Of this number, 52.9 per cent worked five days of the week, 10.7 per cent for six days and 1.9 per cent for seven days respectively. He noted that pregnant women, children less than 10 years and elderly people above 60 years were not eligible for the vaccine, and explained that “Pregnant women are carrying developing babies, and this particular vaccine makes the virus harmless but not totally dead. In Manya Krobo, Kwahu South, Asuogyaman, and Akwapim North, the district’s share of Doctors is higher than the district’s share of the regional population. The 283,461 houses constitute 13.0 per cent of the total stock of houses in Ghana and represent 51.4 per cent increase over the 1984 stock of houses in the region. Teledensity for the region (0.2 per 100 persons) which is the same as that of the Western Region, is however not as high as would be desirable. Collection from the dwelling place of households by specialised refuse collection companies is minimal. The best facility is in Akwapim Mampong, in the Akwapim North District. But this exercise is not proving to be a satisfactory substitute in the New Juaben municipality, where LPG usage is only 12.5 per cent of households, mainly because of the high initial capital outlay for cookers and gas cylinders, which many rural dwellers cannot afford. Of a population of 1,739,535, aged six years and older in the region, 30.6 per cent have never attended school. Those who had a job but did not work constitute 4.6 per cent, leaving 8.4 per cent of the economically active population, as unemployed. The analysis has shown inadequacies in the conditions of living in all the districts such as educational facilities, housing community facilities and employment generation. The ratio of population to registered traditional medical practitioner (TMP) is also very low compared with the population per allopathic doctor and population per nurse. These range from 48.0 per cent for West Akim district to a low 25.1 per cent for Manya Krobo district. It accounts for 88.4 per cent of females and 83.9 per cent of males in the Birim North District, 87.7 per cent of females and 82.8 per cent of males in the West Akim District, 88.6 per cent of females and 81.6 per cent of males in the Yilo Krobo District, with the highest percentages, 92.7 of females and 90.6 of males, in the Afram Plains, District. The household composition in all the districts of the region indicates that the traditional family structure of the primary family with extended family relations is still prevalent. The least proportion of households with the borehole as a main source of water (1.3%) is in the New Juaben district. The age structure for the sexes also follows the national pattern where males predominate in the early few years but are overtaken by the female population in later years. It becomes immediately clear that there are serious distortions at the various levels. Marriage itself presents challenges, but being no more in a marital union presents greater challenges, for females in the region. The lowest house occupancy ratio is in the Afram Plains, with 1.1 households per house, compared with the highest occupancy ratio in New Juaben, (10.9 persons per house and 2.7 households per house). The New Juaben municipality, hosting both the regional and district capital, Koforidua, is home to many people employed in the public services as well as in the Service and industrial sectors; schools, colleges and a University College, all of which function through direct employment of workers. An additional 30.4 per cent are between 10,000 and 19,900 people. Islam, in spite of its relatively small proportion in the region, has remained stable. The average for the 17 districts is 44.9 per cent of males and 27.7 per cent of females. The use of the sewerage system for liquid waste disposal is highest in Asuogyaman, (7.1%). The rates for females, (54.6%) compared to males, (73.6%) are rather low. The Centre’s facilities are however totally inadequate, and staffing is a major problem. After birth, sex ratios vary because of different patterns of mortality and migration for males and females within the population. It must be ensured that the facilities exist in the region and are sufficient to accommodate the needs, and are well equipped to train the right calibre, of students. The proportion of males per 100 females was 102.2 in 1960, 97.9 in 1970, 98.1 in 1984 and 96.8 for year 2000, with dependency ratios of 94.9 for 1984 and 90.5 for year 2000. The preferable outlet is the disposal through the sewerage system but only 6.9 per cent of households in the New Juaben municipality have access to the sewerage system, which is negligible in the other districts. The national average is 0.7, compared with 3.2 per 100 persons for Greater Accra and 0.5 for Ashanti. In addition, the region has 3,174 fixed lines with 1,400 fixed lines in the regional capital alone (44%). A number of factors may influence the use of electricity for lighting particularly affordability of monthly electricity bills and the availability or accessibility of electricity supply at the locality level. Asuogyaman follows with 10.1 per cent of households and Afram Plains and Birim North have the least 0.8 per cent each. It was part of the then Brong-Ahafo Region and contains 6 districts, 3 municipal and 3 ordinary districts. The use of this material for walls reduces to between 30.0 - 39.0 per cent in five districts and between 20.0 and 27.0 per cent in four districts. Potable water is woefully inadequate for the New Juaben municipality and other districts. The common methods of disposing of liquid waste unto streets and into gutters pose environmental and health hazards particularly the breeding of mosquitoes. Over three quarters (77.6%) of households in the New Juaben municipality use electricity, as the main source of lighting, the highest among the districts. The proportion of the female active population who had a job but did not