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This conceptual and framework paper theorises the structural barriers limiting youth climate agency in Ghanaian secondary and tertiary schools and advances the Youth-Led Climate Action Lab (YCAL) as a five-phase, design-thinking-grounded intervention model, drawing on Ghanaian educational research, West African climate policy literature and four bodies of theory: social cognitive theory, transformative learning, postcolonial environmental education and Critical Emotional Awareness pedagogy. We argue that the persistent gap between students’ climate awareness and their capacity to act is not a knowledge deficit but a structural product of educational systems that deny young people mastery experiences, civic channels for voice and the emotional scaffolding needed to engage climate anxiety productively. We present a comprehensive implementation framework adaptable across diverse Ghanaian and African school contexts, engaging directly with the critiques most threatening to the framework’s coherence: the depoliticising tendencies of design thinking, the power asymmetry of cross-level student partnerships and the structural inadequacy of micro-actions against systemic climate failure. We are honest about which of these are resolved and which remain open empirical and political questions. A directed research agenda specifies the theoretical questions that empirical work must answer.
Spiritual care is fundamental to palliative care, yet little is known about Islamic religious leaders’ (IRLs’) perspectives on supporting Muslim patients with serious illness in Ghana. This study explored IRLs’ understanding, supportive roles, and contributions to developing faith-sensitive palliative care guidelines.
Methods
This qualitative exploratory descriptive study was part of a larger multi-method project. Ten IRLs were purposively recruited. Semi-structured interviews were conducted face-to-face or virtually, audio-recorded, transcribed verbatim, and analysed using Braun and Clarke’s thematic analysis. Findings were interpreted through Saunders’ Total Pain framework.
Results
Five interrelated themes emerged: (1) conceptualising palliative care as holistic and faith-sensitive care; (2) Islamic beliefs as resources for coping with serious illness and end-of-life care; (3) IRLs as providers of holistic and faith-sensitive care; (4) family-centred care and shared decision-making; and (5) barriers and opportunities for faith-sensitive palliative care. Participants emphasised hope and trust in Allah, prayer, Qur’anic recitation, family involvement, and collaboration between healthcare professionals and religious leaders. Limited awareness, inadequate infrastructure, and weak institutional support hindered the provision of faith-sensitive care.
Significance of results
IRLs play important roles in culturally responsive palliative care. Integrating Islamic spiritual care, collaboration with religious leaders, and family-centred communication into clinical practice and palliative care guidelines may strengthen holistic care for Muslim patients in Ghana and other multicultural African settings.
This article explains why Ghana’s weak, building-focused property rating regime has persisted despite fiscal arguments for bringing land value more directly into local revenue systems. It argues that the problem lies not only in poor records, valuation constraints, weak enforcement, and low compliance but also in the relationship between the tax authority and the land authority. Metropolitan, Municipal, and District Assemblies have formal authority to raise property rates, yet the land relations needed to support land-based taxation, including information, valuation evidence, liability, legitimacy, and revenue expectations, remain partly shaped by customary authority. The article develops the concept of tax authority/land authority divergence to explain how land-based property tax reform can be constrained when the authority to tax and the authority to define, allocate, and legitimate land rights do not fully coincide. Drawing on documentary analysis, historical evidence, and 32 qualitative interviews, it shows how Ghana’s building-focused regime can remain fiscally weak but institutionally durable: it gives local governments a formal property tax instrument while leaving land value largely outside the recurrent local tax base.
Witchcraft accusations in Northern Ghana have led to the banishment of hundreds of older women to isolated camps, resulting in profound social exclusion and mental distress. While previous studies have explored their lived experiences, limited attention has been given to strategies that enable safe return and psychosocial recovery. To develop an evidence-informed, culturally grounded framework for mental-health promotion and sustainable reintegration of women previously accused of witchcraft in Northern Ghana. This conceptual paper draws on evidence from a mixed-methods doctoral programme comprising qualitative interpretive interviews, stakeholder discussions, and a cross-sectional survey of 268 camp residents in northern Ghana, supplemented by documentary and policy analysis. Framework development was guided by three complementary lenses – the socio-ecological model, Kleinman’s explanatory model, and the social determinants of health – used to structure a Framework Method synthesis that informed the Culturally Grounded Reintegration Framework (CGRF). Reintegration is constrained by persistent stigma, precarious livelihoods, weak institutional protections, and limited access to mental health and social welfare services. Simultaneously, culturally authoritative mechanisms including mediated reconciliation by traditional and faith leaders, collective labour practices, and storytelling, provide meaningful pathways for restoring dignity, belonging, and psychological wellbeing. The CGRF integrates four mutually reinforcing components: (1) culturally adapted psychosocial support; (2) family and spiritual reconciliation; (3) community inclusion and livelihood security; and (4) legal and institutional safeguards. Reintegration is a therapeutic, social justice, and culturally mediated process rather than physical relocation alone. The CGRF offers a locally grounded, theoretically informed model aligned with WHO mhGAP principles and the Sustainable Development Goals, with potential relevance (with adaptation) for other settings facing spiritually mediated stigma, ageism, and gendered exclusion.
