Now that the goal of universal primary education has been achieved in Ghana, the nation’s aim is to expand higher education as a key to development. We argue that this expansion will necessitate... Show moreNow that the goal of universal primary education has been achieved in Ghana, the nation’s aim is to expand higher education as a key to development. We argue that this expansion will necessitate the gradual addition of Ghanaian languages as a medium of instruction. We innovatively explain why this is so by comparing the achievements of the Ghanaian education system with one of the best education systems in the world. We use the conceptual distinction between ‘discerned’ and ‘designed’ languages to discuss the problem of which languages to choose. We propose five scientific principles that could guide the introduction of Ghanaian languages and suggest concrete steps that could be taken over the coming years to make the transition practically possible. As such, we present a way of looking at using indigenous languages as a medium of instruction that has relevance for other African countries as well. Show less
Informal workers are a heterogeneous group distinguished by diverse activities and interests, but they have in common that they operate largely outside state regulations.In this article, we analyse... Show moreInformal workers are a heterogeneous group distinguished by diverse activities and interests, but they have in common that they operate largely outside state regulations.In this article, we analyse the ways in which informal workers in Ghana are organising (themselves) in response to proposed relocations of their workspace. Borrowing from Tsing, we distinguish three layers of friction that can lead to (structural) change, collective action, and an increase in informal workers’ political leverage. Our two case studies in Accra and Kumasi show how striving for inclusive development is a process shaped by diverse agendas and potentially conflicting interests. These relational and political aspects are crucial for understanding the frictions involved, as well as how these may lead to change. Where the tendency is to gloss over these frictions, we argue that they need to be the starting point for effective policies and initiatives for inclusive development.Résumé: Les travailleurs et travailleuses informelles constituent un groupe hétérogène qui se distingue par sa grande diversité d’activités et d’intérêts, mais qui a comme caractéristique commune le fait de fonctionner essentiellement en marge des réglementations gouvernementales. Dans cet article, nous analysons les différentes façons dont les travailleurs et travailleuses informelles au Ghana s’organisent en réponse aux délocalisations proposées de leur espace de travail. En nous inspirant de Tsing, nous distinguons trois niveaux de tension qui peuvent conduire à un changement (structurel), à une action collective et à un poids politique accru des travailleur·euse·sinformel·le·s. Nos deux études de cas à Accra et Kumasi montrent à quel point militer pour un développement inclusif est un processus façonné par des motivations diverses et des intérêts potentiellement conflictuels. Ces aspects relationnels et politiques sont cruciaux pour comprendre les tensions qui sont en jeu, ainsi que la manière dontelles peuvent conduire au changement. Alors que la tendance est de dissimuler ces nous soutenons qu’elles doivent au contraire constituer le point de départ de politiques et d’initiatives efficaces pour un développement inclusif. Show less
Literature on political vigilante groups has centred on the violence and conflict that emanate from their activities. This article approaches political vigilante groups as political actors who... Show moreLiterature on political vigilante groups has centred on the violence and conflict that emanate from their activities. This article approaches political vigilante groups as political actors who engage in political mobilisation and participation and therewith also contribute to nation state building. It explores how such groups participate in Ghana’s democratic governance and asks whether violence is an inevitable characteristic. The article builds on individual in-depth interviews and focus group discussions with political vigilante group members in Kumasi and Tamale in 2019. Findings show that political vigilante “youth” appeared to refer primarily to the social position attributed to non-elite groups in the political field. Political vigilante groups are multi-faceted in their organisational structures, membership, and activities both during electoral campaigns and during governing periods. While some groups revert to violence occasionally, the study concludes that political vigilante groups, in enabling different voices to be heard, are also contributing to democratic governance. Show less
Abejirinde, I.O.O.; Zweekhorst, M.; Bardaji, A.; Abugnaba-Abanga, R.; Apentibadek, N.; Brouwere, V. de; ... ; Marchal, B. 2018
