• Primary prevention OF HIV infections.

• Prevention of unintended pregnancy among women infected with HIV.

• Prevention of HIV transmission from women infected with HIV to their infants.

• Provision and treatment care and support to women infected with HIV On protocol to anti-retroviral drugs in pregnancy the facilitator said treatment focus on the mother but foetus will also benefit prophylaxis focuses on the foetus and it in the long term .on prophylaxis she said it focus on the foetus and it short term.DC4 count is more than 350and WHO stage 1and 2 give prophylaxis and the CD4 count is less than 350 and WHO stage3 and 4 give treatment. In given treatment to an infected person take into consideration gestational age, HBless than8gm/dl CD4count first drug is eidovuden+ lamivodin may come a combined does called combivir. For HIV exposed infant give eidovuden daily for 6 weeks or nevirapine if anaemia is present. Physical clinical manifestations of HIV infected clients e.g.: herpes xorter, oral thrush etc were shown to participants. Changes in the administration of antiretroviral prophylaxis was addressed and that pregnant women are given the prophylaxis on 14weeks instead of 28 weeks changing from a double anti-retroviral prophylaxis to triple does prophylaxis (AZT +3T +EFU) it was also understood that infant in respect of their feeding option should receive AFT or N4P if anaemic (daily) from birth to 6 weeks. There was an elaboration on the care of HIV infected women and women of unknown status. It was explain that HI testing and counselling is a routine offer and if accepted should be done again in the third trimester for pregnant women who tested negative in the early stages of their pregnancy, addition to all their essential antenatal packages like the physical examination checking of HB at registration and 36 weeks. It was also clear that all HIV infected women put on co-tramidazole prophylaxis should not be given SP (sulphurdozine pyrimethamine )because they both contain sulphur moreover, care during labour

and delivery was explain and that vagina delivery was said to be the safest mode of delivery. However participants were urged to avoid invasive procedures which include routine artificial rapture of membranes. Routine episiotomy and caesarean section considered on obstetric ground should be done promptly when it is indicated. Furthermore the infant being the major target of PMTCT were not left out. Rather how to care for them and how to go about postnatal follow up clinic were explained as in the national guideline for PMTCT .the need for early diagnoses of HIV using filter paper for DNA DCR from the 6th week up till before 18 months was emphasized. Feeding of HIV exposed babies was discussed though mother can choose between breastfeeding to artificial feeding assessing her capabilities to practice artificial feeding is done if she so chooses. Then emphasis on the importance of breastfeeding for 6 months followed by addition of self-prepared none spicy complementary feeds after the 6 months. In addition to this it was clear that all vaccines can be given to HI exposed children except yellow fever which cannot be given to a child showing signs of HIV infection because it is a life attenuated vaccine which will infect the child instead of protecting him. Report and recording in HCT and PMTCT new register was also emphasized. ORIENTATION As part of the human resource management activities of the district to usher the new staff into the job field the DISTRICT Health Management team of the Adansi north district health directorate organized orientation for the new staff posted to the district. OBJECTIVES:

• To promote quality assurance in the delivery of health care services as new staff. • To know the job description of staff to enable them carry out their job duties effectively. • To know the code of conduct of the service and penalties associated to misconducts. • To know the report writing format. • To know the overview of the new vaccines-rotavirus and pneumococcal vaccine. .

IMMUNIZATION

INDICATOR 2011 2012 2013 2014 2015 2016 Target 2016 annual Number of children 6005 6062 6507 6425 (102%) 5745 (88.5%) 4518 4941 (109.3) immunized by age 1 –BCG Number of children 5372 5949 6477 5809 (92.5%) 5341 (82.3%) 4518 4737 (104.8) immunized by age 1 - Penta 1 Number of children 5225 5949 6056 5511 (87.7%) 5079 (78.2%) 4518 4546 (100.6) immunized by age 1 - Penta 3 Number of children 5372 5949 6477 5809 (92.5%) 5341 (82.3%) 4518 4737 (104.8) immunized by age 1 -OPV1

INDICATOR 2010 2011 2013 2014 2015 2016 Target 2016 annual Number of children 5225 5949 6050 5511 (87.7%) 5079 (78.2%) 4518 4546 (100.6) immunized by age 1 - OPV3 Number of children 5452 5949 6360 6010 (95.7%) 5633 (86.8%) 4518 4947 (105) immunized by age 1 – Measles Number of children 5452 5949 6360 6010 (95.7%) 5633 (86.8%) 4518 4947 (105) immunized by age 1 - Yellow Fever

SAFE MOTHERHOOD

INDICATORS 2014 2015 2016 TAG PERF CO TAG PERF COV TAG PERF COV V

FP Acceptor rate 37667 13326 35.0 38948 5548 14.2 5896 Natural 212 20 4 Lam 116 35 342 CYP short term 11948.1 2816.77 2411.869 method CYP long term 1584 3240.5 3765 method Grand total 13532.1 6057.27 6176.86

SAFE MOTHERHOOD

INDICATOR 2014 2015 2016

TAG PERF COV TAG PERF COV TAG PERF COV ANC Registrants 6278 4275 68 6491 4470 68.8 4137 ANC 4 visit 4275 1204 76.3 4470 2600 60 1886 Ave.visit per clients 4275 13606 3.0 4470 13450 3.0 Teenage preg. 645 774 730 4275 1068 25.0 4470 1040 24 1015 HB <11gm@reg

HB<11gm@36wks 4275 386 8.0 4470 457 10 521 TT2+ 6278 5378 86 6491 4879 75 3966

SAFE MOTHERHOOD

INDICATOR 2012 2014 2016 TAG PERF COV TAG PERF COV TAG PERF COV Skilled del. 6278 1473 23 6491 1522 23.4 1606

TBA del. 1094 0 0 835 0 459 Below 2.5kg 1473 77 5.0 1522 87 5.7 II3 Still birth 0 1 0 0 1 0 5 Maternal 0 0 0 0 1 0 O death PNC 6278 3199 51 6491 2191 33 2145

PRESENTATION ON UNFPA PROGRAMME The district was selected among the 7 district selected from Ashanti region to do presentation on the MDG’s in prevention of maternal morbidity and mortality. The key interventions were maternal health and adolescent sexual and reproductive health 1. The outline was on maternal health 2. Three delays frame work. 3. Adolescent’s sexual and reproductive health services and information. 4. Planning district interventions

MATERNAL HEALTH The key intervention to reduce maternal morbidity and mortality were access and utilization family planning services and information • Reproductive health commodity security (RHCS). • Counseling. • Trained health care providers. • Building demands for it and uptake of family planning

UNDER GOVERNMENT OF GHANA • Ensure contraceptive security.

• Expand the scope of cadres providing family planning services including the long term methods. • Train service providers in comprehensive family planning including effective planning. • Undertake supportive supervision. • Train service providers in contraceptive updates After the presentation the districts were called again to prepare action plan using the above outlooks as programme of work in the 2013-2016 4years of MAF millennium Accerated Fund and UNFPA would fill in the gabs where possible.

UNFPA V Improve the presence of skilled attendants at birth and other with midwifery skills. V An enabling environment in order to perform capably training /education strong cadre of professional practitioner to assist women in child birth. V Accreditation /association. V Equity geographic distribution

GOG V Improve skilled delivery coverage. V Production of midwives, doctors, OBG specialists, anesthetic’s and midwifery tutors. V Conduct lifesaving skill (LSS) in-service training for midwives. V Undertake refresher training for medical doctors in obstetric surgery

V . V Management and treatment of complication related to pregnancy delivery and abortion. V Manual procedures –removal of placenta repair of tears etc. V Monitoring of labour –use of partograph. V Improve access to emergency obstetric and neonatal care. V Develop essential EMONC packages. 37

V Upgrade equipment drugs and supplies and infrastructure in maternity wards as per need. V Identify in EMONC survey. V Expand the arrangement with transport union to improve transportation of pregnant women with complications. V Develop a grading system for health facilities scale up essential nutrition action (ENA) for women. V Scale up PMTCT (50 new health centers to be supported). V Build up capacity on the use of partograph and other delivery monitoring. V Improve equipment for monitoring of pregnancy labour newborn and perinatal care

The three delays model proposes that pregnancy related mortality and morbidity is overwhelmingly due to delays in 1. Deciding seek appropriate medical help for an obstetric emergency (socio-cultural, gender and economic barriers). 2. Reaching appropriate obstetric facility structural barriers. 3. Receiving adequate care when a facility is reached system barriers) Adolescent sexual and reproductive health service and information

DEFINITION ° 10-24 adolescent and youth ° 15-35 adolescent and youth ° Policy framework and institutional response youth policy ° Adolescent sexual reproductive health policy ° National population policy ° MIC’s census data ° Situation analysis on adolescent and youth

PLANNING DISTRICT INTERVENTIONS Based on the key maternal mortality and morbidity and ASRH issues identified in our respective district and regions 1. What intervention would we propose? 2. Where would we implement those interventions in our district levels? 3. Who is the best suited (has the comparative advantage to improve those interventions) 4. When would those interventions be implemented 5. How much would it cost to implement the proposed intervention /annual budget if (current allocation is gap?) With the above in mind the group from Adansi north outputs indicator s baseline and target as following and planned later on each district did present to the region representatives the UNFPA 1. Strengthen district capacity for emergency obstetric and new born care (EMONC) 2. Strengthen district capacity to implement comprehensive midwifery programmes. 3. Outputs 3- Improve access to appropriate health information adolescents and youth improved 4. Strengthening maternal health services 5. Output 5- HIV/AIDS services strengthened 6. Output 6 monitoring and evaluation It is under these outputs that we came out with indicators and baseline and target. We wrote proposals and presented and that is what we are going to work with in2013-2016.

MEETING WITH MIDWIVES The topics treated with the midwives were: ‹ Hypertension in pregnancy. ‹ Pre-eclampsia ‹ Severe pre-eclampsia and imminent eclampsia. ‹ Eclampsia and the managements.

WAY FORWARD } Strengthen District Capacity for Emergency obstetric and new-born care (EMONC). } Implement comprehensive midwifery programmes } Access to appropriate health information for Adolescent and youth. } Strengthens maternal health services } Strengthen HIV/AIDs/ PMTCT services.

CLINICAL CARE The district has nine (9) Health facilities with seven (7) been Government owned and two (2) Missions / CHAG.

OPD ATTENDANCE

YEAR INSURED NON-INSURED Male Female Total Male Female Total

2012 2013 13692 25775 39467 13743 17686 31429 2014 9694 17075 26769 5718 7296 13014 2015 31746 55662 87408 9180 11535 20715 2016 33,150 60,004 93,154 10,113 12,220 22,333

OPD TEN TOP DISEASES

No. 2014 2015 2016 Diseases Cases Diseases Cases Diseases Cases 1 Malaria 45023 Malaria 55527 Malaria 30678 2 Other ARI 17084 Other ARI 19207 ARI 13260 3 Rheumatism and Joint 4088 Skin Diseases & Ulcers 6278 Rheumatism and Joint 3599 Paints Paints 4 Diarrhoea Diseases 3912 Diarrhoea Diseases 5260 Diarrhoea Diseases 3250 5 Skin Diseases & 3332 Rheumatism and Joint 4432 Skin diseases & ulcers 3219 Ulcers Paints 6 AUTI 1867 Intestinal worms 4027 Intestinal worms 2745 7 Hypertension 1851 Acute Urinary Tract 2605 AUTI 1893 Infection 8 Intestinal worms 1776 Anaemia 2159 Anaemia 1200 9 Malaria in Pregnancy 857 Hypertension 1669 Hypertension 929 10 Other oral Conditions 826 Acute Eye infection 1181 Acute Eye Infection 776

OPD Per Capita, 2012-2016 2015, 0.8 2014, 0.6 2016, 0.6 2013, 0.4 2012, 0.2

TOP TEN DISEASES, 2016

50 40.1 40 30 17.3 20 4.7 4.2 4.2 10 3.5 2.4 1.5 1.2 1 0

NUTRITION GROWTH MONITORING

INDICATOR 2014 2015 2016 ANNUAL TAG. PERF. COV. TAG. PERF. COV. TAG. PERF. COV. 0-11 6278 5830 92.8 6491 7136 109.9 4518 5506 121.9 MONTHS 12-23 6121 5086 80.1 6329 3507 55.4 4405 2177 49.2 MONTHS 24-59 13497 7423 54.9 13956 3075 22.0 9714 2369 24.4 MONTHS

Growth of children 0-59 months were monitored during the monthly Child Welfare Clinic Sessions (CWCs) held in the district from January to December, 2016. Achievement rate for 0-11, 12-23 and24-59 months respectively were as follows: 121.9%, 49.2% and 24.4%. As a result of the dwindling figures for 12-23 and 24-59 months especially, the nutritional surveillance at day centres were conducted with intensity within the year under review to make up for the missing children. Mothers were entreated to send their children for weighing sessions to monitor their growth and subsequent development.

MALNUTRITION

INDICATOR 2014 2015 2016 ANNUAL

PERF. MAL. COV. PERF. MAL. COV. PERF. MAL. COV. 0-11 MONTHS 5830 4 0.07 7136 103 1.4 5506 32 0.6 12-23 MONTHS 5086 4 0.08 3507 73 2.1 2177 45 2.1 24-59 MONTHS 7423 31 0.40 3075 67 2.2 2369 26 1.1

The rate of malnutrition recorded for the year was 32 in 5506 from children 0-11 months representing 0.6%, 45 out of 2177 children aged 12-23 months also representing 2.1% and 26 in 2369 children aged 24-59 months representing 1.1%. Mothers and caretakers of these children were educated on the food sources and types to give the children in order to reduce malnutrition rates. They were also encouraged to report regularly at sessions to adequately monitor the children’s growth.

MATERNAL VITAMIN A SUPPLEMENTATION

INDICATORS AKR. FOM. ASO. ABO. FUM. ANH. TOTAL No. of expected deliveries 962 921 807 672 630 526 4518 No. of deliveries (mothers) 310 457 89 251 279 208 1594 Mother/ baby pair B/F on discharge 310 454 88 250 276 208 1586 No. of mothers given vitamin A 448 515 223 308 371 364 2229 No. of maternal death 0 0 0 0 0 0 0 No. of baby deaths 0 3 1 1 3 0 8 No. of deliveries by TBAs 0 47 118 40 41 133 379 %Supervised deliveries 32.2 49.6 11.0 37.4 44.3 39.5 35.3 % Breastfeeding on discharge 100 99.3 98.9 99.6 98.9 100 99.5 Vitamin A supplementation 46.6 55.9 27.6 45.8 58.9 69.2 49.3 % Maternal death 0.0 0.0 0.0 0.0 0.0 0.0 0.0

Mothers after delivery are given 200,000 IU vitamin A i.e. during the postnatal period. Trained TBAs are given the capsules to be given to the women also after delivery. The district for the year recorded 1594 deliveries by skilled attendants representing 35.3% and 379 deliveries by trained TBAs also representing 8.4%. Vitamin A supplementation rate was 49.3% while maternal death rate was 0.0%. Facilities are being entreated to take up the challenge to be accredited as baby friendly. More women will be encouraged at outreach sessions to patronize facility delivery to increase supervised deliveries and vitamin A supplementation rates.