This chapter examines how Ghanaian courts have historically constructed and sustained a rejectionist narrative toward Muslim Family Law (MFL). From the colonial Marriage of Mohammedans Ordinance of 1907 to the present, the judiciary and bureaucracy have collaborated to exclude MFL from formal recognition, treating it as a foreign legal system. This enduring narratival exclusion has denied Ghanaian Muslims meaningful judicial feedback, foreclosed harmonization between communal and state legal meanings, and deepened procedural injustice. The analysis traces how exclusion, presented as legal neutrality, in practice privileges customary law rooted in indigenous religion while marginalizing Islamic norms. Drawing on interviews and case analysis, the chapter shows how this exclusionary narrative erodes trust in courts, fosters legal estrangement, and, in extreme cases, fuels radicalization. By theorizing “narratival exclusion,” the chapter reveals how cohesive yet exclusionary judicial narratives produce stability without justice, undermining legitimacy in Ghana’s plural legal order.
Chapter 3 introduces Ghana as the central case study. Ghana is a lower-middle-income country in West Africa that transitioned to a multi-party democracy in 1992. Since then, two dominant parties – the New Patriotic Party and the National Democratic Congress – have alternated peacefully in power. The chapter outlines the institutional structure of local governance. The country is divided into districts, each led by a mayor-like political head appointed by the president, and administered by a District Coordinating Director, the top local bureaucrat. Local governments are responsible for development planning and receive central transfers to construct infrastructure such as schools, roads, and markets. Using a combination of qualitative interviews and quantitative data, the chapter shows that bureaucrats working in local governments are largely recruited based on merit rather than partisan loyalty. Despite this meritocratic entry point, bureaucrats remain vulnerable to political influence once in position. The chapter establishes the institutional and political backdrop necessary for understanding the dynamics of bureaucratic control explored in later chapters.
Judging Through Narrative explores the normative frames, or judicial narratives, that non-Muslim courts construct when adjudicating Muslim Family Law disputes. The book examines how these narratives shape the rule of law, gender reform, and public trust in the justice system. Drawing on over 400 interviews with judges, lawyers, and litigants, and an analysis of nearly 3,000 judicial decisions from Ghana, India, Israel, and Greece, the book reveals how coherence and fragmentation in judicial storytelling influences legal legitimacy and reform. Introducing the concept of 'narratival (in)cohesion', this work offers a new framework for understanding how courts mediate between religion, rights, and state authority. Bridging law, political science, and socio-legal studies, it is an essential resource for scholars, policymakers, and practitioners seeking to understand how judicial narratives shape the lived experience of law in diverse, multi-religious societies. This title is also available as open access on Cambridge Core.
This qualitative study explores the contraceptive use behaviours among women with disabilities in low-resource settings in Ghana, a group whose reproductive health needs are often overlooked in mainstream family planning programmes. Sixteen women with visual, physical, and hearing impairments in Apam, Central Region, were purposively selected to participate in semi-structured in-depth interviews conducted in their preferred languages, including Ghanaian Sign Language. Reflexive thematic analysis was used to identify key patterns in the data, revealing four main themes: (1) pathways for acquiring contraceptive knowledge, which included institutional outreach, maternal health visits, and informal peer networks; (2) determinants of non-utilisation, such as fear of side effects, religious stigma, and the desire to have children for future caregiving support; (3) drivers of modern contraceptive uptake, including the pursuit of educational and vocational goals, partner support, and the desire to prevent obstetric trauma; and (4) structural and systemic health inequalities, characterised by communication barriers, inaccessible physical infrastructure, and inconsistent provider attitudes. The findings advance scientific knowledge by moving beyond a simple narrative of unmet need to illustrate how women with disabilities exercise reproductive agency within a complex landscape of intersecting personal, social, and structural constraints. The novel findings highlight the dual role of informal networks in disseminating both accurate information and persistent myths, as well as the nuanced ways in which fertility is viewed as a long-term survival strategy in the absence of robust social support. These insights inform policy by underscoring the urgent need for disability-inclusive family planning services. This requires a multi-pronged approach that includes accessible communication through sign language interpretation, disability-sensitivity training for healthcare workers, retrofitting health facilities to improve physical access, and linking contraceptive services with broader social protection programmes to address the root causes of non-use.
Mental health remains a low health priority globally. Despite the high burden of mental health in Ghana, little is known about the extent of financing and prioritisation by policymakers and other relevant stakeholders.
