Bonsaaso is located in the Amansie-West District of the Ashanti Region of Ghana. It is a hot and humid tropical region where villages are spread out and separated from one another by thick rainforest.
About 80% of the planted area is under cocoa cultivation, while the remaining portion is for production of food and staples. Nearly 70% of community members live on less than $1 a day. There’s little access to safe drinking water, electricity, and communication services, with just 4% of households having access to improved sanitation.
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. Community members have to travel between 2 and 40km to access health care, and malaria prevalence is high in the region.
- Average maize yields increased from 2.2 to 4.5 tons per hectare.
- Schools have been connected to the electricity grid, and gender separate latrines were built.
- Chronic malnutrition has decreased by nearly a third among children under two.
- Institutional deliveries have more than doubled, and 86% of women have at least 4 antenatal care visits, up from 50%.
- Community members now visit a health facility an average of once a year—a fourfold increase in utilization.
- There was a threefold increase in HIV testing.
- More than 200 km of roads were repaired.