HARD WORK, REPUBLIC OF UNITY IN PROGRESS

EFUTU MUNICPAL ASSEMBLY

ANNUAL PROGRESS REPORT

FOR THE YEAR

2014

PREPARED BY MPCU

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Contents LIST OF TABLES ...... 6

LIST OF FIGURE ...... 7

LIST OF CHART ...... 7

LIST OF ACRONYMS ...... 8

MONITORING TEAM MEMBERS ...... 10

0.0 EXECUTIVE SUMMARY ...... 11

CHAPTER ONE ...... 13

1.0 INTRODUCTION ...... 13

1.1 PROCESSES INVOLVED AND DIFFICULTIES ENCOUNTERED ...... 14

1.2 CHALLENGES ENCOUNTERED ...... 14

1.3 STATUS OF IMPLEMENTATION OF MEDIUM TERM DEVELOPMENT PLAN (MTDP) ...... 15

CHAPTER TWO ...... 16

2.0 GENERAL PROFILE OF THE MUNICIPALITY ...... 16

2.1 HISTORICAL BACKGROUND ...... 16

2.2 PHYSICAL CHARACTERISTICS ...... 16

2.3 DEMOGRAPHY ...... 17

2.4 ETHNICITY AND RELIGION ...... 18

2.5 INFRASTRUCTURE AND SERVICES ...... 18

2.6 EDUCATION ...... 18

2.7 HEALTH ...... 19

2.8 WATER AND ELECTRICITY ...... 19

2.9 ROADS ...... 20

2.11 MARKETS AND BANKS ...... 20

2.12 ORGANISATIONAL STRUCTURE ...... 20

2.16 CENTRAL ADMINISTRATION CO-ORDIANTED PROJECTS AND PROGRAMMES ...... 20

2.13 VISION ...... 21

2.14 MISSION STATEMENT OF THE MUNICIPAL ASSEMBLY ...... 21

2.15 OBJECTIVES OF THE MUNICIPAL ASSEMBLY ...... 21

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2.15.1 PROGRESS REPORT ON DEVELOPMENT PROJECTS (COMPOSITE) ...... 23

2.15.2 COMMON FUND PROJECTS ...... 28

2.15.3 MONITORING REPORT FOR THE UTILIZATION OF INVESTMENT GRANT (DDF 1) ...... 29

2.15.4 MONITORING REPORT FOR THE UTILIZATION OF INVESTMENT GRANT (DDF 2) ...... 30

2.15.5 URBAN DEVELOPMENT GRANT PROGRESS REPORT ...... 31

2.15.6 URBAN DEVELOPMENT GRANT PROGRESS REPORT ...... 32

2.16 SUSTAINABLE RURAL WATER AND SANITATION PROJECTS (SRWSP) ...... 39

2.16.1 IDA-SUSTAINABLE RURAL WATER AND SANITATION PROJECT ...... 39

DRILLING AND CONSTRUCTION OF BOREHOLES TO BE FITTED WITH HANDPUMPS ...... 39

2.16.2 CONSTRUCTION OF INSTITUTIONAL LATERINES ...... 42

2.16.3 PROVISION OF CONSULTANCY SERVICES FOR COMMUNITY MOBILIZATION, SANITATION AND HYGIEN PROMOTION FOR POINT SOURCE COMMUNITIES...... 46

2.17 IMPLEMENTATION OF CAPACITY SUPPORT FUND (CSF) SUB-PROJECT: STREET NAMING AND PROPERTY ADDRESSING SYSTEM (SNPAS) ...... 47

Fig: 2.3 ON-GOING SIGNAGE INSTALLATION UNDER SNPAS ...... 52

2.18 SECTORAL DISTRIBUTION OF PROJECTS ...... 53

2.18.1 STATUS OF PROJECTS ...... 53

2.19 MUNICIPAL FINANCIAL UP-DATE ...... 55

CHAPTER THREE ...... 57

3.0 CRITICAL DEVELOPMENT AND POVERTY ISSUES ...... 57

3.1 SCHOOL FEEDING PROGRAMME ...... 57

3.2 FREE SCHOOL UNIFORM ...... 58

3.3 GHANA YOUTH EMPLOYMENT AND ENTREPRENEURAL AGENCY ...... 59

3.4 MUTUAL HEALTH INSURANCE ...... 59

CHAPTER FOUR ...... 61

4.0 DEPARTMENTAL PROGRESS REPORTS ...... 61

4.1 GHANA EDUCATION SERVICE ...... 61

4.1.1 NUMBER OF SCHOOLS IN THE MUNICIPALIY ...... 61

4.1.2 ACCESS TO EDUCATION ...... 63

4.1. 3 QUALITY EDUCATION ...... 66

4.1.4 BECE PERFORMANCE—2013/2014 ACADEMIC YEAR ...... 68

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4.1.5 CHALLENGES AND THE WAY FORWARD ...... 70

4.2 DEPARTMENT OF SOCIAL WELFARE AND COMMUNITY DEVELOPMENT ...... 71

4.3 DEPARTMENT OF HEALTH SERVICES ...... 73

4.3.1 HEALTH INFRASTRUCTURE ...... 76

4.3.2 HEALTH FINANCING ...... 78

4.3.3 DISEASE SURVEILLANCE AND CONTROL SERVICES ...... 78

4.3.4 NUTRITION ...... 85

4.3.5 HIV/AIDS ...... 89

4.4 DEPARTMENT OF AGRICULTURE ...... 90

4.4.1 FEATURE OF THE AGRICULTURAL SECTOR IN THE YEAR 2014 ...... 90

4.4.2 RECOMMENDATION ...... 92

4.4.3 CROP (FORECAST) YIELD ...... 93

4.4.4 LIVESTOCK SUB SECTOR ...... 94

4.4.5 INFRASTRUCTURE DEVELOPMENT ...... 98

4.4.7 COLLABORATION WITH DEVELOPMENT PARTNERS AND OTHER PROJECTS ...... 99

4.4.8 IMPLEMENTATION CONSTRIANTS OF PLANNED ACTIVITIES ...... 99

4.5 DEPARTMENT OF PHYSICAL PLANNING ...... 100

4.5.1 ADMINISTRATION AND PERSONNEL ...... 100

4.5.2 CONSTRAINTS, CHALLENGES AND POSSIBLE SOLUTIONS ...... 105

4.6: ENVIRONMENTAL HEALTH AND SANITATION DEPARTMENT ...... 106

4.6.1: MAJOR PROGRAMMES AND ACTIVITIES UNDERTAKEN FOR THE PERIOD INCLUDED ...... 107

4.6.2: PUBLIC TOILETTES ...... 110

4.6.3 HEALTH EDUCATION AND PROMOTION ...... 111

4.6.4 STATUS OF IMPLEMENTATION OF DESSAP ...... 111

4.7 DEPARTMENT OF CO-OPERATIVES ...... 113

4.7.1 SUMMARY OF ACTIVITIES FOR THE YEAR ...... 113

4.7.2 BENEFITS: ...... 113

4.7.3 EDUCATION/ TRAINING SESSION HELD ...... 114

4.7.4 CONSTRAINTS/CHALLENGES ...... 114

4.8 FORESTRY COMMISSION ...... 115

4.8.1 MANAGEMENT OF MINI-POMADZE RAMSAR ...... 115 4

4.8.2 CHALLENGES AND CONCLUSION ...... 123

5.0 CHALLENGES AND CONSTRAINTS ...... 124

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LIST OF TABLES TABLE 2.1: POPULATION OF THE MAIN SETTLEMENTS IN THE MUNICIPALITY ...... 16 TABLE 2.1: LIST OF DEVELOPMENT PROJECTS...... 22-26 TABLE 2.2: COMMON FUND PROJECTS...... 27 TABLE 2.3: DDF SUB-PROJECTS...... 28 TABLE 2.4: DDF SUB-PROJECTS...... 29 TABLE 2.5: UDG1 SUB-PROJECTS...... 30 TABLE 2.6: UDG2 SUB-PROJECTS...... 31 TABLE 2.7: URBAN ROADS/GOG FUNDED PROJECTS...... 32-36 TABLE 2.8: DISTRIBUTION OF FACILITIES BY DISTRICTS...... 38 TABLE 2.9: DISTRIBUTION OF BOREHOLES BY COMMUNITIE...... 39 TABLE 2.10: INSTITUTIONAL LATRINES-BENEFICIARY INSTITUTIONS...... 42 TABLE 2.11: SOME IDENTIFIED STREETS AFFIXED WITH NAMES IN TOWNSHIP...... 48 TABLE 2.12 PERFORMANCE OF REVENUE ITEMS—2014...... 54 TABLE 2.13: EXPENDITURE —2014 ...... 55 TABLE 3.1: GYEEDA PROGRAMME...... 58 TABLE 3.2: BENEFICIARY POPULATION OF MUTUAL HEALTH INSURANCE—2014...... 59 TABLE 4.1 NUMBERS OF SCHOOLS AT ALL LEVELS...... 60 TABLE 4.2 DISTRIBUTION OF SCHOOLS/ ENROLMENT IN PUBLIC SCHOOLS...... 61 TABLE 4.3: DISTRIBUTION OF SCHOOLS/ENROLMENT IN PRIVATE SCHOOLS...... 61 TABLE 4.4: ENROLMENTS BY CIRCUITS IN PUBLIC SCHOOLS...... 62 TABLE 4.5: ENROLMENT IN PUBLIC SHS AND TVET...... 62 TABLE 4.6: GROSS ENROLMENT RATIOS (GER): –BASIC...... 63 TABLE 4.7: GER AT THE SECOND CYCLE LEVEL...... 63 TABLE 4.8A: TEACHING STAFF STRENGTH OF EFFUTU GES –BASIC BY CIRCUIT...... 66 TABLE 4.8B: TEACHING STAFF STRENGTH –SECOND CYCLE AND TVET SCHOOL...... 66 TABLE 4.9: GENERAL PERFORMANCE IN SUBJECT GRADES...... 67 TABLE 4.10: NUMBER OF CANDIDATES OBTAINING AGGREGATES AS INDICATED...... 67 TABLE 4.11: HUNDRED PERCENT SCHOOLS...... 68 TABLE 4.12: PROGRAMME OF ACTIVITIES...... 71 TABLE 4.13: HUMAN RESOURCE FOR HEALTH...... 76 TABLE 4.14: POPULATION H/WORKER RATIOS FOR THE MUNICIPALITY 2014...... 77 TABLE 4.15: TOP TEN CAUSES OF OPD ATTENDANCE FOR THE MUNICIPALITY 2014...... 80 TABLE 4.16: CHILD HEALTH SERVICES...... 84 TABLE 4.17: TREND IN TYPE OF MALNOURISHED CHILDREN...... 86 TABLE 4.18 TREATMENT OUTCOME OF REHABILITATION...... 86 TABLE 4.19: REPORTED CASES OF OPD MALNUTRITION...... 88 TABLE 4.20 CLIMATIC DATA FOR THE PERIOD...... 91 TABLE 4.21 CROP PERFORMANCE 2014...... 92 TABLE 4.22: 2550 FARMERS EDUCATED...... 94 TABLE 4.23: PERFORMANCE ASSESSMENT FOR THE YEAR 2014...... 100-102 TABLE 4.24: DETAILED STATUS OF STREET NAMING AND PROPERTY ADDRESSING...... 103 6

TABLE 4.25: PREMISES INSPECTION...... 109 TABLE 4.26: IMPLEMENTED ACTIVITIES...... 110 TABLE 4.27: WILDLIFE DIVISION—ANNUAL PERFORMANCE REPORT, 2014...... 115-116 TABLE 4.28: FORESTRY DIVISION—ANNUAL PERFORMANCE REPORT, 2014...... 118-121

LIST OF FIGURE Fig. 2.1: CONSTRUCTION OF INSTITUTIONAL LATRINES Fig. 2.2: GLOBAL POSITION SYSTEM (GPS) IDENTIFICATION OF PAVED AND UNPAVED STREET ...... 51 Fig: 2.3 ON-GOING SIGNAGE INSTALLATION UNDER SNPAS...... 51

LIST OF CHART Chart 4.1 TREND OF OPD MALARIA CASES FOR THE EFFUTU MUNICIPALITY, 2010-2013...... 81 Chart 4.2 MATERNAL MORTALITY SITUATION IN THE EFFUTU MUNICIPALITY, 2008 TO 2014....83

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LIST OF ACRONYMS AIDS - Acquired Immune Deficiency Syndrome BECE - Basic Education Certificate Examination CBRDP - Community Based Rural Development Project CHPS - Community Health Planning Services DDF - District Development Facility CWSA - Community Water and Sanitation Agency DANIDA - Danish International Development Agency DPCU - District Planning and Coordinating Unit ECG - Electricity Company of Ghana FBOs - Farmer Based Organizations FP - Family Planning GAC - Ghana Aids Commission GPRS - Ghana Poverty Reduction Strategy HIV - Human Immune Virus ICT - Information Communication and Technology IGF - Internal Generated Fund IDD - International Direct Dial KG - Kindergarten LI - Legislative Instrument M/A - Municipal Assembly MCE - Municipal Chief Executive MCH - Maternal Child Health MCA - Millennium Challenge Account M&E - Monitoring and Evaluation MMDAs - Metropolitan Municipal District Assembly’s MPCU - Municipal Planning and Coordinating Unit MSHAP - Multi-Sectoral HIV & AIDS Programme MTDP - Medium Term Development Plan N/A - Not Available PMTC - Pregnant Mother to Child Counseling RCH - Reproductive Child Health SHS - Senior High School UDG - Urban Development Grant VCT - Voluntary Counseling and Testing 8

VRA - Volta River Authority VIP - Ventilated Improved Pit Latrine

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MONITORING TEAM MEMBERS NAME DESIGNATION SIGNATURE

1. ISAAC MWANGU MUNICIPAL PLANNING OFFICER

2. PROSPER AFENYO MUNICIPAL BUDGET ANALYST

3. DANIEL GAWUGAH MUNICIPAL WORKS ENGINEER

4. RICHARD ANOKYE MUNICIPAL FINANCE OFFICER

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0.0 EXECUTIVE SUMMARY The Effutu Municipal Assembly, as established by the Local Government Act (Act 462) and L.I 1860 of 2007, has the obligation to initiate and implement socio-economic development programmes, projects and activities to improve the living conditions of the people within the Municipality. As policy and programmes implementation agent of the Government, it is mandatory for the Municipal Assembly to submit its progress reports on programmes and projects to the National Development Planning Commission (NDPC), the Regional Co-ordinating Council (RCC) and other development partners. These reports; quarterly and annually, enumerate the physical and non-physical projects the Assembly has initiated and implemented to improve the living conditions of the people living within its jurisdiction. These projects are derived from the Municipal Medium Term Development Plan and annual action plan.

The 2014 Annual Progress Report (APR) has been prepared to assess the implementation status of the Municipal Medium Term Development Plan (MTDP) under Ghana Shared Growth and Development Agenda II (GSGDA II). It assessed the status of policy implementations of all decentralized departments in the Municipality. The 2014 APR also assessed the utilization of funds for the implementation of the Medium Term Development Plan of various sources of interventions in the Municipality. The main sources of funding for the implementation of the Assembly’s Medium Term Development Plan under the Ghana Shared Growth and Development Agenda II (GSDA II 2014-2017) include; the District Assemblies’ Common Fund (DACF), Internally Generated Funds (IGF), Urban Development Grant (UDG), District Development Facility (DDF), IDA-Sustainable Rural Water and Sanitation Project (IDA-SRWSP) under the Community Water and Sanitation Agency (CWSA), and Ghana School Feeding Programme (GSFP).

Within the period under review, the Assembly vigorously pursued the provision of physical infrastructural project. The Assembly initiated and implemented forty-Six (46) physical development projects within the Municipality. Sectoral distribution of the projects indicated that forty-one percent (41.3%) of the projects were health, environment and sanitation related projects, whilst thirty-five percent (34.8%) were education projects, Nine percent (8.7%) for the promotion of Good Governance and seven percent (6.5%) for the promotion of Local economic Development in the Municipality. in the Municipality.

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The Assembly is committed to the operationalization of the decentralization concept. It has undertaken a number of projects to ensure good governance within the Municipality. The on-going construction of the Municipal Assembly’s Office Complex has however come to a standstill during the period under review due to inadequate funds. The Assembly had also initiated the acquisition of two offices for two Zonal councils. The construction of 2-storey Municipal Chief Executive (MCE) Residential Accommodation was 100 percent completed.

Though, the period under review was challenging, the Municipal Assembly made significant improvements in the areas of physical infrastructure prevision, improvement in environmental sanitation, social and human capital development within the Municipality.

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CHAPTER ONE 1.0 INTRODUCTION Monitoring and Evaluation (M&E) of development activities provide Government Officials, Development Partners and the Civil Society with better means for learning from past experience; improving service delivery, planning and allocation of resources and demonstrating result as part of social accountability to key stakeholders.

The Municipal Monitoring and Evaluation (M & E) framework for 2014 is to demonstrate to our Social/Development Partners the progress made within the period under review in nine (9) key objectives as;

1) to provide socio-economic infrastructure and services within the Municipality. 2) to ensure efficient and effective revenue mobilization and management. 3) to ensure clean, safe and healthy environment in the Municipality. 4) to promote socio-economic activities in the Municipality especially for the vulnerable and the excluded. 5) to improve upon the logistics and human resources of the Municipality. 6) to enhance Good Governance and Civic Responsibility by strengthening the administrative set-up of the Municipality. 7) to promote effective Private Sector participation in the development of the local economy in the Municipality. 8) to facilitate the development and application of Information Communication and Technology (ICT) base of the Municipality.

Under socio-economic infrastructure and services, the Municipal Assembly laid emphasis for the provision of solid infrastructure as a base to stimulate significant investment towards the growth of the local economy.

The road network within the Municipality is fairly good and has witnessed a significant improvement over the period. Some of the streets within the Municipality that were identified and rehabilitated included the commercial street, Construction of culvert at Ndaamba etc. There was also the provision and installation of street lighting systems

13 along the major streets and obscure areas. There was also an extension of electricity to some Schools and communities which were without electricity.

