Peri-urban Ghana Research Articles

Dietary diversity and nutrient adequacy among women in Bosomtwe District, Ghana.

The sustainable development goals seek to end all forms of malnutrition of women of reproductive age (WRA) by 2030. As such, recent data on nutrient adequacy are needed to aid in tracking progress. However, data on specific dietary nutrient intakes includes only iron, folate, vitamin A, and vitamin B12 in Ghana. Therefore, women's dietary diversity score (W-DDS) is often used as a proxy measure of nutrient adequacy. It is hypothesised that there is no association between W-DDS and Nutrient Adequacy among WRA in peri-urban Ghana. Hence, this research evaluated the associations between W-DDS and nutrient adequacy ratio (NAR) and assessed the determinants of mean nutrient adequacy ratio (MAR) in the Bosomtwe District of Ghana. A community-based cross-sectional study was conducted, and data collected on anthropometry, food insecurity, socio-demographic characteristics and dietary intake using the 24-hour recall from 407 WRA. In all, 21 nutrients were assessed. The mean age, W-DDS, and MAR were 29.0 ± 6.7 years, 5.3 ± 1.9, and 0.65 ± 0.19 respectively. The NAR were generally high for the macronutrients as compared to micronutrients and the nutrients with low NAR included vitamin C (0.27 ± 0.19), vitamin A (0.15 ± 0.23), vitamin B12 (0.54 ± 0.32), calcium (0.28 ± 0.20), zinc (0.52 ± 0.23) and iron (0.57 ± 0.28) - signifying the WRA may be consuming monotonous carbohydrate-based diet. The hierarchical multivariable linear regression found a significant association between W-DDS and MAR after controlling for confounders (β = 0.404, p < 0.001). The determinants of MAR were ethnicity (β = 0.110, p = 0.006) and body mass index (β = 0.189, p < 0.001). This study supports the use of W-DDS as a proxy indicator of nutrient adequacy. Strategies meant to address nutrient inadequacies should be adaptable to different ethnic groups and overweight-reducing strategies should be incorporated into broader nutrition initiatives.

Urban sprawl and the changing socioecological systems in peri-urban Ghana

ABSTRACT The growth of African cities is characterised by sprawl, significantly impacting social, economic and environmental systems. The change in land use due to urban sprawl often dispossesses farmers in peri-urban communities, resulting in income loss. Focusing on social and ecological changes in peri-urban communities of Ghana, this paper sheds light on land use and land cover change stemming from urban sprawl. It is argued that land governance systems that shape resource access in peri-urban areas have been transformed with farming being the most impacted. Emerging livelihoods like sand winning further compounds a precarious situation. Women and youth are the most affected, with limited options for alternative occupations and uncertain futures. It is thus imperative that policy interventions prioritise sustainable land governance and urban planning, taking into account the needs and vulnerabilities of peri-urban communities, particularly women and youth.

Emergent neo-customary land tenure and non-indigene smallholders’ access to farmlands in peri-urban Ghana

Land dispossession within the emerging neo-customary land tenure system is not a novel phenomenon in sub-Saharan Africa (SSA). However, the landholding systems across SSA are as diverse as the societies themselves. In Ghana, research on peri-urban land dispossession primarily focuses on centralized areas and indigene landholders, neglecting acephalous and non-indigene smallholders. This gap in knowledge hinders our understanding of how neo-customary land tenure affects land access for non-indigenous smallholder farmers. This paper examines how non-indigene smallholders navigate neo-customary land tenure in peri-urban Wa, Ghana. The study employed a qualitative research design, conducting in-depth interviews and focus group discussions with 56 participants. The findings reveal that large-scale appropriation, covert land sales, and speculation are the primary drivers of land dispossession. The previously unconditional access to land for non-indigene smallholders, based on perpetual usufructuary interest, has also become temporary and conditional on their acceptance of roles as caretaker farmers or sharecroppers. The resulting dispossession and its consequences, such as inadequate subsistence food production, have led to socially undesirable outcomes. The study recommends that the Municipal Assembly and civil society organizations utilize Ghana's Land Act (Act 1036) to advocate for and safeguard the usufructuary interest of non-indigene individuals in land tenure.

