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Bia West District Assembly Annual Progress Report On BIA WEST DISTRICT ASSEMBLY ANNUAL PROGRESS REPORT ON THE IMPLEMENTATION OF ANNUAL ACTION PLAN 2014 Prepared by: DPCU ANNUAL PROGRESS REPORT FOR 2014 1.0 INTRODUCTION The 2014 Annual Progress Report (APR) on the implementation of the approved Annual Action Plan of the Bia West District Assembly is virtually projects/programmes from the 2013 Annual Action plan. This report provides information on progress made by the Assembly in the implementation of the Plan from 1st January to 31st December, 2014 to the stakeholders. The APR also identifies weaknesses which are likely to hinder the achievement of the objectives and overall goal of the projects and programmes. The report captures the results on national recommended core district indicators, specific indicators of the district, revenue and expenditures and critical development and poverty issues. 1.1 The Purpose of Monitoring and Evaluation for 2014 The monitoring and evaluation objectives for the period under review included the following: i. to increase efficiency in the delivery of socio-economic services and outputs; ii. to ascertain and manage constraints and challenges which may hamper the accomplishment of development objectives and goal; and iii. to share best practices and use lessons learnt for decision making and re-planning. 1.2 Processes involved and difficulties encountered The APR was compiled from outputs of quarterly monitoring and evaluation of development projects and programmes specified in the 2014 Annual Action Plan. It also included findings from quarterly review meetings of the District Planning Coordinating Unit (DPCU) and other departments of the Assembly. It is always challenging to collate departmental data into a comprehensive report in order to reflect the true state of affairs in the District. 1.3 Status of Implementation of the 2014 Annual Action Plan A review of the status of implementation of the projects and programmes outlined in the 2014 Action Plan revealed that the Assembly was able to execute a number of the planned projects. There is the need for the Assembly to step up project implementation activities. These sections of the document provide details of activities and status of implementation from the central administration and other department of the assembly. 2.0 MONITORING AND EVALUATION ACTIVITIES REPORT 2.1 Revenue Analysis 2 Table 1: Trends of Revenue by Sources from 2012-2014 SOURCES OF BUDGETED ACTUAL BUDGETED ACTUAL BUDGETED ACTUAL REVENUE (GHC) (GHC) (GHC) (GHC) (GHC) (GHC) 2012 2012 2013 2013 2014 2014 Salaries / Wages 450,000.00 234,527.62 500,000.00 359,985.66 465,585.95 480,050.07 DACF 3,049,713.86 624,134.02 1,231,176.06 888,039.86 2,328,165.00 865,621.75 Arrears 411,785.52 - - MPs Common 12,360.00 - 57,640.32 - 1,538.75 Fund Other Income - 2,904.45 429,826.80 3,288,462.77 1,591,277.56 (Donor Support Fund) IGF 461,565.00 321,407.40 273,560.00 120,127.57 381,269.92 173,228.96 Ceded revenue - 100,000.00 - - - - District Dev. Fund 830,114.34 677,643.17 386,363.00 230,165.00 334,817.00 430,058.62 HIPC - 25,000.14 - - - - Child Labour - 2,500.00 - Programme School Feeding - 483,008.60 - 427,426.80 313,607.00 442,818.50 Programme. Disability 38,470.71 60,561.07 37,497.00 18,244.48 Programme. GOG GRANTS - 42,255.14 20,424.90 - - DONOR - 2,904.45 114,408.60 - 9434 GRANTS ( CBRDP, MSHAP, CDP) TOTAL 4,791,393.20 2,978,901.22 2,391,099.06 2,708,606.58 7,149,404.64 4,012,272.69 REVENUE Table 2: Trends of Expenditure from 2012- 2014 S/NO. EXPENDITURE 2012 2013 2014 1. Compensation - 429,730.62 480,050.07 3 2. Goods and Services 927,429.83 214,781.98 1,051,384.34 3. Investment 2,062,779.87 1,620,373.69 3,780,539.33 4. Miscellaneous 104,471.00 50,307.00 34475 Total Expenditure 3,094,680.70 2,315,193.29 5,346,448.74 Source: Bia West District Assembly, (2014) 2.3.0 UPDATE ON CRITICAL DEVELOPMENT AND POVERTY ISSUES 2.3.1 Department of Agriculture In the period under review, a total of one thousand, five hundred and thirty two (1532) farmers comprising 849 males and 683 female benefited from technology extension by EAs. A weekly radio program was organized at local FM stations to educate farmers on both crops and livestock management. There was no incidence of bushfire since farmers had education on bushfire prevention. Price increase of agricultural inputs occurred in all operation areas. This year saw a reduction in seasonal rural-urban migration occurring in all zones. This was due to the fact that transport fares were increased: therefore there was increase in the cost of transporting foodstuffs and agricultural inputs. Crop damage was mostly found on cocoa. Both farmers and CODAPEC- (Cocoa Disease and Pest Control Unit) are putting in their maximum effort to control farms affected by Black pod disease. Urbanization has provided non-agricultural employment opportunities in hair dressing and dressmaking and various artisans. An incidence of flooding occurred at Elluokrom, where farms around the area built for the Inland Valleys Project had to submerge. Illegal logging has caused damages to most cocoa farms from which trees were felled. Lessons learnt during the year 1. There is difficulty in taking weather data in this district because there is no weather station or meteorological office to give us accurate rainfall measurements. 