Measuring Access to Continuing Professional Education among the Health Workers in Ghana: Constructing an Index

To measure the levels of access to continuing professional education (CPE) among the health workers, an index (continuing professional education access index: CEAI) was constructed. The CEAI is composed of six indicators: (i) availability of CPE; (ii) distribution of CPE; (iii) informational access; (iv) geographical access; (v) economic access; and (vi) preparedness to release staff. When developing the equation of the CEAI, these six component indicators were weighted in accordance with the order of importance reported by the earlier studies. To test its validity, the CEAI was applied to the CPE status in three regions of Ghana. The results of this application revealed that there was greater discrepancies in the CEAI values according to the type of health facilities. The type of health facilities with the greatest CEAI (= 0.609) implying the best access to CPE was clinics while training/research institutes resulted in the lowest CEAI (= 0.447). Regional variation among the three regions was not significant. A simple linear regression between CEAI and adjusted number of CPE opportunities per health worker produced an extremely high conformity in the model (R² = 0.960). This may indicate the validity of the proposed CEAI model to the large extent.     

Challenges to the enforcement of development controls in the Wa municipality

The imposition and enforcement of a land-use regulation is extremely important if society is to reap the full benefits of its stock of land. Ghana has therefore enacted various statutes to regulate land development throughout the country. This paper examines development controls in the Wa Municipality. It finds out the challenges confronting the development control process in the municipality. The paper does these through a review of the development control literature. It also reviews the legal framework for development controls in Ghana. It used questionnaires to gather data from the officials of the Municipal Building Inspectorate Division (MBID), Wa. It used questionnaires to solicit the opinion, knowledge, experience and perception of land developers on the development control regime in the municipality. It revealed that development controls are not adequately enforced in the Wa Municipality. It notes that uncontrolled developments are a common sight in the municipality. It also established that socio-cultural reasons, political interferences, limited public knowledge on the essence of development controls, and an under-resourced building inspectorate division are responsible for this state of affairs. It recommends that the Wa Municipal Assembly strictly enforce its land-use regulations to ensure that the residents of the municipality fully benefit from the imposition of land-use regulations.     

Exploring the utility of Analytic Hierarchy Process (AHP) in ranking livelihood activities for effective and sustainable rural development interventions in developing countries

It is commonly known that most development projects, especially in the global south, tend to achieve unintended results or fail because of lack of due diligence. Project satisfaction and sustainability would only be achieved if consistent with the actual needs of the people intended to benefit. Based on field experiences in the Fantekwa District of Eastern Ghana, this study aims to explore the utility of the Analytic Hierarchy Process (AHP) in prioritizing livelihood activities to aid in effective and sustainable poverty reduction interventions in developing countries. Data from twenty five development stakeholders in the district were used for the assessment. The study demonstrates that with appropriate data, and systematically following all required processes, the AHP approach can effectively show where intervention is most needed. Application of AHP in the current context, the study argues, has the potential to address the issue of wrong development targeting with associated counterproductive and nonstarter outcomes.     

Orphanage caregivers' perceptions: The impact of organizational factors on the provision of services to orphans in the Ashanti Region of Ghana

Adding to the growing body of literature on outcomes for children living in orphanages and children's homes, this qualitative study explored the perceptions of institutional personnel – caregivers, staff members, supervisors, and administrators – about organizational factors affecting their ability to care for orphaned and vulnerable children living in institutions in the Ashanti Region of Ghana. The participants in this study consisted of 59 caregivers, 7 supervisors, 10 administrators, 4 cooks, 4 teachers, 1 social worker, 1 security guard/driver, and 6 women classified as house helpers. Individual interviews were conducted using an English-written and stated semistructured interview guide the researchers had created. The data from the 92 interviews were transcribed and coded using inductive methodologies. The results revealed concerns from the personnel about their institutions' lack of adequate funding for essential items, including food and medicine for the children. The personnel were also concerned about the lack of appropriate workplace standards to ensure the sustainability of a viable workplace environment, including inadequate training, supervision, communication procedures, and staffing patterns, and collaborative partnerships and associations with other public or private community-based institutions. The findings from this study have considerable policy, practice, and research implications for social workers.     

