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The Western Region is situated in the southwestern part of Ghana. It shares borders with La Cote d’lvoire on the West, the Central Region on the East, part of Ashanti and Brong Ahafo Regions in the North, and the Gulf of Guinea in the South. It has an area of 23,760 sq, km, with a coastline of 192km

map of western region,Ghana

 

 

These were old districts that were divided, creating new districts:
  • Sefwi Wiawso – Wiawso & Akontombra
  • Nzema East – Axim & Ellembelle
  • Wassa West – Tarkwa Nsuayem & Prestea H. Valley
  • Shama Ahanta East – Sekondi Takoradi & Shama

 

General Information
 
Population
The 2009 population of the region as projected from 2000 population census is 2,555,363 with a growth rate of 3.2%.                                                  
 
Geography
 
Climate
The southern part of the region is the wettest part of the country. There are two distinct rainfall seasons, occurring in June and October. Temperatures are on the average about 270 C.
 
Relief
The region generally has low lying lands with heights below 222 metres above sea level except in the extreme northwest. The highest elevation is 660 metres at Atayemikrom.
 
 Drainage
There are ten (10) main rivers in the region. These are Bia, Sui, Tano, Tawya, Bonsa, Yannery, Butre, Whin, Ankobra, and Pra. Rivers Ankobra and Pra drain into the sea in the region.
 
Vegetation
The region lies in the equatorial rainforest belt. It has a total forest area of 19,406 sq. km which constitute 25% of Ghana’s 77,625 sq. km forest area.
Consequently, the region produces a large proportion of the country’s timber requirements for domestic use and export.
 
Mineral Resource
The Western Region is probably the richest area in Ghana so far as mineral deposits are concerned. Some of the minerals found in the region and their locations are:
·         Gold                      -           Tarkwa, Aboso, Prestea, Bogoso,
Bibiani, Chirano and several other places.
·         Diamond              -           Bonsa Basin
·         Manganese         -           Nsuta
·         Bauxite                -           Awaso           
·         Limestone           -           Nauli (Half Assini)
·         Iron Ore                -           Oppon Valley
·         Glass Sands       -           Tarkwa
 
Forestry
The concentration of high forest accounts for the large number of timber firms in the region. Western Region leads in the production of timber in the country, producing an average of about 42% of Ghana’s timber annually.
 
 Socio Economic Activities
 
 
Agriculture
The region has soil types that are suitable for a wide range of crops – mainly Cocoa, Coffee, Rubber, Oil Palm, Coconut, Black Pepper and Rice.
 
Industry
The region is one of the three most industrialized regions in the country. According to industrial classification, there are three major groupings as follows:
i.              Mining and Quarrying
ii.            Manufacturing
iii.           Electricity, Gas and Steam
The industrial capacity of the region is due to the industrial centers namely Sekondi/Takoradi Metropolis and the Mining area around Tarkwa.
About 60% of all the industries are located in the Sekondi/Takoradi Metropolis.
 
Transport and Communication
It is estimated that about 30% of the trunk roads in the region are not tarred. The road network is however fast improving.
 
A 1,272 km of railway line links the mining areas in the Wassa West District to the port cities of Sekondi/Takoradi in the Shama Ahanta East District. Other major infrastructure in the region includes the Takoradi Habour, Thermal Plant at Aboadze and the Sekondi Fishing Harbour (Bosomtwi Sam Fishing Harbour).
 
 
SECURITY SERVICES
 
Navy / Naval base; Military; Police and Prisons
There is an airstrip in the regional capital
 
 Administrative Districts
There are seventeen (17) Administrative Districts in the region. All the District capitals have pipe borne water and electricity connected to the national grid.
The region has eighty nine (89) Health Sub districts as shown below:
 
Administrative Districts and Health Sub Districts 2009
District
Population
Area Of
Districts Sq. Km.
No. Of
Health Sub
District
 
Sekondi-Takoradi
367,621
 
337
4
Shama
122,541
3
Mpohor Wassa East
162,776
2,628
5
Ahanta West
126,322
576
4
Axim municipal
85,364
 
2,149
5
Ellembelle
104,334
5
Jomoro
147,842
1,344
4
Tarkwa Nsuayem
148,304
 
1,832
8
Prestea Huni Valley
160,663
7
Wassa Amenfi East
116,999
1,502
7
Wassa Amenfi West
194,205
3,164
5
Aowin Suaman
158,179
2,699
5
Bibiani Ahnwiaso Bekwai
137,098
835
5
Sefwi Wiawso
108,773
 
2,518
5
Sefwi Akontombra
88,996
3
Juabeso
159,419
1,807
7
 Bia
165,926
2,296
7
Region
2,555,363
23,760
89

Health Infrastructure
There are total of 325 health facilities made up of 26 Hospitals
2 Polyclinics, 55 Health Centres (HC), 92 Clinics, 114 functional CHPS compounds and 36 maternity homes (MH). The breakdown is as follows:
 
