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1.
Daniel Buor 《GeoJournal》2005,61(1):89-102
The paper examines the factors that influence the utilisation of health services by women in the rural and urban areas in Ghana. The systematic sampling procedure was used to draw the sample from women aged 18 and above with diverse backgrounds from Ahafo-Ano South district, representing the rural districts and Kumasi metropolis, representing the urban districts. The research instruments used for data collection were the questionnaire and formal interviews. Multiple regression was the main tool for analysis. The research reveals that the key factors that impact significantly on the utilisation of health services by women in the Ahafo-Ano South district are, distance, income and family size (number of children) while for Kumasi metropolis they are education, distance and marital status. Whereas it is clear that distance is a common problem facing women in both rural and urban areas in Ghana in the utilisation of health services, marital status and number of children have emerged as contrasting factors influencing utilisation of health services by women in rural and urban Ghana. Recommendations to improve utilisation include the location of maternal and child health services within easy reach in the rural areas, intensification of family planning education in the rural areas, the empowerment of women through access to formal education and vocational training for income generation activities and the full implementation of the National Health Insurance Scheme (NHIS). A model of utilisation of health services by women in the rural and urban areas has emerged. 相似文献
2.
Daniel Buor 《GeoJournal》2002,56(2):145-157
The research primarily aims at testing a model, adapted from existing models, on the influence of distance on the use of health services in the Kumasi metropolis, an expanding urban centre in Ghana. Primary data, collected between August 2000 and February 2001, were used for the study. The data were analysed using a multiple regression model and compound bar graphs. A sample of 250, drawn through systematic random and stratified procedures, was used for the cross-sectional retrospective survey. Data were collected through formal interview schedules, after preliminary observational survey. The survey has established three principal findings. First, distance shows a strong inverse relationship with the utilisation of health services in the metropolis. Second, travel time and transport cost, variables that are related to distance, exhibit a weak negative and positive associations respectively with the use of health services. Third, the vulnerable groups of women, the aged, the sickly, the illiterate and the poor are not affected by distance decay in the utilisation of health services. Finally, independent variables that are statistically significant in influencing utilisation, alongside distance, are education, service cost, quality of service and health status. Recommendations for locational modelling of health services at the deprived periphery, an introduction of an insurance scheme to facilitate health care use, and recommendations for further research have been made. 相似文献
3.
Increasing urbanisation and the growth of urban areas in cities in developing countries present major challenges for local governments, policy makers and urban planners even though the phenomenon offers opportunities. Studies focusing on the quality of life (QoL) help in assessing objectively, urban conditions which inform urban policy and planning. Using Kumasi as a case study, this paper investigates the relationship between quality of life and socio-economic characteristics such as gender, age, marital status, educational background, household income and housing type. To this end, the paper uses data from 500 households to examine the relationship between urban dwellers socio-economic characteristics and quality of life index in Kumasi. Findings indicated that objective QoL varied considerably with some of the socio-economic variables (household income and housing type) in the study area and these variables contributed significantly to the objective quality of life in Kumasi. The paper concludes that there are six (6) dimension of quality of life in Kumasi. 相似文献
4.
Raymond Asare Tutu John Kwame Boateng Janice Desire Busingye Edmund Ameyaw 《GeoJournal》2017,82(5):907-921
This exploratory study examines how migrants’ lifestyles are associated with subjective assessment of their health status in a relatively poor urban neighborhood in Accra. For more than half a century, urban centers have been on the receiving end of internal migrants in Ghana with Accra, Kumasi, and Sekondi-Takoradi receiving the lion’s share. However, a lot of migrants end up in poor neighborhoods due to inability to afford relatively costly rents in the better residential areas in the cities. Migrants who live on the margins of society are adversely impacted by poor environmental conditions that make them susceptible to environmentally-induced diseases such as malaria, cholera, and typhoid. While the poverty, health, and place research in Accra, Ghana, have focused on spatial distribution of inequalities in health, burden of sexual ill health, double burden of diseases, environment, wealth and health relationship, as well as income and health connections, there is paucity of research on association between the daily lifestyles of migrants in poor urban neighborhoods and their health status. Specifically on lifestyle and contextual factors, we examine (1) eating and drinking behavior, (2) perception of environmental factors, (3) attitudes and practices during illnesses, and (4) physical activities. Results from Ordinal Logit Regression models suggest that the key predictors of self-rated health status are: (1) socio-demographic elements like length of stay, job type, and religiosity; and (2) eating and drinking behavior—frequency of buying food from food vendors, and (3) social capital. 相似文献
5.
