DISTRICT PROFILE 1.1 PHYSICAL AND NATURAL ENVIRONMENT 1.1.1 Location And Size West Gonja District is located in the Northern Region of Ghana. It lies on longitude 1 0 51 and 20 581 West and Latitude 80 321 and 100 21 North. It shares boundaries in the south in the south with Central Gonja District, Bole and Sawla-Tuna-Kalba District in the West, Wa East District in the North West, West Mamprusi in the North, Tolon Kumbungu District in the East. The District has total land area of 8,352sq.Km. This represents about 12% of the total land area of the region. The Mole National Park and Kenikeni Forest Reserves occupy 3800sq Km) 30% of the land area of the District. 1.1.2 Relief and Drainage: The topography is generally undulating with altitude of between 150-200meters above sea level. The only high land is the Damongo Escarpment, located north of the District capital. There are a few outcrops of weathered rocks around Daboya. The Mole River from the northern boundary joins the White Volta East of Damongo and this joins the Black Volta around Tuluwe in the Central Gonja District. The White Volta River also passes through the Eastern boundary of the district. 1.1.3 Climate: Temperatures are generally high with the maximum occurring in the dry season, between March/April and are lowest between December/January. The mean monthly temperature is 27oc. The dry season is characterized by the Harmattan wind, which is dry, dusty and cold in the morning and very hot at noon. Evapotranspiration is very high causing soil moisture deficiency. Humidity is very low causing dry skin and cracked lips to human being. Rainfall is bimodal with the average annual precipitation being 1144mm. The rainfall pattern is erratic, beginning in late April to late October. The peak of the rainfall is in June/July with prolonged dry spell in August. The rains are stormy and torrential up to 300mm per hour. Erosion and floods are common place due to the torrential nature of the rains. 1.1.4 Soil: The District is situated in an old geological area. The rocks are mainly of Voltaian formation with isolated Cambrian rocks, which contain valuable minerals such as gold. There are mudstones and sandstones in the Alluvial Damongo formations. The extreme western part of Damongo is composed of granitic material of low fertility. Rich alluvial sandy deposits occur around Damongo and the Kenikeni Forest Reserves. The soils around Mankarigu, Kotito and Lingbinsi are said to be fertile and suitable for cereals, legumes, and root crops, including livestock production. Underground water potentials are limited due to the Voltaian formation. 1.1.5 Vegetation: The natural vegetation is Guinea Savanna. The Vegetative cover of the district is dictated by the soil types and human activities, such as shifting cultivation, slash and burn method of land preparation. The major tree pieces are sheanut, dawadawa, baobab, acacia, nim and few ebony. The trees are scattered except in most valleys where isolated woodland or forest are found. Most trees are deciduous shedding their leaves during the dry season in order to conserve water. Grass grows in tussocks and may reach 2.7m during the rainy season. This indicates that the area is suitable for crops such as millet, sorghum, maize and groundnuts. The original vegetation in major settlements such as Damongo, Busunu, Mankarigu and Daboya have been destroyed by human activities. 1.1.6 Forest and Game Reserves: The district has two reserves and these are the Mole National Park and Kenikeni Forest Reserve both having a rich array of flora and fauna. The Mole Park which is located about 30km west of Damongo, is the largest in the country and one of the best managed game and wildlife parks not only in Ghana but Africa, south of the Sahara desert. The park covers an estimated area of about 5500 hectares and is a major tourist attraction in the North. In the year 2004 10,427 people (both Ghanaians and foreigners) visited the park. Other minor forest Reserves are: Damongo scarp located north of Damongo (39.36 km2); Nyangbong located south East of Damongo (4.66km2); Bombi after the Damongo Hospital towards Kotito No. 1 (1.47 km2); Damongo Town Plantation after the Agric Settlement, east of Damongo (0.43km3). The Mole National