HEALTH FACILITIES BY OWNERSHIP & TYPE 2009 WESTERN REGION
 
 
 
 
 
 
 
 
OWNERSHIP
HOSP.
POLY. CLINIC
HEALTH CENTER
CLINIC
CHPS
MAT. HOME
TOTAL
GOV’T.
12
2
53
35
114
0
216
MISSION
4
0
2
17
0
1
24
QUASI -GOVT.
3
0
0
1
0
0
4
PRIVATE
5
0
0
39
0
35
79
INDUSTRIAL
2
0
0
0
0
0
2
 
REGION
26
2
55
92
114
36
325
 
 HIGH IMPACT RAPID DELIVERY (HIRD) PROGRAMME
 
The HIRD approach combines the key principles of vision and data-driven methods to develop a plan for attaining universal (at least 90%) coverage for interventions which have proven to have a high impact on maternal and child mortality.
To achieve universal coverage one needs to ensure that interventions are available and utilised by all those who need them 
Since the middle of 2007, under the HIRD approach, the Western region has gone through several stages of HIRD planning and implementation 
a) Stakeholders’ sensitisation, situational analysis, planning and budgeting meeting at Busua from 25 to 28 June 2007
b)) Release of first tranche of funds from the National level in October 2007
c)) Plan prioritisation meeting at Aboadze on 26 October 2007
d) Release of funds from the Regional to the district level late October 2007
e) Initial implementation of HIRD activities in districts
f) Regional review meeting on HIRD in December 2007.
g) Continuation of implementation of HIRD activities
h) Regional monitoring of activities in districts in December 2007
i) Dissemination of findings of Regional monitoring trips at 2007 Annual review in February 2008
j) Three rounds of Activity Monitoring and two rounds of financial monitoring trips to all districts from teams from the National level in 2008
k) Periodic release of further funds from the Regional to district level
l) Collation of HIRD plans from the district level
m) Collation of quarterly updates from districts
n) Regional Monitoring of HIRD activities in districts
 
 
 
Clinical Data
Outpatient attendance registered in 2009 was 2,535,149 which showed an increase 15.7% over 2008 attendance of 2,190,361. Sekondi-Takoradi Metropolis contributed the highest outpatient attendance of 436,271(17.2%) of the regional total excluding the regional hospital (Effia Nkwanta) contribution of 131,235 (5.2%) of the regional total. The second highest contribution was Tarkwa- Nsuaem 334,013 (13.2%), with Sefwi Akontombra contributing the least 43,597 (1.7%) but higher than the previous years.
OUTPATIENT ATTENDACE BY DISTRICT 2007-2009
 
DISTRICT
2007
2008
2009
1
AHANTA WEST
71,166
83,379
93,584
2
AOWIN SUAMAN
66,835
88,968
120,459
3
AXIM MUNICIPAL
167,429
95,602
49,539
4
BIBIANI A. BEKWAI
139,026
158,875
155,890
5
JOMORO
62,197
109,396
144,106
6
MPOHOR WASSA EAST
47,379
57,157
82,512
7
SEFWI WIAWSO
100,275
149,733
150,969
8
STMA
402,461
387,572
436,271
9
ENRH
182,037
135,763
131,238
10
TARKWA NSUAEM
198,964
235,899
334,013
11
WASSA AMANFI EAST
54,928
70,960
87,142
12
WASSA AMANFI WEST
83,822
138,601
154,112
13
BIA
53,709
77,349
73,410
14
JUABESO
97,303
125,087
142,820
15
SHAMA
New Districts
49,506
93,358
16
ELLEMBELLE
144,165
169,067
17
PRESTEA H. VALLY
49,527
73,112
18
SEFWI AKONTOMBRA
32,822
43,547
 
GRAND TOTAL
1,727,531
2,190,361
2,535,149
 
Outpatient attendance per capita recorded in 2009 was 0.99 which showed an increase of 0.11 over 2008 per capita of 0.88. Five districts (Bibiani A. Bekwai, Sefwi Wiawso, STMA including the regional hospital, Tarkwa Nsuaem and Ellembele) all recorded per capita of more than one (1) during the period. Axim district which registered per capita of 1.16 in 2008 decreased to 0.58 in 2009. Tarkwa-Nsuaem registered the highest (2.25) in the region whilst the lowest was Bia district (0.44).
 
HOSPITAL ADMISSIONS
Hospital admissions were 115,958 in 2009 which showed an increase of 15.2% over 2008 (100,689), there had been a gradual increase of admissions over the past three years.
Admission rate per 1,000 population increased from 37.70 in 2008 to 45.38 in 2009. The highest rate was registered in Sefwi Wiawso (144.22) whilst the lowest was in Shama district (4.07). Bia and Sefwi Akontombra do not have admitting facilities.
 
 
MALARIA CASE FATALITY RATES
Table: Malaria case fatality rate, 2007-2009
Indicator
2007
2008
2009
under 5
above 5
under 5
above 5
under 5
above 5
Malaria admission
11,041
11,546
11,428
 


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