Bia West District Assembly Annual Progress Report On

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

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

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:

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.

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

• 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.

• Increased incidence among women with poor nutritional status

• Use of assisted vaginal delivery methods such as forceps, vacuum extractor, or performing a

Caesarean Section can prevent adverse outcomes.

• CPD is the leading cause of obstetrical fistula

Unsafe Abortion

• Accounts for approximately 13% of maternal deaths.

• In some parts of the world unsafe abortion accounts for 1/3 of maternal deaths.

• Approximately 67,000 cases of abortion related deaths occur each year.

• Can be prevented by providing safe abortion, quality family planning services, and competent post-

abortion care.

Indirect Causes

• Accounts for approximately 20% of maternal deaths.

• Pre-existing medical conditions such as anemia, malaria, hepatitis, heart disease, and HIV/AIDS can

increase the risk of maternal death.

• Risk of adverse outcomes can be reduced through prenatal identification and treatment as well as the

availability of appropriate basic emergency obstetric care (EmOC) at the time of delivery.

Maternal Morbidity

For every maternal death there are approximately thirty times as many cases of pregnancy related illness or

disability. For example, obstetric fistula (an opening between the bladder and the vagina) is usually the result of obstructed labor. It causes incontinence (the inability to hold urine). Although fistulas are preventable with good obstetric care, they have tragic consequences for many women, who are often left abandoned and isolated. The table below shows the maternal mortality

Table 3-Maternal Mortality Ratio

YEAR 2012 2013 2014

Deaths 3 2 2

LB 2,839 3,059 3,099

MMR (106/100,000 Live (66/100,000 Live Birth) (65/100,000 Live Birth) Birth)

2.3.2.2 Major activities undertaken by the directorate during the year.

° One (1) suspected YF and two(2) suspected measles were sent to the reference lab, Korle-bu ° Two(2) suspected AFP were sent to the Noguchi Research Center ° Akaatiso CHPS Compound was inaugurated ° School de-worming exercise was carried out ° Supportive supervision and coaching was also carried out in all the facilities to ensure adherence to malaria treatment protocols ° Reporting forms were printed and distributed to all the facilities ° Ebola awareness creation was done through: o FM stations o Churches o Mosques o Borders o Health facilities o Community durbars o Formation Rapid Response Team

Table 4-Distribution of health facilities in the district

s/n Mother Sub- Proposed Sub Facilities in the Sub-district district districts 1 1. Essam 1 Essam Health Centre 2 St. Luke Clinic 3 Kwametawiakrom CHPS 4 Florence Maternity 5 Cocoa Clinic 6 Essam Government Hospital ESSAM 7 Presbyterian Clinic 2 Oseikojokrom 1 Kojoaba Clinic 2 St. John Of God Clinic 3 St Ann’s Maternity 4 Eno Yeboah Clinic 5 Oseikojokrom CHPS 2 1 Akaatiso 1 Akaatiso CHPS 2 Lizzy Maternity AKAATISO 3 Aduana Clinic 4 Gina Maternity* 2 Kwasi Nkrumah 1 Amoashed CHPS

2 Brebre Clinic 3 St. Joseph Maternity 4 Kwasi Nkrumah CHPS 5 Kofikra CHPS 3 1 Mempeasem 1 Mempeasem Health Centre 2 Asuontaa CHPS MEMPEASEM 3 Cashierkrom CHPS 4 Osbert Maternity 2 Papaase New Papaase CHPS 4 1 Angella Memorial Clinic YAWMATWA Yawmatwa 2 Church Of Pentecost 3 Nsowakrom CHPS

The doctor to population ratio is 1:42,387 while the nurse (all categories) to population ratio stood at 1:942.

The district is in critical needs of staff, especially at the hospital. One can barely imagine the stress that a medical doctor will go through in attending to an average of not less than forty-two thousand people in a particular setting. Physician assistants to population also stood at 1: 21,194. Another important aspect in terms of low staff strength has to do with midwives; considering the WIFA population in the district, one midwife to

1,795 women in their fertility age of 15-45 years is quite worrisome. In the quest to facilitate the accomplishment of MDGs 4 and 5, there is the need to look at the midwives situation in Ghana and for that matter the Bia West district. This is devastated by high staff attrition rate coupled with refusal of newly qualified staff to accept postings to the district.

The district was faced with some many challenges including the following:

• Lack of residential accommodation for newly posted staff

• Delays in submission of reports by facilities

• Low staff strength with high attrition rate

• Irregular monitoring and supervision

• Irregular re-imbursement from NHIS

• Data inconsistency

• Few motorbikes coupled with frequent breakdowns

• Unstable internet connectivity hampers data entry and submission

2.3.3 Mutual Health Insurance Scheme (MHIS)

The Bia District Mutual Health Insurance Scheme (BDMHIS) was created out of the then Juaboso-Bia district mutual health insurance scheme in the year 2007. The BDMHIS covers both Bia East and West Districts. The 2010 PHC kept the population of the two districts as 116,332 comprising 60,090 males and 56,242 females. 9

The estimated population of the two districts as at the end 2014 stood at 123,583 with 63,384 males and 59,749 females. In reference to the 2010 Population & Housing Census the estimated number of communities and villages in the districts now stands at 333. However, the Scheme operates in 93 coded clusters of communities

The Scheme started with a total membership of 8,044 transferred from the then Juaboso Bia District with a staff strength of 6 and 25 provisionary accredited Health facilities.

