MUNICIPAL ASSEMBLY

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

ANNUAL PROGRESS REPORT FOR 2016

PREPARED BY:

MUNICIPAL PLANNING COORDINATING UNIT

Table of Content

Contents Page

Table of Content…………………………………………………………………………………..i

List of Tables……………………………………………………………………………………..iii

List of Figures…………………………………………………………………………………….iv

List of Acronyms…………………………………………………………………………………vi

Organisation of Report…………..………………………………………………………………vii

CONTENT PAGE

CHAPTER ONE

INTRODUCTION...... 14 1.1Background...... 14 1.2 Municipal Governance...... 15 1.3Purpose of the Composite Annual Progress Report, 2016...... 15 1.4 Accessibility of Data and Challenges...... 20 1.5 Challenges encountered in the Preparation of the Composite Annual Progress Report, 2016...... 21 1.6 Municipal Finances for the year 2016...... 21 1.7 Analysis of Revenue and Expenditure Performance – (2016)...... 22 1.7.1 IGF Performance for 2016...... 22 1.7.2 Revenue Performance for 2016...... 23 1.7.3 Expenditure performance for 2016………………………………………………………...24 1.8 Analysis of Fund flow in the Municipality for the year 2016...... 24

1.8.1Efforts to generate more Revenue...... 25 1.8.2Challenges with Regard to Disbursement...... 25

CHAPTER TWO

2.0 UPDATE OF MONITORING AND EVALUATION INDICATORS AND TARGETS.... 2.1 THEMATIC AREA 1 – ENSURING AND SUSTAINING MACRO-ECONOMIC STABILITY...... 26 2.1.1 Revenue Mobilization...... 26 2.2 THEMATIC AREA 2 - ENHANCED COMPETITIVENESS OF ’S PRIVATE SECTOR...... 26

2.2.0 DEPARTMENT OF NBSSI……………………………………………………………...26 2.2 .1 Provision of Information for the Year…………………………………………………….27 2.2.2 Advisory and Extension Services for the year…………………………………………….28 2.2.3 CHALLENGES...... 29 2.2.4 RECOMMENDATION...... 29

2.3 THEMATIC AREA 3 - ACCELERATED AGRICULTURAL MODERNIZATION AND NATURAL RESOURCE MANAGEMENT...... 29 2.3.1 FOOD AND AGRICULTURE DEPARTMENT……………………………………….29 2.3.2 Market Survey/Food Security Situation ………………………………………………...…30 2.3.3 Extension Services Delivery………………………………………………………..30 2.3.3.1 Field Visits` ……………………………………………………………………………...30 2.3.3.2 HIV/AIDS and Malaria…………………………………………………………………..31 2.3.4 Crops Services……………………………………………………………………………..31 2.3.5 Challenges …………………………………………………………………………………32 2.3.6 Recommendations………………………………………………………………………….32 2.4 THEMATIC AREA 4: INFRASTRUCTURE AND HUMAN SETTLEMENT DEVELOPMENT...... 32 2.4.1 DEPARTMENT OF URBAN ROADS ...... 32 2.4.2 Routine / Periodic Maintenance……………………………………………………………33 2.4.3 Pothole Patching...... 33 2.4.4 Desilting Works……………………………………………………………………………33 2.4.5 Kerb Painting along selected intersections on the Ejisu- Highway...... 33 2.4.6 Gravelling of Apromoase Kokoben & Ejisu Sec Tech Road (Relocated to Ekyem

Road)...... 33

2.4.7 Construction of Speed Humps along Okyerekrom & Kokoobra road…………………..…33 2.4.8 Challenges...... 34 2.5 THEMATIC AREA 5 - HUMAN DEVELOPMENT, EMPLOYMENT AND PRODUCTIVITY...... 34 2.5.1 TOWN AND COUNTRY PLANNING DEPARTMENT...... 34 2.5.2Challenges and its mitigation strategies...... 35 2.5.3 The Street Naming and Property Addressing System (SNPAS) Project…………………..36 2.6.0 DEPARTMENT OF HEALTH …………………………………………………………37 2.6.1 Strategies to Improve Maternal Health…………………………………………………….38

2.6.2 Disease Surveillance in the Municipality ………………………….……………………39

2.5.2.4 Community Directed Treatment with Ivermectin………………………………………..41

2.6.3 School Based Deworming Exercise, 2016…………………………………………………42 2.6.4 Tuberculosis Control Activities……………………………………………………………42 2.6.5 TB CASE DETECTION …………………………………………………………………..43 2.6.6 TB Treatment Outcomes………………………………………………………………..….43 2.6.7 Case Detection by Facilities in the Municipality………………….…………………….44 2.6.8 TB/HIV Collaboration…………………………………………………………………..…45 2.6.9 Challenges………………………………………………………………………………….46 2.6.10 Nutrition…………………………………………………………………………………..47 2.6.11 COMMUNITY GROWTH MONITORING AND PROMOTION (GMP)…………48 2.6.12 DIET CLINICS (EJISU-JUABEN)…………………………………………………….48 2.6.12.1 Non-Communicable Diseases…………………………………………………………48 2.6.13 MICRONUTRIENT SUPPLEMENTATION……………………………………...….49 2.6.13.1 Vitamin A Supplementation of children (6-59) months in the Municipality…………...49 2.6.13.2 Nutritional Status of Children during Growth Monitoring and Promotion (0-59) Months…………………………………………………………………………………………...50 2.6.14 Anaemia in Pregnancy……………………………………………………………………51 2.6.13 School Health and Nutrition Surveillance………………………………………………..52 2.6.13.1 Nutrition Day-care surveillance………………………………………………….……..52 2.6.14 NUTRITION EDUCATION AT SERVICE DELIVERY POINTS…………………54 2.6.14.1 Health Education and Promotion………………………………………………..…...…54 2.6.14.2 Challenges in the Municipality …………………………………………………….…..54 2.6.14.3 Way Forward………………………………………………………………………...…55 2.6.14.4 Recommendation……………………………………………………………………….55 2.7.0 DEPARTMENT OF EDUCATION……………………………………………………..56 2.7.1 School Enrolment Trends and Infrastructure…………………………………………….56

2.7.2 Introduction………………………………………………………………………………...56 2.7.3 Educational Institutions……………………………………………………………………56 2.7.4 School Enrolment and Teacher Population…………………………………………………57 2.7.5 School Infrastructure and Facilities………………………………………………………...58 2.7.5.1 Facilities in Basic Schools……………………………………………………………….58 2.7.5.2 Facilities in JHS level………………………………………………………………….....58

2.7.6 Physical Infrastructure……………………………………………………………………..59 2.7.7 POLICY INTERVENSIONS, PROGRAMMES AND PROJECTS………………….60 2.7.7.1 School Management………………………………………………………...……………60 2.7.7.2 Capitation Grant………………………………………………………………………….61 2.7.7.3 Free School Uniforms, Supply of Furniture, Exercise Books and Other Materials……..61 2.7.7.4 The Ghana School Feeding Programme (GSFP)………………………………………...61 2.7.7.5 Information Communication Technology (ICT) Programme……………………………62 2.7.7.6 Bridging the Gap in Access to Education………………………………………………..63 2.7.7.7 Gender Parity Index (GPI) in Basic and Senior High Schools………………………..…64 2.7.7.8 2016 BECE Performance………………………………………………………………...65 2.5 West Africa Senior Secondary Schools Certificate Examination (WASSCE)……...……….66 2.6 THEMATIC AREA 6 - TRANSPARENT AND ACCOUNTABLE GOVERNANCE...66

2.6.0 DEPARTMENT OF SOCIAL WELFARE AND COMMUNITY DEVELOPMENT……..…66 2.6.1 Community Care…………………………………………………………………………....66 2.6.1.1 Assistance to Persons with Disability…………………………………………………….66 2.6.2 THE AHME PROGRAMME (NHIS)……………………………………………...………68 2.6.2.1 Challenges According to the NHIS Department…………………………………………70 2.6.4 Livelihood Empowerment against Poverty (LEAP)……………………..…………………71 2.6.4.1 Challenges under LEAP………………………………………………………………….72 2.6.5 Non-Governmental Organizations (NGOs)………………………………………………...72 2.6.6 JUSTICE ADMINISTRATION………………………………………………………….72 2.6.6.1 Probation Service…………………………………………………………………………72 2.6.6.2 Social Enquiry Report (S.E.Rs.)………………………………………………………….73 2.6.6.3 Family Tribunal…………………………………………………………………………..74 2.6.7 Child Rights and Protection:………………………………………………………………..75 2.6.7 Day Care Inspection……………………………………………………………………..…75 2.6.8 Challenges……………………………..…………………………………………………...75 2.6.9 DEPARTMENT OF COMMUNITY DEVELOPMENT…………………………………76 2.6.9.1 Programme Performance………………………….……………………………………76 2.6.9.2 Mass Meetings……………………………………………………………………………76 2.6.9.3 Study Groups ……………………………………………………….……………………76 2.6.9.4 Women Work………………………………………………………………..……………77

2.6.9.5 Extension Integrated Programmes……………………………………….……………….77 Community Water and Sanitation Programmes………………………………………………....77 2.6.9.6 INSTITUTIONAL WORK (VOCATIONAL TRAINING COMMUNITY DEV’T TECHNICAL INSTITUTE (KWAMO)………………………………………………………77 2.6.9.7 Literacy Programme……………………………………..………………………………..78 2.6.9.8 Challenges………………………………………………………………………………...78 2.6.9.9 Way Forward……………………………………………………………………………..78 2.6.10ACTIVITIES OF THE GENDER DESK OFFICE...... 78

2.6.11 Challenges encountered in 2016...... 79

CHAPTER THREE

KEY ISSUES ADDRESSED...... 80 3.1 Key Issues Addressed...... 80

3.1.1 Over-crowding in Schools...... 80 3.1.2 Inadequate School Furniture...... 80 3.1.3 Rehabilitation of Feeder roads...... 80 3.1 4 Access to Health care...... 80 3.1.5 Improvement in Potable water supply...... 80 3.2 Key issues yet to be addressed...... 81

3.2.1 Support to the Agricultural sector...... 81 3.2.2 Waste Management...... 81 3.3 RECOMMENDATIONS………………………………………………………………...82 3.4 CONCLUSION...... 83

LIST OF TABLES

Table.1: MTDP 2014-2017 Thematic Areas, Targets and Achievements...... 16 Table 2: IGF Performance, 2016...... 23 Table 3: Revenue Performance of the Assembly, 2016...... 24 Table 4: Expenditure Performances for 2016……………………………………………………24 Table 5: Activities Undertaken During the Year………………………………………………...26

Table 6: Advisory and Extension Services for the year………………………………………….28 Table 7: Food situation and production prospects in the municipality…………………………..30 Table 8: Activities Undertaken at end of 2016 ………………………………………………….35 Table 9: challenges and mitigation strategy……………………………………………………..36

Table 10: Indicators and target for 2016 SNPAS Project in the municipality…………………...36

Table 11: Lists of Health Facilities in the Municipality…………………………………………38 Table 12: Comparision of Immunization Performance by 2014-2016…………………………..39 Table 14: BuruliUlcer Cases 2014-2016…………………………………………………………41 Table 14: Trend of Treatment Outcomes for Tuberculosis (2013-2016)………………………..43 Table 15: Age and Sex Distribution of TB Cases……………………………………………….44 Table 16: Case Detection by Facilities 2014-2016………………………………………………44 Table 17: TB Cases Screened For HIV…………………………………………………………..45 Table 18: Age and Sex Distribution of TB/HIV Cases…………………………………………..46 Table 19: Hospitals TB Screening Report, 2016……………………………………………..….46 Table 20: Growth monitoring and promotion (Children 0-59 Months), Municipal coverage…...47 Table 21: Clients Counseled During Diet Clinic………………………………………………...49

Table 22: Showing number of children dosed for 2016 by sub-districts………………………...49 Table 23: Nutritional status based on age categories…………………………………………….50 Table 24: Anaemia in Pregnancy………………………………………………………………...52

Table 25: Results from Nutrition Day Care Surveillance (Underweight)…………………….....52

Table 26: Results from Nutrition Surveillance (Stunting)………………………………………52

Table 27: Results from Nutrition Surveillance (Wasting)……………………………………….53 Table 28: Number of Schools by Level and Status, Ejisu-Juaben Municipal, 2016…………….56 Table 29: Enrolment and Teacher Population in Public Schools-2016………………………….57 Table 30: Trend in teacher population, public schools, 2011-2016……………………………...58 Table 31: Percentage of Primary Schools with Basic Facilities, 2016…………………………..58 Table 32: Percentages of Junior High Schools with Basic Facilities, 2016……………………...59 Table 33: Physical Infrastructure in public KGs…………………………………………………59

Table 34: Physical Infrastructure in Public Primary Schools……………………………………60 Table 36: Total no. of pupils benefiting from school feeding programme………………………61 Table 35: Physical Infrastructures in Public Junior High Schools………………………………61 Table 37: Number of Computers in Basic Schools………………………………………………63 Table 38: Gross Enrolment Rate Trend in Basic and Senior High Schools, 2010-2016……………...….64 Table 39: Basic School Enrolment by Gender…………………………………………………...64 Table 40: Trend in Gender Parity Index (GPI), 2010-2016……………………………………...64 Table 41: BECE passes by Subjects………………………………………...... 65 Table 42: WASSCE performance in core subjects, A1-C6. 2016……………………………….66

LIST OF ACRONYMS

AFP Acute Flaccid Paralysis

CDD Community Drugs Distributors

CAPR Composite Annual Progress Report

BAC Business Advisory Centre

CHPS Community-Based Health Planning Services

DACF District Assemblies Common Fund

DDF District Development Facility

UDG Urban Development Grant

EJMA Ejisu – Juaben Municipal Assembly

LEAP Livelihood Empowerment against Poverty

NGO Non-Governmental Organizations

GoG Government of Ghana

GSGDA Ghana Shared Growth and Development Agenda

HIV/AIDS Human Immune Virus/Acquired Immune Deficiency Syndrome

IGF Internally Generated Fund

L.I Legislative Instrument

MPCU Municipal Planning Coordinating Unit

MTDP Medium Term Development Plan

MTDPF Medium Term Development Policy Framework

SNPAS Street Naming and Property Addressing System

TB Tuberculosis

WASSCE West Africa Senior Secondary School Certificate

Examination

ORGANISATION OF REPORT

The report has been outlined in three chapters with various tables on performance indicators of the various sectors of the Municipality. It reveals the respective sector performance for 2016.

Chapter one consists of the Municipal profile, Purpose of the 2016 Composite Annual Progress Report CAPR, the Key Monitoring and Evaluation objectives, difficulties encountered in the preparation of the 2016 CAPR.

The final chapter presents the general recommendations of the CAPR, implications for the new DMTDP (2014-2017) and conclusion. The recommendations have been categorised into the various thematic areas of the GSGDA.

It is the hope of the municipality that the sustenance of the Composite Annual Progress Report will assist in assessing the municipality on the delivery of efficient and effective services to the citizenry.

PREFACE

The CompositeAnnual Progress Report of 2016 for the Ejisu-Juaben Municipal Assembly was prepared by the Municipal Planning Co-ordinating Unit (MPCU) in collaboration with the various

decentralized departments and other stakeholders who provided their inputs from the incorporation into the CompositeAnnual Progress Report.

