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As an implementing partner of SIMAVI on the Watershed Programme, Hope for Future Generations (HFFG) is working with rural communities in Tarkwa Nsuaem Municipal Area in Western Region of Ghana; to empower citizens to do lobby and advocacy on water and sanitation.

HFFG developed Community Score Card indicators with the citizens and the local government representatives that measure Water, Sanitation and Hygiene (WASH) service delivery and Integrated Water Resource Management (IWRM) in communities. The Community Score Card is a participatory tool for assessment, planning, monitoring and evaluation of these services.

The objective of using a scorecard is to enable frank and face to face conversation in a participatory forum that engages both service users and service providers, and ultimately the goal is to positively influence the quality, efficiency and accountability with which services are provided and used.

This is a link to a Report on Community Scorecard detailing how communities scored WASH service delivery in the last quarter of 2018.

The Golden Line project creates capital for women’s businesses and an enabling environment for their psychosocial wellbeing.

The Village Savings and Loans Association (VSLA) for Women in Mining Communities under the Golden Line Programme has yielded GHC120, 650.00 from July to December, 2019 and GHC 202,500.00 from January to July, 2020.  

Four hundred and nine (409) women in 8 programme communities benefited from loans at an interest rate of 10% in 2019 and part of 2020 under Phase B of the 5- year intervention. The intervention seeks to create an enabling/supportive environment to empower women in and around artisanal and small-scale gold mining communities in the Western Region of Ghana, to improve their opportunities to engage in economic activities, decision making and sexual reproductive health and rights.

Women in mining communities face a multitude of challenges in sustaining their livelihoods, ranging from skills, access to market, alternative livelihoods and opportunities for growth. Hope for Future Generations (HFFG) as one of the local implementing NGOs representing Simavi on the Golden Line Programme, in 2019, supported Twenty-Six (26) Village Savings & Loans Associations (VSLAs) in 8 programme communities to mobilize funds through savings in the form of share purchase into a loan fund. As a result, the groups gave out loans of One hundred & Twenty thousand, six hundred & fifty Ghana Cedis (GHC120,650.00) to one hundred & seventy-two (172) women.

Golden Line project

In 2020 from January to July, the same VSLA mobilized two hundred and two thousand, five hundred Ghana Cedis (GHC202,500.00) and gave out as loans to two hundred and thirty-seven (237) women from their Associations for income generation activities at an interest rate of 10%. These sum up to a total of three hundred and twenty-three thousand, one hundred and fifty Ghana Cedis (GHC323, 150.00) from their savings given out as loans to members. 

Out of this money, one hundred and seventy-four thousand, four hundred and sixty-three Ghana Cedis, 15 pesewas (GHC174,463.15) was shared out to one hundred and eighty-four (184) women according to their savings at the end of 1 year. It is interesting to know that Fifty-three (53) women from two (2) Village Savings and Loans Associations under Phase A groups also shared out one hundred and twenty thousand, four hundred and twenty-five (GHC120,425.00).

As a result of the Golden Line Programme, some women have started new businesses like provision/grocery shops, local chop bars, drinking spots, pastries, soap and beads making among others while others have improved on their old businesses. Some Phase A women have built houses ranging from one to four rooms and others have also employed people for skills training and even paid for their skills training through their share-out money at the end of one year.

A beneficiary engaged in soap making.

Periodically, HFFG staff invites the Business Advisory Centre (BAC) Officers of the Municipal/District Assemblies to train and sensitize VSLA women in their communities on business skills, alternative sources of income and what the BAC does to support people, especially women. This also created links between BAC and VSLA women for continuous mutual benefit. As a result of the linkage, BAC provided VSLA women with information on opportunities to access matching funds from Amenfiman and Fiaseman Rural Banks. The individual pays 40% of the value and receive 60% as grant by BAC under National Board for Small Scale Industries (NBSSI).

Gender and SRHR under the Golden Line project

The Golden Line Programme is working on household financial planning, Sexual and Reproductive Health and Rights (SRHR), the value of women in the household, gender equality, the management of stressful situations and the effects of gender based violence on women’s wellbeing. In view of this, VSLA women and their partners were taken through 8 weeks gender discussion series which led participants through a process in which they reflected on their own experiences, attitudes and behaviours in order to create conditions for women to make decisions about the household, and their own SRH, while remaining free from violence within their own homes. This has resulted in partners now planning together for their families and women’s contribution in the homes has been acknowledged by men.