IODATED SALT SURVEY – (MARKET AVAILABILITY)

SUB- DISTRICT INDICATOR No. Tested No. Pos. No. Neg. % Passed % Failed ABOABO 23 14 9 60.9 39.1 AKROKERRI 23 20 3 87.0 13.0 ASOKWA 23 20 3 87.0 13.0 FOMENA 23 18 5 78.3 21.7 FUMSO 23 13 10 56.5 43.5 ANHWIASO 23 14 9 60.9 39.1 TOTAL 138 99 39 71.7 28.3 IODATED SALT SURVEY- (HOUSEHOLD UTILIZATION)

SUB- DISTRICT INDICATOR No. Tested No. Pos. No. Neg. % Passed % Failed

ABOABO 23 17 6 73.9 26.1 AKROKERRI 23 17 6 73.9 26.1 ASOKWA 23 19 4 82.6 17.4 FOMENA 23 18 5 78.3 21.7 FUMSO 23 20 3 87.0 13.0 ANHWIASO 23 21 2 91.3 8.7 TOTAL 138 112 26 81.2 18.8

Every half year, which is in June and November, iodated salt survey is conducted within the district to determine the rates of iodated salt availability and utilization with particular emphasis on markets and households. Iodine in salt can easily evaporate if the salt is not kept under ideal conditions such as storing it in covered containers and not exposing it to sunlight. A result of the survey conducted in June, 2014 as shown above indicates an increased level of iodine in the salt samples tested compared to that conducted in November

the previous year. Salt traders and household users of salt whom the survey team came into contact with were educated on how to maintain and use iodized salt. Further education was carried out especially at ante natal clinic sessions where pregnant women were educated on the importance of iodated salt for themselves and their unborn children. Other outreach avenues such as CWC sessions were used to promote iodated salt. Laws regulating the production and sale of iodated salt need to be enforced to ensure availability and utilization.

NUTRITIONAL SURVEILLANCE AT DAY CARE CENTERS

INDICATOR 2014 2015 2016 MALE FEMALE TOTAL MALE FEMALE TOTAL MALE FEMALE TOTAL W/A <-2SD 5.0 5.8 10.8 11.4 13.4 24.8 13.1 14.6 27.7 H/A <-2SD 6.7 8.5 15.2 15 13.6 28.6 13.3 10.9 24.2 W/H < -2SD 4.2 4.6 8.8 5.2 6.6 11.8 3.7 5.9 9.6

Fifteen (15) day care and kindergartens both private and public were visited to conduct nutritional surveillance on three hundred and twenty one (321) school children less than five years old. Four sub- districts namely Fomena, Asokwa, Anhwiaso and Fumso were used. This exercise was necessary because most of the children after two years start attending school making it difficult for them to attend CWC sessions. The only way out thus is to catch them at school. Their weight, height and age are taken and compared against each other to check for rates of underweight, stunting and wasting. Recorded rates for the respective indicators were 27.7%, 24.2% and 9.6%.These are marginal improvements over the previous years’ figures. This can be attributed to the educational talks given teachers during this exercise. Again parents and caregivers who attend outreach services especially CWC sessions are well educated on diets for children, emphasis placed on good complementary foods. Feedback on these figures was communicated to the district education office, specifically the school health department in order to make parents and caretakers aware and the actions to take to reduce rates of malnutrition.

ADOLESCENT HEALTH AND NUTRITION SURVEY In order to improve adolescent health in the district, the adolescent health and nutrition survey was conducted to improve on adolescent health issues and strategize to address them. Three schools were visited; one primary school and a junior high school all within the Asokwa sub-district and a secondary school in the Fomena sub- district. In all 350 adolescents aged 10-19 years were 46

visited; 151 males and 199 females. Topics treated included teenage pregnancy, adolescent nutrition and tobacco use among adolescents. Their weights and heights were taken after each visit to measure their Body Mass Index (BMI). The result of the survey is as follows:

AGE BMI TOTAL GROUP <18.5 18.5-25 <18.5 18.5-25 10 years 4 0 4 0 4 11 years 16 0 16 0 16 12 years 39 6 39 6 45 13 years 42 8 42 8 50 14 years 20 17 20 17 37 15 years 10 26 10 26 36 16 years 4 35 4 35 40 17 years 5 24 5 24 36 18 years 3 42 3 42 46 19 years 1 33 1 33 40 TOTAL 144 191 144 191 350

Out of the 350 people examined, 144 representing 41.1% were underweight, 191 representing 54.6% were healthy, 13 representing 3.7% were overweight and 2 out of the 350, representing 0.6% were obese. Efforts will be made to make health educational topics and materials more especially on nutrition handier to these adolescents to check rates of underweight. Other activities undertaken within the nutrition unit include a weekly diet clinic conducted for diabetics at the Benito Menni health facility. For entire year, 97 clients were registered. 18 males and 25 females with diabetes mellitus and 12 males and 42 females with diabetes- hypertension were seen. Their Body Mass Indexes are recorded and counseled accordingly. They were given general talks on diabetic diet and management of the condition. Child health promotion week was celebrated in May to improve on and create awareness about child health. A refresher on growth monitoring and promotion was organised with the RCH department in February to refresh staff on growth monitoring updates. New staff was also oriented to nutritional activities and topics during the staff orientation for new staff.

CHALLENGES • Children not having their dates of birth in school register during day care surveillance survey. This makes analysis quite difficult. • Nutritional activities not being funded.

WAY FORWARD • Nutritional activities to be incorporated into other activities. • To liaise with GES/ SHEP coordinator to update registers with date of birth of pupils. • Establishment of baby friendly facilities in the district. • Intensification of diet related disease clinic sessions. • Intensified health education to reduce malnutrition and diet related diseases. • Adolescent health survey to improve adolescent health.

HEALTH INFORMATION MANAGEMENT In the year under review, data management has improved as compared to the past years. This is because all Health facilities purchased Laptop Computers and Modems. Also during the year, there has been trainings on Report formats and Report writing and Institutional or Facility to facility training on District Health Information Management System (DHIMS) software by the District Health Information Officer. However a Regional training on DHIMS was also organised to all Facility heads/ Medical Superintendent and Medical Records Officers to sensitize the staff on DHIMS.

Some Challenges are: • Inadequate staff with Skills in the usage of Computers. • Inadequate of Medical Record Staff in the district to manage DHIMS. • Lack of knowledge in the management of data on the side of Facility Heads and staff. • No seriousness attached to report writing, reporting formats and data management.

HUMAN RESOURCE DEVELOPMENT The Human resource position is good but still need some Technical staff such as permanent Laboratory Technicians to manage or run the two (2) Laboratories (Akrokerri and Fomena Health centres) in the district.

We have eight (8) Midwives in the district are also not enough for the seven (7) Health facilities and additional but five midwives will help them go on shift and also be able to go on leave when they are due as their absent from duty to proceed on leave has become difficult to managed. Six (6) Community Health Nurses were also granted Study leave to pursue Diploma in Midwifery and one (1) Disease control. Three of the above six completed their midwifery cause in December 2012 and hope they will be posted back into the district after their attachment to help reduce the pressure on the midwives in the district.

We will also need a Medical Office and Anesthetise to help run the new theatre block put up by MTN Communication Company at the Fomena Health Centre

Some of the Challenges in Human Resource Development were: V Accommodation issues. About 50% of staff were appraised in 2012. This is due to lack of cooperation from some of the staff. KEY CHALLENGES } Low TB case detection. } Lack of commitment by community members on CHPS implementation. } Poor staff attitude towards work (outreach, home visits) } Lack of both office and residential accommodation. } Lack of potable water at the facilities (Fumso and Akrokerri Health centres). } Bad road networks in some parts of the district.

STRATEGIES USED TO ADDRESS CHALLENGES } Lobbying with D/A to expedite actions on CHPS compounds and road networks. } Lobbying with the MP to use part of NHIS fund to build DHMT office.

KEY INNOVATIONS } Outreach Jadelle insertion. } Institutional TB training and surveillance. } Conference data entering on DHIMS software monthly. } Outreach ANC KEY ACHEIVEMENTS } All facilities are now having Desktop computers. } Two (2) suspected AFP cases identified. } Office accommodation for the District Accountant provided by Fomena Health centre. } Improvement in surveillance. } CHPS compound at Fumso Ketewa construction ongoing through the MPs National Health Insurance fund. } Expansion of Asokwa Health centre. WAY FORWARD } Continue to strengthen IDSR by institutional trainings and service providers sensitization especially Tuberculosis.

} Maintain immunization coverages. } Intensify support visits to the facilities. } Continue with Outreach ANC. } Strengthen District Capacity for Emergency obstetric and new-born care (EMONC). } Implement comprehensive midwifery programmes } Access to appropriate health information for Adolescent and youth. } Strengthens maternal health services } Strengthen HIV/AIDs services. } Quarterly monitoring and Evaluation } Quarterly Review meeting by the Technical Team.

} Follow up on all suspected cases. } Lobbying with District Assembly to complete building of CHPS compounds. } Lobbying with District Chief Executive to implement CARMMA.

DEPARTMENT OF AGRICULTURE

Table 1: Climatic data of the period Data 1ST QUARTER 2ND 3RD QUARTER 4TH QUARTER Total QUARTER 2015 2016 2015 2016 2015 2016 2015 2016 Annual - Annual - 2015 2016 Rainfall (mm) 79 369 588 411 134 414 716 351 1490.0 960.0

No rain days 10 11 23.0 22.0 9.0 26.0 26.0 29.0 118.0 97.0

Rainfall Distribution Below Below Above Normal Normal Normal Normal Normal Normal Normal Normal Dominant weather pattern compared to Dry Dry Wet Wet Wet Wet Mixed Dry normal year Source: DADU

ANALYSIS

Generally the rain intensity for 2015 was much higher than that of 2016. There was an abrupt end of rains in December of 2016 affecting minor season cereal and vegetable production and productivity. On the performance of crop for the major season it was normal for both years with the exception of the minor season which differed in rainfall intensity and distribution as stated above

Table 2: Key Indicators of Rainfall Distribution

Annual - 2015 Annual - 2016

Indicator1 The rainfall distribution was sparse The rainfall distribution was sparse and below normal and below normal

Indicator 2 The rainfall amount recorded The rainfall amount recorded was was1490mm 960mm

Indicator 3 The number of rain days was 118 The number of rain days was 97

Indicator 4 The weather pattern for the year was The weather pattern for the year was dry dry

Indicator 5 - -

Table 3: External forces impacting on agriculture performance

External Area of Frequency (1) Significance (2) Trends (3) forces occurrence Annual – Annual - Annual - Annual - Annual - Annual - 2015 2016 2015 2016 2015 2016 FREQUENT EVENTS

Bush Fire All Zones 2 2 5 5 0 -1

Price variation of All Zones 3 3 2 2 1 1 agric inputs Seasonal price variation of All Zones 3 3 4 4 0 -1 local production Malaria All Zones 4 3 5 4 0 -1

Seasonal rural - urban ------migration Urbanization and non agricultural ------employment opportunities 54

Fuel Price Increase All Zones 2 2 5 5 0 0

Occurrence of droughts All Zones 2 2 5 5 0 1

National and regional trade of food ------production Regional border effects ------

Alien herdsmen

Illegal mining ------(Galamsey) LESS FREQUENT EVENTS

Permanent economic migration and All Zones 4 4 1 1 0 0 remittances Variation of mean lean ------season

Stealing livestock All Zones 2 2 5 5 1 1

Tse-tse flies ------

Livestock epidemics ------

Crop damage (pest, insects, etc) All Zones 3 3 4 4 0 -1

Soil or water toxicity------pollution Conflicts ------

Occurrence of floods ------

Illegal Logging All Zones 4 4 5 5 0 1

Chieftaincy ------

Govt subsidy programme All Zones 3 3 2 2 1 1

Other ------

Source: DADU, PPMED

ANALYSIS External factors which affected agricultural productivity most in the year under review are fuel price increases, Government subsidy on inputs and drought during the minor seasons.

Table 10: Availability and Access to Food Outlets

Annual – Annual - 2015 2016 Number of district food 85 85 markets (daily to weekly) all year round Source: DADU

ANALYSIS

There are about 94 communities in the district and there are 85 daily and weekly markets in the district

Table 11: Food Production Deficit Areas

Regional Level District with poor food Total number of all year availability and poor access round district food markets in food production deficit areas within the region

Annual - 2015 Annual - 2016 Annual - 2015 Annual - 2016

Table 15: Food Based Nutrition Education

Information/Technologies Disseminated Annual - 2015 Annual - 2016 % Difference Between 2015 and 2016

Male Female Total Male Female Total Male Female Total Awareness creation on food-based #DIV/0! #DIV/0! #DIV/0! nutrition in relation to food production

Protein Energy malnutrition (PEM) #DIV/0! #DIV/0! #DIV/0!

Micro-nutrients (vit A, Iron & Iodine). #DIV/0! #DIV/0! #DIV/0!

Food-to-food fortification demonstrations 106.7% #DIV/0! #DIV/0!

Nutrient conservation demonstrations in #DIV/0! #DIV/0! #DIV/0! food preparation

Education on food handling and safety #DIV/0! #DIV/0! #DIV/0!

Total 0 0 0 0 0 0 #DIV/0! #DIV/0! #DIV/0! Source: WIAD/MoFA

ANALYSIS There were no Nutrition conservation demonstrations in food preparation in 2015 and in 2016 due to lack of funds.

Table 16: Processing Technologies for Agricultural Commodities Disseminated to Farmer Groups

Commodity Number Number Group Number of Number of Total End Quantity of of Membership Facilities Individuals number of Products Processed Facilities Groups owned by Involved Processing Per owned Involved Individuals Facilities Month by (Raw Groups Material Male Female Male Female in MT) Maize 0 Soybean 0 Cassava 8 11 102 120 6 6 20 14 Gari/Dry 8000.0% chips Yam 0 Plantain 0 Mango 0 Pineapple 0 Banana 0 Citrus 0 Tomato 0 Pepper 0 Oil Palm 0 Palm Kernel Oil 0 Fish 0 Rice 3 15 180 151 17 35 43 20 well 2000.0% polished and baged rice

TOTAL 11 26 282 271 23 41 63 34 Gari/Dry 100 chips Source: WIAD/MoFA

ANALYSIS Rice and Cassava processing groups were trained on how to achieve value addition through processing in the year under review. With enough funding and support in the coming year the department can do more to help our farmers.

Table 17: Average Wholesale Food Price of Major Commodities

Average Price (Nominal GHc)

COMMODITY Annual - Annual - Percentage 2015 2016 Difference Maize (100 kg) 200 180 37% Local Rice (100 kg) 200 200 54% Millet (93 kg) 10% Sorghum (109 kg) 19% Cowpea (109 kg) 360 400 31% Groundnut (82 kg) 330 360 28% Yam (250 kg) 600 600 8% Cocoyam (91 kg) 120 210 0% Cassava (91 kg) 50 70 42%

Plantain (9-11 kg) 7 10 14% Tomatoes (52 kg) 350 250 54% Smoked Herrings (100 30 50 singles) 33% Source: DADU / RADU / SRID, MoFA

ANALYSIS Food items were available in the district. By comparing 2015 and 2016 price variation, it can be seen that the price of most food commodities were unstable throughout the year.

Table 19: Preventive initiatives for emergency preparedness Total Nature of Initiatives by Region Number of Strengthening Emergency Establishment Initiatives of early preparedness of Strategic started warning and disaster stocks to and/or systems management support completed scheme emergency preparedness

Adansi North 2.0

Source: DADU, RADU

ANALYSIS Fire volunteer groups were formed and trained to help fight bush fire during the dry season.