The Scheme is currently operating with 157,268 members with penetration rate of 125.54% and an active membership of 80,871.

The total number of ID cards sent for production during the year under review was 34,787 while 35,071 was received, out of this, 29,506 was distributed.

The scheme paid an amount of GH¢ 3,379,282.87 as claims during the year 2014

The staff strength of the scheme currently stands at 19, including 6 Core staff, 12 auxiliary and 1 attachment student

The tables and diagrams below illustrate details of the activities of the BDMHIS.

Table 5 . 2014 Monthly membership Renewal

Fig. 1 2014 membership Renewal chart

20,000 15,000

10,000 YR. 2012 5,000 YR. 2013 0 YR. 2014

Table 6. 2014 new Registration

CATEGORY 2012 2013 2014

INFORMAL 3,441 6,574 3464

SSNIT CONTR. 81 27 38

SSNIT PENSION 0 0 2

INDIGENTS 16 3,657 6764

UNDER 18 YRS 8,062 16,880 8948

OVER 70 YRS 81 166 92

PREG. WOM. 3,812 3,129 2462

TOTAL 15,465 30,433 21,770

Fig. 2 2014 new Registration chart

NEW REG. 2014

10000 NEW REG.… 5000

0 NEW REG. 2014

Table 7. Yearly Renewal of membership

CATEGORY 2012 2013 2014

INFORMAL 11,953 19,750 18225

SSNIT CONTR. 501 592 755

SSNIT PENSION - 1 19

INDIGENTS 18 1,574 8,103

UNDER 18 YRS 16,589 26,829 27433 OVER 70 YRS 660 1,348 1119

**PREG. WOM. 2124 3114 3447 12

TOTAL 31,845 53,208 59,101

Table 8. GOG support or NHIS subsidy received during the year

MONTH ADM. CLAIMS GRAND SUPPORT REIMBURSEMENT TOTAL JANUARY 0•00 0•00

FEBRUARY 900•00 590,152•29 591,052•29

MARCH 0•00 322,281•99 322,281•99

APRIL 0•00 341,980•62 341,980•62

MAY 0•00 319,060•98 319,060•98

JUNE 9,000•00 556,044•67 565,044•67

JULY 0•00 0•00 0•00

AUGUST 0•00 576,960•56 576,960•56

SEPTEMBER 0•00 0•00 0•00 OCTOBER 600•00 272,642•72 273,242•72 NOVEMBER 0•00 0•00 0•00

DECEMBER 9,000•00 368,394•92 377,394•92

TOTAL 19,500•00 2,978,223•83 2,988,723•83

Table 9. Claims Paid during the Year

QUARTER AMOUNT PAID

ST 911,534.28 1 QUARTER ND 661,041.60 2 QUARTER

RD 556,044.67 3 QUARTER

TH 1,250,662.32 4 QUARTER

GRAND TOTAL 3,379,282.87

Some challenges confronting the scheme include;

‹ Frequent power outages

‹ Series of down – times by the oracle application

‹ Double registration

‹ Late submission of claims by some providers

‹ Difficulty in claims verification at provider site due to improper records keeping

‹ Money extortion by some providers

‹ Difficulty in authenticating the credibility of the claims submitted.

‹ Delay in payment of claims to service providers

‹ Inability of the authority to release administrative support funds

‹ No standardized accounting software for accounts department

‹ High Level Of Illiteracy

‹ Difficulty in ID Card Distribution

‹ Poor nature and accessibility of Road

2.3.4.0 District Education Directorate

The directorate embarked on the regular Payroll monitoring and supervision in all public schools in the district. The routine monitoring and supervision of schools to ensure that teachers carry out their duties as expected.

During the first quarter, Trainees under the UTDBE program had three (3) cluster meeting, one (1) school visit and one (1) classroom observation to strengthen their professional development.

The District had inter circuit sports competition for under 13 boys, under 15 boys and girls at Yawmatwa to select the District team for this year’s u-13 and u-15.

