PMA2020 SDG INDICATOR BRIEF PMA2015/ Ghana Round 4 ABOUT THE SUSTAINABLE DEVELOPMENT GOALS (SDGs) In September 2015, world leaders adopted the 2030 Agenda for Sustainable Development with the goal to end poverty, improve health, reduce inequality and address climate change by 2030. To measure progress, 17 Sustainable Development Goals (SDGs) were created, each with specific targets to be achieved over the next 15 years. Each goal includes a set of indicators to track success. PMA2020 provides data for several of these indicators, allowing government officials, civil society, researchers, world leaders and other stakeholders to track progress towards achieving these ambitious goals more frequently than ever before. This brief provides data and indicators available from the fourth round of the PMA2020 survey in Ghana, conducted in 2015. For more information on the Sustainable Development Goals please visit https://sustainabledevelopment.un.org SDGs in Ghana The strengthening of economic and social institutions has increased the pace of development progress in Ghana and national implementation of the sustainable development agenda. Ghana has succeeded in improving education and health conditions for its residents, including expanding schooling opportunities and reducing infant and child mortality. Access to improved water sources has also improved marginally over the past decade, more in urban than rural areas. While living standards have risen, there remains room for improvement. The long-term vision of the Government of Ghana is universal access to safe drinking water by 2025 and to eliminate open defecation by 2030. Attainment of these targets will require continued strengthening of water, sanitation and hygiene environments and resources. This will also require strong monitoring, evaluation and verification of results.** SDG Indicator Brief | PMA2015/Ghana-R4 PMA2015/Uganda-R2 GHANA 2015* 2030* Population (millions) 27.4 36.9 Population Density (persons/km2) 120.5 162.0 Total Fertility Rate (children per woman) 4.3 3.5 Life Expectancy (years) 61.0 63.8 Infant Mortality Rate (infant deaths per 1000 live births) 51.0 40.0 Gross national income per capita 2011 (PPP-US$) –2014 $3,852 ˙* United Nations, Department of Economic and Social Affairs, Population Division (2015). World Population Prospects: The 2015 Revision, Key Findings and Advance Tables. ** Republic of Ghana, National Assessment Report on Acheivement of Sustainable Development Goals and Targets for Rio+20 Conference (2012) 1 Indicators on wealth and equity GOAL 1 No Poverty Over one third of the population in Ghana is under age 15, with two fifths of them living in the poorest 40% of households 85+ MALE 80–84 FEMALE 75–79 70–74 Target 1.4 aims to ensure access to basic services for all. 65–69 60–64 55–59 The population pyramid on the right reflects residents in the households at the time of the PMA2020 survey. In the poorest households, (lowest 40%), nearly one in five (19.8%) occupants is under age 14, while 3.3% are over 60 years of age. Older women are more likely to live in poor households than men. Many men between the ages 20 and 54 are away, most working in other parts of the country. 50–54 40–44 Age 45–49 35–39 30–34 25–29 20–24 15–19 10–14 5–9 0–4 -‐8 8.0 -‐6 6.0 -‐4 4.0 -‐2 0 2.0 0 2 2.0 4 4.0 6 6.0 8 8.0 Percent of Total Population Poorest 40% Wealthiest 60% Only 16% of households have access to improved sanitation facilities Access to basic services varies by wealth. Almost all of the wealthiest households (99.5%) have electricity versus 26% of the poorest households. Four out of five persons live in households with access to electricity. 37.0% of the wealthiest households have access to improved sanitation facilities versus 13.6% of the poorest. 16% 93% 80% of households have access to improved sanitation facilities of households have access to improved water sources of households have electricity 36.7% of households are headed by females, this trend decines in higher wealth quintiles 43.4% 45 40 35 Percentage Over one third of households are headed by females, 29.8% among the lowest wealth quintile and 32.6% among the highest. Children growing up in households where a male co-head is absent often experience more economically disadvantages than those headed by two adults. 30 40.7% 36.8% 29.8% 32.6% 25 20 15 10 5 0 -‐5 SDG Indicator Brief | PMA2015/Ghana-R4 PMA2015/Uganda-R2 Lowest Lower Middle Higher Highest Wealth Quintile 2 GOAL 3 Good Health & Well-Being Family Planning Indicators The poorest women age 15-49 are the least likely to have their demand for family planning met 60.0% Target 3.7 calls for universal access to sexual and reproductive health services. Unmet family planning need is highest among women in the poorest households (28.2%) and lowest for those in the wealthiest ones (14.2%). 