Health-Seeking Behavior of Persons with Chronic Hepatitis B in Peri-Urban Ghana: Application of the Health Belief Model

Sub-Saharan African countries, including Ghana, are disproportionately affected by hepatitis B. In Ghana, the burden of hepatitis B is unevenly distributed, with the Brong Ahafo region having the highest prevalence (13.7%). Given that people with hepatitis B (PWHB) in Ghana have previously been found to have a lack of understanding of the impact of the infection, we sought to explore their health-seeking behaviour using the health belief model as an organising framework. A qualitative exploratory design was used. In total, 18 people were purposively selected for face-to-face interviews. The data was processed and analysed using QSR NVivo version 11.0 and the Braun and Clarke thematic analysis procedure. The belief that hepatitis B can cause liver cancer and death was the most important determinant of health seeking. Furthermore, access to accurate hepatitis B information, particularly information about availability of effective hepatitis B treatment, influenced a number of participants to seek formal care. However, the high cost of clinical monitoring and treatment to use herbal medicine, despite their concerns about the effectiveness of herbal medicines in managing hepatitis B. Given that hepatitis B information was a factor in health seeking, it is recommended that a hepatitis B awareness campaign focusing on the availability of hepatitis B treatment and where it can be obtained be carried out in the study area. Counselling PWHB at the point of diagnosis should highlight the relevance of life-long clinical monitoring. To remove financial barriers to hepatitis B care in Ghana, the government should include the cost of hepatitis B laboratory investigations and treatment in the health insurance scheme.

How urbanisation shapes availability of provisioning ecosystem services in peri-urban Ghana

ABSTRACTProvisioning ecosystem services are under threat in peripheral areas in African cities due to urbanisation pressures. Previous studies have focused on land conversion and food crop production. How urbanisation pressures intertwine with the provisioning ecosystem services availability to peri-urban households is an empirical question, which this paper answered using Wa in Ghana as a case. The mixed method research approach was employed involving 400 randomly selected households with the aid of a questionnaire, while interviews were also conducted with relevant stakeholders. Descriptive statistics and a five-point Likert scale were used to analyse the household data, while interview responses were thematised. We observed that urbanisation adversely affected ecosystems, reducing the availability of wild fruits, fuelwood, and game to farmer households. From the households’ perspective, most of these services will disappear in the future as urbanisation intensifies. We recommend the restoration of degraded lands for the conservation of natural habitats.

Tenure responsive land use planning in Ghana: evidence from peri-urban Tamale

ABSTRACT Due partly to rapid urbanisation and the re-interpretation of customary land tenure, land use planning in Ghana is sometimes associated with tenure insecurities in peri-urban areas. Contributing to the emerging debate on Tenure Responsive Land Use Planning (TR-LUP), this paper assesses the tenure responsiveness of land use planning projects in peri-urban Tamale based on data gathered from in-depth interviews and focus group discussions with key stakeholders. It is argued that the current tenure insecurity challenges that characterised land use planning projects in peri-urban Ghana emanate primarily from limited stakeholder participation, land commodification, re-interpretation of customary land tenure, and weak institutional capacities of local planning agencies. The paper adds insights to the challenges surrounding the applicability of the TR-LUP concept by highlighting how land use planning influences tenure security in customary land tenure contexts. Finally, it proposes policy measures to protect the land use rights of peri-urban dwellers.

Landowners’ willingness to supply agricultural land for conversion into urban uses in peri-urban Ghana

ABSTRACT Agriculture in the peri-urban area is a significant source of income for peri-urban dwellers; however, peri-urban development raises land prices, making it difficult for small-scale farmers to keep their land. Still, studies on peri-urban development and consequent rapid land conversion have not given enough attention to the factors that impact landowners’ willingness to provide land for conversion, especially within the context of communal land ownership in sub-Saharan Africa. Through quantitative and qualitative methodologies, this study investigates landowner willingness to give agricultural land for conversion in peri-urban Wa, Ghana. Between 2009 and 2019, 14.0% of households had sold all of their lands, according to the findings. The supply of land was influenced by economic incentives and land rent. According to the study, local landowners should plan for future generations of the same family to have equitable access to land while still attempting to meet their current socioeconomic demands from it.