Table 10. School Enrolment in Public Schools

Level No. of Enrolment Total Remarks Schools Male Female KG 90 3662 3651 7313 All KG schools were captured

Primary 90 7667 7226 14893 All primary schools were captured JHS 47 2526 2151 4677 All JHS schools were captured SHS 1 2151 237 555 It involve one SHS TVET N/A - - - There is no TVET in the District Special School N/A - - - There is no Special School in the District Total 208 16006 13265 27438

Table 11. School/enrolment in Private Schools

Level No. of Enrolment Total Remarks Schools Male Female KG 43 1,055 983 2,038 All KG schools were captured Primary 43 2,173 1,995 4,168 All primary schools were captured JHS 22 694 567 1,296 All JHS schools were captured SHS N/A - - - There is no private SHS in the District TVET N/A - - - There is no private TVET in the District Special School N/A - - - There is no private Special School in the District Total 108 3,922 3,545 7,502

The following were some other activities carried out in the year under review:

1. TLM were provided for 700 KG, primary and teachers for both public and private schools. 2. Monitoring of GPEG/capitation grant in 135 basic schools. 3. Procurement of 100 cardboards, 150 teachers table and chairs, 400 mono desks, 200 KG furniture 250 dual desks for use by the various schools. 4. Procurement of 185 white chalks for schools. 5. Circuit supervisor visit 135 basic schools to monitor and inspect the usage of GPEG/capitation grant to ensure effective teaching and learning. 6. Training programme for 15 District Education Office staff on excel. 7. Provision of non-salary incentive package to 180 hardworking teachers 8. Conduct of District level SPAM 9. Organization of Literacy and Art competition (reading) at school level, circuit level and District level in 135 basic school for 500 school pupils 10. District Director of Education embark on a monitoring visit to 50 schools There is however three other activities to be carried out under the supplementary budget to end all the activities for the 2014 11. STI clinic for boys and girls in 10 JHS in the District. 12. Training of 250 basic school heads and their assistant on SPT preparation 13. Capacity building for School Management Committee (SMC) and Parent – Teacher Associations (PTA) on school/SRC report cards and gender sensitive education, SPAM as well as the use of GPEG Grant to schools.

Some challenges encountered include the following:

1. Indecent accommodation for about 95% of our KG Schools. 2. Inadequate trained teachers in the District. 3. No official residential accommodation for the District Director of Education. 4. High running cost of old vehicles at the Directorate. 5. Delays in the release of capitation grants affected the smooth running of the schools

In order to address the challenges identified, the following are our recommendation:

The District office will continue to liaise with the District Assembly to put up more and decent accommodation to house our KG pupils and also sponsor more teachers at the Colleges of Education and Distance Learners.

Negotiations are on-going between the directorate and the District Assembly to provide accommodation to teachers who accept postings to the very deprived parts of the District.

Supervision in our schools will continue to be strengthen to enhance quality enhance and learning in our schools

2.3.4.1 Ghana School Feeding Programme

The programme which started in 2006 on pilot basis is currently serving twenty (20) schools in the District. Out of the twenty (20) schools, 16 schools are now under the care of the Bia West District and the remaining 4 under Bia East District. Five thousand, five hundred and forty-two (5,542) pupils are being fed under this programme from kindergarten to primary level. In the year 2014, an amount of GH¢442,818.50 was received in respect of the programme.

Challenge to this programme has been the misuse of instructional hours by caterers in serving meals and increased enrolment figures over the years, which has brought untold hardship to caterers.

2.3.4.2 Capitation Grant

There was a release of Eighty Thousand, Six Hundred and Forty Nine Ghana Cedis (Gh₵80649.00) as Capitation Grant to the District within the quarter under review.

2.3.5.0 Social Welfare and Community Development The aim of the service is to improve the lives of the disadvantaged, vulnerable and excluded within the communities in collaboration with other stakeholders in the District, through the three core programmes of the Department. These programmes include the following: • Child Right and Protection Programme • Community care Programme • Justice Administration During the year, a total number of thirteen (13) persons with disabilities called at the District office for registration.

Table 12 People with Disability TYPE OF DISABILITY MALE FEMALE TOTAL

Moving Difficulty 2 3 5

Seeing Difficulty 2 5 7

Speaking/hearing Difficulty - - -

Mentally Challenged 1 - 1

Total 5 8 13

2.3.5.1 Awareness Creation During the first quarter of the year 2014, the District Office in collaboration with the District LEAP implementation Committee embarked on a massive social and public education exercise in ten (10) communities selected to benefit from the LEAP programme. Potential beneficiary communities were Oseikojokrom, Kunkumso, Biano, Nsowakrom/Borkorkrom, Akaatiso, kwesi Nkrumah and New Agogo in the Bia West District Three (3) communities from Bia East District namely Kwasare, Assemnyinakrom and Nkwanta Kesse also benefitted from the sensitization programme. These communities were sensitized on the purpose of the LEAP programme, the target population and the conditionalities of the programme.