20.0% 20 10.0% 10 0.0% 0 22.9% 22.2% 4.8% 4.5% 48.4% 51.4% 20.9% 25.8% 25.6% 22.9% 22.0% Lowest Lower Middle Higher Highest 19.4% 14.2% 5.0% 6.6% 2.7% Modern Contraceptive Prevalence Rate (mCPR) Traditional Methods Use % Family Planning Demand Satisfied by Modern Method Unmet Need School Attendance Despite impressive gains in primary education, secondary schooling still lags for females in the poorest households 1.5% 2.1% 57.8% 70.7% 3.4% 13.5% 6.8% 80 80% Percentage The majority of women age 15-24 in Ghana (72.1%) have attended at least some secondary school. Nearly 14% of women in the lowest wealth quintile have never attended school, while almost the same percentage of women in the wealthiest quintile have attended university. 28.2% 49% Wealth Quintile 100 100% Target 4.1 aims for all girls and boys to complete free and equitable primary and secondary school. 48.3% 30.0% 30 Eliminating inequity in demand for family planning satisfied by modern contraception is an important step toward sustainable human development. Progress remains is needed among disadvantaged populations in Ghana. GOAL 4 Quality Education 40.3% 40.0% 40 Percentage Just under a quarter (23.4%) of women age 15-49 currently use a modern method of contraception. Just under half of women (47.1%) have their family planning demand satisfied by a modern method of contraception and another one fifth (21.6%) have an unmet need for family planning. 50.0% 50 Further progress is needed in increasing opportunities for education amongst the rural poor to achieve this SDG. SDG Indicator Brief | PMA2015/Ghana-R4 PMA2015/Uganda-R2 60 60% 79.4% 76.8% 78.4% 6.7% 40% 40 27.0% 20% 20 0% 0 22.4% 12.5% 14.1% 4.8% 4.7% 2.3% Lower Middle Higher 13.7% Lowest 1.3% Highest Wealth Quintile Never Primary Secondary University 3 GOAL 5 Gender Equality Early Marriage, Early Childbearing One fourth of the poorest females age 18 to 24 are married by age 18 In Ghana, nearly one fifth of women 20-24 were married before age 18 and almost one in eight (12.0%) had a child by that age. 20 20 19.7% 17.3% Many data sources measure only the main source of water and the main sanitation practice used by each household, PMA2020 provides a more complete picture by measuring all regular household water sources and sanitation practices – those used by households several times per week during at least one season of the year. As a result, PMA2020 data show that many more people regularly practice open defecation than other surveys record, providing valuable insight and a more realistic baseline for the SDG target of eliminating open defecation. 38.6% of the household population use no or non-improved sanitation facilities as their main facility; and 38.3% of the household population with an improved main drinking source have only intermittent access. 4.8% Lowest Lower Middle Higher Highest Wealth Quintile Married by age 18 First birth by age 18 Water and Sanitation Only 15.8% of the household population rely on an improved, nonshared facility as the main facility 46.0% 80 40 60 30 23.3% 40 20 20 10 0 0 15.8% 15.0% 9.2% Open defecation Non-improved facility 9.7% 13.7% Shared facility Improved, not shared facility Among the household population... 36.3% regularly practice open defecation 7.2% have a place to wash hands with soap and water 38.3% with an improved main drinking source have intermittent access About PMA2020/Ghana PMA2020 uses innovative mobile technology to support low-cost, rapid-turnaround surveys to monitor key indicators for family planning. The project is implemented by local university and research organizations in 11 countries, deploying a cadre of female resident enumerators trained in mobile-assisted data collection. PMA2020/Ghana is led by the Kwame Nkrumah University of Science and Technology (KNUST), School of Medical Sciences in collaboration with University of Development Studies (UDS) and with the support of the Ghana Health Service and Ghana Statistical Service. Overall direction and support is provided by the Bill & Melinda Gates Institute for Population and Reproductive Health at the Johns Hopkins Bloomberg School of Public Health through a grant from the Bill & Melinda Gates Foundation. For more information on PMA2020 please visit http://www.pma2020.org. Data collection for this survey round (4) took place between June and August 2015. This brief has been developed in partnership with the Advanced Family Planning advocacy initiative (AFP). * Definitions of all indicators available at www.pma2020.org ALTH HE S Your Health - Our Concern SDG Indicator Brief | PMA2015/Ghana-R4 PMA2015/Uganda-R2 F MEDICAL IENCES SC G H S ICE RV E GHA N A All results for Goal 6 are reported as the percent of the household population. 10.8% 8.7% 8.0% 00 Percentage Target 6.2 aims to achieve access to equitable hygiene for all and eliminate open defecation. 15.2% 13.9% 10 10 One in four women in the poorest 40% of households are married by age 18 compared to one in 10 in the highest 20%. GOAL 6 Clean Water & Sanitation 25.9% 24.6% HOOL SC O Target 5.3 aims to eliminate early marriage. Percentage 30 30 KNUST 4
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