Ghanaian Communities Research Articles

Boekpayoo Customary Ceremony of Ga-Dangme in Nungua: Culture Versus Law in Ghana’s Fight Against Child Marriages

Child marriage has been an age-long problem in Ghana’s quest of protecting the rights and development of young girls. Though there are various international and domestic legal frameworks to assist the Ghana government in taking proactive steps in fighting against child marriages, there are some deep-rooted cultural practices commemorated in some Ghanaian traditional communities that seem to derail the government’s efforts. This paper aims to analyze the Boekpayoo customary ceremony organized by the Nungua Traditional Council in Ghana at the Gborbu temple on the 30th of March 2024. It offers a deeper understanding of the appropriateness and legality of the Boekpayoo customary ceremony to show how Ghana struggles to end all forms of child or early marriage. This paper puts the customary ceremony under the lens of existing domestic and international legal frameworks and cultural anthropology perspectives. This paper has relied on and has been critically analyzed through secondary data from national and international legal instruments, cultural anthropology literature, and news reports. This study revealed that the procedure for the Boekpayoo ceremony, as well as the fitting appointment for occupying the position of Naa Yoomo Ayemuede, is legitimate, as it helps in the preservation and promotion of the place-identity history and culture of the Ga-Dangmes. However, the timing and selection of Naa Okromo need to be analyzed as they are not in accordance with the established national and international legal frameworks.

Sustainable Groundwater Purification: Leveraging Local Materials for Lead, Iron, and Cyanide Removal in Ghanaian Mining Communities

This study aims to evaluate the effectiveness of Moringa Oleifera seeds and banana peels as natural coagulants for the removal of lead, iron, and cyanide from groundwater in mining-affected communities in Ghana. Experimental laboratory analysis was used to analyze groundwater samples collected from five mining communities in the Atwima-Kwanwoma and Obuasi East districts of the Ashanti Region, Ghana, and treated with Moringa oleifera seeds and banana peels as natural coagulants. The concentrations of E. coli, cyanide, lead, and iron were measured before and after treatment. The study found a 100% removal efficiency for E. coli, cyanide, lead, and iron after treatment with Moringa oleifera seeds and banana peels. These results align with previous studies indicating the efficacy of these natural coagulants in water purification as the Moringa oleifera seeds and banana peels are effective, low-cost natural coagulants for removing contaminants from groundwater in mining communities.

Climate Change and Health: Perspectives From Ghana.

Climate change is impacting many aspects of human life in many ways. In Ghana, climate change knowledge remains low and discussions linking climate change and health are scarce. In this paper, authors contribute to the shaping of discussions about climate and health with a focus on how climate change increases certain ailments. First, the paper addresses the need for research in Ghanaian communities to link climate change and health. Second, the paper suggests the development of policies to address the link. Third, public health educators are advised in this paper to educate the public.

The Role of Culturally Appropriate Mediated Communication Strategies to Reduce Hepatitis B and Liver Cancer Disparities

Asian, Pacific Islander, African, and Caribbean communities in the U.S. are heavily impacted by chronic hepatitis B (HBV) and hepatocellular carcinoma (HCC). Educating these groups about the link between the two diseases is imperative to improve screening rates and health outcomes. This study aims to identify and incorporate preferred mediated communication methods into community-specific educational campaigns which emphasize the connection between the conditions, to promote uptake of prevention and management behaviors for HBV and HCC. Fifteen focus groups and two key informant interviews were conducted with Micronesian, Chinese, Hmong, Nigerian, Ghanaian, Vietnamese, Korean, Somali, Ethiopian, Filipino, Haitian, and Francophone West African communities. Data were analyzed using thematic coding and analysis. Findings demonstrate that all communities preferred materials be offered in both English and native languages and requested that materials highlight the connection between HBV and HCC. Delivery channel preferences and messaging themes varied by group. This study provides insight into community-specific preferences for learning about HBV and HCC. The findings can be used to design culturally and linguistically tailored, multi-platform, health education campaigns to facilitate improved HBV screening and vaccination rates and increase knowledge about HCC risk among highly impacted communities in the U.S.

