Bono Region
The Bono Region is one of the sixteen administrative regions of Ghana, situated in the middle belt of the country.[1] It was established in 2019 through the division of the former Brong-Ahafo Region into three parts: Bono, Bono East, and Ahafo.[1] The region's capital is Sunyani, which serves as a major commercial and conference hub known for its cleanliness.[2][3] Covering an area of approximately 11,113 square kilometers, Bono Region has a population of 1,208,649 according to the 2021 Population and Housing Census conducted by the Ghana Statistical Service.[4][1] It borders the Savannah Region to the north, Côte d'Ivoire to the west, Bono East Region to the east, and Ahafo Region to the south.[3] The region is predominantly inhabited by the Bono people, an Akan ethnic group with historical roots in the medieval Bono State, a significant trading kingdom in the gold trade era.[2] The landscape features a mix of forest zones, savanna woodlands, and river systems, supporting agriculture as the mainstay of the economy, including crops such as cocoa, cashew, and maize.[1] Tourism attractions include natural sites like the Bui National Park and Kintampo Waterfalls, contributing to the region's development.[3]Geography
Location and Borders
The Bono Region occupies west-central Ghana, positioned within the country's middle belt and spanning approximately 11,490 square kilometers. Its geographic coordinates center around 7°30'N latitude and 2°30'W longitude, placing it in a transitional zone between the coastal savanna and southern forest belts. The region features undulating terrain with elevations ranging from 300 to 600 meters above sea level, contributing to its role as a key agricultural and transitional ecological area.[5][6] To the north, Bono borders the Savannah Region along a shared administrative boundary that follows natural features like the Bui Bayou. The eastern limit adjoins the Bono East Region, separating the two via district delineations established during the 2018 regional realignment. Southward, it interfaces with the Ahafo Region and elements of the Western North Region, marked by riverine and topographic divides. The western frontier constitutes Ghana's international border with Côte d'Ivoire, extending over 200 kilometers and managed through bilateral agreements on cross-border trade and security, with key crossing points facilitating regional commerce. This configuration positions Bono as a strategic inland hub connecting Ghana's interior to international trade routes via the western neighbor.[1][2][6]Size and Topography
The Bono Region covers a land area of 11,481 square kilometers.[1] This represents approximately 4.8% of Ghana's total land area, positioning it as one of the smaller regions in the country by extent.[1] The region's topography is generally flat, with elevations rising between 180 and 375 meters above sea level in various areas.[1] This low-lying to moderately elevated terrain features undulating plains and scattered low hills, characteristic of the transitional zone between Ghana's southern forest belt and northern savanna.[7] Average elevations hover around 259 meters, facilitating drainage via rivers such as the Tano and Bui, which originate or flow through the region.[7]Climate and Vegetation
The Bono Region lies within Ghana's moist semi-deciduous forest zone, experiencing a tropical climate with bimodal rainfall patterns, where annual precipitation ranges from 1,250 to 1,800 mm, concentrated in two peaks from April to June and September to November.[8] [9] Average temperatures are approximately 27°C year-round, with diurnal variations reaching highs of 32–36°C in the dry season (December to March) and lows of 16°C at night during cooler months like January; humidity levels fluctuate from 70–95% in the wet season to around 20% in the dry period.[10] [11] [9] Vegetation is dominated by moist semi-deciduous forests in the southern and central areas, characterized by tall deciduous trees including Milicia excelsa (odum) and Khaya spp. (mahogany), organized in three canopy layers with dense undergrowth and lianas; northern fringes transition to guinea savanna with grasses and scattered trees.[9] [8] The underlying forest ochrosols are alkaline and nutrient-rich, supporting cash crops such as cocoa, cashew, and timber species, though human activities have led to significant deforestation, reducing natural forest cover to 47% of the region's land area as of 2020.[9] [12]History
Ancient Bono State and Pre-Colonial Era