A beneficiary engaged in cocoa farming.

Male Involvement in SRHR

HFFG staff also trained eight (8) males as agents to support women interventions in communities under engaging men in accountable practice (EMAP) with the aim of eradicating violence against women and girls. The 8 males are acting as Male Ambassadors/Allies of the programme in the communities to prevent violence against women and girls. At the community level, groups (both male and female groups) were taken through 8 weeks activities for women and 16 weeks activities for men. EMAP took participants through activities that reduce harmful behaviours and increase gender equality in the home. It also gives men the tools and knowledge to rethink of belief systems and prevent violence against women and girls, use the voices of women in the community and provide women with opportunities to reflect on violence in their lives and communities. According to women and men in Golden Line Programme communities, EMAP has resulted in a reduction in violence in the homes.

Effective Health Care Delivery

The programme team again trained the VSLA women and health workers on social accountability for effective and efficient health care delivery in 8 programme communities.  After the training, both the women and health workers assessed health service delivery in health facilities through the use of scorecards. After the scoring, impediments in health service delivery were identified. Some issues that could be solved were handled at the community level through dialogue sessions and those above community level were referred to key stakeholders. In view of this, a multi-stakeholder validation/dialogue meeting was organized on the outcome of score cards analysis for networking and improved health care service, especially SRHR. The stakeholders said they were happy with Golden Line activities and would make sure that issues of concern will be worked on to improve health service delivery as expected.

As a key component of Primary Health Care, the Community-based Health Planning and Services (CHPS) initiative was instituted in Ghana over two decades ago to strengthen health care delivery at the community level by establishing CHPS compounds as the first point of contact and entry point to the health system.

It provides a vehicle for delivery of primary health care services at the community level as community members engage in decision making concerning their own health (GHS 2016). This is in line with global objectives of universal health coverage that all people have access to quality health care when and where they need it without financial challenges.

The success of CHPS depends on active participation of communities in the process of planning, designing and implementing health service delivery at the community level.

To achieve this, Community Health Management Committees (CHMCs) often comprising traditional leaders, opinion leaders and respected people in the communities, are formed to provide community level guidance and mobilization for the planning and delivery of health activities, including facilitating the work of Community Health Volunteers and to see to the welfare of Community Health Officers.

However, in most CHPS zones or communities, the CHMCs are either not in existence or are not functioning effectively. 

The community’s role in CHPS has historically been weak as a result of the community members insufficiently understanding their roles (MoH, 2014).

Addressing the Problem

With funding from Population Action International (PAI), HFFG is implementing a 5-months project that aims to revamp and reconstitute CHMCs and build the capacities of eight CHMCs within the Ada and Prampram districts of Ghana by May 2021.

Trained CHMCs will be guided to develop action plans to address health issues affecting their communities. Five organized groups will also be engaged to foster inclusion, non-discrimination and access to essential health services by May 2021.

Expected Outcomes

At the end of the project, HFFG and its development partner, PAI, expects:

  • Active and functional Community Health Management Committees (CHMC) playing their complementary roles to ensure successful CHPS implementation at the community level
  • Active and functional Community Health Management Committees (CHMC) mobilizing resources to ensure successful CHPS implementation
  • An increase in awareness and knowledge of primary health care, leading to an improved utilization of essential health services.

Malaria infection during pregnancy can lead to miscarriages and low birth weight babies among pregnant women. In 2003, Ghana adopted the Intermittent Preventive Treatment during Pregnancy (IPTp) strategy using Sulphadoxine and Pyrimethamine (SP), together with the use of insecticides treated nets, for the prevention of malaria in pregnancy.

In the Twifo Atimokwa in the Central Region of Ghana, HFFG in collaboration with the Ghana Health Service, is implementing a National Malaria Control Intervention which focuses on ensuring the correct and consistent use of Long-Lasting Insecticidal Net (LLIN) among pregnant women and also encouraging them to seek Antenatal clinic services and comply with national recommendations for treatment of malaria in pregnancy.

From 2019 to September  2020, about 30,000 community members including pregnant women were also reached with malaria prevention and treatment information through house to house education, community sensitization, durbars and mobile van announcements.