This paper focuses on informal workers in Makola Market, Accra (Ghana), and the ways in which they organize for collective action. Ghana has a long history of trade and this makes for well... Show moreThis paper focuses on informal workers in Makola Market, Accra (Ghana), and the ways in which they organize for collective action. Ghana has a long history of trade and this makes for well-developed and culturally embedded local institutions that have organized and represented the (informal) workersactive in markets. A prominent example is the market queens, who (cl)aim to oversee, protect and promote markets vis-a-vis the public and the (municipal) government. Yet, these social structures are not easily recognized as a kind of social movement by (inter)national trade unions. Hence trade unioninterventions and outreaches aimed at ameliorating the plight of informal workers tend to bypass and antagonize these existing formations, fuelling competition and division in the already fragmented and inherently competitive market space. Based on 2.5 year-long ethnographic research on strategic actors in inclusive development with a focus on informal workers, this article draws attention to empirical realities in Ghana. It demonstrates that bypassing culturally embedded groups is problematic because it feeds fragmentation and thus limits the possibilities for collective action. Show less
This paper focuses on informal workers in Makola Market, Accra (Ghana), and the ways in which they organize for collective action. Ghana has a long history of trade and this makes for well... Show moreThis paper focuses on informal workers in Makola Market, Accra (Ghana), and the ways in which they organize for collective action. Ghana has a long history of trade and this makes for well-developed and culturally embedded local institutions that have organized and represented the (informal) workersactive in markets. A prominent example is the market queens, who (cl)aim to oversee, protect and promote markets vis-a-vis the public and the (municipal) government. Yet, these social structures are not easily recognized as a kind of social movement by (inter)national trade unions. Hence trade unioninterventions and outreaches aimed at ameliorating the plight of informal workers tend to bypass and antagonize these existing formations, fuelling competition and division in the already fragmented and inherently competitive market space. Based on 2.5 year-long ethnographic research on strategic actors in inclusive development with a focus on informal workers, this article draws attention to empirical realities in Ghana. It demonstrates that bypassing culturally embedded groups is problematic because it feeds fragmentation and thus limits the possibilities for collective action. Show less
The nexus between Pentecostalism and migration has been studied extensively and in divergent terms. One line of research has looked at churches founded by migrants as home away from home, helping... Show moreThe nexus between Pentecostalism and migration has been studied extensively and in divergent terms. One line of research has looked at churches founded by migrants as home away from home, helping migrants to settle in a new place and at the same time connecting them back to where they came from. Another strand has rather highlighted incorporation into a global Christendom and engagement in global spiritual warfare. Whereas the first line of research is often phrased in terms of diaspora and religion, the second one views Pentecostalism as producing globality on its own terms. With this article, we attempt to contribute to this discussion by asking how deterritorialized belonging is produced in daily Pentecostal practices. What is made present when a home is made absent? What kind of attentive practices create the presence of the Holy Spirit? In thinking with the notion of hodological care, we argue that Pentecostal churches founded by Ghanaian migrants in Southern Africa and Europe create belonging not to a “home" but to connections. They thereby produce forms of de-diasporization, which could be seen as belonging through disconnecting. Show less
The district health system in Ghana today is characterized by high resource-uncertainty and narrow decision-space. This article builds a theory-driven historical case study to describe the... Show moreThe district health system in Ghana today is characterized by high resource-uncertainty and narrow decision-space. This article builds a theory-driven historical case study to describe the influence of path-dependent administrative, fiscal and political decentralization processes on development of the district health system and district manager decision-space. Methods included a non-exhaustive literature review of democratic governance in Ghana, and key informant interviews with high-level health system officials integral to the development of the district health system. Through our analysis we identified four periods of district health system progression: (1) development of the district health system (1970–85); (2) Strengthening District Health Systems Initiative (1986–93); (3) health sector reform planning and creation of the Ghana Health Service (1994–96) and (4) health sector reform implementation (1997–2007). It was observed that district manager decision-space steadily widened during periods (1) and (2), due to increases in managerial profile, and concerted efforts at managerial capacity strengthening. Periods (3) and (4) saw initial augmentation of district health system financing, further widening managerial decision-space. However, the latter half of period 4 witnessed district manager decision-space contraction. Formalization of Ghana Health Service structures influenced by self-reinforcing tendencies towards centralized decision-making, national and donor shifts in health sector financing, and changes in key policy actors all worked to the detriment of the district health system, reversing early gains from bottom-up development of the district health system. Policy feedback mechanisms have been influenced by historical and contemporary sequencing of local government and health sector decentralization. An initial act of administrative decentralization, followed by incomplete political and fiscal decentralization has ensured that the balance of power has remained at national level, with strong vertical accountabilities and dependence of the district on national level. This study demonstrates that the rhetoric of decentralization does not always mirror actual implementation, nor always result in empowered local actors. Show less
