location and size

Krachi Nchumuru District, established in 2012, is part of the nine administrative districts in the Oti Region, Ghana, with Chinderi as its capital. Geographically, it lies between latitudes 7°4″N and 8°25’N, and longitudes 0°25’W and 0°20’E, covering an area of 1,194.90 sq km. Bordered by Krachi West and Krachi East Districts to the southeast, Sene District to the southwest, and Kpandai District to the north, the district’s strategic location offers potential for investments and enhanced internal trade.

Health Facilities

The district hosts 20 health facilities: 5 health centers, 14 CHPS compounds, and one mission facility under CHAG, spread across six sub-districts: Anyinamae, Borae, Chayo, Chinderi, Banda, and Grubi. However, it lacks a district hospital, relying on Kete Krachi District Hospital, 50km away, for hospital services. The district’s population is projected to be 84,094 in 2024, with specific demographics including children under one year at 4% (3,364), women in fertility age (WIFA) at 24% (20,182), and children under five years at 18% (15,557). The district comprises about 144 communities and is led by Mr. Mukaila Diwura as the District Director of Health Services.

Number of Health Facilities per Sub-District

SUB-DISTRICTS

HEALTH FACILITIES

BORAE

Borae Health Centre

 

BANDA

Banda Health Centre

Zongo-Macheri CHPS

Borae Nkwanta CHPS

 

ANYINAMAE

Anyinamae Health Centre

Boafri CHPS

Worenjah CHPS

 

CHINDERI

Chinderi Health Centre

Bejamse CHPS

St. Luke’s Clinic (Hospital)

 

CHAYO

Gyato Akura CHPS

Motoka CHPS

Ngawoe CHPS

 

GRUBI

Grubi Health Centre

Akaniem CHPS

Kradenteh CHPS

Old Dentemanso CHPS

Figure: Human Resource per population ratio

Staff category

2021

2022

2023

No. of Category

Ratio

No. of Category

Ratio

No. of Category

Ratio

NURSE Population Ratio

140

1:571

146

1:579

169

1:493

Midwife to WIFA Ratio

29

1: 662

33

1:594

33

1:606

Physician Assistant Population Ratio

4

1:19984

4

1:20832

3

1:20832

Doctor Population Ratio

0

0:79934

0

0:81613

0

0:83326

Table 1: Population Structure of the Krachi Nchumuru District, 2024

Sub district

Total

< 1 year

< 5 years

WIFA

Expected deliveries

Expected pregnancies

Banda

24783

991

4585

5948

991

991

Borae

13543

542

2505

3250

542

542

Chinderi

13221

529

2446

3173

529

529

Grubi

12302

492

5536

2952

492

492

chayo

9282

371

1717

2228

371

371

Anyinamae

10963

439

4933

439

439

439

Krachi nchumuru

84094

3364

15557

20182

3364

3364

Accessibility and Transportation

Krachi Nchumuru District is considered hard to reach due to its unique accessibility by lake. Traveling to and from the district within a day is challenging due to limited ferry schedules and the poor condition of roads, especially during the rainy season. Many communities (around 25) are on islands, necessitating rented motorboats for transportation. Immunization mop-up activities are crucial to reaching these remote populations, contingent on funding. Transport within the district is sparse, with few cars available, making motorbikes and bicycles the primary means of transportation. An ambulance service, provided by the government in 2020, often breaks down, complicating emergency health service delivery.

Occupation

The majority of the district’s population, approximately 79.3%, are engaged in skilled agriculture, forestry, and fishery. Other occupational groups include service and sales workers (8.6%) and craft and related trades workers (6.9%).

ethnicity

The Nchumurus are the indigenous ethnic group, with a significant settler population of Konkombas, Tongu, and Hausa-speaking people. The traditional governance structure includes divisional chiefs, community chiefs, and minor settlement leaders, fostering a peaceful and united atmosphere.

Traditional Knowledge, Values, Practices, and Religion

The Nchumurus uphold various traditional values, such as celebrating the annual Yam Festival, observing traditional marriage rites, and adhering to sacred days prohibiting farming and fishing. Respect for elders, hard work, friendliness, and humility are deeply ingrained in their culture.

festival

The Yam Festival is the district’s major celebration, attracting visitors and generating revenue. It also serves as an opportunity to showcase the district’s resources to potential investors and raise funds for development initiatives.

market infrastructure

Market centers in Borae, Banda, Boafri, Akaniem, Chinderi, Anyinamae, and Kaparae are significant sources of internally generated revenue for the District Assembly.

relief and drainage

Part of the Northwestern Savannah zone, the district features flat relief with elevations between 85m and 300m above sea level. Major water bodies include the Dakar River, Volta Lake, and Oti River, crucial for household use, fishing, and transportation. These water bodies also support fish farming and rice cultivation.

vegetation

Situated in the Transitional Vegetation Savannah woodland zone, the district’s landscape consists of drought-resistant trees and economic fruit trees like sheanut, dawadawa, and baobab. The vegetation is under threat from bush burning, charcoal production, and farming activities.

In summary, the Krachi Nchumuru District, despite its challenges with accessibility and transportation, holds significant potential for development through its strategic location, cultural heritage, and natural resources. The district’s health infrastructure, though limited, strives to serve its population amidst logistical constraints

Mr. Mukaila Diwura

DDHS- Krachi Nchumuru