Hope for Future Generations (HFFG) and The PsyKForum have, in consortium, secured a project with the Ghana Somubi Dwumadie to provide psychosocial support for health workers and Persons with Mental Disability during this COVID-19 period. The Grantor of the project is Options Consultancy services.

Coronavirus (COVID-19) was first reported by the World Health Organization late December, 2019, and since then thousands and even millions of people have been infected, with high deaths recorded in many countries. Nations put in a lot of emergency measures to curtail the spread of the disease including risk communication, surveillance, contact tracing and providing targeted medical services. Some nations had to lock down to avoid further infections and to control the disease. With many unknown facts about transmission, except through droplets, many efforts focused on social and physical distancing.

Ghana recorded its first two cases of coronavirus on the 12th of March, 2020, and by 15th December, 2020, Ghana had recorded 53,270 cases. The results of a survey done in selected suburbs in Accra showed that many people do not wear face/nose masks correctly in public. With the way COVID-19 spreads, Government and the people of Ghana need to strengthen response and observe all the protocols needed to keep infections low or eradicate it.

Why the Focus on Persons with Disability and Health Workers?

People with Disabilities (PWDs) can be termed as vulnerable and are usually not able to access health information with the ease that others do. Some PWDs have mobility problems while others have hearing or visual impairments, hence are not able to take advantage of the availability of information with the ease that others do. Persons with Mental Disability are often not targeted for medical interventions to enable them access information and medical services with ease. COVID-19 produces its own stress factors which can worsen already existing mental stress and hence there is the need to focus on providing services to mitigate this effect.

Health workers are front liners for the fight against COVID-19. They support surveillance activities and provide medical care in various capacities at the various designated hospitals in the country. The fear of COVID-19, the anxiety of providing care for a COVID-19 patient and increased work load, have the possibility of triggering mental health issues.

The main objectives of the project are:

  • To establish an accessible and friendly psychosocial support for 500 health workers and their families on COVID-19 related work stress in the Greater Accra and Western regions.
  • To improve access to health care of people with disability in the greater Accra and Western regions in this COVID-19 era through sensitization of their needs among 500 health workers.
  • To reduce stigma and discrimination at health facilities towards people with COVID-19 in the Greater Accra and Western regions including people living with disability.

The project districts/sub districts include Klottey Korle, Ga East, Ayawaso West, and Ledzorkuku-Krowor in the Greater Accra Region; Sekondi-Takoradi and Ellembelle in the Western Region.

The selected hospitals are Greater Accra Regional Hospital, Police Hospital, University of Ghana Medical Centre, LEKMA Hospital and Ga East Municipal Hospital, all in the Greater Accra Region; and Effia Nkwanta Government Hospital and St Martins De Pores Hospital in the Western Region.

Hope for Future Generations is happy to partner with The PsyKForum and Ghana Somubi Dwumadie in delivering this needed intervention. It is hoped that through the Ghana Somubi Dwumadie support, help will go to helpers and Persons with Mental Disability will be supported to seek medical care and information.

About the CSO Platform on SDGs

The Ghana Civil Society (CSO) Platform on Sustainable Development Goals (SDGs) was established in October 2015 to ensure more coordinated civil society efforts in achieving the SDGs in Ghana.

The CSOs platform was institutionalised in May 2016 and includes more than 150 member organisations, consisting of coalitions, associations, unions, community-based organisations, local, national and international non-governmental organisations, and religious groups.

Membership cuts across the 216 districts of Ghana and is divided into 17 SDG sub-platforms, one for each of the 17 goals. Hope for Future Generations (HFFG) is a member of the platform and the co-convener for the SDG 5 platform.

Vision and Mission of the Platform

The vision of the CSOs platform is to be the coordinating platform for CSOs in Ghana in pursuit of achieving the SDGs by 2030. The CSOs platform’s mission is to bring civil society organisations across Ghana together to foster joint efforts, partnerships with key stakeholders and effective advocacy for achieving the SDGs at the national, regional and international levels.

Governance Structure

The governing body of the CSOs platform is a 34-member National Steering Committee(SC) made up of a convener and one appointed co-convener from each of the 17sub-platforms – HFFG is the co-convenor of the SDG 5 platform. HFFG and its co-convenor are therefore responsible for coordinating activities and joint efforts of the sub-platforms, and also represent the sub-platforms.