Aims
This study aims to understand the determinants of low domestic public financing and the prioritisation of mental health in Ghana, and to identify opportunities and strategies to increase policy attention.
Method
Kingdon’s multiple streams framework was used to map barriers to domestic financing for mental health. We conducted a document analysis of relevant policies, strategies and articles, and carried out semi-structured interviews with relevant national stakeholders. We analysed interview transcripts deductively following the key domains for the multiple streams framework.
Results
We found that low public financing for mental health stems from several issues at the level of the ‘problem stream’: low awareness and misunderstandings in general society, stigma and discrimination, insufficient public funding of the health sector in general, catastrophic healthcare expenditure insufficiently documented, limited political attention to mental health and limited donor interest. There is clear evidence of dynamism on the ‘policy solution stream’, including development of national laws, policies, strategies and institutions; adoption of international strategies and recommendations; and existence of policy entrepreneurs and windows. The democratic system of Ghana creates opportunities in the ‘politics stream’, but also raises the issue of continuity across governments.
Conclusions
In Ghana, mental health is not yet sufficiently recognised as a societal issue, which affects demand for services and contributes to the low policy priority and resource allocation by the government. Greater investment is therefore needed to raise public awareness through coalition building, research, campaigns and education activities.
Chapter 5 analyzes Ghana’s Electoral Commission (EC) across the country’s four republics, exploring how political competition, constitutional reforms, and patterns of informal partisan inclusion shaped the EC’s reputation as one of Africa’s most respected electoral management bodies. The chapter traces the evolution of party representation in electoral administration, showing how informal consultative forums, inter-party committees, and transparency mechanisms strengthened legitimacy and helped resolve disputes. It examines key moments, such as electoral transitions, administrative expansions, and conflict-laden reforms, that tested the EC’s autonomy. Using interviews and historical documents, the chapter highlights how Ghana’s consociational tendencies and stable political settlement contributed to robust election management, while also identifying vulnerabilities related to appointment powers and regional representation. The chapter situates Ghana as an example of how inclusion and administrative practice interact to produce durable de facto autonomy.
Blockchain is frequently proposed as a solution to tenure insecurity, administrative inefficiencies, and corruption, where conventional land reforms have fallen short. However, evidence of its institutional effectiveness remains limited. Drawing on Williamsonian transaction cost economics and an analytical autoethnographic research design, we undertake a comparative analysis of blockchain’s ability to curb opportunism and safeguard the interests of land-transacting parties relative to Ghana’s customary and statutory land-governance structures. Our findings show that while blockchain performs well at some ex ante safeguards, it offers no clear advantage over existing governance structures at the ex post stage. Of the seven identified forms of post-transaction opportunism that buyers often face, blockchain was superior only in minimising hold-up risks. We conclude with implications for policymakers and technologists considering blockchain adoption.
We present historical background, contemporary status, and potential future development of the psychology of religion (PoR) in Ghana, beginning with its origins: the formative people, places, and various intellectual schools of thought. Writing about the current state of the topic, we reflect on influential factors that are either facilitating or inhibiting the study of PoR, including publication options, topical emphases, practitioners, orientations, methodologies, and professional organizations.
We offer opinions concerning future development topics that are emerging as important in the immediate future and/or are perennially important in order to stimulate creative and useful research including Western theoretical relevance, the extent to which Western PoR theories may or may not contain reasonable expectations and concepts for this region, contextual nuances, Indigenous theoretical concerns, collaborative research opportunities, and common faux pas – reflections on what people unfamiliar with this region commonly and incorrectly assume about conducting PoR work in this context.
This chapter examines the mounting unease regarding the project of public education. By the mid-1960s, technocratic, Afrocentric, and Marxist critiques articulated a growing sense of worldwide educational crisis. These critiques presented differently in Ghana and Côte d’Ivoire, but in both countries popular frustrations were palpable. In response, both states attempted to reform public schooling: by introducing manual training in Ghanaian middle schools and television sets in Ivorian primary schools. Both reforms failed spectacularly, ultimately confirming the state’s abdication of its promise that education would lead to a better future for all. Public education systems crumbled along with public faith in the state, creating space for the privatization of education. The erosion of the anticolonial development ideology helped pave the way for neoliberalism to take root.
No act better distilled the two faces of independence – its aspirations and disappointments – than the act of going to school. This chapter examines the expansion of schooling, and its inherent precarity, in the first decades after independence. Relying heavily on local sources and oral histories, this chapter focuses on the lived and affective experiences of students. It argues that repeated assurances by the state that schooling held the key to a better future consistently jarred with the experience of most school-goers. So palpable were these schooling pressures, that in the early 1960s, Western psychiatrists identified a new, regionally specific mental disorder, Brain Fag [fatigue] Syndrome, to account for the stress students experienced. The rapid, but uneven, expansion of schooling indicated who was excluded from the larger development project of the nation.