2.3.5.2 Assistance to the aged During the year under review, beneficiaries of the livelihood Empowerment against Poverty (LEAP) programme which include a member of Aged continued to receive their cash transfers to cushion their life. Payment was made up to October, 2014

2.3.5.3 Child Rights and Protection Programme During the year 2014, nineteen (19) child/family maintenance cases were registered at the District office. Eighteen (18) out of these cases were successfully disposed off during the year under review with only one (1) cases still pending and has been carried forward to the ensuing year for consideration. One (1) child custody case was received at the department. The case was settled and successfully closed during the period. Three (3) paternity cases were recorded at the District Office during the year under review. They were therefore handled and closed successfully during the year. Moreover, one (1) family reconciliation case was recorded, settled and closed successfully during the year under review.

For the year under consideration, twenty-four (24) child / family maintenance cases were registered at the district office. Twenty-two (22) of these cases were successfully disposed and only two (2) cases still pending and have been carried forward to the ensuing year for attention. In the year 2013, one (1) child custody case was received at the department and this is still pending since it is yet to be investigated in the first quarter of 2014.

One (1) paternity case was recorded at the agency during the quarter under review. This was withdrawn for amicable settlement at home. Two (2) inheritance cases were received at the Agency during the year and were disposed off successfully. In the year 2013, no case was referred from the court or any quarters to the Agency for an action to be taken.

2.3.6.0 NATIONAL DISASTER MANAGEMENT ORGANISATION (NADMO) The organization’s main objective is to take measures to prevent the occurrence of disaster in the district. In the instance of the occurrence of any disaster, the organization’s mandate is to take steps that will mitigate or reduce the effects of such occurrence on the victims. This report covers the activities of the organization for the year ended 31st December, 2014. It also captures administrative constraints and recommendation at NADMO secretariat of the district.

2.3.6.1 Staff Situation Bia West district has eleven (11) staff who manages the affairs of the District. These include the District Coordinator, administrator, secretary as well as zonal coordinators. Out of the eleven staff of the district, only one is a female. There was no posting of staff to the district during the year under consideration; two (2) people were however transferred to northern region during the year.

2.3.6.2 Special Meetings United Nations High Commissioner for Refugees (NUHCR) Team visited the District secretariat on 16th October, 2014 to evacuate the refugees from Ivory Coast back to their country. Also the National secretariat visited the district Secretariat at the later part of the year to interact with the district office on the issues relating to sensitization programmes on Ebola prevention which took place at District Secretariat and Oseikojokrom Zone. 2.3.6.3 Disaster Occurrences The period under review came as a disadvantage to the District in that as many as five (5) serious disaster cases were recorded. Four of these were rain and wind storm whiles the others were fire incident. Communities affected were Oseikojokrom on 11th April, 2014, before these rain and windstorm could subside, a lot of Houses, Market, stores, kiosks and the English and Arabic KG, Primary and JHS had their roofs ripped off completely. The disaster which affected about fifty eight (58) houses has displaced six hundred and seventy eight (678) people who are putting up with friends and relatives in the town. The E/A school had to vacate ahead of time due to the damage caused. On 4th June, 2014, Debiso experienced another severe rain storm which ripped off St. Philips Preparatory School class 1 and 3 blocks. On 5th June, 2014, Rainstorm hit Sefwi Adjoafua to the extent of destroying about 7 houses and ripped off the roofs of about ten (10) houses. On 6th June, 2014 the rain storm also displayed Sefwi Kojoaba where CMB cocoa shed and a single room were ripped off. Though there were no casualties and deaths, properties destroyed are estimated at over six thousand five hundred and twenty four Ghana Cedis (GHs 6,524.00).

2.3.6.4 Relief Items The Bia West District Assembly supported the roofing of the Oseikojokrom E/A school that was destroyed by the rain storm during the year under review. Some relief items issued to disaster victims during the period under consideration. The composition of the relief items are depicted below; Table 13 Relief Items S/N Item Total Issued 1 Polymaths 7 2 Rubber Bucket 3 3 Rubber Cups 6 4 Rubber Basin 2 5 Rubber Plate 15 6 Latin 3 7 Blankets 8 8 Plastic Cups 10 9 Poly Mats 10 10 Plastic Basin 6 11 Plastic Buckets 7 12 Mosquito Coils 30

2.3.6.5 Collaboration There was collaboration between the district secretariat and fire officers at Juaboso to train and issue fire volunteer ID cards to the remaining fire disaster volunteer groups who could not receive their training last year. 2.3.6.6 Challenges The district secretariat has not got sufficient stock of disaster relief items at its stores and this does not allow immediate responses to assist disaster victims. Also the secretariat has no reliable source of fund to run its programmes. Items such as, standard uniforms, wellington boots, cutlasses and ID cards to work with are also insufficient for both DVGs and zonal coordinators to boast their morale to work.

2.3.7.0 BUSINESS ADVISORY CENTRE (BAC)

The activities of the centre include; Business Development Services, Institutional Development, Access to Rural Finance and Agricultural Commodity Processing Infrastructure Development.