All conveners are national CSOs; co-conveners and members are a combination of international, national and local non-governmental organisations. All conveners, co-conveners and members are organisations with a proven track record of implementing projects and activities related to the SDGs.

The daily activities of the CSOs platform are coordinated by a coordinator with support from co-chairpersons.

The platform is contributing to achieving the SDGs by:

  • Building Partnerships and Strong Collaboration
  • Public Awareness/Information Sharing on the SDGs
  • SDG Data Advocacy
  • Localising the SDGs


Whilst the global trends in the incidence of HIV seem to be on the decline – 0.40 to 0.26 per 1000 uninfected people, the figure for women of reproductive age in Sub-Saharan Africa, including Ghana has been on the increase -0.58 per 1000 uninfected people.

Containing the scourge in the part of the world has been made difficult by the level of stigmatization of victims. Recent studies reveal, even worse trends with the emergence of in new infections (12,000 new infections in 2015 to 20,148 in 2016).

The increasing trends in HIV cases, especially in Ghana’s Greater Accra region underpins the partnership between USAID’s Strengthening the Care Continuum project, led by the John Snow Inc. (JSI. And Hope For Future Generations (HFFG), a non-governmental organization focused on giving equal opportunities to women, children and young people.

What we are doing to fight HIV

HFFG essentially works with key stakeholders including the Ghana Health Service, The Population Council, Ministry of Health (MOH), Domestic Violence and Victims Support Unit (DOVVSU) and Commission for Human Rights and Administrative Justice CHRAJ to lessen challenges faced by key populations (KPs) in dealing with high levels of stigma and discrimination in dealing with their status.

In stemming the increasing tide in HIV incidences, HFFG seeks to encourage positive behaviours and access to key information by sex workers as well as provide friendly services and comprehensive HIV Testing and Counseling (HTC) for practitioners. , HFFG has been working with to bring life-saving interventions to key populations affected by this disease.

The overall goal of the project is to reduce by 50% the number of new HIV infections among female sex workers (FSWs) and persons living with HIV (PLHIV) by the end of 2020 by:

1) Increasing availability and access to comprehensive prevention, care and treatment services, including reliable coverage across the continuum of care for FSWs and PLHIVs in the Brong Ahafo and Greater Accra regions of Ghana.

2) Enhancing and sustaining demand for services among FSWs and PLHIVs

3) Strengthening the linkage and retention in care of FSWs who test positive for HIV

Sexually assertive and savvy adolescents are the basis for building a healthy youth and the future of a country. Yet in many communities in Ghana, the belief system and culturally conservative kindred of most adolescents remains a barrier to the sexual rights of young people.

Parents and guardians often impose sexual partners for their daughters, sons and nieces because young people are not allowed to make their own choices.

Their inability to become conscious of Sexual Reproductive Health (SRH) and right to be active participants of discussions that affect their sexuality is reinforced by social norms, taboos, cultural and religious misconceptions about the subject of sexuality, a situation which results in incidences of sexually transmitted infections (STIs), unwanted pregnancies, unsafe abortions and sexual and cases of Gender Based Violence (GBV).

Young people in the age bracket of 10-24 who are thought to be most affected by the above societal restrictions constitute the focus of the “Get up Speak Out project” TO ensure that all young people fully enjoy their sexual and reproductive health and rights (SRHR) in productive, equal and healthy societies.

The 5-year project being supported by the Dutch Ministry of Foreign Affairs is led by HFFG, a member of the Ghana Sexual and Reproductive Health and Rights. HFFG is implementing the project in two districts of the Northern region of Ghana, namely, Tamale Metropolis and Gushegu district by carrying out the following key strategies and activities:

Project Strategies

  • Working with champions and role models
  • Engaging politicians and policymakers
  • Capacity building of information providers (teachers, peer educators, health care providers)
  • Create linkages between information/education system and services
  • Develop functional partnerships with social justice institutions
  • Build the capacity of social justice staff to provide comprehensive services to young people
  • Develop and implement support groups and rehabilitation for SGBV victims/perpetrators
  • Develop and implement comprehensive counseling services packages
  • Build linkages for referral systems and create awareness for young people to seek quality services
  • Local media engagement
  • Community sensitization
  • Social accountability on SRHR issues

Key activities

  • To empower young people to increasingly voice their rights
  • To increase the utilization of comprehensive SRHR information and education by all young people
  • To increase the utilization of quality and youth-friendly SRHR services v that respond to the needs and rights of all young people
  • To improve the socio-cultural, political and legal environment for gender-sensitive, youth-friendly SRHR.