1.1 PROCESSES INVOLVED AND DIFFICULTIES ENCOUNTERED The processes adopted for the M & E activities in the Municipality for the period involved intra and inter Sectoral Monitoring and Evaluation of programmes and projects that were being implemented in the Municipality within the period under review.

The Intra Sectoral Monitoring and Evaluation of projects and activities were conducted by the Municipal decentralized departments who initiated and implemented programmes and projects in their respective sectors of which they own responsibility.

The Municipal Department of Education has the responsibility to ensure the availability of safe and accessible schools with adequate classrooms within the development framework of the Municipal Assembly. Other key departments in the Municipality that carried out Monitoring and Evaluation of their respective sectors include; Central Administration Department, Department of Agriculture, Health Department, Department of Town & Country Planning, Department of Co-operatives, Department of Social Welfare & Community Development, Department of Works/Feeder Roads, Transport Department and Department of Forestry, These Departments and their Units are directly involved in adopting and implementing strategies that are connected with the Medium Term Development Framework and poverty reduction issues in the Municipality. Their Monthly and Quarterly reports are harmonized for the Municipal composite quarterly and annual progress reports.

The Inter Sectoral Monitoring and Evaluation activity is a participatory monitoring process of all development programmes and projects in the Municipality. The process is the involvement of all stakeholders who are responsible for the discharge of development activities in the Municipality. Within the period under review, the Municipal Planning and Co-ordinating Unit and the Regional Planning and Co-ordinating Unit jointly carried out monitoring of the Municipal level development activities.

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1.2 CHALLENGES ENCOUNTERED The Municipal Assembly over the period was confronted with many challenges that limited its ability to effectively carry out M & E activities of its development plans and programmes.

These included;

1. Absence of comprehensive systems data-based to enable stakeholders to systematically monitor and evaluate programmes and projects. 2. Low capacity of Municipal level staff to establish Municipal level target-base and indicator settings for M&E systems. 3. Inability for the MPCU to meet regularly apart from it quarterly meetings 4. Inadequate and untimely release of funds to implement planned programmes and projects. 5. Inadequate logistical support for decentralized departments to carry out M & E activities. 6. Untimely submission of reports.

1.3 STATUS OF IMPLEMENTATION OF MEDIUM TERM DEVELOPMENT PLAN (MTDP) The Municipal Assembly carried out some of these strategies from its Medium Term Development Plan for 2014 – 2017 during the 2014 planned period.

1. Expansion of educational Infrastructure. 2. Promotion and provision of Health infrastructure 3. Provision of sanitation facilities 4. Extension of electricity to deprived communities within the Municipality. 5. Encourage grassroots participation in revenue mobilization. 6. Promotion of constant interaction among the various stakeholders in the decentralized development process. 7. Rehabilitation of road network for the promotion of the local economy. 8. School enrollment drive programme. 9. Promotion of Good Governance

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CHAPTER TWO 2.0 GENERAL PROFILE OF THE MUNICIPALITY

2.1 HISTORICAL BACKGROUND The Effutu Municipal Assembly is one of the 216 Administrative Districts in Ghana and one of the 20 districts in the . It has one Constituency, Eighteen (18) Electoral areas and Seventy-Three (73) Polling stations and one paramount seat. There are four Zonal Councils in the Municipality namely; 1. Nsuekyir/Gyahadze Zonal Council, 2. Kojo- Beedu North/Low Cost Zonal Council, 3. South-East Winneba Zonal Council and 4. South- West Winneba Zonal Council.

The Effutu Municipal Assembly was carved from the then Awutu-Effutu-Senya-District Assembly. It is sandwiched by on its Western, Northern and Eastern flanks. The southern flank is the Gulf of Guinea. It covers a total land area of 95 square kilometers. It is located between latitudes 5°16’ and 20.18”N and longitudes 0°32’ and 48.32’’W of the eastern part of Central Region.

The Effutu Municipal Assembly was established by the Local Government Act (Act 462) and by L.I.1860 in 2007. Winneba is the administrative capital of the Municipality, a town renowned for the several specialized major institutions of higher learning. The Municipal Assembly has twenty-eight Assembly persons comprising of the Municipal Chief Executive, Eighteen (18) elected persons, Eight (8) Government Appointed members and one (1) Member of Parliament. Out of the twenty-eight (28) members, only four (4), representing 14% are women; thus 2 elected and 2 appointed.

2.2 PHYSICAL CHARACTERISTICS The Municipality is basically low lying with protruding granite rocks and isolated hills (Egyesi Munko Hills) around Winneba. The two major rivers; Ayensu and Gyahadze drain the Municipality and enter the sea at Warabeba and Opram respectively. The Municipality lies within the dry-equatorial climatic zone characterized by low rainfall and long dry season of five months. The annual rainfall ranges from 400 millimeters to 500 millimeters. Mean temperature ranges from 22 degrees Celsius to 28 degrees Celsius. The vegetation is that of the coastal savannah grassland which is suitable for vegetable cultivation or dry season

16 irrigation farming. The soils in the Municipality are largely clay with high salinity hence its suitability for salt production and pottery/roofing tiles production.

2.3 DEMOGRAPHY According to the 2010 Population and Housing Census (PHC), the Municipality has a population of 68,597 made up of 32,795 males (48%) and 35,802 females (52%). In all, this represents 3.1% of the total population of 2,201,863 in the Central Region. The population above 18 years is 41,882; representing 61.1% out of which the male population is 19,623 (46,9%) and the female population is 22,259 (53.1%). It had 17,121 households and with an average household size of 3.6. The urban population constitutes 63, 969; representing 93.3%, with 4,628 representing 6.7% residing in the rural areas. In 2000, the population was 46,574 made up of 21,346 (45.83%) males and 25,508 (54.77%) females. In 1970 and 1984 the population of the Municipality was 32,315 and 32,523 respectively. The growth rate for the Municipality for 2000 and 1984 represents 2.2%.

Winneba with a population of 40,017 is the only urban settlement. The Municipality is urbanized in character and other suburbs of the Winneba are Sankor, Gyangyanadze, Gyahadze, Nsuekyir, Ateitu, Osubonpanyin and Warabeba.

TABLE 2.1A: POPULATION OF THE MAIN SETTLEMENTS IN THE MUNICIPALITY

Sex House S/No. Community Name Male Female Total holds Houses 1 Winneba 27,008 29,348 56,356 14,184 4,853 2 Sankor 3,295 3,659 6,954 1,641 672 3 Gyahadze 537 638 1,175 279 240 4 Nsukyire 477 669 1,146 293 235 5 Atietu 324 376 700 173 213 6 Gyangyanadze 323 336 659 159 117 7 Akosua Village 290 278 568 133 128 8 Warabeba 288 264 552 138 116 9 Asubonpanyin 253 234 487 121 108 Source: Ghana Statistical Service (2014) 2010 Population & Housing Census:

Winneba was one of the first communities in the country to come in contact with European traders. Because of its location, it served as a port where foreign goods were discharged

17 and transported to the interior and major commercial areas such as and West Akim. Due to its role, it became the administrative capital of the then Central Province of the Gold Coast. The relocation of major trading companies in the 1940s to Agona Swedru started affecting the growth of the town. The township suffered even greater loss when the Tema Harbour was completed; the port activities at Winneba were thus shut down and relocated to Tema. With that, most commercial activities also shifted from Winneba to Tema and Accra.

2.4 ETHNICITY AND RELIGION The Municipality is inhabited mainly by the Effutus who are among the Guan speaking group of the country but Fanti is widely spoken by the inhabitants. Minority groups in the Municipality include the Ewe and Gomoa. Christianity is the dominant religion in the Municipality. Other faiths include the Muslims and Africa Traditional Religion. It is said that the Effutu Traditional Council has 77 shrines and groves, with the most popular shrine being Penkye-Otu.

2.5 INFRASTRUCTURE AND SERVICES The Municipal Assembly is laying emphasis on a solid infrastructure base to stimulate significant investment towards the growth of the local economy.

2.6 EDUCATION The Municipality has 60 Nurseries/Kindergarten (22 Public & 36 Private), 58 Primary Schools (25 Public and 28 Private) and 34 Junior High Schools (20 Public & 14 Private). The Winneba Senior High School is the only public second cycle institution and Six (6) private Senior High Schools are located in the Municipality. There is one major tertiary institution; the University of Education, Winneba which has its main campus in Winneba with Campuses at Kumasi and Mampong. There is also the National Sports College of Winneba where sports personnel receive advanced training in their specialized fields and disciplines. Other vocational institutions in the Municipality include; Rev. Father John Vocational Institute, S.H Amisah, Winneba Business School and National Vocational Training Institute.

The basic schools in the Municipality, like several others in the Central Region, face problems of inadequate facilities such as furniture and toilets/sanitary facilities. There are 18 also inadequate supply of textbooks and other teaching aids. Most of the schools are without libraries and ICT facilities. In general, the teaching and learning environment is not very conducive thus adversely affecting performance. There is also high teacher absenteeism as some teachers abandoned classrooms for higher learning.

2.7 HEALTH The Effutu Municipality has five (5) hospitals; the Municipal Hospital, a 120-bed Trauma and Specialist Hospital at Low Cost, and three (3) private hospitals (Otoo Memorial Hospital, Baptist Hospital and Klimovic Hospital), all located within Winneba. There are also two MCH/FP (RCH) clinics at Winneba and three (3) CHPS Compounds at Gyangyanadze, Ensuekyir and Winneba Zongo. In addition, there is one Private clinic (Egyir Clinic) and two maternity homes (Bethel and Mercy Maternity Homes) located at Winneba. The Zongo CHPS compound which was constructed by CEDECOM through the Regional Co-ordinating Council was commissioned on Tuesday 12th February, 2013

Auxiliary health service comes from the Community Health Nursing School also located at Winneba. The School runs a two-year programme to train nurses who provide preventive and promotion of health services to rural communities of Ghana. As part of the training students provide health services to the communities in the Municipality and Ghana as a whole. Though health facilities in the Municipality are adequate, access to the facilities is impeded by poor roads. The top five prevalent diseases in the Municipality are: malaria, upper respiratory tract infections, hypertension/heart disease, typhoid and gynecological disorders.

2.8 WATER AND ELECTRICITY Winneba and its environs are provided with water from Ghana Water Company system whose source is the River Ayensu. The plant which was built in 1922 to serve a population of 5,000 was rehabilitated through a Dutch Government’s Grant to produce over three million gallons of water per day; this caters for the water needs of the people. The Municipality is benefiting from 10 boreholes in 10 communities and institutions under the Sustainable Rural Water and Sanitation Project (SRWSP) which seeks to provide regular supply of water in these communities and institutions in the Municipality. The Municipality

19 is provided with reliable and continuous supply of electricity from VRA/ECG sub-station at Winneba Junction.

2.9 ROADS There is approximately 100 kilometers of road network in the Municipality but only about 30 percent have been tarred; the remaining 70 percent are untarred with some portions in a terrible state.

2.10 POST AND TELECOMMUNICATION

Winneba has a two Post Offices located at Jojo-Beedu and Penkye. Almost all the cell phone network providers are available in the Municipality. The Municipality also has access to a number of Private Internet Cafes and recently the Ghana Telecom has extended its added Broadband facility to Winneba.

2.11 MARKETS AND BANKS The Winneba main market runs on a daily basis. The fish-selling center receives patronage from traders in Accra and Agona Swedru among others. Aside of the markets, trading takes place at kiosks, stores and on tables spread across the township. Six banks provide financial support to commercial activities in the Municipality. These are;Ghana Commercial Bank, ADB, HFC Bank, Akyempim Rural Bank, Emasa Rural Bank and Union Rural Bank. In addition to these, Handiwork of God Enterprise at Winneba provides non- banking financial services within the Municipality. Three credit unions operate in Winneba and in addition there are some private Susu collectors and traditional money lenders of the local economy.

2.12 ORGANISATIONAL STRUCTURE The Municipal Chief Executive as established by the Local Government Act (Act 462) is responsible for both the political and administrative functions of the Municipality. He is however, assisted by the Municipal Co-ordinating Director in the day-to-day administration.

2.16 CENTRAL ADMINISTRATION CO-ORDIANTED PROJECTS AND PROGRAMMES The Central Administration Department as established by Legislative Instrument, 2009 (L.I 1961) is responsible for the provision of support services for effective and efficient general administration and organization of the Municipal assembly. The Central Administration

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Department manages all sections of the Assembly and also co-ordinates the general administration, planning, budgeting, rating, statistical, information services and human resource development of the Assembly.

2.13 VISION A Municipality of excellence pursuing a sustainable and integrated development in a well- planned, secured and investor- friendly environment within the context of social equity and good governance.

2.14 MISSION STATEMENT OF THE MUNICIPAL ASSEMBLY The Effutu Municipal Assembly exists to facilitate improved standard of living of the people through equitable provision of sustainable socio-economic infrastructure and services for holistic development within the context of Good Governance.

2.15 OBJECTIVES OF THE MUNICIPAL ASSEMBLY

i. To increase equitable access to and participation in education at all levels. ii. To improve governance, and strengthen efficiency and effectiveness health delivery iii. To improve access to quality maternal, neonatal child and adolescent health services iv. To prevent and control the spread of communicable and non-communicable diseases and promote healthy lifestyles v. To progressively expand social protection intervention to cover the hard core poor and the vulnerable in the Municipality vi. To promote effective child development in all communities vii. To develop targeted social interventions for vulnerable and marginalized groups viii. To ensure effective implementation of the Local Government Service Act L.I. 1961. ix. To promote a sustainable, spatially integrated and orderly development of human settlement for socio-economic development x. To implement Land use and administration project in the Municipality xi. To accelerate the provision of sanitation infrastructure in the Municipality xii. To adopt to the impacts and reduce vulnerability to climate variability and change xiii. To mitigate the impacts of climate variability and change

21 xiv. To improve agricultural productivity xv. To promote livestock and poultry development for food security and income

Xvi. To promote fisheries development for food security and income

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2.15.1 PROGRESS REPORT ON DEVELOPMENT PROJECTS (COMPOSITE) TABLE 2.1B: LIST OF DEVELOPMENT PROJECTS

No. Name of Location Contract Date Pay't % Source of Remarks Project/Activity Sum to Work Funding Sector Date Done

GH¢

Start

Actual

Expec. Expec.

Comple

Original

Revised

Awarded

1 Construction of 1no. Low Cost Water IDA- Drilled &

Borehole Extension SRWSP successful 70%

199.00

9,941.00 19/04/13 10/02/14 13/02/14 10/02/14

2 Construction of MCD’s Domeabra Governance DACF Standstill Residential 65% accommodation 29/11/11

20,000.00

139,778.00

3 Construction of 1no. Atekyedo Water IDA- Drilled but Borehole SRWSP dry

199.00

9,941.00 19/04/13 19/02/14 22/02/14 19/02/14

4 Construction of MFO’s Domeabra Governance DACF Standstill

Residential accommodation 65%

16/11/11

20,000.00

142,592.00

5 Construction of 1no. Gyangyenadze Water IDA- Drilled &

Borehole SRWSP successful 70%

199.00

9,941.00 19/04/13 18/02/14 21/02/14 19/02/14

6 Construction of 1no. Gyatakrom Water IDA- Drilled but

Borehole SRWSP dry 70%

199.00

9,941.00 19/04/13 10/02/14 14/02/14 11/02/14

23

No. Name of Location Sector Contract Date Pay't % Source of Remarks Project/Activity Sum to Work Funding Date Done

GH¢

Start

Actual

Expec.

Comple

Original

Revised

Awarded

7 Construction of 1no. Gyenhadze Water IDA- Drilled &

Borehole SRWSP successful 70%

941.00

199.00

9, 19/04/13 21/02/14 25/02/14 21/02/14

8 Construction of 1no. Abattoir Water IDA- Drilled but

Borehole SRWSP dry 70%

199.00

9,941.00 19/04/13 18/02/14 21/02/14 18/02/14

9 Construction of 1no. Sankor Water IDA- Drilled but

Borehole SRWSP dry 70%

199.00

9,941.00 19/04/13 19/02/14 22/02/14 20/02/14

10 Construction of 1no. Community- Water IDA- Drilled &

Borehole Health SRWSP successful Nursing Sch. 70%

199.00

9,941.00 19/04/13 08/02/14 12/02/14 08/02/14

11 Construction of 1no. Akonfodze- Water IDA- Drilled & Borehole Adae/ SRWSP successful 70%

199.00

Winnesec 9,941.00 19/04/13 07/02/14 11/02/14 07/02/14

12 Construction of 1no. Ansaful Water IDA- Drilled & Borehole SRWSP successful 70%

199.00

9,941.00 19/04/13 14/02/14 18/02/14 15/02/14

24

No. Name of Project/Activity Location Sector Contract Sum Date Pay't % Source of Remarks to Work Funding Date Done

GH¢

Start

Actual

Expec.

Comple

Original

Revised

Awarded

13 Construction of 4no. 6- Unipra Sanitation IDA- Practically seater KVIP North MA SRWSP completed JHS 100%

22/07/13

92,770.86

121,800.00

14 Construction of 2 storey Winneba Governance DACF Completed residential accommodation 100%

30/11/07

174,336.00 154.414.00

15 Rehabilitation of 12 seater Donkonyem Sanitation DDF Completed WC Toilet 38,060 100%

19/03/13

40,155.00

16 Completion of 6 unit Municipal Education DACF/DDF Completed classroom block Ass. 100%

16/11/11

72,111.00 26,640.00

17 Construction of Culvert Ndamba Other UDG Completed

100%

19/03/13

96,848.00 77,366.00

25

No. Name of Project/Activity Location Sector Contract Sum Date Pay't % Source of Remarks to Work Funding

Date Done

GH¢

Start

Actual

Expec.

