Third Term Project: Upper Manya Krobo District, Eastern Region, Republic of Ghana
Support project outline
|Location||Upper Manya Krobo District, Eastern Region, Republic of Ghana|
|Target population||72,160 (direct beneficiaries: 30,668; indirect beneficiaries: 48,867)
* Direct beneficiaries partially overlap with indirect beneficiaries.
|Term||June 2023 to May 2026|
|Budget||24 million yen (first fiscal year)|
|Partner||Japanese Organization for International Cooperation in Family Planning (JOICFP), a public interest incorporated foundation|
Located in the West Africa, Ghana is a tropical country with hot and humid whether all year around.
The project site, the Eastern Region has the Lake Volta, and people sometimes need to travel 10 km or more to the opposite side of the lake, which may take two hours in some cases.
It is also an area where traditional values are firmly in place.
Healthcare issues for mothers and children in Upper Manya Krobo District, (UMK District)
Distance to health facilities
10 to 20km
Community clinics renting space in private houses to provide health services
Deliveries at health facilities
Treatment of diarrhea with oral rehydration solution (ORS)
※Figures for Ghana as a whole
Ghana’s maternal mortality rate is about 60 times higher than that of Japan※1. In the UMK District, the distance to a health facility is about 10 to 20 km, depending on the area. Physical access is the biggest challenge. There are 41 clinics (CHPS※2), but more than half of them rent space in private houses to provide health services. Many pregnant women do not have health facilities nearby where they can deliver safely.
Water and sanitation are also major issues, with diarrheal diseases accounting for 25% of the deaths of children under the age of five in Ghana※3. Treatment with oral rehydration solution is not yet widespread.
- ※1unicef THE STATE OF THE WORLD ’S CHILDREN 2021
- ※2CHPS (Community-Based Health Planning and Services): Clinics that provide basic health care services
- ※3Binka E, Vermund SH, Armah GE (2011) Rotavirus as a cause of diarrhea among children under 5 years of age in urban Ghana: Prevalence and serotypes/genotypes. PaediatricInfectious Disease Journal 30: 718-730.
Health data (reference values)
|Antenatal care coverage (four or more times)||85%||79.9%|
|Deliveries at health facilities||78%||45.2%|
|Full vaccination coverage||67.5%||85%|
|Cases of diarrhea among children under 1 year old (5 target sites)||-||1,451 cases|
|Treatment of diarrhea with oral rehydration solution (ORS)||48%
- ※1UNFPA State of World Population 2020, UNICEF State of the World’s Children 2021
- ※2UMK District Health Department Statistics 2022
Health facilities targeted by this project in UMK District (6 facilities)
Description of activities
|(1) Improvement of infrastructure||(2) Education and sensitization||(3) Enhancement of the community support system|
|Improvement of access to maternal and child health services||
|Improvement of water hygiene||
|Improvement of nutritional status||
|Improvement of access to quality healthcare services||This project will improve the tangible factors of two health facilities with low physical accessibility. At Akateng Health Center, we will construct a maternity waiting house, for the first time in Ghana, to create an environment in which pregnant women can receive appropriate care until childbirth with peace of mind. Furthermore, we will also provide community-wide awareness education at six health facilities, targeting healthcare workers, maternal and child health promoters, OTCM sellers, youth peer educators, male partners of pregnant and lactating women, and other family members. Through these efforts, we aim to improve the health of mothers and children.|
|Reduction of diarrhea among children||We will prepare handwashing facilities with soap and safe water and provide health education and sensitization for community people, using educational materials on nutrition and prevention of childhood diarrhea. We aim to reduce diarrhea in children by enhancing the knowledge of community people.|
- ※1Sexual and Reproductive Health and Rights
- ※2Social and Behaviour Change Communication