The Bono State, also known as Bonoman or Bono-Manso, emerged as one of the earliest centralized Akan polities in the interior of present-day Ghana, with its formation dated to the early fifteenth century, approximately 1420. Established by the Abron (Bono) people following migrations from northern regions, including influences from the Sahel area predating the twelfth century, the state capitalized on the region's gold deposits to develop as a trading hub. Its capital, Bono Manso, became a focal point for commerce by the mid-fourteenth century, facilitating exchanges that linked southern forest resources to northern savanna networks.[13][14][15] The economy of the Bono State was predominantly driven by gold extraction and trade, which intensified from the twelfth century amid the post-collapse regional dynamics following the fall of Old Ghana in 1237. Gold from local mines, along with kola nuts, ivory, and slaves, was bartered for northern imports such as salt, textiles, leather, cloth, and copper alloys brought by Dyula (Mande) merchants via caravan routes from centers like Djenné and Mali. Key trading settlements, including Begho (established around 1100 and peaking in the fifteenth century) and Bondukru, served as interfaces where itinerant Muslim traders interacted with Akan intermediaries, underscoring the state's role in trans-regional commerce without direct coastal access. This gold-oriented economy fueled territorial expansion and the consolidation of political authority among Akan groups.[15][14][16][17] Socially and politically, the Bono State pioneered the matrilineal chieftaincy system characteristic of Akan governance, with authority vested in an omanhene (paramount chief) advised by a queenmother and council of elders. Reign records, influenced by Muslim scribal practices introduced in the late sixteenth century, document kings and queenmothers reliably from 1577 to 1723, reflecting administrative sophistication tied to trade prosperity. As the progenitor of Akan statecraft, Bonoman's institutions influenced subsequent kingdoms like Asante and Denkyira through migrations and cultural diffusion, though internal taxation disputes and conflicts contributed to vulnerabilities. The state endured into the eighteenth century, navigating pre-colonial dynamics of alliance and rivalry in the Gold Coast hinterland until pressures from expanding neighbors led to its subjugation around 1723.[13][15][14]Colonial Period and Integration into Ghana
During the late 19th and early 20th centuries, the territories inhabited by the Bono (also known as Brong) people, which had long been under Ashanti suzerainty following the conquest of the ancient Bono state in the 17th century, came under British control after the Anglo-Ashanti War of 1900–1901. British forces defeated the Ashanti Empire, leading to the declaration of Ashanti as a protectorate on September 1, 1901, with formal establishment in 1902; the Bono areas were thus administered indirectly through local chiefs within this protectorate as part of the broader Gold Coast colony.[18] Colonial governance emphasized native authority under British oversight, but tensions persisted as Bono chiefs resisted Ashanti dominance, including rebellions such as the Ahafo uprising against Kumasi in 1893 and ongoing boundary disputes that highlighted ethnic and administrative grievances within the Ashanti framework.[19][20] Upon Ghana's independence from Britain on March 6, 1957, the former Ashanti Protectorate, including Bono territories, was integrated into the new nation as part of the Ashanti Region, with no immediate territorial reconfiguration.[21] Persistent demands from Bono and Ahafo leaders for autonomy from Ashanti political and chieftaincy influence, rooted in historical subjugation and amplified by post-independence regionalism, prompted action under President Kwame Nkrumah. On April 4, 1959, the Brong-Ahafo Region Act (No. 18) was passed, establishing the Brong-Ahafo Region by separating Bono and Ahafo areas from Ashanti, with Sunyani designated as the capital; this encompassed the core Bono territories and marked their formal administrative distinction within Ghana.[22] The creation addressed ethnic self-determination claims but was criticized by some as politically motivated to weaken Ashanti opposition to Nkrumah's central government.[23]Post-Independence Developments and Regional Creation