Comple

Original

Revised

Awarded

18 Construction of New Health DDF completed CHPS/Clinic/health Winneba centres 100%

19/03/13

49,297.00 29,252.00

19 Completion of 12 seater Sankor Sanitation DDF completed WC/toilet/latrines 100%

19/03/13

38,200.00 35,264.00

20 Construction of Abattoir Seed Economic UDG Completed Company 100%

19/03/13

95,889.00 81,792.00

21 Clearance of Artisans Ansaful Economic UDG Completed village Extension 100%

19/03/13

82,363.00 91,767.00

22 Construction of 6no. 6- AME Zion Sanitation IDA- Practically

seater Institutional Prim. SRWSP completed Latrines 100% ACM Prim./KG

22/07/13

165,749.00 157,111.34 Unipra S/C

23 Completion of 3-Storey Winneba Governance DACF Completed office complex phase (I) 100%

16/09/03

564,976.00 589,392.00

26

No. Name of Location Sector Contract Date Pay't % Source Remarks Project/Activity Sum to Date Work of Done Funding

GH¢

Start

Actual

Expec. Expec.

Comple

Original

Revised

Awarded

24 Rehabilitation of 20 Abasraba- Education DDF completed

seater ICT center Anglican (Library) 100%

49,496.00 19/03/13 18,989.00

25 Completion of 20 seater Winneba Sanitation DACF Completed

WC/toilet/latrine Junction 100%

27,608.00 16/11/11 35,383.00

27

2.15.2 COMMON FUND PROJECTS TABLE 2.2: COMMON FUND PROJECTS

NAME OF PROJECT NAME OF CONTRACT PAYMENT BALANCE STATUS LOCATION CONSTRACTOR SUM

Construction of Office Complex Winneba JOKOHAM CONST. 549,140.38 589,391.94 (40,251.56) Stand still (Phase Ii) LTD

Construction of 2-Storey Winneba M/S K.KUMA ENT. 175,336.36 159,414.43 20,921.93 Completed Accommodation

Construction of MCD's Bungalow Domeabra M/S EKASONS 142,592.07 35,000.00 107,592.07 Stand still COMPANY

Construction of MFO's Bungalow Domeabra M/S LEADS 139,777.99 39,000.00 100,777.99 Stand still CONSTRUCTOR

28

2.15.3 MONITORING REPORT FOR THE UTILIZATION OF INVESTMENT GRANT (DDF 1) TABLE 2.3: DDF SUB-PROJECTS

No. Project Description Sector Location Contractor Budget Start Expect contract Expend. Expend. allocation date comple. sum (GH¢) for the to date Status date Period

1 Completion of 1no. 12 Sanitation Donkonyim M/S Effana 45,901.20 19/3/13 20/7/13 40,155.39 25,403.15 40,063.00 100% seater WC toilet Enterprise

2 Completion of 1no. 12 Sanitation Sankor M/S Limerica 37,768.38 19/3/13 20/7/13 38,200.00 35,264.14 37,120.20 100% seater WC toilet Co. Ltd

3 Completion of Ghana Sanitation Winneba Sanrock 27,608.31 27/3/13 26/7/13 37,337.00 16,391.90 35,383.30 100% @ 50 Anniversary toilet Junction Const. Ltd

4 Completion of ICT Education Abasraba M/S G.D.S 48,987.14 19/3/13 20/7/13 49,496.00 33,280.10 33,280.20 100% Center for cluster of Solutions schools.

5 Completion of CHPS Health Ansaful M/S Pejas 49,987.14 19/3/13 20/3/13 49,297.40 12,247.20 45,904.39 100% compound Co. Ltd

6 Completion of 1no. 6- Education Kojo-Beedu M/S Whatkott 49,211.49 19/3/13 20/7/13 49,921.00 11,933.10 46,240.90 100% unit classroom block Ven. Co. Ltd

7 Procurement of Good Depts/Unit M/S 31,000.00 19/3/13 20/7/13 34,628.60 34,628.60 34,628.60 100% computers and Governance offices Gracelove accessories Creation

8 Procurement of Office Good Depts/Uint M/S 26,000.00 19/3/13 20/7/13 26,883.00 20,600.00 26,833.00 100% equipment Governance offices OstenfieldEnt . 9 Construction of Commerce Winneba Direct Labour 45,104.50 12/9/11 45,103.72 45,103.72 45,103.72 100% Community Business Advisory Center 10 Procurement of 700 Education Various M/S Iadad 45,506.50 27/3/13 28/5/13 49,000.00 32,480.00 32,480.00 100% pieces of school Basic Ltd furniture Schools

29

2.15.4 MONITORING REPORT FOR THE UTILIZATION OF INVESTMENT GRANT (DDF 2) TABLE 2.4: DDF SUB-PROJECTS

No. Project Description Sector Location Contractor Budget Start Expect contract Expend. Expend. allocation date comple. sum for the to date Status date (GH¢) Period

1 Procurement of 100 Education Various M/S Henkoq 190,000.00 15/12/14 8/2/15 289,800.00 289,800.00 289,800.00 100% pieces of Desktop Ventures computers and Limited accessories

2 Rehabilitation of 2 unit Education Gyahadze M/S Emykics 60,500.00 24/12/14 23/3/15 38,100.00 - - 85% classroom blocks, Enterprise office and store Limited

3 Procurement of 50 Education Anglican M/S Mali-Tee 30,000.00 24/12/14 22/2/15 20,000.00 - - 20% pieces of computer JHS Investment furniture.

4 Construction of 3no. Sanitation Various M/S Black 50,000.00 24/12/14 23/3/15 25,350.00 - - 40% hard standing Gold Platforms for Enterprise communal refuse containers

30

2.15.5 URBAN DEVELOPMENT GRANT PROGRESS REPORT TABLE 2.5: UDG1 SUB-PROJECTS

Project Output Contractor Budget Date Expected Contract Expend. Expend. Number of Direct Description Allocation started completion sum For to Date Direct Labour date Reporting

Sector M F M F

Location

Construction Ekasons Slaughter 0

of slaughter on Company 85,000.00 27/07/13 27/07/13 95,889.02 37,433.23 81,792.43 40 12 house

house Sanitati Limited construction winneba

Clearance of l light M/S Altep industrial 96,000.00 27/07/13 27/07/13 82,362.00 27,795.00 81,732.00 450 150 10 0 Limited park (phase Light industrial

Winneba 1) park Industria

Construction M/S Ernma 85,000.00 27/07/13 27/07/13 96,847.82 5,215.87 80,551.00 360 390 50 30 of culvert Ventures Culvert

Ndamba construction Transport

Procurement 7no. 12M3 M/S of 7no. waste Zoomlion 59,000.00 19/03/13 22/03/13 54,022.50 54,022.20 54,022.50 650 750 6 0 12M3 waste container Limited

Winneba container Sanitation Procurement M/S Correct of Consultancy Engineering consultancy services for Group services for studies/ the studies/ design of the 16/12/13 19/5/14 25,000 25,000 25,000

design of the construction of Sankor construction Bio-Digester Sanitation of Bio- procured Digester

31

2.15.6 URBAN DEVELOPMENT GRANT PROGRESS REPORT TABLE 2.6: UDG2 SUB-PROJECTS

Project Output Contractor Budget Date Expected Contract Expend. Expend. Number of Direct Description Allocation started completion sum For to Date Direct Labour date Reporting Beneficiaries

Sector M F M F

Location

Paving ( Concrete pavement

blocks) of Winneba M/S GC- Donkonyeamu - 7,302M² area LOT lorry park 323,593.78 2/10/14 3/4/2015 357,207.90 - - 54 36 15 3 and COMPANY constructed

construction of Transport LIMITED 108M long, 0.45M U-drains lorry park Donkonyeamu Procurement of Individual Consultant for Social & Environmental Safeguards for

Sub-project on

Winneba Paving of Donkonyeamu - Mr. Abdul- 7,302 m2 area lorry park Rahim 60,000.00 28/3/14 15/5/14 35,175.00 - 35,175.00 54 36 4 2 /Const. of constructed Abdulai 100m 0.45m Safeguards long U-Drain at Donkonyeamu Donkonyeam Lorry Park, Winneba

32

TABLE 2.7 URBAN ROADS/GOG FUNDED PROJECTS

No. Name of Location Sector Contract Date Pay't % Source of Remarks Project/Activity Sum to Work Funding Date Done

al GH¢

Start

Actual

Expec. Expec.

Comple

Origin

Revised

Awarded

1 Opening up of Urban Water Works Urban Roads DUR/GOG Procurement Roads in progress

48,818.00

2 Opening up of Urban Olympic/Water Urban Road DUR/GOG Procurement Roads Works in progress

48,378.00

3 Desilting of drain Ponkoekyir Urban Roads DUR/GOG Procurement

road in progress

2,531.10

4 Desilting of Earth drain Sir Charles Urban Roads DUR/GOG Procurement

Road 1 in progress

2,527.00

5 Desilting of Earth drain Sir Charles Urban Roads DUR/GOG Procurement

Road 2 in progress

3,163.00

6 Desilting of culvert inlet Sir Charles Urban Roads DUR/GOG Procurement

and outlet Road 1 in progress

3,138.00

33

No. Name of Location Sector Contract Date Pay't % Source of Remarks Project/Activity Sum to Work Funding Date Done

Sector GH¢

Start

Actual

Expec.

Comple

Original

Revised

Awarded

7 Desilting of drain Sir Charles Urban DUR/GOG Procurement in Road 1-PH1 Roads progress

3,379.00

8 Desilting of drain Sir Charles Urban DUR/GOG Procurement in Road 1-PH2 Roads progress

3,143.00

9 Desilting of Earth Sir Charles Urban DUR/GOG Procurement in

drain Road 1-PH Roads progress

3,118.00

10 Desilting of drain Sir Charles Urban DUR/GOG Procurement in

Road 1-PH 3 Roads progress

3,183.00

11 Desilting of drain Sir Charles Urban DUR/GOG Procurement in

Road 2 Roads progress

3,392.00

12 Desilting of drain Sir Charles Urban DUR/GOG Procurement in

Road 2-PH2 Roads progress

3,388.00 13 Road Edge cleaning Commercial Urban DUR/GOG Procurement in

Road PH1 Roads progress

9,517.50

34

No. Name of Project/Activity Location Sector Contract Sum Date Pay't % Source of Remarks to Work Funding Date Done

GH¢

tart

S

Actual

Expec.

Comple

Original

Revised

Awarded

14 Road Edge cleaning Commercial Urban DUR/GOG Procurement

Road PH2 Roads in progress

9,526.50

15 Desilting of Drain DP Urban DUR/GOG Procurement Petroleum- Roads in progress PH1

3,128.00

16 Desilting of Drain DP Urban DUR/GOG Procurement Petroleum- Roads in progress PH2

3,124.00

17 Desilting of Earth Drain Donkoyiem- Urban DUR/GOG Procurement PH1 Roads in progress

3,137.00

18 Desilting of Earth Drain Donkoyiem- Urban DUR/GOG Procurement PH2 Roads in progress

3,136.00

19 Desilting of Earth Drain Donkoyiem- Urban DUR/GOG Procurement PH3 Roads in progress

3,135.00

35

No. Name of Project/Activity Location Contract Date Pay't % Source of Remarks Sum to Work Funding Sector Date Done

GH¢

Start

Actual

Expec.

Comple

Original

Revised

Awarded 20 Desilting of Earth Drain Donkoyiem- Urban DUR/GOG Procurement PH4 Roads in progress

3,138.00

21 Desilting of Drain Bereku Road- Urban DUR/GOG Procurement PH1 Roads in progress

3,143.00

22 Desilting of Drain Bereku Road- Urban DUR/GOG Procurement PH2 Roads in progress

3,137.00

23 Grass cutting Truama Urban DUR/GOG Procurement specialist Roads in progress hospital area-

PH2 4,207.54

24 Desilting of Drain Bereku Road- Urban DUR/GOG Procurement PH3 Roads in progress

3,143.00

25 Desilting of culvert inlet Bereku Road Urban DUR/GOG Procurement and outlet PH1 Roads in progress

3,138.00

26 Grass cutting Sir Charles Urban DUR/GOG Procurement Roads 1&2 Roads in progress

4,628.82

36

No. Name of Project/Activity Location Sector Contract Sum Date Pay't % Source of Remarks to Work Funding

Date Done

GH¢

Start

Actual

Expec.

Comple

Original

Revised

Awarded 27 Grass cutting Commercia Urban DUR/GOG Procurement in l Road- Roads progress PH1

4,003.50

28 Grass cutting Commercia Urban DUR/GOG Procurement in l Road- Roads progress PH2

4,152.84

29 Grass cutting Water Urban DUR/GOG Procurement in Works Roads progress

3,341.60

30 Grass cutting Truama Urban DUR/GOG Procurement in specialist Roads progress hospital

area-PH1 4,079.14

37

UDG SUB-PROJECT REPORTING ON ENVIRONMENTAL AND SOCIAL SAFEGUARDS

UDG projects Monitoring indicators

EPA/ REMARKS MLGRD DECISION

NO

IMPA

ESIA

CT PESR

PUBLIC PUBLIC DISCLOSURE DONE

ARAP

SCREENED & REGISTERED PUBLIC CONSULTATION DONE RAP REQUIRED/DONE? (>200PAPS) REQUIRE/DONE? (<200HPAPS) COMPENSATION PAID FULLY OUTSTANDING NO CONCERNS IN CHANGE SAFEGUARD OFFICER ON ISSUES NO LAND Construction of the sub- project will not have impact y y y n n n n Y n y Construction of Slaughter on socio-cultural and physical house/Abattoir environment y y y n n n n y n y Construction of the sub- project will not have impact Construction of light on socio-cultural and physical industrial park (phase I) environment y n n n n y n y Construction of the sub- project will not have impact y y on socio-cultural and physical Construction of Culvert environment

y y y n n n n y n y Construction of the sub- project will not have impact Procurement of 7no. on socio-cultural and physical 12M³ waste containers environment

Procurement of y y y n n n n y n y Construction of the sub- consultancy services for project will not have impact the design, supervision on socio-cultural and physical and construction of Bio- environment digester

Key: 1) y=yes and n=no 2) PESR=Preliminary Environmental and Social Report 3) ESIA=Environmental and Social Impact Assessment 4) RAP=Resettlement Action Plan 5) ARAP=Abbreviated Resettlement Action Plan

38

2.16 SUSTAINABLE RURAL WATER AND SANITATION PROJECTS (SRWSP)

2.16.1 IDA-SUSTAINABLE RURAL WATER AND SANITATION PROJECT The Community Water and Sanitation Agency (CWSA) in collaboration Central Regional Co- ordination Council and the District Assemblies are implementing International Development Association (IDA) Sustainable Rural Water and Sanitation Projects in the Region.

The project aims at providing safe water, improved sanitation and hygiene (WASH) services to rural communities. The project has three components namely;

1. Water supply systems which comprises of drilling of boreholes and construction of small town water systems, 2. Construction of Institutional Latrines and 3. Provision of consultancy services for point source communities.

DRILLING AND CONSTRUCTION OF BOREHOLES TO BE FITTED WITH HANDPUMPS The Municipality, acting on behalf of Awutu-Senya East, Agona East and Goamoa East districts is implementing the drilling, construction and testing of 46No. boreholes. These boreholes are to be fitted with hand pumps in the four districts with a total cost of (GH¢ 487,100.90).

TABLE 2.8: DISTRIBUTION OF FACILITIES BY DISTRICTS

5% Community/DA S/N District Numbers of facilities Sum contribution 1 Awutu-Senya East 10 boreholes 99,408.30 4,970.42 2 Agona East 16 boreholes 159,053.28 7,952.66 3 Gomoa East 13 boreholes 129,230.79 6,461.54 4 Effutu 10 boreholes 99,408.30 4,970.42 Totals 49 boreholes 487,100.67 24,355.03

The project was awarded to M/S EE & E Construction Limited on 9th April 2013 and work is expected to be completed within eight (8) months. Work is steadily progressing within schedule and an amount of GH¢133,431.90 representing 70% has been paid to the Contractor.

39

TABLE 2.9: DISTRIBUTION OF BOREHOLES BY COMMUNITIES

No. Project Description Sector location Contractor Award/ Expect contract Expend. Expend. Remarks Start date comple. sum for the to date date (GH¢) Period

1 Drilling, Construction, Water & Gyangyenadze EE & E 19/4/2013 10/12/13 9,940.83 Nil 6,947.29 Wet testing of 1no. boreholes Sanitation Construct Ltd drilled & fitting with hand pumps

2 Drilling, Construction, Water Veterinary EE & E 19/4/2013 10/12/13 9,940.83 Nil 6,947.29 Dry- testing of 1no. boreholes &Sanitation Village/Seed Construct Ltd drilled & fitting with hand pumps Company

3 Drilling, Construction, Water & Atekyedo EE & E 19/4/2013 10/12/13 9,940.83 Nil 6,947.29 Dry- testing of 1no. boreholes Sanitation Construct Ltd drilled & fitting with hand pumps

4 Drilling, Construction, Water & Gyahadze EE & E 19/4/2013 10/12/13 9,940.83 Nil 6,947.29 Wet testing of 1no. boreholes Sanitation Construct Ltd drilled & fitting with hand pumps

5 Drilling, Construction, Water & Low Cost EE & E 19/4/2013 10/12/13 9,940.83 Nil 6,947.29 Wet testing of 1no. boreholes Sanitation Extension Construct Ltd drilled & fitting with hand pumps

6 Drilling, Construction, Water & Akonfoa-Adae EE & E 19/4/2013 10/12/13 9,940.83 Nil 6,947.29 Wet testing of 1no. boreholes Sanitation /WINNESEC Construct Ltd drilled & fitting with hand pumps

7 Drilling, Construction, Water & Sankor EE & E 19/4/2013 10/12/13 9,940.83 Nil 6,947.29 Dry- testing of 1no. boreholes Sanitation Construct Ltd drilled & fitting with hand pumps

40

8 Drilling, Construction, Water & Ansaful EE & E 19/4/2013 10/12/13 9,940.83 Nil 6,947.29 On-going testing of 1no. boreholes Sanitation Construct Ltd & fitting with hand pumps

9 Drilling, Construction, Water Community EE & E 19/4/2013 10/12/13 9,940.83 Nil 6,947.29 On-going testing of 1no. boreholes &Sanitation Health Construct Ltd & fitting with hand pumps

10 Drilling, Construction, Water & Gyatakrom EE & E 19/4/2013 10/12/13 9,940.83 Nil 6,947.29 Dry- testing of 1no. boreholes Sanitation Construct Ltd drilled & fitting with hand pumps

Six (6); representing 60 percent of the boreholes drilled were successful whilst four (4); representing 40 percent were not successful. The unsuccessful communities included; Atekyedo, Gyatakrom, Sankor and Seed Company. There is therefore the need for re-siting and drilling in the various communities.

