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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 Using interviews and historical documents, the chapter highlights how Ghana’s consociational tendencies and stable political settlement contributed to robust election management, while also identifying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.
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.
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.
Dipylidium caninum is a globally distributed zoonotic cestode commonly found in dogs and cats. Recent molecular studies have identified 2 major, primarily host-associated genotypic clades. However, these findings are based on geographically restricted datasets and therefore may not capture the full extent of the species’ genetic diversity. Molecular data from many endemic regions remain scarce or entirely absent. In this study, D. caninum isolates collected from dogs in northern Ghana were characterized using partial fragments of the mitochondrial nad1 and cox1 genes. Parsimony analyses identified 4 haplotypes for cox1 and 7 for nad1. For both genes, the Ghanaian isolates clustered within the globally recognized canine and feline genotypic groups, with the canine genotype predominating. When integrated into the existing global dataset, the analyses resolved 3 well-supported phylogenetic clades, designated as genotypes: 1 canine-associated G1 and 2 feline–canine-associated genotypes G2a and G2b. This study provides the first molecular data for D. caninum from Ghana, West Africa, contributes to a broader understanding of the global population structure and establishes a basis for future investigations into the biogeography of this cestode.
This paper investigates the frequency of commentary pragmatic markers in Ghanaian and Ugandan Englishes, and their use across different text categories, using the Ghanaian and Ugandan components of the International Corpus of English. These markers, which are grouped into assessment, emphasis, evidential, hearsay and manner-of-speaking markers, are explored from a variational pragmatic approach. The results show that Ghanaian English users employ an overall higher frequency of commentary pragmatic markers than Ugandan English users. Ghanaian English users utilise more commentary pragmatic markers in private and public dialogues and printed writing than Ugandan English users, while the latter employ more commentary pragmatic markers in monologues than their Ghanaian English counterparts. The study confirms the influence of local African languages and cultures on the use of some English commentary pragmatic markers, thus contributing to the research on nativisation and pragmatic variation in these varieties.
In order to meet the large gap between the number of people in Ghana experiencing a mental health condition and those receiving treatment, there is a great need for more psychiatrists in this country, particularly those with training in psychiatric subspecialties, to meet evolving needs. The Ghana Global Health Workforce Programme was designed to enhance psychiatric training in Ghana, by strengthening the capacity of general psychiatrists in specific subspecialties. The programme received positive feedback from both the psychiatric trainees and supervisors who attended, and was expanded into other low- and middle-income settings.
This paper examines the performance of smallholder crop farmers across different land ownership categories in Ghana. Using a metafrontier model, the study estimates technical efficiencies and productivity levels among farmers with formal land deeds, those without deeds, and non-landowners. The results show that land, labor, and capital significantly impact crop production across ownership categories, while social capital, income, and demographics influence managerial performance. Farmers with formal land deeds and those cultivating family-owned land exhibited superior production technologies. Enhancing access to extension services, credit, and farmer-based organizations, alongside collaboration with traditional chiefs and family heads, can improve land tenure security and productivity.
The concluding chapter synthesizes the book’s core findings and situates them within debates on foreign aid and economic development, the political economy of development in Africa, and China’s global economic strategy. Overall, the allocation of finance in all three country case studies, Ethiopia, Zambia, and Ghana, serves to secure political support and sustain incumbents in power. However, the strategies employed to achieve these goals differ based on each country’s unique political history and ethnic dynamics. In Ethiopia’s authoritarian context, the central challenge is maintaining loyalty and support from non-coethnics within the state. The EPRDF established ethnic federalism and justified centralized control through economic growth. In Zambia, the focus is on allocating finance to maintain the support of coethnics, prioritizing loyalty within the ethnic group. In Ghana, on the other hand, preserving power involves attracting swing voters through nonethnic coalitions, resulting in the distribution of finance aimed at broad-based support. The chapter concludes by drawing policy implications for financiers and governments, emphasizing designs that account for political incentives and strengthen transparency and oversight.
Chapter 5 focuses on Ghana, one of Africa’s most institutionalized democracies, and contrasts its relatively balanced allocation of development finance with the regional favoritism observed in Zambia. Ghana’s stable two-party system – dominated by the National Democratic Congress (NDC) and the New Patriotic Party (NPP) – is characterized by cross-ethnic coalitions. While the NDC has traditionally drawn support from the Volta region and the Muslim North, and the NPP from the Akan-dominated Ashanti region, ethnic fragmentation has encouraged both parties to target swing regions through strategic resource allocation. Ghana’s political landscape is shaped by a commitment to ethno-regional balance in leadership and efforts to institutionalize regional equity, which curtail ethnic favoritism. Decentralization and broad-based representation further incentivize parties to compete in swing constituencies. Despite ongoing challenges such as rent-seeking and rising debt, Ghana’s independent institutions and vibrant civil society help constrain ethnic favoritism – offering a stark contrast to Zambia’s declining accountability during its democratic transition.
Chapter 8 extends the analysis beyond South Africa to explore the activities of protest brokers in other contexts. While previous chapters focused exclusively on South Africa to develop and test the theory in depth, this chapter argues that protest brokers are not unique to that setting. Drawing on original data from Ghana and Malawi, as well as secondary evidence from Argentina, India, the Democratic Republic of the Congo, and Uganda, it demonstrates that intermediaries who organize protest on behalf of elites can be found globally. The chapter presents three main findings. First, individuals who function as protest brokers – connecting elites to communities – exist in a variety of countries. Second, these brokers differ in their relationships with elites and communities in ways consistent with the typology developed earlier in the book. Third, variation in broker characteristics correlates with predictable differences in protest across these different contexts. While not offering a comprehensive cross-national study, this chapter provides initial comparative evidence that protest brokers are a widespread phenomenon, suggesting that the theoretical framework developed here has broad relevance for understanding global patterns of protest mobilization.