2.3.7.1 The Rural Enterprises Programme (REP)

The Rural Enterprises Programme (REP) seeks to the improvement of livelihoods and incomes of rural poor micro and small entrepreneurs in the Bia West District. The Programme’s objective is to increase the number of rural Micro and Small enterprises (MSEs) that generate profit, exhibit growth and create employment opportunities.

The programme interventions are delivered through an effective model for rural MSE promotion, which includes Business Development Services (BDS), Agricultural Commodity Processing Infrastructure Development (ACPID), Access to Rural Finance (ARF) and Institutional Development.

General MSE development environment vis-à-vis the BAC and/or RTF and other collaborators’ efforts in the District

The district through the BAC is creating an enabling environment for MSEs to grow.

Business Development Services introduced to the district by REP is a favourable ground for MSE development.

The BAC is helping meet the needs of MSEs for development.

The district through the BAC in collaboration with EDAIF is helping to put an abandoned palm oil processing plant which was funded by EDAIF into good use. The Environmental Protection Agency (EPA) together with the BAC has undergone a selection stage to select 82 participants to engage in Palm Oil Production, 43 in Snail Rearing, 63 in Honey Production as well as 25 participants in mushroom cultivation.

Overall Planned Activities and Actual Results Achieved

The BAC planned to undertake Eleven (11) activities in the year under review. At the end of the quarter, 10 (95%) of the activities were undertaken as detailed below.

Table 14 Activities undertaken in quarter

No. Activity Participants Male Female Total 1 Client registration 35 2 37 2 Counseling of Yawmatwa Widows - 50 50 Association (Strengthening of Association) 3 Grass cutter Rearing (Essam) 17 1 18 4 Grass cutter Rearing (Adjoafua) 16 1 17 5 Basic Financial Management 4 13 17 6 Training in Entrepreneurship 30 4 34 7 CBT in Soap Making - 26 26 8 Business Counseling - 12 25 9 Sensitization and Needs Assessment 8 7 15 (EDAIF PROJECT) 10 Stakeholder Forum 16 3 19

The planned BDS activities which include, Community based training in Grasscutter Rearing, Soap Making, General Management Training and Training in Entrepreneurship, and Annual Stakeholder Forum was

20 successfully executed by the Centre. A Sensitization and Needs Assessment was conducted also for clients under the NBSSI – EDAIF project.

The BAC sensitised Garages Association (Debiso) on the services of the BAC which will help to improve their business.

Agricultural Commodity Processing Infrastructure Development (ACPID):

The BAC has continuously sensitised 37 artisans on the services of the BAC, which will help to improve their businesses. The artisans included 5 welders, 15 mechanics, and 17 carpenters

2.3.7.2 Access to Rural Finance (ARF)

The Centre counseled 15 clients on the importance of having a bank account and suggested they open accounts with Kaaseman Rural Bank, as it is a major bank that supports MSEs by giving them loans.

2.3.7.3 Institutional Development (ID)

There was no subcommittee meeting for the 4th quarter. Funds for MSE sub-committee meeting have not been received from the District Assembly.

Table 15. Details of collaboration

Name of Area of Total Financing Did partner collaboration cost Partner Partner REP Client Total funds pass (GHc) (GHc) (GHc) through BAC accounts? EDAIF Export Promotion 245 245 - - 245 No

2.3.7.4 Challenges/Recommendations Challenges

The following are the challenges the Centre faced during the year

1. Late release of funds affects the running of the programmes/activities of the centre 2. Due to the unmotorable nature of roads linking the various communities and the scattered settlement in the district, the centre finds it difficult to reach out to communities in the hinterlands.

Recommendations

Funds from the Project Co-ordination and Management Unit (PCMU) as well as District Assembly should be made available to the department on timely basis to enable the centre meet its operational and training cost.

It is recommended that a sensitization workshop be organized for the assembly to play their role in the realization of the objective of helping the rural communities in reducing poverty.

The centre needs a vehicle and a motor bike to enable us reach out to our clients especially those in the hinterlands.

The Centre needs logistics like Computers, Printers, photocopier machine etc. to facilitate administrative activities

2.3.8.0 Poverty Status of the District

2.3.8.1 Feeder Roads:

Most roads in the district are feeder roads. They link the communities to clinics, schools, farm lands, health centres, market centres among others. Most of the feeder roads in the district are not engineered.

Due to the high rainfall pattern in the district, engineered feeder roads rapidly get deteriorated and this greatly affects the carting of cocoa beans and staple foods to the market centres. Post harvest losses of staple food continue to rise in the district due to poor surface conditions of feeder road networks thus worsening the conditions of food crop farmers in particular. The lasting solution and cost effective way of addressing the problem and ensuring the alleviation of poverty in agriculture dependent communities is the tarring of major link roads.

Most of the roads are also not motorable for lack of proper bridges over rivers crossing such roads. Essam- Kwamebikrom, Yawmatwa-Kyeremekrom, Oseikojokrom-Nsubenakyi, Nsowakrom-Tema roads are examples of such roads.