41

2.16.2 CONSTRUCTION OF INSTITUTIONAL LATERINES The Municipality is benefiting from 8no. Institutional latrines and contracts were awarded on 22nd July 2013 to M/s Dahamaini Company Limited and M/S Tecson Company Limited to be executed within six months.

Fig. 2.1: Construction of Institutional Latrines

Construction of institutional laterines

42

TABLE 2.10: INSTITUTIONAL LATRINES-BENEFICIARY INSTITUTIONS

CONTRACTOR CONTRACT DETAILS CONTRACT DURATION SUM

M/S TECSON COMPANY Construction of 6No. 6- seater KVIP Six (6) LTD with hand washing facilities for boys 165,748.62 and girls at AME Zion D JHS, ACM Primary &KG and Unipra South Primary Schools in Winneba

M/S DAHAMANI Construction of 2no. 6-seater KVIP & Six (6) COMPANY LTD 2no. 5-seater KVIP with Hand 121,799.90 Months washing facilities for boys and girls respectively in Unipra North and MA JHS-Winneba Months

TOTALS 287,548.52

M/S TECSON COMPANY Addendum Construction of 3No. 2 LTD seater KVIP with hand washing 49,308.93 facilities for boys and girls at AME Zion D JHS, ACM Primary &KG and Unipra South Campus Primary Schools for Teachers in Winneba (LOT 6B)

43

Environmental and Social Management Reporting for Institutional KVIP Construction in Communities Environmental/ Impact/ Issue Actions/ Mitigating Remarks Social issues Measures Implemented

Air pollution (E) Handling of cement and other dusty materials No significant impact Work is progressing without safety concerns Solid waste (E) Waste from bush clearing and removal of trees No significant impact No evidence of water pollution at the site. No water bodies around. Water pollution (E) Sediment laden runoff from exposed areas mainly due No evidence of water No significant impact. to vegetation clearing during siting and construction; pollution at the site. No Groundwater becomes vulnerable to contamination for water bodies around. areas with high water table; Improper disposal of sanitary waste from workers Soil Erosion (E) Exposed land surfaces from cleared vegetation may No significant impact. No significant impact induce erosion from rain events Loss of flora/ Due to the removal of vegetation No significant impact No evidence. The fauna(E&S) working areas have been cordoned off Public safety (S) Badly managed work activity/ site within community No evidence. The working The use of the areas do areas have been cordoned not conflict with any off activity Land use (E&S) Conflicts with incompatible activities and land uses e.g. The use of the areas do Labour from the Water points. not conflict with any activity communities around Winneba is hired. Socio- economic (S) Use of local labour and therefore income earning; Labour from the Local raw materials like communities around sand and stones are Winneba is hired. used Raw material usage PVC pipes, sand, stones, bamboo, thatch from local Local raw materials like Contractors use and external sources (quarries etc.) machines to lift heavy

44

Environmental/ Impact/ Issue Actions/ Mitigating Remarks Social issues Measures Implemented

sand and stones are used materials. Occupational health Hazards from handling equipment, ergonometric Contractors use machines No significant impact and safety (S) stress, lifting heavy materials etc. to lift heavy materials. Public health and Movement of trucks and equipment and road safety No significant impact at the site. No water safety (S) bodies around.

45

2.16.3 PROVISION OF CONSULTANCY SERVICES FOR COMMUNITY MOBILIZATION, SANITATION AND HYGIEN PROMOTION FOR POINT SOURCE COMMUNITIES. The project is also supporting a software component of which a Partner Organization (PO) is engaged to provide consultancy services for point source communities. M/S Rural Action Foundation was awarded the contract with a contract sum of GH¢134,531.00 for the provision of consultancy services for the point sources communities in the Awutu-Senya East and Gomoa West District for which the Effutu Municipal Assembly is the lead district for the implementation of the project. The contract was awarded on 15th July 2013 to be completed within 24 months. During the period under review, M/S Rural Action Foundation was paid and amount of GH¢26,906.20. M/S RAF up-to-date payment is GH¢40,359.30; representing 30 percent of total contract sum.

The PO has carried out Training Needs Assessment (TNA) and assessed community baseline data/sanitation profiles of all beneficiary communities under the project.

The PO, among other things, has also introduced beneficiary communities to the project concept, trigger communities through Community-Led Total Sanitation (CLTS) process, gender mainstreaming, established WATSANS at the community levels etc. The PO is also expected to prepare the 49 beneficiary point source communities in the Effutu, Awutu Senya and Goma West districts towards their participation in the implementation of the project as well as the operation and management of the borehole facilities in the respective beneficiary communities.

46

2.17 IMPLEMENTATION OF CAPACITY SUPPORT FUND (CSF) SUB-PROJECT: STREET NAMING AND PROPERTY ADDRESSING SYSTEM (SNPAS) The Municipal Assembly received an amount of GH¢82,000.00 as its share of the local capacity support fund for the implementation of Street Naming and Property Addressing System. The Municipal Assembly through the Department of Town and Country Planning has established the Municipal Task Team on Street Naming and Property Addressing System (SNPAS) which was inauguration on 6th of September, 2013.

The Department through the Task Team has initiated and implemented the preparatory phase of the system. During the period under review, the Task Team held consultation meetings with stakeholders to sensitize them on the system to be implemented in the Municipality. Sensitization programmes were organized through radio discussions and engagements with the public. Some preparatory activities that were organized included stakeholders’ fora which were held for Chiefs, University Authorities, Assembly Members, Heads of Department to inform and educate them on the Street Naming and Property Addressing System (SNPAS) in the Municipality.

The Task Team in consultation with the traditional Authority has identified some existing streets in Winneba Township. Out of 29 streets identified by the TAs, six (6) existing streets names have been renamed, Two (2) were given new names and the remaining twenty-one (21) streets were maintained. With the use of Global Positioning System (GPS)’ a total of 345 paved and unpaved streets were identified in the Municipality as shown in figure 1. New names have been assigned in consultation with key stakeholders in the Municipality.

Other consultations are on-going with stakeholders (Chiefs, Assembly Members Opinion Leaders and general public) discuss proposed street names. There are also on-going radio discussions at the two radio stations (Radio Peace and Radio Windy Bay) in the Municipality.

Within the period under review, the Regional Technical Advisory Team (RTAT); Kwame Asante & Associate visited the Municipality from 8th to 9th September, 2014 visited the Municipality for their routine assessment of the Municipal Assembly. The team assessed the Municipality on all the PFM areas including review of Internal Audit reports, Audit Report Implement Committee’s meetings among others. A workshop on report and minutes writing

47 was organized for staff of the Central Administration of the Municipal Assembly. The Team provided hand on support for the preparation of Revenue Improvement Action Plan, update of fixed asset register budget and revenue analysis

During the period under review under CSF2, the Divisional office of Land Valuation Division at Swedru in collaboration with Certified and Corporate Consultants (CC) as well as the Municipal Task Team on Street Naming and Property Addressing System have initiated the identification of residential and commercial properties (Data collection) in the Municipality to facilitate the rate of their values to enhance revenue generation. Within the period under review, an estimated total of one thousand (1,000) commercial and residential properties were identifies and listed and documented as database for revenue estimation.

48

TABLE 2.11: SOME IDENTIFIED STREETS AFFIXED WITH NAMES IN WINNEBA TOWNSHIP

North-South Orientation Name NO Proposed Existing Reasons From To 1 Windy Bay Ave Commercial St Significantly to project Winneba as one Winneba junction District prisons enters the town 2 Penkye Sankor St. Churchhill To give prominence to the original Abowie Cemetery junction St+Marine Dr settlement of Simpa 3 Donkorhiem St. Bereku Rd Bereku rd now irrelevant to Winneba GES offices Cemetery junction

4 Market St. to identify with the main market in Zion St Zongo “Y”-junction market 5 Kwendrum Rd old name Enukum Zongo ‘Y”-junction prama(zion St) 6 Osakamu Rd old name Yepemso Bereku road 7 Queen Victoria Rd Victoria Rd Old name & identify with history Nkwantanan Osubonpanyin 8 Ghartey Sam St Unnamed Prominently identified with Winneba Gyetekrom junction Taxi rank 9 Aboakyer The deer is carried to penkye via this Nkwantanan Greaves Street route 10 Bannerman- old Banneramn Father John Richter St Hospital round- Zongo about 11 J. B. Dampson Rd. Prominent individual in archiving public Hospital Sankor records 12 Pampoe St. Prominent in construction; one of the Ayensu Ghartey Kokobi/Sankor old PWD technocrats house 13 Dayasaw St The area in question which must not be Dayasaw Yepemso lost 14 Oyibi St Sakagyano water works rd 15 Catholic middle water works rd

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East-West Orientation Name NO Proposed Existing Reasons From To

1 Court St High court premises 2 Odobikese St Eyigyaa area Commercial St Veterinary

3 Hospital St Recall presence of the specialist Commercial St low cost hospital 4 Ntrakorfa St A prominent stream in town Klimovick Junction End 5 Ghartey Sam End Junction 7 Dowuona Hammond Founder of Winnesec Sch. Winnesec End St 8 Yeenua St First established the street Commercial St Direction of Yeenua house 9 Akomfor-Adea St Name of suburb Town hall End 10 Kojo Beedu St Name of the community Kojo Beedu Water works rd 11 Jehovah witness Obonoma-water hall works 12 Muni Lagoon St leads into the lagoon prominent one in Zion school End Effutu history 13 Water Works Rd Old name still relevant E M assembly Pumping station

14 S. H. Amissah St 1st African principal of Wesley col sect Mark in house End behind Siripis Gen of all African council of churches house 15 Bethel St Bethel clinic Sufflet house Anglican school

16 Okomba St Native old name Anglican church Victoria rd

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17 O. G. Blankson St Famous musician published Robert Emasa Bank End hymns used by all churches for funerals 18 Kwame Nkrumah Ave Independence Struggles/ideology inst Copa Sir Charles developed through ATTC to UEW 19 Dr. Quaison Sackey Footballer and former Cpt of Gold Club house Sir harles St Coast team 20 Tim Darber St Unnamed Music scholar, internationally .acclaim Apostolic church Meth cemetery

21 Attah Annan Mensah Lancaster Name of suburb Commercial St end

22 Kormantse St Constitutionalist/defended Effutu lands Traditional Council Ghunney st and ors 23 Ndaamba St Mary St Scientist of int. acclaim Commercial St Meth Prim School 24 Chief Annobil III St Name of suburb Obentsiba Nkwantanan

25 Robert Gardiner St Institutionalized training of women Taxi rank Hospital 26 Eyipey Street Community leadership Nkwantana Fish market

27 Mercy Ghansah St Indigenous metal crafts Survived 3 Zion st Mortuary generations 28 Ayensu Ghansah St Hospital junction Ebenezer junction

29 Papa Brae Wosokabi Ayensu Ghartey

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Fig 2.2: GLOBAL POSITION SYSTEM (GPS) IDENTIFICATION OF PAVED AND UNPAVED STREET

Fig: 2.3 ON-GOING SIGNAGE INSTALLATION UNDER SNPAS

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2.18 SECTORAL DISTRIBUTION OF PROJECTS During the period under review, the Municipal Planning and Co-ordianting Unit monitored the performance of various socio-economic development projects within the Municipality. The two main development interventions; Urban Development Grant (UDG1, 2 and 3) and District Development Facility (DDF) investment grant. Under these two interventions, 72% of the sub- projects were for the provision of sanitation and educational infrastructure. 14% of the sub- projects were for the promotion of Good Governance in the Municipality in an effort to operationalize Decentralization concept in the Municipality.

M/S Correct Engineering Group presented an engineering report for the construction of an integrated septage treatment plant at Osubonpanyin. The report has been presented to the Ministry of Local Government and Rural Development for financial consideration to support the execution of the project. The project when implemented will provide an engineered waste treatment method for the treatment of liquid waste in the Municipality.

Under UDG 2, the Municipality has initiated the procurement process for the pavement of the 7,302M² dilapidated Donkorhiem lorry park. The Regional Review Board on 11th September, 2014, gave concurrent approval and contract was award to M/s GC-LOTS Company Limited on 2nd October, 2014.

Under UDG3, short listed individual consultants were issued with invitation letters to submit proposals for the preparation of Resettlement Action Plan (RAP) before the commencement of procurement process for the physical contraction.

This is to ensure compliance with environmental and social safeguards under the project pavement of the 7,200M² dilapidated Winneba Round-about Lorry Park.

2.18.1 STATUS OF PROJECTS In its effort to develop the Municipality, the Assembly has initiated and implementing several socio-economic development projects. However, majority of the projects (48.9%) are behind schedule whilst 46.7% are either on-going or at a standstill. These delays in projects implementation are largely due to the untimely and continuous dwindling of funds from the

53 major funding sources such as the District Assembly’s Common Fund (DACF) and Ghana Education Trust Fund (GETFund). This has affected the timely delivery of projects implementation and eventual increases in projects cost due variations.

Chart 1.2: Status of development projects

48.9 50 46.7 45 40 35 30 25 20 15 10 4.4 5 0 Percentage Completed On-going Behind schedule

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2.19 MUNICIPAL FINANCIAL UP-DATE TABLE 2.12 PERFORMANCE OF REVENUE ITEMS—2014

ANNUAL REVENUE ITEMS BUDGET ACTUAL PERCENTAGE VARIANCE RATE 94.17 5,843.10 100,200.00 94,356.90 LAND & 209.66 (83,893.00) CONCESSIONS 76,500.00 160,393.00 FEES AND FINES 123.61 (16,091.00) 68,160.00 84,251.00 LICENSES 132.70 (40,350.60) 123,392.40 163,743.00 RENT 37,588.00 77.74 8,481.00 29,107.00 SUB-TOTAL (IGF) 405,840.40 531,850.90 131.05 (126,010.50) GRANTS 60.63 2,256,195.41 5,730,208.59 3,474,013.18 INVESTMENT INCOME - - - MISCELLANEOUS 5.83 9,887.82 10,500.00 612.18 SUB-TOTAL (GRANTS) 5,730,208.59 3,474,013.18 60.63 2,256,195.41 GRAND TOTAL 65.18 2,140,072.73 6,146,548.99 4,006,476.26

Total Revenue performance during the year as shown in table 2.12 stood at 61.18% of the target, GH¢6,146,548.99, thus recording a variance of GH¢2,140,072.73 which represents 34.82% shortfall. The shortfall was largely due to inability of the Central Government to transfer the allocated funds to the Assembly in full as evidenced in 39.37% shortfall in grant revenue exhibited in the table.

The Internal Generated Revenue Budget (IGRB) performance within the year under review exceeded the target of 405,840.40 by 126,010.50 expressed in relative terms as 31.05%. The performance of IGF during the year was quite impressive and that could be attributed to intensification of tax education and training and motivation of revenue collectors.

The Municipal Assembly, during the period under review, received GH¢3,474,031.18 as grants compared to the estimated amount of GH¢5,730,208.59 the performance level

55 therefore stood at 60.63% as shown in table 2.12. Put another way, there was a shortfall of 39.37% indicating the Central Government and Development partners’ inability to deliver fully on their financial commitments to the Assembly.

TABLE 2.13: EXPENDITURE —2014

ANNUAL EXPENDITURE BUDGET ACTUAL PERCENTAGE VARIANCE COMPENSATION OF 55.07 744,473.80 EMPLOYEES 1,656,817.00 912,343.20 GOODS & SERVICES 117.04 (159,208.44) 934,302.00 1,093,510.44 INTEREST - - - GRANTS 0.00 1,500.00 1,500.00 - SOCIAL BENEFITS 61.57 388,570.09 1,011,242.00 622,671.91 OTHER EXPENSES 6.32 295,734.00 315,683.00 19,949.00 NON-FINANCIAL 91.87 48,650.54 ASSETS 598,446.00 549,795.46 OTHER PAYMENT 42.98 928,557.92 1,628,558.00 700,000.08 TOTAL 6,146,548.00 3,898,270.09 63.42 2,248,277.91

The Assembly’s subculture of prudent management of its resources had generated a surplus revenue over expenditure totaling GH¢108,206.17 representing 2.70% of total actual revenue for 2014 financial year as shown in table 2.13

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CHAPTER THREE 3.0 CRITICAL DEVELOPMENT AND POVERTY ISSUES

3.1 SCHOOL FEEDING PROGRAMME OSUBONPANIN/ATEITU M/A PRIMARY GYANGYANADZE M/A PRIM.

CLASS BOYS GIRLS TOTAL CLASS BOYS GIRL TOTAL S KG1 25 25 50 KG1 75 67 62 KG2 16 9 25 KG2 37 30 67 BS1 18 16 34 BS1 29 36 65 BS2 22 16 38 BS2 44 39 83 BS3 15 16 31 BS3 50 42 92 BS4 18 22 40 BS4 36 30 66 BS5 20 17 37 BS5 28 23 51 BS6 12 25 37 BS6 28 24 52 TOTAL 146 146 292 TOTAL 327 291 618

PRESBY PRIMARY ESSUEKYIR METH. PRIMARY CLASS BOYS GIRLS TOTAL CLASS BOYS GIRLS TOTAL KG1 23 27 55 KG2 14 14 28 KG1 16 17 33 BS1 19 26 45 KG2 15 13 28 BS2 20 27 47 BS1 18 20 38 BS3 26 32 58 BS2 21 20 41 BS4 22 35 57 BS3 16 20 36 BS5 33 24 57 BS4 30 18 48 BS6 23 30 53 BS5 34 13 47 TOTAL 185 215 400 BS6 27 19 46 TOTAL 177 140 317

GYADHADZE M/A PRIMARY METHODIST A/B LOWER PRIMARY CLASS BOYS GIRLS TOTAL CLASS BOYS GIRLS TOTAL KG1 67 92 159 BS1 76 79 155 KG2 108 105 213 BS2 59 54 113 BS1 24 28 52 BS3 53 43 96 BS2 38 36 74 TOTAL 188 176 364 BS3 40 34 74 BS4 27 26 53

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WINNEBA METHODIST UPPER PRIM. C/D METHODIST A/B UPPER PRIMARY CLASS BOYS GIRLS TOTAL CLASS BOYS GIRLS TOTAL BS4 76 56 132 BS4 49 49 98 BS5 60 48 108 BS5 40 59 99 BS6 50 45 95 BS6 32 35 67 TOTAL 186 149 335 TOTAL 121 143 264

WINNEBA METHODIST LOWER PRIM. C/D WINNEBA METHOD. PRIM. A/B/C/D

CLASS BOYS GIRLS TOTAL CLASS BOYS GIRLS TOTAL BS1 47 57 104 KG1 89 89 178 BS2 56 46 102 KG2 86 68 154 BS3 43 55 98 TOTAL 175 157 332 TOTAL 146 158 304

A total of 3,279 pupils benefited from the policy in the Municipality within the period under review. Out of the figure mentioned, 1,678 boys and 1,601 girls representing 51.17% and 48.83% benefited respectively.