Existing knowledge, myths, and perceptions about hepatitis B and liver cancer within highly impacted immigrant communities

BackgroundImmigrant groups from Southeast Asia, the Pacific Islands, sub-Saharan Africa, and the Caribbean bear the heaviest burden of chronic hepatitis B and primary liver cancer in the United States. Educational campaigns to increase knowledge about these diseases and their connection are necessary to promote protective health behaviors within these communities, to ultimately reduce the burden of disease, lessen stigma, and eliminate health disparities. ObjectivesThis project sought to engage groups within highly impacted communities to identify existing gaps in hepatitis B- and liver cancer-related knowledge, in order to inform future health education programming that will aim to reduce stigma and promote liver cancer prevention and early detection behaviors within and across groups. MethodsFifteen focus groups and two key informant interviews were conducted virtually with participants from Micronesian, Chinese, Hmong, Nigerian, Ghanaian, Vietnamese, Korean, Somali, Ethiopian, Filipino, Haitian, and Francophone West African communities. Qualitative data were analyzed using thematic coding. ResultsThere are large gaps in knowledge and awareness of hepatitis B and liver cancer, and the link between these two diseases among Asian, Pacific Islander, African and Haitian immigrant communities. This limited knowledge and misinformation, exacerbated by stigma, hinder these groups’ utilization of hepatitis B and liver cancer diagnostic and preventative healthcare services. ConclusionTo reduce hepatitis B and liver cancer health disparities within heavily burdened groups, health education needs to be community-informed, culturally sensitive, and actionable. Study results can guide the development of culturally and linguistically appropriate education programs that focus on the link between hepatitis B and liver cancer and the need for vaccination and routine screening, and that are responsive to the knowledge gaps and misperceptions of diverse communities. The results also provide valuable insights for healthcare providers to improve the knowledge gaps of the diverse patient populations that they serve.

Occurrence, efficiency of treatment processes, source apportionment and human health risk assessment of pharmaceuticals and xenoestrogen compounds in tap water from some Ghanaian communities

The occurrence of pharmaceuticals and xenoestrogen compounds (PXCs) in drinking water presents a dire human health risk challenge. The problem stems from the high anthropogenic pollution load on source water and the inefficiencies of the conventional water treatment plants in treating PXCs. This study assessed the PXCs levels and the consequential health risks of exposure to tap water from selected Ghanaian communities as well as that of raw water samples from the respective treatment plants. Thus the PXCs treatment efficiency of two drinking water treatment plants in the metropolises studied was also assessed. The study also conducted source apportionment of the PXCs in the tap water. Twenty six (26) tap and raw water samples from communities in the Cape Coast and Sekondi-Takoradi metropolises were extracted using SPE cartridges and analysed for PXCs using Ultra-fast-HPLC-UV instrument. Elevated levels of PXCs up to 24.79 and 22.02 μg/L were respectively recorded in raw and tap water samples from the metropolises. Consequently, elevated non-cancer health risk (HI > 1) to residential adults were found for tap water samples from Cape Coast metropolis and also for some samples from Sekondi-Takoradi metropolis. Again, elevated cumulative oral cancer risks >10−5 and dermal cancer risk up to 4 × 10−5 were recorded. The source apportionment revealed three significant sources of PXCs in tap water samples studied. The results revealed the inefficiency of the treatment plants in removing PXCs from the raw water during treatments. The situation thus requires urgent attention to ameliorate it, safeguarding public health. It is recommended that the conventional water treatment process employed be augmented with advanced treatment technologies to improve their efficacy in PXCs treatment.

“In my Own Land, I Am Treated like a Foreigner”: Mining-Induced Challenges and Psychological Distress Among Farmers in Ghanaian Mining Communities

This study explored mining-induced challenges, experiences of psychological distress, and coping strategies among farmers in mining communities in Ghana. Using a qualitative research approach, in-depth interviews were conducted with 30 crop farmers in two mining communities in the Ellembelle District in the Western Region of Ghana. Thematic analysis of the data suggests that psychological distress is a common experience among farmers in mining communities. Farmers’ experiences of psychological distress emanate from various mining-induced challenges, including deprivation of vital resources, constraints on farming activities, economic hardship, and adjustment difficulties associated with displacement and resettlement. Faced with limited formal support services, farmers in mining communities employ religious faith, avoidance, and adaptation as mechanisms for coping with the adverse impacts of mining. The findings of this study suggest the need to address issues related to psychological well-being before and after the onset of mining activities in communities.