Following Ghana's attainment of independence on March 6, 1957, territories associated with the Bono people, including historic centers like Bono Manso, continued to fall under the administrative purview of the Ashanti Region, which encompassed broader Akan areas dominated by Asante structures.[1] Persistent advocacy from Bono chiefs and leaders for distinct recognition, rooted in cultural and historical divergences from Asante hegemony, culminated in legislative action under President Kwame Nkrumah's administration.[24] The Brong-Ahafo Region was thereby established on April 4, 1959, through the Brong-Ahafo Region Act No. 18 of 1959, which delineated its boundaries to include northern and western portions of the former Ashanti Region, as well as areas like Prang and Yeji, thereby separating Bono and Ahafo territories into a unified administrative entity of approximately 39,557 square kilometers.[1][25] This reorganization institutionalized Bono traditional governance by forming the Brong-Ahafo House of Chiefs, fostering localized chieftaincy while integrating the region into national development frameworks focused on agriculture, with Brong-Ahafo emerging as a key producer of maize, yams, and cashews, often termed Ghana's "breadbasket."[25][6] Subsequent decades saw sustained economic growth in cash crops and forestry, alongside infrastructure expansions like roads linking Sunyani to northern trade routes, but mounting population pressures—reaching over 2.1 million by 2010—and disparities in service delivery across its expansive terrain fueled renewed petitions for subdivision by the mid-2010s.[6] Under the New Patriotic Party government led by President Nana Akufo-Addo, a constitutional process initiated in 2016 proposed splitting Brong-Ahafo into three regions to enhance administrative efficiency and equitable resource allocation.[1] A referendum held on December 27, 2018, in the prospective districts garnered over 80% approval for the creation of six new regions nationwide, specifically endorsing the division of Brong-Ahafo into Bono (western core, retaining Sunyani as capital and covering 11,113 square kilometers), Bono East (eastern), and Ahafo (northwestern).[26][1] Bono Region was officially inaugurated in February 2019 as Ghana's 14th administrative division, preserving the historic Bono heartland while enabling targeted governance for its 1.2 million residents, with emphasis on revitalizing traditional authorities and boosting sectors like gold mining and cocoa production.[1][6]Administration and Governance
Capital and Administrative Divisions
The capital of the Bono Region is Sunyani, which functions as the regional administrative headquarters and hosts key government institutions, including the Regional Coordinating Council.[1][6] Sunyani also serves as the capital of the Sunyani Municipal Assembly, one of the region's twelve districts, and is noted for its role in coordinating regional development initiatives.[27] The Bono Region is administratively divided into twelve districts, consisting of six municipal districts and six ordinary districts, as established under Ghana's decentralized local government system.[6][1] These districts handle local governance, including revenue collection, service delivery, and planning, with each led by a district chief executive appointed by the president and overseen by an assembly.[28] The districts and their respective capitals are listed below:| District | Capital | Status |
|---|---|---|
| Banda District | Banda Ahenkro | Ordinary |
| Berekum East Municipal | Berekum | Municipal |
| Berekum West District | Jinijini | Ordinary |
| Dormaa Central Municipal | Dormaa-Ahenkro | Municipal |
| Dormaa East District | Wamfie | Ordinary |
| Dormaa West District | Nkran Nkwanta | Ordinary |
| Jaman North District | Sampa | Ordinary |
| Jaman South Municipal | Drobo | Municipal |
| Sunyani Municipal | Sunyani | Municipal |
| Sunyani West Municipal | Odumase | Municipal |
| Tain District | Nsawkaw | Ordinary |
| Wenchi Municipal | Wenchi | Municipal |
Political Structure and Chieftaincy
The Bono Region's political administration aligns with Ghana's decentralized governance framework, coordinated by the Regional Coordinating Council (RCC) under the leadership of the Regional Minister, who facilitates policy implementation, development planning, and inter-district coordination. Local governance occurs through 10 Metropolitan, Municipal, and District Assemblies (MMDAs), including Sunyani Municipal, Dormaa Central Municipal, Jaman South Municipal, and Banda District, each headed by a Chief Executive appointed by the President and overseen by elected assembly members responsible for by-laws, revenue collection, and service provision such as sanitation and roads.