Koduah, A.; Akua Agyepong, I.; Dijk, J.W.M. van 2016
This paper seeks to advance our understanding of health policy agenda setting and formulation processes in a lower middle income country, Ghana, by exploring how and why maternal health policies... Show moreThis paper seeks to advance our understanding of health policy agenda setting and formulation processes in a lower middle income country, Ghana, by exploring how and why maternal health policies and programmes appeared and evolved on the health sector programme of work agenda between 2002 and 2012. We theorized that the appearance of a policy or programme on the agenda and its fate within the programme of work is predominately influenced by how national level decision makers use their sources of power to define maternal health problems and frame their policy narratives. National level decision makers used their power sources as negotiation tools to frame maternal health issues and design maternal health policies and programmes within the framework of the national health sector programme of work. The power sources identified included legal and structural authority; access to authority by way of political influence; control over and access to resources (mainly financial); access to evidence in the form of health sector performance reviews and demographic health surveys; and knowledge of national plans such as Ghana Poverty Reduction Strategy. Understanding of power sources and their use as negotiation tools in policy development should not be ignored in the pursuit of transformative change and sustained improvement in health systems in low- and middle income countries (LMIC). Show less
Background: Why issues get on the policy agenda, move into policy formulation and implementation while others drop off in the process is an important field of enquiry to inform public social policy... Show moreBackground: Why issues get on the policy agenda, move into policy formulation and implementation while others drop off in the process is an important field of enquiry to inform public social policy development and implementation. This paper seeks to advance our understanding of health policy agenda setting, formulation and implementation processes in Ghana, a lower middle income country by exploring how and why less than three months into the implementation of a pilot prior to national scale up; primary care maternal services that were part of the basket of services in a primary care per capita national health insurance scheme provider payment system dropped off the agenda. Methods: We used a case study design to systematically reconstruct the decisions and actions surrounding the rise and fall of primary care maternal health services from the capitation policy. Data was collected from July 2012 and August 2014 through in-depth interviews, observations and document review. The data was analysed drawing on concepts of policy resistance, power and arenas of conflict. Results: During the agenda setting and policy formulation stages; predominantly technical policy actors within the bureaucratic arena used their expertise and authority for consensus building to get antenatal, normal delivery and postnatal services included in the primary care per capita payment system. Once policy implementation started, policy makers were faced with unanticipated resistance. Service providers, especially the private self-financing used their professional knowledge and skills, access to political and social power and street level bureaucrat power to contest and resist various aspects of the policy and its implementation arrangements - including the inclusion of primary care maternal health services. The context of intense public arena conflicts and controversy in an election year added to the high level political anxiety generated by the contestation. The President and Minister of Health responded and removed antenatal, normal delivery and postnatal care from the per capita package. Conclusion: The tensions and complicated relationships between technical considerations and politics and bureaucratic versus public arenas of conflict are important influences that can cause items to rise and fall on policy agendas. Show less
The documented analysis of the forest offences revealed eight forest offence types with prevalent cases being chainsaw milling, illegal logging and illegal farming. Between 2005 and 2010, the... Show moreThe documented analysis of the forest offences revealed eight forest offence types with prevalent cases being chainsaw milling, illegal logging and illegal farming. Between 2005 and 2010, the district recorded 121 offences with more offences occurring in the on-reserve areas than in the off-reserve areas. The timber species, which was most exploited illegally is Triplochiton scleroxylon (wawa), a scarlet star-rated species, which is under imminent economic threat. Analyses of the official records revealed lapses in record keeping since there are no references to the outcomes of most offences, especially those relating to cases under investigation by the Police and Regional Forest Services Division. A call for capacity development of the frontline staff of the Forest Services Division at the District levels is paramount especially in detecting, collecting, entering and analyzing forest offences cases and outcomes as well as training in forest investigation and incident management. Furthermore, equipping the district offices with the requisite technological equipment like computers and accessories, software and real-time Global Positioning System (GPS) trackers will enhance effective monitoring and data management of forest resources especially when Ghana is committed in ensuring timber legality under the Voluntary Partnership Agreement. Show less