work (5.1%) is higher than that of males. The high percentage of self-employed persons (without employees) has economic implications as it affects revenue and tax collection. The district map of the western region of Ghana indicates that this region has a total of 15 districts. Hence, the need to keep harping on the tree re-planting exercise and stopping the menace of chainsaw operators in addition to encouraging the planting of woodlot to be used as firewood. The four principal occupations for males are agriculture and related work (56.9%), Production, Transport and Equipment work (16.6%), Professional and Technical work (8.6%) and Sales work (6.5%). Bawku Municipal District 7.2. Mud/mud brick/earth and cement/concrete blocks are the two main construction materials used by households for walls in the districts. Asuogyaman District, ATIMPOKU . Yilo Krobo (79.7%) and Manya Krobo (71.4%) have the largest concentration of the Ga-Dangme while the Ewe population is largest in the Asuogyaman (39.1%) and in the Afram Plains (50.8%). The high proportion of corrugated metal sheet used in Suhum-Kraboa- Coaltar reflects the remains of the cocoa boom previously enjoyed in these areas. Districts in Ghana are second-level administrative subdivisions of Ghana, below the level of region. The level of enrolment in the JSS in the region is almost the same for male and female pupils. The proportion of the never married males varies from New Juaben (49.1%), followed by Asuogyaman, Akwapim North and South (39.1% each) to the lowest in Kwaebibirem (32.0%). West Akim has the lowest (20.8%) percentage. The reason for the high sex ratios in both districts may be mainly agricultural. A significant number (12.6%) of dwelling units have thatch/palm leaf roofs. Over 70.0 per cent of localities have primary schools within five kilometres varying from Akwapim South (94.1%), Yilo Krobo (94.0%), Manya Krobo (91.0%), New Juaben (93.7%) to Birim South (73.7%) and Afram Plains (73.4%). Literacy < In the region, 63.6 per cent of the population are literate compared with the national average of 57.9 per cent. It accounts for almost half (48.6%) of all types of sleeping rooms showing that most household members in the region have largely single room facilities which is below the national average of 49.9 per cent. 2. The heaps of rubbish that are becoming a feature of the urban landscape are indicative of the inadequacy of the dumps to the task. 87.0 per cent, worked during the period seven days prior to census night 2000. The age structure for the districts follows the regional pattern with a broad base tapering gradually at older ages and this may be due to mortality and migration. Eastern, Ghana consists of the several second-level administrative divisions. It is also noticeable that the old age and retired/pensioners make up 14.2 per cent of the males and 19.3 per cent of the females. Six other districts have equally high proportions (above 80%) of self-employed without employees. The level of literacy is higher for males (73.5%) than for females (54.4%). Ecological and environmental factors are therefore of prime importance in determining the commercial exploitation of the bauxite and other minerals. The three major religious groups are Christianity, Islam and Traditional religion. The age structure and the sex composition of the population of the region follow the national pattern. It should be a major concern of the District Assemblies to plan for the sewerage system of disposing of liquid waste. Themovement has drained most of its adherents from the mainstream Christian Churches, particularly the youth. However, Afram Plains has close to 50 per cent of localities that are more than 30 kilometres away from postal facilities. The type of fuel used for cooking includes wood, coconut husk, gas, electricity, kerosene and charcoal. A number of factors account for the relatively high employee status of the New Juaben, municipality, the Asuogyaman and the Akwapim South Districts. Government has created 38 new Metropolitan, Municipal and Districts. Access to pipe-borne water is highest in the New Juaben municipality than in the other districts in the region. Besides, the problem of dumping sites is still another hurdle. Apaak Traditional Healing Centre, with a factory and a clinic at Koforidua (New Juaben) and another Clinic in Accra, operates similarly. Even though there is a legal minimum age prescribed for marriage, the 2000 Census data indicate that there are children; especially girls below age 15 years, who are in marital unions. The use of cement/concrete block for walls is low in two districts, Birim South (15.9%) and specifically in Afram Plains (6.9%). In the Manufacturing industry, female participation (9.5%) is higher than that of males (8.8%). The next highest illiteracy rate for females is in the Manya Krobo (55.5%), followed by the Yilo Krobo Districts (54.1). As the land is cleared for farming activities, however, excessive evaporation takes place leading to shortage of water. Earth or mud floors account for 23.9 per cent of dwelling units. The private informal sector accounts for 77.2 per cent of the male and 83.6 per cent of the female economically active population. The third common type of dwelling occupied by households in the region is the semi-detached house of which Asuogyaman has the highest proportion (30.2%), followed by Manya Krobo (24.1%). The region is also characterized by long range forest highlands such as the Akim, Kwahu, Akwamu, Krobo and Shai Hills. At the district levels, the Afram Plains District has the highest percentage (46.1) of households who have a separate room set aside exclusively for cooking. Thus, while the proportion of females separated, divorced, widowed or in consensual unions is substantially higher than those of males, the proportion of males who never married is equally substantially higher than that of females.

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