Our impact

Measuring what actually changes

How we will measure what changes for each household, set out before we ask for a cedi.

Ramah at a glance

100%

Ghanaian-Led and Governed

2

Cohort 1 Flagship Trades

Our outcome framework

Counting people served is the first step. We plan to track what changes for each household because of the work. These are the outcomes we will measure and publish openly once programmes begin.

Stage · Survive

Community Health

  • % of enrolled households maintaining 3 meals/day during lean season
  • Referral completion rate from outreach to CHPS facility
  • Reduction in preventable illness among enrolled children

Stage · Protect

Education Access

  • School attendance rate vs. district average
  • % of enrolled girls maintaining attendance through menstrual cycles
  • Grade progression rate for supported children

Stage · Earn

Village Savings & Loans

  • % of members maintaining savings 12 months after first cycle
  • Average loan repayment rate per group
  • % of groups self-sustaining after Ramah support ends

Stage · Earn

Vocational Skills

  • % of graduates operating a business 12 months post-training
  • Average monthly income increase vs. pre-enrolment baseline
  • % of graduates who transition off programme support within 24 months

Why your gift matters most in Nabdam

Nabdam's poverty is not an accident. Decades of development policy concentrated infrastructure, hospitals, and schools in southern Ghana. The Upper East Region was left behind. Ramah knows of no sustained, locally led graduation programme in Nabdam that brings savings, skills, health and market linkage together for widows and their children. That gap is why Ramah is starting here. Nabdam is one of Ghana's poorest districts.

32

Health facilities (2026)

28 CHPS compounds, 2 health centres, a CHAG centre and a private hospital, Free Primary Health Care launched June 2026

GBC Ghana Online (June 2026)
465

Maternal deaths per 100K (Upper East Region)

The region's rate, more than double Greater Accra's 191, a regional figure; Nabdam-specific data is not yet published

Graphic Online
45.9%

Literacy rate, population aged 6 and over

Lower for women (44.2%) than men (47.6%), so more than half cannot read and write. Only 1 public SHS and no vocational school district-wide

GSS Multidimensional Poverty Report, Nabdam District (2021 PHC)
48.7%

Food insecurity (Upper East Region)

Highest of any region in Ghana, a regional figure, affecting 634,293 people

GSS CFSVA 2020
90%

Women without secure land rights

Customary land and shea-tree tenure leaves widows without secure assets

ScienceDirect

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