Pack attracts both foreign tourists. It also offers employment to some people in the district. However some communities had to relocate to make way for the creation of the park the district assembly does not benefit directly for revenue collected from the park. The park also contains a variety of flora and fauna and also some trees of medicinal value. However since the park is a restricted area people are not allowed to go in for these medicinal plants. The Mole National Park and Kenikeni forest reserve occupy great tracks of farm lands thus denying farmers their basic source of livelihood, which is farming. This has led to poaching in some cases Alternative sources of livelihood will have to be made for people living in the fringe communities. 1.1.7 STATE OF ROADS IN THE DISTRICTS The district has no single tarred road. Most of the roads are non-engineered and unusable especially in the rainy season. Below is the state of roads in the district. TABLE 4: STATE OF ROADS IN THE DISTRICT ROAD NAME LENGTH STATUS Damongo-Canteen Reset 7km Engineered CONDITION SURFACE TYPE Good Bituminous Laribanga-Murugu 14km Engineered Good Gravel Canteen-Buachipe 26km Engineered Good Gravel Canteen-Congo 2.5km Partially Engineered Poor Earth Partially Engineered Fair Earth Non-Engineered Poor Earth Canteen JH S-Catholic Guest House Damongo-Bomboto 4.9km Yazari-Krubeto 12km Non-Engineered Poor Earth Sori No. 2-Lito 24km Non-Engineered Poor Earth Sori No. 2-Kojo Kura 10km Non-Engineered Poor Earth Soalepe-Kebeso-Yipala 22km Non-Engineered Poor Earth Daboya-Seminsi 16km Non-Engineered Poor Earth Daboya-Dakurope 13km Non-Engineered Poor Earth Lingbinsi-Wawato-Donkonpe 32km Non-Engineered Poor Earth Yazari-Daboya 42km Non-Engineered Poor Earth Apart from the Damongo town roads, there is no single tarred road in the district. The road from Fulfulso Junction to Mole National Park is not the best and given the strategic nature of the game reserve the tarring of the road will open up the district to investors and tourists. Most of the roads in the district are feeder roads and are often flooded and impassable during the rainy season. This affects development because development partner 1.2.0 DEMOGRAPHIC CHARACTERISTICS: 1.2.1 Population Size and Density: According to the 2000 population and Housing Census the district population is 76,702 which give a density of 8.3 persons per sq. Km. The population density is below the regional density of 25.9 persons per sq Km. The district population growth rate of 3.1% is higher than the national (2.7%) and the regional (2.8%0 respectively. 1.2.2. Age and Sex Composition: The Sex ratio is 103 males to 100 females. This is due to the fact that females are more mobile and migrate outside the district than their male counterparts. Another factor is that there is enough arable land for the men who are mainly farmers. Urban population decreased from 18% in 1984 to 14.5% in 2000 due mainly to the ethnic conflicts in 1990 and 1996 respectively. The war between the Gonjas and Nawuris on the one hand and between the Dagombas and Kokombas on the other hand resulted in the devastation of several settlements and the exodus of thousands of people outside the district and region. The population of the district is concentrated in a few accessible areas. The age structure is typical of developing countries with over 50% between 15-60 years of age. Age-se structure also follows the National and Regional Patterns. 1.2.3 Age – Sex Distribution Table 5. Age-sex Distribution (Largest 20 Settlement) SETTLEMENT MALE FEMALE TOTAL /LOCALITY POPULATION 2000 Northern Region 9071771 913,629 1,820,806 West Gonja 76,702 Damongo 5712 5546 11,258 Daboya 2183 2377 4560 Lingbinsi 1646 1701 3347 Larabanga 1508 1524 3032 Mankarigu 1264 1229 2493 Lukula 1006 978 1984 Busunu 925 959 1884 Yagbum 857 834 1691 Singa 712 767 1479 Achubunyor 596 596 1192 Kotito No.3 621 499 1120 Jonokponto 574 480 1054 Canteen 1130 1120 2250 Tari No.2 676 876 15552 Disa 454 467 921 Mempeasem 452 420 872 Murugu 424 405 829 Sakpala 414 402 816 Gbasumpa 385 413 798 Tari No. 1 402 387 789 PROJECTED POPULATION FOR 2010? 