Perception of Locals on Multiple Contributions of NTFPs to the Livelihoods of Forest Fringe Communities in Ghana

Forest-dwelling residents frequently collect non-timber forest products (NTFPs) for various reasons, such as food, medicine, firewood, religious reasons, or handicrafts. This study examines the multiple benefits derived from NTFPs and how they contribute to the livelihoods of Ghanaian communities to alleviate poverty. Resources and services provided by NTFPs have an essential role in providing economic, nutritional, medicinal, cultural, and environmental benefits. This study examines the diverse range of NTFPs locals collect, such as chewing sticks, games, herbs, honey, leaves, mushrooms, pestles, raffia and palms, snails, and straws. In addition to serving different purposes, these NTFPs contribute to income generation, food security, health care, cultural practices, and the protection of the environment. A qualitative research approach was used in this study to collect data through semi-structured interviews and focus groups with members on multiple collections of NTFPs and their multiple benefits. We interviewed 732 residents regarding their multiple NTFPs and their potential to improve the livelihood of the locals. The data for the study were analysed using descriptive statistics. As a result of the survey, the frequency and percentages of responses were analysed for each indicator related to multiple values of NTFPs. Both males and females collected a list of NTFPs during the survey. Regarding NTFPs used for sale, 275 were reported, representing 37.57% of the total. In addition to emphasising the importance of sustainable management practices and equitable distribution of benefits, the study explores the multiple benefits of NTFPs for poverty alleviation in Ghanaian communities. It is essential to ensure the conservation of forest ecosystems and promote inclusive policies to harness the potential of NTFPs and maximise their positive impact on livelihoods. NTFPs provide multiple benefits for Ghanaian communities, including income, nutrition, healthcare, cultural preservation, and environmental sustainability. To promote sustainable development, it is imperative to understand the role of NTFPs and implement appropriate strategies.

Preserving Traditional Ghanaian Folklore through Storytelling

This study examines the role of storytelling in preserving traditional Ghanaian folklore, considering its significance in cultural continuity and identity formation. Ghana boasts a rich tapestry of oral traditions, comprising myths, legends, proverbs, and folktales that have been passed down through generations. However, in the face of modernization and globalization, these indigenous narratives face the risk of being marginalized or forgotten. Through qualitative analysis and literature review, this paper explores how storytelling serves as a vital mechanism for the transmission and preservation of Ghanaian folklore. It investigates the cultural, social, and educational implications of storytelling practices within Ghanaian communities, highlighting their capacity to instill values, foster intergenerational bonds, and reinforce cultural pride. Moreover, the study investigates contemporary initiatives aimed at revitalizing traditional storytelling methods, such as community storytelling events, educational programs, and digital media platforms. By recognizing the intrinsic value of storytelling in safeguarding Ghana's cultural heritage, this research underscores the importance of ongoing efforts to ensure the continued vitality and relevance of Ghanaian folklore in the modern era.

Group membership, social identification and mental health: A test of social cure or curse narrative in resource-poor communities in Ghana

Mainstream psychology research promotes social group membership as a remedy for poor mental health. However, empirical evidence from African communities is limited. Using a survey of 384 respondents (female = 55.7%; mean age = 34.38 years, SD = 14.37 years), we examined this in two resource-poor Ghanaian urban communities. Depressive symptoms ranged from 11.5% to 28.1%, with severe symptom rates higher in male participants. Anxiety symptoms varied from 6.5% to 14.6%. Hierarchical regression showed that after accounting for demographic variables, multiple group membership, group stigma, and identity centrality were associated with heightened depressive and anxiety symptoms. Ingroup homogeneity, satisfaction with the group, and perceived solidarity were associated with lower levels of symptoms. The findings reveal a dual-edge impact of social identification on mental health, underscoring the need for the development of context-specific interventions to effectively harness social group membership as psychosocial resources to improve mental health within African contexts.

Psychological and physical factors related to social integration of older adults in Ghana

BackgroundGlobally, older adults aged 60 years and over are outnumbering children under 5 and young people aged 15–24. Much evidence exists on the importance of high social integration and positive quality of life and health outcomes. However, evidence on how older adults are socially integrated in Ghanaian communities is limited. This study examined how self-reported well-being and quality of life (psychological and physical (psycho-physical) factors) predict the social integration of older adults in Ghana.MethodsA secondary analysis of longitudinal survey data of the 2014/15 Study on Global Ageing and Adult Health (SAGE Wave 2) conducted by the World Health Organization was applied. Older adults aged 60 years and older (n = 1,927) were included in this study. Multilevel logistic regression analyses were used to examine psycho-physical factors associated with high social integration among older adults. The output was reported as odds ratios (OR).ResultsIn general, social integration varied based on older adults’ demographic characteristics. Those in rural communities had lower odds of having high social integration (OR = 0.76, 95% CI = 0.56,1.03) when compared with older adults in urban areas. Having high physical and psychological well-being was associated with high social integration (OR = 1.90, 95% CI = 1.41, 2.57), (OR = 2.05, 95% CI = 1.56, 2.69). However, older adults with high levels of emotional and spiritual well-being were 9% and 7% (respectively) less likely to experience a high level of social integration (OR = 0.94, 95% CI = 0.71,1.24), (OR = 0.79, 95% CI = 0.60,1.04).ConclusionThe higher the level of self-reported psychological and physical well-being, the higher the social integration for older adults aged 60 years and over. However, the higher the level of self-reported emotional well-being and spiritual well-being, the less likely to have high social integration. Improved social integration or participation in society for older adults with high emotional and spiritual well-being is needed. The findings of this study highlight the need for policymakers and stakeholders to consider psycho-physical factors as an important public health tool and metric to encourage more research on the well-being of older adults in Ghana.

