Volta Region) 49
35078 CAPACITY ENHANCEMENT NEEDS ASSESSMENT SERIES Public Disclosure Authorized Delivering Services to the Poor An Assessment of the Capacity to Deliver Education, Health, and Water Services to Local Communities in Ghana Public Disclosure Authorized Guy Darlan and Kofi Anani Public Disclosure Authorized World Bank Institute Public Disclosure Authorized i TABLE OF CONTENTS ACKNOWLEDGMENTS iii ABBREVIATIONS AND ACRONYMS iv EXECUTIVE SUMMARY v INTRODUCTION 1 SUMMARY OF FINDINGS AND PROPOSED SOLUTIONS 4 1. Generic Capacity Constraints 4 - Weak Policy Framework 4 - Weak Regulatory Framework 6 - Confusion about Roles of Key Actors 7 2. Capacity Constraints by Sector 11 - Education 11 - Health 13 - Water and Sanitation 14 3. Proposed Solutions 16 - Recommendations by CENA Participants 16 - Observations and Recommendations by CENA Facilitators 23 ANNEXES 25 1. Application of CENA Methodology 26 2. Selected Data on Roles and Capacity Ratings of Actors in Education, Health, and Water Services 37 3. Local Governance Arrangements 46 4. District Profiles (Volta Region) 49 ii Acknowledgments We would like to acknowledge, with thanks, Mr. Kofi Marrah for the coordinating role he played in organizing all phases of the assessment. Without his contribution, this work could not have been completed successfully within the allotted time and resources. We would also like to thank the government and donor representatives who provided us with support, suggestions, and encouragement during the CENA launch; in particular, Country Director Mats Karlsson, Eunice Dapaah, Arthur Swatson, Smile Kwawukume, and Emmabel Hammond, in the World Bank Office in Accra, and Dorothea Groth, in the German Development Cooperation in Accra. We thank the peer reviewers for their guidance as we were finalizing this report; namely, Reiner Woytek, Senior Knowledge Management Office, World Bank; Jean-Roger Mercier, Lead Environmental Specialist, World Bank; and Kwesi Appiah, Executive Director of the Civic Foundation in Ghana.
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