Consumption of peri-urban grown vegetables has raised public health concerns due to potential risks of contamination from pathogens, pesticides and heavy metals. Understanding how the public perceives of risk is key in managing the population at risk of consuming contaminated vegetables. However, health risk perceptions research of consumers has largely been given little attention. Using both quantitative and qualitative research techniques, and drawing on risk perception theory, this study examined consumers’ health risk perceptions in relation to urban vegetable consumption in the Oforikrom sub-metropolitan area of the Kumasi Metropolis in Ghana. Results suggest that heath risk perceptions of consumers of urban-grown vegetables is generally low, an indication that consumers’ perceptions have not changed a decade after similar results were reported in Ghana. Consumers’ interpretation of the quality of vegetables and associated health risks deviates from scientific health risk assessments which, does not translate into desired risk mitigation behaviour. Continuous public education on potential health risks of consuming these vegetables and appropriate health risk mitigation measures could be vital in reducing the population at risk. 相似文献
6.
Globally, transport literature indicates a strong effect of land use on urban travel as people living in low density suburban areas tend to travel more by car than people living in high density urban areas. This is because in dense areas, public transport is organised more efficiently and travellers tend to travel shorter distances. However, this assertion is frequently based on locations with efficient integration of transport within the land use planning framework. In Ghana and many African countries, it remains unknown whether the effect of land use on urban travel is strong as reported in developed countries and elsewhere. This research examines the effect of land use on urban travel in Ghana using Kumasi, the second largest city in Ghana, as a case study. Simple questionnaire survey with urban residents, semi-structured interviews with agencies and secondary data analysis were used for this research. Results indicate negative effect of land use on urban travel as there has been increased congestion in all the major road arterials in the city resulting in difficulty in commuting using motorised transport. Findings further show a weak effect of land use on urban travel, as areas experiencing change of land use have poor locational accessibility. The paper recommends innovative ways of meeting the growing travel demand of residents in the city such as the development of a light rail and bus rapid transit systems to help ease congestion and improve public transportation. 相似文献
7.
Over the years, many city managers, policy makers and academics alike have turned to high-rise buildings as pathway to sustainable urban development. However, the sustainability of such types of development in various geographical contexts, especially in sub-Saharan Africa, is a subject less explored. Amidst the promotion of high-rise development in a rapidly urbanizing metropolis in Ghana, Kumasi, the research empirically examined the social acceptability of high-rise residential facilities and the institutional capacity for their effective management. By conducting face-to-face interviews with sampled households, and critical public service providers in the metropolis, the study uncovered that, contrary to the evidence from many Asian cities, there is generally low social acceptability of high-rise developments, and a weak institutional capacity for effective service delivery. The research concludes that, whilst it is tempting to embrace high-rise buildings as sustainable development pathway, it is crucial they are pursued with much circumspection. In addition to their design being tailored to the local needs of the people for whom they are built, the promotion of high-rise development should recognize the importance of effective service delivery, and general social acceptability. 相似文献
8.
Prosper Issahaku Korah Patrick Brandful Cobbinah Abraham Marshall Nunbogu Sarah Gyogluu 《GeoJournal》2017,82(6):1113-1134
This research uses empirical data to explore the link between spatial plans and ‘actual development’ occurring in Kumasi, Ghana. The research found that urban development is determined by both spatial plans and spontaneous informal development patterns (i.e. self-organisation). However, self-organisation is more widespread compared to spatially planned neighbourhoods. This phenomenon was expressed in a context of uncertainty created by weak institutional planning system which promote and reinforce haphazard development disregarding urban planning requirements. These findings provide a perspective on urban development that differs from that occurring in cities of developed countries, where planning institutions in consultation with urban residents determine the patterns of urban development. Unfortunately in Kumasi, self-organisation is not viewed as important in mainstream planning system. The paper concludes that more needs to be done in terms of understanding self-organisation processes, and the way they could be integrated into mainstream planning process to respond more fully to the urban development challenges in Kumasi. 相似文献
9.