Table 20: Number and nature of emergency events and actions taken

Nature of Period of Regions and Number of Nature and Nature and events events districts communities and period of period of affected households affected impact actions taken

Adansi North

Source: DADU, RADU, MoFA

Table 22: Major crop performance

Commodity Cultivated area (ha) Yield (MT/ha) Production (MT) Annual - 2015 Annual - 2016 Annual - 2015 Annual - 2016 Annual - 2015 Annual - 2016

Maize 0.0 0.0

Rice (milled) 0.0 0.0

Cassava 0.0 0.0

Yam 0.0 0.0

Cocoyam 0.0 0.0

Plantain 0.0 0.0

Millet 0.0 0.0

Sorghum 0.0 0.0

Soybean 0.0 0.0

Groundnut 0.0 0.0

Cowpea 0.0 0.0 Source:

ANALYSIS Funds and measuring equipment should be provided to the Agric department, so that the department would be well resourced to keep track of the total land area under cultivation and the performance of the various crops cultivated in the district.

Table 29: Value of Crop Production

Commodity Total Crop Production Unit Value of Production Total Value of % Change in (MT) (GH¢/MT) Production (GH¢) Value of Production Annual - 2015 Annual - Annual - Annual - Annual - Annual - 2016 2015 2016 2015 2016 Maize #DIV/0!

Rice (milled) #DIV/0!

Cassava #DIV/0! Yam #DIV/0!

Cocoyam #DIV/0!

Plantain #DIV/0!

Millet #DIV/0!

Sorghum #DIV/0! Soybean #DIV/0!

Groundnut #DIV/0! Cowpea #DIV/0! Source:

Table 31: Local Slaughter of Food Animals

Annual - 2015 Annual - 2016 District Cattle Sheep Goats Pigs Others Cattle Sheep Goats Pigs Others Adansi North 0 0 0 10 0 0 0 0 0 0 Source: Veterinary Services / DADU, MoFA

ANALYSIS There was no slaughter house in the district to collect data on animals slaughtered, although, in-formal animals slaughtering is ongoing.

Table 32: Meat and Other Livestock Products Imported

Amount Imported (kg) TYPE OF IMPORT Annual - 2015 Annual - 2016 BEEF BUFFALO CHICKEN DUCK MUTTON (SHEEP MEAT) PORK TURKEY PROCESSED MEAT MILK PRODUCTS Total

Source: Veterinary Services / DADU, MoFA

ANALYSIS There was no meat and other livestock product imported.

Table 33: Imports of Live Animals (Heads)

TYPE OF IMPORTS Annual - 2015 Annual - 2016 Percentage Change Percentage Change in Import of Live in Import of Live For breeding For For For Animals for Animals for slaughter breeding slaughter Breeding Slaughter

Cattle/zebus #DIV/0! #DIV/0! Sheep #DIV/0! #DIV/0! Goat #DIV/0! #DIV/0! Total 0 0 0 0 #DIV/0! #DIV/0!

Source:Veterinary Services / DADU, MoFA

ANALYSIS There was no live animal imported.

Table 34: Outbreaks of Scheduled/Notifiable Diseases

DISEASES Species Affected Annual - 2015 Annual - 2016 No. of No. of Total Zones No. of No. of Total Zones outbreak animals Loss Reportin outbreak animals Loss Reportin s affecte g s affecte g d d African Swine Fever Pig

Anthrax Cattle

Sheep/Goats

Cattle

Avian Infectious Poultry Bronchitis Avian Influenza Poultry

Blackleg Cattle

Bovine TB Cattle

Brucellosis Cattle

CBPP Cattle

Dermatophilosis Cattle

Foot And Mouth Cattle

Goat Mange Goat

Heamorrhagic Cattle Septiceamia

Heart water Sheep/Goat

Infectious Bursa Poultry Disease Lumpy Skin Disease Cattle

Mange Sheep

Goats

Newcastle Disease Poultry

Peste De Petits Sheep/Goat Ruminant (PPR) Rabies Dog

Cat

Monkey

Trypanosomiasis Cattle

Pigs

Tuberculosis Cattle

Dog/Cat/Monke y Sheep Mange Sheep

Source: Veterinary Services / DADU, MoFA

ANALYSIS There was no outbreak.

Table 35: Vaccinations and Prophylactic Treatments of Farm Animals and Pets

No. of Animals Vaccinated Achievement (+/-)for Annual - Annual - Annual (2016 vs. Animal Species Disease 2015 2016 2015) Poultry Newcastle Orthodox 5640 5802

I-2 2564 2500 Gumboro

Fowl pox 1000 1020 Marek’s disease

Anthrax

Cattle Blackleg

CBPP

Sheep PPR 200 300

Anthrax

Goats PPR

Anthrax

Dogs Rabies 41 94 -439

Cats Rabies

Cattle Trypanosomiasis

Source: Veterinary Services / DADU, MoFA

ANALYSIS There was an increase in vaccination and prophylactic treatment of food animals during the year 2016 as compared to the year 2015

Table 51a: Group Formation

Type of Group Existing groups New groups (E) Total Total Male Total Ratio of Functional (D) grou Membershi Female Male / groups (F) No Membershi No Membershi p p Membershi Female No Membershi . p . p p members* . p M F M F * M F Annual - 2015 Crop Production 20 244 369 0 0 0 20 58 23 2.52 20 244 369

Animal Production 4 47 18 0 0 0 4 47 18 #REF! 4 47 18

Processing 23 129 374 0 0 0 23 129 374 #REF! 23 129 374

Marketing 8 35 80 0 0 0 8 35 80 #REF! 8 35 80

District Total 55 455 841 0 55 30 21 1 55 455 841

Annual - 2016 Crop Production 20 244 369 0 0 0 20 413 108 3.82 20 244 369

Animal Production 4 47 18 0 0 0 4 47 18 #REF! 4 47 18

Processing 23 129 374 0 0 0 23 129 374 #REF! 23 129 374

Marketing 8 35 80 0 0 0 8 35 80 #REF! 8 35 80

District Total 55 455 841 0 0 0 55 30 21 1 55 455 841

Source: DADU/RADU, AESD, MoFA

ANALYSIS

There was no new group formed. All the functional oil palm processing groups are working progressively to feed Fumso market. Palm oil, Yam sellers, animal production and gari sellers are all doing well.

Table 51b: Group Functioning

Type of Tota Total Male Total Ratio of Groups Groups Groups Groups Groups Groups Group l Membersh Female Male / Recordin Holding Collectin Recordin Plannin Marketi grou ip Membersh Female g Accoun g g g their ng as a p ip members* Meeting ts Regular Expenses Busines Group * Minutes Dues & s (>3 (>3 Income months) months) (>3 months) Annual - 2015 Crop 2.5217391 Production 20 58 23 15 11 15 11 2 20 3

Animal Production 4 #REF! #REF! #REF! ------

Processing 23 #REF! #REF! #REF! 23 - - - - -

Marketing 8 #REF! #REF! #REF! 8 - - - - -

District 55 30 21 1 46 11 15 11 2 20 Total

Annual - 2016 Crop 3.8240740 Production 20 413 108 15 11 15 11 2 20 74

Animal Production 4 #REF! #REF! #REF! ------

Processing 23 #REF! #REF! #REF! 23 - - - - -

Marketing 8 #REF! #REF! #REF! 8 - - - - -

District 55 30 21 1 46 11 15 11 2 20 Total

% Performanc e 0% 0% 0% 0% 0% 0% 0% 0% 0% Improveme nt Source: DADU/RADU, AESD, MoFA 74

ANALYSIS There was no new group formed. All the functional oil palm processing groups are working progressively to feed Fumso market. Palm oil, Yam sellers, animal production and gari sellers are all doing well.

Table 52: Municipal Distribution of Farmer Based Organizations Accessing Services

Number of Number of Number of Number of functioning Number of formed FBOs functioning functioning FBOs FBOs accessing water user FBOs accessing financial marketing information associations services

Annual - 2015 0 51 3 51 19

Annual - 2016 0 51 4 51 19

% Change Q/Q #DIV/0! 0.00 0.33 0.00 0.00 Source: DADU, MoFA

Table 57a: Availability of Agricultural Services Number of AGRICULTURAL INFORMATION centers operational (e.g. Technical information) Annual - 2015 Annual - 2016 New centres Total Total Total New Total Total Total established existing operationa number of centres existin operationa number of centres l beneficiarie establishe g l beneficiarie s d centres s

Adansi North 0 2 2 All farmers 0 2 2 All farmers

Source: DADU, MoFA

ANALYSIS Apart from the Ministry of Food and Agriculture and the Ghana Cocoa Board, there are no other technical information centres available in the district.

Table 57b: Availability of Agricultural Services

Number of ANIMAL TRACTION centres operational

Annual - 2015 Annual - 2016 New Total Total Total New Total Total Total centres existing operational number of centres existing operational number of established centres beneficiaries established centres beneficiaries

Adansi North

Source: DADU, MoFA

ANALYSIS

There are no animal traction centres in the district, but there are donkeys carting goods in the district.

Table 57c: Availability of Agricultural Services

Number of FARM MECHANIZATION centres operational

Annual - 2015 Annual - 2016 New centres Total Total Total New Total Total Total established existing operationa number of centres existin operationa number of centres l beneficiarie establishe g l beneficiarie s d centres s

Adansi North

Source: DADU, MoFA

ANALYSIS There are no Farm mechanization centres in the district.

Table 57d: Availability of Agricultural Services Number of MARKET INFORMATION centers operational (e.g. Market Demand, Prices, etc.) Annual - 2015 Annual - 2016 New centres Total Total Total New Total Total Total established existing operationa number of centres existin operationa number of centres l beneficiarie establishe g l beneficiarie s d centres s

Adansi North 0 0 0 0 0 0 0 0

Source: DADU, MoFA

ANALYSIS There is no market information centres established in the district, but there are 16 private information centres in the district.

Table 58: Protection and Mitigation Measures Implemented

Annual - 2016 Measures Number Number of Number of Total Nature of actions Impact Remarks implemented of Male Female Participants (Perception Trainings Participants Participants compared to Annual - 2015) Catchments area - - - protection schemes implemented 0 (number of sites and areas)

Bush fire awareness/Volunteer positive - management groups 15 823 490 1313 protection awareness/training Bush fire protection - programme 0 implemented Overgrazing - - - awareness and 0 training sessions conducted Cropping farm - - management 30 1,463 633 2096 sanitation/improved training crop varieties Water use irrigation good - management 1 26 4 30 training Training on - - - perennial fruit and 0 fodder plantation against soil erosion IPM (Integrated Pest Safe use (agro positive - Management) chemicals,protective 25 964 347 1311 clothing)/ pest prevention& control Other - - - 0

TOTAL 71 3,276 1,474 4750 Source: DADU

ANALYSIS Farmers were taken through trainings in water, bushfire, pest, and water management in the district.

Table 59: Natural Resource Management Activities Undertaken

Annual - 2015 Annual - 2016 Natural Resource Management Number of Number of Participants Number Number of Participants Activities actions of actions Male Female TOTAL Male Female TOTAL Undertaken Adansi North use of manure as 15 800 490 1536 17 954 500 1454 fertilizer Source: DADU

Analysis The district sensitized fire volunteers, farmers farming along the river and forest reserves, not to destroy the natural resources, and also to adopt proper use of agro chemicals to prevent water bodies pollution.

Table 62: Agriculture Extension Capacity Annual - 2016 TOTA Avera Minimu Maximu OVERA L ge m m FOMEN ASOKW FUMS AKROKER LL (distric (zone) (zone) (zone) A A O RI DISTRIC t) T Human resources Number of AEAs required per Zone 20 4.0 4 6 6 9 11 6 32

Number of AEAs at post 7 1.8 1 3 4 5 6 4 19

% AEAs at post compared to required 59.4% 60.7% 54.5% 50.0% 66.7% 55.6% 54.5% 66.7% 59.4%

Number of female AEAs at post 4 1.0 0 2 2 1 1 0 4

% of female AEAs at post compared to total AEAs at 21.1% 21.7% 0.0% 50.0% 50.0% 20.0% 16.7% 0.0% 21.1% post

Number of farm households 4,627 1156.7 896 1567 33,135 15,062 21,086 14,135 69283

Ratio farm households per AEAs at post 2,189:1 2189.0 3012.4 8283.75 8283.8 3012.4 3514.3 3533.8 3646.5

Mobility

Number of running motorbikes per Zone 1 1.0 1 4 1 4 4 3 12

Ratio running motorbike/AEA at post 1:03 1.0 0.25 0.8 0.3 0.8 0.7 0.8 0.6

Field visit financial resources T&T amount planned with GoG budget per Operational Area 12,000 3,000 3,000 3,000 3,000 3,000 3,000 3,000 12,000

Total GoG T&T amount disbursed 1,575 225 0 0 0 0 0 0 0

Total project related and other sources T&T amount 0 0 0 0 0 0 0 0 0 disbursed Total T&T amount disbursed (GoG + project related and other sources) 1,575 225 0 0 0 0 0 0 0

Average T&T disbursed/AEA 1,575 281 0 675 450 675 0 0 1,575

Extension coverage Number of farming communities 94 23.5 19 30 25 19 30 20 94

Total number of farming communities covered by extension services this 90 23.5 19 30 25 19 30 20 90 quarter Number of farming communities covered 3 or more times this quarter 56 15.0 13 17 14 13 17 16 56

Number of farming communities covered 2 27 6.5 3 9 6 3 9 8 27 times this quarter Number of farming communities covered 1 7 1.75 0 4 0 3 4 0 7 time this quarter % of farming communities 100.0 100.0 covered 95.7% 100.0% 100.0% 100.0% 100.0% 100.0% 95.7% % %

ANALYSIS

The AEA number at post is woefully inadequate and needs to be quickly addresse. 83

Table 64: Technologies Demonstrated

Annual - 2016 Technologies Number of beneficiaries in attendance at demonstrations FOMENA ASOKWA FUMSO AKROKERRI Number of technologies 5 demonstrated Total Males Females Total % female M F M F M F M F

TOTAL 634 300 934 32.1% 112 63 164 85 209 65 149 87

Crop Males Females Total % female M F M F M F M F

Correct use of agro-chemicals 146 124 270 45.9% 30 16 40 51 40 20 36 37

Row Planting for optimum production 0 0 0 #DIV/0! 0

Seed/planting material production and multiplication techniques 0 0 0 #DIV/0! 0 0 0 0 0 0 0 0

Pest/Disease recognition, prevention and control 209 26 235 11.1% 20 3 85 10 74 1 30 12

Post harvest of food grains/ legumes and storage 80 52 132 39.4% 17 11 25 14 20 13 18 14

Introduction of improved crop varieties 0 0 0 #DIV/0!

Cocoa Nursery practices and Diseases control 60 46 106 43.4% 18 23 25 16 17 7

Mushroom production 0 0 0 #DIV/0!

Animal traction techniques 0 0 0 #DIV/0!

Yam miniset 0 0 0 #DIV/0!

Vegetable production 139 52 191 27.2% 27 10 14 10 50 15 48 17

Plantain sucker multiplication 0 0 0 #DIV/0!

Horticultural crop production (nursery practices and disease 0 0 0 #DIV/0! control) Improved processing technique 0 0 0 #DIV/0!

Subtotal 634 300 934 32.1% 112 63 164 85 209 65 149 87

Livestock Males Females Total % female M F M F M F M F

Meat hygiene 0 0 0 #DIV/0!

Sensitising butchers on harmful effects of singeing. 0 0 0 #DIV/0!

Animal nutrition (feeding) 0 0 0 #DIV/0!

Rabbit & grasscutter production and processing 0 0 0 #DIV/0!

Improve housing for animals 0 0 0 #DIV/0!

Pig production and management 0 0 0 #DIV/0!

Breed improvement techniques 0 0 0 #DIV/0!

Snail farming and management 0 0 0 #DIV/0!