727,553 99,713 13,521 4847 4020 3642 2994 2383 2219 2031 1776 1432 1434 1266 2702 1864 1106 1047 996 980 958 948 About 14% of the District and 43.8% of the region are urban. Ten (10) major settlements constitute over 42% of the district population. Settlements are dispersed and inaccessible especially during the rainy season. 1.2.4. Occupational Distribution Table 6: Occupational Distribution NO 1 2 3 4 5 6 7 8 9 OCCUPATION Agriculture, Fishing, Livestock Retail trade Professional and Technical work Services-Food, dressmakers Hairdressers, Hotels etc Mining & Quarrying Construction Transport & Communication Manufacturing & Production Others works (%MALE) 41.0 7.0 5.0 (%FEMALE) 19.0 8.0 3.0 TOTAL 60.0 15.0 8.0 4.0 0.6 0.6 0.8 0.8 0.5 8.0 0.2 0.4 0.2 0.4 0.5 12.0 0.8 1.0 1.0 1.2 1.0 Apart from retail trade and services, males dominate in the other occupations. This is because custom and tradition tend regard these occupations as the preserve of males. Agriculture is the major occupation with over 60% of the labour force. Crops cultivated include maize, sorghum, groundnuts, cassava, yam, beans and soyabeans. Gari processing and sheabutter processing are major commercial activities for the women. 1.2.5 Household Characteristics: Fertility rate which is about (8 children per women) is high in the district compared with the national average of (4 to 5 children per women) in normal reproductive life. The average household size is about 8, again larger than the national average of 5 per household. Owing to polygamy and accommodation problems some households have separate cooking and feeding arrangements. The annual average house hold income is estimated at about ¢550,000.00 which gives an average per capita income of about ¢70,000.00/year. This implies that over 80% of the population fall below the poverty line as set the UNO to be ¢900,000.00/year. In terms of housing, about 60% of the super structures are constructed with mud bricks while over 20% of these buildings are roofed with corrugated iron sheets. The rest are roofed with thatch (grass). Less than 5% of the settlements have electricity. Over 95% of the population relies on fuel wood for energy for both domestic and industrial/commercial purposes. The poor housing condition is a direct reflection of the low-income levels of the people. The low-income levels are a result of unemployment and low productivity. This situation could be addressed through investment in education and industry to create jobs for the youth. Equitable provision of socio-economic facilities in the rural areas will also reduce the migration of the youth outside the district. This will further increase agricultural production in the district. 1.2.6. Ethnicity and Religion: There are 22 ethnic groups in the district. The major groups in order of magnitude include, Gonja, Tampulma, Dagomba, Hanga, Mamprusi and Dagarbas. The Kokombas who have since the 1994 ethnic conflict left the district used to be a major ethnic group. The lack of ethnic homogeneity tends to constrain socio-cultural organization and development. However there is inter-tribal marriages and peaceful co-existence, which provides unity in diversity. There are four major religious groups. These are as follows, Islam about 70%, Catholic 10% Protestants 8% and Traditional Worshippers 12% .Relatively there is religious harmony, which is a pre-requisite for development. 1.2.7 Migration: Migration outside the district has very serious consequences on the development of the district i.e loss of productive labour force. By estimates, four (4) out of ten (10) adults in the district stay or live outside the district for 1 year or more. Out-migration is mainly by the youth, both literates and illiterates. Major factors that account for the out-migration are; (push and pull factors) Search for employment and wealth Pursue further education Search for better life in urban centres Peer group influence Move away from parental control and traditions. The major destinations include down south (Kumasi, Accra, Obuasi etc) and Tamale the regional capital. Most of the young girls migrate to neigbouring Cote de Ivoire for commercial sex. Apart from the loss of productive labour, the out-migration promotes the spread of the HIV/AIDS in the district. In-migration consists of farmers (60%) in search of farmlands and professionals (10%) who come to work in institutions in the district. About 3% of the in-migrants are tourists who come to the Mole National Park. The rest of the in-migrants are businessmen and women, students and religious people. 