The report highlights on the activities of the various sectors in the municipality, hence their activities, achievement made and challenges confronted at the end of the year, 2016.

ACKNOWLEDGEMENT

We wish to express our profound gratitude to the Almighty God, for bestowing unto us His strength to complete this report. Again, we thank the MPCU members especially, the planning secretariat that helped in the preparation of the Composite Annual Progress Report, 2016.

We, also, extend our sincere thanks to our collaborators, thus, the decentralized departments and other stakeholders who provided their inputs from the incorporation into the Composite Annual Progress Report.

CHAPTER ONE

INTRODUCTION

1.1Background

The year 2016 marks the third phase for the execution of the Ejisu-Juaben Municipal Assembly’s (EJMA) Municipal Medium Term Development Plan (2014-2017) based on the Ghana shared Growth and Development Agenda (GSDA, 2014-2017). The plan has been tailored towards achieving the government ‘Better Ghana Agenda” which embraces the social and economic goals of the municipality based on the following priority areas:

 Building a strong and resilient economy

 Putting people’s first in terms of development

 Expanding Infrastructure

 Transparent and Accountable Governance

The Composite Annual Progress Report (CAPR) 2016 is prepared within the context of programmes and projects, which are in line with the seven (7) thematic areas of the MTDPF as follows:

 Ensuring and Sustaining Macroeconomic Stability

 Enhanced competitiveness of Ghana’s Private Sector

 Accelerated Agricultural Modernization and Natural Resource Management

 Oil and Gas

 Infrastructure and Human Settlement Development

 Human Development, Employment and Productivity

 Transparent and Accountable Governance.

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Correspondingly, the Composite Annual Progress Report, 2016, uses a set of performance indicators and targets from the various decentralised departments of the Assembly specifically Social Welfare and Community Development, Education, Health, Agriculture, Town and Country Planning Unit,etc. for its preparation.

1.2 Municipal Governance

The Ejisu–Juaben Municipal Assembly is among the 30 Administrative Districts in the , established under the Legislative Instrument (L.I 1890, 2007).

The Municipality has a sub-structure made-up of nine (9) zonal Councils with one-hundred and thirty-five (135) memberships. It is further subdivided into forty-seven (47) electoral areas. The Assembly has sixty-eight (68) Assembly members made up of forty-seven (47) elected and twenty- one (21) appointed members. The Sub – Structure promotes efficient public policy management, decentralization, public expenditure, decision-making, transparency and accountability, most of the structures in the Municipal Assembly exist only in name.

1.3 Purpose of the Composite Annual Progress Report, 2016

The main purpose of the Composite Annual Progress Report, 2016, is to assess and evaluate the performance of the Assembly, review and provide information on the impacts and achievements of the municipality based on the objectives set–out in the Medium Term Development Plan (2014- 2017), Monitoring and Evaluation Plan (2014-2017) in relation to the policies, programmes and projects targeted for the year 2016 and to find out the challenges faced in the implementation of the programmes and the projects outlined in the Annual Composite Action plan and the composite budget.

The year 2016 being the third year in the implementation of the Municipal Medium Term Plan (2014-2017), the (CAPR) reflects the performance indicators achieved by the various sectors of the municipal economy, the challenges faced during the year, the lessons learnt in 2016, and the way forward in the preparation and implementation of the next Medium Term Development plan (2014-2017).

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Table 1.1:MTDP 2014-2017 Thematic Areas, Targets and Achievements

N/S THEMATIC AREA TARGETS ACHIEVEMENTS IN 2016

1. Ensuring and Sustaining  To improve IGF by Dec. 2017 1. Create a reliable database on rateable items Macroeconomic Stability  To improve Assembly’s expenditure 2. Recruit and train additional revenue collectors

management by Dec. 2017 3. Organize refresher programmes for revenue staff

4. Train revenue collectors on collection

mechanisms and debt recovery

5. Organize quarterly review meetings with revenue

collectors, revenue Officers and revenue Task

Force on IGF performance

6. Educate the public on Gazetted Fee Fixing

Resolution

7. Engage stakeholder in fee fixing

2. Enhanced Competitiveness of  Accelerate technology-based 1. Facilitate the registration of SMEs with the Registrar Ghana’s Private Sector industrialization with strong linkages General Department to agriculture and other natural 2. Organize training on Business and Financial resource endowments by Dec. 2017 management for 15 SMEs operators  improve efficiency and 3.Train leaders of 30 SMEs Associations on proposal competitiveness of MSMEs development  To increase public-private partnership by 2017 4. Build the capacities of 40master craftsmen in their operational areas  Diversify and expand the tourism industry for economic development 5. Organize SMEs and Financial Institutions platform meeting yearly  To Develop a Competitive Creative Arts Industry 6.Organize training workshops on financial management for 50 hospitality operators

7.NBSSI liaised with Rural banks for affordable  To facilitate access to affordable credits to artisans for expansion of businesses in the credit facilities to 450 entrepreneurs municipality by Dec. 2017

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3. Accelerated Agricultural  Accelerated Modernization of 1. Organize 1 no. workshop for farmers and other land Modernization and Natural Agriculture by Dec. 2017 users on climate change and its impact on agriculture Resource Management  Promote seed and planting material 2. Educate farmers on the proper use of agro-

development chemicals

 To reduce post-harvest losses by 55% 3. Purchase and distribute 1,000 packs of improved

by Dec. 2017 seedlings to farmers in the Municipality

 To improve agricultural production 4.Provide monitoring visits to farmers by 31% by 2017 5.Train and support 200 women in agriculture with

 To facilitate access to affordable emphasis on cash crops

credit facilities to 500 farmers by 6. Enforce bye laws on environmental protection

2017 7.Undertake community education on illegal

lumbering

 To promote the adoption of modern 8. Form 10 Anti-Bush Fire Squads in selected zones

technology among 50% of farmers and Procure equipment for Anti-Bush Fire Squads

within the Municipality by 2017 9. Sensitize Traditional Authorities on appropriate land use activities  Ensure sustainable management of 10. Plant trees along banks of River Bafo, Oda and natural resources other Streams

 Promote efficient land use and 11. Conduct campaigns against pollution and management systems building around water resources

 Ensure sustainable use of wetlands 12. Educate community members on early warning signs of natural disasters and water resources

 Enhance capacity to adapt to climate

change impacts by Dec. 2017

4. Infrastructure, Energy and Human  To increase access to roads to rural 1. 100Km of Feeder Roads rehabilitatedat Municipal

Settlement Development farming communities by Dec.2017 wide

2. Sealed 50Km length of roads at Nobewam,  To draw a comprehensive settlement Boamkra, Boamadumase, Atia, Duampompo, scheme for ten (10) communities by Kubease, Onwe, Juaben Dec. 2017 3. Resealed 40 Km of tarmac roads at Bomfa

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 To improve the provision of water and 4. Construct 1No. Car parks at Juaben

sanitation facilities by Dec 2017 5.Construct Transport Terminal for Ejisu

6.Develop Layouts for Peri-Urban Communities  To improve access to energy supply 7.Educate the public on building regulations for both domestic and commercial 8.Implement Street Naming and Property Addressing purposes by Dec. 2017 System in 5towns at Ejisu,Krapa, Juaben,

Akyawkrom, Besease

9. Construct 1 Small Water System service at Ejisu- Besease and Achinakrom

10.Institute regular meeting with Water teams and

WATSANS for efficient management of water supply

11. Construct 10no. boreholes at Wabiri, Timeabu,

Akronwi, Bomfa-ahenbronum, Yaafrafra, Donaso,

Duampompo, Dwumase, Asiampa, Akimkrom

12. Mechanized 5 boreholes across the Municipality at Sarpei, Essienimpong, Nobewam,Krapa 1, Ejisu

13. Repair 5no. existing boreholes at Esaase,

Peminase, Kokodie, Abetrem, Edwenase

14. Construct 2no. 16-seater WC across the

Municipality

15.Rehabilitate 10no. public toilet in the Municipality

16.Evacuate and Fumigate refuse dump sites within

the Municipality

17.Procure Waste Management Equipment at Ejisu

18. Construct Waste Solid and Liquid Management

sites at Odaho, Donaso, Essienimpong

19. Strengthen capacities of MEHU at Ejisu

20. Conduct community education on environmental

sanitation and management through durbars and

campaigns

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5. Developing Human Resource for  To increase access to educational 1. Construct 2no. KG Blocks at Duampompo and Apemso infrastructure by Dec. 2017 National Development 2. Construct 2 No 6-Unit Classroom Blocks with  To promote the use of ICT in basic Ancillary Facilities at Akronwi, Edwenase and Korase

and secondary schools by Dec. 2017 3. Construct 3No 3Unit Classroom Blocks with

 To increase access to health care Ancillary facilities at especially in the remote areas by Dec. 4. Support Municipal Sporting activities at Juaben, Perminase M/A JHS,Abenase Methodist, Deduako 2017 5. Rehabilitate 4no. basic schools in the Municipality  To promote programmes that will at Juaben, Perminase M/A JHS,Abenase Methodist, Deduako assist in the prevention and

management of HIV/AIDS/STD’s 6. Construct 1no. Community SHS in the Municipality and TB by 2017 at Onwe and Bomfa 7.Procure 500 pieces of Dual Desks and 400 Mono Desks at Municipal wide 8. Construct 2No Intuitional Toilet Facilities in Schools at Bomfa M/AOdaho JHS 9.Construct 1No 4 Unit Teachers Quarters at Timeabu 10.Organize 4 Teachers’ Awards at Ejisu 11.Support Municipal Sporting activities atmunicipal wide 12. Monitor the School Feeding Programme (SFP)at Municipal Wide 13. Construct and furnish 1no. CHPS Compound at Sonsuaso 14. Construct 1no. Paediatric at the Municipality at Onwe 15. Construct Children’s , Male and Female Ward 16. Support immunization & education on preventable diseases 18. Construct Administrative block for Juaben Hospital at Juaben 19. Support Roll back Malaria activities & polio eradication municipal wide 20. Construct 1No. 2-storey staff quarters for health personnel at Achiase 21. Construct Administrative block for Juaben Hospital 22. Conduct 10 HIV/AIDS education campaign on stigma reduction, behavioural change and counseling and testing (at least 50% of participants being female) at municipal wide 23. Conduct 3 public education on communicable diseases (TB and others) at municipal wide

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24. Provide start-up kits for 10 graduate apprentices with disabilities (at least 50% being female) 25. Support 30 needy but brilliant students ( at least 60% being female) 26. Procurement of furniture and medical equipment for CHPS compound 27. Monitor the implementation of free maternal health care 6. Transparent and Accountable  To strengthen the capacity of Zonal 1. Renovate and equip the offices of the zonal Governance Councils by Dec. 2017 councils at Municipal Wide 2. Train Zonal Council staff on Assembly budget

preparation at municipal wide  To Strengthen the Capacity of the 3. Organize quarterly MPCU meetings Assembly in efficient and effective 4. Monitor the implementation of projects and service delivery by Dec. 2017 programmes build the capacity of Assembly’s

staff  To improve women’s participation in 5. Conduct all statutory meeting of the Assembly local governance by Dec.2017 within the plan period at Ejisu

6. Sensitize communities on their roles and responsibilities in development process at Municipal wide 7. Conduct campaign on girl-child education and provide financial support in addition 8. Support celebration of national Days eg. 6th March, 1st July, AU day, farmers day etc 9. Organize public for a (Town Hall Meetings) 10. Support implementation of Gender Responsive and Skills Development Project 11. Ensure gender participation in the Preparation of the Medium Term Development Plan (2014-2017) and composite budget Source: EJMA, 2016

1.4 Accessibility of Data and Challenges

The Composite Annual Progress Report was prepared in collaboration with the various decentralized departments in the municipality. The Planning Unit which serves as the technical wing of the Assembly provided technical support and co-ordinated the collation and harmonization of data for the preparation of the report.

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After the draft report had been prepared by the planning unit, MPCU meeting was organized to disseminate the draft report for members ‘comments before the finalization of the Report.

1.5 Challenges encountered in the Preparation of the Composite Annual Progress Report, 2016

The following problems were encountered in preparing the Composite Annual Progress Report (CAPR 2016).

 Inadequate logistical support for the MPCU to prepare the report

 Late submission and non-submission of report by the decentralised departments delays the harmonization and the progress of the CAPR

 Inadequate and unreliable data from sectors of the departments which needed validation

1.6 Municipal Finances for the year 2016

1.6.1 Disbursement from Funding Sources

The Assembly has two major sources of revenue for its programmes and projects .These are:

 Internally Generated Funds (IGF)

 External Inflows

Sources of Internally Generated Funds for the Assembly are;

 Rates

 Lands Revenue

 Fees and Fines

 Licenses

 Rent

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 Investment income

 Miscellaneous

External Inflow

 District Assembly Common Fund

 HIPC

 GOG Grants (GETFUND, MP’s Fund etc)

 Development Partners Grant (World Bank, UDG)

 District Development Fund (DDF)

1.7 Analysis of Revenue and Expenditure Performance – (2016)

1.7.1 IGF Performance for 2016 The EJMA generated GHȼ1,276,014.23 out of a total budget of GH₵1,543,357.00 representing 82.68 % in 2016. The Assembly could not exceed its target in the collection of Internally Generated Funds (IGF) which could help supplement government grants for the development of the Municipality.Subsequently; there is more room for improvement with respect to the generating of the internally generated funds in the municipality. This is illustrated in Table 3. Table 2: IGF Performance, 2016 IGF Heads Approved Budget Cum. Actual as at 31st Percentage Estimates for the Year December Achieved 2016 GH¢ GH¢ Rates 265,000.00 223,053.00 84.17 Lands &Royalties 429,200.00 421,578.29 98.22 Fees 260,857.00 205,436.00 78.75 Licenses 219,200.00 189,663.40 83.33 Rents 226,000.00 182,663.40 83.33 Fines/Penalties/Forfeits 138,100.00 157,748.86 114.23

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Miscellaneous 5,000.00 0.68 0.01 (unspecified receipts ) Total 1,543,357.00 1,276,014.23 82.68 Source: EJMA, MBU, 2016

1.7.3 Revenue Performance for 2016

With regards to revenue performance, the EJMA recorded GHȼ 9,932,363.28 out of a total budget of GHȼ11,822,870.00representing 84.01 % in 2016. From the Table 1.4 it can be realized that the Assembly performed very well in seven (7) of the revenue heads or sources and these are (rates, grants, lands and royalties, fees, Licenses, rents, Fines Penalties and Forfeits) respectively. Subsequently, there is more room for improvement with respect to miscellaneous because it recorded 0.06% during the year under review.This is illustrated in Table 3.