3.2 FREE SCHOOL UNIFORM There were no free school uniform distributions within the year. However, since the inception of the programme, the Effutu Municipal Educational Directorate had taken delivery and distributed a total of 3,188 school uniforms to pupils at basic schools. This was supplied by the Central Government for the implementation of Free Uniform programme in the Municipality. Out of the 3,188 uniforms that were distributed, 1,610 were distributed to males and 1,578 to females.

Free Uniforms

Distribution of free School Uniforms Male Female

1,610 1,578

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Total 3,188.00

3.3 GHANA YOUTH EMPLOYMENT AND ENTREPRENEURAL AGENCY TABLE 3.1: GYEEDA PROGRAMME

NUMBER OF BENEFICIARIES MODULE MALE FEMALE TOTAL Community Teaching Assistants 14 41 55

Health Extension Workers 14 78 92

Dressmaking 1 150 151

Hairdressing - 41 41

ICT 12 - 12

Community Protection Unit 3 1 4

Paid Internship 10 38 48

Eco Brigade (Zoil) 45 145 190

Prisons Service Assis. - 5 5

Waste & Sanitation (Zoomlion) 50 148 198

Ghana Fire Preventive Service 3 1 4

TOTAL 152 648 800

11 modules were implemented in the Municipality. In all, 800 people benefited from the programme. A total number of 648 representing 81% were female. Male benefiary of the programme were 152 which represented 19%. Waste and sanitation employed the highest number of people followed by Eco-Brigade, an indication of the Assembly’s commitment to the environment and cleanliness.

3.4 MUTUAL HEALTH INSURANCE In line with the Ghana Poverty Reduction Strategy (GPRS), the government has initiated a policy to deliver accessible, affordable and good quality health care to all

Ghanaians especially the poor and the most vulnerable in society. In 2004, the Mutual

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Health Insurance Scheme was launched in the District to replace the then out-of-pocket

payment for health care at the point of service delivery which was popularly known as

“Cash and Carry”.

TABLE 3.2: BENEFICIARY POPULATION OF MUTUAL HEALTH INSURANCE—2014

SSNIT SSNIT Preg. Informal Contributors Pensioners Indigents Under 18yrs 70yrs& Above women TOTAL

M F M F M F M F M F M F 11460 19001 2579 2190 352 295 1229 1624 22376 29147 1984 2816 11652 106705

Total active members of the scheme as at 31st December, 2014 stood at 106705. 66,725 of this figure which represents 62.53% were female whiles 39,980 were male. The data shows that children under 18 years were the highest beneficiaries of the scheme. Total number of children under 18 years was 51,523 comprising of 22,376 males and 29,147 females. It is 48.29% of the total beneficiaries of the scheme.

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CHAPTER FOUR 4.0 DEPARTMENTAL PROGRESS REPORTS

4.1 GHANA EDUCATION SERVICE The Education department of the Municipal Assembly is responsible for pre-school, special school, basic education, youth and sports development and organization and provision of library services within the Municipality. The department harmonizes the activities and functions of the following agencies operating within the Municipality:

1) The Ghana Education Service 2) The Youth Council; and 3) The Library Board

4.1.1 NUMBER OF SCHOOLS IN THE MUNICIPALIY There are 65 Kindergartens (KGs), 62 Primary Schools, 35 Junior High Schools (JHS) and 7 Senior High Schools (SHS). Private sector participation in education delivery in the Municipality is encouraging at all levels. Out of the 170 schools located in the Municipality 101 representing 59.41% are private owned.

TABLE 4.1 NUMBERS OF SCHOOLS AT ALL LEVELS

SECTOR KG PRIMARY JHS SHS TOTAL

PUBLIC 22 24 21 1 68

PRIVATE 43 38 14 6 101

TOTAL 65 62 35 7 170

Source: Statistics Unit, Municipal Education Office 2014

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TABLE 4.2 DISTRIBUTION OF SCHOOLS/ ENROLMENT IN PUBLIC SCHOOLS

TEACHING STAFF AT POST NO. OF LEVEL MALE FEMALE SCHOOLS TOTAL KG 22 1,240 1,221 2,461 PRIMARY 24 3,997 4,153 8,150 JHS 21 2,164 2,150 4,314 SHS 1 804 792 1,596 TVET - - - - SPECIAL SCHOOL - - - - TOTAL 68 8205 8316 16,521

TABLE 4.3: DISTRIBUTION OF SCHOOLS/ENROLMENT IN PRIVATE SCHOOLS

NO. OF TEACHING STAFF AT POST LEVEL SCHOOLS MALE FEMALE TOTAL KG 43 862 882 1,744 PRIMARY 38 1975 2006 3,981 JHS 14 586 537 1,123 SHS 6 309 309 961 TVET - - - - SPECIAL SCHOOL - - - - TOTAL 101 3732 4077 7809

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4.1.2 ACCESS TO EDUCATION

TABLE 4.4 ENROLMENTS BY CIRCUITS IN PUBLIC SCHOOLS

Kindergarten Primary Schools Junior High Schools Circuit 2013 2014 % change 2013 2014 % change 2013 2014 % change WINNEBA 843 883 4.7 2,588 2594 0.2 846 1,219 44 CENTRAL WINNEBA 874 933 6.8 2,543 2,843 11.8 1,063 871 -22 EAST WINNEBA 978 939 -4.2 4,013 4,165 3.8 1,543 1,535 -0.5 WEST Total 2,623 2,755 5.0 9,144 9,602 5.0 3,452 3,625 5.0

TABLE 4.5: ENROLMENT IN PUBLIC SHS AND TVET

Senior High Schools Technical/Vocational 2013 2014 % change 2013 2014 % change 1,596 1,772 11.0 82 - -

Kindergarten (KG)

Enrolment in the public KG schools increased from 2,623 in 2012/13 to 2,755 during the 2013/14 academic year registering an increase of 5.0%.

Primary

At the Primary level, enrolment in public schools increased by 5.0%, from 9,144 in 2012/13 to 9.602 in 2013/14.

Junior High School (JHS)

At the JHS level, enrolment increased from 3,452 in 2012/13 to 3,625 in 2013/14 representing an increase of 5.01

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Senior High School (SHS)

At the SHS level, enrolment increased from 1,596 in 2012/2013 to 1,772 in 2013/14 registering an increase of 11.0%

TABLE 4.6 GROSS ENROLMENT RATIOS (GER): –BASIC Kindergarten Primary Schools Junior High Schools 2013 2014 %change 2013 2014 % change 2013 2014 % change 164 166 1.2 185.9 211.9 14.0 129.7 134.9 4.0

Kindergarten (KG)

GER at the KG level has increased from to 164% in 2012/13 to 166% in 2013/14 registering an increase of 2%.

Primary

At the Primary level, GER increased from 185.9% in 2012/2013, to 211.9% in 2013/14 representing an increase of 26.0%.

Junior High School (JHS)

At the JHS level, GER increased from 129.7%in 2012/13, to 134.9% in 2013/14 representing an increase of 5.2%. Table 4a shows GER in the Effutu Municipality.

TABLE 4.7 GER AT THE SECOND CYCLE LEVEL.

Senior High Schools Technical/Vocational 2013 2014 % change 2013 2014 % change 84.6 96.5 11.9 - - -

Senior High School (SHS) At the SHS level, GER increased from 84.6% in 2012/13 to 96.5% in 2013/14

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Net Enrolment Ratio (NER)—Basic

Kindergarten Primary Schools Junior High Schools 2013 2014 % change 2013 2014 % change 2013 2014 % change 85.0 93 8 96.7 94.6 -2.1 81.8 84.8 3.0

NER SHS and TVET Senior High School TVET 2012 2013 % change 2012 2013 % change 26.9 28.8 1.9 - - -

Kindergarten (KG)

NER at the KG level has increased from 85% in 2012/13 to 93% in 2013/14 representing 8%.

Primary

At the Primary level, the NER decreased from 96.7% 2012/13 to 94.6%.In 2013/14 representing 2.1% decrease.

Junior High School (JHS)

At the JHS level, NER was 81.8% in 2012/13 and increased to 84.8% in 2013/14representing an increase of 3.0%.

Girls’ Enrolment

Level Total Enrolment Girls’ Enrolment Percentage KG 2,755 1,221 44.3

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Primary 9,602 4,153 43.3 Junior High 3,625 2,150 59.3

Girls’ enrolment at the KG and Primary levels were less than 50% of total enrolment at those levels. The picture however changed at the JHS level. As depicted by girls’ enrolment table, girls constituted 59.3% of enrolment at the JHS level.

4.1. 3 QUALITY EDUCATION Trained Teachers

Kindergarten (KG)

The percentage of trained teachers at the public KG schools has increased from 47.1% in 2012/13 to 54.4 % in 2013/14 representing an increase of 7.3%.

Primary At the Primary level, trained teachers in public schools increased in percentage from 98.8% in 2012/13 to 99.1%2013/14 representing an increase of 0.3%.

Junior High School (JHS) At the JHS level, the percentage of trained teachers was 82% in 2012/13. While in 2013/14 it increased to 87% representing 5.0%.

Competency Based Training Programmes

Type of Programme No of Officers Funding Source SBI/CBI FOR P1 –P6 TEACHERS IN MATHS AND SCIENCE 468 Education Office. JOLLY PHONICS ENGLISH READING WORKSHOP FOR KG1 AND 2 TRS 52 Education Office. TOTAL 520 -

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Teacher motivation and retention

In 2012/13 three newly trained teachers were allocated to Effutu Municipal. This was in line with the rationalisation exercise. Two teachers benefited from the study leave with pay to further their education in the University of Education, Winneba. UTDBE programme is also providing training to three untrained teachers.

Staff strength of GES The staff strength of the Effutu Municipal Directorate of Education as at December 2014.

Unit Total Staff strength Municipal Directorate 56 Educational Units - SHS 122 TVET - Basic Schools 546 Special Schools - Newly Trained Teachers 3 Total 727

TABLE 4.8A: TEACHING STAFF STRENGTH OF EFFUTU GES –BASIC BY CIRCUIT Kindergarten Primary Schools Junior High Schools % % Circuit 2013 2014 change 2013 2014 change 2013 2014 % change Winneba Central 22 22 0 74 73 -1.4 65 75 15.4 Winneba East 21 21 0 75 76 1.3 79 72 -8.9 Winneba West 33 33 0 97 97 0 60 67 11.7 Total 76 76 0 246 246 0 204 214 4.9

TABLE 4.8B: TEACHING STAFF STRENGTH –SECOND CYCLE AND TVET SCHOOL

SENIOR HIGH SCHOOLS TECHNICAL/VOCATIONAL

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2013 2014 % change 2013 2014 % change 71 79 14.5 14 - -

4.1.4 BECE PERFORMANCE—2013/2014 ACADEMIC YEAR TABLE 4.9: GENERAL PERFORMANCE IN SUBJECT GRADES

TOTAL NUMBER TOTAL NUMBER TOTAL NUMBER OF CANDIDATES OF CANDIDATES OF CANDIDATES OBTAINING 1-3 OBTAINING 4-5 OBTAINING 1-5 BOYS GIRLS BOYS GIRLS BOYS GIRLS Percentage SUBJECTS Pass (%) English language 102 102 186 182 288 284 45

Social Studies 84 67 151 127 235 194 34

R.M.E. 93 87 190 176 283 263 43.4

Mathematics 67 45 130 105 197 150 27.6

Int. Science 105 76 282 133 387 209 47

BDT 107 102 205 194 312 296 48.3

French 08 9 91 108 99 117 19.7

Fante 89 98 221 172 310 270 46

ICT 101 59 131 110 232 169 31.9

Performance in subject grades generally fell below 50% in all subjects with BDT recording the highest pass of 48.3%. French, on the other hand, recorded the least pass which was 19.7%. The general low performance in BECE in the Municipality needs to be investigated to identify the root course of the problem.

TABLE 4.10: NUMBER OF CANDIDATES OBTAINING AGGREGATES AS INDICATED

Gender Aggregates Total % Aggregates Total % passed failed Passed Failed

06 07-15 16-20 21- 26-30 31-36 37+ 25

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Boys 2 19 45 51 103 287 45 98 254 352 55

Girls 1 9 42 45 94 264 42 106 250 356 58

Total 3 28 87 96 197 551 44 204 504 708 56

The total number of candidates who sat for the examination was 1,259, comprising 639 boys and 620 girls. Out of this, 551 candidates passed in all subjects. The breakdown was 287 boys representing 45% and 42 girls representing 42%. The total percentage pass was 44%.

TABLE 4.11: HUNDRED PERCENT SCHOOLS

S/N School Mean Aggregate

1 St. Paul Methodist Prep 13.9 2 Uncle Rich Prep 15.7 3 Ebenezer Memorial Ed. Centre 15.8 4 H&E Educational Centre 17.1 5 Challenging Heights 21.5 6 CW Memorial School 23.3

ZERO PERCENT SCHOOLS

1. AME ZION A, B &C

2. Ateitu/Osubonpanyin

BECE Core Subjects Pass Rate 2013/14

BECE Subject Pass Rates Total Pass Rate Male Pass Rate Female Pass Rate English 45% 22.9% 22.6% Social Studies 34% 18.7% 15.4%

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Mathematics 27.6% 15.6% 11.9% Science 47% 30.7% 16.2%

WASSCE % Passes in Core Subjects for the period 2010-2014

Year Percentage Passes Recorded English INT SC MATHS SOC. STDS AI – C6 AI – C6 AI – C6 AI – C6 2010/2011 97.13% 83.67% 66.76% 90.26% 2011/2012 93.73% 92.17% 78.85% 97.65% 2012/2013 93.56% 89.87% 63.53% 96.31% 2013/2014 96.5% 91.4% 77.9% 94.7%

4.1.5 CHALLENGES AND THE WAY FORWARD Challenges

The major challenges of Effutu Municipal Education Directorate include the following:

. The deteriorating condition of the Education Office structure which continues to affect the morale of staff. . Non-existence of credible database for children with disabilities. . Inadequate funding for teaching and learning materials, equipment and research. . Lack of electricity to promote ICT training in some schools.

The Way forward

The Directorate has engaged itself in the following activities as the way forward to address the challenges so as to enhance quality education:

 The Municipal Director of Education undertook the initiative to write proposals to the Member of Parliament (MP) of Effutu Constituency, Ghana Commercial Bank,

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Sabadan enterprise and HFC bank for financial support for organizing best teacher awards for 2014. The Directorate had not yet received response from them.  Proposals to solicit for funding for renovation or reconstruction of the Education Office Structure submitted to both the Ghana Education Service and non- governmental organizations.  Intensification of monitoring and supervision of teaching and learning in the Municipality by teams of monitors from the education office.  Organization of school-based SPAM to discuss the BECE results and strategies to improve performance.

4.2 DEPARTMENT OF SOCIAL WELFARE AND COMMUNITY DEVELOPMENT The department of Social Welfare and Community Development embarked on various activities to sensitize people on the importance of girl child education, HIV/AIDs, environment and sanitation etc. The department also organized meetings to disseminate information on government policies to a number of communities within the Assembly. See the table 4.12 for full details of activities undertaken by the department.

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TABLE 4.12: PROGRAMME OF ACTIVITIES

ACTIVITY EXPECTED OUT ACTUAL REMARKS PUT OUTCOME/PROGESS

To organize 240 study group 240 study group 238 study group The program was meetings in 12 communities, meetings meetings were successful with our based on topics of great organized. organized target almost importance e.g. girl child achieved though education, HIV/AIDs, unavailability of Environment sanitation etc. funds remains a by the end of 2014 challenge.

To organize 120 mass 120 mass 104 mass meetings Mobilization of the meetings to disseminate meetings held. organized during the people and funds information on Govt. policies year 2014. were the major to12 communities by the end challenges. of 2014.

To sensitize 6 women’s 6 women’s group 6 women’s group of 178 Activities in this group of 20 members to of 20 member’s member’s sensitized and section were very acquire basic skills in income sensitized and 40 61 targeted homes successful, generating activities and to targeted homes visited and educated on exceeding by far all visit 40 targeted homes to visited and home management our targets. educate women on home educated on home issues management issues by 31st management December, 2014. issues.

To assist NGOs and other Education and Education and Staff were engaged Departments in the form of mobilization for mobilization for NGOs in various activities mobilization and education to NGOs and and Departments were and the funds were implement their programs by Departments were fully implemented. provided by the 2014. done. NGO’s.

To assist 6 target Human and 4 communities were Some communities communities to mobilize material resource assisted through the were assisted resource and organize mobilized. CLTS programme through the CLTS communal labour in support programme. of their self-initiative project by 2014.