Grazing land improvement 0 0 0 #DIV/0!

Pasture development 0 0 0 #DIV/0!

Guinea fowl production 0 0 0 #DIV/0!

Pest/disease recognition and prevention 0 0 0 #DIV/0!

I2 Vaccine usage 0 0 0 #DIV/0!

Soil fertility improvement techniques/ management 0 0 0 #DIV/0!

Fodder production 0 0 0 #DIV/0!

Improved processing technique 0 0 0 #DIV/0!

Subtotal 0 0 0 #DIV/0! 0 0 0 0 0 0 0 0

Fisheries Males Females Total % female M F M F M F M F

Pond construction and management 0 0 0 #DIV/0!

Fish health 0 0 0 #DIV/0!

Cage culture 0 0 0 #DIV/0!

Fingerlings production 0 0 0 #DIV/0!

Fish processing 0 0 0 #DIV/0!

Integrated fish farming (rice fish culture) 0 0 0 #DIV/0!

Feeding trials 0 0 0 #DIV/0!

Improved processing technique 0 0 0 #DIV/0!

Subtotal 0 0 0 #DIV/0! 0 0 0 0 0 0 0 0

Others Males Females Total % female M F M F M F M F

Soya Utilisation 0 0 0 #DIV/0!

Improved irrigation technology 0 0 0 #DIV/0!

Bee-keeping 0 0 0 #DIV/0!

Use of weighing scales 0 0 0 #DIV/0!

Subtotal 0 0 0 #DIV/0! 0 0 0 0 0 0 0 0

Source: DADU 88

The total number of technology activities was 5, and it covered total farmers of 943, comprising 634 males and 300 females.

Table 66: Main M&E activities and Participants

Annual - 2016 Activities Number of Number of Nature of participants % of female Results Impact Activities participants (designation of staff, participants and stakeholders, etc.) follow-up

Reporting 12 42 MDA, Mos, AEAs 24% good positive Special study

Meeting on M&E 12 114 MDA, Mos, AEAs 20% good positive Training / Workshop on M&E - - - Backstopping sessions - - - Feedback sessions - - - Institutional capacity building - - - Coordination with Partners - - -

Other activities - - - Source: DADU / RADU / PPMED / SRID, MoFA

Table 69: Municipal Irrigated Crops

Annual - 2016 Area under cultivation Harvested area per crop Land intensification ratio on Production (ha) cycle (ha) irrigated cropped area (MT)

1st 2nd 3rd crop crop crop Vegetables Tomato 30 20 21 31 2.40

Pepper 60 39 35 36 1.83

Onion/Shallot - - - #VALUE!

Garden Eggs 50 41 43 47 2.62

Cabbage 54 50 51 53 2.85

Water melon - - - #VALUE!

Okro 25 17 15 22 2.16

Other (Cowpea) #DIV/0!

Subtotal 219 167 165 189 2.38 0

Cereals Rice #DIV/0!

Maize #DIV/0!

Others #DIV/0!

Subtotal 0 0 0 0 #DIV/0! 0

TOTAL 219 167 165 189 2.38 0

Source: DADU / RADU, IWMI, GIDA, projects

Analysis Most farmers used small scale pumping machines to irrigate their vegetables, and their production is on-going. Only vegetable crops were under small scale irrigation.

Table 70: Water User Groups

District Total operational Operational water user Total Membership % Female in water user groups by groups created in Annual - 2015 Annual - 2016 Annual - Annual - 2015 Annual - 2016 Male Female Male Female 2016 Adansi North #DIV/0! Source: DADU and RADU

ANALYSIS There were no water users groups in the district, but individual water users can be found among small scale vegetable producers.

Table 71: Agriculture Input Outlet Distribution

Region Number of registered input Number of permanent input outlets and sale points dealers Crop input Livestock input Fisheries input W

Annual - Annual - Annual - Annual - Annual - Annual - Annual - Annual - 2015 2016 2015 2016 2015 2016 2015 2016 Adansi North 19 19 50 50 0 0 0 0 Source: DADU and RADU, EPA

ANALYSIS Apart from crop input outlets and sale points, the was no livestock and fisheries input outlet and sale point

Table 73: Satisfaction Scoring of Agro-chemical Supply

Region Availability when Distance from Quality of Quality of Prices of input Average needed (A) home (B) services (C) products (D) (E) scoring Annual - Annual Annual Annual Annu Annu Annu Annu Annu Annu Annu Annu 2015 - 2016 - 2015 - 2016 al - al - al - al - al - al - al - al - 2015 2016 2015 2016 2015 2016 2015 2016 Adansi 1 1 3 3 1 1 1 1 2 2 1.6 1.6 North Source: DADU and RADU, EPA

ANALYSIS The average satisfaction scoring of agro-chemical supply was 1.6 quarterly.

Table 75: Satisfaction Scoring of Fertilizer Supply Region Availability when Distance from Quality of Quality of Prices of input Average needed (A) home (B) services (C) products (D) (E) scoring Annual - Annual - Annual Annu Annu Annu Annu Annu Annu Annu Annu Annu 2015 2016 - 2015 al - al - al - al - al - al - al - al - al - 2016 2015 2016 2015 2016 2015 2016 2015 2016 Adansi 3 3 3 3 3 3 1 1 2 2 2.4 2.4 North Source: DADU and RADU, EPA

ANALYSIS The average satisfaction scoring of fertilizer supply was 2.4 quarterly, and it is the same as compared to previous year.

Table 79: Local Training

Annual - 2016 AEA DAO DDA Total Designation M F M F M F M F Total TOTAL Training Area Topic Livestock production 0 0 0 Livestock & Poultry Animal health 0 0 0

Other 0 0 0

Production 0 0 0

Fish health Fisheries 0 0 0

Other 0 0 0

Gender mainstreaming 0 0 0

Food nutrition 0 0 0 Women in Agric. Development Food processing 0 0 0

Other 0 0 0

Training of Agriculture Machinery Operators 0 0 0 Agric. Engineering Orientation of newly recruited graduate staff 0 0 0

Other 0 0 0

MRACLS 0 0 0

Data collection and analysis on market information 0 0 0 Statistics, Research & Information Standard weights and measures project 0 0 0

Other 0 0 0

Phytosanitory Compliance – Horticultural crops 0 0 0

Planting material/Seed multiplication 0 0 0

Seed Testing 0 0 0 Plant Protection & Regulatory Services Toxicology, Pesticide efficacy, Pesticide safety; Bio- safety and Bio-technology training 0 0 0

Principles of IPM training 0 0 0

Other 0 0 0

Joint irrigation management system 0 0 0

Construction supervision on Small scale irrigation Irrigation development 0 0 0

Other 0 0 0

Pre-production 0 0 0

Production 0 0 0

Post-Harvest 0 0 0 Crops Processing 0 0 0

Marketing 0 0 0

Other 0 0 0

M&E 0 0 0

Policy Development & Analysis 0 0 0 Policy Planning, Monitoring and Evaluation Planning & Budgeting 0 0 0

Other 0 0 0

Extension service delivery 0 0 0

FBO formation Agric. Extension 0 0 0

Other 0 0 0

Administration & Secretarial Services 0 0 0

ICT Human Resource 0 0 0

Other 0 0 0

Source: DADU, RADU, National Directorates, MoFA 97

Analysis There was no local training for the District Agric Staff in the reporting year

Table 80: Staff Training (in-service)

Annual - 2016 AEA DAO DDA Total Designation M F M F M F M F Total TOTAL 0 0 0 0 0 0 0 0 0 Training Area Topic Livestock production 0 0 0

Animal health Livestock & Poultry 0 0 0

Other 0 0 0

Production 0 0 0

Fish health Fisheries 0 0 0

Other 0 0 0

Gender mainstreaming 0 0 0

Food nutrition 0 0 0 Women in Agric. Development Food processing 0 0 0

Other 0 0 0

Training of Agriculture Machinery Operators 0 0 0

Orientation of newly recruited graduate staff Agric. Engineering 0 0 0

Other 0 0 0

MRACLS 0 0 0

Data collection and analysis on market information Statistics, Research & 0 0 0 Information Standard weights and measures project 0 0 0

Other 0 0 0

Phytosanitory Compliance – Horticultural crops 0 0 0

Planting material/Seed multiplication 0 0 0

Seed Testing 0 0 0

Plant Protection & Regulatory Toxicology, Pesticide efficacy, Pesticide safety; Bio- Services safety and Bio-technology training 0 0 0

Principles of IPM training 0 0 0

Other 0 0 0

Joint irrigation management system 0 0 0 Irrigation Construction supervision on Small scale irrigation development 0 0 0

100

Other 0 0 0

Pre-production 0 0 0

Production 0 0 0

Post-Harvest 0 0 0 Crops Processing 0 0 0

Marketing 0 0 0

Other 0 0 0

M&E 0 0 0

Policy Development & Analysis Policy Planning, Monitoring 0 0 0 and Evaluation Planning & Budgeting 0 0 0

101

Other 0 0 0

Extension service delivery 0 0 0

FBO formation Agric. Extension 0 0 0

Other 0 0 0

Administration & Secretarial Services 0 0 0

ICT Human Resource 0 0 0

Other 0 0 0

Source: DADU, RADU, National Directorates, MoFA

Analysis There was no in service training for the District Agric Staff in the reporting year

102

Table 81: Foreign Training

Course Number of Participants Institution and Duration Impact of Male Female Country (days) Training (1) Annual - 2015

------TOTAL 0 0 0 Annual - 2016

------TOTAL 0 0 0 Source: HRDM/RADU/MoFA

ANALYSIS The District Livestock Officer went to China for a two months short programme in bee keeping.

103

Table 82: Youth in Agriculture

District Youth involved in farm activities with MOFA special initiative for youth Male Female TOTAL % Female

Adansi North 53 48 101 48%

Analysis There was 101 youth in agriculture activities during the year, and the female forming 48 %.

Table 83: Gender Mainstreaming Programmes Implemented

Implementation of the GADS No. of People Reached Annual - 2015 Annual - 2016 M F Total M F Total Gender Training for MoFA Staff 0 0

Gender Training for Farmers 0 0

Training on Home and Farm Resource Management 84 100 184 78 172 250

Facilitation for Financial Access 0 0

Training on Diversification and Development of New Recipes and Products (e.g. Soya- fortified Gari, potato yogurt) 56 110 166 27 114 141

104

Source: WIAD, DADUs, RADUs

Table 100: Approved Budget for MoFA by Parliament

Budget Item Annual - 2015 Annual - 2016 % difference

Personal Emolument (PE) #DIV/0!

Administration #DIV/0!

Service (GoG) 30,321 31,271 3.1%

Service (Donor) 33,077 33,050 -0.1%

Investment (GoG) #DIV/0!

Investment (Donor) #DIV/0!

Total 63,398 64,321 1.5%

Source: DADU/RADU/Budget Unit, MoFA

105

Table 102: Actual Releases of Approved Budget by Parliament

Budget Item Annual - 2015 Annual - 2016 % difference

Personal Emolument (PE) #DIV/0!

Administration #DIV/0!

Service (GoG) 20,399 11,133 -45.4%

Service (Donor) 19,125 -100.0%

Investment (GoG) #DIV/0!

Investment (Donor) #DIV/0!

Total 39,524 11,133 -71.8%

Source: DADU/RADU/Budget Unit, MoFA

Table 103: Actual Releases as against Approved Budget by Parliament

Budget Item Annual - 2015 Annual - 2016 Change in %- Released Q/Q Approved Released % Approved Released % Released Released Personal Emolument (PE) 0 0 #DIV/0! 0 0 #DIV/0! #DIV/0!

Administration 0 0 #DIV/0! 0 0 #DIV/0! #DIV/0!

106

Service (GoG) 30,321 20,399 67.3% 31,271 11,133 35.6% -47.1%

Service (Donor) 33,077 19,125 57.8% 33,050 0 0.0% -100.0%

Investment (GoG) 0 0 #DIV/0! 0 0 #DIV/0! #DIV/0!

Investment (Donor) 0 0 #DIV/0! 0 0 #DIV/0! #DIV/0!

Total 63,398 39,524 62.3% 64,321 11,133 17.3% -72.2%

Source: DADU/RADU/Budget Unit, MoFA

Table 104: Internally Generated Funds for MoFA Activities in the Regions

Inflow (¢) Source of fund Annual - Annual - % difference 2015 2016 Phytosanitary Inspections - - #VALUE!

Vaccines & Veterinary 0 243.00 #DIV/0! services Export inspection #DIV/0!

Import inspection #DIV/0!

Import permit #DIV/0!

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Other: #DIV/0!

Sub-Total 0.00 243.00 #DIV/0!

Source: DADU/RADU

Table 106: Standardized Activity Implementation Efficiency

Annual - 2016 No of No of activities No of activities No of Global District activities prioritized implemented and activities programme cycle development planned in based on completed as started but implementation implementation district resource scheduled not efficiency efficiency planning allocation (3) completed (Ratio 3/1) (Ratio 3/2) (1) (2) Crop 6 6 4 2 13.0% 6.0% M&E/Planning 4 4 2 2 4.0% 4.0% WIAD 2 2 1 1 50.0% 50.0% TOTAL 12 12 7 5 17.0% 10.0%

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Table 109: Number of Farmers Sensitized on HIV/AIDS Annual - 2015 Annual - 2016 Number of Number of Participants Number of Number of Participants sensitization sensitizatio DISTRICT sessions n sessions Mal Femal TOTA % Mal Femal TOTA % e e L Femal e e L Femal e e Adansi North 30 402 510 912 56% 32 409 500 909 55% Source: DADU and RADU

ANALYSIS There were 55% of female participants involved. The specific activities for sensitizing farmers to HIV / AIDS were awareness creation and use of condom as protective measures. Specific approaches were group meetings for farmers by AEAs in collaboration with DAOs.

OUTCOME/IMPACT LEVEL RESULTS ACHIEVED IN 2016

Over the past few years, the department of Agriculture in the Adansi North District has been challenged with funding and the availability of equipment such as GPS, protective clothing, vehicles and motorbikes to aid in its full operations. The year 2016 was no exception. Funding was not forth coming, motorbikes were few and Agric Extension Agents to Farmer ratio was appalling. Notwithstanding these challenges, the department was able to chalk some successes in the year 2016. Below is what the department was able to do and the successes it yielded.

In 2016, the Adansi North District Department of Agriculture with support from the West African Agricultural Productivity Programme (WAAPP) was able to establish 4 acres field of cassava demonstration farm and 2 acres field of rice demonstration farms. 152 farmers who participated fully in the field days organized during the demonstrations, learnt and appreciated the importance of

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using improved varieties and also adhering to the use of good farming practices such as row planting, good land preparation and good planting material handling.

Farmers at work planting cassava in rows during one of the field days at Adansi Ayokoa

Picture showing nicely sprouted cassava few weeks after planting 110

The District Agric Director inspecting one of the well-established cassava demonstration farms

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Picture showing the rice demonstration farm established at Adansi Todzi in 2016

Under the WAAPP project planting materials of improved cassava varieties (Sika bankye, Ampong and Essambankye) were distributed to 275 farmers in the district. 160 acres of cassava farms have been established by the 275 farmers who received the planting materials. These farms are doing very well. It is expected that the produce from these farms would feed the Oseikrom Gari Processing Factory and the many small gari processing centres in the District. The availability of cassava in the district,which is due to the achievements of the just ended Root and Tuber Improvement and Marketing Program(RTIMP) and WAAPP, has attracted investors into the District. As at the time of reportig, the construction of a cassava processing factory by a businessman is at its commencement stage at Adansi Kyeaboso. 112

In 2016 with support from the Alliance for Green Revolution in Africa(AGRA) and WAAPP, 65 farmers were given AGRA rice seeds to cultivate. 52 acres of rice farms were established by the 65 farmers who benefitted from the project. These farmers were trained through the rice demonstration farms established and also through farms and home visits by our field officers as to how to do their rice farming correctly. Reports received indicates that averagely these farmers harvested 20 to 30 bags of rice per acre, which they say far exceeded their previous yields.

