Background

Ejisu Municipal is one of the forty three (43) divisions of metropolitan, municipal and districts in Ashanti Region. The municipal was created from the former Ejisu-Juabeng Municipal District in 2018, citing Ejisu as the capital town. It has a total of 48 communities.

Location And Site

The Municipal stretches over an area of 232.011 km². It is located in the South Eastern part of the Region and shares boundaries with Afigya-Kwabre and Asokore-Mampong Municipals to the North; Juaben Municipal to the East, Bosomtwe Municipal to the South and Kumasi Metropolis to the West.

Map of Ejisu Municipal

Geographical Profile

The topography of the Municipal area is generally undulating, dissected by plains and slopes. The Municipal lies in the semi – deciduous forest zone of Ghana with climate ideal for the cultivation of cash and food crops as cocoa, oil palm, maize, cocoyam, plantain, cassava, rice and vegetables. The Bankro, Hwere and Baffoe are the major rivers draining the area. These rivers flow continually throughout the year and can be used for both domestic and agriculture purposes. Seasonal flooding occurs in the inland valleys and along river basins. The rivers offer potentials for potable water for human consumption and industrial use in the municipality.

Economic Activities

Agriculture dominates the local economy with majority of the farmers practicing poultry and animal husbandry. The service sector ranks second to agriculture whilst industry is the smallest sector of the local economy. A socio-economic survey(November, 2009) shows that even though agriculture engaged the highest number of people, it contributed less than 33% of household incomes, services and commerce contributed to 46% and industry contributed less than 21% in the Municipal area.

Socio-Cultural Activities

The proximity to the Kumasi City offers services of far higher order of economic and social facilities such as employment, goods, technical and professional services, health facilities, educational facilities, leisure and entertainment and the administrative services located in Kumasi. The municipality in turn offers available land for development of residential and industrial settlements with attractive transport facilities, labour and agricultural products for daily consumption in the Metropolis. The interrelationship enhances the municipality opportunities for local, national and international investors.

Ethnicity and Religion

The Municipal has an ethnic and religious homogeneity. Akans are the overwhelming majority (over 84%). Tribes of northern extraction, Ewes and Gas are the minority. Christians make up about 87% of the population whilst moslems and traditionalists take up 9.5% and 1% respectively.

Education

There are 85 public and 44 private pre-schools representing 65.89% and 34.11% respectively whilst there were 92 public and 44 private Primary Schools in the Ejisu Juaben Municipal Area. At the Junior High School level, there are 63 public and 22 private schools representing 74.12% and 35.97% respectively.

Transport

The road network is fairly good with few untarred roads. Most of the feeder roads are accessible throughout the year except for a few which are not motorable especially during the rainy season. The communities which are hard to reach during the rainy season are accessed by boat, swimming or walking. Some of the communities are extremely hard to reach especially during the rainy season such as Timeabu, Susuanso and Bankroagya.

Population

The Municipal has an estimated projected population of 192,349 as at 2024 as projected from 2010 Census. Census data in 2010 shows that majority of its population are females (52.2%). For the purposes of health administration, the municipal is divided into Ejisu, Onwe and Krapa Sub-municipals.

Age Groups

Facilities

The municipal has a total of twenty eight (28) Government, CHAG and private health facilities. The distribution by ownership is shown in the appendices.

Types of health facilities in the Municipal

There are a total of twenty (28) functional CHPS zones in the municipal as shown in the appendices. Three of the zones namely Kwaso-Denteso, Abenase and Kwaso-Kurotia are hard-to-reach especially during the rainy season. Ejisu Government Hospital, Onwe Government Hospital and Living Waters Hospital are referral points for healthcare in the respective sub-municipals.

Clinical Care Statictics

The top ten causes of OPD Morbidity are:

• Malaria,
• Upper Respiratory Tract Infections,
• Rheumatism & Other Joint Pains,
• Diarrhoea Diseases, Anaemia,
• Acute Urinary Tract Infection,
• Skin Diseases, Typhoid Fever
• Pneumonia
• Intestinal Worms infestation

Top five causes of OPD Mortality are as follows:

• Hypertension
• Diabetes Mellitus
• Anaemia
• Septicaemia
• Cirrhosis

Child Care and Nutrition Services

Growth monitoring for children aged 0-59 months is conducted on monthly basis to assess the growth trend of the children, and intervene in cases of growth faltering or malnutrition.

Children aged 6-59 months old who are moderately or severely malnourished are identified for rehabilitation. Vitamin A supplementation among these children is carried out in schools to increase its coverage in the municipality. Birth registration of children aged 0-11 months is carried out annually in selected facilities by officers from the birth registry department.

Nutrition officers are tasked to institute nutrition counselling services during antenatal clinics to help reduce the high rate of anemia in pregnancy in the municipal. Generally the use of iodated salt in the municipality is high. Diet clinics are organized for diabetic and hypertensive clients on weekly basis.

Child Care and Nutrition Services

Health Programmes

Health education and promotion are held at child welfare clinics, antenatal clinics, schools, markets and in the communities. Caregivers, pregnant women, lactating mothers, food vendors, school children, traders are targeted in the health programs. Education is given on topics such as lactation management, good complimentary feeding practices, family planning and proper hand washing among others. School health service is performed by RCH staff in collaboration with GES and Environmental Health staff to inspect the environment, food vendors and hand washing facility. Medical screening of pre-school children is done annually and children identified with ailment are referred for treatment. Week celebrations such as child health promotion campaign are observed annually to intensify health education.

Health Programmes

Holistic Assessment of the Municipal based on the four strategic objectives was rated as shown below:

Objective1: Ensure Sustainable, Affordable, Equitable, Easily Accessible Healthcare Services (Universal Health Coverage)

Objective2: Reduce Morbidity and Mortality, Intensify Prevention and Control of Non-Communicable Diseases

Objective3: Enhance Efficiency in Governance and Management

Objective4: Intensify Prevention and Control of Communicable Disease and Ensure the Reduction of New HIV/AIDS and other STI, especially among the Vulnerable