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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.



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

Website: http://csoplatformsdg.org



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.



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 Generation consortium (Ghana Registered Midwives Association, Socio-Serve & West African AIDS Foundation) and the Ghana Coalition of NGOs in Health.

Goal of the Project

To increase domestic financing of health budget with prioritization for immunization.

Outcomes:

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.

Major Activities for 2019

  • Develop fact sheet on immunization financing in Bono, Eastern, Ashanti and Volta regions for stakeholder engagement.
  • Present a position paper on immunization in national forum on sustainable immunization financing and coverage yearly.
  • Conduct Review of analysis of 2020 budget statement and economic policy for stakeholder engagements.
  • Convene CSO round-table discussions (National level)
  • Engage traditional and religious authorities to champion immunization at the grass root level

Start-up Activities implemented so far:

An inception meeting for implementing partners, took place at La Palm Beach Hotel in February 2019.

The meeting was organized by the African Population and Health Research Center (APHRC) for partners to better understand their roles and responsibilities on the project, identify their capacity needs and to plan for the first six months of the project. Representatives from the consortium participated and contributed to the outcome of the meeting.

A four-day workshop from 1-4 April, 2019 was also organized by the African Population and Health Research Center (APHRC) to build consensus among the participating organizations in Ghana and to develop a national level advocacy strategy.

The workshop took place at Golden Tulip and was attended by representatives from the HFFG consortium. By the end of the workshop a draft Ghana Advocacy strategy jointly owned by all partners, including key messages, stakeholder analysis, timeline, activities and risks was developed.Monitoring, Evaluation and Learning (MEL) workshop from the 15-18 April was held at Alisa hotel to develop a Theory of Change (TOC) for the IAI project in Ghana.

Also, to develop a MEL plan including clear outcomes, indicators, MOVs, Plan for data gathering, analysis and reporting. The HFFG consortium participated and contributed to the development of a MEL plan to guide the implementation of the project in Ghana. Two consortium planning meetings were organized during the period to plan for the first year of the project and also to outline clear roles and responsibilities for each partner. Targets and specific regions for implementation were all part of the discussions. These meetings were used to prepare budgets and work plans for the year.



BACK GROUND

Communities, Civil Society Organisations (CSOs) and Community-based Organizations (CBOs) play an important role in the design, implementation, monitoring and evaluation of community-based HIV, TB and malaria interventions. Communities, CSOs and CBOs are expected to intensify these roles in efforts to attain Universal Health Coverage (UHC) and health security. To achieve UHC and health security, community involvement in the design of effective interventions, implementing and evaluating the robustness and quality of health services, creating demand for services and reaching those who do not always go to health facilities, especially key populations and the marginalized, is key.

Communities are also expected to be at the forefront of key interventions like health promotion, prevention, fostering healthy behaviors and reducing the demands on the health system. The Global Fund recognizes that systems for health that involve communities will always be the first to identify, report and respond to emerging threats and has over the years been pivotal in providing more systematic support to enhance and strengthen community systems. This support has worked to a large extent to strengthen health systems in general.

The recognition of the immense roles of communities in HIV, TB and malaria interventions nonetheless, are often under-supported. To consolidate gains made so far, the Global Fund, has through the Community Systems Strengthening (CSS) component of the Global Fund New Funding Model II (TGF NFM II) prioritized interventions that seek to strengthen existing community structures such as key populations, networks, CSOs, CBOs, public and private sector actors to positively respond to HIV, TB and Malaria interventions by increasing community participation, ownership and accountability in order to produce expected health outcomes.

Hope for Future Generations (HFFG) has been selected as a Sub-Recipient (SR) under WAPCAS to implement the CSS project leading to the achievement of the goal and objectives of the CSS program. HFFG has identified the following strategies in the implementation of CSS namely: collaborating with other NGOs/CSOs to implement programmes; engaging NGOs/CSOs/CBOs in the implementation of community-based interventions; formation and engagement of community-based support groups for implementation of community-based interventions; collaboration with other CSOs in CSO networks for lobby and advocacy; and engagement of key government and private sector actors for the provision of accessible and quality KP services.

Hope for Future Generations (HFFG) is a Ghanaian NGO that has been at the forefront of various CSS interventions in Ghana and has over the years gathered enormous expertise in CSS programming. HFFG is a member of several CSO networks such as the Ghana HIV and AIDS Network (GHANET), Coalition of NGOs in Malaria, Coalition of NGOs in Health, SWAA Ghana and NSA Ghana. Our Executive Director is a core member of CSS advocacy groups in Ghana and beyond. She is currently a substantive CCM member representing women and children. She is also a member of the TB and HIV oversight Committee of the Ghana CCM, as well as a technical advisor to the Society of Women and AIDS in Africa

The goal of CSS project under the Global Fund New Funding Model II (TGF NFM II) is to Scaling up quality HIV care cascade through community engagement and addressing human rights barriers. Also to develop the roles of key affected populations and communities, community organisations and networks, and public-or private-sector actors that work in partnership with civil society at the community level, in the design, delivery, monitoring and evaluation of services and activities aimed at improving health