Table 3: Revenue Performance of the Assembly, 2016 Revenue Heads Approved Budget Cum. Actual as at 31st Percentage Estimates for the Year December Achieved 2016 GH¢ GH¢ Rates 265,000.00 223,053.00 84.17 Grants/Subventions 10,279,513.00 8,656,349.45 84.21 Lands &Royalties 429,200.00 421,578.29 98.22 Fees 260,857.00 205,436.00 78.75 Licenses 219,200.00 189,663.40 83.33 Rents 226,000.00 182,663.40 83.33 Fines/Penalties/Forfeits 138,100.00 157,748.86 114.23 Miscellaneous 5,000.00 0.68 0.01 (unspecified receipts ) Total 11,822,870.00 9,932,363.28 84.01

Source: EJMA, MBU, 2016

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1.7.3 Expenditure performance for 2016 With respect to expenditure performance the approved budget for 2016 is GH₵ 11,822,870.00and GH₵10,689,202.45 for the year under review representing 90.41%.

The Assembly spent above 75% during the year under review in most of the expenditure heads. Nevertheless, there is more room for improvement with respect to the expenditure performance in municipality. Finally, receipts from the Urban Development Grant (UDG) and the District Development Fund (DDF) made it possible for the Assembly to pay contractors. Work is progressing steadily and it is hoped that the projects would be completed within the time schedule.

Table 4: Expenditure Performances for 2016 Approved Budget Cum. Actual as at Estimates for the Year Percentage EXPENDITURE HEAD 31st December 2016 2016 Achieved GH¢ GH¢ Personal emolument 3,626,726.00 3,571,809.10 98.49 T&T expenses 205,000.00 158,197.02 77.17 General expenses 409,000.00 358472.17 87.64 Maintenance/Repairs/renovation 124,000.00 99,373.33 80.14 Other recurrent expenditure 438000.00 390,233.31 89.09 Capital expenditure (IGF) 260,217.00 227,008.12 87.24 GRANT 6,759,927.00 5,884,109.40 87.04 Total 11,822,870.00 10,689,202.45 90.41 Source: EJMA, MBU, 2016

1.8 Analysis of Fund flow in the Municipality for the year 2016

The Municipality received a number of development funds from the Government of Ghana for programmes and projects implementation. The Assembly received funding in the form of District Assembly Common Funds, for the implementation of its programmes and projects. However, one major limitation of this particular source of funding is the delays and inconsistencies in the amount released, which affects the budgetary system and implementation of planned interventions. The inability of the Municipal Assembly to implement most of its programmes is partly attributed to deductions and non-releases of the DACF.

1.8.1 Efforts to generate more Revenue

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On the IGF, the Assembly was not able to generate enough revenue from the trial balance to meet its recurrent expenditure let alone get additional funds for capital projects. Improving the collection of IGF would involve the following measures:  Widening the revenue base to bring in more revenue items which were not covered previously  Engaging more commission revenue collectors to work in communities where there are no collectors  Continued and sustained its tax education to widen the tax net in the informal sector  Formation of revenue mobilization innovation team or /revenue task force to improve the IGF  Motivating hard-working collectors and supervisors to improve the IGF  Improving the data base of the Municipality, which include the enumeration of the ratable population and the preparation of valuation list of all properties.  Re-valuing our properties to know the actual property rates to be paid by landlords, as the property rate forms the chunk of the IGF.  Ceding certain revenue items to the Zonal councils for collection.

The DDF has now become a reliable source of funding for the for MMDAs and efforts should always be made to pass the assessment so as to enable the Assembly get additional funds for programme and project implementation. Again the sourcing of funds for development through Municipal Bond concept will be in the right direction to provide adequate finances to the Assembly for its developmental purposes.

1.8.2 Challenges with Regard to Disbursement  Delays in the release of funds (i.e DACF, DDF etc.) which affect project implementation.  The inability to capture funds from GoG paid direct to beneficiaries without records to the Assembly(GETFUND etc)  Unnecessary deductions from the DACF without the Assembly’s approval of the said transactions

CHAPTER TWO

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2.0 UPDATE OF MONITORING AND EVALUATION INDICATORS AND TARGETS Assessment of the performance indicators for 2016 based on the Ghana shared Growth and Development Agenda (GSGDA); 2014-2017 looked at the thematic areas and their performance.

2.1 THEMATIC AREA 1 – ENSURING AND SUSTAINING MACRO-ECONOMIC STABILITY

2.1.1 Revenue Mobilization The internally generated revenue (IGF) of the Assembly continues to show some remarkable improvement even though there is still room for improvement. Some of the strategies adopted to achieve collection rate of the IGF were the measures taken in the Annual Action Plan on improving revenue mobilization. Among these are  Organization of workshops to update the skills of revenue collectors to enhance their efficiency and effectiveness in revenue collection  The existence of a revenue data which guides the revenue collectors in collecting the rates. It has also given a realistic data base in the preparation of the fee-fixing.  Formation of a task force and effective operation of the task force in revenue collection  Incentive packages for collectors who meet their targets  Provision of bicycles to revenue collectors in remote part of the Municipality

2.2 THEMATIC AREA 2 - ENHANCED COMPETITIVENESS OF GHANA’S PRIVATE SECTOR

2.2.0 DEPARTMENT OF NBSSI The Municipal Assembly has attached much importance to the enhancement of competitiveness of the Private Sector, as it would assist in the creation of jobs, increase wealth and also improve its revenue base of the Assembly. During the year under review, Business Advisory Centre (BAC) continued to provide entrepreneurial skills to the youth and entrepreneurs in the Municipality. They provided training and advisory services to the following groups’ Bakery and Confectionery, Palm Oil Processors, Mushroom Cultivators and Consultative Meeting with Regulatory Bodies.The table below depict the activities undertaken during the year.

Table 5: Activities Undertaken During the Year

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No. Activity Beneficiaries No. of participants

M F T 1 Basic Community Base Training (CBT) in The unemployed at 12 18 30 Cassava Processing (Gari) Nkyerepoaso 2 Basic CBT in Mushroom Cultivation The Unemployed at 4 14 18 Essieninpong 3 Basic CBT in Beads Making Members of Saviour 2 19 21 church at Juaben Ahodwo 4 Business Counselling MSEs Operators in the 18 4 22 municipality 5 Basic Community Base Training (CBT) in Youth Association 12 8 20 Soap Making 6 Basic Community Base Training (CBT) in The Unemployed at 1 27 28 Baking and Pastries Korase 7 Business Counselling MSEs Operators in the 8 2 10 municipality 8 Basic Community Base Training (CBT) in The Unemployed 9 7 16 Soap Making

9 Basic Community Base Training (CBT) in Women Group at - 25 25 Baking and Pastries Asensuaso 10 Consultative Meeting MSEs Operators in the 38 7 45 municipality 11 Technology Improvement in Wood Carpenters in Fumesua and 15 - 15 Formation its environs. 12 Basic Community Base Training (CBT) in Women Group at 2 29 31 Cassava Processing (Gari) Nobewam Manufacturing of Metal Door Members of Ejisu-Juaben 25 - 25 13 Electric Welders Association 14 Business Counselling MSEs Operators in the 21 4 25 municipality

15 Follow up MSEs Operators in the 12 3 15 municipality 16 Environmental Management / OSHEM Kwaso - 27 27 17 Basic Marketing & Customer Relations Ejisu 13 2 15

2.2 .1 Provision of Information for the Year Information was provided to 46 clients and other Micro and Small Scale Operators made up of 35 males and 11 females in the municipality. The areas upon which the information was provided include marketing of products, business opportunity, registration of businesses with Registrar Generals’ Department etc.

2.2.2 Advisory and Extension Services for the year

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The total number ofadvisory and extension servicesrecorded at end of the year under review was two hundred and thirty-six (236).Out of the total, one hundred and fifty-four (154) and eighty-two

(82) constituted males and females respectively.

Table 6: Advisory and Extension Services for the year

AREA OF ENQUIRY MALE FEMALE TOTAL

Financial Assistance 12 2 14

Business Opportunities 6 1 7

1 - 1 Clients Registration (RGD) 8 3 11 Business Registration (ASSEMBLIES)

BAC Activities 13 2 15 15 NBSSI Activities 5 20

81 Needs Assessment 68 149 21 Marketing of Products 7 30 18 14 32 Business Counseling 13 Business Start-up 7 20 12 Number of SME in the District 4 16

TOTAL 154 82 236

Source: NBSSI, 2016

The Assembly is also looking forward for sustainable partnership between the Assembly and the private sector for the development of its natural resources such as gold, clay and agriculture value addition to create employment, wealth which will in the long run assist in increasing the

Assembly’s revenue, for further infrastructural development.

Other Avenues the Assembly could help the Private Sector are:

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 Development of employable skills among the youth through training in the vocational and technical schools.  Create enabling environment to attract the private sector participation in tourism development.  Provision of information on business opportunities in the Municipality. In this wise, the Business Advisory Centre (BAC) is in a position to help in this direction. Improve the registration of businesses and provide tax rebate for new entrant businesses

2.2.3 Challenges

The Municipal Assembly has failed to pay its counterpart funding (Recurrent Expenditure) to the BAC to enable it implement its activities effectively.

Some beneficiaries of the Afro Asian Rural Development Organization (AARDO) Loan Scheme are still in default of the loan granted them in spite of periodic follow-ups carried out on them.

2.2.4 Recommendation

It is recommended to the authorities to intervene to enable the Municipal Assembly pay its counterpart funding to the BAC to ensure effect implementation of its activities.

2.3 THEMATIC AREA 3 - ACCELERATED AGRICULTURAL MODERNIZATION AND NATURAL RESOURCE MANAGEMENT

2.3.1 FOOD AND AGRICULTURE DEPARTMENT

The Department of Food and Agriculture is the organization mandated to implement government policies, programmes and projects related to agriculture at the national to local level. As part of our activities it is required to provide progress report in order to influence policy and management in order to restrategise for a new and better course of action. In view of this, below is the progress report from Municipal Agricultural Unit for the year 2016.

2.3.2 Market Survey/Food Security Situation

With regards to weekly data collection on market prices on commodities 51 out of 52 representing 98.1% was achieved. This was to monitor food situation and production prospects in the municipality. The data collection revealed that supply of the major food commodities; cassava, 29

maize, plantain, cocoyam and vegetables to the market centres were adequate, regular and prices were affordable.

Buyers from far and near now come to purchase their commodities from Ejisu market. This has brought keen competition among the market sellers as to how to make their goods presentable to the public. Traders who previously display their commodities on the ground have now raised tables and platforms to display their goods. The problem of glut in farm produce is a thing of the past. Below is the table of comparative prices of the commodities.

Table 7: Food situation and production prospects in the municipality

Average Price (GHc) COMMODITY Annual - 2015 Annual - 2016 Percentage Difference Maize (100 kg) 200 200 0% Local Rice (100 kg) 400 400 0% Millet (93 kg) 175 190 8.57% Sorghum (109 kg) 210 210 0% Cowpea (109 kg) 260 260 0% Groundnut (82 kg) 492 492 0% Yam (250 kg) 250 390 56% Cocoyam (91 kg) 100 90 -10% Cassava (91 kg) 30 80 166.66% Plantain (9-11 kg) 7 6 -14.28% Tomatoes (52 kg) 250 162 -35.2% Smoked Herrings (100 singles) 120 115 -4.16% Source: AGRIC/ SRID, EJISU, 2016

2.3.3 Extension Services Delivery

2.3.3.1 Field Visits`

About two thousand four hundred ninety-four (2494) home and farm visits were made by the Agricultural Extension Agents (AEAs) at the various operational areas within the municipality to assist farmers find solutions to farming related challenges. A total of fifteen thousand and fifty- five (15055) farmers made up of sis thousand eight hundred and fifty-eight (6858) females and eight thousand one hundred and ninety-seven (8197) males were serviced during the period under review. A total of seventy-four (74) technologies were demonstrated to the farmers and a total of

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two thousand six hundred forty-four (2644) farmers made up of one thousand ninety one (1091) females and one thousand five hundred and fifty-three (1553) males participated.

A total of eight thousand eight hundred and sixty-nine (8869) farmers made up of three thousand six hundred fifty-five (3655) females and five thousand two hundred and fourteen (5214) males were reached with improved technologies and five thousand two hundred and six (5206) of them; two thousand two hundred and thirty-nine (2239) females and two thousand nine hundred and sixty-seven (2967) males were found to be adopting the improved technologies.

2.3.3.2 HIV/AIDS and Malaria

A total of forty-three (43) Anti-HIV/AIDS and Malaria campaign meetings were held by the AEAs to educate the farmers on the negative effects of the diseases on agriculture and the need to strictly observe preventive measures. A total of one thousand six hundred and seventy (1670) farmers, eight hundred thirty-three (831) females and eight hundred thirty-nine (839) males were educated during the quarter under review.

2.3.4 Crops Services i. Plant Clinic It is a concept where trained AEAs move from one community to another to mount a clinic in a day and the farmers bring their diseased plants and problems for diagnosis, prescription of chemicals for the diseases and solve other agricultural related problems of the farmers. 42 out of 48 (representing 87.5 %) plant clinic sessions were held at Yaw-Nkrumah, Nobewam, Bonwire, Boankra, Kwaso and Boamadumase. Total number of farmers who participated was 500; 299 males, and 201 females and 538 queries were handled. ii. Incidence of Adverse Conditions on Farming Activities About 68 hectares of rice fields involving 20 farmers were flooded and harvested rice carried away by the rain waters during the period under review.

2.3.5 Challenges Challenges include the following:  Unavailability of the government subsidized fertilizer program in the municipality.  Non accessibility of cocoa fertilizer by farmers within the municipality

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 High cost of farm inputs  High cost of labour or farm hands  Lack of funds to pay travel and transport allowance of staff.  Lack of vehicle for monitoring and supervision.

2.3.6 Recommendations

 The Government subsidized fertilizer program should be made accessible to farmers in the municipality.  Cocoa inputs store should be opened at Ejisu for sale of cocoa fertilizer and other inputs to the farmers.

2.4 THEMATIC AREA 4: INFRASTRUCTURE AND HUMAN SETTLEMENT DEVELOPMENT

2.4.1 DEPARTMENT OF URBAN ROADS

The main objective of the department of urban roads is to plan, provide, manage and maintain the urban road networks in the municipality. The department collaborates with the Department of Transport, Town and Country Planning, Works Department etc. to realize its objectives.

To begin with, the municipality has an urban roads length of about 595km. Of this total, 84% representing 498km are unpaved and in poor condition. 16% representing 97km are paved. The proportion of roads in good condition are low and do not meet the demands of the people in the municipality. The paved roads are over aged and developing potholes on the surfaces at an increasing rate. The budget allocation for the department from the road fund is very inadequate to meet the needs of the municipal road network.

2.4.2 Routine / Periodic Maintenance The Department of Urban Roads Head Office approved the procurement plan of the department for periodic maintenance works for the year and subsequent concurrent approval was sought from the Assembly. The approval from Urban Roads Head Office in Accra was tedious and has led to most of the works being certified in 2017.

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2.4.3 Pothole Patching During this period, Pothole Patching was done on the Onwe road totaling 5.4km. Messrs Ricanda Company Limited was the contractor who undertook the works. The Routine maintenance budget for the department was woefully inadequate to patch all the potholes in the municipality. Also, the department undertook green area maintenance activities on the Ejisu-Fumesua Highway. The activity was undertaken by M/S Macmusha Ventures.

2.4.4 Desilting Works

Desilting of selected streams in the municipality was procured. These works were critical in order to prevent flooding of streams and drains during the rains.

