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This book makes the case for an urgent praxis of critical spatial literacy for African women. It provides a critical analysis of how Asante women negotiate and understand the politics of contemporary space in Accra and beyond and the effect it has on their lives, demonstrating how they critically 'read that world.'

In the most comprehensive analysis to date of the world of open air marketplaces of West Africa, Gracia Clark studies the market women of Kumasi, Ghana, in order to understand the key social forces that generate, maintain, and continually reshape the shifting market dynamics. Probably the largest of its kind in West Africa, the Kumasi Central Market houses women whose positions vary from hawkers of meals and cheap manufactured goods to powerful wholesalers, who control the flow of important staples. Drawing on more than four years of field research, during which she worked alongside several influential market \"Queens\", Clark explains the economic, political, gender, and ethnic complexities involved in the operation of the marketplace and examines the resourcefulness of the market women in surviving the various hazards they routinely encounter, from coups d'etat to persistent sabotage of their positions from within.

As retailers, wholesalers, and negotiators, Asante women of Ghana dominate the huge Kumasi Central Market amid the laughter, argument, colour and music. The crew of this 'Disappearing World' film have jumped into the fray, explored, and tried to explain the complexities of the market and its traders. The success of this crew is impressive. As the film was to be about women traders, an all female film crew was selected and the rapport between the two groups of women is remarkable. The relationship was no doubt all the stronger because the anthropologist acting as advisor to the crew, Charlotte Boaitey, is herself an Asante. The people open up for the interviewers telling them about their lives as traders, about differences between men and women, their perception of their society and also about marriage. The women control the market through Queen Mothers who are leaders of particular sections of the market such as the yam or tomato sections. Generally these Queen Mothers are elected by the traders. However, Oba, the Plantain Queen Mother acquired her position through influence and because of this she has less control over her workers and over the resolution of differences. Market traders work long hours, make less than a shoe clerk or office worker yet the rewards for them can be many. The residual matrilineal system of Asante society means that inheritance moves from a man to his sister's children. The result is that an Asante woman is left with no means of support if her husband dies. The traders have gone to work to protect themselves against this possibility, to pay for their children's education and to maintain their independence. Implicit in this analysis of women traders is the relationship between men and women in Asante society. Marriage is polygamous and the crew interview women about their feelings on marriage and of their hopes of coming marriages. The film portrays the influence women have in the market as a direct contrast to their position in the home. Interviews with several husbands reveal, perhaps not surprisingly, that their perception of women differs from the women's perception of themselves. The men talk of the importance of having two wives, one to serve when the other is tired; one to grant sexual favours while the other is menstruating; each to compete with the other for male attention thus allowing the husband to retain control. Although the men accept a woman earning extra money, they still say a woman should be submissive and serve men. The women regard themselves as assertive, capable, and in control. Interviews with two young women demonstrate a desire for equality in the home. The film's analysis is a sympathetic one and full of insight. The focus is, though, rather narrowly on the husband-wife relationship and women's important relationships with their female and male kin are given little attention.

In the most comprehensive analysis to date of the world of open air marketplaces of West Africa, Gracia Clark studies the market women of Kumasi, Ghana, in order to understand the key social forces that generate, maintain, and continually reshape the shifting market dynamics.Probably the largest of its kind in West Africa, the Kumasi Central Market houses women whose positions vary from hawkers of meals and cheap manufactured goods to powerful wholesalers, who control the flow of important staples. Drawing on more than four years of field research, during which she worked alongside several inf

Background Despite the existence of an abortion law and a safe abortion policy in Ghana, the Ghana Statistical Service found that 15% of all women in the reproductive age group (15–49 years) have practiced unsafe abortions. The objective of this study was to explore factors that contribute to the high incidence of unsafe abortion practices in the Ashanti Region of Ghana. Methods A qualitative descriptive study design was used to assess factors that contribute to unsafe abortion practices. Purposive sampling technique was employed in selecting participants. Data were collected through key informant interviews and focus group discussions. One hundred and eleven participants were involved in the study. Data analysis was carried out through qualitative content analysis. Results Seven thematic categories were elicited from data collected. The categories are: a) Lack of knowledge of safe abortion services; b) Socio-economic conditions as a perceived influence for unsafe abortion practices; c) Safe abortion as a perceived religious and cultural taboo in Ghana; d) Stigma of unplanned pregnancy; e) A desire to bear children only after marriage; f) Avoiding parental/guardian disappointment and resentment; g) A desire to pursue education. Conclusions Evidence available in this study suggests that several factors are responsible for unsafe abortion practices in Ghana. Lack of knowledge on safe abortion services, poor socio-economic conditions, cultural and religious beliefs, a stigma of unplanned pregnancy, a desire to bear children only after marriage, attempts to avoid parental/guardian disappointment and resentment, and a desire to pursue education were cited by participants as situations that contributed to unsafe abortion practices. Measures such as Aunty Jane, Ms. Rose and Women Help Women programmes can be publicised to reduce maternal morbidity and mortality that occur as a result of unsafe abortions in Ghana. Improvement in family planning education in educational institutions needs to be considered in order to reduce the rate of unwanted pregnancies among young women in school.

Ten samples of 100 g weight were subsampled from 1400 g of the clay balls from which the contained trace element levels were determined by X-ray fluorescence technique. The results of trace elements in the clay balls were calibrated using certified reference materials “MAJMON” and “BH-1.” The results showed elevated concentrations but with different concentration levels in the regions, particularly with arsenic, chromium, cobalt, Cs, Zr and La. These trace elements contained in the clay balls are known to be hazardous to human health. Thence the relatively high concentrations of these listed trace elements in clay balls in the three regions, namely Ashanti, Upper East and Volta, which are widely sold in markets in Ghana, could present negative health impact on consumers if consumed at 70 g per day or more and on regular basis. On the basis of these, the study concludes an investigation to establish breakeven range for trace element concentrations in the clay balls as it has been able to demonstrate the uneven and elevated values in them. The standardized safe ranges of trace elements will make the practice safer for the people that ingest clay balls in Ghana.

Ghana has committed politically, legislatively, and fiscally to providing universal health insurance coverage for its population with the intent of reducing financial barriers to utilization of health care.. However, under current cost and enrollment projections the system will not be financially sustainable in the long term, so there is more work to do. This book provides an important evidence-based review of the current performance of Ghana's health system and options for reform. As such, it provides an overall picture of the Ghana health sector, how things were and how things have changed, as well as a situational analysis of the performance of the health delivery and health financing systems using the latest available data. Finally, it discusses key reform issues and options in the context of the country's likely fiscal space. An important and valuable contribution of this book is its examination of how Ghana is performing compared to its neighboring countries and compared to other countries with similar incomes and health spending, providing global benchmarks for Ghana's health system performance.