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Social Factors Influencing Child Health in Ghana

Author

Listed:
  • Emmanuel Quansah
  • Lilian Akorfa Ohene
  • Linda Norman
  • Michael Osei Mireku
  • Thomas K Karikari

Abstract

Objectives: Social factors have profound effects on health. Children are especially vulnerable to social influences, particularly in their early years. Adverse social exposures in childhood can lead to chronic disorders later in life. Here, we sought to identify and evaluate the impact of social factors on child health in Ghana. As Ghana is unlikely to achieve the Millennium Development Goals’ target of reducing child mortality by two-thirds between 1990 and 2015, we deemed it necessary to identify social determinants that might have contributed to the non-realisation of this goal. Methods: ScienceDirect, PubMed, MEDLINE via EBSCO and Google Scholar were searched for published articles reporting on the influence of social factors on child health in Ghana. After screening the 98 articles identified, 34 of them that met our inclusion criteria were selected for qualitative review. Results: Major social factors influencing child health in the country include maternal education, rural-urban disparities (place of residence), family income (wealth/poverty) and high dependency (multiparousity). These factors are associated with child mortality, nutritional status of children, completion of immunisation programmes, health-seeking behaviour and hygiene practices. Conclusions: Several social factors influence child health outcomes in Ghana. Developing more effective responses to these social determinants would require sustainable efforts from all stakeholders including the Government, healthcare providers and families. We recommend the development of interventions that would support families through direct social support initiatives aimed at alleviating poverty and inequality, and indirect approaches targeted at eliminating the dependence of poor health outcomes on social factors. Importantly, the expansion of quality free education interventions to improve would-be-mother’s health knowledge is emphasised.

Suggested Citation

  • Emmanuel Quansah & Lilian Akorfa Ohene & Linda Norman & Michael Osei Mireku & Thomas K Karikari, 2016. "Social Factors Influencing Child Health in Ghana," PLOS ONE, Public Library of Science, vol. 11(1), pages 1-20, January.
  • Handle: RePEc:plo:pone00:0145401
    DOI: 10.1371/journal.pone.0145401
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    References listed on IDEAS

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    1. Kofi Benefo, 1995. "The Determinants of the Duration of Postpartum Sexual Abstinence in West Africa: A Multilevel Analysis," Demography, Springer;Population Association of America (PAA), vol. 32(2), pages 139-157, May.
    2. Ruel, Marie T. & Levin, Carol E. & Armar-Klemesu, Margaret & Maxwell, Daniel & Morris, Saul S., 1999. "Good Care Practices Can Mitigate the Negative Effects of Poverty and Low Maternal Schooling on Children's Nutritional Status: Evidence from Accra," World Development, Elsevier, vol. 27(11), pages 1993-2009, November.
    3. Ampaabeng, Samuel K. & Tan, Chih Ming, 2013. "The long-term cognitive consequences of early childhood malnutrition: The case of famine in Ghana," Journal of Health Economics, Elsevier, vol. 32(6), pages 1013-1027.
    4. W.K. Asenso‐Okyere & F.A. Asante & M. Nubé, 1997. "Understanding the health and nutritional status of children in Ghana," Agricultural Economics, International Association of Agricultural Economists, vol. 17(1), pages 59-74, October.
    5. Sastry, Narayan, 1997. "What explains rural-urban differentials in child mortality in Brazil?," Social Science & Medicine, Elsevier, vol. 44(7), pages 989-1002, April.
    6. Lavy, Victor & Strauss, John & Thomas, Duncan & de Vreyer, Philippe, 1996. "Quality of health care, survival and health outcomes in Ghana," Journal of Health Economics, Elsevier, vol. 15(3), pages 333-357, June.
    7. Jehu-Appiah, Caroline & Aryeetey, Genevieve & Spaan, Ernst & de Hoop, Thomas & Agyepong, Irene & Baltussen, Rob, 2011. "Equity aspects of the National Health Insurance Scheme in Ghana: Who is enrolling, who is not and why?," Social Science & Medicine, Elsevier, vol. 72(2), pages 157-165, January.
    8. David Moher & Alessandro Liberati & Jennifer Tetzlaff & Douglas G Altman & The PRISMA Group, 2009. "Preferred Reporting Items for Systematic Reviews and Meta-Analyses: The PRISMA Statement," PLOS Medicine, Public Library of Science, vol. 6(7), pages 1-6, July.
    9. Ruel, Marie T. & Levin, Carol E. & Armar-Klemesu, Margaret & Maxwell, Daniel G. & Morris, Saul Sutkover, 1999. "Good care practices can mitigate the negative effects of poverty and low maternal schooling on children's nutritional status," FCND discussion papers 62, International Food Policy Research Institute (IFPRI).
    10. Sonalde Desai & Soumya Alva, 1998. "Maternal education and child health: Is there a strong causal relationship?," Demography, Springer;Population Association of America (PAA), vol. 35(1), pages 71-81, February.
    11. Benefo, Kofi & Schultz, T Paul, 1996. "Fertility and Child Mortality in Cote d'Ivoire and Ghana," The World Bank Economic Review, World Bank, vol. 10(1), pages 123-158, January.
    12. Tolhurst, Rachel & Amekudzi, Yaa Peprah & Nyonator, Frank K. & Bertel Squire, S. & Theobald, Sally, 2008. ""He will ask why the child gets sick so often": The gendered dynamics of intra-household bargaining over healthcare for children with fever in the Volta Region of Ghana," Social Science & Medicine, Elsevier, vol. 66(5), pages 1106-1117, March.
    13. Baker, E.A. & Metzler, M.M. & Galea, S., 2005. "Addressing social determinants of health inequities: Learning from doing," American Journal of Public Health, American Public Health Association, vol. 95(4), pages 553-555.
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