Pictures showing bags of rice seeds ready for distribution and farmers who are delighted after receiving their rice seeds.

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Picture showing the District Crops Officer in one of the farms of the beneficiaries

Pictures showing farmers harvesting and threshing harvested rice

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Under the same WAAPP and AGRA programmes 78 farmers were given maize seeds to cultivate. 100 acres of maize farms were successfully established through this initiative. Farmers who benefitted were delighted and grateful.

Pictures showing some of the maize farms established by farmers who benefited

Through the intensified rice, maize and cassava extension activities 25 existing farmer groups that were almost at the verge of collapsing were revived and are doing very well at the time of reporting. In fact one of the 25 groups emerged as the Best Farmer Group in the Adansi North District during the 2016 Farmers Day celebration.

In 2016, the department of agric through its collaboration with 4-H Ghana,one the two Agric N.G.Os in the District, was able to extend Agric extension services to Basic and Secondary schools in the District. 4-H Ghana is an international N.G.O that seeks to help the Ghanaian youth to develop interest in Agriculture by giving them agricultural training and practical experience right at the basic and secondary schools. So far thirty (30) basic and secondary schools have been put into the 4-H programme and are doing very well. In 2016, the selected schools received training and also started their own farms in Rabbitary, Grasscutter rearing, maize, rice, cassava, pepper, tomato and cabbage production.

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Picture showing 4-H Ghana officer, students and a teacher during one of their meetings

The department was also assisted by Farmerline to provide extension services to our farmers. Farmerline provides a platform on which farmers and agric officers communicate easily through mobile phone. The platform also provides up to date informations on climate and prevailing market prices to our farmers and so far four hundred and twenty (420) farmers in the district are using the Farmerline platform. Farmerline also sponsored the interior and exterior painting of the district agric office.

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Picture showing farmerline at work in the District

In 2016, the department also gave rice and cassava processors group training on how to achieve value addition through proper processing and packaging. In all, two hundred and twenty two (222) cassava processors and three hundred and thirty one (331) rice processors were given the training.

The department also hosted the agric Engineering department of KNUST in the district for two weeks. During the period, a group consisting of Artisans, farmers, processors and agric officers were given training in agric engineering. The farmers were asked the major problems they face in their production that might require engineering solutions. From the list of problems the entire group came together and througth the guidance of the engineers designed and manufactured simple tools that can be used by farmers to make their work easier. Some of the tools developed are maize sheller, cassava harvester, cocoa pod breaker, rice thresher, cocoa harvester etc.

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Picture showing the group at work

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Picture showing the cassava harvestor, cocoa pod breaker, rice thresher and cocoa harvester

During the dry season most of our farmers engage in processing, buying and selling, whilst some of them also go into dry season vegetable production by using pumping machine and plastic pipes to irrigate their farms. These framers engage themselves in pepper, cabbage, tomato, okro and garden eggs production. The district is yet to go into organic farming.

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Pictures showing some of the dry season vegetable farms

All in all, these were the outcome/achievements chalked in 2016.

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REPORT ON THE 32ND NATIONAL FARMERS DAY CELEBRATION 2016 ADANSI - NORTH DISTRICT On the 4th of November, 2016 a fascinating durbar was held at the Adansi kusa D. A. Basic School Park in the Adansi North District to mark the celebration of the 32nd National Farmers Day in the district.

The programme began at 10.20 am after the arrival of Nananom followed by the District Chief Executive and his entourage. The welcome address was given by the District Director of Agriculture. There was intermittent cultural display and performances from pupils of Medoma R.C. Basic School and the Spinning group.

Several speeches were given by various personalities including the District Chief Executive (DCE). In his address he highlighted on the West African Agricultural Productivity Programme, the AGRA project, JICA project and the fertilizer subsidy as some of the policy interventions by the government aimed at boosting agricultural production in the country. He said these programmes has no doubt motivated farmers in the District to produce more. He also called on all stakeholders present to get involved in the agricultural transformational process by investing in agriculture.

The DCE finally registered his appreciation and gratitude of the Government and citizens of this country to our gallant farmers, whose toils and sacrifices has brought the country this far; he was of the hope that God would continue to protect and guide them throughout their farming activities.

The award winners who appeared in different regalia displayed their exhibits of different farm produce in front of the dais. The exhibits included Maize, Plantain, Cassava, Yam, Tomatoes, Cabbage, Pigs, Goats, Poultry and many others. In all 20 farmers were given awards. They all took home 4 cutlasses, 1 knapsack spraying machine, 4 liters of weedicide, a pair of Wellington boots, a radio set, 1 foliar fertilizer, rosette and a certificate, with exception of the Most Promising Farmer who took home an AKAI table top fridge in addition to the above items.

The entire area turned into a state of joy and happiness when Mr. Isaac Obeng Manu was mentioned as the overall District Best Farmer. He received a brand new Haogin tricycle (Aboboyaa), 5 cutlasses, 1 Knapsack spraying machine, 1 radio set, 5 liters of weedicide, 1 foliar fertilizer, a Rosette, a pair of Wellington boots, and a Certificate.

250 other farmers who exhibited various kinds of food commodities from their farms also received a cutlass each. Nana Baffour Aboagye Agyemang, Krontihene of Fomena was the Chairman for the occasion. In his closing remarks, he congratulated MoFA staff

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and farmers for ensuring food availability for the people of Ghana throughout the year. Citing the District best farmer as an example he advised all farmers to keep working hard and also encouraged other workers to take up farming as their secondary occupation to complement the efforts being made to ensure food security, he also entreated the government to put most the roads in the rural areas into good shape to motivate farmers who mostly reside in rural areas.

Other chiefs and elders from Fomena and Kusa also graced the occasion with their presence. About 700 people from different parts of the District, majority being farmers attended the programme.

Farmer line and 4-H Ghana, the two Agricultural Non-governmental Organizations currently operating in the Adansi North district also graced the occasion. Stands were created for them to interact with the farmers present.

Sponsors of the programme included the Adansi North District Assembly, Anglo Gold Ashanti (AGA), National Investment Bank (NIB), the Adansi Rural Bank, Adansi Oil Mills, Odotobri Rural Bank, Osofo Augustine Kyei, and Afuakwa enterprise.

Challenges

1. Insufficient means of transport to improve agricultural extension activities.

2. Insufficient AEAS and more must be recruited into the system to reduce the over-burden coverage area by existing staff.

3. Lack of watchman for the office security duties during the year.

4. Lack of funds for travelling and transport (T&T) and office duties.

Recommendations

The summary of recommendations for next strategic planning is as follows;

1. More farmers will be introduced to non-traditional technology transfer especially on Grasscutter rearing if funds become available.

2. Formation of more groups i.e. production and processing.

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3. Post-harvest technology activities on cereal and tuber crops should be encouraged.

4. HIV/AIDS and gender issues should be sensitized regularly.

5. Simple Farm Accounting and Record keeping should be encouraged.

6. Youth Employment activities should be encouraged

7. Strengthening of existing groups should be encouraged.

10. Small scale irrigation facilities must be provided to enhance dry season vegetable farming.

11. Funds must be released timely to buy inputs to establish demonstrations.

12. Motorbikes must be provided to help facilitate monitoring activities

13. More phones should be provided to aid in the e-extension farmer registration exercise.

Conclusions

Food and input Prices situation over the year was moderate

Extension delivery system over the year was encouraging.

With adequate fund availability, agricultural production will improve.

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NATIONAL SERVICE SECRETARIAT POSTING The District requested for five hundred and ten (510) service persons and was given four hundred and forty (440) persons for 2015/2016 service year. Among the number, thirteen (13) were reposted from the District to other Districts. Again, the District requested for six hundred (600) national service personnel to start work in September 2016 but was given four hundred and thirty (430). However, six personnel were reposted to other Districts.

THE DISTRIBUTION 2015/2016 Education 332 District Assembly 48 Health centres 26 Nursing School 6 National Health Insurance Scheme 15 427

ORIENTATION/MEETINGS Orientation was organized for the personnel in December 2016 and it was attended by 84% of the personnel, District Education Director, District coordinating Director, District Engineer, Manager – Health insurance scheme, and some Heads of Departments of the Assembly. During the orientation, election of NASPA executives was conducted for the 2015/2016 service year. During the period under review, the secretariat organized four separate meetings with the personnel. Furthermore, another orientation was organized for the 2015/2016 service personnel in December 2016 which was also attended by 315 personnel, Education Director and the District coordinating Director, District Engineer, Health insurance staff and some heads of departments.

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MONITORING/SUPERVISION Monitoring and supervision of the personnel started fully in January 2016 and ended in June 2016. The Director and his team visited all the personnel at their duty post three times each within January 2016 to July 2016. Again, the Director and his team visited the 2016/2017 year’s batch once between October and December 2016.

PAYMENT OF ALLOWANCES Payment of allowances to the personnel was very regular and timely. The secretariat uses the Adansi Rural Bank Limited. The personnel were paid two days after a cheque was presented to the Bank. The 2015/2016 batch had also received their allowances from September to December 2016.

RELATIONSHIP WITH OTHER DEPARTMENT The District secretariat related very well with all the Departments within the District. The Coordinating Director of the Assembly, Education Director, Director of Health Service, Manager – Health Insurance and almost all the heads of Departments were seen at the secretariat’s programmes and meetings. Games were also organized which brought the Police service, Education service, District Assembly and the National service personnel together.

PROJECTS/ACTIVITIES The NASPA donated a sign board to the secretariat in July 2016 and NASPA for 2015/2016 service year also organized ‘VOTE FOR PEACE’ programme prior to the 2016 general election in the District to promote peaceful election. They also organized ‘AKWAABA NIGHT’ for the personnel in the District.NASPA executives’ election was held in November 2016, during the orientation programme.

CHALLENGES ∑ The most hectic challenge of the secretariat is both office and residential accommodation. The office accommodation is too small for the Director and his staff for the smooth running of the secretariat. ∑ Again, the personnel find it very difficult in getting residential accommodation since the District Assembly is not having Transit quarters and rooms for rent are also very difficult to get at Fomena. This has given the Landlords the opportunity to charged higher rent fees from the service persons in the District. ∑ Vehicle for monitoring is not available. The District Director of National Service has to use his personal means for monitoring.

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SUGGESTIONS The District Assembly should assist the secretariat to get better office accommodation. The District Assembly and the other user agencies of the service persons should help in solving the accommodation problems of the personnel by at least getting the personnel the rooms before they are posted even if they may be asked to pay.

The District Assembly should also help the secretariat to acquire land for transit quarters. Further, the District Assembly should assist the Director to get a vehicle for monitoring at least three (3) days in every two months.

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DEPARTMENT OF SOCIAL WELFARE AND COMMUNITY DEVELOPMENT

INTRODUCTION

The Social Welfare Division of the Department of Social Welfare and Community Development is one of the Departments under the Ministry of Gender, Children and Social Protection (MOGCSP) at the National level, at the District, the Division and for that matter the Department is under the Ministry of Local Government and Rural Development which has the National responsibility to provide Social Welfare Service to the public.

The mission of the Social Welfare Division is to work in partnership with people in their communities to improve their social wellbeing through promoting development with the disadvantaged. Its vision is to take the lead in integrating disadvantaged people the main stream of development.

ORGANISATION DETAILS

1. Total number of staff on payroll - 1 2. Total number of staff at post - 1 3. Staff on Secondment - Nil 4. Staff on study leave with pay - Nil 5. Staff on study leave without pay - Nil 6. Promotion - Nil 7. Transfers - Nil 8. Retirement - 1 9. Vacation of post/resignation - Nil 10. Serious disciplinary action - Nil 11. Existing Vacancies - 5 a. Professional Staff - 3 b. Clerical Officer - 1 c. Secretary/ Typist - 1

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Madam Barbara T.A. Boafo an Assistant Social Development Officer (ASDO) went on compulsory retirement from Civil Service during the period, precisely on 21st November, 2016.

OPERATIONAL DETAILS

1. Total amount owned to Department - Nil 2. Total debt owned outside organisation - Nil 3. Number of Audit inspection conducted - Nil 4. Acquired Revenue - Nil 5. Investment Made - Nil 6. Aid Received in Cash/Kind - Nil 7. Value of local purchases made - Nil 8. Number of workshops/ seminars attended - 2 9. Number of durbars / Fora attended - Nil 10. Number of meetings held - 1 11. Overseas Indent - Nil 12. Number of agreement entered into - Nil 13. Publication made - Nil The District Office of the Department of Social Welfare and Community Development organised one (1) meeting for the members of the Federation of the Disabled in the district including the Ghana Blind Union (GBU), Ghana National Association of the Deaf (GNAD) and the Ghana Society of the Physically Disabled (GSPD) during the period under review. The meeting scheduled for Wednesday 16th November, 2016 was under the Theme "Guidelines for the Disbursement and Management of the District Assembly Common Fund for the persons with Disability". The meeting had discussion on the Federation member’s welfare particularly the purpose of the Disability Common Fund from the District Assembly Common Fund management Committee, education and employment of the Disabled areas of funding etc. Members raised question and answers provided in a cordial atmosphere.

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STAFFING POSITION

The Social Welfare division of the Department of Social Welfare & Community Development Adansi North District have staff strength of one (1) as at the end of the year 2016.His rank is Assistant Director (AD) of the Department of Social Welfare & Community Development.

Also, Four(4) National Service Personnel’s were at post at the District Office of the Department during the period under review for 2016//17 service period. They include Ocran Alex, Karim Ayishetu, Agyenim Boateng Mariam and Frimpong Esther, From the University College of Management Studies, Institute of Business Management and Journalism, Rural Development College at Kwadaso, near Kumasi respectively.

PROGRAMME PERFORMANCE FOR THE PERIOD 1ST OCTOBER – 31ST DECEMBR, 2016

Programme and activities were undertaken through the three (3) core programmes of the Social Welfare Division Department during the quarter under review including;

- CHILD RIGHTS PROTECTIONJ

- COMMUNITY CARE

- JUSTICE ADMINISTRATION

CHILD RIGHTS PROTECTION PROGRAMME

A total of Eight (8) Welfare Cases under the core programme were reported and registered at the Agency during the Fourth quarter of the year 2016.

The registered cases were under the area of child / Family Neglect, Custody of children, Paternity (Disputed pregnancies) and Family Welfare / Reconciliation.

The breakdown of the cases for the period were as follows; 130

Child / Family Neglect - 4

Custody of Children - Nil

Paternity (Disputed Pregnancies) - 1

Family Welfare /Reconciliation - 3

(A) CHILD /FAMILY NEGLECT Four (4) Child / Family Neglect cases were reported and registered at the Agency during the Fourth quarter of the year 2016.Two (2) were satisfactory investigated and amicably settled by the agency during the period.

One (1) Child Family Neglect was withdrawn for peaceful settlement at home, No referral was made to the Family Tribunal during the period .The one (1) remaining case of Child /Family Neglect is pending before the agency to be investigated and settled amicably as at the end of the Fourth quarter under review.