2.3.8.2 Potable Water Supply

In the year under review, a total of 14 out 18 number bore holes under the Sustainable Rural Water and Sanitation Project are about 90% complete. One Small Town Piped System at Oseikojokrom and a Limited Mechanization at Kwametawiakrom are also about 90% complete. Despite the numerous project interventions to improve portable water coverage in the District, there is still a substantial District population in need of portable water. Under the Sustainable Rural Water and Sanitation Project an improvement is anticipated when all the 18 boreholes in selected communities and the Small Town Water system as well as the mechanized boreholes are completed. The District has also earmarked selected facilities for rehabilitation. Training was conducted for WATSAN committees on their roles in the delivery and management of water in some communities. The Hygiene and Sanitation promotion in the communities has made a lot of impact regarding the hygiene and sanitation.

2.3.8.3 Environmental Sanitation

There has been a reduction in the indiscriminate disposal of waste especially in the major towns as compared to 2013. There has been a general increase in environmental consciousness in the district. This can be attributed to activities of the Zoom lion GH Ltd, Environmental Health Unit of the DWST. It is also worth mentioning that the Community Led Total Sanitation (CLTS) which is part of the Sustainable Rural Water and Sanitation Programme (SRWSP) has contributed greatly to the sanitation consciousness in the district.

2.4.0 Participatory Monitoring and Evaluation The Assembly during the period monitored its development indicators according to a well-structured system and calendar; the essence of which is to measure progress of implementation of the role over programmes/projects from 2010-2013 DMTDP.

The District M&E Team conducted regular supervision of projects or sites inspections to ensure that contractors worked to specification.

3.0 THE WAY FORWARD

3.1.0 Key Issues addressed and those yet to be addressed

Regular collection and management of data by departments for the measurement of progress is still face with a lot of difficulties. Attempt need to be made to improve the data collection process. The implementation of District Database System will help a great deal to ensure quality decision making and re-planning process. The heads of departments in the district need to understand the need for early preparation of the departmental report at the end of each quarter in other to ensure that the district’s composite report can be prepared early to meet the stipulated deadlines.

3.2.0 Recommendations

The following proposals are made to help improve monitoring and evaluation functions of the Assembly for the ensuing years.

The Assembly must continue to pursue actions to establish the remaining departments namely Town and Country Planning among others to ensure the availability of the full complement of staff to execute its mandate.

A training workshop in data collection, storage, and management for departments/units of the Assembly would help provide significant information for development.

The provision of vehicles will help improve project supervision and facilitate monitoring and evaluation activities.

In other to increase financial resources, there should be thorough means of mobilizing revenue internally including numbering of properties in order to improve property rates.

4.0 CONCLUSION

The Assembly in the year 2014 comparatively implemented central government and its own programmes and projects to improve the quality of life of the people.

Although there were constraints and challenges to its development efforts, it managed to achieve some successes with the available human and physical resources.

Key areas such as infrastructure (road), portable water and human capital investment received significant attention. The peaceful environment provided by both the public, private and civil society also supported development activities.

APPENDIX I ANNUAL PROGRESS REPORT ON ON-GOING PROJECTS (DECEMBER 31, 2014)

S Contract Sum Fundin Completion Payment % of / Locatio Contract (Gh¢) Awar Start Payment Remar Project Title g Made Work Sector N n or Revise d Date Date Origina Outstanding ks Source Original Actual (Gh¢) Done o d l DACF Projects (Local Gov’t) Construction of Work Central is Administration progres Block and TET sing 901,293. 21/8/0 9/10/0 402,582. Local 1 Assembly Hall Essam DACF Manuel 3/9/11 498,710.87 52% slowly 44 9 9 57 Gov’t Complex Ltd and behind schedul e Construction of M/s M- Work 1 No 5-Room Boroh 79,966.3 22/06/0 66,957.9 Local comple 2 Essam DACF 13,008.40 100% Chalets Enterpris 2 7 2 Gov’t ted e Construction of Work 1No.2 Bedroom is in Sachegan Semi Detached 99,000.0 26/9/1 30/9/1 28/02/1 67,950.0 Local progres 3 Essam DACF Company 31,050,00 90% Bungalow 0 0 0 1 0 Gov’t sing Ltd steadil y Construction of Work 1No.3 Bedroom is Peter Bungalow for progres Bones 62,125.0 26/9/1 20/12/ 30/03/1 52,805.7 Local 4 District Police Debiso DACF 9,319.25 75% sing Enterpris 0 0 10 1 5 Gov’t Commander slowly e and behind