在二元土地所有制下,中国城市市区的建设用地、农村和城市郊区依法征收后新增的建设用地,属于国家所有;城市市区以外以及法律规定由国家所有土地以外的农民宅基地和其他建设用地,属于农民集体所有。文登市金岭山庄被位于城区的经济强村西楼兼并后,土地资源得以高效利用,加速了城市化进程,成为城乡统筹发展的典范。 相似文献
10.
More recently, driven by rapid and unguided urbanisation and climate change, Ghanaian cities are increasingly becoming hotspots for severe flood-related events. This paper reviews urbanisation dynamics in Ghanaian cities, and maps flood hazard zones and access to flood relief services in Kumasi, drawing insight from multi-criteria analysis and spatial network analysis using ArcGIS 10.2. Findings indicate that flood hazard zones in Kumasi have been created by natural (e.g., climate change) and anthropogenic (e.g., urbanisation) factors, and the interaction thereof. While one would have expected the natural factors to guide, direct and steer the patterns of urban development from flood hazard zones, the GIS analysis shows that anthropogenic factors, particularly urbanisation, are increasingly concentrating population and physical structures in areas liable to flooding in the urban environment. This situation is compounded by rapid land cover/use changes and widespread haphazard development across the city. Regrettably, findings show that urban residents living in flood hazard zones in Kumasi are also geographically disadvantaged in terms of access to emergency services compared to those living in well-planned neighbourhoods. 相似文献
11.
This paper examines hourly wage payments for women who live in the rural districts of England, both in terms of variability within such districts and in terms of comparisons with non-rural districts. Drawing on the Labour Force Survey’s Local Annual Database, the paper argues that, once education, industry and occupation are taken into account, there is little to distinguish wage rates in rural and urban districts. Regionally there are important differences in wage rates, but these apply to rural as well as urban districts and are largely confined to contrasts between South East England and elsewhere. Rural-urban contrasts in wage levels are apparent in pay differences for men and women, although even here distinctions along a rural-urban divide are restricted to managerial workers, with the key distinction for professionals and technicians being between South East England and the rest of the country. For other occupations there is little to distinguish the relative magnitude of difference in men’s and women’s pay along rural-urban or regional lines. It is suggested that more attention to gender relations in wage determination practices within the workplace and within professions are worth exploring to develop a stronger understanding of division lines in wage inequalities. 相似文献
12.
This paper explores young people’s experiences and perceptions of mobility and mobility constraints in poorer urban areas of Ghana, Malawi and South Africa within the specific context of inter-generational relations. Drawing principally on qualitative research findings from a study involving both adult and child researchers, our aim is to chart the diversities and commonalities of urban young people’s mobility experiences in the everyday - how they use and experience the city - developing a comparative perspective across three urban study sites which links young people’s mobility with the power relations that operate to shape their movements in individual locations. In particular, we consider how positive and negative images of young people’s mobility play out in terms of the inter-generational frictions and negotiations generated by their mobility performances. We also reflect on the developmental implications, in terms of young people’s access to services and income and their participation in the social networks and peer culture which may shape their life trajectories. Three themes are explored in detail: mobility as challenge, mobility as temptation and mobility control. 相似文献
13.