The Department of Social Welfare with vision to integrate disadvantaged, vulnerable and neglected people into the main stream of Socio-Economic Development during the Fourth quarter of the year 2016 collected a total of three thousand and ninety three Ghana Cedis (GH¢3,903.00) cash from clients particularly fathers who appeared before the Agency and were found to have failed to live up their personal responsibilities as complaints were lodged against them at the agency.

The amounts collected were in respect of feeding .support for health care, school fees, clothing and some other necessities of life in respect of child/families.

(B) DISPUTED PREGNANCIES (PATERNITY) One (1) paternity case was reported at the Agency and was also registered during the period. The case were successfully handled by the agency during the quarter where respondent involved who had earlier at home denied paternity had in the course of proceedings at the agency did accept responsibility for the pregnancy denied earlier at home having been briefed and counselled issues as contained in ACT 560 (Section 40-42). 131

(C) CUSTODY OF CHILDREN The Agency during the fourth quarter of 2016 did not handle any Child Custody Case. (D) FAMILY WELFARE/RECONCILIATION Three (3) cases of Family reconciliation were registered by the Agency during the fourth quarter of 2016 .Tw0 (2) of the registered cases were successfully handled by the Agency. The one (1) remaining case is pending for investigation at the end of the quarter under review. PROGRAMMES AND ACTIVITIES WITH DAY CARE CENTRES Documentation by the Department of Social Welfare and Community Development, Adansi North District is that twenty nine (29) Day Care Centres in operation as at the end of the fourth quarter of 2016. So far fourteen (14) centres out of the number have been registered with the Department at the District level which is collaborating with District Assembly to register all the existing centres in operation for certificate to be issued from the National Headquarters of the Department in line with ACT 560 (section 115-120)as required by law for effective monitoring and supervision to improve standards in the best interest of the children enrolled at these centres throughout the District. The District office of the Department of Social Welfare and Community Development during the period the period under review had days meeting with the proprietors/proprietress and Attendants under the theme "Responsibility for children’s needs" The topic selected for the meeting was on Physical, Social and cultural and Emotion/psychological need of the child. The department with its scarce resources, both human and financial managed to visit nine (9) of the registered centres during the period. Also thirteen of the centres which are to be registered were visited during the same period by way of inspection and also to sensitise proprietors/proprietress to see the need to register with the Department. In all twenty two (22) out of twenty nine 29 centres visited during the period under review.

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COMMUNITY CARE PROGRAMME (a) REGISTRATION OF PERSONS WITH DISABILITIES (PWDS) The programme aims at registering all the disabled persons within the District as part of the Department’s strategic objective of knowing the number of the disabled persons within the District, plan effectively for them to enhance their image and to bring them into the mainstream of socio-economic development. With this program, five (5) persons with disability were registered during the period under review as indicated below.

No DISABILITY GROUP Male Female Total 1. Difficulty hearing/speaking 1 1 2 2. Difficulty moving - 2 2 3. Difficulty seeing - 1 1 4. Other groups - - - TOTAL 1 4 5

(b) SOCIAL/PUBLIC EDUCATION During the fourth quarter of 2016 the Department of Social Welfare and Community Development, Social Welfare division as part of its Community Care programme and activities interacted, organized and sensitized some selected organized groups in the District including Dressmakers, Churches and Hairdressers Association. The theme was “How important is punctuality”. Topics selected for the programme during the period include; why punctuality matters, punctuality suggests dependability etc.,-in all Eighty five (85) people participated in the programme during the period under review.

(c) REFERRAL TO THE DISTRICT HEALTH CENTRE, FOMENA One (1) Referral Case was made to the District Health Centre, Fomena during the period under review. The case was registered at the Agency as paternity, which was under investigation. The Department as part of its investigation into the cases saw the need to refer the cases to enable complainants involved benefit from ante natal services available and also make our investigation and peaceful settlement a complete process. The case was has been since settled amicably and disposed off during the period under review.

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(d) THE LEAP PROGRAMMES IN THE ADANSI NORTH DISTRICT The Livelihood Empowerment against Poverty (LEAP) programme which was introduced into the District during the third quarter of the year 2008 is ongoing as at the end of the fourth quarter of the year 2016. Cash transfers/payment to beneficiary households within the district which was started with one hundred (100) households as LEAP beneficiaries now stands at seven hundred and fifty seven (757) as at the end of the fourth quarter of the year 2016. Also, the initial ten (10) communities’ which initially benefitted from the programme have been extended to thirty nine (39) as at the end of the period under review. The District LEAP Implementations Committees (CLIC) are also working hard to sustain and promote the programme in the district not forgetting the logistics support from the Adansi North District Assembly since 2008 when the programme was introduced to the District. The district Social Welfare and Community Development Office during the fourth quarter of the year 2016 had a meeting with the District LEAP Implementation Committee on Friday 25TH November, 2016 .Also CLIC general meeting was jointly held at the District office e with the DLIC on the same day to promote the Programme in the district and also to offer quality service for the LEAP Beneficiaries Two (2) cash transfers./payment which were the 3rd and 4th electronic payment and 44th and 45th in the District to LEAP beneficiary household took place during the quarter under review precisely between Friday 14th - Thursday 20th October ,2016 covering the month of July – August ,2016 and 45th payment took place on Wednesday 23th – 29th November respectively.

JUSTICE ADMINISTRATION PROGRAMME (a) SOCIAL WORK AT THE DISTRICT MAGISTRATE COURT FOMENA As it has been reported in our quarterly and annually reports for some time now, the Adansi North District was not having a Family Tribunal and Juvenile Court.I am happy to state that in this fourth quarter report for the year 2016 that the district finally inaugurated its family tribunal and juvenile court at the District Magistrate court, Fomena during the second quarter 2016 precisely on Friday 29th May, 2016.The panel has been constituted and has commenced work in earnest. The agency by law participated in the Family Tribunal sitting at Fomena during the period to deal with Maintenance and other Family related cases brought before the Tribunal during the quarter under review.

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It needs mentioning that, the District Assembly in collaboration with the District office of the Department sent names of personnel from the District to form the family Tribunal/ Juvenile Court panel to the court, Fomena during the year 2010, but the District is yet to receive any response from the Judicial Service Secretariat from Accra. Our anticipation therefore is that the year 2016 will give birth to the establishment of family Tribunal and Juvenile Court in the Adansi North District Precisely at the District Capital, Fomena. (b) REFERRAL TO THE FAMILY TRIBUNAL The Agency within fourth the quarter of the year 2016 referred two (2) neglect cases to the Family Tribunal, Fomena for redress from the previous cases brought the Agency. The referrals were made at the request of the Applicant involved in each of the case. (c) PROBATION CASES The Agency during the fourth quarter of the year 2016 did not handle any Probation case.

WORKSHOPS, DURBARS, SEMINARS, CONFERENCSES ETC The Agency during the fourth quarter of the year 2016 participated in two (2) workshops. The first workshop for the quarter was scheduled for Tuesday 3rd November, 2016. It was organized by the Regional Office of the Department in the Ashanti region for Heads of Department. Unit Heads and Heads of institution in the region. The venue was the Presbyterian Church Hall Adum – Kumasi, Topics treated include Report writing, presentation on Orphanages and Day care centers, Administration, Human Resources, principle and financial reporting, Registration of NGOs at local levels etc. The second workshops for the quarter also took place at the Volta Serene Hotel, Ho in the Volta region from Thursday 1st December – Saturday 3rd December, 2016. It was the financial management training; Policies and Procedures and how to keep and submit proper financial returns. It was organized for Regional Directors and District Social Welfare throughout the country. Topics treated include overview of LEAP programmes, LEAP policies and procedures, procedures on receipts – Bank Account, Receipt Book, Bank Statement, Safety of records, procedures on payment/expenditure, procedures for financial reporting etc.

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WORKING WITH ORPHANAGES IN THE DISTRICT The only Children’s Home known to the Department in the District as at the end of the Fourth quarter is PATMOS CHILDREN'S HOME located at Adansi Tewobaabi. Which is about twelve (12) kilometres away from the District capital, Fomena. The Agency during the fourth of the year 2016 as required by law paid regular visits to the HOME. Records which were made available to the Department indicate that Thirty one (31) children are presently at the Home including eighteen (18) males and thirteen (13) females. The Department will continue to closely monitor, supervise and evaluate the activities at the Home for the presentations of report come the first quarter, 2017.The permanent structure for the HOME was finally completed and put to official use during the fourth quarter, 2016. Efforts were made by the district Social Welfare Office during the period to have the PATMOS CHILDREN'S HOME LICENSE by the Department as all the necessary Documentation on the HOME have been completed and sent to the National Director, The Department of Social Welfare, Accra through the Regional Director, Kumasi. Also the Care Order from the District office was processed and approved by the Magistrate Court Fomena during the fourth quarter of 2016.Though the PATMOS CHILDREN'S HOME has not given the Department any cause to complain about their programs and activities, the Management of the HOME have constantly been advised to make conscious efforts to improve upon their service delivery to offer quality service for the benefit of the children in particular and the status of the HOME in general to make it one of the best managed Children’s Home in the country as provided in the guidelines for the operation of the orphanage on Ghana to withstand the statutory requirement of the country.

CONSTRAINTS OF THE DEPARTMENT AT THE DISTRICT The Adansi North District Office of the Department of Social Welfare and Community Development is faced with numerous constraints in the execution of our statutory programmes and activities. Among them are: 1. Inadequate trained staff for efficiency and timely delivery of service. 2. Lack of funds to implement our statutory programmes and planned activities to meet our set targets 3. Irregular in-service training for both professional and non-professional staff of the Department to keep the staff abreast with modern trends in social work practice. 4. Promotion of officers in the Department are unduly delayed which eventually demoralized them and negatively affect their output. 5. Logistics including stationery for timely and effective delivery of service and reporting are unavailable apart from the District Assembly’s support. 136

THE WAY FORWARD FOR 1ST QUARTER, 2017 The Adansi North District Office of the Department of Social Welfare and Community Development will continue to implement its statutory programme of rendering social services to the Public in the core area of Child Rights Protection, Justice Administration and Community Care during the first quarter of the year 2017. This will be done in partnership with our stakeholder in service delivery in line with our strategic objective in consultation with the Adansi North District Assembly. It needs to be mentioned however that, the success and quality delivery of service as required of the staff of the Department will largely depend on the availability of funds to implement our programmes and planned activities, logistics and improved staff strength to the Department at district as these have been our major constraints militating against service delivery by the staff of the Department in the Adansi North District. The LEAP programme is on-going and will also be vigorously implemented in the entire beneficiary communities as the beneficiary households have been increased from Three hundred and ten (310) in 2013 to Seven hundred and fifty seven (757) as at the end of the fourth quarter of the year 2016.The First quarter of the year 2016 brought LEAP E-payment to the Adansi North District for the first time. It was in the 41st Cycle LEAP payment Nationwide. During the fourth quarter under review two (2) cash payment were made in the 44th and 45th Cycle LEAP payment covering the month of July – October, 2016.

DEPARTMENT OF COMMUNITY DEVELOPMENT WORKSHOP/COURSES During the year, 2016, three (3) workshops were organized of which the department of community development was not exempted. The Regional Coordinating Council organized one workshop for selected decentralized departments like Department of Social Welfare and Community Development on composite Budget at the Royal Basin Hotel in Kumasi. Another one was organized by the Ghana Aids Commission. The purpose of this workshop was to introduce the new format of report writing on Aids.

PROJECTIONS MASS MEETING: The Department intended to organize eleven (11) mass meetings and with targeted population of 3,000 people.

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Topics which were proposed to be discussed were the importance of trees planting, environmental protection, the importance of communal labour, HIV/AIDS education, organization of community and group formation. The importance of National Health Insurance and capitation, Yellow fever and cholera alert, capitation Grants and good drinking water.

During the year under reviews, the department was able to organize fourteen (14) mass meetings with targeted population of 2,200 people comprising 850 males and 1350 females with the above topical issues. The Department was able to achieve its objective by 90%.

STUDY GROUP: The department targeted to open four (4) study groups to discuss on income generating activities, capitation grant, and the importance of health insurance and the introduction of the health capitation.

During the year under review three (3) study groups were opened and twenty-one (21) meetings were held with them. The groups were Old Ayaase and Mossikrom group development, V.I.P women’s group and Agya Ameyaw palm kernel Oil Extraction, Asokwa Brofoyedru. The target was achieved by 70%. HOME SCIENCE EXTENSION/WOMEN’S IN DEVELOPMENT The Development planned to organize five (5) women’s group and teach them on income generating activities, importance of group formation, personal hygiene and importance of communal labour. The department also planned to organize demonstrational programmes like liquid soap making, pomade making, soap, pastries etc. And finally, we visited 122 homes. During the year under review, the department was able to organized four (4) women’s groups in the above communities. The groups that benefited were V.I.P women’s group, Mossikrom women’s group, Kobin women’s group and Agya Ameyaw palm kernel oil extraction. Only a demonstration was held at Kobin by Mrs. Lydia Osei with her own pocket money. The other group could not benefit because there were no founds. Our target was 80% achieved.

EXTENSION SERVICES The department in conjunction with environmental health department, district water and sanitation team, social services sub- committee and education visited some communities and educated them on cholera and yellow fever alert, good drinking water and also to know the extent of school dropout rate, enrolment and staffing position in some schools. The Department also in conjunction with District Assembly and Social Welfare embarked on capacity building of some area council members so that they can work effectively.

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SELF HELP CONSTRUCTIONAL PROJECT During the year, the people of Kobin and Brofoyedru laid the foundation of a new kindergarten block to replace the old one which was in a dilapidated state. Also during our visits, the people complained of lack of funds and materials. They appealed to the Adansi North District Assembly to come to their aid and the Assembly responded positively to their demands.

PROJECTION FOR NEXT YEAR 2017 The department will organize twenty (20) mass meetings with targeted population of 3,500 people and educate them on topical issues like Bush fire campaign, importance of communal labour, importance of the new Health Insurance Capitation, HIV/AIDS, Yellow fever and cholera alert, tree planting, pay your levy campaign, Rezoning of the school feeding programme etc.

STUDY GROUP- The department plans to open four (4) study groups centers and discuss with them government policies like HIV/AIDs patients, income generating activities, family planning methods as well as the importance of good agricultural praticises etc.

HOME SCIENCE/WOMEN IN DEVELOPMENT The department will organize two women group in addition to the old ones and sensitize against the stigmatization of HIV/AIDS patients, income generating activities, family planning.

HOME VISITS Female staffs are expected to visit 180 homes in the coming year and do demonstrational like liquid soap making, pomade among others with them.

PROBLEMS The department works with people in the communities; therefore we become ineffective without means of transport to get in touch with them. We are therefore appealing for motorbike in order to reach out to the remote communities.

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Since the creation of this district, nothing has been given as F.E’s not even stationery and that has mostly affected our performance. We are humbly appealing for more funds in order to render effective services to the people in the district. We are also appealing to the Regional Directorate to provide adequate logistics and funds to enhance our service delivery.

CONCLUSION In spite of our numerous constraints, the Department did its best in carrying out some of its planned programmes and activities for the year 2016. We believed that, the Regional Directorate will provide adequate logistics and funds to enhance our service delivery.