'Two heads are better than one'-exploring the experiences of Ghanaian communities on the role of patient and public participation in health system improvement.

Patient and Public Participation (PPP) is key to improving health systems. Yet, studies have shown that PPP implementations across many countries have been largely tokenistic. Particularly, in Ghana, whilst PPP is prioritized in national health policies and legislation, there appears to be little research focused on understanding PPP's role in health system improvement. The aim of this study, therefore, is to examine how PPP is working across the Ghanaian health system levels, as well as to understand the perspectives and experiences of participants on how PPP contributes to health system improvement. The qualitative study was undertaken in six communities in three districts in the Ashanti region of Ghana. Data were collected from semi-structured individual interviews. The selection of participants was purposive, based on their PPP-related roles. As a result, findings of this study may not reflect the experiences of others who are not directly involved in PPP initiatives. Thirty-five participants, mainly health service users and health professionals, were interviewed. Data were transcribed and analysed descriptively using Braun and Clarke's (2006) thematic analysis approach. Overall, participants noted PPP implementation was largely limited at higher health system levels (i.e. national, regional and district levels), but was functioning at the community level. PPP also improved access to health services, responsiveness to patient needs, community-health worker relationships, health-seeking behaviours, empowered healthcare users and improved health outcomes. The study, therefore, recommended the need to undertake PPP across all levels of the health system to maximize PPP's role in health system improvement. Finally, the study suggested prioritizing PPP, especially for resource-poor countries, to complement government's efforts in improving accessibility of healthcare services to many communities and also provide a more patient-centred healthcare system responsive to patients' and public needs.

Community stigma, victimization, and coping strategies among gay, bisexual, and other cis-gender men who have sex with men in slum communities in Ghana. BSGH-003

BackgroundGay, bisexual, and cis-gender men who have sex with men (GBMSM) face severe consequences, especially within stigmatized environments. However, very little is known about the experiences of GBMSM living in slums in SSA and Ghana. This study investigates the experiences of stigma, victimization, and coping strategies and proposes some interventional approaches for combating stigma facing GBMSM in slum communities.MethodsWe engaged GBMSM living in slums in two major Ghanaian cities. We used a time-location sampling and collected data through in-depth individual interviews. Two major themes emerged from the study: (1) insecurities and criminalization of GBMSM activity, and (2) GBMSM coping strategies.ResultsFindings show GBMSM experienced negative attitudes from the community due to their sexual behavior/orientation. GBMSM also developed coping strategies to avert negative experiences, such as hiding their identities/behavior, avoiding gender non-conforming men, and having relationships with persons outside their communities.ConclusionWe propose interventions such as HIV Education, Empathy, Empowerment, Acceptance, and Commitment Therapy as possible measures to improve the experiences of GBMSM living in Ghanaian slum communities.

Implementation and effectiveness outcomes of Community Health Advocacy Teams to improve long-lasting insecticide net distribution and use in six districts in Ghana: A one-group pre-post-test study.