Urban sprawl and agricultural livelihood response in peri-urban Ghana

ABSTRACT The paper examines agricultural livelihood effects of urban sprawl and farmers' response in peri-urban Kumasi, Ghana, involving in-depth interviews with sixty farmers (n = 60) and four key informants (n = 4). Greater Kumasi has expanded spatially over time resulting in arable land reduction in the peri-urban interface and affecting households in varying ways. This has evoked different responses from affected farmers including agricultural intensification, extensification, diversification and adoption of off-farm livelihood strategies. While some households made livelihood gains in their response, and some livelihood losses, others neither gained nor lost. A mix of livelihood assets, but more importantly human and social capital, were identified as key determinants of the outcomes of households’ livelihood strategies employed. To protect arable land from urban encroachment and reduce peri-urban households’ vulnerabilities the following policy interventions are noteworthy: effective spatial planning through institutional strengthening, legislative enforcement and widening market for agricultural goods and expanding non-farm jobs.

The politics of customary land rights transformation in peri-urban Ghana: Powers of exclusion in the era of land commodification

The scholarly discourse on the transformation of customary land tenure systems in SSA is advancing theoretically and empirically. This paper contributes to this evolving debate by drawing upon qualitative case studies of mundane practices of land delivery in Tamale and Techiman, Ghana to understand the powers underpinning the transformation of customary land rights. In the wake of rapid urbanisation, processes of land commodification are intensifying, resulting in the re-interpretation and re-negotiation of customary land tenure systems and exclusions in peri-urban areas in Ghana. Chiefly, state and market powers are mutually reinforcing in the politics of exclusion and the transformation of customary land rights in peri-urban Ghana. Contrary to current international land policy trends that laud the adaptability and negotiability of customary tenure, the evidence in this paper shows that in contexts of rapid urbanisation and unequal power relations, customary tenure regimes can be manipulated to produce exclusionary outcomes. Therefore, the paper concludes that rather than local custom and formal planning serving as regulatory functions to protect the public interest; they emerge as powers of exclusion acting in synergy with market forces to displace usufructuary interest holders.

Arable and forest land user rent in a peri-urban district, Ghana

Land-use policies meant to mitigate deforestation activities in Ghana will have to consider the heterogeneity of the drivers of arable and forest land degradation. This would help avoid the one-size fits all approach to solving this problem. The urgency for this realisation is premised on the recent increasing monetary incentive to convert arable and forest land to other land uses in peri-urban Ghana. This study hypothesised that there is no significant relationship between land rent and the conversion probability from arable and forest land to other land uses such as commercial, industrial and residential land uses in Bosomtwe, a peri-urban district in the Ashanti region of Ghana. Four-hundred and one usufruct or land-owning households and individual landowners participated through a three-stage sampling procedure. The results indicated a significant relationship between higher land rent and conversion probability from arable land to other land uses such as commercial, industrial and residential land uses. Specifically, receiving land rent above GH¢400 (OR = 1.979) predicted the outcome variable in all three models. Moreover, being a female (OR = 0.612), ageing: 56 and 65 (OR = 2.158) and 76 and above (OR = 11.781), traders/food vendors (OR = 0.423) and widows (OR = 2.050) had some odds of predicting the outcome variable. The study recommends a reformation of government land use conversion policies and decisions in collaboration with landowners, to include parameters which assess the effect and benefits of land conversion decisions on biodiversity before leasing out land rights.

Livelihood security along beekeeping value chain: lessons from Ghana’s beekeeping experience

The paper examines the security of beekeeping livelihoods amongst men and women in rural and peri-urban Ghana. Using qualitative and quantitative methods, 85 (n = 85) in-depth interviews with individual actors in the beekeeping value chain and institutions were carried out to examine access to resources, strategies, motivations and livelihood outcomes of beekeeping. The findings reveal that although both men and women make a livelihood from beekeeping, it is a male dominated livelihood activity. Women are more challenged in terms of equipment ownership. Institutional support both from governmental and non-governmental circles in the form of education, training and supply of equipment is key in ensuring that beekeepers make optimal gains from beekeeping operations.

A Qualitative Study on the Pathways to Evidence-Based Antenatal Care in Periurban Ghana.