1.2.8 Environmental Analysis: Human economic activities have altered the natural environment. Environmental degradation is reaching alarming stages in some parts of the district such as Damongo, Achubunyor, Kotito No. 2, Daboya areas. In these areas activities such as sand and gravel winning, shifting cultivation, tree cutting for fuel wood and bush burning are threatening the ecological balance of the environment. One adverse effect of these activities is loss of soil nutrients leading to very low productivity, which tend to deepen poverty in the district (See Environmental check list). Poor sanitation especially in the large towns is becoming a health hazard. The poor sanitation is due mainly to indiscriminate disposal of solid and liquid waste and lack of proper drainage systems. Traditional Energy Unity of the Savanna Resources Management Project (SRMP) conducted a field study on fuel wood in the district in 2001. The study revealed that an average of 5000 bags (2.5mT) of charcoal is produced monthly for sale in the district. Another 300mT of firewood is produced commercially per month in the district. One can imagine the tree cover depletion per annum. Measures such as agro-forestry, tree planting and control of bush fires could help reduce the depletion of the flora and fauna in the district. Presently a few NGOs including World Vision, Arocha Ghana, OICI, the Catholic Church, SRMP and MOFA have commenced implementing some of these remedial measure. The District Assembly has also started campaigns against indiscriminate tree felling and bush fires, sand and gravel winners as well as contractors whose activities destroy the environment are charged by law to plant trees to replace the land they destroy. On sanitation the DA is increasing the provision of KVIP toilets and household toilets in the major settlements. Refuse container and a tractor have been procure to assist the environmental health unit o manage the sanitation situation in the District Table 7: RESOURCE ENVIRONMENTAL CHECK LIST (2010): WEST GONJA RESOURCE AND TYPE LOCATION ENVIRONMENTAL SITUATION (THREATENED, PROTECTED, DEGRADED NATURAL Damongo Threatened protected (Mole) TYPE OF THREAT District wide Degraded and threatened 3. Housing Quality and Quality Area council headquarters (11 towns) Poor quality of houses over crowding in rooms 4. Waste Disposal Area council headquarters (11 towns) Threatened and degraded Sand & gravel Minimal winning, cutting trees for fuel wood Indiscriminate Minimal building poor sanitation facilities Indiscriminate Substantial disposal of refuse of waste pollution out break of epidemics 1. Mole National Park (Reserve Tourisms) 2. Farm lands ASSEMBLY CONTROL LEVEL Pouching & Minimal Farming, bush fire The district is endowed with several tourist attraction centres. The Mole National Park is the leading tourists centre not only in the region but the northern sector as a whole. The park is endowed with a wide variety of wildlife. Below are the major tourists attraction centres in the District. 1.2.9 TOURISTS SITES TYPE OF ATTRACTION REMARKS 1. Mole Park Inter Status 2. Ancient Mosque Inter Status 3. Mystic Stone National 4. Konkore Cave District Status 5. Quranic Festival District Status 6. Traditional cloth weaving District Status 7. Slave trade route Region Status 8. Damba & Fire Festivals National 9. Lake Kpiri 10. Daboya Crocodile Stone 11. Mognori Com. Eco Tourism (CREMA) 1.3 LOCATION Mole EST.VISITORS 4,500 Laribanga 3,000 Laribanga 3,000 Mole N/A Laribanga N/A Daboya N/A Daboya N/A District Wide 1,000 Kpiri Daboya Mognori/Mole THE DISTRICT MICRO ECONOMY This section deals with analysis of the district economic activities (agriculture, industry manufacturing, tourism and commerce) including economic infrastructure such as transport, communication, energy and markets among others 1.3.1 Agriculture: Farming continues to be the major economic activity undertaken by about 60% of the total labour force. Major crops cultivated are yam, cassava, legumes (beans, groundnuts, Neri, cowpea and soyabeans) and cereals (millet, sorghum, maize