The Conclusion first reiterates the three main arguments of the book. It then surveys changes and continuities in global education and development policies since the 1960s, while also touching on the present state of public education in Ghana and Côte d’Ivoire. It closes by reflecting on education’s double-edged nature as it relates to the problem of freedom: Does education emancipate, or oppress?
This chapter examines the foreign teacher recruitment strategies mobilized by Ghana and Côte d’Ivoire. Economists and politicians agreed that secondary schools were crucial for producing the skilled workers essential to development. But new nations faced an intractable roadblock as they sought to expand secondary schools: a deficit of local teachers. Ghana and Côte d’Ivoire found different solutions to the crisis of teacher scarcity, although both relied on foreigners. Ghana turned to plural sources of generally inexperienced educators. Côte d’Ivoire, instead, leaned on French teachers available through technical assistance (or coopération). Both strategies responded to the maddening paradox of the postcolonial teacher: a role that West Africans agreed was essential, but which few opted to pursue. Ultimately, the reliance on foreign teachers contributed to the corrosion of the emancipatory project of public education.
While the abolition of secondary school fees has expanded educational access across low-income countries, empirical research has focused predominantly on student outcomes and institutional or elite perspectives, overlooking how ordinary citizens perceive such reforms or the factors shaping those perceptions. This gap is especially salient in Ghana, where the Free SHS policy, arguably the most comprehensive in Sub-Saharan Africa, is both nationally lauded and politically contested. Drawing on policy feedback theory and deservingness heuristics, this article explores how Ghanaians interpret the policy’s goals, trade-offs, and implementation using a nationally representative sample of 1915 respondents. Latent Class Analysis reveals five classes, from Universal Access Champions down to Ambivalent Observers. A follow-up multinomial logistic regression shows that partisanship, education, civic engagement, and economic outlook significantly predict class membership. These findings highlight that sustaining support for large-scale reforms requires not just expanded access, but also public trust in their fairness and responsiveness.
This chapter provides an overview of the evolution of English in Ghana. The absence of a sizable number of settlers, different language and education policies and sociodemographic developments have shaped the variety considerably. Real-time analyses of sociolinguistic and structural developments in the nativisation phase have become possible with the Historical Corpus of English in Ghana (HiCE Ghana), a 600,000-word corpus of Ghanaian English from the early stages of the nativisation phase. The Ghanaian component of the International Corpus of English (ICE) represents the late stages. Many lexical innovations were already deeply entrenched in the older data and Ghanaian English noun phrases have become more complex in line with predictions made by the Dynamic Model. The paper is rounded off with an outline of new diachronic approaches to Ghanaian English based on a corpus of material from the archives of the Ghana Broadcasting Corporation and an idea for a diachronic corpus of African newspapers.
In what measure could education be an agent of African freedom? Combining histories of race, economics, and education, Elisa Prosperetti examines this question in two West African contexts, Ghana and Côte d'Ivoire, from the 1890s to the 1980s. She argues that a Black Atlantic perspective changes how we see decolonization and development in West Africa, by revealing schooling's essential role in aspirations of African emancipation. Rejecting colonial exploitation of the African body, proponents of anticolonial development instead claimed the mind as the site of economic productivity for African people. An Anticolonial Development shows how, in the middle of the twentieth century, Africans proposed an original understanding of development that fused antiracism to economic theory, and human dignity to material productivity.
This study aimed to assess knowledge, lifestyle behaviours, and sociodemographic associations regarding hypertension control among adults in urban Ghana.
Background:
Hypertension is a major contributor to cardiovascular morbidity and mortality in Ghana. However, data on population-level knowledge of its risk factors and related lifestyle behaviours in urban settings remain limited.
Methods:
A cross-sectional analytical survey was conducted between August 2023 and September 2024 across four urban regions. Using stratified convenience sampling, 7096 adults aged 18–67+ years were recruited. Data on sociodemographic, lifestyle behaviours, and hypertension knowledge were collected via a structured questionnaire.
Findings:
Participants had a mean age of 37.27 (±8.73) years, with a majority being female (63.85%) and married (97.66%). Educational attainment varied. Females constituted most hypertensive cases, particularly for stage 2 hypertension, while males had a notably higher prevalence of pre-hypertension among those aged 27–53 years. Age and body mass index showed significant positive correlations with systolic and diastolic blood pressure (p < 0.01). Men were significantly more likely to smoke and consume alcohol (p < 0.01). Logistic regression indicated that regular exercise reduced the odds of hypertension diagnosis (OR = 0.72, CI: 0.54–0.96), while older age increased the odds. The study underscores the need for targeted public health strategies. Priorities include promoting physical activity and weight management, alongside smoking/alcohol cessation programs tailored for high-risk men. Early intervention for younger adults with pre-hypertension and enhanced educational outreach for less-educated groups are crucial.