schedul e

Construction of Work 1No 12unit is Lockable Stores progres sing Darkwa 122,115. 26/8/0 15/12/ 30/06/1 98,681.8 Local 5 Debiso DACF 22,433.19 85% slowly & Sons 00 9 10 1 1 Gov’t and behind schedul e Purchase & The Fixing of 1No. contain Works 12*30 ft. metal 26/8/0 11/9/0 Local er 6 BDA DACF Dept. 3,810.00 12/9/09 1,500.00 2,310.00 60% container for use 9 9 Gov’t procure BDA as Store for the d Assembly Construction of 1No. 6 Unit K. Work Flats for Junior Twumasi 146,538. 26/10/ 20/12/ 30/04/1 109,665. Local comple 7 Debiso DACF 36,873.00 100% Construct 00 10 10 1 00 Gov’t ted and ion Ltd handed over GoG Project (Local Gov’t) Construction of Work 1No.MoFA is M/S Office serious Drexels 73,067.3 22/9/0 20/12/ 25/06/0 31,495.1 Local 8 Essam GoG 41,572.15 38% ly Ventures 0 8 08 9 5 Gov’t behind Ltd schedul e

Contract Sum S/ Fundin Completion Payment Payment % of Contract (Gh¢) Awar Start Rem N Project Title Location g Made Outstandi Work Sector or Revise d Date Date Origina arks o Source Original Actual (Gh¢) ng Done d l DDF Projects (Roads) Emmanu Work Reshaping Elluokrom - el 18/11/ 30/3/1 30/11/1 is in 9 of Roads DDF 21,128.00 60% Roads Dansokrom AseiduE 11 2 2 progr (39.00Km) nt ess Reshaping Work road is in (31.00Km) Emmanu progr Ywamatwa- and el 18/11/ 30/3/1 30/11/1 44,154.0 ess 10 Kyeremekro DDF 58,872.00 14,718.00 60% Roads construction AseiduE 11 2 2 0 m of 2 No nt 900x700 U Culverts DACF Projects (Education) Constructio Kwame Work n of 1No. 3 Tawiakrom is Unit progr Classroom essin Block and g To-Time Accessories 80,530.0 26/10/ 10/12/ 30/03/1 53,595.7 Educati stead 11 DACF Ghana 26,93425 80% 0 10 10 1 5 on ily Ltd but behin d sched ule Provision of District wide 150 Dual Three Work and 500 124,500. 26/10/ 10/12/ 30/05/2 83,250.0 100 Educati 12 DACF Black 41,250.00 comp dual desks 00 10 10 011 0 % on Brother leted for basic schools 27

Constructio Amoashed AyeviKw Work n of 1No. 6 asiEnt. is unit progr 167,250. 18/11/ 30/12/1 29,000.0 148,250.0 Educati 13 classroom DACF 3/7/12 30% essin 00 11 2 0 0 on block with g auxiliary stead facilities ily DDF Projects (Education) Constructio n of 1No. 6 unit Georicha work Bia Sec Tech 198,550. 18/1/1 30/3/1 30/11/1 157,610, 100 Educati 14 classroom DDF cat 52,525.00 comp 00 1 2 2 75 % on block with company leted auxiliary facilities Completion Work 0f is West- community progr End 743,255. 13 13/6/1 111,488. Local 15 information Essam DDF 13/6/16 35% essin Enterpris 00 /6/13 6 25 Gov’t center ( g e phase 2) stead ily GET Fund Projects (Education) Constructio n of 1No. 6- AgyaAdj Hand Unit GET 39,671.0 20/08/ 16/09/ 15/06/1 Educati 16 Biano ei Emma -- -- 97% ed Classroom Fund 0 10 10 1 on Ventures Over block and Accessories

Contract Sum Fundin Completion Payment Payment % of S/N Locatio Contract (Gh¢) Awar Start Remark Project Title g Made Outstandi Work Sector o n or Revise d Date Date Origina s Source Original Actual (Gh¢) ng Done d l

Constructio n of 1No.10 Unit Girls Bia Sec GET Jerry 23/11/ 24/2/1 30/12/1 100 Educati Handed 17 Dormitory Tech N/A -- -- Fund Eng. Ltd 11 2 2 % on over with ancillary facilities Constructio Work is n of 1No. 6 progress unit Nkwan GET ing 189,812. 15/11/ 30/4/1 Educati classroom taKess Fund 30/12/1 -- -- 55% steadily 18 00 11 2 on block with e 2 auxiliary facilities Constructio Work is n of 1No. 6 progress Old unit ing Papase GET Ayevikw 189,735. 15/11/ 30/3/1 Educati 19 classroom 30/12/1 -- -- 53% steadily Primar Fund asiEnt 23 11 2 on block with 2 y auxiliary facilities Constructio n of 1No. 6 Work is unit Nyame West- progress GET 180,841. 21/12/ 30/3/1 Educati 20 classroom bekyer End 30/12/1 -- -- 53% ing Fund 91 11 2 on block with e No. 1 const. ltd 2 steadily auxiliary facilities Constructio n of 1No.20 Work is Unit single progress Bia Sec storey GET Jerry 23/11/ 24/2/1 30/12/1 Educati ing 21 Tech N/A - - 70% Dormitory Fund Eng. Ltd 11 2 2 on steadily

