Bonsaaso, Ghana
Bonsaaso cluster: 6 Millennium Villages | approximately 30,000 residents
Bonsaaso is a village located in the Amansie-West District of the Ashanti Region of Ghana. The area is characterized by hot, humid tropical climate conditions. The Millennium Villages are separated from one another by thick rainforest and diverse vegetation. While the villages are spread out, they are not very large. Most farmers must make do with small plots of land, relying on small-scale cash crop farming which results in low yields and limited production of food for consumption. Getting goods in and out of the isolated communities can be arduous due to travel on uneven dirt roads that were carved by gold mining and lumber companies years back. Infrastructure has slowly degraded since the decline of these two industries in the region.
Village Characteristics by Sector

Most of the able-bodied youth of the area prefer to work in illegal gold mining sites for money instead of engaging in food production. Consequently, farm labor is scarce and expensive and mainly undertaken by older people who are not strong enough for the task. In addition, the process of land preparation is laborious because of the nature of the vegetation. Weeds also grow very fast on the farms because of the high rainfall. A few farmers overcome the latter challenge by using herbicides, but this is something most of the farmers cannot afford.
Most of the fertile lands which are closer to the communities have been used for cocoa production, pushing food crop production to distant lands. Farmers have to walk long distances, sometimes more than five kilometers, before reaching their farms. This leaves very little land for food crop production. A partial solution is to introduce technologies such as improved fallowing, agroforestry and crop rotation that will enable farmers to crop on the same piece of land for a very long time.
The diets of the people are made up of carbohydrates with little and inadequate protein sources. The major food crops produced in the area are cassava, plantain, cocoyam, yams and maize—all carbohydrate-rich foods. Cultivation of leguminous crops, which could provide richer protein sources, does not form part of the cropping culture of the community. There is no commercial poultry farm to supply eggs and chicken, and the rearing of livestock is limited to a few households that keep small ruminants on free range. Some communities even forbid the rearing of sheep and goats, and fish farming (aquaculture) is also absent in the communities.
Farmers have difficulty in finding a ready market for their farm produce because of long distances from market centers and the poor condition of the road network. This in turn becomes a great disincentive and does not motivate the farmers to produce large quantities of farm produce.
Until the inception of the Millennium Village project, the communities had never benefited from any form of agricultural extension services. This has made it difficult for the farmers to accept and adopt recommended agronomic practices, thereby slowing down the pace of food production in the area.

The main health problems as reported by local health clinics in order of importance are malaria, buruli ulcer, anaemia, malnutrition, risk to women in pregnancy and delivery, hypertension, low tuberculosis (TB) detection rate and HIV/Aids.
There are very few functional health facilities in the entire Millennium Village cluster and community members have to travel long distances—between 2 and 40km depending on type of health facility—to access health care.
There are not enough medical doctors, nurses, midwifes and other paramedical staff in the district to handle the health-related problems of the communities. The bad nature of roads coupled with lack of sufficient vehicles make transportation of health workers to the communities for outreach health care delivery difficult. Similarly, the movement of sick people to health facilities is equally difficult, sometimes with fatal consequences.

There are not enough primary schools to support the population of the village cluster. This results in primary school pupils having to walk long distances, in some cases more than 5km, to and from school. This is a big disincentive to many of the students who find going to school unattractive.
All school children who have to travel to neighboring communities to school have to walk since means of transport such as buses, motorbikes and bicycles are completely absent. None of the schools in the Millennium Village cluster have an adequate number of qualified teachers.
In most of the schools, suitable tables and chairs for the pupils are not available. Teaching and learning materials as chalk, exercise books, pens and pencils, charts, etc. are not available to facilitate teaching and learning.
In most of the communities there is only one toilet facility for both boys and girls. This is enough to make some people shy away from going to school. The project is addressing this challenge with the construction of separate toilet facilities for the different sexes.

Water from boreholes in some of the communities is of questionable quality because of high concentration of iron. A number of communities in the cluster do not have adequate water points.
The road network in the Bonsaaso cluster is untarred, lengthy and bad. When it rains, portions of the road become very slippery and dangerous. In the dry season the road becomes very dusty and provides potential health hazards to users without air-conditioned vehicles. The poor nature of the roads virtually cuts off the MV communities from the rest of the country.
Intervention Highlights
The Ghana cluster has made great progress in diversifying crops and increasing average yields, helping decrease the prevalence of malnutrition. Significant improvements in the areas of health and education have also contributed to early yet dramatic changes in the quality of life for community members.
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