The department undertook Kerb painting of selected intersections and bridge approaches on the

Ejisu-Kumasi Highway to improve safety at these intersections especially during the night. This activity was undertaken by M/S Aboukina Construction limited.

2.4.6 Gravelling of Apromoase Kokoben& Ejisu Sec Tech Road (Relocated to Ekyem

Road)

Gravelling of Apromoase- Kokoben Road is completed with certification ongoing. Gravelling of Ejisu Sec

Tech road was relocated to Ekyem road because there was on-going works on the Ejisu Sec Tech road by the Ashanti Regional Urban Roads Office after approval has been granted to the department by Head Office in Accra.

2.4.7 Construction of Speed Humps along Okyerekrom&Kokoobra road

Construction of speed humps are completed with certification on-going.

2.4.8 Challenges

 Residential Accommodation Lack of residential accommodation for technical staff.

 Inadequate Budgetary Allocation

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The budgetary allocation for the department is woefully inadequate leading to a constraint of the department in providing good quality roads in the municipal area.

2.5 THEMATIC AREA 5 - HUMAN DEVELOPMENT, EMPLOYMENT AND PRODUCTIVITY

2.5.1 TOWN AND COUNTRY PLANNING DEPARTMENT

The Town and Country Planning Department perform the following function in the administration of its day to day management of physical development in the Municipality.

They are;

1. Providing technical advisory support to the Ejisu–Juaben Municipal Assembly 2. Formulation of Long-term strategic plans to serve as a basis for major decisions affecting the development of the settlements and the provision of public/private infrastructure 3. Preparation of detailed sector development plans and programs which include land use plan-making and management that provide the zoning framework to guide physical development 4. Detail technical examination and guidance of diverse individual physical developments to ascertain their conformity to the provisions of approved plans and building regulations 5. Development promotion, which is a proactive advisory function by which the department sensitizes and directs the general public on land use development options. 6. Advisory services to public and private entities and individuals on matters relating to planning and physical development At the end of the final quarter the following activities were undertaken by the Town and Country Planning Department.

Table 8: Activities Undertaken at end of 2016

No. Activity undertaken Target Status Remarks for 2016 1. Number of development 233 The department received and vetted permits application 300 233 development applications but received recommended 178 for the consideration of the PC. The remaining 55 applications were

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rejected by the TSC for lack of EPA permits and fire permits 2. No. of development 300 178 The department through the Ejisu – permits approved Juaben statutory planning committee was able to approve 178 development applications 3. Change of land use 5 1 The department envisages a. no. of recommending 5 applications for application approval based on merit and recommended feasibility. However the dept. for approval recommended only one(1) application

b. No. of b. The department through the applications EJSPC approved the recommended approved application

5 1 4. No. of existing Seven (7) Seven (7) The department through the Ejisu- planning schemes i. AweyahKruguh i. AweyahKruguh Juaben statutory planning revised/new planning stool stool lands committee(EJSPC) schemes prepared lands(bonwire) (Bonwire) Approved all the seven (7) planning ii. Donyinawest ii. Donyina west schemes that were prepared during planning scheme planning scheme the year the first and second iii. Yaw Nkrumah iii. Yaw Nkrumah meetings of the committee planning scheme planning scheme iv. Asotwe planning iv. Asotwe planning scheme scheme v. Dumakwai v. Krapa planning planning scheme scheme vi. Krapa planning vi. Dumakwai scheme planning scheme vii. Bomfa planning vii. Bomfa planning scheme scheme Source: M T&CD, 2016

2.5.2Challenges and its mitigation strategies The Town and Country Department confronted the following challengesand its mitigation strategies during the end of year, 2016.

Table 9: challenges and mitigation strategy

No. Challenges Mitigation strategy 1. Inadequate training and refreshers courses to upgrade the skills The need to train personnel in order to upgrade their of staff to be abreast with current themes and techniques for both skills to meet current challenges planning professionals and technical staff(for e.g. GIS software)

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2. Development without permit (unauthorized development) The need to undertake vigorous development control activities to prevent unauthorized development 3. Inadequate base maps for preparation of land use plans to guide Prepare current base maps for the preparation of and control development and the available ones are outmoded planning schemes and need to be updated Source: M T&CD, 2016

2.5.3 The Street Naming and Property Addressing System (SNPAS) Project

The Ejisu-Juaben Municipal Assembly in compliance with the Presidential Directive to all

Metropolitans, Municipal and District Assemblies to implement the Street Naming and Property

Addressing System Project.

Table 10: Indicators and target for 2016 SNPAS Project in the municipality

No. Indicators Target for 2016 Status for 2016 Remarks

Status of the street  numbering of identified  all properties Juaben township was selected

naming and property properties (1,500) within the identified numbered as a pilot area for the

addressing project Juaben township  data collection implementation of the street

 data collection of all completed naming project

residential and commercial  stenciling of street

properties within the Juaben names completed

Township  mounting of street

 stenciling of street names name signage of 50

 mounting of street name identified streets

signage completed

 valuation of identified  About 900 properties

properties within the Juaben out of 1500 have been

township valued by the

 installation of IGF software valuation division the

lands commission

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with 600 additional

properties to value

 IGF software could

not be installed

because valuation

division had not

completed their work

2.6.0 DEPARTMENT OF HEALTH

The objective of the Health Sector is to improve access to Health Care Delivery in the

Municipality. Also, to reduce malaria cases of admission and deaths among pregnant women and children fewer than 5 years.

For the purpose of Health Administration the Municipal has been divided into five (5) sub- municipals namely; Achiase, Bomfa, Ejisu, Juaben and Kwaso.

There are thirty (30) health facilities making up of hospitals, health centre, clinics and CHPS compounds in forty-seven (47) CHPS zones.

There are twenty-eight (28) health facilities with Ninety-three (93) outreach points. The distribution of the various types of health facilities in the Municipal are described in Table 12 below.

Table 11: Lists of Health Facilities in the Municipality

Type of Facilities Number

Hospital 7 (Government -3, Mission-1 & Private 3)

Health Centers 4 (Government -3 & Private -1 )

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Maternity Home & Clinic 6 (Government -1, Mission -1, Private -4)

Clinics 10 ( Government- 3, Mission- 4 & Private-3)

Community-based Health Planning & Services 3 (CHPS) Compound

Source: GHS, 2016

2.6.1 Strategies to Improve Maternal Health

During the year under review the department came out with strategies that would enable or improve upon maternal health services in the municipality.

Strategies such as;

 Train staff in obstetric emergencies and neonatal care

 Organise clinical conferences for midwives and clinicians

 Organize advocacy meetings with traditional authorities on maternal and child

health issues

 Organise quarterly meetings with TBAs

 Scale up male involvement in maternal Health services

 Conduct FP campaigns

Table 12: Comparison of Immunization Performance by 2014-2016

ANTIGEN 2014 2015 2016

M F M F M F

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TARGET 6397 6570 6747

BCG 4420 3420 3331 3553 4413 4425

PENT3/OPV3/PCV3 3132 3044 3233 2656 3003 3660

MEASLES 2461 3221 3001 3014 2845 3011

ROTA 2 3002 3227 3014 3035 4222 2727

Td 2+ 2157 2031 2540 2330 2222 2004

MEASLES 2 - - 2152 2233 2451 3010

YELLOW FEVER 3012 2670 3003 3012 2775 3121

Source: MHS, 2016

Due to the implementation of MCHNP and other interventions, CHO’s were able to perform Home visits, Outreach and other activities that contributed to the 99% (PENTA 3) as compared to the previous years.

2.6.2 DISEASE SURVEILLANCE IN THE MUNICIPALITY i. Cholera

During the year under review, one (1) RDT positive case was recorded but because of the nationwide industrial action by the Biomedical Scientist, it could not be confirmed at the regional reference laboratory. However the necessary precautionary measures were put in place to avoid any outbreak in the community of residence of the case. ii. Measles

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Five (5) suspected cases were recorded and specimen sent to the reference laboratory, Korle-Bu.

One (1) was confirmed positive, two (2) negative and the results of the remaining are still impending. iii. Acute Flaccid Paralysis (AFP)

Five (5) suspected cases of AFP were picked within the Municipality and stool specimen sent to

Noguchi Memorial Laboratory, Legon.The outcome of the laboratory investigations is still pending however the mandatory sixty (60) days follow-up investigation was carried out on all the cases and there were no residual paralysis. They are all doing well. iv. Yellow Fever

One (1) suspected case of Yellow Fever was seen for laboratory confirmation. The disease was ruled out. vi. Meningitis

At the end of the year 2016, one (1) case was suspected within the Municipality. vii.Yaws

Four (4) Yaws cases were reported in the Municipal and treated with benzathine penicillin injection.

viii.Buruli Ulcer Cases 2014-2016

The Municipal did not record any Buruli Ulcer cases in the year under viewas compared to the previous years. This may sound interesting but the fact is that cases now prefer going to Agogo hospital for treatment to enjoy the enablers’ package being offered there.

Table 13: BuruliUlcer Cases 2014-2016

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DISEASE 2014 2015 2016

SEX M F M F M F

Buruli Ulcer 6 4 2 0 0 0

Viiii. Leprosy One (1) case of Leprosy was registered within the year under review. The client is still on medication. 2.5.2.4 Community Directed Treatment with Ivermectin

This treatment was done by (144) Community Drugs Distributors (CDDs) in thirty (32) communities within the Municipality. The percentage of the treatment coverage were 80.2%, 81.

1% and 76.3% representing the year 2014, 2015 and 2016 respectively.

2.6.3 School Based Deworming Exercise, 2016

To start with, there were 273 schools in the District and out of the total 260 schools participated in school based deworming exercise. Also, a total number of children register of targeted schools was

40,452 out of this total, 20,898 represented males whiles 19,554 constituted females respectively.

Similarly, a total of 36,586 children were treated. Out of the total number of children who received the treatment 18,809 and 17,777 were constituted both males and females respectively. In a whole a total coverage 90.4% was covered within the municipality. The Mass deworming of schools using tablets such as Albendazole and praziquantel was undertaken. Generally, the exercise was successful except for the fact that three (3) serious drug reaction cases were recorded in addition to some mild ones.

The quick response from the national office of NTD needs to be commended. One of the officers came around to assure the parents of the affected pupils and fully paid for their medical cost and topped it up with some form of compensation. Below is the breakdown of the results.

2.6.4 Tuberculosis Control Activities

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The Municipal is part of the fourteen (14) high burden Tuberculosis Districts in Ashanti Region.

The following activities were undertaken with support from the National Tuberculosis Control

Programme (NTP) in collaboration with the Global Fund for tuberculosis control to increase early case detection and case holding. These included;

 Monitoring and Supervision activities to the sub-Municipals including the private sector

 The training of pharmacies and over the counter medicine sellers on the signs and

symptoms of TB and referrals

 Orientation of CHO’s on the monitoring and supervision of community surveillance

volunteers on TB

 Training of prayer camp managers and traditional healers on how to collect specimen of

suspected cases

 Orientation of OPD/Ward Nurses, Pharmacist, Laboratory officers and diet related clinic

nurses on the new SOP’s on the diagnosis and management of TB cases.

 Orientation of CHO’s on TB case contact tracing and investigation in the communities

 Installation of a Gene-Xpert machine for TB microscopy at Juaben hospital.

 Quarterly meeting with institutional coordinators on data validation.

 Daily screening of OPD clients at the three hospitals

 Provision of fortified blended flour (FBF) for TB patients to supplement their feeding to

speed up their recovery process.

2.6.5 TB CASE DETECTION

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The Municipal recorded a case detection rate of 46.6% as compared to the previous year’s

55.1%.Apart from this performance lagging behind the 70% national target; it was also not encouraging as compared to the previous year.

This could mainly be attributed to the following factors;

 Shortage of the TB medicine in the region from August to September. This compelled most of the frustrated patients diagnosed within the period to move to other Districts who had the medicine to be served and registered there.  Moreover with the installation of the Gene Xpert machine at Juaben hospital, some known cured TB cases who returned with cough and who under normal circumstances would have been put on treatment again based on x-ray results were completely ruled out of having TB by the highly sensitive devise.  Furthermore some smear negative cases that were referred to KCCR-KNUST for culture and sensitivity test to make sure of their status were also ruled out.

2.6.6 TB Treatment Outcomes

The Municipal recorded a treatment success of 98.9% as against the previous year’s 96.5%, which is above the national target of 90%.This was made possible due to an effective system put in place to follow up all cases to prevent default.

Table 14: Trend of Treatment Outcomes for Tuberculosis (2013-2016)

INDICATORS 2013 2014 2015 2016

Total Cases Registered 109 86 96 83

Cured 54/58=(93.1) 48/47= (97.9) 34/35 = Not Due (97.1%)

Completed 41 38/36 17/17 Not Due

Died 10 3 1 Not Due

Cure Rate (85%National Target) 95% 97.9% 97.1% Not Due

Treatment Success Rate(>90% 90 86/83(96.5) 96/95 (98.9%) Not Due National Target)

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Adverse Rate (<10% National 10/109 (9.1%) 3/86(3.4%) 1/96 (1.0%) Not Due Target)

Default Rate 0 0 0 Not Due

Table 15: Age and Sex Distribution of TB Cases

0-14 YRS 15-24 YRS 25-34 YRS 35-44 YRS 45-54 YRS 55-64 YRS 65+ TOTAL

M F M F M F M F M F M F M F M F

0 1 6 2 10 4 11 10 12 9 9 3 4 2 52 31

1 8 14 21 21 12 6 83

2.6.7 CASE DETECTION BY FACILITIES IN THE MUNICIPALITY

Onwe hospital needs to be singled out for commendation for their sustained efforts in increasing their case detection .The facility was able to improve on their cases from three(3) last year to sixteen (16).This is a remarkable achievement and it is our hope that they will improve upon it.

Ernest Medical centre also needs to be praised for being the only private facility to have referred some cases to the treatment centres.

Bomfa health centre and the others need to wake up in their seeming slumber as far as TB case detection is concerned.

Table 16: Case Detection by Facilities 2014-2016

NO HEALTH FACILITY 2014 2015 2016 1 Ejisu Hospital 34 51 35

2 Juaben Hospital 28 27 24

3 Onwe Hospital 8 3 16

4 Kwaso Health Centre 8 11 1

5 Achiase Health Centre 7 2 4

6 Bomfa Health Centre 1 2 0

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7 Ernest Medical centre 0 0 3

Total 86 96 83

2.6.8 TB/HIV Collaboration

According to the policy of the NTP all TB cases are to be screened for HIV and vice versa. The year under review witnessed a significant improvement in the number of confirmed TB cases being screened for HIV and out of the 65 cases who were counselled for the test, 42 of them representing

50.6% of total cases registered were tested while the rest (23) declined the offer. See the Table below for the details.