and rice). Vegetables are cultivated mainly by women. Others are tomatoes okro and pepper. Agriculture is also mainly rain-fed with limited irrigation. Cropping pattern follows the land fertility pattern and farmers use either inorganic and organic manure or fertilizer. Tools/equipment used by farmers include hoes (predominant), cutlass, animal traction and tractor services are limited. The production situation of situation of some major crops is shown below TABLE 8 : % INCREASE IN YIELD OF SELECTED CROPS % increase in Production Levels (MT) yield of 2006 2007 2008 selected Target Achievement Target Achievement Target Achievement crops, livestock and fish Maize 22.0 4 32 8 34 3 2009 Target Achievement 38 45 Sorghum 3.9 3 7.0 5 7.5 8 7.6 5 Groundnut 4.8 10 5.5 12 5.5 27 7.8 5 Yam 99.0 35 120 7 210 2 220 6 Cassava 215.00 45 310.0 15 360 12 41.2 16 Cowpea 1.1 3 1.2 12 1.5 8 1.8 5 Rice 1.1 17 2.2 18 3.0 6 3.5 12 Millet 20.12 4 0.19 5 1.0 3 1.2 2 Soybeans 0.12 0 0.14 2 0.19 10 1.2 5 Cashew 1.0 7 1.2 8 1.4 25 2.0 17 SOURCE: MOFA-Damongo EXTENSION – FARMER RATIO *Farmer population = *No. of Extension Officers = RATIO = 12,565 14 1:898 TRACTOR – FARMER RATIO *Number of Tractors in the District = *Number of Farmers = RATIO = 73 12,565 1:172 SOURCE: MOFA – Damongo. 1.3.2 Problems in Agriculture: The major issues confronting the agricultural sector are: Population pressure on land Declining soil fertility and erosion etc Inadequate marketing systems Weak/inadequate extension services High cost of inputs (farming, livestock and fishing) Inadequate credit facilities Erratic rainfall and over dependence on natural conditions High incidence of pests and diseases (crops & animals) Inappropriate farming methods High post harvest losses. 1.3.3 Industry And Energy: The industrial sector employs less than 15% of the active labour force. Males continue to dominate the industrial sector. The industries are the cottages-type using traditional skills, simple tools and are mainly family business. The cottage industries include handicraft, baskets and mats weaving,, metal and wood work. Agro-based industries also abound in the district. Women dominate in the food processing (gari, starch and konkonte) activities, district wide. Damongo is renowned For its quality gari in the northern sector. Other industries are textiles and leather works. Table 9: Industrial Location In West Gonja Industry Type Dominated Location a. Food processing (Cassava) and food stuff trading b. Sheabutter & Groundnut Oil Production c. Textiles, garment and batik d. Leather works, mat & basket weaving e. Blacksmithing, metal works and handicrafts f. Cosmetic Damongo, Busunu and Laribanga g. Commerce and petty trading h. Vehicle and Electronics Repairs i. Transport and Mankarigu, Damong and Busunu Daboya, Damongo and Lingbinsi Damongo, Daboya and Mankarigu Damongo, Busunu, Daaboya and Mankarigu Damongo, Daboya and Lingbinsi Mankarigu, Damongo, Larabanga, Daboya and Lingbinsi Damongo, Daboya and Mankarigu Damongo, Daboya and Estimated Labour % of Labour Force 15.0 12.0 3.5 3.0 2.0 2.5 2.0 4 2.5 Communication j. Energy-wood fuel k. Mining and Quarrying (Gold, Limestone, Salt, Clay, Sand, and Stone) l. Others Repair works etc. Laribanga District wide Damongo, Daboya Damongo, Daboya and Busunu 2.2 1.5 12.0 The industrial production and employment is low in the district due to several factors, including inadequate skills, low technologies, inappropriate equipment, poor marketing and high cost of inputs. In order to increase industrial productivity and employment the youth could undertake skillbased training, and supported materially to establish local industries. 1.3.4 Income And Poverty Analysis: Currently, it is estimated that 64% of the district population fall below the national poverty line which is ¢900,000.00 per year. (UNDP standard). The major cause of poverty in the district are the typical poverty cycle in developing countries ie. Low productivity, low income, high illiteracy rate, high population growth rate, low savings (capital) and unemployment. Although the district has a number of natural and human resources, these are under developed and underutilized. The district is also one of the least resourced in terms of social services. To mention few, roads are bad and majority of roads unmotorable during the rainy season, poor access to health, education, employment potable water and energy (electricity). Some of the major problems in revenue generation internally are. Suppression of cash Short Accounting Forging Receipts Improper Recruitment of Collector Laxity on the part of collectors, supervisors and staff. 