Maternal health care has become a major concern on international fora in the 21st century. Even though major interventions have been taken to scale up maternal health care locally, nationally, and globally, adequate utilisation has not been achieved due to system-induced setbacks, especially in sub-Saharan Africa. The study explored the facilitators and barriers to antenatal care use in periurban Ghana. Seventeen (17) respondents consisting of four mothers receiving ANC services, four mothers receiving postnatal care with their ANC experience, four midwives, and four nurses with the District Public Health Nurse were involved in the study. The exploratory case study design was used with respondents comprising two focus groups and interview participants. Using thematic analysis, the results revealed that restrictive factors like travel time, long waiting time, transport cost, service cost, quality of service, and attitude of hospital staff still act as constraining factors even after the introduction of free maternal health care. The study concludes that practices like focused ANC and routine monitoring to facilities among others have increased utilisation. The study therefore recommends that to ensure adequate utilisation, the government and other stakeholders should offer support to the less-privileged mothers. Again, services should be easily available at facilities to pregnant women even if they are to be bought. It is further recommended that antenatal care services should be reoriented and clinical psychologists should be placed at all health centres to empower health staff on the best attitude towards clients. Interventions if mainstreamed into the national maternal health policy could be useful.

Determinants of Antenatal Healthcare Utilisation by Pregnant Women in Third Trimester in Peri-Urban Ghana.

Access to quality healthcare still remains a major challenge in the efforts at reversing maternal morbidity and mortality. Despite the availability of established maternal health interventions, the health of the expectant mother and the unborn child remains poor due to low utilisation of interventions. The study examined the socioeconomic determinants of antenatal care utilisation in peri-urban Ghana using pregnant women who are in their third trimester. Two-stage sampling technique was used to sample 200 pregnant women who were in their third trimester from the District Health Information Management System software. Well-structured questionnaire was the instrument used to collect data from respondents. Descriptive statistics and inferential statistics including binary logit regression model were used to analyse the data with the help of SPSS and STATA software. The results showed varying utilisation levels of ANC. From the regression result, age, household size, and occupational status were identified as the important socioeconomic determinants of antenatal care utilisation among the respondents. The important system factors which influence antenatal care utilisation by the respondents are distance to ANC, quality of service, and service satisfaction. The study concludes that socioeconomic and health system factors are important determinants of antenatal care utilisation. Stepping up of interventions aimed at improving the socioeconomic status and addressing health system and proximity challenges could be helpful in improving antenatal care utilisation by pregnant women in Ghana.

Geospatial Analysis of Land Use and Land Cover Transitions from 1986–2014 in a Peri-Urban Ghana

Recently, peri-urbanisation has led to the transformation of the rural landscape, changing rural land uses into peri-urban land uses, under varying driving factors. This paper analyzes the dynamic transitions among identified land use and land cover (LULC) types in the Bosomtwe district of Ghana, from 1986 to 2014. An integrated approach of geo-information tools of satellite remote sensing in Earth Resource Data Analysis System (ERDAS) Imagine 13 and ArcMap 10.2 Geographic Information System (GIS), with Markov chain analytical techniques were used to examine the combined forest land cover transitions, relative to build-up, recent fallows and grasslands and projected possible factors influencing the transitions under business as usual and unusual situations. Statistical analyses of the classified Landsat TM, ETM+ and Landsat 8 Operational Land Imager and Thermal Infrared Sensor (OLI/TIS) indicated that over the period of 24 years, the Bosomtwe district has undergone a series of land use conversions with remarkable forest losses especially between 2002 and 2010. In 2010 dense forest cover was degraded to low forest by 4040 ha indicating 0.40% transition probability in the future. There was a remarkable increase of built-up/bare and concrete area with a 380% increment in the 1986–2002 transition periods. The application of the Markov futuristic land use dynamics by the years 2018 and 2028, projected from the 2014 LULC indicated a future steady decline in the area coverage of the dense forest to low forest category. This is currently being driven (as at the 2017 LULC trends), by the combined effects of increasing build up bare and concrete surface land uses as well as the expanding recent fallows and grassland. The paper concluded that the health of the ecosystem and biodiversity of the lake Bosomtwe need to be sustainably managed by the Bosomtwe district assembly.