Table 17: TB Cases Screened For HIV

NO. NO. POSITIVE(HIV)

TB CASES NO. ON TB SCREENED

YEAR DETECTED TREATMENT FOR HIV MALE FEMALE TOTAL

2014 86 86 29(33.7%) 9 7 16

2015 96 96 37(38.5%) 2 9 11

2016 83 83 42 (50%) 9 7 16

Table 18: Age and Sex Distribution of TB/HIV Cases

0-14 YRS 15-24 YRS 25-34 YRS 35-44 YRS 45-54 YRS 55-64 YRS 65+ TOTAL

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M F M F M F M F M F M F M F M F

0 0 0 0 0 2 4 4 4 1 1 0 0 0 9 7

0 0 2 8 5 1 0 16

ITEM CASES

-New patients diagnosed 83

-Number of patients counseled 65

-Number of patients tested for HIV 42

-Number of patients HIV positive 16

-Number starting CPT 5

-Number of TB cases among PLWA 8

-Number on ART 8

Table 19: Hospitals TB Screening Report, 2016

New Number Number Number Number Number Attendants Screened for Presumed tested for Diagnosed initiated on Facility TB TB TB TB TB Treatment

EJISU 41,900 13,297 313 310 12 14

JUABEN 11,426 3,563 259 250 7 7

ONWE 13,035 2,748 350 345 2 2

2.6.9 Challenges

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-Unavailability of an official vehicle to carry out on site training and supportive supervision at immunization outreach sessions.

-Late submission of weekly and monthly reports by some health facilities.

2.6.10 Nutrition

The nutrition unit as part of the family health division of the Ghana Health Service seeks to improve the nutritional status of individuals within the municipality through preventive measures to promote good health and prolong life. The unit collaborates with all other public health activities in the Municipality, and this has actually supported the proper implementation of its major activities.

2.6.11 COMMUNITY GROWTH MONITORING AND PROMOTION (GMP)

Growth monitoring was conducted on monthly basis for children aged 0-11 months, 12-23 months and 24-59months during which their weights and heights are measured. The purpose of this activity is to assess the growth trend of the children, and intervene in cases of growth faltering. Caregivers with children at risk of malnutrition (< -2 SD) are counseled and the ones detected to be severely malnourished (< -3SD) are referred to the nearest health facility for rehabilitation

This year however saw a decline in the utilization of GMP services in the municipality. Our coverage’s dropped in almost all sub-districts with the exception of Ejisu sub municipal. This has translated into the municipals coverage of as low as 6.0% among children 24-59 months. The municipal will re-strategize taking into consideration children within this age band most especially in the ensuing year. Below are the results:

Table 20: Growth monitoring and promotion (Children 0-59 Months), Municipal coverage

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Age group 2014 2015 2016 2014 2015 2016

0-11 9310 9864 9454 194.0 150.1 145.3

12--23 3348 3695 3296 53.7 57.7 52.0

24-59 2897 2714 1162 21.1 13.8 6.0

Total 15555 16273 13912 62.7 49.8 43.0

2.6.12 DIET CLINICS (EJISU-JUABEN)

2.6.12.1Non-Communicable Diseases

The creation of awareness on risk factors and the signs and symptoms of lifestyle diseases such as hypertension and diabetes is very important in promoting early detection and reporting of non- communicable diseases.

Diet clinics were organized for diabetic and hypertensive clients at the Ejisu Government Hospital and Juaben hospital on weekly basis. During such clinic sessions, clients were given educational talks on diet, management of the condition, side effects of the drugs and the importance of reporting promptly at the health facility whenever the need arises. Special nutrition counselling was provided to new clients and old clients who still need to be counselled both on clinic days and during the week. This year more than half the number of clients who visited the clinic were women, this can be attributed to the patronage of health services by women better than men. An increase in attendance this year compared to the previous years is as a result of an increase in sessions in Ejisu hospital from once a month to once a week. A well organised session involving all stakeholders during the clinic has also led to the increase in patronage.

Table 21: Clients Counseled During Diet Clinic

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TYPE MALE FEMALE TOTAL

HYPERTENSION 185 660 845 DIABETES 33 71 104 DIAB-HYP 18 71 89 OBESITY 0 0 0 TOTAL 236 802 1038

Table 23: Three Year Trend

DISEASE 2014 2015 2016

HYPERTENSION 225 334 845

DIABETES 108 45 104

DIAB-HYP 132 66 89

OBESITY 32 6 0

TOTAL 497 451 1038

2.6.13 MICRONUTRIENT SUPPLEMENTATION

2.6.13.1 Vitamin A Supplementation of children (6-59) months in the Municipality

Vitamin supplementation is one major intervention carried out in the municipality; however the decline in coverage in the previous years was a major concern this year. Through some implemented strategies this year which included school health activities there has been a massive improvement from last year. This achievement can also be attributed to the recent training of staff and use of the vitamin A monitor chart which gives every staff the opportunity to see how they were faring.

Table 22: Showing number of children dosed for 2016 by sub-districts

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Sub-municipal 12-59 6-11 6-59 % coverage

Achiase 932 462 1394 54.7

Bomfa 1776 580 2356 56.3

Ejisu 7001 2631 9632 79.3

Juaben 2355 799 3154 66.9

Kwaso 4448 1087 5535 97.5

Municipal 16512 5559 22071 75.4

2.6.13.2 Nutritional Status of Children during Growth Monitoring and Promotion (0-59)

Months

The nutritional status of children in the municipality has seen a massive improvement which has

led to a decrease in the number of children among children who attend child welfare clinics in the

municipality. Bomfa Sub was however identified with the highest number of cases which could

mean two things, either they are able to capture such children to proper case search or are having

challenges with their data tools. This will however be looked into and strategies will be derived to

reduce cases. Below are the results.

Table 23: Nutritional status based on age categories

Attendance

Months Children weighed Underweight Above normal weight

Severe Moderate Possibly obese overweight

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2014 2015 2016 2014 2015 2016 2014 2015 2016 2016

0-11 9310 9864 9454 46 133 63 916 977 370 62 7

12-23 3348 3695 3296 14 46 43 600 654 335 23 2

24-59 2897 2714 1162 11 36 11 351 212 65 26 4

Total 15555 1627 13912 71 215 117 1867 1843 770 111 13 3

2.6.14 Anaemia in Pregnancy

Nutritionally related iron deficiency is the main cause of anemia throughout the world. It is

especially common in women of reproductive age and particularly during pregnancy. The demand

for iron increases about six to seven times from early pregnancy to the late pregnancy. Besides

poor nutrition, frequent labor, abortions, parasitic infestations determined as the predictors of

anemia in reproductive age women.

Studies well indicated the association of anemia with maternal morbidity and mortality.

Worldwide, anemia contributes to 20% of all maternal deaths. Anemia in pregnancy also leads

topremature births, low birth weight, fetal impairment and infant deaths. It reduces the productivity

of women. Nutrition education has been intensified at the antenatal care units in the municipality

by the frontline staff in order to reduce anemia in pregnancy, frontline staff also ensure that

pregnant women who visit the ANC take the daily iron supplements. Pregnant women with

Anaemia are also referred to the nutrition officer for counselling. This year however was still being

challenged with an increase in anaemia in pregnancy. Maternal death was also on the increase,

however still births were reduces compared to last year. The municipality is doing all it can to curb

this situation, first by meeting all frontline staff and medical superintendents to discuss the

situations and way forward.

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Table 24: Anaemia in Pregnancy

ANAEMIA IN PREGNANCY INDICATOR 2014 2015 2016 TOTAL <11gm/dl TOTAL <11gm/dl TOTAL <11gm/dl NUMBER NUMBER NUMBER ANC registrants 8034 2752 6935 2773 7449 2794 checked Pregnancies 36 4704 1602 3913 1221 4216 1442 weeks old checked

2.6.13 School Health and Nutrition Surveillance

School health activities were held in selected schools within the municipal to promote nutrition

among school pupils. Vitamin A supplementation was one key activity carried out in schools to

promote its intake and increase its coverage in the municipality.

2.6.13.1 Nutrition Day-care surveillance

This activity was successfully carried out twice this year to track the nutritional status of pre-school

children. This activity enables the district determine its stunting, wasting and underweight rate,

which will determine its next line of action. Below are the results of this year’s nutrition day-care

surveillance.

Table 25: Results from Nutrition Day Care Surveillance (Underweight)

Under weight Percentage underweight Number examined Parameter < 10% Number 2014 2015 2016 2014 2015 2016 2014 2015 2016 Male 294 641 198 37 31 7 202 7 11.1% 5.4% 3.5% Female 335 630 35 38 629 1271 400 72 69 14 TOTAL

Table 26: Results from Nutrition Surveillance (Stunting)

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Stunted Percentage stunted Parameter Number examined <20% Number 2014 2015 2016 2014 2015 2016 2014 2015 2016 Male 294 641 198 12 24 11

Female 335 630 202 12 15 11 5.5% TOTAL 629 1271 400 24 39 1.9% 3.2%

Table 27: Results from Nutrition Surveillance (Wasting)

Percentage wasting Number examined Wasted Parameter < 5% Number

2014 2015 2016 2014 2015 2016 2014 2015 2016

Male 294 641 198 13 14 3

Female 335 630 202 20 13 5

TOTAL 629 1271 400 33 27 8 5.2% 2.1% 2.0%

The above results show a decrease in wasting and underweight among the pre-school children in

the municipality, however a chronic effect of malnutrition which is stunting is on the increase.

This can be attributed to children who suffered both underweight and wasting for a long time

without receiving any form of intervention. It is however encouraging to see a reduction in those

indicators which can be attributed to the numerous interventions implemented this year.

2.6.14 NUTRITION EDUCATION AT SERVICE DELIVERY POINTS

2.6.14.1 Health Education and Promotion

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Care givers, mothers, pregnant women, lactating women and the general public were educated on the following topics;

 Infant and young child feeding

 Exclusive breastfeeding

 Good complimentary feeding practices

 Nutrition in pregnancy

 Iodated salt intake

 Proper hand washing

 Vitamin A supplementation

2.6.14.2 Challenges in the Municipality

 Vehicular movement was quite a challenge since the district has no official vehicle for its

activities

 Staff workload was also identified as a major challenge hindering the activities of the

municipality

 Lack of support from facility heads to carry out school health activities

 No weighing card for them to plot the weight. They just write it in the yellow card they are

using so in view of that they find it difficult to determine the child’s nutritional status.

 No registration books. Due to the shortage of the registration books, Ejisu Government

Hospital is unable to register the new clients who do not have their names in the old

registration book. Also, Onwe Government Hospital is using notebooks for registration and

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since it is not big enough, they are unable to capture all the indicators in the registration

book.

 Ejisu Government Hospital needs new weighing scales.

2.6.14.3 Way Forward

 Reallocation of some staff from some sub-municipals to the other is a major strategy

adopted by the municipality to help reduce staff workload in some of the overburdened

sub-municipalities

 Facility heads to be given official letters by the director of health services to support school

health activities

 Mass distribution of Vitamin A in May and November

 Pilot segregation of CWC based on age band in Amoamachiase CHPS to reduce pressure

during weighing sessions

2.6.14.4 Recommendation

 We recommend the training of more staff in Vitamin A supplementation in the

municipality, this will go a long way to increase service delivery and improve vitamin A

coverage.

 Involvement of nutrition officers in daily outreaches

 Training of more C-IYCF counselors

 Provision of registers and other data collection tools

2.7.0 DEPARTMENT OF EDUCATION

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2.7.2 School Enrolment Trends and Infrastructure

2.7.2 Introduction This 2016 Annual Progress Report highlights the performance of some key indicators of basic and second cycle schools and the various interventions of the educational sector under the Ejisu-Juaben Municipality. Key features of the report include educational statistics such as school enrolment/teacher population and their corresponding performance indicators, school infrastructural needs, policy interventions and the 2016 BECE and WASSCE performance results. Also featuring in the report is the USAID Partnership for Education-Learning programme which was lunch during the year to improve decentralized education management and subsequently the reading and numeracy abilities of all pupils.

2.7.3 Educational Institutions Table 28: Number of Schools by Level and Status, Ejisu-Juaben Municipal, 2016 2011 2012 2013 2014 2015 2016 Level Public Private Public Private Public Private Public Private Public Private Public Private KG 86 52 89 54 92 71 93 71 94 71 92 86 Primary 94 52 93 54 98 71 94 71 95 71 95 85 JHS 61 25 68 33 72 33 75 35 78 38 80 47 SHS 5 1 5 1 5 1 5 1 5 1 5 1 TVET 2 1 2 - 2 1 2 1 2 - 2 - Tertiary - 1 - 1 - 1 - 1 - 1 _ 1 Source: Planning and Statistics Department, GES, Ejisu-Juaben Municipality, 2016.

The following graph illustrates the trend in the growth of educational institutions in the municipality over the past five years.

Figure 1:1 % Growth in Educational Institutions, 2011-2016

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100.0% 88% 90.0% 80.0% 70.0% 65.0% 63.0% 60.0% 50.0% Public 40.0% 31.0% Private 30.0% 20.0% 6.9% 10.0% 1.0% 0 0 0 0 0 0 0.0% KG Primary JHS SHS TVET Tertiary

Source: Planning and Statistics Department, GES, Ejisu-Juaben Municipality, 2016.

Between 2011 and 2016, the number of public KGs grew by 6.9% compared to an astronomical increase in the number of private schools of the same level. This gap in the private-public school divide which reflects at all levels of basic education is partly attributable to increasing public patronage of private schools, raising the need for a stronger collaboration between government and the private sector in basic educational services delivery.

2.7.3 School Enrolment and Teacher Population

Table 29: Enrolment and Teacher Population in Public Schools-2016 TEACHER POPULATION SCHOOL ENROLMENT NO TRAINED UNTRAINED TOTAL LEVEL M F T M F T M F T M F T KG 92 4245 3964 8209 11 274 285 1 40 41 12 314 326 PRIM 95 11857 11468 23325 312 451 763 18 13 31 330 464 794 JHS 77 5887 5474 11361 407 262 669 31 9 40 438 271 709 SHS 5 4911 4500 9411 258 121 379 48 15 63 308 135 443 TVET 2 696 214 910 10 4 14 22 8 30 32 12 44 TOTAL 271 27701 26035 53736 998 1112 2110 120 85 205 1120 1196 2316 Source: Planning and Statistics Department, GES, Ejisu-Juaben Municipality, 2016.

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Table 30: Trend in teacher population, public schools, 2011-2016 Level 2011 2012 2013 2014 2015 2016 M F T M F T M F T M F T M F T M F T KG 45 269 314 12 244 256 6 266 273 26 287 313 13 298 311 12 314 326 Prim 403 435 838 384 433 817 388 368 793 351 447 798 351 453 804 330 464 794 JHS 449 229 678 403 221 624 440 237 677 446 269 715 378 349 727 438 271 709 SHS 253 110 363 290 104 394 256 138 394 306 130 436 306 130 436 308 135 443 Source: Planning and Statistics Department, GES, Ejisu-Juaben Municipality, 2016.

2.7.5 School Infrastructure and Facilities 2.7.5.1 Facilities in Basic Schools There was a slight change in the basic school facility situation over the third quarter. As depicted in the table below, the percentage of primary schools with potable water improved from 25% to 26%. Similarly, access to toilet facilities increased to 73% from 71%. There was no change in school electricity supply.

Table 31: Percentage of Primary Schools with Basic Facilities, 2016.

FACILITY 2010 2011 2012 2013 2014 2015 2016 Target Water 19 20 20 23.2 25 25 26 35 Toilet 62 63 66 71.7 71 71 73 82 Electricity 36 39 48 51.4 52 56.2 56.2 70 Source: Planning and Statistics Department, GES, Ejisu-Juaben Municipality, 2016.