1.3.5 HUMAN RESOURCE DEVELOPMENT This section analyses the human potential, which is both a means and an end to development. It is concerned with the service and facilities necessary to improve the living conditions of the human population. Considering the distance between communities and the increasing number of children of school going age, access to educational facilities needs, the unbalanced spatial distribution of educational facilities are being addressed. It is worthy to know that since 2006 to 2009, educational facilities have increased however; the facilities are still inadequate in number and are poorly staffed especially at the basic school level. Table 10. Educational Information: West Gonja (2006/07-2009/10) District Wide Establishment 2006/2007 Boys Girls Total 2007/2008 Boys Girls Day Nursery - - - 1,757 1,806 3,563 Primary School. Junior High. School Senior High Schools DASS NDESCO SAGESS Damongo Agric College HACTS - - - 6,811 6,058 12,869 6,599 6,221 12,820 6,741 6500 - - - 1,783 1,444 3,227 1,873 1,566 3,439 2,098 1,718 3,816 862 173 37 281 96 105 10 1,143 269 105 47 1,021 218 40 357 94 146 7 1,378 312 146 47 1,116 213 45 432 129 159 12 1,548 342 159 57 1,148 313 50 446 167 143 12 1,594 480 14362 21 43 64 40 62 102 62 71 133 66 68 134 TEACHER-PUPIL RATIO. Kindergarten: Primary: JHS: SHS: 1:103 1:45 1:53 1:29 Total 2008/2009 Boys Girls Total 1,778 1,802 3,580 2009/2010 Boys Girls Total 1848 3772 1924 13,241 TABLE 11: NO. OF TEACHERS YEAR TRAINED UNTRAINED TOTAL 2006/2007 NA NA NA 2007/2008 NA NA NA 2008/2009 179 504 683 2009/2010 200 592 792 Total 379 1096 1475 Although these are the figures provided, it had been noted that enrolment at all levels of primary school, have increased considerably as a result of the Capitation Grant and Ghana Feeding Programme. Adult Literacy: The Non-Formal Education Division of the Ministry of Education, which is concerned with the adult literacy, trained 1,475 female and 1,115 male adults from 2006 to 2009. The NFED graduates also acquire skills in income generating activities, formation of cooperative societies, tree-planting, family planning as well as AIDS control. They therefore become enlightened partners in the development process in their communities. The major problems/issues confronting the educational sector in the district are as follows: Poor educational outcomes (poor performance/results at all levels) High adult illiteracy leading to conservation towards new ideas. Limited financial and geographical access to education Inadequate qualified staff and low enrolment in schools Inadequate teaching and learning materials at all levels Inefficient administration and management especially at the basic and J. H. S levels. High drop-out rate in schools. It is imperative to develop and implement medium and long term programmes to address the above problems. HEALTH CARE AND FACILITIES Health Infrastructure: The number and location of these health facilities are tabulated below: Table 12: Health Facilities, Location and Number: NO. FACILITY LOCATION SUB-DISTRICT 1 West Gonja Hospital Damongo Damongo 2 Damongo Health Centre Damongo Damongo 3 Achubunyor CHPS Achubunyor Damongo 4 Damongo Damongo 5 6 Health Asst. Training School District Health Directorate Kotito No.3 CHPS Damongo Kotito # 3 Damongo Damongo 7 Mole Health Centre Mole Mole 8 9 10 11 12 Grupe CHPS Compound Laribanga CHPS Tari Health Centre Daboya Polyclinic Bawena CHPS Compound Grupe Laribanga Tari # 1 Daboya Bawena Mole Mole Daboya Daboya Daboya 13 Lingbinsi CHPS Compound Lingbinsi Daboya 14 15 16 Busunu Health Centre Mankarigu Health Centre Mempeasem CHPS Compound Busunu Mankarigu Mempeasem Busunu Mankarigu Mankarigu CURRENT STATE Part under renovation Completed Completed, yet to be furnished and equipped Needs classrooms and students hostels Needs renovation Completed, yet to be furnished and equipped Renovated by