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Care for the Vulnerable

In collaboration with Challenging Height; a Non-government Organization in the Municipality the following activities were initiated and implemented from 2013. ITEM ACTIVITY REMARKS 1. Support for children withdrawn from worse On-going form of child labour 2 Rescue children involved in child Paying victims school fees trafficking

3 Provide alternative livelihood to parents of On-going victims of child trafficking 4 Enrolled vulnerable children in school On-going 5 Provide health care for vulnerable children Children provided with medical care. 6 Capacity building on reproductive, girls and young women HIV/AIDS child labour/trafficking benefiting 7 Remedial school for children in child On-going labour 8 Organize public education on child Increased awareness on child trafficking in the Municipality trafficking in the municipality

4.3 DEPARTMENT OF HEALTH SERVICES The Municipal Health Department during the period embarked on a number of activities for the wellbeing of the people within and without the Municipality. Prominent among them were the training of staffs to manage malaria cases, HIV/AIDS and Tuberculosis. Similarly, Integrated Management of Infant and Neo natal and Childhood Illnesses (IMNCI) was Implemented within the Municipality. The public was also sensitized on child health promotion, and immunization coverage was increased to ensure the reduction of infant mortality within the Municipality. Again, Municipal Health Directorate

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(MHD) continued the maternal mortality sensitisations which have been vigorously pursued from 2010 to ensure the achievement of the MDG goal (5).

Priorities programmes and activities for the year

 Explore other ways of maintaining and strengthening the NMCCSP programme

 Continue to explore other means of funding

 Build stronger collaboration with local partners/NGOs

 Strengthen the MOU with GPRTU

 Improve on incentive package for TBA referrals

 Improvement on data quality (timeliness and completeness)

 To achieve 100% data set submission and 80% timeliness of reporting from all facilities in the Municipality

 Education on stigmatization and discrimination for HIV and TB

 Quarterly Refresher Meeting with CBSVs in the municipality

 Sensitization of staff on IDSR

 Organize refresher training on dhims and reporting

 Lobby for the completion of CHPS compounds

 Train more staff (public/private) in counselling and PMTCT

 Organize regular training on specific health programmes such as, Nutrition, Malaria, TB etc,

 Organize quarterly meetings with GPRTU and Drivers on the MOU

 Organize Quarterly data validation meetings

 Organize series of community durbars on various health issues, maternal health, TB, Guinea Worm, etc.

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Implemented Activities

HO1 Bridge equity gaps in access to health care and nutrition services and ensure sustainable financing arrangements that protect the poor.

 The 2 CHPS Zones Constructions completed and handed over  Growth promotion and monitoring  Nutrition rehabilitation with demonstration  Vitamin A Supplementation (Mass and routine)  Education on Breast feeding promotion  NIDs  Monitoring and supervision on nutrition activities

HO2: improve governance and strengthen efficiency in health service delivery, including medical emergencies.

 2 Monitoring and On the job training for malaria and HIV/AIDS/PMTCT  IMNCI refresher Training for Health Staff  1 Monitoring and supportive visit to all health facilities in the municipality

HO3: Improve access to quality maternal, neonatal, child and adolescent health services.  Meeting with midwives  Meeting with GPRTU and Drivers on MOU  Monitoring and Supervision on RCH activities  Jadelle Insertion training for CHNs

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HO4: Intensify prevention and control of communicable and non-communicable diseases and promote healthy lifestyles.

 Guinea sensitization meetings  Ebola prevention sensitization and training meetings  TB control Activities  Training on the new anti malaria drug policy  On the Job Training for selected facilities on HIV Counselling

HO5. : Improve Institutional Care Including Mental Health Service Delivery.

 Two rounds of monitoring and on the Job Training on RCH activities in the facilities  2 follow up visits on IMNCI to all 11 facilities.

4.3.1 HEALTH INFRASTRUCTURE The Municipality has seven public health institutions. These are two government hospitals, one health centre, and four CHPS zones. There are, in addition, five private/CHAG sector health facilities.

Public Sector Health Facilities

 Winneba Municipal Hospital  Trauma and Specialist Hospital  Winneba Health Centre  Gyangyanadze CHPS Zone  Essuekyir CHPS Zone  Zongo CHPS Zone  Ansaful CHPS Zone

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Private/CHAG Sector Health Facilities

 KlimovicMemorialHospital  OtooMemorialHospital  BaptistMissionHospital  Bethel Maternity Home  University Clinic

TABLE 4.13 HUMAN RESOURCE FOR HEALTH

Pri. CATEGORY Sub- Quasi 2 Public MAT 2 Private CHAG OF STAFF MHD Mun. Clinic Hosp. Home Hosp. Hosp Total Specialist 1 4 - - - 4 Medical Off 0 0 2 3 1 6 1 13 Gen. Nurses 1 9 7 88 1 8 7 121 Aux Nurses 1 36 0 155 12 29 17 250 Midwives 0 2 0 19 2 5 3 33 MA’s 0 1 1 4 - 6 3 15

Lab. Staff 0 1 2 9 2 6 5 25

Pharm. Staff 0 0 1 7 1 8 5 22

Para- 16 5 9 178 5 45 22 325 Medicals

Total 19 59 22 469 25 113 63 808

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TABLE 4.14 POPULATION H/WORKER RATIOS FOR THE MUNICIPALITY 2014

CAT OF STAFF DOCTOR/NURSE RATIO (2014 pop = 77,584)

NUMBER RATIO

Doctors 21 1:3,695 General Nurses 118 1: 657.5 Aux. Nurses 217 1: 358 Med. Assistants 15 1:5,173 Midwives 31 1: 2,603

Totals 402 1: 193

4.3.2 HEALTH FINANCING Majority of the clientele in the Effutu Municipality (about 80%) are NIHIS card holders making it the major source of funding for all Health Facilities in the Municipality.

This situation has made health administration difficult due to delays in re-imbursement of the NHIS claims. The scheme is currently in arrears of over six (6) months. This makes it difficult for facilities to carry out planned activities.

During the year under review, the Municipality’s sources of funding from the central Government were mainly for programmes such as National Immunization Days (NIDs), Malaria Control Activities and TB control Activities.

4.3.3 DISEASE SURVEILLANCE AND CONTROL SERVICES

4.3.3.1 INTEGRATED DISEASE SURVEILLANCE AND RESPONSE (IDSR) The activities under IDSR are enormous and require huge financial support to sustain it. Regrettably, financial inflows within the year dwindled which hindered the smooth execution of IDSR and Disease Control activities. Despite these challenges, the

78 directorate successfully controlled and managed cholera cases in the Municipality. Additionally, the directorate carried out the under listed activities:

 Programme Activities (EPI, NTDCP, TB, NID, HIV/AIDS)  On-the-job orientation on DHIMs & IMS  Orientation on the MSD & the new vaccines  TB training  Refresher for Staff on IMNCI  Epidemic preparedness plan completed  Took advantage of NIDs to orient CBSVs  Supportive Supervision and Monitoring  Tutorials on Ebola at Municipal Hospital  IDSR activities  Ebola training, orientation and education for Staff and populace  Carried out successfully 2 rounds of NIDs

Malaria control activities in the Municipality

 Routine activities

o Supply of RDTs (not enough)

o Supply of SP for IPT ( out of stock for almost a year )

o Health Talks on malaria using malaria

 Training of 40 selected health workers on the new drug policy

 Two rounds of On-the-Job Training supportive monitoring visits were organized in health facilities

 Supportive monitoring and supervision

 Continues distribution of ITNs

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Tuberculosis Control Activities in the Municipality

 Education on TB  Home visit  Case Detection  Contact Tracing  Collection of drugs and logistics  Report Writing  Update of Records  Enablers package  Quarterly review meetings

Disease under Eradication

Poliomyelitis

 1 case of AFP has was detected during the period under review.  Two rounds of NID during the period under review  Routine immunization is on going

Guinea Worm

As part of the activities towards the certification of Ghana as a G.W free country, the Assembly initiated and still implementing these activities:

 Surveillance is still ongoing.  Staff sensitization/orientation has been on-going.  Health education on the disease in communities and facilities.  Award package of GH₵ 200.00 per a suspected but confirmed case.  Updating of guinea worm records in the facilities and the directorate It must however be noted that none of the communities in the Municipality was endemic for Guinea Worm.

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Leprosy

The Municipality has not had any leprosy case in the past 3 years and none of the communities is endemic but surveillance and case search is on-going.

NNT

No case of NNT during the period under review (Clinicians/Kids ward staff).

NTDCP/Lymphatic Filariais

 During the year under review, there was no national activity on NTDCP in the municipality. Nevertheless, routine activities were carried out.  Cases are being managed with the management protocols.

Ebola Viral Disease (EVD) Since the outbreak of Ebola in Ghana’s neighboring countries were reported, the Municipal Health Directorate had undertaken the following activities.  Sensitization of health workers ( Tutorials)  Community durbars  Radio discussions  Sensitization talks at the NHIS office every morning  Meetings with opinion leaders (fishermen, Cheifs, Assembly men, and the MCE)  Talks at churches etc

TABLE 4.15: TOP TEN CAUSES OF OPD ATTENDANCE FOR THE MUNICIPALITY 2014

NO. CONDITION CASES 1 Malaria 77253 2 Upper Respiratory Tract Infections 49341 3 Rheumatism & Other Joint Pains 37838 4 Hypertension 33699 5 Anaemia 32566 6 Skin Diseases 31267 7 Diarrhoea Diseases 19126 8 Intestinal Worms 12336 9 Diabetes Mellitus 7790 10 Acute Eye Infection 6404

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Chart 4.1 Trend of OPD malaria cases for the Effutu municipality, 2010-2013

TB cases by type 2012 to 2014, Effutu category 2012 2013 2014 POSITIVE 40 37 34 NEGATIVE 10 18 10 EPTB/OTHER 7 2 10

TOTALS 57 57 54 Case detection rate 47.1% 46.0% 35.1%

TB/HIV COLLABORATION 2012 2013 2014 M F TOT M F TOT M F TOT No. HIV 32 25 57 31 26 57 22 19 41 COUNSELLED No. HIV TEST 32 25 29 29 26 55 22 19 41

No. HIV +VE 5 11 16 0 9 9 0 2 2

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TREATMENT OUTCOME 2010 to 2012 categories 2012 2013 2014 CASES 62 57 57 Cured 49 (79%) 34 (56%) 30 (53%) Comp 3 11 16 Trt Success 52 (83.9) 45 (79%) 46 (81%) Default 5 (8%) 0 0 Died 5 (8%) 9 (16%) 8 (14%) Failure 0 0 2 Transferred 0 3 1

Reproductive Health, Maternal, Newborn, Child Health (Services

The goal of RMNCH is to improve the health of women and children, specifically to reduce morbidity and mortality. The department has a staff strength of 58 with 3 Public health nurses, 33 Community health nurses, 16 Practicing midwives and 6 Non- practicing midwives.

Key priority areas of RCH

 Safe motherhood  Antenatal Care(ANC):prevention and promotion of care- health education and screening)  Constant administration of Sulphadoxine Pyremethamine by pregnant mothers on the dot basis under IPT regimen, physical examination and many others  Supervised delivery and postnatal care: ensuring the availability of resuscitation equipment and drugs in management of mothers and babies during obstetric emergencies  Family Planning: control and prevention of unwanted pregnancies especially among the teens thus ensuring good adolescent health as well as school health  Promotion of exclusive breastfeeding in the first six months of baby’s life

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 Timely introduction of complimentary feeds at six months till 24 months.  Vitamin a supplementation  Immunization of children against preventable childhood diseases  Growth promotion and nutrition rehabilitation  Curative care for major ailments and injuries

Implemented Activities

 Monthly durbars held in the Municipality within the period.  Monitored TBA referral of cases and package system  Supervision conducted to the stipulated facilities in the Municipality.  Meeting with drivers of GPRTU on MOU in the Municipality

CHART 4.2 MATERNAL MORTALITY SITUATION IN THE EFFUTU MUNICIPALITY, 2008 TO 2014

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TABLE 4.16: CHILD HEALTH SERVICES MONTH 2012 2013 2014 0-11 12-23 24-59 0-11 12-23 24-59 0-11 12-23 24-59 JAN 265 101 27 204 107 45 233 109 20 FEB 201 94 62 255 87 37 231 125 59 MAR 246 131 58 469 181 59 201 151 55 APR 180 113 32 258 84 37 218 141 53 MAY 281 213 67 288 98 23 196 143 42 JUN 177 96 43 283 116 55 222 134 25 JUL 180 61 27 230 87 37 210 89 34 AUG 176 77 25 234 95 60 229 100 26 SEPT 147 85 23 131 44 13 224 117 56 OCT 165 60 23 516 278 103 190 128 47 NOV 228 81 18 207 103 80 201 89 45 DEC 144 39 11 200 77 27 169 92 42 TOTAL 2,390 965 416 2,915 1,257 576 2,524 1,418 504

4.3.4 NUTRITION The general objective of the Nutrition department is to provide the public with appropriate information on nutrition to enable individuals and communities adopt healthy nutritional practices. Other specific objectives are to:

 Reduce the prevalence of protein-energy-malnutrition (PEM) in the under fives

 Reduce the prevalence of micro-nutrients deficiency disorders in the municipality (Iron, Vitamin A, Iodine)

 Promote optimal infant feeding practices among nursing mothers.

Challenges/Concerns at the Beginning of the Year

 Staff inadequacy

 Sustaining the Nutrition and Malaria Control for Child Survival Programme(NMCCSP)

 Reactivation of breastfeeding mother support groups

 5 public and private facilities providing maternity services not baby-Friendly

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 Dwindling and irregular inflow of GOG funds

Major Activities Planned

 2 mass Vitamin A supplementation exercise at 6 months interval

 2 household iodated salt coverage and market availability surveys

 Routine Vitamin A supplementation:

 Children 6-59 months

 Post-partum mothers

 Sustaining of the CBGP programme

 Refresher training for volunteers

 Iodated Salt coverage Survey

 NACS training for Health Staff

Activities Implemented

 Mass Vitamin A supplementation  Routine for children  Maternal  Promotion of appropriate infant feeding practices  Monitoring HB screening at ANC  Training of Health staff on NACS

Non- Achievements  Round two of Mass vitamin A Supplementation  Making 5 public and private facilities providing maternity services Baby-Friendly  Iodated Salt Coverage Survey

Nutritional Health Education Activities

The main Nutrition Educational Topics covered during the period under review included:  Infant And Young Child Feeding (IYCF)

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 Breastfeeding’ with emphasis on EBF  Complementary Feeding  Causes and Prevention of micronutrients deficiency in children  Importance of Iodated Salt  Importance of Growth Promotion  Causes and prevention of PEM  Prevention of anaemia.  Dietary Management of NCD (non communicable diseases such as hypertension and diabetes)

TABLE 4.17 TREND IN TYPE OF MALNOURISHED CHILDREN

CONDITION AGE GROUP 2012 2013 2014 KWASHIORKOR 0-5 MONTHS 6 7 4 MARASMUS 6-11 MONTHS 12 20 18 MARASMIC-KWASHIORKOR 12-23 MONTHS 5 5 4 UNDER WEIGHT 24-59 MONTHS 25 34 16 SPECIAL CASES 1 0 0 SUMMARY 49 66 42

TABLE 4.18 TREATMENT OUTCOME OF REHABILITATION

INDICATORS 2012 2013 2014 SUCCESS 12 24.5 7 10.6 13 30.9 DEFAULTER 4 8.2 14 21.2 11 26.2 ON TREATMENT 33 67.3 45 68.2 17 40.5 FAILURE 0 0.0 0 0.0 0 0.0 DEATH 0 0.0 0 0.0 1 2.38

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MALNOURSHED CASES AFTER BEFORE

VITAMIN A SUPPLEMENTATION

VIT A TARGET Sub-Districts 6-59 MONTHS 2012 2013 2014 Nsuekyir-Gyahadze 1,600 578 667 798 Kbnl 2,484 1,294 946 979 Winneba South East 5,967 3,081 3,890 3,669 Winneba South West 3,913 1566 1,095 1,793 Total 13,965 6,519 6,598 7,239

TREND IN ROUTINE VITAMIN A SUPPLEMENTATION 2012-2014

TARGET COVERAGE TARGET COVERAGE YEAR 6-59 NO. % POST- NO. % MONTHS PARTUM 2012 10,499 6,519 62.1 1,750 1,811 103.4

2013 13,532 6,598 48.7 3,007 3,376 112.3

2014 13,965 7,239 52.0 3,007 8,959 288.7

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TABLE 4.19: REPORTED CASES OF OPD MALNUTRITION

TYPES OF CASES 2012 2013 2014 NO. % NO. % NO. % ANAEMIA 4,062 23.7 17,185 29.49 32,566 43.9

DIABETES 3,446 20.1 7384 12.67 7790 10.5 HYPERTENSION 9,595 56.0 33,427 57.35 33,699 45.5 MAL. PEM 5 0.0 51 0.09 64 0.1 OTHER NUT. DISEASE 0 0.0 236 0.40 4 0.01 TOTAL 17,108 100 58,283 100.0 74,123 100.0

4.3.5 HIV/AIDS Six (6) of the Municipal’s health facilities (both public and private) provided counseling services on HIV/AIDS. These were Municipal Hospital, Maternity/FP Unit, Winneba Health Centre, Trauma and Specialist Hospital, Klimovic Memorial Hospital, Baptist Hospital and Bethel Maternity Home. There were in all a total of 17 counselors and 1 Data Manager.

Objectives of PMTCT

 Reducing pediatric HIV infection in the Municipality and also;

 Preventing HIV infection among women of childbearing age;

 Preventing unwanted pregnancy among HIV-positive women; and

 Preventing MTCT during pregnancy, labor and delivery, and breastfeeding.

Annual PMTCT compared 2012 to 2014 YEAR PRE-TEST TESTED POSITIVES INFORMATION 2012 3083 3083 21 2012 3092 3092 16 2014 3135 3135 8

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The number of people tested increased from 2012-2014. In 2012, 3083 pregnant women were tested on HIV. This number increased to 3,092 in 2013, and then to 3,135 in 2014. The number of pregnant women who tested positive to HIV however reduced from 21 in 2012 to 16 and 8 in 2013 and 2014 respectively.