[28][1] Chieftaincy institutions operate parallel to this modern structure, as enshrined in Ghana's 1992 Constitution (Articles 270-277), which recognizes traditional authorities for customary law, land tenure, and cultural preservation without granting them direct legislative or executive powers. The Bono Regional House of Chiefs, established under the Chieftaincy Act 2008 (Act 759), comprises 17 traditional councils—including Dormaa, Sunyani, Wenchi, and Sampa—tasked with adjudicating succession disputes, enstooling chiefs, and advising regional authorities on matters like mining and peacebuilding. Presided over by Osagyefo Oseadeeyo Agyeman Badu II, the Dormaa Paramount Chief, the House has engaged in consultations on national policies, such as mineral resource reforms in August 2025, underscoring its advisory role amid ongoing tensions with state mechanisms.[29][30] Traditional authorities in Bono derive from Akan paramountcies, with approximately 18 independent stools or skins exerting influence over community mobilization, dispute mediation, and land disputes, though historical affiliations—such as some councils' ties to the Asante kingdom—complicate autonomy claims. Chieftaincy disputes, often rooted in succession rivalries and gazette manipulations, have escalated in areas like Sampa in 2025, prompting the Regional House to issue calls for restraint and highlighting systemic challenges to peaceful resolution despite interventions by the National House of Chiefs. These conflicts threaten regional development, as noted by the Bono Regional Peace Council, which attributes them to deviations from customary practices rather than inherent institutional flaws.[31][32][33]Recent Governance Initiatives
The Bono Regional Coordinating Council (BRCC) was reconstituted on October 15, 2025, to strengthen coordination, harmonization, monitoring, and evaluation of district-level activities aimed at regional development.[34] This restructuring emphasizes support for agribusiness programs and the 'Nkoko-nkitinkitin' initiative, which focuses on youth empowerment through skills training and economic opportunities.[35] The BRCC has also committed to completing longstanding infrastructure projects, including a 22-year-old initiative in Sunyani, and sustaining the Sunyani Adolescent Parliament to foster civic engagement among youth.[36] Infrastructure development received a boost through the 'Big Push' programme, with the Bono Regional Minister announcing major road projects on October 16, 2025, including the Alaska–Catholic University Ring Road, Berekum–Sampa road, and Sunyani inner roads.[37] Contracts for these projects are slated for award within two to three months, aiming to enhance connectivity, trade, and access to services across the region.[37] Additional plans include establishing a new medical school to address healthcare gaps, alongside ongoing water supply enhancements by the Community Water and Sanitation Agency, which has constructed boreholes and small-town piped systems in various districts.[38][39] Governance reforms prioritized anti-corruption and transparency, highlighted by a regional forum in Sunyani on October 3, 2025, to formulate the National Ethics and Anti-Corruption Action Plan (NEACAP) for 2026–2030.[40] Regional Minister Justina Akwaboah urged collective stakeholder action to uphold integrity, aligning with national commitments for full funding of anti-graft agencies.[41] Complementing this, a transparency and accountability initiative in local governance was launched in Duayaw-Nkwanta on October 22, 2025, to boost citizen participation and oversight of public resources.[42] These efforts build on the Medium-Term National Development Policy Framework (2022–2025), which guides regional priorities in service delivery and institutional strengthening.[43]Demographics
Population and Growth Trends
The Bono Region recorded a total population of 1,208,649 in the 2021 Ghana Population and Housing Census conducted by the Ghana Statistical Service, comprising 595,288 males and 613,361 females, with a sex ratio of 97.1 males per 100 females.[44] This figure represents approximately 3.5% of Ghana's national population of 30.8 million at the time.[44] The region's population density stood at 108.8 inhabitants per square kilometer across its 11,113 square kilometers, reflecting moderate rural dispersion with concentrations around urban centers like Sunyani, the capital.[4] Between the 2010 and 2021 censuses, the population in the area now comprising Bono Region grew at an average annual rate of 2.5%, outpacing the national average of approximately 2.1% and driven by factors including high fertility rates and net positive internal migration from rural to peri-urban areas.[4] This equates to an increase from roughly 924,000 residents in 2010 (adjusted for the region's boundaries post-2019 creation from the former Brong-Ahafo Region) to the 2021 figure, underscoring sustained demographic expansion amid Ghana's broader population boom.