DEPARTMENT OF CO-OPERATIVES

S/N OBJECTIVES KEY EXPECTED ACTUAL CHALLENGES MITIGATION REMARKS ACTIVITIES OUTPUT/RESU OUTPUT/RESU STRATEGY LT LT WAY FORWARD 1 To conduct Member Eight (6) Four (4) Targets not District Assembly There were inspections on education to up agricultural Co- agricultural Co- achieved due to should assist the remarkable some agricultural lift the image operative operative the remote Departments with improvements Co-operative of agricultural Societies and Societies and nature of where means of transport in the Societies and Co-operative seven (5) FBOs three (3) FBOs. these groups are to undertake its operational FBOs which could Societies in the located. programmes and activities of not be attended to District. activities. the groups in the last quarter visited. of the year, 2016. 2 To create Member Ten (10) Two (2) Targets not District Assembly The awareness on the education communities communities, achieved due to should assist the programme, if benefits of group based on namely, the remote Department with take off, will formation in some community 1. Agyenkwa nature of where means of transport create more selected visitation. so these groups are to undertake its jobs to communities of the 2. Adiembra located. programmes and improve 140

District. activities. living standards of the people. 3 To up-grade the Easy Agricultural 4 Targets achieved Pre-financing of District Assembly skills of some accessibility to FBOs 3 as representatives this programme should support the selected Managers general Distillers 3 as the nine (9) by the groups Department to carry and other administration groups took part had delayed the this exercise on stakeholders of of Co- in the early take off of annual basis. nine (9) registered operative Total 10 programme. the exercise. societies. Societies for increased productivity. 4 To undertake Member Ten (10) newly Four (3) Lack of means of The District The continuous education identified groups communities. transport had Assembly should programme, if member education based on in eight (8) They were crippled the assist the take off, will drive on Co- community communities 1. Denkyie efforts of visiting Department with create more operative visitation. 2. Adiembra the remaining six means of transport jobs to principles and 3. Agogooso (6) communities. to undertake its improve practices on some programmes and living newly identified activities. standards of groups of different the people. modules. 5 To organize To up-grade Up-graded skills Within a short Formation of training workshops the skills of the will meet period of being Credit Unions for Managers and Managers and operational formed, patronage in other other stakeholders other standards of was very communities of newly formed Stakeholders. Service Providers. encouraging with will Co-operative a numerical encourage Credit Union. strength of 32 lucrative members. business families’ savings.

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6 To conduct To access the 13 farmers groups 5 farmers groups Targets not The District inspection on some general in 8 communities achieved due to Assembly should farmers groups performance in lack of means of come to the aid of terms of transport. the Department to productivity in carry its monitoring the major and supervision farming programmes. season’s activities. 7 To conduct To prevent To have up-dated Target not This was due to Full supports and inspection for frauds and accounting achieved absenteeism enforcement of Co- auditing all Co- misappropriati records of all Co- coupled with operative Society operative Societies on of funds operative postponements NLC Decree 252 of in the District. Societies. by the Managers the 1968 will tame of these the attitudes of Societies was a these Managers. big challenge to have their account audited

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DEPARTMENT OF EDUCATION

1.0 Introduction

This report highlights the activities, programmes, events and issues on Education Management and Administration in the Adansi North District during the year 2016.

1.1 General Profile The Adansi North District Directorate of Education is headed by Mr. Paul Antwi Oppong and supported by four front liners. The District is made up of ten (10) circuits. There are public schools in the District. These consist of eighty-nine (89) pre-schools (K.G), ninety- one (91) primary schools, seventy-six (76) Junior High Schools, four (4) Senior High Schools and one college of Education. In addition, there are private schools, comprising twenty-six (26) pre-schools (K.G), twenty-five (25) primary schools, sixteen (16) Junior High Schools and one private Senior High School.

2.0 MISION STATEMENT OF THE DIRETORATE To provide relevant Education to all children at all levels to enable them to acquire skills that will assist them to develop their potential to be productive to facilitate poverty reduction and promote socio-economic growth and national development. 2.1 Vision Statement of the Directorate To provide quality Education to equip the young ones with skills and knowledge through an all-round education programme to become useful to themselves and the country.

3.0 STAFF ESTABLISHMENT AT THE EDUCATION DIRECTORATE The following figures show records on staffing at the Education Directorate.

3.1 Total approved staff at post is shown in the table below: LEVEL MALE FEMALE TOTAL TEACHING STAFF 34 12 46 NON TEACHING 15 5 20 STAFF TOTAL 49 17 66

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4.0 PUPILS ENROLMENT FIGURES IN THE DISTRICT The table below shows the enrolment figures at the various public schools in the district for 2015/2016 academic year.

4.1 Enrolment of Public Schools per level in the District is shown in the table below:

LEVEL MALES FEMALES TOTAL KG 3082 3027 6109 PRIMARY 8476 7575 16051 JHS 3593 3133 6726 SHS 2196 1951 4147 TOTAL 17347 15686 33033

5.0 TEACHER POPULATION IN THE DISTRICT The total teaching population in the district for the year 2016 is

5.1 The table below shows the Adansi North teacher population for 2011/2012 Academic year LEVEL TRAINED UNTRAINED TOTAL PRE-SCHOOL 157 101 258 PRIMARY 517 201 718 J H S 494 135 629 S H S 167 35 202 TOTAL

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6.0 SCHOOL FACILITIES The facilities and enrolment in the various public schools per level in the district are shown in the tables below: FACILITIES KG PRIMARY JHS SHS NO. OF CLASSROOM 154 542 206 104 NO. OF CLASSES 175 555 199 85 MAJ REPAIR 54 89 35 14 MIN REPAIR 34 173 64 32 PORTABLE WATER 20 21 5 ELECTRICITY 36 32 5 TOILET 46 38 4 URINAL 47 32 3 FURNITURE 4770 14250 6221 2745

7.0 ACTIVITIES PERFORMED BY THE DISTRICT DIRECTOR ‹ The District director performed office duties ‹ He held meetings with management and staff ‹ He honored invitations to chair and also give talks at educational and social functions ‹ He held meetings with basic and second cycle heads ‹ He organized My First Day at School ‹ A 2-day workshop was organized for English teachers to improve the teaching and learning of the prescribed literature book “THE COCK CROW” at the JHS level in the district. ‹ He held meetings with all Teaching and Non- teaching staff of the various Senior High Schools in the district ‹ He again visited selected communities and schools in the district.

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7.0 KEY ACTIVITIES IDENTIFIED FOR PERFORMANCE DURING YEAR 7.1 1ST Quarter ‹ The District benefited from E-type SHS which is still under construction at Fumso. ‹ One thousand, six hundred and fifty (1650) books was donated to the district education directorate to help improve teaching and learning in the district as well as the reading ability of the pupils in the district. ‹ A 3-day workshop was organized for KG teachers to improve teaching and learning at the KG level in the district ‹ District education oversight committee meeting and management was held to help improve the quality of education in the district. This was to look at targets set previously and achievement as well as weak areas. ‹ Girl child education coordinator visited schools to educate the girl child on the need to take their studies serious to reduce teenage pregnancy in the district. ‹ Inspirational Campaign was launched to inspire pupils the need to be educated.

Table 2.1: Key Activities identified for performance by objectives Strategic Key Activity/ project Funding Unit/Department/Agency objective source responsible

Access First year SHS students have been selected World bank District education office to be interviewed for a scholarship award.

E-type SHS construction at Fumso

Gender Girl child education coordinator visited Girl Child schools to educate the girl child on the need to take their studies serious. Quality One thousand, six hundred and fifty (1650) Philanthrop District education office books was donated to the district education ist directorate to help improve teaching and learning in the district.

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A 3-day workshop organized for KG District District Education office teachers to improve teaching and learning education at the KG level in the district office

Inter-SHS quiz competition District SHS coordinator Assembly

District education oversight committee District District education office meeting was held to help improve the Assembly quality of education in the district

Management Management meeting District District education office education

Access: Status/Performance during the Quarter

- The District currently has eighty- eight (87) K.G, ninety one (91) Primary and seventy –one (75) Junior High Schools, four Senior High Schools. Performance in all the levels have exceeded the annual targets set. With the exception of classrooms for SHS..

Table 3.1: KG Performance in Access Main Output Indicator Previous Current Annual Remarks Output Quarter Quarter Target Areas Public -No. of schools 87 87 85 -No. of classroom 154 154 136 -No. of classes 175 175 173 -Total enrolment 5955 5955 8187 -Girls enrolment 2959 2959 4014 147

Private -No. of schools 26 26 23 -No. of classroom 46 46 46 -No. of classes 49 49 46 -Total enrolment 2924 1507 1723 -Girls enrolment 1459 721 845

8.0 BUDGET HIGHLIGHT

8.1 ADMINSTRATION EXPENSES The table below shows amount received by the Directorate SUB- 1st quarter 2nd quarter 3rd quarter 4th quarter PROGRAMME Central GH¢ GH¢ GH¢ GH¢ administration PRIMARY JHS S H S PRE-SCHOOL TOTAL

2 CONSTRUCTION OF No SODUA construction DACF 3 – Unit classroom Block, Office store, Staff common Room and 4 – seater KVIP 3 REHABILITATION OF 1 AKWANSEREM Rehabilitation DACF No. 6 – Unit classroom block, office and store 148

4 Construction of 6 – Unit dompoase construction GETFUND classroom block and Arcillary facilities 5 Administration Block for Fomena Construction DACF T. I Amass

NO PROJECT LOCATION TYPE OF SOURCE OF PROJECT FUNDING 6 CLADDING AND Anhwiaso rehabilitation DACF rehabilitation of Asirifikrom classroom block 7 CONSTRUCTION tawiakrom construction DACF OF 1 No. 6 – Unit classroom B/K, Office store and 4 seater KVIP 8 CONSTRUCTION Akrokerri Construct DACF OF 1 No. 3 – Unit classroom block 9 CLADDING OF Bokuruwaso Repair DACF No. – Unit classroom block and construction of office 10 Rehabilitation of 2 Awona rehabilitation DACF no. 4 – Unit akwanserem classroom block office and stores 11 REHABILITATION Old Ayaase Rehabilitation DACF OF 2 No. 6 – Unit D/A, Akrokerri classroom block, R/C office and store 149

12 Construct of 1 No. 3 Bena constructiion DACF – Unit classroom block office store and 4 – seater vault chamber toilet 13 Construction of 1 New Ayaase Construction GETFUND No. 6 – Unit classroom block, office store and 4 – seater W/C Toilet.

5.1 ON-GOING PROJECTS NO PROJECT LOCATION SOURCE OF FUNDING 1 Construction of 1 no. 6 – Unit Anhwiaso Mp classroom block, staff common room, office, store and Library 2 Construction of 1 No. 6 – Unit AKROKERRI Dormitory block at Asare Bediako SHS 3 CONSTRUCTION OF Fence Fomena DACF wall, metal Entrance Gate and pavement and community Health Nursing Training school 4 Construct of 1 No. 6 – Unit Akromaso GETFUND classroom block with ancillary facilities 5 CONSTRUCTION of 1 No. Mosikrom GETFUND 150

Unit classroom block with ancillary facilities 6 Construction 1 No. 6 – Unit Kyerebroso GETFUND classroom block with ancillary facilities 7 6 Unit classroom block with Aboabo No. 1 DACF ancilities for Aboabo No. 1 primary school 8 CONSTRUCTION OF 1 No. 6 – Bodwesango DACF Unit classroom block for Bodwesango senior high secondary school 9 Construct of 1 No. 3 – Unit Bodwesango DACF classroom block, office and store 10 Construction of 1 No. 3 – Unit Bodwesango DACF classroom block

6.0 SUPPLIES AND LOGISTICS The underlisted items were received and distributed to the various schools during the period under review.

NO. ITEM QUANTITY 1 White chalk 7,011 boxes 2 Coloured chalk 2455 boxes 3 Teachers notebook 835 4 Technical drawing books 5003 copies 5 Primary one maths 1574 Exercise books Primary two language 1574 6 Exercise books 7 Primary 2 and 3 writing 1574 151

Exercise books 8 Exercise books 620 9 Primary 2 and 3 maths 2104 Exercise books 10 Primary 2 language exercise 2560 book 11 Primary 1 writing exercise 1110 books 12 Technical drawing exercise 2500 book

7.0 ACHIEVMENTS The period witness a lot of achievement as well as challenges. Some of the achievements were: a) GENERAL IMPROVEMENT IN SCHOOL ACTIVITIES IN THE DISTRICT. There has been a tremendous improvement in the activities of public and private schools in the District. Motivation of Heads and teachers has gone up with remarkable regularity and punctuality of both heads and teachers in the Schools. The success was as a result of modern approach of supervisory and monitory roles led by the District Director. b) ANGLOGOLD ASHANTI PRESENT BUSES TO THREE SENIOR HIGH SCHOOLS IN THE DISTRICT AngloGold Ashanti as part of fulfilling its social resposibities presented mini buses to Asare Bediako, Dompoase and Fomena T.I Ahamediyya Senior High Schools in the Adansi North c) A TEACHER FROM ADANSI NORTH DISTRICT WINS BEST TEACHER JHS CATEGORY AT REGIONAL LEVEL. Mr. Emmanuel Enin of New Akrofuoom JHS emerged the best teacher jhs category (general) during the conduct of the Ashanti Regional best teacher award. He thus represented the Ashanti Region at the National level. d) BASIC EDUCATION CERTIFICATE EXAMINATION The District again continue to be among the first ten District in the whole country.

Supply of furniture to schools The District Assembly through GETFUND supplied five thousand (5000) dual desk and two thousand mono desks to schools in the district mode VP of SHS and Basic. Furniture problem in the district’s Basic schools have greatly been solved.

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7.1 CHALLENGIES 1. Late release of logistics like registers Teachers Lesson notebooks, and report cards did not help in effective teaching and learning as well as record keeping in basic schools 2. Late release of capitation Grant impacted negatively on activities in basic schools 3. Non-release of Government of Ghana Grant to the office put a lot of pressure on the District Director and trekking officers in the discharge of their duties. 4. The District Director of Education stays in a rented premises. 5. Trekking officer do not have motor Bikes to make them visit the hinterlands. 6. Most schools in the deprived communities do not have bungalows to accommodate teachers, this therefore create avenues for teachers to commute to and from nearby towns. 7. Some schools are still in very deplorable conditions despite the efforts by the assembly. Some of the schools include, nyamekrom D/A JHS, Badwe D/A primary, Nyamekrom D/A KG. 8. A lot of teachers who have been promoted and have still not been placed on their correct scales.

8.0 THE WAY FORWARD There is the urgent need for the provision of another vehicle to the office to facilitate movement to schools for effective monitoring and supervision.

Funds should be made available to the directorate to enable it secure a storage facility to store books and either items safely at the office.

ANALYSIS OF THE BECE RESULTS - 2016 The 2016 Basic Education Certificate was conducted from the 20th to 24th April across the country. The examination was conducted in eleven (11) examination centers in the District. A total of two thousand two hundred and twenty-five (2,225) candidates registered to write the examination, however twenty-six (26) candidates made up of sixteen (16) males and ten (10) females were absent.