2.7.5.2 Facilities in JHS level At the JHS level, 24% of schools now own potable water facilities while 68% have access to toilet facilities. The percentage of schools with at least 2 computers increased to 47% following the supply of more computers under the One Laptop per Child Program. The availability of these computers is set to lay a foundation for improved ICT education in schools within the municipality.

Table 32: Percentages of Junior High Schools with Basic Facilities, 2016. FACILITY 2010 2011 2012 2013 2014 2015 2015 2016 Target

Water 17 19 20.1 20 22 22 22 24 40 Toilet 59 60 63 63.1 66 66.2 66.2 68 95 Electricity 40 51 59 72 72 72.7 72.7 72.7 85 % of schools with at least 2 7 8 8 12 30 35 46.7 46.7 50 computers

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Source: Planning and Statistics Department, GES, Ejisu-Juaben Municipality, 2016.

The absence of electricity in 46% of primary schools and in 27.3% of Junior high schools is a major challenge. This situation does not auger well for teaching and learning in a computer literacy age when power supply is prerequisite for ICT-based education.

2.7.6 Physical Infrastructure

The number of classrooms is expected to improve on the completion of two school projects at Fumesua MA JHS and Juaben Islamic School. Currently, KG school infrastructure provides 238 classrooms of which 60 requires major renovation. The classroom-pupil ratio stands at 34 which is a mark short of the national standard of 35.

Table 33: Physical Infrastructure in public KGs Indicator 2010 2011 2012 2013 2014 2015 2016 Target No of Classrooms 268 204 216 222 234 236 238 242 % of Classrooms Needing 26% 24% 13.2% 13.4% 11.2% 27.9% 20% 20% Major Repair No. of New Classrooms 22 25 11 7 7 4 4 0 Needed % with recreational facilities 0 0 0 0 0 0 0 0 Source: Planning and Statistics Department, GES, Ejisu-Juaben Municipality, 2016.

Following some renovations, the number of classrooms increased from 697 to 703, leaving the classroom pupil ratio at 44. Currently, 132 classrooms in total at the primary require major repairs in 38 schools.

Table 34: Physical Infrastructure in Public Primary Schools Indicator/Year 2010 2011 2012 2013 2014 2015 2016 Target Schools under trees 6 3 3 0 0 0 0 0 No of Classrooms 590 602 531 616 530 697 703 709 Pupil Classroom 39 38 38 38.3 34 35 34 22 Ratio % of Class Rooms 24% 18% 17.3% 19% 15.8% 19.7% 12% 10% Needing Major Repair No. of New 34 26 21 12 24 24 23 12 Classrooms Needed Source: Planning and Statistics Department, GES, -Juaben Municipality, 2016.

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Table 35: Physical Infrastructures in Public Junior High Schools Indicator 2010 2011 2012 2013 2014 2015 2016 Target Schools under trees 0 0 0 0 0 0 0 0 No of Classrooms 179 184 223 296 296 336 336 339 Pupil Classroom Ratio 34 29.6 42 35 32 33 34 30 % of Classrooms Needing 23 16 19.4% 25 27% 27.3% 18% 15% Major Repair No. of New Classrooms 15 27 12 12 9 9 9 6 Needed Source: Planning and Statistics Department, GES, Ejisu-Juaben Municipality, 2016.

Although the municipality’s pupil-classroom ratios appear satisfactory, classrooms are urgently required in other schools since school infrastructure is not evenly distributed. Details of such schools are available at the Department of Education of the Municipal Assembly.

2.7.7 POLICY INTERVENSIONS, PROGRAMMES AND PROJECTS 2.7.7.1 School Management During the final quarter, comprehensive visits were made to all schools by the Municipal Director of Education as part of steps to boost the Intensive Reading Initiative which led to improved BECE performance in English Language last year. In another development that is set to revolutionize decentralized basic educational management, the USAID Partnership for Education –Learning Program was launched. This saw the training of 20 officers and 978 School Management Committee (SMC) members in basic education management and performance improvement skills. Under the programme, School Management Committees in 267 basic schools have been revived, boosting the participation of parents and other stakeholders in decentralized education management. English Language and Twi readers have also been distributed to all KGs and primary schools. These activities which took place as part of a 4-year programme are designed to improve the reading and numeracy ability of pupils in KG and Primary schools nationwide, targeting 2.8 million pupils.

2.7.7.2 Capitation Grant A total amount of Sixty-Five Thousand, One Hundred and Ten Cedis Five Pesewas (GHȼ65,110.5) only was received and disbursed as the end of the year, 2016.

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One significant impact of the capitation grant has been an improved teaching and learning environment made possible by the supply of basic needs and the capability for periodic minor repairs of school facilities.

2.7.7.3 Free School Uniforms, Supply of Furniture, Exercise Books and Other Materials. To start with, a total of sixty-two (62) souvenirs were distributed to basic pupils during the celebrations to mark the event of My First Day at School. Similarly, a total of seventy-five thousand four hundred and eight (75,408) free exercise books and one hundred fifty-two (152) textbooks were distributed to pupils in primary schools. Also, a total of one thousand and seven (1007) uniforms, three hundred and sixty (360) furniture and two hundred and forty-two (242) insecticide mosquito nets were distributed to the school pupil respectively. Finally, a total of one thousand two hundred and seventy-seven (1,227)teacher’s notebooks, three thousand and fifty-five (3,055) attendance registers and sixteen thousand five hundred and seventy-seven (16,577) white chalk (boxes) were supplied to the various schools within the municipality.

Basically, these were to ensure improvement basic education as well as increasing pupils’ competitiveness at the international level.

2.7.7.4 The Ghana School Feeding Programme (GSFP) The final quarter saw an extension of the GSFP from 34 to 37 basic schools. Subsequently, beneficiaries of the Programme (pupils) increased from 10,886 during the Second Quarter to 12,719 during the final quarter. This represents an increase of 17% over the period.

Table 36: Total number of Pupils benefiting from the School Feeding Program, 2006-2016. GSFP 2006 2011 2012 2013 2014 2015 2016 Sex (Only 2016) Schools 3 14 14 28 28 31 37 M F pupils 449 5576 5556 9309 9450 10,231 12719 6219 6500 Source: Planning and Statistics Department, GES, Ejisu-Juaben Municipality, 2016.

In a whole, thirty-seven (37) schools have been selected to benefit from the school feeding programme within the municipality. During the year under the review, twelve thousand seven hundred and nineteen (12,719) pupils’ constituting six thousand two hundred and nineteen (6219)

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males and six thousand five hundred (6500) females in the municipality benefited from the school feeding Programme respectively.

Fig 2.1: Beneficiaries of the School Feeding Programme, 2006-2016

14000 12719 12000

10000 10231 9309 9450 8000

6000 5576 5556

4000

2000

449 0 2006 2011 2012 2013 2014 2015 2016 Source: Planning and Statistics Department, GES, Ejisu-Juaben Municipality, 2016.

A key challenge associated with the School Feeding Programme was nonpayment of new caterers who were deployed during the Third Term of the 2015/2016 academic year. The situation has left the caterers indebted to their creditors.

2.7.7.5 Information Communication Technology (ICT) Programme Currently, the One Laptop Per Child Programme is the flagship initiative for improving the teaching and learning of ICT in basic and senior high schools. Initially, pupils were the target in laptop supply. In September, 2015 however, the supply of laptops was extended to include teachers of ICT in order to facilitate teaching. Access to computers in basic schools has improved but still not adequate. Currently 46% of junior high schools have at least 2 computers for learning compared to 17.8% in primary schools. The table below gives details of the ICT situation in the municipality.

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Table 37: Number of Computers in Basic Schools Equipment Primary Level JHS Level Computer labs 8 11 Pupils’ desktop computers 98 206 Pupils laptops 36 363 School office computers 9 24 Printers 6 32 Schools with at least 2 17 36 computers Source: Planning and Statistics Department, GES,Ejisu-Juaben Municipality, 2016.

2.7.7.6 Bridging the Gap in Access to Education

This objective was designed to ensure that equal opportunities for formal education exist for both genders. Its key indicator is the Gender Parity Index (GPI) which is a derivative of the GER.

2.5.1 Gross Enrolment Rate This represents the total number of pupils irrespective of age enrolled at a given level of education expressed as a ratio of the total population of the school going age of that level. The GER indicates the general coverage of school enrolment at a given level and is a prerequisite in determining the Gender Parity Index. As shown in the table below, this year’s GER has fallen due to a reduction in factors such as over-age or under-age enrolment as well as interdistrict enrolment (enrolment from other districts).

Table 38: Gross Enrolment Rate Trend in Basic and Senior High Schools,2010-2016 2016 School 2010 2011 2012 2013 2014 2015 Target level 107.4% KG 113.2% 121.9% 121.9% 130.6% 150.5% 150% 100% 105% Primary 93.9% 104.5% 120.9% 135.3% 132.9% 133.20% 100% 80.2% JHS 82.1% 88.9% 88.9% 102.9% 103.4% 103.40% 100% 95.2% SHS 84% 88.1% 82.1% 75.9% 92.7% 95% 100% Source: Planning and Statistics Department, GES, Ejisu-Juaben Municipality, 2016.

2.7.7.8 Gender Parity Index (GPI) in Basic and Senior High Schools

The GPI is the ratio of female to male in a school population at a given level of education with 1 as the point of parity or equality. A parity of 1 is an indication of equal number of boys and girls. Table 39: Basic School Enrolment by Gender

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SCHOOL 2011/12 2012/13 2013/2014 2015 2016 LEVEL M F T M F T M F T M F T M F T

KG 4462 4406 8868 4833 4859 9692 4342 4334 8676 4332 4122 8454 4245 3964 8209

Primary 12269 11907 24176 12105 11581 23686 11856 11350 23206 12244 11805 24049 11857 11468 23325

JHS 4931 4576 9507 4946 4526 9472 5282 4873 10155 5635 5391 11026 5887 5474 11361

SHS 5384 4762 10146 5149 5038 10187 4920 4426 9346 5663 3739 9402 4911 4500 9411

TVET 494 111 605 441 279 720 370 179 549 351 116 467 696 214 910 Source: Planning and Statistics Department, GES, Ejisu-Juaben Municipality, 2016.

Table 40: Trend in Gender Parity Index (GPI), 2010-2016 School Level 2010 2011 2012 2013 2014 2015 2016 Target KG 0.98 0.98 0.98 1.01 0.92 0.95 0.93 1 Primary 0.97 0.96 0.97 96 0.98 0.96 0.96 1 JHS 0.89 93.8 0.92 0.97 0.92 0.95 0.92 1 SHS 0.85 0.86 0.91 0.91 0.89 0.66 0.91 1 Source: Planning and Statistics Department, GES, Ejisu-Juaben Municipality, 2016.

While the GPI at the KG reduced slightly to 0.93, there was no change in the female-gender enrolment dynamics at the primary level. The index however dropped by a slight margin at the JHS level from 0.95 to 0.92 over the year. The remarkable increase in GPI at the SHS level from 0.66 in 2015 to 0.91 in 2016 reflects improved patronage of senior high education by the girl child. It could also be ascribed to increased inflow of female students from outside the municipality. Hence, efforts should be stepped up to improve the transition of female students to the SHS level.

2.7.7.8 2016 BECE Performance A total of 3,818 candidates sat for the 2016 BECE examination of which 1,921 were male, representing 50.3% of the candidates. There were a total of 1,897 female candidates (49.7%). The following table illustrates the number of candidates and passes by subject.

Table 41: BECE passes by Subjects SUBJECTS TOTAL NO. OF TOTAL NO. OF OVERALL TOTAL FOR CANDIDATES OBTAINING CANDIDATES OBTAINING GRADES 1 TO 5 GRADE 1 TO 3 GRADE 4 TO 5

BOYS GIRLS TOTAL BOYS GIRLS TOTAL BOYS GIRLS TOTAL

ENGLISH 260 218 478 731 634 1365 991 852 1843

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SOCIAL 324 221 545 751 642 1393 1075 863 1938 STUDIES

MATHEMATICS 315 203 518 571 478 1049 886 681 1567

GEN. SCIENCE 381 269 649 587 528 1115 968 796 1764

BDT 370 279 649 641 548 1225 1011 827 1838

FRENCH 82 51 133 262 248 510 344 299 648

GH. LANGUAGE 400 313 713 690 648 1338 1090 961 2051

ICT 366 255 621 726 587 1313 1092 842 1934

RME 235 205 440 625 561 1186 860 766 1626

The percentage of pupils scoring grade 1-5 in English increased notably from 40% in 2015 to 48.3% in 2016 as a result of the Intensive English Reading Programme introduced two years ago in the municipality. The 2015 pass rate in Maths (44.7%) and Science (48.2%) however dropped by similar margins in 2016 to 41% and 46.2% respectively. There was a drastic fall in female performance as against a marginal increase in male performance in Maths. This raises concern about the amount of time girls spend learning mathematics especially at home. It could also be attributable to the teaching approaches adopted which are influenced by the availability of teaching-learning materials.

2.5 West Africa Senior Secondary Schools Certificate Examination (WASSCE)

Table 42: WASSCE performance in core subjects, A1-C6. 2016 SCHOOL NO. OF PERCENTAGE PASSES (GRADE A1-C6) CANDIDAT English Mathematics Int. Social Studies ES Science EJISUMAN SENIOR HIGH 1027 45.5% 9.7% 31.6% 41.6% EJISU SEN HIGH 629 55.6% 29.6% 17.2% 39.7% TECHNICAL ACHINAKROM SEN HIGH 337 15.4% 4.2% 14.5% 17.2% JUABEN SEN HIGH 1044 70.6% 26.6% 91.7% 82.8% BONWIRE SEN HIGH 344 26.1% 3.7% 9.3% 23.8% TECHNICAL

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Based on the 2016 BECE and WASSCE results which depict a decreased pass rate in Mathematics and Science, an implementation of a Mathematics and Science Hour initiative is hereby recommended. This is intended to create extra contact time for teaching and learning of practical subjects either on the school time table or after school.

3.2 THEMATIC AREA 6 - TRANSPARENT AND ACCOUNTABLE GOVERNANCE

2.6.0DEPARTMENT OFSOCIAL WELFARE AND COMMUNITY DEVELOPMENT

The Department of Social Welfare and Community Development aims at integrating the disadvantaged, the vulnerable and the excluded into the main stream of development in the municipality.

2.6.1 Community Care

2.6.1.1 Assistance to Persons with Disability

During the year of review, the Department disbursed an amount of Ninety Thousand, Nine

Hundred (GH₵ 90,900.00) Ghana Cedis to Persons with Disabilities. In the first quarter a total of Twenty-One Thousand, Nine Hundred Fifty (GH₵ 21,950.00) Ghana Cedi was disbursed to fifty (50) beneficiaries constituting twenty-six (26) male and twenty-four (24) females respectively. In the second quarter there was no activity for the Persons living with Disabilities.

Again, an amount of Thirty-Nine Thousand, Three Hundred Fifty (GH₵ 39,350.00) Ghana

Cedi was disbursed among fifty (50)beneficiaries constituting twenty-five (25) male and twenty- five (25) females during the third quarter. Finally, the final quarter saw an amount of GH₵

29,600.00 disbursed among seventy-two (72) beneficiaries constituting thirty-seven (37) males and thirty-five (35) females in the municipality benefited from the fund.