[4] Ghana Statistical Service projections indicate continued growth, estimating the region's population could reach 1.4 million by 2030 under medium-variant assumptions incorporating declining fertility (from 4.2 children per woman nationally in 2014 to projected sub-replacement levels by mid-century) and urbanization trends.[45] Urban population share in Bono Region was 49.1% in 2021, up from 45.5% in 2010 equivalents, signaling a shift toward urban agglomeration in districts like Sunyani Municipal (population 80,032) and Dormaa Central (124,901), which together account for over 16% of the region's total.[44] Growth pressures include youth bulges, with 38.4% of the population under 15 years old, potentially straining resources if economic opportunities lag, though remittances from migrant labor in southern Ghana contribute to household stability.[44] Official data emphasize the need for targeted planning to manage this trajectory, as unchecked expansion risks exacerbating vulnerabilities in agriculture-dependent rural areas.[46]Ethnic Composition and Languages
The Bono Region's population of 1,208,649, as recorded in the 2021 Ghana Population and Housing Census, is ethnically dominated by the Akan group, totaling 880,563 individuals and representing approximately 73.3% of residents. Within this, the Bono (also called Brong) subgroup predominates as the indigenous Akan people historically associated with the pre-colonial Bono state.[46][4] Minority ethnic clusters include Mole-Dagbani at 175,152 persons (14.6%), primarily comprising groups like Dagomba and Mamprusi migrants from northern Ghana; Mande at 62,704 (5.2%), often Wangara traders from Sahelian backgrounds; Grusi at 26,452 (2.2%); Ewe at 17,221 (1.4%); Gurma at 11,976 (1%); Ga-Dangme at 8,120 (0.7%); and Guan at 4,159 (0.3%). These distributions reflect historical migration patterns, with northern and Sahelian influences from trade, labor mobility, and colonial-era movements.[4][46] The predominant language is Bono Twi (also known as Brong Twi), a dialect of the Akan language continuum spoken natively by the Bono majority and serving as the lingua franca in daily and cultural contexts. Minority languages correspond to ethnic subgroups, including Dagbani among Mole-Dagbani communities and Mande languages like Ligbi or Wangara among Mande populations. English, the official national language, is used in government, education, and formal settings, with bilingualism common in urban areas like Sunyani.[2][47]Religions and Social Indicators
Christianity predominates in the Bono Region, reflecting the Akan cultural heritage and missionary influences from the colonial era, with Protestant denominations, Pentecostals, and Catholics forming the majority. Islam maintains a notable presence, particularly among trading communities in urban centers like Sunyani, while traditional African religions persist in rural areas, often syncretized with Christianity. The 2021 Population and Housing Census records national religious affiliations as 71 percent Christian, 20 percent Muslim, 3 percent adherents to indigenous beliefs, and 5 percent reporting no religion, with southern regions including Bono exhibiting proportionally higher Christian adherence due to lower Muslim concentrations compared to the north.[48][49] Social indicators reveal moderate progress amid structural challenges. Literacy among persons aged 6 and older aligns closely with the national rate of 69.8 percent from the 2021 census, bolstered by urban concentrations where rates exceed 80 percent, though rural districts lag due to limited school access.[50] Poverty affects approximately 44 percent of the population, higher than the national average, driven by dependence on rain-fed agriculture and informal employment in rural areas.[51] Fertility rates are below the national total of 3.6 births per woman, with women in Bono showing lower odds of high completed fertility (six or more children) compared to northern regions, attributable to relatively higher female education and urbanization.[52][53] Average household size stands at 3.7 persons, indicative of stable family structures influenced by patrilineal Akan customs.[54]Economy
Primary Sectors: Agriculture and Resources
