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PRESENTED AT 50TH UN SESSION ON
POPULATION AND DEVELOPMENT
By Leticia Appiah MD, MPH
United Nations April 5TH 2017

Map of Ghana
 Third in Africa to have
a population policy in
1969.
 Target of 1.7% growth
rate by 2000
 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)
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

Ghana
Population Age Structure

18.7
27.4
36.1
44.8
18.7
29.7
42.7
55.7
0.0
10.0
20.0
30.0
40.0
50.0
60.0
2010 2020 2030 2040
Low CPR
High CPR
Contraceptive Prevalence Projections Under Two Scenarios
2014 GDHS and CIP, 2015
Two Paths CPR(Target 50% by 2020)

76
66
58
48
76
68
65
62
0
20
40
60
80
2010 2020 2030 2040
High CPR
Low CPR
Dependency Ratio
High & Low CPR Scenarios
Source: Spectrum Model projections, 2014

350
380
319
280
290
300
310
320
330
340
350
360
370
380
390
2010 2014 2015
MMR
MMR
Maternal Mortality Rate in
Ghana(Target 55/100,000 by 2020)
Source: WHO, UNFPA, World Bank

 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

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

Education
Free Compulsory Basic
Education(CSE)
Free Senior High School
Free School Feeding Programme
Programmes and Best Practice

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

Violence
 Legislation on child marriage (Children’s Act 560)
 Working towards a national strategy to end child marriage
Programmes and Best Practice

Governance
 Mock Parliament by the Youth to understand the
Constitution, Acts, Laws and Policies.
Programmes and best practice

 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

 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
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.
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

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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
  • 6.  18.7 27.4 36.1 44.8 18.7 29.7 42.7 55.7 0.0 10.0 20.0 30.0 40.0 50.0 60.0 2010 2020 2030 2040 Low CPR High CPR Contraceptive Prevalence Projections Under Two Scenarios 2014 GDHS and CIP, 2015 Two Paths CPR(Target 50% by 2020)
  • 7.  76 66 58 48 76 68 65 62 0 20 40 60 80 2010 2020 2030 2040 High CPR Low CPR Dependency Ratio High & Low CPR Scenarios Source: Spectrum Model projections, 2014
  • 8.  350 380 319 280 290 300 310 320 330 340 350 360 370 380 390 2010 2014 2015 MMR MMR Maternal Mortality Rate in Ghana(Target 55/100,000 by 2020) Source: WHO, UNFPA, World Bank
  • 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
  • 11.  Education Free Compulsory Basic Education(CSE) Free Senior High School Free School Feeding Programme Programmes and 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

  1. 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.
  2. 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.
  3. …However, a lot needs to be done to ensure its functionality
  4. 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.