The Disability Fund Management Committee has embarked on monitoring to evaluate the impact of the fund on the beneficiaries. The evaluation revealed that some of them (beneficiaries) are making good use of the money as they invested it into petty trading. The various associations also 66

have projects such as piggery, plastic chairs and mattresses for rentals through which they make some profit out of.

Others also feel it’s their money and therefore must take it and spend. It is the plan of the committee to sensitize all Persons with Disability to understand the purpose, aims and objectives of the fund.

The committee also intends to engage interested beneficiaries into skillful trade training such as hair dressing, soap making, leather works etc.

Thirty Persons living with Disabilities were also given introductory letters to the NHIS to access free NHIS registration and renewal.

2.6.2 THE AHME PROGRAMME (NHIS)

The Municipal has been selected for the AHME project to be piloted. Fifty five (55) communities selected by the municipal LEAP implementation committee for which fifteen thousand households were to be targeted and given free NHIS cards as a social protection programme. Collaborators for the programme are National Health Insurance Authority, Ministry of Gender Children and social protection (MGCSP), Pharm access, Marriestoppes foundation and Ministry of Local Governance.

Qualified members registered unto the NHIS stands at three thousand, one hundred and seven

(3,107). Communities selected, households captured, qualified members are tabulated below.

No. Community household Members Members Gender MQR%

captured qualified M F

1 Gyakye 216 978 235 150 85 24.03

2 Hwereso 165 798 235 105 130 29.45

3 Kotei 53 264 109 69 50 41.29

4 Krofrom 103 451 134 54 80 29.71

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5 Kubease 218 1067 359 159 200 33.65

6 Kwaso 730 3163 1021 571 450 32.28

7 Manhyia 183 778 178 95 83 22.88

8 New Koforidua 489 2178 462 262 200 21.21

9 Nkyrepoaso 213 894 206 101 105 23.04

10 Nobewam 843 3904 1102 600 502 28.23

11 Nsonyameye 46 200 53 33 20 26.50

13 Odaho 179 833 233 135 98 27.97

14 Odoyefe 158 689 216 121 95 31.35

15 Ofoase 3 162 610 73 33 40 11.97

16 Onnah 101 549 313 113 200 57.01

17 Pemenase 219 1050 333 230 103 31.71

18 Sape 98 519 256 146 110 49.33

19 Wabiri 84 348 78 45 33 22.41

20 Yaw Nkrumah 110 752 469 267 202 62.37

21 Yeboahkrom 114 644 342 142 200 53.11

22 Doduako 266 1330 494 301 193 37.14

23 Donuaso 257 1162 228 125 103 19.62

24 Donyina 323 1428 458 308 150 32.07

25 Duampopo 337 1517 573 370 203 37.77

26 Dumakwae 195 1291 650 320 330 50.35

27 Edwenase 174 889 442 202 240 47.47

28 Ejisu Zongo 565 2782 1219 719 500 43.82

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29 Esaase 187 1019 497 390 107 48.77

30 Esienimpon 435 2046 845 400 445 41.30

31 Etia 454 2110 646 343 303 30.62

32 Kokodie 31 129 36 20 16 27.91

33 Abankurom 178 820 263 123 140 32.07

34 Abenase 161 1013 615 303 312 60.71

35 Abenase- Onwe 164 821 269 135 134 32.76

36 Abetinim 151 551 83 50 33 15.06

37 Adumasa 591 2724 1012 500 512 37.15

38 Afraku 40 202 82 40 42 40.59

39 Akronwe 66 529 471 190 181 89.04

40 Akyawkurom 186 909 433 223 210 47.63

41 Akyenakurom 363 1843 647 333 314 35.11

42 Amoadu 30 156 54 33 21 34.62

43 Amoadu-Onwe 629 3244 1459 800 645 44.98

44 Amoamachiase 475 2066 509 208 301 24.64

45 Apimso 169 708 174 79 95 24.58

46 Asaman 98 418 164 95 69 39.23

47 Asotwe 506 2156 797 406 391 36.97

48 Bankrogya 37 202 130 60 70 64.36

49 Bankroso 41 219 129 78 51 58.90

50 Besease 618 2781 855 455 400 30.74

51 Boamadumase 132 531 181 100 81 34.09

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52 Boankra 209 776 89 39 40 11.47

53 Baotenkurom 16 58 12 5 7 20.69

54 Bomfa 414 1990 694 294 400 34.87

55 Bonwire 1064 5412 2684 1233 1451 49.59

Source: Social Welfare and Community Development, 2016

2.6.2.1 Challenges According to the NHIS Department

 Inadequate printers for the exercise.

 No official vehicle.

2.6.3 HOSPITAL WELFARE SERVICES

Institutional Care

- In the 2nd quarter one abandoned baby case was recorded in which the baby was handed

over to the programme head at the regional office. Another case was recorded when two

stranded children in the municipality was referred to the KiKu Shelter for temporary

accommodation.

- During the 4th quarter the department reunited a pregnant woman who had strayed her way

to the Municipal hospital from Western Region with her family. One child Daniel Ampong

was referred from the DOVVSU unit as missing. The child is now under the supervision

of Kumasi Children’s home.

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2.6.4 Livelihood Empowerment against Poverty (LEAP)

The Livelihood Empowerment against Poverty (LEAP) as a social protection programme commenced in the municipality in the year 2016. Esoko and partners as private consultants had the contract to sensitize the beneficiary communities after which the enumeration went within four months period. Nine hundred and eleven beneficiary households qualified to benefit from the cash transfer programme (LEAP).

Beige Capital Bank and the Department of Social Welfare together have also enrolled the beneficiary caregivers unto the e-zwich biometric payment system for the electronic payment through GHIPS as the financial consultant.

Payment is done every two months. One beneficiary household with is entitled to GH₵32 per month, so during each payment the person receives GH₵ 64.00. Two beneficiaries household has

GH₵ 36.00 per month in effect GH₵ 72 at each payment. Three beneficiaries household receives

GH₵ 88 during each payment, GH₵ 44 per month. Four beneficiaries household has GH₵ 53 per month, GH₵ 106 at each payment. Ranging from the above the least amount is GH₵ 64 with the highest as GH₵ 106. Beneficiaries have had their first cash out for two payments, that is October and December, 2016. They have received double of their amounts.

2.6.4.1 Challenges under LEAP

There were some challenges during the payment as some beneficiaries account was not credited.

A report was quickly sent on that to the LEAP secretariat who also directed that a detail report be sent to that effect so that they can work on that for them to be paid during the next cycle payment.

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A few of the beneficiaries were not also around during the biometric enrollment and therefore could not be paid. They will also be enrolled at the bank before the next cash out.

2.6.5 Non-Governmental Organizations (NGOs)

During the year under review two NGOs were registered namely Charitable Islamic Foundation and AmaNyame Memorial Medical Center.

2.6.6 JUSTICE ADMINISTRATION

2.6.6.1 Probation Service

One juvenile who was in police custody has been cautioned and discharged. Two juveniles who were released on probation are still under supervision. They are showing remorse and responding to treatment. The murder case involving a seventeen year old juvenile is still pending as the court awaits responds from the Attorney generals department (ADR). One custody / maintenance case was referred from the circuit court Kumasi, to the agency requesting for social enquiry report. The report has been submitted to the court through the programme head at the regional office of social welfare in Kumasi.

2.6.6.2 Social Enquiry Report (S.E.Rs.)

In all eight (8) Social Enquiry Reports (SERs) were submitted to the court.

In the first quarter the court ordered four (4) SERs, three (3) were on juvenile defilements which involved two juvenile offenders. The last one was on a custody case which involved two children of three (3) and two (2) years.

In the second quarter, the office submitted two Social Enquiry Reports to the Family Tribunal

Court, the cases were referred to the probation officer to investigate and submit Social Enquiry

Reports, they were on child custody and maintenance.

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In the third quarter one (1) SER on custody case was submitted to the circuit court in Kumasi.

In the fourth quarter one (1) SER was submitted to the court on a juvenile charged with causing harm.

2.6.6.3 Family Tribunal

The family tribunal was active throughout the year, three (3) marriages were dissolved with properties shared, on another case a cocoa farm was shared of which the applicant received her share as there was marriage separation.

2.6.7 Child Rights and Protection:

Eighty three (83) cases were recorded in all during the year 2016. Out of the total, thirty three (33) cases were recorded under child maintenance of which nineteen (19) were successful with three (3) pending and eight transferred to the family tribunal. Also, three (3) were out of the office.

Under Family Welfare, a total of thirty three (33) cases with eighteen (18) successful ones recorded. Eight (8) were pending whereas two (2) were referred to the family tribunal and five (5) were taken out of the office.

Child Welfare saw three (3) successful cases with one (1) pending and one (1) out of office in all a total of eight (5) cases were recorded.

Child custody saw nine (9) total cases. Seven (7) were successful, one (1) was pending and the remaining one (1) was sent to the Family Tribunal.

Two (2) total cases were recorded under Hospital welfare of which all were successful.

One case was recorded under paternity which was not successful.

2.6.7 Day Care Inspection

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A total of Six (6) day care centers were visited and one Orphanage house was also visited and closed down by the help of the police. Again, twenty (20) of the day care centers were served with invitation letters to attend workshop, one day care center was registered with the Assembly and two have submitted application for approval and certification.

Committees

The Unit serves on the under listed Committees of the Assembly. The Committees are;

- Social Services Sub – Committee

- Municipal Oversight Committee on Education

- Gender Sub – Committee

- Municipal Education Disciplinary Committee

- Municipal Response Management Team on HIV/ AIDS

- Municipal AIDS Committee

- Municipal Planning Co-ordination Unit

- Municipal Scholarship Committee and

- Municipal Disability Fund Management Committee

- Municipal LEAP Implementation Committee (which has been added in the month of

December)

Amongst the above, the Municipal Response Management Team on HIV/ AIDS, Municipal AIDS

Committee, Municipal Planning Coordination Unit and Municipal LEAP Implementation

Committee held meetings during the 4th quarter. The LEAP implementation committee held meeting during the year.

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2.6.8 Challenges

Office accommodation remains a big challenge to the department. The issues of logistics also post a big challenge for instance, during the LEAP implementation officers could not access vehicle from the Assembly to embark on the exercise and had to rely on the bank, which sometimes

Compelled them to sit at the back of pick up through the rough road to the communities, which is not the best for their health and safety.

Way Forward

The Department continues to lobby for the Assembly support in their programmes and activities.

2.6.9 DEPARTMENT OF COMMUNITY DEVELOPMENT

The Department of Community Development has worked effectively within the year in retrospect in relation to its duty to enhance the living standards of people living within the municipality. The department is to assist in organizing community development program to improve and enrich rural life. Also help to promote and encourage women living in the deprived and rural areas to improve upon their living standard from undesirable to a desirable one.

2.6.9.1 Programme Performance

2.6.9.2 Mass Meetings

During the year of review, (25) Mass Meetings were organized in the Ejisu-Juaben Municipality to educate community members on development issues. Topics discussed were increasing rate of teenage pregnancy, Environmental sanitation, personal hygiene (laying out backyard gutters), the

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causes of bush fire etc. The planned target set in terms of the number of meetings and attendance was achieved.

2.6.9.3 Study Groups

During the year of review, Twenty two (22) study groups were formed in the Ejisu-Juaben

Municipality. Some of the topics discussed were Impacting students on how to control teenage pregnancy, Assessment and data collection and Mobilization of resources. During the year several reading clubs were formed, and students were taught on how to read and write. Appointing leaders within groups to facilitate group meetings in selected communities, and also organizing inter-group competition for all groups formed.

2.6.9.4 Women Work

The female staff organized and worked with thirty six (36) women groups were formed Some of the activities undertaken with the group were; home visits, health education, income generation activities, home management, sex education, and family planning. Planned target was achieved.

2.6.9.5 Extension Integrated Programmes

Community Water and Sanitation Programmes

The management committee of Kwaso Small Town Water Supply System was successfully audited by the Municipal Assembly.

The Community Development Unit collaborated with NBSSI in areas of community mobilization and training of group members in livelihood project (soap making)

2.6.9.6 INSTITUTIONAL WORK (VOCATIONAL TRAINING COMMUNITY DEV’T

TECHNICAL INSTITUTE (KWAMO)

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The institution trains the youth to acquire vocational skills so as to make them self-

employed. The skills taught are carpentry and joinery, block laying and concreting, general

electrical, plumbing and auto mechanics.

The following challenges are confronting the school at the moment and needs the support of

the Municipal Assembly.

- Inadequate dormitories and classrooms

- Inadequate workshop

- Inadequate toilet facilities

2.6.9.7 Literacy Programme

Formation of reading clubs to students in five (5) selected communities in the Municipality

Teaching the adults in selected communities under the municipality on how to read and write.

2.6.9.8 Challenges

Office accommodation remains a big challenge to the department. The issues of logistics also post a big challenge. The Department of Social Development lacks adequate logistics such as motorbikes, computers (laptops/ desk tops) and other related equipment. To start with, we would be glad if the Municipal Assembly purchases a vehicle to aid the Department in its operational activities.

Also for the large numbers of staff at the Department, our office space and furniture are limited.

In the long term, we would appreciate a more spacious and well-furnished office to allow for more independent work and confidentiality with clients.

2.6.9.9 Way Forward

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The Department continues to lobby for the Assembly support in their programmes and activities.

2.6.10 ACTIVITIES OF THE GENDER DESK OFFICE i. Sensitization of Market women A team from the Assembly visited the Ejisu-Juaben market centre to interact with the women on outbreak of cholera and its effects. It was brought to bear that the women at the centres had no place of convenience thereby leading to improper disposal of excreta around the market. They were therefore educated on the need to keep the market surroundings clean to prevent the outbreak since their environment makes them prone to cholera. They were also encouraged to pay taxes for the betterment of their welfare. ii. Sensitization on Family Planning Secondly, a health walk was organised to sensitize couples on how important it is to adopt family planning measures and child spacing. The Municipal Health Directorate delivered an awareness message on family planning specifically on the basis of child spacing to couples. Furthermore, a total of 60 participants were sensitized on the use of condoms with 77 being males and 33 being females. The aim was to prevent the youth from attracting STD’s or to refrain from sexual immoralities.

Finally, adult literacy was organised for 20 women on home keeping, home economics and records keeping. Among the women trained, 5 were market women and the remaining 15 were hairdressers association in the Municipality. The aim of the education was to keep their records neatly to enable them balance their records properly.

2.6.11 Challenges encountered in 2016

1. Insufficient funds to carry out activities in the Municipality 2. Lack of means of transport 3. Inadequate logistics for the Department CHAPTER THREE KEY ISSUES ADDRESSED 3.1 Key Issues Addressed

3.1.1 Over-crowding in Schools

From 2014-2016, the Assembly has been able to complete and handed over three (3) no. 11-unit classroom block to ease over-crowding in basic schools at Okyerekrom and New Koforidua.

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Again, to improve facilities in Senior High Schools, the Assembly has constructed 1no.160 bed capacity girl dormitory block with housemistress bungalow, 10 seater WC toilets, 15 cubicle bath- houses and supply 80 bang beds for Ejisu Senior High. These projects were funded from the DDF and UDG.

