Climate Change
For over forty years, Ashanti has endured the escalating effects of climate change – wildfires, flash floods and prolonged draught – underpinned by a long-term insidious shift in weather, turning forest into savannah, savannah into desert.
This pattern is reflected across West Africa. While Ashanti farmers are learning to adapt, farmers and herdsmen in the wider Sahel have been unable to sustain life in their home villages and have taken to the road.
They travel for months on public transport, private trucks or on foot, carrying their few possessions or herding their cattle in the hope of a better life. Many ultimately arrive in Ashanti, sick, malnourished and exhausted and in urgent need of medical care.
The Dome Clinic
In response, Ashanti Development built and equipped The Dome Clinic – a large clinic with wards – to provide healthcare to migrants passing through the area.
Constructed in 2024 and opened in June 2025, the clinic is strategically located along the main migrant route into Ashanti, offering free medical treatment to people at their most vulnerable. We are also working to extend our core initiatives – including access to clean water, livelihoods and teacher training – to support migrant communities in the area.
The clinic has been given to the government to staff and manage and healthcare will be provided to migrants free of charge. Migrant settlements are already gathering around it, with people anxious to live somewhere where they can still obtain access to treatment. We envisage Dome becoming a major population centre before too long and have taken care to ensure that every part of the clinic can be expanded without too much disruption.