Retrospective understanding of the magnitude and pace of urban expansion is necessary for effective growth management in metropolitan regions. The objective of this paper is to quantify the spatial–temporal patterns of urban expansion in the Greater Kumasi Sub-Region (GKSR)—a functional region comprising eight administrative districts in Ghana, West Africa. The analysis is based on Landsat remote sensing images from 1986, 2001 and 2014 which were classified using supervised maximum likelihood algorithm in ERDAS IMAGINE. We computed three complementary growth indexes namely; Average Annual Urban Expansion Rate, Urban Expansion Intensity Index (UEII) and Urban Expansion Differentiation Index to estimate the amount and intensity of expansion over the 28-year period. Overall, urban expansion in the GKSR has been occurring at an average annual rate of 5.6 %. Consequently, the sub-region’s built-up land increased by 313 km2 from 88 km2 in 1986 to 400 km2 in 2014. The analysis further show that about 72 % of the total built-up land increase occurred in the last 13 years alone, with UEII value of 0.605 indicating a moderate intensity of urban expansion. Moreover, the metropolitan-core of the sub-region, being the focal point of urban development and the historical origins of expansion, accounted for more than half of the total built-up land increase over the 28-year period. Over the last decade and half however, urban expansion has spilled into the neighbouring peripheral districts, with the highest intensity and fastest rate of expansion occurring in districts located north and north east of the sub-regional core. We recommend a comprehensive regional growth management strategy grounded in effective strategic partnerships among the respective administrative districts to curb unsustainable urban expansion. 相似文献
14.
The issue of extending healthcare to marginalized underserved rural population remains a cardinal rhetoric policy of the Ghana Government. Meanwhile we note a growing inequity in terms of access and utilization of quality and affordable healthcare between urban and rural areas of the country. The Government of Ghana through its various policy initiatives in 2002 collaborated with civil societies with the aim of bringing healthcare to the doorsteps of rural folks in the country. Using a mixed method approach through a semi structured interviews and questionnaire administration, and focusing on the Community-based Health Planning and Services (CHPS) programme in Nsanfo community in the Mfanstiman municipal area, this study assesses the effectiveness and challenges confronting state–civil society partnership in co-producing a public good (healthcare). We found that synergy between the state (Mfanstiman Municipal Health Directorate) and the civil society (community health volunteers) has yielded positive results in bringing healthcare to the door steps as well as improving the health conditions of the local people in the study area. Nonetheless, certain challenges such as lack of volunteer motivation, deplorable state of the CHPS compound and logistics threaten the very existence of this collaboration. Our study has far reaching implications for healthcare planning in Ghana. 相似文献
15.
Isaac Yeboah Addo 《GeoJournal》2016,81(3):427-441
From the year 1990 to date, refugees living in Ghana encounter various socio-economic challenges in their toils to survive, leading to tensions over limited resources between them and members of the host communities. Voluntary repatriation, local integration, and resettlement programmes have been introduced as permanent solutions to their plights, but the given packages do not correspond with their expectations; resulting in their indefinite stay in camps. Despite this, not much information is available on their specific expectations about the durable solutions. Employing ‘When Displacement Ends’ framework, this article examines refugees’ expectations about the durable solutions. Questionnaires and interview guide were used to gather data from the refugees living in the Buduburam camp. Regardless of their preferred durable solutions, demand for employment, quality education/scholarships, skills training, and affordable health care services were common expectations. Quest for more financial incentives and security were eminent expectations of voluntary repatriation while they called for nondiscrimination against them, if they integrate into Ghana. However, there were variations in these expectations considering their background characteristics. For instance: those with no formal education mostly hoped-for skills training, the aged were eagerly concerned about health services while those in the assumed ‘school age’ predominantly requested for quality education with scholarships. 相似文献
16.
Girmachew Adugna Zewdu 《GeoJournal》2018,83(5):1019-1034
Although Ethiopia has seen a reduction in refugee flows over the past decade, documented and undocumented labour migration has significantly increased. International migration has changed from that born out of conflict to irregular migration mainly driven by economic reasons. The source of migrants has expanded from urban centres to include rural areas, making them an important source of low-skilled labour for the international labour market. Based on a qualitative study, this paper explores the process and pattern of Ethiopian migration to South Africa, an emerging destination in the global South. This migration corridor is increasingly characterised by its irregularity. The paper also reflects how migration patterns shape the pattern of remittance flow, along with the way in which migrants and their networks substitute the function of financial institutions engaged in the remittance industry. It also highlights the features of remittances utilisation in emerging rural migrant community in Southern Ethiopia. 相似文献
17.