2. The unavailability of funds affected the implementation of fourth quarter activities. There are five operational areas without AEAs therefore the farmers in those areas are denied access to extension services. 3. The absence of slaughter slabs/houses makes it extremely difficult to monitor the quality of meat sold on the market Recommendations To achieve our vision as a District: 4 There is the urgent need for the district office accommodation to be completed on schedule to facilitate office work since the lack of convenient office accommodation affect output. There is the need for female AEAs to be posted to the District to support the growing demand for extension activities in WIAD. Funds for the District should be released early to enable the directorate implement planned activities. There are only two veterinary officers in the District. One is on special duty at the Oseikojokrom border. There is therefore the need to post more veterinary officers to the District. 2.3.2 Health Directorate Improving quality health services delivery is the goal of the Bia West directorate of the Ghana Health Service. In the year under review, a lot of activities which aimed at achieving the goal of the directorate were carried out. 2.3.2.1 Maternal mortality rate By pursuing the vision of improving health and quality of persons of reproductive age and beyond, it provides preventive, curative, promotional and rehabilitative services for improving health and well-being of population, more especially women and children. Reproductive and child health care will always continue to be the integral part of the district in terms of quality health service delivery. Thus, issues concerning child and maternal health are vigorously tackled in the district. These include community-based participation in health activities, weekly health education on FM stations to address pertinent issues regarding child and maternal health, behavior change communication, outreach services, school health and so on. Maternal health refers to the health of women during pregnancy, childbirth and the postpartum period. While motherhood is often a positive and fulfilling experience, for too many women it is associated with suffering, ill-health and even death. The leading causes of maternal death are classified as direct or indirect. Direct causes are those related to obstetric complications of pregnancy, labor and delivery, and the post-partum periods. Direct causes account for 80% of maternal death. Indirect causes are those relating to pre-existing medical conditions that may be aggravated by the physiological demands of pregnancy. Brief overviews of the leading causes of maternal death in the developing world are as follows; Direct Causes: Note: These cannot be predicted. 5 Hemorrhage (uncontrolled bleeding) • Accounts for approximately 25% of maternal deaths and is the single most serious risk to maternal health. • Blood loss during pregnancy, labor, or post-partum. • Can rapidly lead to death without medical intervention. • Can be treated with blood transfusions, oxytocics (drugs which induce uterine contractions to stop bleeding), and/or manual removal of the placenta. Sepsis (infection) • Accounts for approximately 15% of maternal deaths. • Related to poor hygiene and infection control during delivery or to the presence of untreated sexually transmitted infections during pregnancy. • Can be prevented or managed with high standards for infection control, appropriate prenatal testing and treatment of maternal infection, and appropriate use of intravenous or intramuscular antibiotics during labor and post-partum period Hypertensive Disorders • Accounts for approximately 12% of maternal deaths • Pre-eclampsia (also known as toxemia of pregnancy) is characterized by hypertension (high blood pressure), protein urea (protein in the urine, general edema (swelling), and sudden weight gain. If left untreated, can lead to eclampsia. • Eclampsia is characterized by kidney failure, seizures, and coma during pregnancy or post-partum. Can lead to maternal and/or infant death. • Pre-eclampsia can be identified in the prenatal period by monitoring blood pressure, screening urine for protein, and through physical assessment. • Treatment available during childbirth includes the use of sedative or anti-convulsant drugs. Prolonged or Obstructed Labor 6 • Accounts for 8% of maternal deaths. • Caused by cephalopelvic disproportion (CPD), a disproportion between the size of the fetal head and the maternal pelvis; or by the position of the fetus at the time of delivery.
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