Agriculture constitutes the dominant primary sector in Bono Region, engaging 106,746 individuals—or over 50%—of the 212,128 employed persons aged 15 and older in agriculture, forestry, and fishing activities.[55] The region's fertile soils and semi-deciduous forest climate support diverse food crop production, including maize, cassava, plantain, cocoyam, tomatoes, and peppers, which form staples for local consumption and markets.[55] Cash crops such as cashew, cocoa, coffee, and oil palm are cultivated in larger quantities where conditions allow, contributing to export-oriented income alongside food security.[55] Livestock rearing complements crop farming, with significant production of goats, chickens, sheep, and cattle; for instance, nearly 97% of chicken and goat output in the Bono regions is sold, indicating a market-oriented subsystem.[56] These activities sustain rural livelihoods but face vulnerabilities, such as drought-induced crop losses in maize and peppers reported in 2024.[57] Natural resources include gold deposits, particularly around Dormaa, and clay, which underpin small-scale mining and quarrying, though formal large-scale exploitation remains limited.[1] Forestry in the region's reserves yields timber from semi-deciduous species, supporting lumbering as a supplementary resource sector.[58] Water bodies and forests also hold potential, yet illegal small-scale mining (galamsey) has degraded fertile lands, plantations, and reserves, eroding these assets since at least 2025.[59]Mining and Industrial Activities
The Bono Region possesses significant gold-bearing geological formations, accounting for 18.74% of Ghana's total such rocks, the highest proportion among regions, primarily within Birimian sediments that cover nearly 66% of national gold deposits.[60] Despite this potential, formal large-scale gold mining operations remain limited, with economic contributions dominated by small-scale and artisanal activities, many of which are illegal under the term galamsey. These operations have proliferated since around 2023, transforming areas previously spared from such incursions, including near the Bui Hydroelectric Dam and cashew plantations, leading to environmental degradation such as river pollution, farmland destruction, and threats to food production.[61][62] Government responses include the establishment of the Bono Regional National Anti-Illegal Mining Squad (NAIMOS) in September 2025, aimed at dismantling operations and reclaiming affected lands, alongside training programs and task force interventions that resulted in the closure of illegal mining sites like the "Operator" village in August 2025, with equipment seizures and arrests of 31 individuals.[63][64][65] In October 2025, the Lands Minister revoked 278 small-scale mining licenses nationwide for environmental violations, impacting Bono operators, while police arrested eight foreign nationals in the region for unlicensed gold exploration and trading near Banda.[66][67][68] Industrial activities in the Bono Region are nascent and secondary to agriculture, with manufacturing employing a small fraction of the workforce aged 15 and older, including sectors like electricity, gas, and water supply totaling around 1,477 persons as of recent census data.[55] A notable development is the May 2025 launch of the Dangote Sugar Refinery project, a large-scale agro-industrial complex expected to reduce import dependency, generate employment, and stimulate ancillary industries in an area historically underserved by manufacturing.[69][70] Other efforts focus on processing local resources like cashew, but overall industrial output remains constrained by infrastructure gaps and reliance on informal trade.[71]Economic Challenges and Informal Economy
The Bono Region's economy faces structural challenges stemming from its heavy reliance on agriculture, which exposes workers to climate variability, fluctuating commodity prices, and low productivity. In the 2021 Population and Housing Census, agriculture, forestry, and fishing accounted for 47.4% to 79.4% of employment among the working-age population, with skilled agricultural workers comprising the largest occupational group at 58.2% in some breakdowns.[72] Smallholder cocoa farmers, a key subgroup, have experienced income erosion as government-set prices fail to keep pace with inflation, compounded by limited access to inputs and markets.[58] Unemployment remains relatively low at 6.9% in Q4 2024, up slightly from 6.3% in Q1, but this masks underemployment and a lack of formal job creation due to insufficient industrial diversification and infrastructure deficits. The informal economy dominates, employing 79.4% to 85.2% of the 394,082 workers aged 15 and older as of 2021, primarily through self-employment without employees (64.8% to 73.5%).[72] This sector, characterized by private informal operations in agriculture and trade, absorbs 57.7% of the economically active population but offers minimal social protections, credit access, or productivity-enhancing investments, perpetuating poverty cycles and vulnerability to economic shocks.[73] While it sustains livelihoods—evident in the region's 49.7% employment rate—it hinders broader growth by limiting tax revenues and formal skill development, with national parallels showing informal work comprising 89% of total employment and contributing disproportionately low to GDP despite high labor absorption.[74] Efforts to formalize activities, such as in cashew processing, face barriers including poor market linkages and regulatory hurdles.[75]Education and Human Capital
