By Akua Dua-Agyeman
Two and a half years into the implementation of the Millennium Village Projects (MVP) in Ghana, the Bonsaaso Cluster in the Amansie West District, Ashanti Region is experiencing “significant improvements at the household and village levels in agriculture, health and education sectors as well as a number of crosscutting domains” (ODI Formative Review of MVP Synthesis Report, 2008).
Agriculture is the main livelihood employing about 80% of men and 90% of women and generating about 73% of the total income. Most farming households in Bonsaaso depend on rain-fed agriculture. Small scale agriculture is predominantly practiced, even though there are a few large cocoa and oil palm plantations. The average farm size is 12.8 acres or 5 hectares, with more than half of the households (63%) having holdings of about 10 acres of 4 hectors. With the distribution of subsidized fertilizers, improved seeds and intensified agricultural extension service system, production of high-protein maize increased from 2.2 ton/hectare in 2006 to 4.1 tons/hectare during the 2006/2007 cropping season showing over 85% improvement.
Removing financial and geographical barriers, recruiting adequate and well trained staff, ensuring adequate supply of medicines, adopting primary health care approach and maintaining both fixed and mobile Ante Natal and Post Natal Care services, the improvements in the health conditions of these regions are significant. This is evident by increased clinic attendance (including for pregnant and nursing mothers), health facility deliveries and high reduction in maternal mortality leading to a zero maternal mortality by June 2008. One year along the line i.e. the year 2007, 286 women gave birth in health facilities as against 116 in 2006 - an increase of 146%. Since then, 67% of women delivered their babies in health facilities. Also the number of new women seeking antenatal care increased from 344 to 787 (129%) during the same period while the use of family planning techniques improved from 296 to 2,278 (670%). Malaria topped the list of reported and treated ailment in clinics in 2007. Consequently, about 25,854 long lasting insecticide treated bed-nets were distributed in the Cluster and additional 6,000 for bordering communities.