This document summarizes population trends and challenges in Ghana based on a presentation given to the 50th UN General Assembly. It notes that Ghana implemented its population policy in 1969 with a target growth rate of 1.7% by 2000, but the current rate is 2.5% and population is expected to double in 28 years. Fertility rates have declined but stalled between 1998-2003. The population is youthful with 39.9% under 15 and 36.1% of 19 year olds being mothers. Challenges include a rural/urban contraceptive gap, high unemployment among youth, and 2/3 of births not registered. The presentation outlines government programs in health, education, social protection and youth employment and calls
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Presented at 50th UN Session on Population and Development in Ghana
1. PRESENTED AT 50TH UN SESSION ON
POPULATION AND DEVELOPMENT
By Leticia Appiah MD, MPH
United Nations April 5TH 2017
2.
Map of Ghana
Third in Africa to have
a population policy in
1969.
Target of 1.7% growth
rate by 2000
3. At the current
growth rate of
2.5% per
annum, the
population is
expected to
double in 28
years. (Target
1.5% by 2020)
Source: Population and Housing Census, 2010, GSS
Ghana Population Trends
Population
2.3
4.1
6.7
8.6
12.3
18.9
24.6
0
5
10
15
20
25
30
1921 1948 1960 1970 1984 2000 2010
Population(Millions)
4. 6.4
5.2
4.4 4.4
4.0 3.8
4.2
0
1
2
3
4
5
6
7
1988 1993 1998 2003 2008 2010* 2014
AverageBirthsperWoman
Births per woman
has been
reducing over the
years, even
though it stalled
between 1998
and 2003.
Average TFR in
2015; Global 2.5,
Africa 4.7
Source: GDHS, 2008,,2014
*Calculation based on extrapolation to 2010 from GDHS, 2003 & 2008.
Ghana
Trends in total Fertility rate
Population
9.
A baby is born every 51 seconds in Ghana. (World population clock)
Under 15 years population 39.9% ( GSS labour force report 2015)
1 in 4 women below 18 are married ( highest in 3 poorest Regions)
2/3 of birth and less than 20% of deaths registered
Gap between CPR rural and urban ( nationally 22.2% Northern
Region 10.8%)(DHS 2014)
36.1% of 19 year old are mothers ( DHS 2014)
17% of pregnancies are unwanted (DHS 2014)
High unemployment (38.7% of 15-24 year old with tertiary education
unemployed (GSS labour force report 2015)
Challenges
10.
ECONOMY
Livelihood, Empowerment Against Poverty (LEAP).
It is a social cash transfer programme that provides
cash and health insurance to the extremely poor
households across the country.
GYEEDA-Ghana Youth Employment and
Entrepreneural Development Agencies-To develop,
coordinate supervise and facilitate the creation of
jobs for the youth.
Programmes/Best Practice
12.
Health
National Health Insurance Scheme (NHIS)
Free Maternal Care Policy
Capacity Building of Health Personnel
NGOs as partners
Revised Adolescent Reproductive Health policy
Programmes and Best Practice
13.
Violence
Legislation on child marriage (Children’s Act 560)
Working towards a national strategy to end child marriage
Programmes and Best Practice
14.
Governance
Mock Parliament by the Youth to understand the
Constitution, Acts, Laws and Policies.
Programmes and best practice
15.
Focus on reducing pregnancies among girls 18 years
old and younger (individual, family, community
Religious, traditional, political, health, education
support in sync )
Advocating for adherence to interpregnancy interval
2-4 years
Reducing pregnancy in above 35 year olds
Advocacy, demand creation, access to social and
financial services especially for young people
Way Forward
16.
Centralized vital registration systems
One district one factory (job creation)
Have a much more regulated and functional youth
parliament, led by the National Youth Authority
Focus on quality of human resource and manageable
family size
Way Forward
17. PhotobyIICD
Build human capital
Increase gender equity
Stabilise the financial sector
Improve transparency and
governance
Social and economic
policies are required to
Governments such as Ghana’s need to
start investing in all of these policies—in
addition to family planning—to be ready
when the demographic window opens.
18. Ref
Ghana Population and Housing Census 2010
Ghana Demographic and health Survey Report (GDHS) 2008 & 2014
IMF Financial statistics
Dr Leticia Adelaide Appiah
Executive Director
National Population Council of Ghana
Email: lappiah@npc.gov.gh
Tel 233-206-301141
Thank you
Editor's Notes
The intercensal population growth rate between 2000 and 2010 was 2.5 percent, a decline from the 2.7 percent recorded between 1984 and 2000
At the current growth rate, the population is expected to double in 28 years. By 2050 Ghana will be 60 million per the current growth rate.
The low CPR assumes a constant increase (0.87 % points) in CPR (Modern Methods for Currently Married Women). The 2015 Ghana Costed Implementation Plan targets set increase its modern CPR from 22.2 per cent (married women) in 2014 (23.3 projected in 2015) to 29.7 per cent (married women) in 2020 at 1.3 % per annum. This annual increment is held constant to 2040.
…However, a lot needs to be done to ensure its functionality
Countries need to start now to:
1) Build human capital: A healthier and educated workforce is more productive
2) Strengthen gender equity: Most women in your countries are working, very hard, and earning income. But most of them are in agriculture or individual small business, which leaves them economically vulnerable and without legal protections. Women should be integrated into the formal workforce. Don’t leave half of the country’s capacity and contributions behind!
3) Stabilise the financial sector and improve transparency and governance: These actions make families confident to invest their savings, and businesses confident in growing.
These policies can be more even more complex to design, and more expensive, than creating a demographic opportunity. FP really is a quick and cheap win.
But governments like Nigeria’s must start investing in all of these policies at the same time that they create the demographic opportunity.
As you are advocating for stronger family planning programming, please also advocate for attention to other policies that, if put in place, will allow Nigeria and other countries to capitalise on the DD.