YEAR: .2016

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1. REGION: ASHANTI 2. DISTRICT: ADANSI NORTH

3. ENROLMENT IN JSS.3 1,21 BOYS 0 1,02 GIRLS 2 2,23 TOTAL 2

4 NO. OF CANDIDATES REGISTERED BOYS 1,205 GIRLS 1,020 TOTAL 2,225

5. NO. OF CANDIDATES PRESENT DURING EXAMINATION BOYS 1,189 GIRLS 1,010 TOTAL 2,199

6. SUBJECT GRADES: OVER ALL SUBJECT TOTAL NO. OF TOTA S CANDIDATES TOTAL ON. OF CANDIDATES L % p FOR a

GAR s

DES 1 s OBTAINING GRADES OBTAINING GRADES TO 5 e 154

1 TO 3 4 AND GRADE 5 T G T O I O

T R T

TOT A BO L A BOYS GIRLS AL BOYS GIRLS L YS S L 115 79 194 576 384 9 69 4 1 52.48% 6 1 6 ,

0 3 1

5 ENGLISH 4 SOCIAL 198 145 343 666 426 1 86 5 1 65.26% STUDIES 0 4 7 , 9 1 4 2 3

5 REL. & 159 129 288 649 405 1 80 5 1 61.03%

MORAL 0 8 3 ,

EDUC. 5 4 3 4 4 2 300 263 563 632 450 1 93 7 1 74.81% 0 2 1 , 8 3 6

MATHEM 2 4 ATICS 5 229 159 388 620 382 1 84 5 1 63.21% 0 9 4 , GEN. 0 1 3 SCIENCE 2 9 155

0 AGRlC. 275 177 452 526 357 8 80 5 1 60.71% SCIENCE 8 1 3 , 3 4 3 3

5 PRE- 268 196 464 540 346 8 80 5 1 61.39%

TECH. 8 8 4 3

SKILLS 6 2 5 0

6 4 10 33 13 4 39 1 5 27.32% FRENCH 6 7 6 GHANAIA 116 89 205 486 276 7 60 3 9 43.99% N LANG. 6 2 6 6 2 5 7

PRE- 180 161 341 446 329 7 62 4 1 50.75%

VOCATIO 7 6 9 ,

N SKILLS 5 0 1 1 6

7 LANGUAGES

NO. OF CANDIDATES PRESENTED T O MALE FEMALE SUBJEC T T A 156

L FRENC 2

H 0 125 80 5 GHANA 2 IAN 1 LANGU 9 AGE 1188 1010 8

8 NO. OF CANDIATES OBTAINING AGGREGATES AS INDICATED

PER CEN 16- TAG 6 7 -15 24 25-30 TOTAL E 73.53

% BOYS - 63 425 398 886 55.10 GIRLS - 66 240 256 562 % 9. Number of schools in which all candidates presented obtained 31 and above. - ONE(1) 10. Number of schools in which all candidates obtained Grade 9 for all subject - ZERO (0)

11. List all schools in 9 and 10 above. ASIRIFIKROM D/A JHS

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12. Number absent during the examination: Male …16.. Female 10…… The ten (10) females were pregnant whilst fifteen of the males played truancy. One male was transferred.

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DISTRICT PERCENTAGE PASS WAS 65.9

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ADANSI NORTH DISTRICT EDUCATION DIRECTORATE2009 BECE RESULTS

POSITION OF VARIOUS SCHOOLS IN THE DISTRICT BY CIRCUITS

CIR CUI TS NO NAME OF SCHOOL MEAN AGGREGATE POSITION 1 ABU BONSRA D/A 28.81 1ST 2 AYAASE R/C 32.88 2ND 3 AHINSAN D/A 33.00 3RD 4 KUSA D/A 35.46 4TH FOMENA FOMENA 5 ADOKWAI D/A 36.50 5TH 6 FOMENA METH. 37.64 6TH

1 DOMPOASE DEMO. 25.22 1ST 2 BUABIN D/A 25.78 2ND 3 OLD EDUBIASE/KYEABOSO D/A 25.97 3RD 4 DOMPOASE METH. 30.88 4TH TH

DOMPOASE DOMPOASE 5 BOBRIASE D/A 32.10 5 6 MEDOMA D/A 36.63 6TH

1 WIOSO/KWAPIA/PATAKRO 21.82 1ST

RI 2 KYEKYEWERE 22.08 2 3 ATTC PRACTICE 23.02 3RD AKROKER

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4 ADOMANU D/A 23.77 4TH 5 AKROKERRI ST HUBERT R/C 24.25 5TH 6 AKROKERRI METHODIST 26.96 6TH

1 NYANKOMASE D/A 21.30 1ST 2 PIPIISO D/A 22.17 2ND 3 ABOABO NO II D/A 22.25 3RD 4 ABOABO NO II METH. 22.60 4TH TH

ABOABO ABOABO 5 SAPONSO MEM. D/A 23.35 5 6 NSOKOTE D/A 26.32 6TH 7 NSOKOTE ANOMABO D/A 27.18 7TH

CIR CUI T NO NAME OF SCHOOL MEAN AGGREGATE POSITION 1 NYANKOMASU D/A 24.07 1ST 2 ADIEMBRA D/A 24.33 2ND 3 TEWOBAABI D/A 25.94 3RD 4 ASOKWA D/A 28.17 4TH 5 HWIREMOASE D/A 28.18 5TH TH

ASOKWA ASOKWA 6 BODWESANGO 'A' D/A 28.56 6 7 BODWESANGO 'B' D/A 29.05 7TH 8 BROFOYEDRU UNITED 32.66 8TH 9 BROFOYEDRU METHODIST 33.19 9TH

1 KOJO NKWANTA D/A 22.22 1ST 2 ANWONA D/A 25.71 2ND RD FUMSO FUMSO 3 BISHOP SARPONG D/A 28.52 3 161

4 FUMSO 'B' D/A 34.19 4TH 5 FUMSO 'A' D/A 35.24 5TH 6 ASIRIFIKROM D/A 38.45 6TH

1 KOBIN AFRICAN FAITH 23.63 1ST 2 AKWANSREM D/A 24.86 2ND 3 PEWODIE D/A 25.00 3RD 4 BIAKWASO D/A 25.50 4TH 5 AYOKOA D/A 28.96 5TH 6 NEW AKROFUOM D/A 29.56 6TH ANHWIASO ANHWIASO 7 KONSIMWA D/A 30.60 7TH 8 ANHWIASO D/A 32.83 8TH 9 NYAMEKROM D/A 33.11 9TH

ADANSI NORTH DISTRICT EDUCATION DIRECTORATE 2009 BECE RESULTS

POSITION OF THE CIRCUITS IN THE DISTRICT

NO NAME OF CIRCUIT MEAN AGGREGATE POSITION 1 AKROKERRI 23.51 1ST 2 ABOABO 23.70 2ND 3 ANHWIASO 25.57 3RD 4 ASOKWA 28.32 4TH 5 DOMPOASE 29.08 5TH 6 FUMSO 32.69 6TH

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7 FOMENA 34.01 7TH

REPORT ON THE BECE 2010

There are eleven (11) centers in the district and three depots where we collected the examination materials.

The number of candidates presented for 2010 BECE was one thousand, nine hundred and thirty(1930).

ANALYSIS OF THE BECE RESULTS

GHANA EDUCATION SERVICE - ASHANTI REGION BASIC EDUCATION CERTIFICATE EXAMINATION ANALYSIS OF RESULTS YEAR: .2010

1. REGION: 2. DISTRICT: ADANSI NORTH ASHANTI

3. ENROLMENT IN JSS.3 BO YS 1,156 GIR LS 818 TO TA L 1,974

4 NO. OF CANDIDATES REGISTERED 163

BO YS 1,163 GIR LS 767 TO TA L 1,930

5. NO. OF CANDIDATES PRESENT DURINGEXAMINATION BO YS 1,154 GIR LS 762 TO TA L 1,916

6. SUBJECT GRADES:

SUBJECTS TOTAL NO. OF TOTAL NO. OF OVERALI TOTAL CANDIDATES CANDIDATES FOR GRADES

PERCENTA

OBTAINING GRADES OBTAINING GRADES 4 1 TO 5 GE PASSED

1 TO 3 AND GRADE 5 GIRL TOTA GIRL BOYS BOYS TOTAL BOYS GIRLS TOTAL S L S 78.4 ENGLISH 261 146 407 652 444 1096 913 590 1503 164

SOCIAL 88.9 338 196 534 604 566 942 762 1704 STUDIES 1170 87.1 MATHEMATIC 432 279 711 579 379 958 1011 658 1669 S INTEGRATED 91.5 414 243 657 644 453 1097 1058 696 1754 SCIENCE GHANAIAN 69.5 249 166 415 546 371 917 795 537 1332 LANGUAGE 100 FRENCH 80 52 132 28 32 60 108 84 192 67.7 151 110 261 619 416 1035 770 526 1296 BDT

7 LANGUGES NO. OF CANDIDATES PRESENTED

MALE FEMALE TOTAL SUBJECT FRENCH 115 89 206 GHANAIAN LANGUAGE 1154 762 1916

8 NO. OF CANDIATES OBTAINING AGGREGATES AS INDICATED TOTA PERCENTA 5 6 -10 11-15 16-25 L GE BOYS 4 17 149 811 981 85.01%

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GIRLS 1 17 81 554 653 85.70%

9. Number of schools in which all candidates presented obtained 26 and above = ZERO (0)

10. Number of schools in which all candidates obtained Grade Nine and for all subject = ZERO (0)

11. List all schools in 9 and 10 above. = ZERO

12. Number absent during exams. Male ...... 8… Female ….6

12a. Reasons for absenteeism Male Female 1. Pregnancy - 1 2. Withdrawal/Transfers - 5 3. Illness 8 - 4. Travel abroad - - 5. Truan cy - - 6. Marriage - - 7. Death - - TOTAL = 8 6

OVERALL DISTRICT PERCENTAGE = 85.28% 166

In all fourteen (14) candidates were absent during the examination consisting of six (6) females and eight (8) males. Eight of them were sick, one was pregnant and the rest moved with their parents as they were transferred from the District.

PROBLEMS:

1. Collection of examination materials to the eleven centers was not the best, that is; a) Bekwai G. E. S depot served Dompoase Senior High School and T.I Ahmadiyyah Senior High School centers b) Obuasi Senior High Tech. Depot served Akrokerri Demonstration Junior High School and Asare Bediako Senior High School centers. c) New Edubiase G.E.S served the following centres. (i) ASOKWA D/A PRIMARY (ii) AKWANSREM D/A PRIMARY (iii) ANHWIASO METH. PRIMARY (iv) KOJO NKWANTA D/A JHS (v) FUMSO D/A ‘A’ JHS (vi) ABOABO II METH. JHS (vii) BODWESANGO SENIOR HIGH SCHOOL 2. Fuel: The cost of fuel given by WAEC was inadequate. 3. Vehicles for the conveyance of examination materials to and from the centers and depot were also a problem.

SUGGESTION

1. The District Assembly should assist the Directorate to get the fortified depot at Dompoase Senior High School approved as all efforts by the directorate have proved futile. 2. The District Assembly should support the directorate to address the fuel cost it has been incurring

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ANALYSIS OF SENIOR HIGH SCHOOL RESULTS

DOMPOASE SENIOR HIGH WASSCE RESULTS – 2009

GRADE A1 B2 B3 C4 C5 C6 D7 E8 F9 % % passed failed English Language - - - - 2 24 29 63 137 46 54 Mathematics - - 4 3 2 15 24 57 150 41 59 Social Studies - 6 50 23 22 69 31 33 21 92 8 Integrated Science - - 3 2 1 14 35 58 142 44 56 Economics - - 10 7 12 30 21 55 86 61 39 Business Management 1 4 8 5 3 19 9 17 26 70 30 Financial Accounting 9 4 9 5 5 9 14 10 14 82 18 Cost Accounting 3 1 4 5 1 8 5 16 36 54 46 Government 2 6 16 9 5 20 11 20 38 70 30 Literature – in – English - - - 3 3 15 11 13 43 51 49 C.R.S - - 1 3 3 15 11 13 43 52 48 Geography - - 5 - 2 2 2 3 24 37 63 French - - - 1 - 1 - 6 29 22 78 Physics - - - - 2 2 4 6 7 67 33 Chemistry - - 1 - - 4 2 5 9 57 43 Biology - - 1 - 1 3 6 6 16 50 50

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Elective Mathematics - - - - 1 3 2 3 17 35 65 Mgt- Living - - 2 2 1 - 3 3 2 85 15 Food And Nutrition - - 1 2 6 3 1 - - 100 - Typewriting 1 - - - - 1 - - 13 13 87 C.O.D - - - - - 1 - - 14 7 93

BODWESANGO SENIOR HIGH SCHOOL WASSCE RESULTS – 2009

GRADE A1 B2 B3 C4 C5 C6 D7 E8 F9 %passed % failed

ENGLISH LANGUAGE - - - 1 5 43 36 3 1 100 - MATHS (CORE) 1 2 48 25 7 6 - - - 100 - INTEGRATED SCIENCE 1 2 31 13 14 23 4 1 - 100 - SOCIAL STUDIES - 9 62 10 5 3 - - - 100 - CHEMISTRY - - 12 11 18 33 11 4 - 100 - GENERAL 1 4 15 10 15 22 16 6 - 100 - AGRICULTURE ANIMAL HUSBANDRY - - 2 1 2 6 11 17 50 42.7 -

ASARE BEDIAKO SENIOR HIGH SCHOOL WASSCE RESULTS – 2009

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GRADE A1 B2 B3 C4 C5 C6 D7 E8 F9 % % No of passed failed absent Elective mathematics - - 5 7 8 9 1 1 - 100 - Business management 12 9 12 - 1 - - - - 100 - Financial accounting 5 12 16 1 - - - - - 100 - Prin. Of cost accounting 11 10 ------100 - Chemistry - - 4 2 5 10 3 - - 100 - General agriculture - - 8 - 7 7 2 - - 100 - Physics - - 1 3 5 8 6 1 - 100 - Crop husbandry & - - - - - 5 16 3 - 100 - horticulture Integrated science 1 5 119 24 9 5 - - - 99.39 - 1 English language - - 2 2 10 89 51 9 - 99.39 - 1 Economics - - 22 47 41 27 2 - - 99.29 - 1 geography - 3 30 15 28 29 10 - - 99.06 - 1 Social studies - 1 55 32 42 32 1 - - 98.79 - 1 CRS - 6 59 21 3 1 - - - 97.83 - 1 Government 2 1 8 10 26 41 10 4 3 96.23 - 1 Core mathematics - - 1 2 3 22 62 66 6 95.12 4.88 1

FOMENA T.I AHMADIYYAA SENIOR HIGH SCHOOL WASSCE RESULTS

GRADE A1 B2 B3 C4 C5 C6 D7 E8 F9 % passed % failed Social studies - - 19 25 38 130 81 90 54 87.4 12.6 English language - - - 2 - 18 41 131 244 43.8 56.2 Integrated science - - - 1 - 12 37 113 272 37.7 62.3 Mathematics - - - 2 1 2 13 51 369 15.8 84.2 170

General agriculture - - 6 1 4 9 14 4 3 92.7 7.3 Crop husbandry & - - - - 1 - 3 21 21 54.4 45.6 horticulture Chemistry ------31 0 100 Physics ------1 8 37 19.6 80.4 Accounting 3 5 29 11 10 12 22 29 39 74.7 25.3 Costing - - 3 4 9 15 19 13 96 39.4 60.6 Business mgt 5 12 20 13 21 21 22 18 35 79 21 C.O.D ------2 10 16.7 83.3 Typing - - - - - 2 - - 10 16.7 83.3 Economics - 1 15 11 22 90 77 77 96 75.3 24.7 Geography - - 1 1 1 11 15 28 135 29.2 70.8 Government - 1 - - 1 5 6 12 100 19.8 80.2 C.R.S 1 - 2 5 8 30 65 66 40 80.2 19.8 History 1 1 38 19 7 18 6 4 1 98.9 1.1

CONCLUSION

COLLABORATION BETWEEN EDUCATION DIRECTORATE AND DISTRICT ASSEMBLY

The District Directorate has enjoyed a close collaboration with the District Assembly over the period e.g. the District Assembly provided support for the Truancy Free Zone Initiative, again they supported the Best Teacher and Worker Award in the District, however, the Directorate still look up for more, especially on furniture and Buildings for the dilapidated

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schools. We wish to thank the District Chief Executive and the entire assembly for their support to Education in the District.

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