Overview
The Bosome Freho District was carved out of the then Amansie East District now Bekwai Municipality in November, 2007 by the Legislative Instrument (LI) 1825. The District Assembly was inaugurated on 28th February, 2008. Bosome Freho is one of the most deprived districts with a lot of hard to reach communities in Ashanti Region. In 2008, the first District Chief Executive at the first general meeting made mention in his address referring to the district as one of the most deprived districts in Southern Ghana as the people live in extreme poverty.
The district capital, Asiwa is 80km from Kumasi in the Ashanti Region of Ghana.
Bosome Freho District Map
Table 1: District Project Population 2024 by Sub District
| Sub-districts | Population | % of total pop. | No. of communities |
|---|---|---|---|
| Asiwa | 12931 | 20.4 | 11 |
| Dunkura | 12899 | 20.4 | 24 |
| Nsuaem | 13062 | 20.6 | 12 |
| Nsuta | 10362 | 16.3 | 25 |
| Tebeso | 13902 | 22.3 | 16 |
| Dist. Total | 63136 | 100 | 89 |
Source: GSS projected population.
Other demographic information
- Number of Sub-districts – 5
- Number of communities – 89
- Demarcated CHPS zones – 28
- Functional CHPS zones – 28
- Number of outreach/static points – 64
- Number of CHMC members – 178
- Number of CBSVs- 82
Health Facilities Situation
Bosome Freho has no District hospital neither a Medical Doctor. There are Twenty-one (21) health facilities consisting of Four (4) health centres (comprising of 2 CHAG and 2 Government), and Seventeen (17) CHPS compounds. The district is further divided into Twenty-eight (28) CHPS zones.
| Sr # | Facility | Sub-district | Location | Owner | Type | Remarks |
|---|---|---|---|---|---|---|
| 1 | Asiwa Health Centre | Asiwa | Asiwa | GHS | Health Centre | Functional |
| 2 | Anyanso CHPS Compound | Anyanso | GHS | CHPS | Functional | |
| 3 | Anumso CHPS Compound | Anumso | GHS | CHPS | Functional | |
| 4 | St. Mary’s Clinic Yapesa | Yapesa | CHAG | Clinic | Functional | |
| 5 | Dunkura Health Centre | Dunkura | Dunkura | GHS | Health Centre | Functional |
| 6 | Apewu CHPS Compound | Apewu | GHS | CHPS | Functional | |
| 7 | Dompa CHPS Compound | Dompa | GHS | CHPS | Functional | |
| 8 | Duase CHPS Compound | Duase | GHS | CHPS | Functional | |
| 9 | Adumasa CHPS Compound | Adumasa | GHS | CHPS | Functional | |
| 10 | Richard Fowler Catholic Clinic | Dajanso | PRIVATE | Clinic | Functional | |
| 11 | Nsuaem CHPS Compound | Nsuaem | Nsuaem II | GHS | CHPS | Functional |
| 12 | Amomorso CHPS Compound | Amomorso | GHS | CHPS | Functional | |
| 13 | Abosamso/Asamama CHPS Compound | Abosamso | GHS | CHPS | Functional | |
| 14 | Nsutem CHPS Compound | Nsutem | GHS | CHPS | Functional | |
| 15 | Nsuta CHPS | Nsuta | Nsuta | GHS | CHPS | Functional |
| 16 | Anomawobi CHPS Compound | Anomawobi | GHS | CHPS | Functional | |
| 17 | Nancy Powel’s Clinic CHPS Compound | Tebeso | Tebeso II | GHS | CHPS | Functional |
| 18 | Tebeso I CHPS Compound | Tebeso I CHPS | GHS | CHPS | Functional | |
| 19 | Gyimakyi/Ahwiaso CHPS Compound | Gyimakyi | GHS | CHPS | Functional | |
| 20 | Fereso CHPS Compound | Fereso | GHS | CHPS | Functional | |
| 21 | Freboye CHPS Compound | Freboye | GHS | CHPS | Functional |
Mission Of the Directorate
The Health Directorate has a mission to deliver high quality health service that is equitably accessible to the people of Bosome Freho District in collaboration with stakeholders.
Vision
It is the vision of the Directorate to have a district with healthy population particularly mothers and children and every individual having access to quality and affordable health services delivered by well-motivated personnel.
Main Priorities
- Completion and operation of Network of Practice (NoP)
- Strengthen the implementation and reporting of Wellness Clinic activities
- Conduct bi-annual Sub-district peer review to assess strengths and gaps in healthcare service delivery
- Improve financial management through regular monitoring and supervision, ensuring proper management of NHIS and participation in quarterly financial validations
- Strengthen Integrated Disease Surveillance and Response (IDSR) activities to detect cases such as; COVID-19, Tuberculosis (TB), Cholera, Acute Flaccid Paralysis, etc.
- Intensification of health promotion activities and reporting.
- Improve integrated technical support through monitoring and supervision of health activities
- Implement quality improvement strategies to address data management and DHIMS (District Health Information Management System) data gaps to harness quality data for decision-making.
- Strengthen CHPS/Telemedicine implementation;
- Continuous orienting of new and existing staff on the objectives of the GHS/District to achieve desired results.
- Conduct staff appraisal as performance improvement tool
Key challenges
- Woefully inadequate or no Staffing (Midwives, Supply officer, HIs, field technicians, etc)
- Inadequate means of transportation for service delivery
- Inadequate Funding of health activities
- Inadequate Staff accommodation especially CHPS level
- Inadequate office accommodation
- Patients refusal/ non-adherence to referral worsening case management
