Participatory Monitoring and Evaluation (PM&E) of projects and programmes promotes greater transparency and accountability in development governance. Some studies revealed that participation in Metropolitan, Municipal and District Assemblies in monitoring and evaluation (M&E) is low. This study adopted a case study approach. A sample of 196 people participated in the study. The study revealed that stakeholder participation in M&E of projects and programmes was high among the Municipal Planning and Coordinating Unit (MPCU) members and the District Assembly members but low at the Zonal Council and community levels. This has impacted negatively on the transparency, accountability and the sustenance of projects and programmes. The study concludes that stakeholders were rarely involved in M&E of projects and programmes due to lack of concerted effort by the MPCU for grass root stakeholder participation and poor attitude on the part of community level stakeholders in M&E of projects and programmes. The MPCU and the Assembly members' involvement were appreciably high whereas the Unit committee, the community and the Zonal councils' involvement were low. The study recommends that the District Assembly through the MPCU should establish strategies
This paper assesses the effects of inter-ethnic chieftaincy and land conflicts on the socio-political development of northern Ghana. The knowledge gap the study sought to fill is the use of theoretical antecedents to illustrate that conflicts have some merits for socio-political development and that conflict theories equally depict solutions to conflicts. Methodologically, the study makes use of content analysis of secondary data, by following the tenets of the realistic group conflict theory. Examples were drawn from the Konkomba, Gonja, Nanumba, Dagomba, Kusasi, Mo and the Sissala disputes of emancipation. It was revealed that major positive effects of the conflicts include improvement in the decision-making processes on community development issues, strengthening of inter-ethnic unity and helping to redeem the identity of a group. The destruction of life and property is the major demerit. It was recommended that civic education on the causes and effects of the conflicts by authentic participation of potential disputants could provide a more sustainable way of preventing conflict.
The role of urban planning capacity development in ensuring that cities are engines of growth and development in Africa cannot be downplayed. However, limited research has examined how urban planning capacity development is responding to urbanisation in emerging cities. Using mainly data gathered from key informants and analysis of relevant documents, the study found that curative plans were increasingly used to compliment master plans in the effort to improve upon inner cities development. Google earth, satellite imagery, remote sensing, and aerial photography were also increasingly employed in the preparation of planning schemes. These developments notwithstanding, capacity development was still weak because the various dimensions of capacity development were not consciously developed as an integrated system. Conflicting planning legislation; inadequate funding; inadequate technical skills due to limited investment in technology for the training of planning professionals; and poor institutional collaboration exemplified the weaknesses in capacity development. In conclusion, capacity development for urban
Aim:
This article draws on the poverty and access to health care framework to explore the barriers to access and utilization of primary health care among aged indigents under the Livelihood Empowerment Against Poverty Programme (LEAP) in Ghana.
Background:
Although many developing countries have made progress in extending primary health care to their populations following the Alma-Ata Declaration of 1978, the establishment of the Millennium Development Goals, and the Sustainable Development Goals (SDGs), barriers remain pervasive, particularly among vulnerable population groups. Previous studies have hardly paid in-depth attention to this important indicator for measuring progress toward achieving SDG 3.
Methodology:
To this end, we conducted a case study of access to health care services and utilization among aged indigents enrolled on the LEAP programme in the Daffiama Bussie Issa District of the Upper West. We collected and analyzed qualitative data from indigents aged 65 years and above, health care providers, and staff of the LEAP and the National Health Insurance Scheme (NHIS).
Findings:
Our analysis found geographic inaccessibility of health care, high costs of drugs and related services, exclusion of essential services from NHIS benefits package, and irregular transfer of cash to negatively influence access and utilization of health care among aged LEAP beneficiaries in the district. In addition to the need to strengthen the economy, provide health infrastructure and human resources for health in rural areas, the government needs to review the beneficiaries’ bimonthly stipends to reflect the daily minimum wage, eliminate the delay in payments, and review the benefits package of the NHIS to include essential services and medical devices commonly used by aged people. Yet implementing these recommendations has affordability implications that require innovation to mobilize additional resources and create the desired fiscal space and institutions that can sustainably implement universal coverage programmes such as the LEAP.
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