Department of Game and Wild Life Completed and occupied Under construction Under construction Under renovation Needs a GoG structure and Staff accommodation Structure build, needs furnishing and staff accommodation Needs renovation Needs renovation Under Construction Health facilities are inadequate and unevenly distributed in the district. Although 5 out of the six (6) area councils have static health facilities (Clinics) the average distance to these facilities is over 20km. This is because West Gonja District is one of the largest districts in the country and the settlements are sparsely distributed. The dispersed settlement pattern is due mainly to the search for farmland. The facilities experience shortage of drugs, vehicles and other equipment. The district hospital at Damongo is managed by the Catholic Mission. It is reputed for very good services. Its catchment’s area reaches far beyond the district boundaries to Kintampo in the Brong Ahafo Region, Bole District among others. There is considerable pressure on the limited personnel and facilities. TABLE 13: TOP TEN DISEASES DIAGNOSED AT OPD, 2007 - 2009 No. 1 2 3 4 5 6 7 8 9 10 DISEASE Malaria Other ARI (Acute Respiratory Infection) Skin Diseases & Ulcers Diarrhoea Diseases Rheumatism and Joint Pains Pneumonia Intestinal Worms Acute Urinary Tract Infection Acute Ear Infection Typhoid/Enteric Fever (Typhoid) Total 2007 20998 3342 TOTAL DIAGNOSED 2008 2009 28792 42450 4575 8986 1824 1418 797 2891 2445 1229 3873 2807 1673 753 714 519 1118 1154 1101 1205 1035 890 464 334 651 533 840 796 31163 44489 64555 2010 Most of these diseases could be reduced with improved/better environmental sanitation and personal hygiene. Improved income and better housing could generally raise the health status of the people. GUINEA WORM CASES As at the year 2009, the district recorded a total number of guinea worm cases but for the 1st half of the year 2006, the district recorded a total number of 5 cases. Guinea worm eradication suffered a set back due to the following factors: Reduced government support and logistics In-migration from guinea worm infested areas Inadequate portable water especially during the dry season Table 14: Other Statistics at OPD 2007 – 2009 Indicator 2007 Institutional Infant deaths/1000 16 Live Births Institutional Maternal 533 deaths/100,000 live births No of Doctors 2 No of Nurses 32 2008 8 2009 12 243 106 2 45 1 44 Doctor-Population ratio Nurse-Population ratio Doctor-Nurse ratio Patients-Bed ratio SOURCE: DHMT WGDA 2009 1:40,497 1:2,532 1:16 1:30 1:41,706 1:1,854 1:23 1:31 1:85,831 1:1,951 1:44 1:46 There has been significant improvement in health delivery over the past years. Reports from DHMT indicate that 65% of the populace seeks medical care at formal health centres. Both curative and preventive health care services are provided in the district but the focus is on preventive services. YOUTH DEVELOPMENT PROGRAMES Presently the Governments Youth and Employment Programme have taken off in the District with youth in Agricultural registering 94 members at the beginning of the programme. 100 acres of land has been ploughed and crops like maize etc planted. It is expected that the youth employment programme will go long way to reduce unemployment among the youth in the District. The Rural Enterprise Projects which was launched in the district also has plans put in place to address youth unemployment problem over one thousand youth in the district have so far registered with youth employment programme. Other social programmes, which support youth development directly and indirectly are in education, health, agriculture and AIDS control. The problems of the youth in the district and indeed the country as a whole include the following: Lack of information and underemployment Youth unemployment and underemployment Lack of appropriate productive skills Uncoordinated efforts to support the youth Spread of HIV/AIDS Programmes/Activities to address the problems could include the following: Conduct and establish youth profile and analysis Compile and analyze data on youth unemployment and training needs. Establish entrepreneurship centres in collaboration with National Youth Council (NYC) and NGOs. Organize and support youth groups in income generation.