ENSIGN COLLEGE OF PUBLIC HEALTH

KPONG

REPORT BY
ADDO MICHAEL BROWN
ON FIELD PRACTICAL ATTACHMENT ON
COMMUNITY DIAGNOSIS
A CASE STUDY INOPESIKA
IN THEYILOKROBO MUNICIPALITYOF
EASTERN REGION OF GHANA

FROM 7TH TO 31STJULY, 2015.

CHAPEL 1
BACKGROUND INFORMATION
LOCATION
Abenwoha is a community under the Nii Ashale in the adenta municipal health

directorate in the adenta municipal council in the greater accra region of Ghana.
It is about 70 kilometers away from Ashale Botwe in the New Adenta electoral area.

BOUNDARIES
Abenwoha community shares its boundary with new legon in the North, East by
Ashale Botwe old town, West by Aviation view road and South shop to Botwe New
town.

According to the contact person in the community, when their ancestorscame down from the Krobo
Mountain to Somanya , some moved up in search of farm lands. In the process, they met a group of
hunters from AkimTafo at the point. The Hunters asked them also in a group what they were looking
for in Twi Mupe den wora ha they replied yepe sika. They settled at the community and began
to farm hence the name Opesika.

MAIN CUSTOMS AND BELIEF

As any other Krobos in this country (Ghana) the rite and festival of the people of Opesika is the Dipo
and Kloyosikplemi which are celebrated at Somanya the Municipal capital in Novemberevery year.
Snail and rats are the taboos foods for the people in the community.

POPULATION
Opesika has a total household of 401 with a total population of 2,781 per the 2010 population census.
Averagely, six (6) people live in a house.

ECONOMIC ACTIVITIES
The main economic activities at Opesikaare Farming and Gari processing. The Agogo Market for
which the community participate is the nearby Market to opesika which falls on Tuesdays and
Fridays.

FACILITIES AVAILABLE
1) EDUCATIONAL FACILITIES
There are two (2) schools at Opesika which is attended by the people of the community and
its surrounding communities. They are the Presby Primary School and the municipal Junior
High School.
2) HEALTH FACILITIES
The community has a well built health Post with only two (2) community Health nursesin
charge.

3) SOCIAL CENTERS
2 Charismatic churches
2 Orthodox churches
1Entertainment center

UTILITY
1) Source of drinking water
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The Pongpong River is the main source of Drinking water for the people of Opesika
2) No Electricity
3) No Network Coverage

OPINION LEADERS
1)
2)
3)
4)
5)
6)
7)

Mane (Grand Father of the community)

Dademantse (The Chief)
Akwafomantse (Head of farmers)
Youth Leader
Contact person
Assembly man

DISPUTE RESOLUTION COMMITTEE

The six opinion leaders mentioned above formed a committee to settle disputes in the community.

COMMON DISEASES IN THE COMMUNITY

1, Malarial
2, Skin Infection
3, diarrhea

CHAPTER 2

METHODOLOY
1) STUDY DESIGN
To diagnose the community for aperiod of one month, a cross-sectional design was used.
2) SAMPLING
A systematic sampling method was used hence every 8th household was chosen.
3) INSTRUMENT USED
The following instruments were used.
a) Questionnaire
b) Observation
c) Interview
4) SAMPLE SIZE
Fifty (50) households were chosen
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CHAPTER 3
OUT COME OF SURVEY

Head of Household
14.96% (60) of the households were Headed my female whiles 85.04% were headed by males

TYPES OF HOUSES
44.9% (180) of the people in the community live in compound houses while 55.1% live in
detached houses.

MATERIAL FOR BUILDING

10% of the house holds were built with concrete blocks and 90% were of mud.

ROOF TYPES
100% of the Household in the survey were roofed with corrugated Aluminum Sheet.

CEILING
100% of the buildings of the household interview were not ceiled.

WINDOW
2% of the house holds have one window per room 98% (393) have two windows per room.

OPENING OF WINDOW
73.82% (296) of the households open their windows always while 26.16% open theirs
sometimes

MOSQUITO NET
14.96% (60)of the windows of the households in the survey have mosquito net while 85.04%
have no mosquito net.

DRINKING WATER
100% of the households interviewed said the source of their drinking water is the River
pongpong.

WATER TREATMENT
100% of the households interviewed did not treat their drinking water.

STORAGE OF REFUSE
100% of the house holds store their refuse in an uncovered containers and emptied the
containers once a day.

WASTE DISPOSAL
100% of the respondentdisposed off their domestic waste at open refuse dump set aside by
the community.

TOILET FACILITY
100% of the households interview have pit latrine in their individual homes.

CLEANING OF HAND AFTER TOILET USAGE

82.04% of the respondentswashed their hands with soap and water after using the toilet and
17.96% (72) did not.
PESTS AND VECTORS
100% of the respondent said they were bothered by Pest like mosquitoes and a very tiny
incents that bites the skin which they call in their local language Kekledzi

REGULAR SOURCE OF FOOD

100% of the respondents had home cooked food as their regular sources of food.

HEALTH FACILITY PARTICIPATION

When the respondents were asked what influence their choice of participation of the Health
Post, All of them (100%) responded proximity to their residence.

PAYMENT FOR HEALTH SERVICES

100% of the respondents said they pay for the health services by the National Health
Insurance Scheme (NHIS)

SATISFACTION OF HEALTH SERVICES

74% of the respondents were not satisfied with services rendered by the staff of the Health
Post as 26% were satisfied.

CONCLUSION
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Per the analysis of the responses, it was evident that

a. Even though there is a health post in the community, the people are not satisfies with the
service delivery.
b. The community has no good source of drinking water.
c. Malaria is highest diseases in the community per the records of the health post.
d. There were no nets in most of the windows of the people in the community.
e. Their rooms were not ceiled
f. The skin disease which is the second highest disease in the community were caused by the
vector called kekledzi in the local language.

RECOMMENDATION
I wish to recommend that,
a. There should be improvement in the service delivery of the staff of the health post.
b. More staff should be posted to the health post.
c. Thorough education should be given to the people in the community about netting all
their windows and ceiling their rooms.
d. Boreholes should be constructed for the community by the municipal Assembly.
e. Very often, there should be a mass spraying exercise in the community.
f. Education should also be given to the community for the need of treating the water from
the PongpongRiver before drinking.

ACKNOWLEDGEMENTS
I wish to thank Mr. A. K. Teye the contact person of the OpesikaCommunity and the staff of the
health center for assisting me to get the needed information and all my colleagues and the lecturers
of Ensign Community.

COMMUNITY TOILET, 2015

OPESIKA HEALTH CENTER

STUDENT INTERACTING WITH CONTACT PERSON, 2015.

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SOURCE OF DRINKING WATER FOR OPESIKA COMMUNITY, 2015

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ECONOMIC ACTIVITY AT OPESIKA, 2015.

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OPESIKA COMMUNITY CENTER, 2015.

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STAFF ON DUTY AT OPESIKA HEALTH CENTER, 2015.

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MAP OF YILOKROBO MUNICIPALITY

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