Estimating Housing Quality for Poverty and Development Policy Analysis: CWIQ in Ghana

Inadequate data on housing characteristics and lack of consensusregarding appropriate measures of housing quality characteristicsretard developments to meet housing needs of people in lessdeveloped countries. A constructed housing quality index is developed and Cronbach's alpha and factor analysis are employedeo evaluate its measurement properties. With data from the CoreWelfare Indicators Questionnaire (CWIQ) survey of 1997, theconstructed housing quality index identifies key factors relatedto housing quality in Ghana. Access to quality of life amenities contributes significant information and policy value to traditionalphysical attributes in modeling a housing quality index.     

Self-esteem and self-concept as correlates of life satisfaction and attitudes toward school among Ghanaian girls

During adolescence, youth experience several physical, psychosocial, and cognitive changes. Self-esteem and self-concept are identified as protective factors for adolescents in high-income countries, but studies are limited in sub-Saharan Africa. We examined the associations of self-esteem and self-concept with life satisfaction and attitudes toward school using baseline data from 97 Ghanaian adolescent girls at risk of school dropout. Ordinary Least Squares regression models were fitted to examine the association between self-esteem and self-concept on school attitudes and life satisfaction. Self-esteem was positively associated with life satisfaction. Self-concept was associated with more positive attitudes toward school. Hence, self-esteem and self-concept may be critical protective factors in promoting adolescent girls' life satisfaction and positive attitudes toward school.     

The Politics of Regional Inequality in Ghana: State Elites,Donors and PRSPs

Through an analysis of Ghana's HIPC Fund which was established as part of the PRSP process, this article shows how aid‐financed efforts to reduce regional inequality in Ghana have failed. Dominant political elites agreed to policies reducing regional inequality in order to have access to aid funding but, once approved, these funds were allocated on quite different criteria in ways that marginalised the poorest. This analysis reinforces the growing recognition that developmental outcomes in most poor countries are shaped not so much by the design of ‘good’ policies per se, but more importantly by the power relationships within which policy‐implementing institutions are embedded. Aid donors seem unable to grasp this important lesson fully, and so their capacity to contribute to reducing regional inequality remains limited.     

A cohort analysis of the timing of first birth and fertility in Ghana

This paper examines the nature of the inverse association between age at first birth and fertility across successive generations of Ghanaian women. Within the context of enhanced non-marital opportunities for contemporary women and declining fertility, we develop a rationale for and test the hypothesis that in a medium fertility environment as currently found in Ghana, the effect of age at first birth on fertility becomes more important than ever before. Five birth cohorts were identified (1938–1944; 1945–1949;1950–1954; 1955–1959; 1960–1964)from a merged file of the 1988, 1993 and 1998 Ghana Demographic and Health Surveys. The analyses were restricted to women over 35 years old at the time of the surveys, which allowed us to use current parity as a reasonable proxy for completed fertility. Preliminary results suggest that women who had first births early tend to have a higher number of births than those whose first births occur late, regardless of birth cohort. In multivariate analyses, the effect of age at first birth as a determinant of fertility was found to be more substantial among later cohorts. The implications of the findings are discussed.     

Children’s Participation in Child Protection Practice in Ghana: Practitioners’ Recommendations for Practice

Abstract

The United Nations Convention on the Rights of the Child (UNCRC) includes provisions to ensure that children and young people participate in decisions affecting their lives. Ghana ratified the convention in 1990 making a commitment to review its child protection policies and legislation in compliance with provisions in the UNCRC. Yet, national policies and legislation do not include practical guidelines to promote children’s participation in the child protection process. Thus, this qualitative study presents findings from in-depth interviews with 15 child protection practitioners on their views about some practical guidelines to promote children’s participation in child protection. Data from the interviews were subjected to constructivist grounded theory analysis. The study findings revealed the age of the child, separate room for children, creating a friendly environment and education as some important factors for practitioners to consider in promoting participatory practices for children. Child protection policies and legislation in Ghana should include these suggestions to ensure that children’s views are heard in the child protection process. To realize the overarching goal of achieving active child participation in child protection, further research may focus on the views of parents and children on how to develop culturally relevant strategies to promote child participation.