After 15 years of consistent declines in malaria cases and deaths, the last 3 years have seen progress slowing, with many countries now experiencing a challenging increase in malaria cases. There are many reasons for this increase, including a reduction in funding to reduce malaria, less urgency about the impact of malaria within affected countries and increased anti-malaria drug resistance.

RESULTS UK, a UK based organization that seeks to end health related problems and poverty is working alongside Hope for Future Generations (Ghana), CISMAT-SL (Sierra Leone), Health Promotion Tanzania- HDT and WACI Health to run  a one-year Youth Leaders for Health programme in Ghana, Sierra Leone and Tanzania. 

This one-year leadership development programme will support 25 young campaigners based in Ghana, Sierra Leone and Tanzania to develop the skills and knowledge needed to help accelerate progress to end malaria and strengthen health systems in these countries and globally.

The  youth leaders will be influencing decision-makers during key moments such as national elections and the Commonwealth Heads of Government Meeting to try and end the malaria epidemic, achieve universal health coverage (UHC) and create lasting impact.

Eleven advocates from ten regions are representing Ghana on the project.

Their roles include:

• Attending a global advocacy training workshop in Addis Ababa, Ethiopia to develop new skills, hear from experts and learn more about malaria and health system strengthening. This will enable participants to become leaders in advocacy for improved access to health.

• Putting  newly developed skills into practice by meeting decision makers at international gatherings and summits such as the African Union Summit in Addis Ababa, Ethiopia and the Commonwealth Heads of Government Meeting in Kigali, Rwanda as well as other national, regional and global events.

• Developing own campaign and running campaigning activities such as hosting events attended by politicians and decision-makers, petitions to national Governments and speaking to the media to increase support for eradicating malaria and universal health coverage both in locally and globally.

• Making links with local decision makers such as parliamentarians and local government officials to advocate for change. • Working with other young people in your community to pass on your skills and knowledge and help them become champions for better access to health

• Monthly online meetings with other young people in the three countries to share ideas and improve  campaigns.

HFFG is partnering the Ghana Health Service, The Ministry of Health, and the National Malaria Control Programme to implement the intervention in Ghana.

Low government budget allocation to health especially Goods & Service over the years is affecting commitments to co-financing obligations to the Vaccine Alliance (Gavi) among others. Mobilizing domestic resources to fund vaccines and immunization programs is the best approach towards self-sustainability.  However, the country is yet to demonstrate that it is ready to rely on its own resources to steer its development, particularly in the health sector.

The Immunization Advocacy Initiative (IAI) is a three-year project with funding from African Population Health Research Center (APHRC). The overall goal of the project is to advocate for government to increase domestic financing for immunization. This initiative is being implemented by SEND GHANA, Hope for Future Generations consortium (Ghana Registered Midwives Association, SocioServ & West African Aids Foundation) and Ghana Coalition of NGOs in Health.


Outcome 1: Ensure that financing to immunization in the Government of Ghana national budget is sustained every year

Outcome 2: Ensure that the proportion of the budget allocation to immunization disbursed and spent in each financial year increases year on year by the Government of Ghana”  

Impacts / Outcomes so far

Enhanced partnerships for immunization Advocacy

  • Religious and traditional rulers such as the National Chief Imam and President of the Queen Mothers Association act as Champions for Immunization Financing Advocacy.
  • Professional associations and technical groups such as the Ghana Registered Midwives Association and National Immunization Technical Advisory Group are lending support by prioritizing Immunization financing in communique to the Minister of Health and for the development of the Domestic Immunization Financing Plan.

Increased visibility of, interest in and demand for immunization and its financing

  • Traditional rulers and CSOs use the various platforms such as government development planning spaces and the media to demand increase allocation and utilization of funds for immunization as well as behavioral change towards child immunization.

Gained spaces and influenced health plans or agendas

  • Making input into the national medium-term development framework and national budget
  • Political Parties committing to improving the NHIS and making it a sustainable domestic funding source for immunization.


  • Partnership; with Champions, CSOs and other institutions
  • Effective coordination
  • Leveraging on strengths within the Consortium
  • Evidence-based advocacy
  • Capacity building from APHRC and Consortium Organizations to partners