Educational Infrastructure and Attainment
The Bono Region maintains a network of public and private basic education institutions, including kindergartens, primary schools, and junior high schools, supplemented by senior high schools and a limited number of tertiary institutions. Catholic diocesan schools alone account for 149 kindergartens enrolling 14,014 students, 152 primary schools with 34,642 students, 122 junior high schools serving 14,122 students, and 7 senior high or seminary-level institutions with 5,032 students, reflecting the role of religious organizations in regional education delivery.[76] Tertiary education is anchored by Sunyani Technical University, a public institution offering degree programs in engineering and applied sciences, and the Catholic University College of Ghana in Sunyani-Fiapre, affiliated with the University of Ghana for bachelor's and postgraduate degrees.[77][78] Enrollment in senior high schools has benefited from national policies like Free Senior High School, though specific regional figures remain integrated into national aggregates exceeding 400,000 first-year beneficiaries annually.[79] Educational attainment in the region, as measured by the 2021 Population and Housing Census, shows 71.5% literacy among those aged 6 and older (740,766 literate out of 1,036,053), surpassing the national average of 69.8%, with urban areas at 78.8% literacy compared to 60.9% in rural zones.[80][81] Among those aged 3 and older, 18.4% have never attended school, while 41.9% are currently enrolled and 39.8% attended in the past, indicating improved access relative to national trends where 20.8% never attended.[80] Highest educational levels attained for the population aged 3 and older reveal primary completion at 26.4%, junior high school (JSS/JHS) at 24.8%, senior high school (SSS/SHS) at 18.7%, and bachelor's degrees at 6.2%, with males outperforming females at tertiary levels (e.g., 20,563 males vs. 10,591 females holding bachelor's degrees among those 18 and older who attended school).[80] These figures highlight gender and urban-rural gaps, with rural areas lagging due to limited infrastructure and economic pressures, though the region's overall attainment exceeds northern Ghanaian benchmarks.[80]Health Services and Outcomes
The Bono Region's health services are anchored by the Sunyani Regional Hospital, established in 1927, which serves as the primary referral facility, alongside 13 government district hospitals and five mission-based hospitals. Primary care is delivered through Community-based Health Planning and Services (CHPS) compounds, which have been foundational to Ghana's primary health system for over two decades, focusing on preventive and basic curative services in underserved areas. Recent infrastructure developments include three ongoing AGENDA 111 modular hospital projects aimed at expanding capacity for specialized care. Challenges persist in diagnostic capabilities, particularly in facilities without laboratories, where barriers to point-of-care testing implementation hinder timely management of conditions like hypertension and diabetes.[82][83][84][85] Key health outcomes reflect relatively strong maternal and child health metrics compared to national averages, though gaps remain in immunization data quality and chronic disease readiness. The region recorded the highest outpatient department (OPD) visits per person in Ghana in 2023, indicating high utilization, with malaria remaining the leading cause of morbidity. According to the 2022 Ghana Demographic and Health Survey (DHS), antenatal care (ANC) from skilled providers reached 98%, with 91% of women attending four or more visits, and facility-based deliveries at approximately 79-94%. Neonatal mortality stands at 13-17 per 1,000 live births, infant mortality at 24-27 per 1,000, and under-five mortality at 36-47 per 1,000, lower than national figures of 32.6 and 37.1 per 1,000, respectively.[86][87][88][87]| Indicator | Bono Region (2022 DHS) | National (Recent Estimates) |
|---|---|---|
| Full Immunization Coverage (12-23 months) | 63-88% | ~80% (varies by source) |
| ITN Use (Children Under 5) | 60% | 52% |
| Stunting (Children Under 5) | 17-22% | 19% |
| Anaemia (Children 6-59 months) | 40% | 56% |
| Malaria Prevalence (Children 6-59 months) | 8-15% | 20% |