3.1.2 Inadequate School Furniture The Assembly has been able to supply about 800 dual and mono desks to basic schools in the Municipality. The idea is to improve teaching and learning in basic schools.

3.1.3 Rehabilitation of Feeder roads The Assembly using its grader was able to reshape some selected farm tracks to avoid post-harvest losses and enhance transportation of agricultural produce to the marketing centres. Also, pothole patching was done on the Onwe road totalling 5.4 km. Finally, gravelling of Apromoase Kokoben road has also been completed.

3.1.3 Access to Health care

The Assembly has constructed CHPS at Dumakwae, New Koforidua, Bankroagya, Esaase and Amoamachiase solely to improve access to quality health care delivery in municipality. Similarly, children’s ward has been completed and handed over to Juaben Government Hospital for use.

3.1.4 Improvement in Potable water supply The Assembly has been able to improve the potable water and sanitation coverage in the municipality. This was made possible by the construction of 5no. mini water system with overhead tank at Ejisu, Asotwe, Boakra, Ejisu Gov’t and Serwaakura. Subsequently, 1no. 30 seater W.C toilet with borehole have been constructed at Adumasa, Kwamo,Akyenakrom,Apromase and Bomfa. Also, 10no.boreholes have been completed at Serwaakura and Asawasi respectively.Again, the Assembly has conducted performance assessment of the three (3) Water and Sanitation Management Board in Onwe, Juaben and Kwaso. This exercise has helped the Assembly to identify water and sanitation issues and address them accordingly. Also, the Assembly in collaboration with the Community Water and Sanitation Agency (CWSA) has formed and strengthened the capacity of WATSAN committees in ten (10) communities which has benefited from the GoG borehole projects. This is to ensure proper management of the boreholes.

3.2 Key issues yet to be addressed

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3.2.1 Support to the Agricultural sector The Municipal economy hinges on agriculture and its related activities. However, support to the agricultural sector leaves much to be desired. Farmers in the Municipality find it difficult to access credit from the financial institutions due to their inability to provide the needed collaterals. Thus, farmers are unable to maintain their farms or expand them. They have therefore been experiencing low productions. The Assembly using the Agricultural Department and the Cooperative Department would embark on educational drive for farmers to form Cooperative Societies and revive the dormant ones. This is to enable farmers access group loans from the financial institution. Through the Cooperative Societies, farmers would be exposed to modern farm techniques, advice from Extension Officers and proper use of chemicals to improve yields.

3.2.2 Waste Management Management of waste has become a daunting task to the Assembly as many communities have heaps of refuse at the dumping sites posing health threats to the inhabitants of these communities. These communities include but not limited to Asotwe and Onwe. The Assembly needs additional sanitation equipment such as wheel loader, excavator, etc to combat `these insanitary conditions.

3.2.3 Sprawling Urbanization

There is increasing urbanization along the transport corridor stretching from Manhyia through Besease and Ejisu to Fumesua because the Ejisu – Juaben Municipality is an attractive part of the Kumasi Metropolitan Area. This will result in high population growth in the Municipality since the regional capital’s population is predicted to double during the next 15 years within its limited metropolitan space. As a result, part of the surplus population would move to the neighbouring districts including Ejisu – Juaben Municipality. Kwamo, Krapa, Fumesua, Tikrom Bebre, Donyina Donaso and their immediate environs are already experiencing spiral urbanization from Kumasi. In addition, there is urban pressure on Ejisu and its environs from the northeast of the Municipal area.

One major effect of the unbridled urbanization is the increasing sanitation burden the Assembly has to contend with not to talk of the pressure on existing infrastructure and services. Scramble for otherwise fertile agricultural land for residential use is an emerging issue in the parts of the Municipal area close to Kumasi. 80

To address the problem the KMA and its adjoining districts namely; Kwabre East District Assembly, Atwima-kwanwoma District Assembly, Assembly, Afigya- Assembly and Ejisu Juaben Municipal Assembly are beneficiaries of the Greater Kumasi Project.

The Greater Kumasi Project is a project funded by the Japanese government through the Japanese International Co-operation Agency (JICA) to assist the Assembly develops and prepare a comprehensive spatial development framework. The Project focuses on urbanization and aimed at providing development oriented programmes and projects that will reduce poverty and protect the vulnerable; ensure access to adequate social services, clean environment within a decentralized setting.

3.3 RECOMMENDATIONS.

. Mobilization of local revenue for development

The Assembly should channel resources for the re-valuation of all immovable properties in the Municipality. Steps should be initiated by the Assembly to up-date the Revenue Register to check leakages in revenue mobilization. . Provision of logistics The Assembly should do well to provide enough logistics especially to the MPCU to facilitate their activities. . Recommendation under Education The Assembly in collaboration with Ghana education service could ensure improvement and better performance towards quality, equitable and accessible education in the municipality by increasing in Net Enrolment Rates at the basic school level which would demands for an expansion in school infrastructure. Finally, more incentives for girl child education should be introduced by stakeholders to reverse the declining Gender Parity Indices at JHS and SHS levels.

3.2` Conclusion

Management of the Assembly have initiated steps to improve Assembly’s IGF and mobilize additional funding from external sources including public private partnership to generate funds for the execution of programmes and projects to ensure the achievements of the goal and objectives set up in the MTDP 2014-2017. To this end, the Assembly would ensure effective collaboration

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with stakeholders including Heads of Departments, Assembly members, Zonal council officers, Traditional leaders to improve standard of living in the Municipality.

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APPENDIX I PROGRESS REPORT MATRIX FOR 2016

Expected Date Actual Contract Payment Source Status No. Project Location Contractor Completion Remarks Started Completion Sum To Date of Fund % Date Train 25 palm oil Municipal- extracters (at least DACF 1. wide 6,000 17,500 100 Completed 50% being females).

Train 5 communities in soap making( 125 Municipal- participants)(At least IGF 2. wide 3,000 10,000 100 Completed 50% or participants being females.)

Train Atia cassava processors for Municipal- pastries (25 IGF 3. wide 10,000 10,000 100 Completed participants - at least 50% being females)

Organise training in technical improvement in _ IGF 4. - - - 8,000 2,000 100 Completed finishing in wood work.

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Expected Date Actual Contract Payment Source Status No. Project Location Contractor Completion Remarks Started Completion Sum To Date of Fund % Date Organise training in Ejisu Zonal mushroom DACF 5. Council 2,000.00 54,000 100 Completed cultivation.

Train and support to 500 women in Municipal- agriculture with DACF 6. wide - - - 5,000.00 10,000 100 Completed emphasis on cash crop.

Carry out survellence Municipal- DACF 7. on farm animals. wide - - - 1,000.00 4,000 100 Completed

Undertake Municipal- Monitoring visits to DACF 8. wide - - 6000 6,459 80 On-going farms

Support Farmers's Municipal- DACF 9. Day Celebration wide - - 14,000 14,000 100 Completed

Organise anti- Municipal- IGF 10. bushfire campaign wide - - - 5,000 30,000 100 Completed

Celebrate World Municipal- Disaster Reduction IGF 11. wide - - - 500 17,500 100 Completed Day

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Expected Date Actual Contract Payment Source Status No. Project Location Contractor Completion Remarks Started Completion Sum To Date of Fund % Date Completion of 1NO.16 Seater w.c Bomfa Dextex Co. DDF 12. 30/12/15 12/06/2016 - 79,460.43 30,343.43 60 On-going toilet Ltd

Re-sealing of juaben Municipal- Road 13. Hospital Road wide - - - 1,532,222 1,532,222 Fund 100 Completed

Minor rehabilitation Municipal IGF 14. and upgrading wide 10,000 10,442 30 On-going

Construction of 4No. Min-water system (mechanized Municipal- UDG 15. borehole with wide - - - 10,000 20,000 100 Completed overhead tank and stand pipe)

Complete the Ghana Municipal- surfacing of Akosua Road 16. wide - - - 2,000 48,000 100 Completed Nkrumah Rd. Fund

i.Adako- Jachie (2.5km), Complete the Ghana ii.Section of 17. surfacing of Abankro Helping 2,000,000. Road Fumesua- 20/10/15 08/04/16 10/07/16 32,345. 100 Completed Rd. phase 1 Hearts 00 Fund Kokobra- Ekyem(1.8k m)

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Expected Date Actual Contract Payment Source Status No. Project Location Contractor Completion Remarks Started Completion Sum To Date of Fund % Date Ejisu- Surveys and data Bonwire IGF 18. collection - - - 350,000 4,000 100 Completed Station

Regulation of Selected Champion IGF 19. - - - 1,650,446 53,400 100 Completed transport activities roads Man Co. Ltd

Completion of 3No. Apromase, 16-seater WC toilet Achinakrom, 150,000 DDF 20. with a mechanized Jitwene Ltd 04/2/14 04/12/16 20/12/16 73,000 100 Completed Kwamo borehole

Update data on Municipal 2,000 IGF 21. faciliites wide - - - 59,857 100 Completed

Carry out fumigation Municipal 8,000 IGF 22. exercise wide - - - - 10,000 100 Completed

Supervise the activities of butchers Ejisu, 4,000 IGF 23. - - - - 2,000 100 Completed and meat sellers

Boamaduma se, Abankro, Asawase, Carry out monthly Onwe, field visit to premises 66,859.44 IGF 24. Timeabu, 76,000 100 Completed of food vendors Onaa, Esaase, Odoyefe

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Expected Date Actual Contract Payment Source Status No. Project Location Contractor Completion Remarks Started Completion Sum To Date of Fund % Date Completion of Juaben Street Juaben 190,703.0 UDG 25. Naming and Property - - - 174,000 100 Completed Addressing System

conduct routine Ejisu, New inspection and Koforidua, 16,500.00 IGF 26. enforcement of Gbonta.Ltd. 100 Completed AdakoJachie 120,103 building regulations

Procurement of 300 Municipal units of school 125,000. DDF 27. Wide 125,000 100 Completed furniture ( dual desk)

Completion of 1No. 8-Unit classroom Okyerekrom 63,000.00 DDF 28. 25,000 100 Completed block

Construction of 1NO.3-Unit New 128,000.0 DDF 29. classroom block for Koforidua Repisco Ent. 08/12/15 08/09/16 08/09/16 100 Completed new koforidua

GES - IGF 30. Support STME Clinic - 100 Completed

Support 20 needy Municipal but brilliant students 5,000.00 IGF 31. 4,000 100 Completed (at least 50% being wide females) under

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Expected Date Actual Contract Payment Source Status No. Project Location Contractor Completion Remarks Started Completion Sum To Date of Fund % Date Municipal Scholarship Scheme)

Completion of CHPS Bankroagya Jitwene Co. 100,000.0 DDF 32. 08/4/13 08/10/13 09/20/13 67,681 100 Completed Compound Ltd

Construct Administrative Block Juaben 59,187.93 DDF 33. 10,000 100 Completed for Juaben Hospital

Construction and equipping1NO. CHPS Dumakwae 39,620.00 DDF 34. - - - 30,000 100 Completed Compound

Construction of emergency and Ejisu 35,000.00 DDF 35. accident unit for 1,000 100 Completed Ejisu Govt Hospital

Support immunization and education on Municipal 45,000.00 DDF 36. preventable/ Wide 72,780 100 Completed communicable disease

Support Roll Back Municipal Malaria Campaign & 10,000 DACF 37. Wide 100 Completed Polio eradication. 28,235

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Expected Date Actual Contract Payment Source Status No. Project Location Contractor Completion Remarks Started Completion Sum To Date of Fund % Date Promote maternal Municipal- health and 500 DACF 38. wide 12,000 100 Completed reproductive rights

Carryout an outreach programmes to 5 SHS Municipal and 10 JHS to 80,000.00 UDG 39. Wide 56,328 100 Complete educate them on HIV/AIDS

Celebrate AIDS Day Ejisu 79,000.00 UDG 40. 120,000 100 Completed

Facilitates the selection of 30 Municipal communities to 80,000.00 UDG 41. Wide 8,000 100 Completed benefit from the LEAP program

Support 50 students with disabilities at Municipal 79,000.00 UDG 42. various educational Wide 9,500 100 Completed institutions

Inauguarate 9no. Municipal DACF 43. Zonal councils wide Destex Ent 08/4/13 08/10/13 10/11/13 2,000 72,914 100 Completed

Municipal Inaugurate and train GoG 44. Jonalfku 13/6/13 13/10/13 20/11/13 16,000 98,755 100 Completed unit committee wide

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Expected Date Actual Contract Payment Source Status No. Project Location Contractor Completion Remarks Started Completion Sum To Date of Fund % Date members on their fuuctional areas

Mid-term review of _ 5,000 UNFPA 45. 2014-2017 MTDP 5,000 100 Completed

Organise performance review Municipal 5,000 UNFPA 46. on the 2015 Action wide Jonalfku 50,320 100 Completed plan

Monitor assembly Municipal 1,000 IGF 47. projects wide 20,000 100 Completed

Organise quaterly Municipal 15,000 DACF 48. wide 73,346 80 On-going MPCU Meetings

Training and Municipal 10,000 DACF 49. seminars wide - - - 10,000 100 Completed

Procurement of Municipal 10,000 DACF 50. office consumables wide - - - 1,500 100 Completed

Procurement of Municipal 5,000 DACF 51. office equipment wide 50,000 100 Completed

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Expected Date Actual Contract Payment Source Status No. Project Location Contractor Completion Remarks Started Completion Sum To Date of Fund % Date Celebration of Municipal 10,000 DACF 52. national days wide 10,104 20 On-going

Maintenance & Municipal repairs of officials 30,000 DACF 53. wide 10,000 100 Completed vehicles

Maintenance of Municipal general office 10,000 DACF 54. wide 7,000 100 Completed equipment

Renovate Assembly Helping Municipal bungalows and Heart 200,000 DDF 55. wide 11/11/13 14/06/14 8,352 10 Completed Offices Company Ltd Organise 2no, town Municipal DACF 56. hall meetings wide - - - 10,000 5,000 100 Completed

Update revenue Ejisu Norlap 87,000 UDG 57. 01/01/16 01/08/16 13/10/16 45,200 100 Completed database Com. Ltd.

Organise quarterly review meetings with Ejisu 25,000 DACF 58. - - - 70,000 100 Completed revenue collectors ,officers and revenue

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Expected Date Actual Contract Payment Source Status No. Project Location Contractor Completion Remarks Started Completion Sum To Date of Fund % Date task force on the performance of IGF

Organise training for Selected 20 revenue 40,000 IGF 59. Locations - - - 1,000 100 Completed collectors

Monitor the activities Ejisu 20,000 IGF 60. of revenue collectors - - - 20,000 100 Completed

Payment of compensation to _ 10,000 IGF 61. non- mechanized - - - 800 100 Completed workers

Completion of 3- storey 6No. 1 _ Norlap 50,000 IGF 62. 01/11/13 01/07/14 40,000 30 On-going bedroom police Com. Ltd. quarter

Construction of - storey 4No. 2

63. bedroom police quarters.

Organise orientation

64. workshop for 50 market women on

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Expected Date Actual Contract Payment Source Status No. Project Location Contractor Completion Remarks Started Completion Sum To Date of Fund % Date assembly's fee fixing resolution

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