The document provides an analysis of plan implementation by the Asante Akim North District in Ghana. It assesses the strengths and weaknesses of the district's medium-term development plan preparation process. Some strengths identified include consistency across most stages and a response to community needs. Weaknesses include a lack of vision/mission and spatial development options. Stakeholder participation was mostly through consultation. The plan implementation was based on Ghana's national development plan but performance was not encouraging. Recommendations include elaborating monitoring/evaluation and engaging more stakeholders in plan preparation and evaluation.