Early Infant Diagnosis (EID), 2012 to 2014

36 children exposed to HIV positive mother were tested at six weeks using PCR. And out of this 2 tested positive. Again 3 children were tested using the antibody test at 18 months. Nobody tested positive. So far 113 children have been tested and 8 have tested positive.

Key challenges in dealing with HIV/AIDS

Stigma and Discrimination among PLHIVs still an issue. Acute shortage of test kits which resulted in the decline of the number of people tested in both PMTCT and HTC especially HTC as compared to the previous years. It also resulted in our inability to conduct know your status campaign during the year under review.

Inadequate commitment on the part of some clients to adhere to treatment especially the Female Clients increase of contributing to the deaths in the females.

4.4 DEPARTMENT OF AGRICULTURE The Agriculture Department of the Municipal Assembly assists the Assembly in the formulation and implementation of agricultural policies within the national policy framework. It is responsible for providing extension services, natural resources management, rural infrastructural and small scale irrigation in the Municipality.

4.4.1 FEATURE OF THE AGRICULTURAL SECTOR IN THE YEAR 2014 Main strengths of the Agricultural performance during the year

1. Agro-climatic conditions did favour crop and livestock production in the reporting period. 2. Incidence of pest, diseases and epidemics during the period was minimal.

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3. Extension services and technology delivery coverage was on the average, during the period.

Main bottlenecks on the agricultural performance in the year.

1. High cost of farm inputs coupled with low prices of farm produce was the main bottleneck. 2. Inadequate credit facilities for farmers to expand their farms were also recorded during the period. 3. High cost of fuel and transport fares also hindered the performance of agriculture during the period

Contribution of Agriculture sector to MDG… targets The Municipality was able to maintain a consistent trend in vegetable, maize and cassava production during the period, and this made food available and accessible during the reporting period

Contribution of the sector to GPRS 11 objectives and targets Food security was sustained during the period, but food crop prices were high.

The sector made a significant contribution towards employment since a lot of the youth went into Coconut, Cassava and vegetable production during the period.

Contribution of the sub- sectors to FASDEP objectives and targets.  Decentralized Agric. Sector strengthened  Formulate and coordinate the implementation of policies and programmes  Food security

Sector Performance

Crops and livestock sub sectors were the main sectors that were monitored and these sectors recorded acceptable increases in production. Production of Agricultural commodities for export were also recorded during the period.

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Effective and efficient input supply and distribution system Agricultural input supply and distribution during the year was effective and efficient but prices were higher as compared to last year.

Development, dissemination and adoption of appropriate technologies also took place during the year.

Main lessons learned, recommendations and strategies adopted

 Farmers were positively influenced by extension messages and dissemination of technologies  There were inadequate post-harvest facilities and limited diversity of market outlet for surpluses  Livestock sub sector recorded increases

4.4.2 RECOMMENDATION  To encourage credit facilities for production  To reduce post harvest loses from 30% to 10%  To develop low cost productive technologies to reduce production cost and increase economic margins  To conduct livestock census to update database.

TABLE 4.20: CLIMATIC DATA FOR THE PERIOD

DATA 1st Quarter 2nd Quarter 3rd Quarter 4th Quarter

2013 2014 2013 2014 2013 2014 2013 2014

Rainfall (mm)

No. of Rain Days 2 9 10 13 3 12 0 5

Rainfall Normal Normal Normal Normal Normal Normal Normal Normal Distribution

NB: No available rain gauge to record rainfall in millimeters.

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4.4.3 CROP (FORECAST) YIELD A total of approximately 2000acres of land was put under maize cultivation; average yield was between 4 and 6 maxi bags per acre. The low yields were a result of low fertilizer use rains and cultural practices. Green pepper cultivation continued to enjoy high patronage average yields ranged 2.5 to 3.5 tons per acre. Total land size under cultivation was 200 acres. Cassava yields increased significantly due to the prolonged rains. Average yield increased from 8 to 9 tons per acre.

Okro production levels also gained remarkable increase from 4.5 to 4.9 tons per acre. Groundnut production maintained an average yield of 0.2 to 0.3 tons per acres.

TABLE 4.21: CROP PERFORMANCE 2014 CROP GOOD FAIR POOR REMARKS

Cassava  

Maize  

Groundnut 

Pepper 

Okra  

Vegetables(exp)  

Sweet Potato  

Tomato  

Food Supply and Price Situation There were slight changes in prices of food stuffs on the markets as compared to the previous month. Food commodities had been available on the market all along and prices were affordable. Refer to Appendix

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Agro- Input Supply and Price Situation Agricultural inputs such as agro-chemicals, seed, farm tools, fertilizers, feed/water troughs etc were readily available during the period of reporting. Prices of such inputs still remained high and farmers were complaining. Refer to Appendix

4.4.4 LIVESTOCK SUB SECTOR

4.4.4.1 OUTLOOK FOR LIVESTOCK Sheep and Goats rearing continued to dominate the livestock sector in the municipality. This had remained so because of the relatively small sizes of those animals which make them ideal for women and children to keep. Grasses and shrubs were not available for grazing due to inadequate rains during the period

4.4.4.2 ANIMAL HEALTH ACTIVITIES--FARMER EDUCATION / TRAINING Farmer education was focused on;

i. Importance of zo-hygiene in farm animals ii. Ideal housing structure for small ruminants and local poultry. iii. Importance of supplementary feeding in small ruminants and local poultry. iv. Importance of record keeping v. Pig production and water management

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TABLE 4.22: 2550 FARMERS EDUCATED

Topic Area of education Beneficiaries Total M F Small ruminant Importance of housing Animals 57 100 Production Supplementary feeding 103 200 Importance of record keeping 100 150 Sub Total 460 630 1090 Pig Production Maintenance of Housing 51 - Proper feeding 65 200 Provision of water 96 200 Importance of record keeping 100 30 Sub Total 556 638 1194 Local poultry Supplementary feeding 13 55 Sanitation 11 75 Importance of record keeping 12 63 Sub Total 36 170 226 Grand Total 1030 1520 2550

Analysis: The number of farmers educated on recommended practices decreased as compared to the previous year, but the short fall was not significant.

Method demonstration A number of demonstration methods were used by field officers. Spacing and row planting, proper chemical application, effective spraying, feed preparation and presentation, animal house construction, selection of breeding stock etc were demonstrated. A total of 1012 (710males; 302 females) farmers were taken through the various method demonstrations.

Result Demonstration

Thirty-two result demonstrations out of 50 targeted was conducted on farmers’ fields by AEAs within the municipality. Areas covered included; introduction of improved seed,

95 fertilizer use, optimum plant density, deworming in small ruminants and storage /preservation. Number of beneficiaries and participants were 24 and 116 respectively.

Technology Adoption

Generally technology adoption saw a slight increase over the previous year’s adoption rate. Eighty-seven (87) new adopters were recorded for the year under review. Majority of the adoptions was under crop sector; 72 farmers representing 82.76%. Fifteen (15) adoptions was recorded under the livestock sector. Out of the 87adopters, 75 were males and 12 were females.

Farmer Training A total of 100 farmer trainings were planned for the year under review, however 34 trainings was achieved. A total of 1402 farmers (982 males; 420 females) were trained on recommended practices on vegetable production, seed maize & food maize production, effective ways of minimizing post-harvest losses, record keeping, effective chemical application and proper animal husbandry practices. Target was not achieved due to lack of funds.

Outcomes Awareness level and skills of farmers on recommended practices improved significantly. It is expected that adoption rate would increase by 60 % over the previous year.

Farmer Education

A total of 250 farmer educational programmes were planned for the year 2014 and 219 farmer educational programmes were carried out. Total number of participant farmers was 2695 (1587 males; 1108 females)

Outcomes

 More farmers became aware of the need to keep records on their farming activities.

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 More farmers became aware of the need to provide ideal housing for their animals  More farmers became aware of the coconut and pig projects.  More farmers appreciated the need to involve AEAs in their farm planning.

Field Days

Five field days were conducted for the period under review. Fifty-five participants took part (35 males; 20 females).Four of the field days were conducted under the crop sector and the other under the livestock sector

WIAD ACTIVITIES

ACTIVITIES/ACHIEVEMENTS

There were (420) group meetings. Farm families were given education on effects of not eating well. Participants were trained on malnutrition and the two types (under nutrition and over nutrition) were explained with emphasis on

 Protein energy malnutrition (PEM)  Anemia  Iodine deficiency disorders (IDD)  Vitamin A deficiency and  Obesity.

The causes of the above mentioned diseases were explained to them. With protein energy malnutrition which manifests itself as marasmus and kwashiorkor in children, farmers were being advised to feed children with adequate protein. The symptoms were also mentioned to them.

The causes and prevention of anemia was elaborated on. Participants were asked to take foods rich in iron like eggs, meat, and fish and also adopt the habit of deworming and sleeping in mosquito nets since worms and mosquitoes respectively cause anemia.

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They were also educated to take iodine rich foods like sea foods including fish, shell fish and also iodated salts to cook food to prevent iodine deficiency disorders. Goiter which is the enlargement of the thyroid gland is a sign of iodine deficiency disorders and it was made mentioned to farmers.

Vitamin A deficiency and its symptoms which include eye problems like night blindness were explained to them. They were however educated to take more fruits and vegetables, milk, fish liver and palm oil.

Obesity is as a result of high intake of energy foods especially fatty oils and sugary foods. This energy is stored as fat when not used and upon this explanation given, the participants were advised to reduce intake of fatty, oily and sugary foods and rather take in more fiber foods like beans and whole grains. Other questions relating to health issue were asked

4.4.5 INFRASTRUCTURE DEVELOPMENT Slaughter House construction started during the period and it’s about 80% complete.

4.4.6 NATURAL RESOURCE MANAGEMENT, BUSH FIRE, SAND WINNING AND DEFORESTATION ETC. Three incidence of bush fires were reported at Atekyedu,Gyahadze and Essuekyir during the year under review. In some communities such as Essuekyire, New Winneba, Atekyedu and Gyangyanadze sand winning activities affected farming activities. Land degradation awareness creation and education were extended to farmers in the Municipality. They were thought the effect of land degradation on agriculture. Some of the topics treated were on:

 Soil Erosion control using sand bags and stones.

 Planting of trees around settlement

 Planting of grasses around settlement areas.

 Use of manure in cropping.

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4.4.7 COLLABORATION WITH DEVELOPMENT PARTNERS AND OTHER PROJECTS IFDC; During the period under review there was collaboration between the department and IFDC to train farmers and other users on pesticides handling and fertilizer product knowledge in 16 communities in the municipality. This was made up of 1531 farmers.887 males and 644 females.

RTIMP; Cassava planting materials which were distributed to seven hundred and sixteen (716) farmers across the Municipality were monitored. These were made up of one hundred ninety-six (196) male and five hundred and twenty female. Most of the fields are affected by droughts

Block Farm; fifteen acres of maize was cultivated by fourteen (14) farmers. These were made up of eleven (11) males and three (3) females.

Coconut Restoration

The Coconut Restoration Project covers fifteen (15) hectors, thirty farmer s were involved each cultivating eighty coconut seedlings. These were made up of nineteen (19) males and eleven (11) females.

4.4.8 IMPLEMENTATION CONSTRIANTS OF PLANNED ACTIVITIES 1) Running cost of vehicles 2) Inadequate motor bikes for staff for field activities 3) Inadequate credit facilities to farmers 4) Inadequate T&T for staff to carry out extension duties 5) Untimely payment of T&T

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4.5 DEPARTMENT OF PHYSICAL PLANNING The Town and Country Planning Department exists as one of the decentralized Departments of the Effutu Municipal Assembly.

The Department among other things is responsible for:

1. Preparation, Revision and Implementation of Planning Schemes and Layouts for settlement in the Municipality.

2. Coordinating all Physical Developments to ensure orderly and harmonious development.

3. Supervising and monitoring all planning activities in the Districts and provide technical advice for the benefit of the Statutory Planning Committee and other Public and Private Agencies.

4.5.1 ADMINISTRATION AND PERSONNEL All administrative duties connected to Personnel, Planning Activities, Development Control and Stores were carried out by Mr. Frank Matey Korli, the Senior Town Planning Officer

Personnel and age distribution

The staff strength was Ten (10). These include a Senior Town Planning Officer, Nine (5) Technical Staff, a Typist Grade II, a Messenger and Two (2) Laborers.

Ages (Years Male Female Total 20 - 35 2 2 36 – 45 4 1 5 46 - 55 1 - 1 56+ 1 1 2 Total 8 2 10

Transfers

During the period under review, Eric Arthur, Senior Technical Officer has been transferred from this office to Ejumako Enyan Essiem District

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TABLE 4.23: PERFORMANCE ASSESSMENT FOR THE YEAR 2014

NO. STRATEGIC KEY PERFORMANCE ACTUAL REMARKS OBJECTIVE EXPECTED OUTCOMES INDICATOR

1. Prepare i)Threer(3) i)Three(3) i) Auto photos Delayed in the Planning Planning Planning for these areas com- pletion of Schemes guide Schemes in Schemes by the have been Draft Planning is orderly physical Nsuakyir, end of the year procured and due to development in forNsuakyir, preparation of inadequate and Nsuakyir, Subonpayin and base maps are delay in release Akosua Village Subonpayin and on-going of resources Subonpayin and Akosua Village Akosua Village

2. To Strengthen a)Organize (4) i) Four(4) i) Four4) The Development Technical Sub- Technical Sub- Technical Sub- rehabilitation Control in the committee Committee Committee and Municipality. meetings to vet meeting will be meeting held refurbishment of and recommend organized by the and TCPD office, development end of the year recommended Lupmis Training applications and and minutes over 200 for Street performed such recorded and filed development Addressing are functions applications. the major cause assigned by of two meetings

Statutory no coming on Planning Committee

b) Two (2) b) Organize b) Organize Four Statutory Four (4) (4) Statutory Planning Statutory Planning Committee Planning Committee meeting was Committee Meetings held held and over Meetings. and minutes filed. 200 development applications were considered.

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ii) Forty-nine proposed street names were approved. About GH 100,00 revenue has been

generated for the Municipal Assembly.

c) Taskforce c) Organize c) Daily visit by embarked on Task Force to task force to the exercise to check check check unauthorized unauthorized unauthorized developments in developments temporal the Municipality. especially structures . temporal About GH

structures. 60,000 was realized from

the exercise.

3. To give technical a) Encourage a) Roads b)About15 assistance to the opening-up of identified and kilometer of Assembly and access roads by opened up. roads has been General Public. resident identified and associations opened-up. with the support of the Assembly.

b) Assist the b) Municpal b) Street Municipal Assembly has Naming and Assembly in the been assisted, Property Street Naming Addressing is and Property on-going. Addressing About Fifty(50) signages have

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been mounted within the Municipality

Detailed of activities performed under the Street Addressing are tabulated below

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TABLE 4.24: DETAILED STATUS OF ACTIVITIES OF STREET NAMING AND PROPERTY ADDRESSING

NO. ACTIVITY STATUS REMARKS

1 Inauguration of SAT Completed

2 Orientation on SNPA completed

3 Work Plan and Budget Completed

4 Refurbishment of PPD Office Completed

5 Public Sensitization On-going

6 Acquisition of Satellite completed Images/orthophotos

7 Lupmis/GIS Training Completed

8 Digitization of Orthophpotos

9 Ground Truthing Yet to commence Municipal Assembly is yet to release resources 10 Street Coding and Property Numbering x

11 Selection and Training of Field Workers x

12 Implementation(Stenciling of SNPA x Codes)

13 Data Collection x

14 Scanning and Data Entry x

15 Signage Mapping and Registry Signage Mapping and registry for tracked roads are in place

16 Procure Signage About 50 signages have been procured

17 Installation of Signage Fifty(50) Street Signages have been installed

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4.5.2 CONSTRAINTS, CHALLENGES AND POSSIBLE SOLUTIONS

The following were the constraints and challenges which confronted the office in 2014:

1. Lack of Base maps and Town sheets. Unavailability of those things made preparation of good planning schemes difficult.

2. Lack of resources and sometimes delay in the release of needed resources affected our ability to deliver on time.

3. Negative effects of the work of the numerous private Draughts men and Surveyors on the activities of the office. They design sub-standard layouts for Chiefs and Landowners. These made the Chiefs and Landowners uncooperative in issues of land use and development control.

4.5.3 PARKS AND GARDENS

OBJECTIVE ACTIVITY CHALLENGES OUTCOME

Increase nursery 1. Plant hunting and Different species stock with 800 plants collection of trees and 2. Make cuttings flowering plants 3. Raise seedlings propagated 4. Pot nursed plants

Raise 600 seedlings 1. Seed collection Successful for tree planting in the and nursing Municipality 2. Pot nursed seedlings

Develop new area to 1. Land clearing Lack of working 60% successful expand the nursery and earthling-up logistics 2. Raise beds 3. Nurse plants

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4.6: ENVIRONMENTAL HEALTH AND SANITATION DEPARTMENT The principal role of the Environmental Health and Sanitation Department of the Effutu Municipal Assembly is to promote and protect public health by ensuring the provision of basic requirements for a healthy and pleasant physical environment in collaboration with other stakeholders.

During the period under review the department, in line with the Municipal-wide objectives, set the following targets:

 To organize quarterly clean-up exercises in the communities

 To validate Sanitation Baseline Data by the end of the Third Quarter

 To carry out triggering activities in the 6 selected Communities in the Municipality with the aim of implementing CLTS to achieve ODF in the selected Communities by February, 2014.

 To celebrate Global and National Environmental / Sanitation events

 To hold monthly meetings with USI taskforce team to conduct market surveys in the promotion of salt iodization.

 To form Environmental Clubs in 3 JHS and 2 SHS by the end of the year 2014 as part of promoting environmental Sanitation Education in Schools.

 To increase refuse collection at Winneba from 51% to 65% by the end of the year.