Malaria remains a leading cause of illness and death especially among children and pregnant women in Ghana. Despite the efforts made by the National Malaria Elimination Programme (NMEP), including distribution of Long-Lasting Insecticide Nets (LLINs) to households through periodic Point Mass Distribution (PMD) campaigns and continuous channels (antenatal, schools and postnatal), there is a gap between access and use of LLINs in Ghana. An effective and functional community-based group that would seek to improve the effectiveness of LLIN distribution before, during, after PMD Campaigns and continuous distribution at the community level could help address this gap. This paper assesses the implementation outcomes and short-term effectiveness of the pilot implementation of co-created community health advocacy teams (CHAT) intervention in Ghanaian communities to plan and implement campaigns to increase LLIN use. The study employed a one-group pre-post study design and measured implementation outcomes (acceptability, appropriateness, and feasibility) and effectiveness outcomes (LLIN awareness, LLIN access, willingness to purchase LLIN, and LLIN use) among 800 community households. The CHAT intervention was implemented for four months across six districts in the Eastern and Volta regions of Ghana. The data were downloaded directly from REDCap and analyzed statistically (descriptive and McNemar test of association) using SPSS 22 software. After the implementation period, the majority of respondents in all six districts indicated that the CHAT intervention was acceptable (89.8%), appropriate (89.5%), and feasible (90%). Also, there was a significant association between baseline and end-line assessment on all four effectiveness outcome measures. Household members' awareness of, access to, willingness to purchase, and use of LLINs increased significantly over the four-month period that the CHAT intervention was implemented. The study concludes that CHAT is an acceptable, appropriate, and feasible intervention for supporting the National Malaria Programme in LLIN PMD and for engaging in Social and Behaviour Change Communication activities through the continuous channels of distribution. Additionally, the CHAT demonstrates short-term effectiveness outcomes in terms of creating LLIN awareness, providing access to LLIN, and encouraging Ghanaian community members to be willing to purchase and use LLINs. Although the activities of CHAT members were largely voluntary, integration into the existing primary health care system will make it sustainable.

Documenting perceptions and misconceptions of shark conservation among students in Ghanaian coastal communities within the context of shark tourism

In Ghana, students have rarely been engaged in shark conservation programs. The study aimed to provide the perceptions and misconceptions about sharks among students in Ghana. From the Western region of Ghana, two senior high schools were visited from March to June 2023, and 111 questionnaires were administered to them with the assistance of a resident teacher. Most of these students believe that i) sharks do not eat humankind as food, ii) fishing activities do not affect shark behavior, iii) the decline in fish does not affect the shark population, and iv) fishermen in Ghana face a lot of shark attacks. On perceptions, most of the students perceived that i) shark fishing should not be stopped, ii) shark ecotourism will yield more money than shark fishing, and iii) MPAs will conserve shark population in Ghana. From the study, it was evident that knowledge and attitudes showed a strong positive correlation (r = 0.61). Therefore, incorporating shark related topics into the curricula of schools, taking students on educational tours to the fishing communities, and engaging them in outreach programs will enlighten their knowledge of sharks and foster their awareness of shark conservation and shark ecotourism in Ghana.

Inquiry into channels of health and safety knowledge communication across the boundaries of the construction industry

Purpose Effective safety communication facilitates the sharing of relevant knowledge that helps to improve safety behaviours, such as superior hazard identification and compliance. This study aims to explore channels by which construction companies can effectively communicate health and safety (H&S) among communities of their operations. Design/methodology/approach Based on a quantitative research approach, this study addressed the knowledge gap through a cross-sectional survey of 250 contractors (comprising 155 building and 95 road contractors) involved in various projects in the Ghanaian construction industry. These contractors were selected by using a stratified simple random sampling technique. Data obtained from the survey was analysed through descriptive (i.e. frequencies, mean and standard deviation) and inferential (i.e. exploratory factor analysis) statistical analyses. Findings The findings from the mean scores revealed that all the 12 communication channels identified in the literature, confirmed through piloting and examined by the respondents, were important channels through which construction companies can effectively communicate H&S amongst communities of their operations. The exploratory factor analysis revealed a clustering of the 12 channels of communication into 5 components: “safety demonstration in the community”; “social media”; “mass media”; “community engagement”; and “opinion leaders”. Research limitations/implications This study offers construction project managers the means of managing one of the major stakeholders of a construction project (the community). It provides an actionable opportunity that can be leveraged strategically to integrate community members into projects to promote synergy and local content inclusion while gaining a peaceful atmosphere to achieve their project goals. Practical implications Practically, this study provides construction project managers with a means of managing one of the major stakeholders of a construction project (the community) and also demonstrates the integration of community members into projects to promote synergy and local content inclusion. This would give construction organisations a peaceful atmosphere to accomplish their project objectives. Social implications The social implication of this study is that the study offers society a means of creating safer Ghanaian communities by offering them the knowledge of identifying hazards and avoiding risky behaviours, creating a good safety atmosphere in these communities. Originality/value This study presents construction organisations with a unique opportunity to transfer and share novel external knowledge within a different social system (the community). It contributes to the state-of-the-art knowledge in H&S communication by providing channels through which H&S can be communicated in a developing country such as Ghana.