with ancillary facilities 29

Boys

GoG and Other Donor Projects (Education) Essam Project Erection of E.K suspend 2No 3 unit Appiah 150,000. 23/08/ 30/12/0 15,286.9 Educati ed 22 DACF 61,144.80 75% Teachers Const. 00 07 7 5 on pending Accommoda Works for other tion action Erection of Debiso Project 1No suspend Brapa Teachers 150,000. 23/08/ 30/12/0 15,261.0 Educati ed 23 DACF investme 61,046.00 75% Accommoda 00 07 7 0 on pending nt co tion for other action DACF Projects (Sanitation) Constructio n of 1No. Work Ahmlams 42,750.0 26/10/ 15/12/ 30/03/1 36,551.2 100 Sanitati 24 12 seater Kaase DACF 6,196.80 complet onEnt. 0 10 10 1 0 % on Aqua Privy ed Toilet Contract Sum Fundin Completion Payment Payment % of S/N Locatio Contract (Gh¢) Awar Start Remark Project Title g Made Outstandi Work Sector o n or Revise d Date Date Origina s Source Original Actual (Gh¢) ng Done d l DACF Projects (Water) Constructio n of 17No. Work is Boreholes District Chewaw 179,125. 26/11/ 30/09/ 30/05/1 26,868.7 152,256.2 25 50% Water in fitted with wide DACF a Co. Ltd 00 10 10 1 5 5 progress pumps in the District Constructio Project Deep n of 3No. 45,000.0 27/5/0 22/06/ 31/10/0 is 26 Debiso DACF Waters 9,000.00 36,000.00 95% Water Mechanized 0 7 07 7 terminat Limited boreholes ed 30

fitted with pumps to the Assembly's new residential area and office block DDF Projects (Water) Constructio Project n of 10No. is Boreholes terminat fitted with ed District Chewaw 106,075. 18/1/1 30/06/1 15,912.9 27 pumps in DDF 2/2/11 90,162.08 50% Water And wide a Co. Ltd 28 1 1 2 the District pending for repacka ge Constructio Project n of 8No. is Boreholes terminat 28 fitted with ed District Chewaw 102,411. 18/1/1 12/2/1 72,669.0 pumps in DDF 5/30/12 95,144.91 50% Water And wide a Co. Ltd 00 1 2 9 the District pending for repacka ge GoG Projects (Water) Constructio China n of 7No. Henan Work District Boreholes Geo-co. , 22/4/1 100 complet 29 wide GoG - 8/5/12 30/1/13 - - Water fitted with Ltd 1 % ed .

pumps in the District

Constructio China n of 11No. Henan Work District Boreholes Geo-co. , 22/5/1 100 complet 30 wide GoG - - 8/5/12 30/6/13 - - Water fitted with Ltd 2 % ed .

pumps in the District Constructio China n of 18 No. Henan IDA Work is Boreholes District Geo-co. , 30/8/1 1/10/1 31 & - - 30/6/14 10% Water in fitted with wide Ltd 3 3 GoG progress pumps in the District

Contract Sum S/ Fundin Completion Payment Payment % of Locatio Contract (Gh¢) Awar Start N Project Title g Made Outstandi Work Sector Remarks n or Revise d Date Date Origina o Source Original Actual (Gh¢) ng Done d l DACF Projects (Water) Constructio n of Kenpong Osei IDA Work is Small const Ltd 1,063,95 24/2/1 14/4/1 14/12/1 212,790. 851,161.4 32 Kojokro & Water in Water 1.85 4 4 4 37 8 m GoG progress System LOT7B Constructio Kenpong n of const Ltd Osei Work is Small 880,395. 24/2/1 14/4/1 14/12/1 176,079. 704,316.4 33 Kojokro Water in Water 50 4 4 4 10 0 m progress System LOT7C Constructio n of BZG Kwame IDA Work is Small BIZ- 971,248. 24/2/1 14/4/1 30/12/1 34 Tawiahk & - 971,248.8 Water in Water GEO 87 4 4 4 rom GoG 7 - progress System LOT7A Constructio n of 3 seater KVIP Latrine with Hand washing Osei IDA Costak 193,634. 15/5/1 12/9/1 172,020. Work is in 35 facility for Kojokro & investme 30/3/14 17,613.69 Toilet 43 3 3 74 99% progress Boys and 3 m GoG nt seater with change room and hand washing 33

facility For Girls

Constructio n of 5 and 4 seater KVIP Latrines with Hand Kwame wash facility BZG Tawiakr for Boys IDA BIZ- om and 91,651.2 15/5/1 12/9/1 18,330.2 Work is in 36 and 5 and 4 & GEO 30/3/14 73,321.00 Toilet Osei 7 3 3 7 20% progress seater with GoG Kojokro change m room and hand washing facility For Girls