In the wake of the 2016 national elections in Ghana, the issue of cross-border voting triggered a nation-wide debate. But who exactly constitutes the electorate? Who is a national, who is a foreigner, and how are these distinctions identified in the Ghana-Togo borderlands? This study analyses how political belonging is constructed and how it interacts with the nation-state in the region, especially where communities lie across borders, or at another level than the nation-state. Based on archival research, interviews, oral tradition and newspaper analysis, Nathalie Raunet discusses a pattern based on legitimating narratives of indigeneity at local, regional and transnational scales. In doing so, this study offers a new interpretation of the relationship between the Ewe-speaking people (located across the south of the Ghana-Togo border), the Ghanaian and Togolese Republics, and their colonial predecessor states. Adopting an interdisciplinary approach, Nathalie Raunet connects the history of the region with contemporary power struggles and issues of belonging and citizenship since the turn of the twentieth century.
This work explores the travels of Ugandan Enoch Olinga, as an example of a person who enjoyed connections with global minorities across national boundaries and as a unique lens into the Black international experience in the mid-twentieth century. I examine his internationalist experiences through the lens of emotions to emphasize different dynamics of global racial identities and transnational diasporic connections during the 1950s–1970s, an era of decolonization and civil rights movements. I argue that Olinga, a prominent Baha’i who traveled worldwide during this era, advocated for unification among global minorities by emphasizing common racial and cultural heritages and expansive concepts of a politicized kinship. Through the Baha’i Cause, he articulated his own ideas about striving for global harmony and racial unity, with a connection to Africa serving as the linchpin. Emotional analysis provides insights into how Olinga invoked diverse notions of family and kin to arouse particular emotions amongst people of color both within and beyond the unity offered by the Baha’i Faith.
Health Technology Assessment (HTA) guides healthcare decision-making, while Implementation Research (IR) addresses challenges in operationalizing these decisions. The SAVING (Sustainable Access and Delivery of New Vaccines in Ghana) Consortium aims to enhance health intervention delivery in Ghana, focusing on HTA evidence. This study identifies barriers to the application of HTA-related evidence (cost analysis) in coronavirus disease 2019 (COVID-19) vaccine deployment in Ghana.
Methods
This qualitative exploratory study purposively selected 12 key stakeholders with high interest and power relating to COVID-19 vaccine deployment in Ghana. Through in-depth interviews, seven stakeholders from diverse sectors contributed insights into barriers to the application of HTA-related evidence. Thematic analysis was conducted with narrative reporting supported by direct quotes for substantiation.
Results
Six main barriers were identified: (1) timing and access to HTA reports, (2) technical complexities, (3) relevance of content, (4) political considerations and power dynamics, (5) health system fragmentation, and (6) poor responsiveness of decision-makers to research. Proposed solutions include engaging political decision-makers continuously, simplifying technical reports, aligning report content with policymakers’ needs, reducing political considerations, enhancing capacity building, fostering health system cohesion, and improving responsiveness to research.
Conclusions
HTA is vital for informed healthcare decisions. However, technical complexity, relevance of content, inappropriate timing, and lack of access to HTA reports, among other barriers, prevent the uptake of HTA findings. Continuous and improved engagement between HTA producers and policymakers, along with rapid production of HTA, has the potential to improve the uptake of HTA findings, even during public health emergencies.
Between 1898 and 1923, a series of disputes erupted among fishing communities in the British Gold Coast Colony (modern-day Ghana) following the introduction of larger and more productive sea fishing nets. All along the coast, fishers debated the environmental and economic consequences of adopting the nets, which debates shifted across African and colonial forums. Focusing on these disputes, this article interrogates the ways in which sites of fishing innovations and experimentation became sites of intense conflict and negotiation throughout the Gold Coast Colony as different groups debated and contested technological change. In the process, voices advocating for caution within the fishing industry were effectively marginalised through the manoeuvring of net advocates while the introduction of colonial arbitration within the realm of fisheries offered new challenges to the authority of African leaders within the marine space.
This study analyses the relationship between fear of stigma and bypassing primary ART facilities by ART clients in the Upper East Region of Ghana.
Methodology:
Methodology: The study employed an exploratory case study design, involving 52 participants of: ART clients (n = 37), nurses (n = 7), a counsellor (n = 1), cadres (n = 2), pharmacists (n = 2) and data managers (n = 3) through convenient and purposive sampling techniques. Data was collected using semi-structured interview guides and analysed using a thematic framework.
Results:
The study provides ample evidence of the occurrence of stigma-driven bypassing of primary ART facilities by clients. The analysis shows entrenched cultural norms and values and the population’s low awareness of the efficacy of ART fuel the processes of stigma and discrimination towards ART clients.
Strengths and limitations:
We acknowledge the following limitations and strengths: convenient and purposive sampling procedures may not represent the views of all ART clients on bypassing primary facilities. Sensitive nature of HIV and the location of ART centres, coupled with time constraints in probing into all ART bypassing issues. Yet, given the depth of the issues presented and the scope of participants and ART facilities, we believe relevant data was generated to address the research question.
Conclusion:
An integrated approach could be used to address the drivers of stigma and discrimination focusing on awareness creation to undo the entrenched negative cultural beliefs around HIV transmission, and implement anti-HIV stigma legislation to eliminate prejudice towards PLHIV.