Mothers’ work, family roles and self-reported health in peri-urban Ghana and Ethiopia

We test the associations between peri-urban mothers’ paid work and reported health in Asawase, Ghana and Sebeta, Ethiopia using data from the Family Health and Wealth Study. The analytic sample is 608 and 667 mothers in Asawase and Sebeta respectively, aged 15 to 49. Dependent measures are self-rated health (SRH), self-reported health problems (SRHP), and chronic disease (CD) status. Independent variables include work/remuneration status. Bivariate and multivariate analyses are presented. Our results showed that in Asawase and Sebeta respectively, 88.3% and 80.1% of mothers had no CD; 88.3% and 91.9% reported very good/good health; 73.4% and 55.5% had no health problems. Ethiopian mothers remunerated for their work other than by cash alone reported better health, on all three outcomes compared with their non-working counterparts [CD-AOR (95%CI):1.98(1.18-3.33); SRH: 3.49(1.39-8.80); SRHP: 1.40(1.04-1.88)]. Findings from Ghana were not as clear. Investigation of women’s multiple family roles is warranted to understand pathways to better health.

Hindrances to adaptation to water insecurity under climate variability in peri-urban Ghana

AbstractWater insecurity is a development challenge confronting households in the Wa municipality. This paper outlines the hindrances to climate variability adaptation to water insecurity among per...

Feasibility and cost of using mobile phones for capturing drug safety information in peri-urban settlement in Ghana: a prospective cohort study of patients with uncomplicated malaria

BackgroundThe growing need to capture data on health and health events using faster and efficient means to enable prompt evidence-based decision-making is making the use of mobile phones for health an alternative means to capture anti-malarial drug safety data. This paper examined the feasibility and cost of using mobile phones vis-à-vis home visit to monitor adverse events (AEs) related to artemisinin-based combination therapy (ACT) for treatment of uncomplicated malaria in peri-urban Ghana.MethodsA prospective, observational, cohort study conducted on 4270 patients prescribed ACT in 21 health facilities. The patients were actively followed by telephone or home visit to document AEs associated with anti-malarial drugs. Call duration and travel distances of each visit were recorded. Pre-paid call cards and fuel for motorbike travels were used to determine cost of conducting both follow-ups. Ms-Excel 2010 and STATA 11.2 were used for analysis.ResultsOf the 4270 patients recruited, 4124 (96.6 %) were successfully followed up and analyzed. Of these, 1126/4124 (27.3 %) were children under 5 years. Most 3790/4124 (91.9 %) follow-ups were done within 7 days of ACT intake. Overall, follow up by phone (2671/4124—64.8 %) was almost two times the number done by home visits (1453/4124—35.2 %). Duration of telephone calls ranged from 38 s to 53 min, costing between GH¢0.26 (0.20USD) and GH¢41.70 (27.USD). On the average, the calls lasted 3 min 51 s (SD = 3 min, 21 s) costing GH¢2.70 (0.77USD). Distance travelled for home visit ranged from 0.65 to 62 km costing GH¢0.29 (0.20USD) and GH¢279.00 (79.70USD). Thirty-two per cent (1128/4124) of patients reported AEs. In total, 1831 AE were reported, 1016/1831(55.5 %) by telephone and 815/1831 (44.5 %) by home visits. Events such as nausea, dizziness, diarrhoea, and vomiting were commonly reported.ConclusionMajority of patients was successfully followed up by telephone and reported the most AEs. The cost of telephone interviewing was almost two times less than the cost of home visit. Telephone follow up should be considered for monitoring drug adverse events in low resource settings.