 To increase revenue generation to about Fifty-one thousand Ghana Cedis (GH¢51,000.00) through the following activities by the end of the year 2014

• Emptier Services -- GH¢ 15,000.00 • Waste Collection /Dumping Fees -- GH¢ 10,200.00 • Food Vendors Certificate -- GH¢ 2,400.00 • Prosecution -- GH¢ 6,000.00 • Impounding of Stray Animals -- GH¢ 1,200.00 • Public Toilets -- GH¢ 7,800.00 • Grave Space -- GH¢ 8,400.00 TOTAL = GH¢ 51,000.00

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 Embarking on an intensive Public Education to create awareness leading to the development of positive individual attitude towards the environment with much emphasis on sanitation.

 Strengthening the Environmental Health structures namely:

• Environmental Protection and Standard Enforcement Unit,

• Food Hygiene Unit and

• Hygiene Promotion & Research Unit in accordance with the National Environmental Sanitation Policy.

4.6.1: MAJOR PROGRAMMES AND ACTIVITIES UNDERTAKEN FOR THE PERIOD INCLUDED

 Universal Salt Iodization

 CLTS Implementation

 Medical Screening of Food Vendors

 Premises Inspection

 Waste Management

 Status of Implementation of DESSAP

Universal Salt Iodization Implemented Activities

• Weekly Market Survey on the sale of iodated salt by Environmental Health Staff,

• Holding of Task Force meeting to review action plan. • Inspection of salt mining sites by the Task Force in Winneba. • Preparation of a Draft of the Municipal Bye-law on Universal Salt Iodization Enforcement, • Conduction of a Survey on the sale and Use of Iodated Salt in the market and food establishment such as Restaurants, Chop bars and other food vendors, • Meeting with monitoring team from UNICEF and MLG&RD.

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Survey findings on the sale and consumption of Salt Total no. of samples tested for the year = 202

Number of samples that tested positive =175(87%)

Number of samples that tested negative = 27(13%)

CLTS Implementation

In order to improve hygiene and sanitation with the objective of achieving Open Defaecation Free (ODF) in our communities we adopted the new CLTS approach with 6 communities namely:

1. Osubonpanyin

2. Ekrofo

3. Atteitu

4. Gyhadze

5. Atekyedo

6. Gyangyanadze

Activities focused on facilitation of the selected communities based on the analysis of their sanitation profile and their practices of defecation. Activities undertaken included:

• Preparation of an Action Plan for the implementation of CLTS.

• Validation of Sanitation Baseline Data of the 6 selected communities.

Activities yet to be undertaken are:

• Facilitation of the Triggering process of the selected communities

• Post triggering follow ups

• Declaration of communities ODF

• District level ODF verification and certification

• ODF Celebration

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Medical Screening of Food Vendors

About 3000 food vendors were medically screened and certificated. That was to ensure that food sold in the Municipality were safe worthy for human consumption. This resulted in revenue generation of about Twelve Thousand Ghana Cedis (GH¢12,000.00) to the Assembly.

Waste Management

Services rendered under waste management are undertaken by Environmental Health Department of the Assembly in collaboration with Zoomlion Ghana Ltd. and include

– Collection and disposal of both solid and liquid waste,

– Cleansing of thoroughfares, markets and other public spaces and

– Monitoring the operation of public toilets under franchise.

Many communal refuse containers were completely out of use with only seventeen in use. Thirteen additional containers were needed to forestall spill over and indiscriminate dumping.

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TABLE 4.25: PREMISES INSPECTION

S/N TYPES OF NUMBER NUMBER NUMBER NUMBER COMMON PREMISES AVAILABLE INSPECTED GOOD WITH NUSANCES NUISANCE IDENTIFIED 1 Residential 6,063 3,676 2,206 1,470 Growth of weeds (42%) (60%) (40%) Human excrement on premises 2 Hotels 15 11 13 2 In-sanitary drains (73%) (87%) (13%) Indiscriminate dumping 3 Restaurants 21 16 14 4 In-sanitary drains (76%) (78%) (22%) Lack of adequate facilities for hygienic practices. 4 Chop bars 35 21 16 13 In-sanitary drains (60%) (55%) (45%) Inadequate washing facilities 5 Drinking bars 132 51 56 41 Dirty shelves (39%) (58%) (42%) Inadequate glasses & washing facilities 6 Bakeries/Ovens 12 5 2 3 Rodent infestation (42%) (40%) (60%) Inadequate facilities 7 Schools 151 23 36 17 Lack of sanitary (15%) (68%) (32%) facilities Dumping of refuse on premium Lack of Hand washing facilities

4.6.2: PUBLIC TOILETTES The Effutu Municipal Assembly has embarked on a mission to encourage private participation in waste management. It has therefore franchised all public toilets to private individuals to operate. This did not go without the usual confusion surrounding such engagements resulting to violation of legitimate contracts by some agitators.

The General Assembly by a resolution set up a committee to review the operations of public toilettes in the municipality. A comprehensive report was prepared and submitted to guide the assembly.

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4.6.3 HEALTH EDUCATION AND PROMOTION Health education workshop was carried out at Don Bosco J.H.S for School Health Education (SHEP) Coordinators on the topic Sustainability of School Sanitation and Hygiene.

Radio talk shows on sanitation issues were also carried out on Thursdays at Radio Windy and Radio Peace. Topics discussed during the radio talk shows included

• Sanitation issues and sanitation at the cemetery • Effects of indiscriminate dumping of refuse • Food hygiene ( standards of chop bar operation) • Food safety ( provision stores inspection) • Standard measures in Drinking bar operation. • Effects of Stray animals in the community etc.

4.6.4 STATUS OF IMPLEMENTATION OF DESSAP District Environmental Sanitation Strategy & Action Plan (DESSAP) is a Plan developed to provide policy direction and clearly set out standards and criteria for efficient waste management operations and other sanitation activities.

TABLE 4.26: IMPLEMENTED ACTIVITIES

S/No 2013 2014

Construction of primary drain at Construction of primary drain at Abasraba in progress. Abasraba in progress. 1

Construction of three (3) number New public toilets constructed at junction, twelve (12) WC toilets at Junction, sankorConstruction of three (3) number 2 Sankor and Donkornyem completed twelve (12) WC toilets at Junction, and in use. Sankor and Donkornyem completed and in use.

3 Construction of a slaughter house in Construction of a slaughter house in progress progress

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Consultations on the construction of a Consultations on the construction of a biodigester for the treatment of liquid biodigester for the treatment of liquid 4 waste (faeces) are ongoing. waste (faeces) are ongoing.

5 Procurement of seven (7) number Procurement of seven (7) number communal refuse containers communal refuse containers

Construction of a culvert at Ndaama Construction of a culvert at Ndaama to to aid accessibility of the refuse truck aid accessibility of the refuse truck for for lifting of the communal refuse lifting of the communal refuse container 6 container at the site. at the site.

7 Maintenance of the final disposal site Maintenance of the final disposal site

8 Cleansing of thoroughfares and Cleansing of thoroughfares and desilting desilting of drains of drains

9 Inauguration of volunteer group Inauguration of volunteer group among among the fishermen to help enforce the fishermen to help enforce sanitary sanitary practices along the shore practices along the shore

10 Health education programmes on Health education programmes on radio radio and within the communities and within the communities

11 Construction of culvert at Ndaamba Construction of culvert at Ndaamba

12 Construction of slaughterhouse in Construction of slaughterhouse in progress progress

13 Identification of site for the Identification of site for the construction construction of liquid waste treatment of liquid waste treatment plant. plant.

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4.7 DEPARTMENT OF CO-OPERATIVES

Department of Co-operatives exists to facilitate the development of co-operative enterprises that are capable of employment generation, poverty reduction and community development based on co-operative ethics. The total membership of the Union stood at 1,815 comprising of 1,289 males and 517 females and 9 groups.

One society (Winneba Workers Co-operative Credit Union registered during the year under review with a registration number CR/P/FC348. It had a total of 103 members which was made up 68 males and 45 females

4.7.1 SUMMARY OF ACTIVITIES FOR THE YEAR  Registration of Co-operative groups and linking them to financial institution.  Enhancing the growth of existing Co-operative Groups  Promoting the formation of new Co-operative groups  Audit and Inspection of existing groups  Education/Training of new societies

Group Formation – Four groups were formed during the period under review. These were:

 Gyangyanadze Biakoye Food Farmers Society.

 Peace Akosua Village Animal Rearing Group.

 Winneba Workers Cooperative Credit Union

 Winneba Ebenezer Abaanta-Cooperative Group

.

4.7.2 BENEFITS: Ebenezer Abaatan Group Items worth one hundred and fifty Ghana Cedis (GH¢ 150.00) were given to fifteen (15) women according to their trade as a startup capital.

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Akosua Village The members of this group were given one (1) She Goat each to start with. Nine (9) people benefited from that scheme and it was done in collaboration with international Needs Ghana, a Non-Governmental Organization (NGO)

4.7.3 EDUCATION/ TRAINING SESSION HELD

Three training programmes were held for the Ebenezer Abaatan Group on leadership skills, Book-Keeping and Accounts and the habits of savings. The group met at Milliars Yard with a membership of 15 females.

4.7.4 CONSTRAINTS/CHALLENGES  Office Accommodation: - The Department of Co-operatives has no office of its own. It shares part of the Audit Service's rented office.  Transport: The office has no transport for its activities.  The retailers and the distillers in the Municipality have not seen the need to accept the ideals of co-operative

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4.8 FORESTRY COMMISSION

4.8.1 MANAGEMENT OF MINI-POMADZE RAMSAR The Mini-Pomadze Ramsar site covers an area of 9,461.12 hectares. It has been the aim of the Management of the site to maintain the ecological integrity of the wetland and its catchment areas by ensuring participatory management and sustainable utilization of wetland resources. The general activities of the site include; biodiversity conservation (through law enforcement, monitoring, surveys and data collection), conservation education and Public Awareness Programmes (in schools, communities and radio), community consultation, formation and strengthening of community Resource Management communities. The Wildlife division of the Forestry Commission objectives, targets and achievements over the period are expressly tabulated on the table 4.27 below

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TABLE 4.27: WILDLIFE DIVISION—ANNUAL PERFORMANCE REPORT, 2014

OBJECTIVES PERIOD/ACHIEVEMENT TARGET 1ST 2ND 3RD 4TH TOTAL QTR QTR QTR QTR st Conduct 48 patrols in the core ecological Zone by December 31 12 3 10 6 31

Objective 1: Produce and erect two (2) sign post at lagoon area to inform local and visitors 0 0 0 0 0 about the Ramsar site by December 31st

Conduct 12 bird count by December 31st 3 3 3 2 11 To effectively management a Conduct 12 water quality measurements by December 31st 3 3 3 2 11 representative sample of PA`s Conduct 48 night time sea turtle patrols on nesting beach by December 31st 10 4 4 3 21 that is fully Conduct 48 day time patrols along nesting beaches suspected skill sites local 6 8 6 1 21 representative of communities and markets by December 31st Ghana`s various ecological st communities and Conduct 24 patrols on nesting beaches by December 31 to prevent sand 6 8 10 3 27 biodiversity winning Plant 5,000 red mangroves around the Muni lagoon by December 31st 0 0 4,500 0 4,500

Plant 4,000 tree seedlings along the bank of river Pratu by December 31st 0 3,500 0 0 3500

Conduct 12 patrols to monitor 7.15 hectares of planted trees at the hunting 3 3 3 2 11 grounds by 31st December

Plant 12.35 hectares of hunting grounds with 12,888 seedlings by December 0 0 6,600 0 6,600 31st

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Plant 5,000 tree seedlings to schools and communities within the PA 500 600 100 0 1,200

Objective 2: Provide training for 30 community resources protection volunteers by 30 45 0 0 75 December 31st Increase Community Provide 30 community members with livelihoods (grass cutter and snails) 30 0 0 0 30 Participation in st Wetland Undertake 12 visits to resource protection volunteers groups by December 31 18 6 6 2 32 Conservation Provide refresher training for 30 sea turtle protection volunteers by December 0 0 0 45 45 31st

Objective 3: Undertake conservation education programs in 24 school by December 31st 1 0 0 1 2

To enhance Form 10 new Wildlife Clubs in school and strengthen by December 31st 1 0 0 1 4 Public Awareness and Undertake conservation education programmes in 12 communities by 3 3 0 3 9 st support for December 31 Wildlife Undertake 40 radio programmes on wildlife and wetland conservation issues at 9 6 5 2 22 the local FM station (Windy Bay) by December 31st

Objective 4: Increase revenue by 300% of previous year’s revenue of GH¢2,197.00 by 1,12 0.00 15.00 425. 1,565. December 31st 5.00 00 00 To optimize revenue Collect GH¢1,500.00 in revenue from issuing bush meat license to traders and 30.0 0.00 0.00 0.00 30.00 generation at the hunters within the site by 31st December. 0 site

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During the year under review, a total of 35 internal tourists visited the site. That was made up of 32 students and 3 adult individuals. There was however eight (8) foreign tourists comprising of six (6) adults and two (2) children

Major challenges

Farming activities were observed around the traditional hunting grounds during law enforcement patrols. A stakeholders meeting is being planned to address the situation.

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TABLE 4.28: FORESTRY DIVISION—ANNUAL PERFORMANCE REPORT, 2014

REF PLANNED ACTIVITIES UNIT TARGET REMARKS EXPECTED ACHIEVEMENT 1. PLANNING Mini Plans Submitted No Main Plans Submitted No District Development No b Stock Survey 2 Protection a Boundary Maintenance by FSD staff Cleaned External (Km) 194.24 194.24 Internal (Km) - - Inspected External (Km) 194.24 194.24 All cleaned areas were inspected Internal (Km) - - b Boundary Maintenance by communities Cleaned External (Km) - - Internal (Km) - - Inspected External (Km) - - Internal (Km) - - c Boundary Planting Green Firebreak established (Km) Fire ride maintained (Km) d Offences (Ha) Illegal logging Chainsaw Lumbering (vol) (m3) - 139.041 Timber Task Force duties Encroachment (Ha) - - Others (Fire) (Ha) - - PRODUCTION a Permit granted Timber - On reserve No - - - off Reserve No - -

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NTFPs No - - hunting No - - b Property Marks Registration No - - c Property Marks Renewed No d Trees Captured on TIFs Forest Reserve No Volume Off-Reserve No Volume Total Plantation product Stem/Log No 1448 21 Operations are ongoing Volume M3 610.805 6.442 TSP Plantation 4 PLANTATION DEVELOPMENT a Seedlings produced Divisional Nurseries No 30,000 10.620 A stock of 7,470 seeding of Cassia available as at 30th November, 2014. A total of 9,350 seedlings (Cassia Mahogany, Teak) were lifted from January to November, 2014 Other Sources No Establishment Demarcation/Survey (MODEC-2014) Ha 5.00 5.00 On-going Carbon offset project by Modec Ghana Limited Site Preparation Ha 5.00 5.00 Completed Pegging Ha 5.00 5.00 Completed Planting Ha 5.00 5.00 Completed Beating Up (2012) Ha - - Beating Up (2013) Ha - - Tending (Weeding) (2010) Ha 66.06 - No tending for the year Tending (2011) Ha 46.50 - No tending for the year Tending (2012) Ha 34.66 - No tending for the year

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Tending (2013) Ha 5.90 - No tending for the year Tending (Modec-2014) Ha 5.00 50 First cycle of tending completed vii Assessment Ha

Modified Taungya System Yenku F/R (2002) Ha 17.02 17.02 Stocking – 12,375 Yenku F/R (2006) Ha 25.00 25.00 Stocking – 7,092 Yenku F/R (2007) Ha 20.40 20.40 Stocking – 18,064 Yenku F/R (2009) Ha 18.70 18.70 Stocking – 15,016 Senya Beraku F/R (2002) Ha 67.43 67.43 Stocking – 24,773 Senya Beraku F/R (2005) Ha 11.98 11.98 Stocking – 4,256 Winneba State F/R (2005 Ha 14.47 14.47 Stocking – 10,202 Check Survey (2013) Ha 23.60 23.60 Percent Survival -65.0 ix. Fire ride Construction Km 0.9 0.9 Modec Plantation (2014) x. Fire ride Maintenance Km - - xi. Fire Patrols (2010) Km - - c FINANCE 5 Revenue Due a On-Reserve GH¢ - - Off-Reserve GH¢ - - Revenue Collected b On-Reserve GH¢ - - Off-Reserve GH¢ - - Disbursement c On-Reserve GH¢ - - Off-Reserve GH¢ - - Miscellaneous GH¢ Check Point (Firewood & Bomboo) 8,310.00 Vehicle Penalty 9,500.00 Inspection Fee 160.00 Stumpage (permit on one tree basis) 2,180.00 Renewal of chainsaw machine 50.00 Chainsaw penalty 1,150.00

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Registration of chainsaw 50.00 Charcoal 80.00 Total 37,480.00

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4.8.2 CHALLENGES AND CONCLUSION The following are some of the challenges confronting the commission in the achievement of its set targets

1. Very weak staff strength retards achievement of set targets. More staff required at site. 2. Lack of proper and adequate water measurement probes 3. Inadequate financial resource allocation to the site 4. Broken down Yamaha AG100 motorbike hinder operations of the officer 5. The only refractor meter for measuring salinity is broken due to old age.

Notwithstanding the low staff strength and lack of some logistics, the output during the period under review was satisfactory. Support from the commission’s headquarters had been very helpful.

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5.0 CHALLENGES AND CONSTRAINTS  Untimely release of funds for effective and timely delivery of services

 Inadequate logistics for decentralized departments to offer effective service delivery

 Chieftaincy and land disputes with its accompanying threat to security

 High incidence of armed robbery and related crimes

 Haphazard infrastructure development/non-compliance to lay down schemes

 Low IGF Mobilization

 Inadequate accommodation for staff

 High emigration of the youth

 Absence of Zonal Councils

 Low water and sanitation coverage

 Poor functioning of sub-structures

 Poor BECE and SHS results

 Lack of funds for the coordination of activities of girls’ education

 High teenage pregnancy

 Difficulty in mobilizing parents for meetings

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