Educational Institutions
PRIMARY SCHOOLS: Item Central School in Okoko was the first Primary School in Item. It had dormitories for its Standard Six pupils. Now almost every village has an elementary school and some villages have more than two. SECONDARY SCHOOLS: Item had its first High School established in Amaokwe. Currently, Okoko has a Comprehensive High School and a Technical School.
Churches
The main churches in Item are Methodist Church, Catholic Church, Salvation Army, Unity Church, Jehovah Witness, Cherubim and Seraphim, Faith Tabernacle, and many more.
Medical Facilities
Umunnato General hospital (as a joint venture between Item, Igbere, and Alayi). The first medical facilities – Maternity and Dispensary- were established in Okoko. Amaokwe now has a Maternity and a Health Center.
Agricultural Industry
Item Merchant Association, Limited, a premier pre-independence company consisting of sons and daughters of Item people established an Oil Mill in Amaokwe and a huge palm oil farm in Okai. It was a co operative venture long before it became fashionable. There is also a privately owned palm oil farm in Akanu.