Analysis of structured and unstructured stakeholders’ motivational support of Ghanaian slum communities

PurposeThis study aims to examine the motivations and supports of stakeholders in the slum communities, Ghana.Design/methodology/approachTwo-stage methodologies were used for data collection. Published Google News articles about the phenomenon as well as exploratory qualitative in-depth interviews with 15 participants.FindingsThe evidence shows that structured and unstructured are the two main categories of stakeholders operating in the space of slums in Ghana. It shows that stakeholders are motivated by their objectives and ethical or moral obligations to provide support in the form of consumables, housing and finance to the slums.Research limitations/implicationsBecause of the data collection regime used in this project, findings are specific to the Ghanaian context and not generalisable. However, the results could be beneficial in other contexts with similar slum phenomena.Practical implicationsThe conclusions drawn serve as a springboard for urban managers responsible for slum administration and management to develop policy packages to incentivise and enlist more non-slum stakeholders in the existing stakeholders.Originality/valueTo the best of the authors’ knowledge, this study is one of the few that expands the frontiers of the stakeholder model within context to discover specific slum stakeholders, their motivations and support for the slums in a consolidated manner.

The role of culturally appropriate interpersonal communication strategies to reduce hepatitis B and liver cancer disparities.

Asian and Pacific Islander (API), African, and Caribbean immigrant groups in the U.S. are disproportionately impacted by chronic hepatitis B and hepatocellular carcinoma (primary liver cancer). Creating educational communication campaigns about hepatitis B and liver cancer for these communities is necessary to increase disease-related awareness and prompt health-promoting behaviors. Identifying interpersonal communication (IPC) preferences within diverse communities for integration into an educational campaign that emphasizes the link between hepatitis B and liver cancer can ultimately promote uptake of screening, vaccination and linkage to appropriate care. Fifteen focus groups and two key informant interviews were conducted with participants from Micronesian, Chinese, Hmong, Nigerian, Ghanaian, Vietnamese, Korean, Somali, Ethiopian, Filipino, Haitian, and Francophone West African communities. Data were analyzed using thematic coding and analysis. Findings demonstrate that all communities preferred that materials be offered in both English and native languages and emphasized that campaigns highlight the connection between hepatitis B and liver cancer. Educational sessions should take place in settings where communities feel safe, including community-based organizations, religious establishments, and healthcare offices, and should be facilitated by trusted messengers, including patient navigators, doctors and faith leaders. Presenting accurate information and dispelling myths and misconceptions around hepatitis B, liver cancer, and their connection were the biggest needs identified across all focus groups. This study provides insight into community-specific preferences for learning about hepatitis B and liver cancer through IPC methods. The findings from this study can be used to design multi-platform, culturally and linguistically appropriate health education campaigns to facilitate improved diagnosis, prevention, and management of hepatitis B and liver cancer among heavily impacted communities in the U.S.

Family rejection of non-hetero sexuality-Sexual orientation and behavior anonymity among sexual minority men in slum communities-BSGH 001.

It can be challenging for sexual minority men (SMM) to decide whether or not to disclose their sexual orientation or behavior. The implications of this decision are significant, especially when considering how their family might react. We interviewed individuals living in slum communities (n = 12) in Accra and Kumasi, Ghana. Our study found that two factors primarily influenced the decision of SMM to disclose their sexual orientation. Firstly, SMM feared facing harm from their families and, secondly, the close ties of SMM families to religious institutions in their communities, which taught against LGBTQ+ activities in the country. These findings contribute to understanding why SMM in Ghanaian slum communities choose to keep their sexual orientation anonymous. While no single intervention is enough to address the challenges associated with coming out, participants in the study agreed that a social support intervention that provides opportunities to educate and inform their families and community on LGBTQ+ activities could help them assimilate comfortably in their communities.

Land and ocean grabs and the relative surplus population in Ghana

Abstract Situated in the context of the land and ocean grabs in Ghana post-2007–2008 global economic crises, this article argues that the country is experiencing “primitive accumulation” without capitalist industrialization. I draw on the insights of agrarian political economy to argue that this has created cheap laborers without industrial capital to exploit. The corollary of this is the creation of additional “relative surplus population”, worsening the country's (un)employment crisis. However, this “relative surplus population” is not marginal to global capitalist accumulation and exploitation; on the contrary, it is important to them. The article draws on ethnographic fieldwork in Ghanaian communities to document the voices of the dispossessed and semi-proletarianized about their experiences with the crisis of (re)production inflicted on them by global capitalism.