Percent Body Fat versus Body Mass Index among Ghanaian Adults in Different Districts

Background: The debate regarding use of WHO body mass index (BMI) cut-offs for the assessment of nutritional status continues in the scientific community. That is, BMI may not be a true reflection of body composition. Researchers have investigated BMI and percent body fat (%BF) as risk factors for some chronic diseases. Objectives: The current study sought to evaluate the use of BMI to assess %BF and their relationship with high blood pressure (HBP) among Ghanaian adults. Methods: A total of 512 men and women were enrolled in a cross-sectional study, conducted in urban (Accra Metropolitan District [AMD; 276]) and peri-urban (Upper Manya Krobo District [UMKD; 236]) Ghana. BMI and %BF were determined and proportions of underweight, normal weight, and overweight/obese participants were compared. Relationship between BMI, %BF and HBP was investigated. Results and discussion: Mean BMI was greater for participants in the AMD than UMKD (25.69±4.85 and 24.51±4.89; p=0.007). %BF was also greater for men (p=0.001) and women (p=0.012) in the AMD than UMKD, respectively. Participants in the AMD (underweight-7%, normal weight-48%, overweight-24%, obese-21%) and UMKD (underweight-14%, normal weight-55%, overweight-17%, obese-15%) had different %BF (p=0.009) but not BMI (p=0.090). A significantly higher number of participants in the AMD had HBP (26%) than UMKD (19%) (p=0.038). Overweight/obese participants had significantly higher blood pressure compared to underweight/normal weight participants, in both AMD (by BMI; p=0.002 and by %BF; p<0.0001) and UMKD (by BMI and %BF; p<0.0001). BMI correlated moderately and significantly with %BF in both urban AMD (r=0.578; p<0.0001) and peri-urban UMKD (r=0.693; p<0.0001). Conclusion: BMI seems to be a good indicator for the assessment of adiposity among Ghanaian adults and may be used to assess adiposity in the absence of %BF.

Technical Efficiency of Vegetable Farmers in Peri-Urban Ghana Influence and Effects of Resource Inequalities

In Ghana, statistics indicate that women account for about 70% of total food production and are the most important actors in the food chain which begins from the farm production, market and intra household distribution of food. They play a lead role in post-harvest activities such as shelling of grains, storage, processing and marketing. They are also becoming increasingly visible in farm tasks which traditionally have been designated as male preserve. Despite the increasing central role of women in food production, they have much more limited access to resources than their male counterparts especially in the areas of education, land, agricultural extension services and access to credit, all of which combine to restrain their ability to increase productivity. This study was therefore undertaken toexamine the technical efficiency of male and female vegetable farmers in the Kumasi Metropolis using the stochastic production frontier model. Female vegetable farmers were found to be producing at high levels of inefficiency. The predicted efficiencies differed substantially from between 2 and 85 percent, with mean efficiency of 24 percent. The low mean efficiency index is an indication of inefficiencies in resource use. Also, female headed farms recorded a mean technical efficiency of 16.5 percent with a range between 2 and 66 percent. The male headed farms, on the other hand, showed a mean technical efficiency of 30.8 percent, and a range between 2 and 85 percent. The results imply that on the average, female vegetable farmers were relatively technically inefficient than their male counterparts. The paper concludes that since women farmers contribute immensely of domestic food supply in Ghana, it is important that efforts be made to build their capacity to produce efficiently.

Occurrence of Eimeria species parasites on small-scale commercial chicken farms in Africa and indication of economic profitability.

Small-scale commercial poultry production is emerging as an important form of livestock production in Africa, providing sources of income and animal protein to many poor households, yet the occurrence and impact of coccidiosis on this relatively new production system remains unknown. The primary objective of this study was to examine Eimeria parasite occurrence on small-scale commercial poultry farms in Ghana, Tanzania and Zambia. Additionally, farm economic viability was measured by calculating the farm gross margin and enterprise budget. Using these economic measures as global assessments of farm productivity, encompassing the diversity present in regional husbandry systems with a measure of fundamental local relevance, we investigated the detection of specific Eimeria species as indicators of farm profitability. Faecal samples and data on production parameters were collected from small-scale (less than 2,000 birds per batch) intensive broiler and layer farms in peri-urban Ghana, Tanzania and Zambia. All seven Eimeria species recognised to infect the chicken were detected in each country. Furthermore, two of the three genetic variants (operational taxonomic units) identified previously in Australia have been described outside of Australia for the first time. Detection of the most pathogenic Eimeria species associated with decreased farm profitability and may be considered as an indicator of likely farm performance. While a causal link remains to be demonstrated, the presence of highly pathogenic enteric parasites may pose a threat to profitable, sustainable small-scale poultry enterprises in Africa.