Engelaer, Frouke M.; Koopman Jacob J.E.; Bodegom, David van; Eriksson, Ulrika K.; Westendorp, Rudi G.J. 2014
Background Many African countries experience a protracted epidemiologic transition, different from the classical transition in western societies. The factors driving this protracted transition are... Show moreBackground Many African countries experience a protracted epidemiologic transition, different from the classical transition in western societies. The factors driving this protracted transition are largely unknown. In northeast Ghana, we studied an ongoing epidemiologic transition and investigated the effects of socioeconomic status and drinking water source on the transition. Methods During a 9-year period, we followed a cohort of almost 30 000 individuals and collected information on mortality and fertility rates. In addition, using the standards set out by the WHO, we obtained the causes of death by verbal autopsy. Individuals were stratified according to their socioeconomic status and the households' use of an improved or unimproved drinking water source. Results Mortality rates decreased by −5.0% annually (p<0.001) and the main cause of death shifted from infectious to non-infectious diseases (p=0.014). General fertility rates and child-women ratios decreased annually by −12.7% (p<0.001) and −11.9% (p<0.001), respectively. There was no difference in the decline of mortality and fertility depending on socioeconomic status or drinking water source. Show less
Conflicts undermine forest-based livelihoods for the rural poor. Conflict management is key to preventing such conflicts. This article analyzes actor perceptions of forest- and tree-related... Show moreConflicts undermine forest-based livelihoods for the rural poor. Conflict management is key to preventing such conflicts. This article analyzes actor perceptions of forest- and tree-related conflicts and conflict management in Ghana's high forest zone. It also assesses a phased methodology that promotes shared problem definition and ownership of recommendations on conflict resolution strategies through the presentation and discussion of findings from document analysis, surveys, interviews, and focus-group discussions at a workshop with forest professionals held in Kumasi, Ghana. The study found that conflicts are inherent in forest-based livelihoods due to policy and legislative failures and institutional deficiencies, perceived goal incompatibility, opportunities for interfering with the attainment of one another's goals, and environmental scarcity. Ongoing forest governance reforms in Ghana should consider the stepwise conflict management model developed by the workshop participants involved in this study, but expand it to include the views of other stakeholder groups. Show less
Mens, S.P. van; Aryeetey, Y.; Yazdanbakhsh, M.; Lieshout, L. van; Boakye, D.; Verweij, J.J. 2013
This paper analyzes forest governance and conflict management in the Ghanaian forest sector from the perspective of forest experts. It does so by applying interactive governance theory (Kooiman et... Show moreThis paper analyzes forest governance and conflict management in the Ghanaian forest sector from the perspective of forest experts. It does so by applying interactive governance theory (Kooiman et al. 2005, 2008) to characterize the governing system in terms of governance modes, actors and elements. Show less
This paper attempts to clarify the trend in the inverse relationship in increasing age at first marriage and simultaneously declining fertility rates generally in Ghana, using examples of two... Show moreThis paper attempts to clarify the trend in the inverse relationship in increasing age at first marriage and simultaneously declining fertility rates generally in Ghana, using examples of two coastal Ghanaian communities - Brenu Akyinim (Central region) and Abuesi (Western region). Two sets of data used for this study include empirical data derived from the first round of the Diffusion of Fertility Behaviour Survey; and the second set of data is obtained from Focus Group Discussion (FGDs) conducted on four groups randomly selected from current cohorts of panel survey respondents homogenous by age and sex. Data analysis shows that changes in fertility rates are socially embedded; the mechanisms through which these occur are identified. The paper further provides an understanding of how the socio-economic power play in gender relations leads to particular fertility rate outcomes between the two villages. Of essence here is the role of marriage and stable unions. Our data further shows that there are significant differences in reproductive behaviour between the two villages, and it appears that economic activity bears the closest relationship to the differences observed. Show less