《Geoforum》2015
Agricultural land use in much of Brong-Ahafo region, Ghana has been shifting from the production of food crops towards increased cashew nut cultivation in recent years. This article explores everyday, less visible, gendered and generational struggles over family farms in West Africa, based on qualitative, participatory research in a rural community that is becoming increasingly integrated into the global capitalist system. As a tree crop, cashew was regarded as an individual man’s property to be passed on to his wife and children rather than to extended family members, which differed from the communal land tenure arrangements governing food crop cultivation. The tendency for land, cash crops and income to be controlled by men, despite women’s and young people’s significant labour contributions to family farms, and for women to rely on food crop production for their main source of income and for household food security, means that women and girls are more likely to lose out when cashew plantations are expanded to the detriment of land for food crops. Intergenerational tensions emerged when young people felt that their parents and elders were neglecting their views and concerns. The research provides important insights into gendered and generational power relations regarding land access, property rights and intra-household decision-making processes. Greater dialogue between genders and generations may help to tackle unequal power relations and lead to shared decision-making processes that build the resilience of rural communities. 相似文献
18.
The status of medical facilities and personnel in the Kingdom of Saudi Arabia, at the end of the fourth five-year plan (1985–1990)
was reviewed and analyzed regarding the standards of services and workload of health personnel for the different regions and
urban/rural areas in the Kingdom. Innovative indices for the quantitative analysis of medical facilities were developed. The
analysis of health facilities in Saudi Arabia shows that the Kingdom enjoys a high standard of medical facilities. However,
there are maldistribution of clinical resources and personnel between regions and between urban/rural areas. Utilization of
these indices for the reallocation of medical facilities and personnel to ensure even distribution of services for all inhabitants
of the Kingdom was illustrated. In addition, indices give a guideline for the future planning and the rate of increase of
these facilities that keeps the standard of medical services in the proper class desired with minimum resources wastage. 相似文献
19.
生态适宜性评价有助于优化建设用地空间布局,针对生态适宜性的模糊性以及常权评价的不足,采用局部惩罚型变权来改进空间模糊综合评价方法,并合理确定惩罚水平,能有效突出瓶颈因素对评价结果的限制性作用,更好体现生态适宜性评价的渐变性和模糊性,合理反映生态适宜性状况。结果显示:调权水平为0.25,惩罚水平α为0.8418时,变权评价结果符合实际;陕西延安宝塔区的高、中、低度适宜及不适宜区面积分别占4.63%、20.71%、47.28%、27.38%,且90.26%的建设用地处于高、中度适宜区;不同区域生态适宜性等级受不同的主导限制性指标影响,地形位、距生态保护区距离、距水岸距离等指标影响分布广泛,灾害密度影响城区,距城镇距离影响偏远区域,而土壤质量、有益元素、土地阻力仅影响个别区域。建议加强宝塔城区地质灾害防治与监测,规范城镇建设用地审批,促进边远农村居民点整治,以优化宝塔区建设用地空间布局。 相似文献
20.
Jowett AJ 《GeoJournal》1989,18(4):417-427
The recent publication of data from the 1982 census permits an assessment of the patterns, progress and problems of illiteracy in China. Educational progress, since the communists came to power in 1949, has been particularly impressive, especially in relation to the low levels of income within the People's Republic. Nevertheless, nearly a third of the country's population are still unable to read and write and major variations in literacy exist between the developed and less developed regions, between men and women, between the urban and rural areas, between the various age groups and among the many ethnic groups that constitute the People's Republic of China. Among the most favoured people and places, literacy rates exceed 90% but among the most disadvantaged groups, retired women in rural areas for example, levels of literacy fall below 3%. Proposed educational reforms, targeted to provide nine years of compulsory education, offer the potential for boosting literacy levels and breaking the bondage of ignorance. However, such proposals are being undermined by the recent economic reforms in rural China. By stressing the value of labour, including child labour, the agricultural responsibility system has generated a surprising decline in school attendance which may jeopardise future improvements in literacy, particularly so among the poorer people in the poorer areas of China. 相似文献