Community systems strengthening initiatives aim to achieve improved outcomes for health interventions dealing with major health challenges, including HIV, tuberculosis and malaria, among many others. An improvement in health outcomes can be greatly enhanced through mobilization of key affected populations and community networks and emphasizing strengthening community-based and community-led systems for prevention, treatment, care and support; advocacy; and the development of an enabling and responsive environment. Specifically, CSS seeks to achieve the following objectives:

  • Increased community and organizational capacities for effective implementation of HIV, TB and malaria programs
  • Improved social mobilization, community linkages and collaboration
  • Strengthened community-based monitoring for social accountability and advocacy
  • Improved Project Management

Major activities of CSS include but not limited to:

  • Training a cadre of community members in the use of the community score cards, other community monitoring and exit survey tools
  • TB Champions to undertake treatment monitoring, contact tracing, Intensified case finding, DOT adherence counselling, follow-up on lost cases, drug monitoring at facilities, effective documentation and reporting.
  • Organizing quarterly district coordination meetings with PLHIV, cured TB clients and other beneficiary community members at the district to discuss the outcome of the community based monitoring and outcome of the engagement of the facilities and duty bearers
  • Engage government and other duty bearers to honour commitments, provide quality services (TB/HIV, Malaria and KP program), ensure uninterrupted drugs (DOTS/ART/ACT) and commodity supply using evidence available
  • Community members to undertake district level monitoring and use the data generated to engage facilities and duty bearers
  • Conducting periodic SAMC visits to the district to engage community members on the outcome of the community based monitoring, offer support if necessary and collect data for advocacy and higher level engagement of service providers.
  • Organizing semi-annual regional stakeholder dialogues on TB/HIV, Malaria and KP related programming by SAMC

As part of implementing CSS activities, HFFG has implemented the following activities:

  • HFFG together with TB Voice Network and district TB Coordinators conducted an assessment to select cured TB patients in the 15 selected districts. These assessments led to the selection of two (2) cured TB patients per district as champions to be trained. HFFG with support from NTP and TB Voice Network trained these cured TB patients from the selected 15 districts as TB champions to support treatment monitoring, contact tracing, intensive case finding, adherence support, sputum collection and transportation to diagnostic centers, follow-up on lost cases, drug monitoring at facilities and effective documentation and reportin In all 28 TB champions have been trained and collectively have screened 1047 people from November 2018 to February 2019, leading to 20 positive cases who are currently on treatment.
  • Also, through CSS, HFFG have trained 107 Social Accountability and Monitoring Committees in all 10 regions to support to lead evidence-based advocacy and policy change at the national and regional levels for improved service delivery in the three (3) disease areas through social accountability towards efficient and effective utilization of resources for improved quality of service in the three (3) disease areas and empowered to demand quality service from service providers
  • Within the same period, 216 Models of Hope have been trained and placed in various health facilities in 33 districts in seven (7) regions to support with ART services. Through the efforts of these Models, 846 new cases have been recorded and over 50 defaulters traced and brought back to care.



Young Persons Living with Disabilities (YPWDs) need Sexual and Reproductive Health information, education and services so that they can make informed Sexual and Reproductive Health and Rights (SRHR ) decisions for themselves and live healthy.  

As an organization that prioritizes the inclusiveness of Young Persons Living with Disabilities in the design, implementation, monitoring and evaluation in all our programme implementations, HFFG under the under the Get Up, Speak Out (GUSO) project funded by the Dutch Ministry of Foreign Affairs through SIMAVI,  has empowered over  400 young people (10-24 years) from the Yumba Special School and the Savelugu School for the Deaf, both in the Northern Region of Ghana, to voice out and stand up for their sexual and reproductive health and rights.

Under the project, HFFG has also empowered 30 peer educators in both schools to provide SRHR information and education to their peers both in and out of school. Two SRHR clubs have also been formed in both schools to offer students the opportunity to discuss Sexual and Reproductive Health issues that prevents young persons from achieving their potential.

“The GUSO project has empowered me as a girl living with hearing impairment to be confident and demand for my Reproductive Health Rights and know where to seek redress when I am abused.

The project has also given me knowledge on changes my body goes through as a girl, especially during menstruation.  I can say that some of my peers found it difficult to come to school when they were menstruating but we are now empowered and can handle menstruation better and stand up against stigma,” said Kassim Zuweira, a 16-year old member of the Savelugu School for the Deaf GUSO SRHR club.

Since 2016, HFFG has, on the GUSO intervention, reached over 22,000 young people including those living with HIV, with comprehensive SRHR information at the community level to ensure that they fully enjoy their sexual and reproductive health and rights and stand up against harmful practices like child marriage, rape and other cultural norms that affects young people.

As part of the Project, HFFG works with policy makers, community opinion leaders and public institutions like the Domestic Violence and Victim Support Unit (DOVVSU) of the Ghana Police Service, Ghana Health Service (GHS), District Assemblies and the Commission on Human Right and Administrative Justice (CHRAJ). Over 30 media personnel have also been trained on how they can diffuse the myths and culture of silence and stigma associated with reproductive health issues of young people.