Family planning key to demographic dividends – Devt. partners

The existing national population structure, where the working group is more than the dependent group, presents a temporary window of opportunity for the economic development of the country.
The National Population Council (NPC) and the National Development Planning Commission (NDPC), however, say the development potential presented by such a structure, known as demographic dividends, will not automatically translate into sustainable development.
At the launch of a national advocacy video developed to educate the public on the critical role of family planning in national development in Accra, the heads of the institutions said the right policies, with deliberate investment in certain sectors, such as family planning, education, health and governance, were required to harness the potential presented by demographic dividends.

Demographic dividend

The United Nations Population Fund defines demographic dividend as the economic growth potential that can result when the share of the working-age population (15 to 64) is larger than the non-working-age (14 and younger and 65 and older) share of the population.

The phenomenon is said to be a boost for economic productivity when there are growing numbers of people in the workforce relative to the number of dependents, indicating that more people have the potential to be productive and contribute to growth of the economy.

The video was produced in partnership with and the support of the United States Agency for International Development (USAID).

The advocacy campaign documentary was on the theme: “Turning the wheels towards economic prosperity through investment in family planning”.
The Director-General of the NDPC, Dr Kodjo Esseim Mensah-Abrampa, said there was no doubt that the country had embraced and provided leadership in family planning since the 1970s.

“But the face of family planning pursuit has changed from health and a social concern to an economic endeavour. Family planning has become a resource for which investment is required and strategic intervention needed to harness.
“One of the key potential economic gains from family planning is the demographic dividend, which is the accelerated economic that may result from rapid decline in a country’s fertility and subsequent change in the population and age structure.

“Total fertility rate increased from 4.4 children per woman, on the average, in 2003 to 4.6 in 2007 and declined to 4.2 and 3.9 in 2014 and 2017, respectively. Maternal mortality has also been dropping, since 2007, from 451 per 1,000 live births to 310 per 1,000 live births in 2017,” he said.

According to Dr Mensah-Abrampa, since 2013, the country had consciously embarked on interventions to harness its demographic dividends by making strategic investments in key areas such as health, education, economy and governance.

He said the framework was mainstreamed into the Medium–Term National Development Policy Framework of 2014-2017 and 2018-2021 for implementation.


The Executive Director of the NPC, Dr Leticia Appiah, said it was important to note that demographic dividends were not automatic but required conscious investment in family planning, education, health, economic reforms and good governance.

Although Ghana has experienced an appreciable decline in fertility since the 1980s, with fertility rate declining from 6.4 in 1988 to 4.2 in 2014 and corresponding dependency ratio, there was still room for further decline.

She said decline happened by focusing on reducing avoidable high risk pregnancies, such as those by teenagers and first-time mothers who were between 35 and 40, through family planning.

“Timely investment in family planning, nutrition, health education and governance transforms human resource to quality human capital is badly needed to reap demographic dividends,” the executive director added.

The UNFPA Country Representative, Mr Niyi Ojuolape, said both young people and declining fertility had the potential to reap the demographic dividends.

Date: Feb – 22 – 2021 , BY: Doreen Andoh

NPC launches advocacy documentary

The National Population Council (NPC) in partnership with the Population Reference Bureau with support from USAID have launched an advocacy video documentary on Ghana’s demographic dividend to speed up development.

The launch of the documentary which is on the theme “Turning the wheels towards economic prosperity through investment in family planning” took place yesterday February 18, 2021 in Accra.

Dr. Leticia Appiah, the Executive Director of NPC, during the launch of the video stressed that reaping the demographic dividend is not automatic but requires conscious investment in family planning, education, health, economic reforms and good governance.

Explaining the demographic dividend as accelerated economic growth that a country can experience as a result of the changes in population age structure, Dr Appiah said, the Council believes that through sustained high-level advocacy and sensitization, the importance of reaping the demographic dividend will become a national priority among policy makers, political and national leaders to bring about the increased commitment to investment in quality human capital including family planning, nutrition, health and education, economic growth and good governance that will help Ghana attain the demographic dividend.

The Executive Director was of the view that though Ghana has experienced an appreciable decline in fertility since the 1980s with fertility rate declining from 6.4 in 1988 to 4.2 in 2014 and corresponding dependency ratio, there is still room for further decline by focusing on reducing avoidable high-risk pregnancies. She added that mortality and morbidity risk to mother and infant are higher if mother is below 18years, birth intervals less than two years, birth order four or higher and women older than 35/40 at first birth.
According to the maternal health survey 2017, 49% of births were in at least one avoidable high-risk pregnancy and as much as 17% of birth were in multiply avoidable high-risk categories.

“This shows that even though fertility is steadily declining, focus should be on disaggregated data for programme implementation” she stressed.”

She noted that the advocacy video complements the efforts already undertaken towards harnessing the demographic dividend and is also a call for sustained action on the part of all relevant stakeholders towards meaningful impact at scale.

“The demographic window of opportunity is opening for Ghana and we need to become braver, stronger and bolder champions of population and development now more than ever.” She urged.”

“We need to seize the opportunity by investing in the key sectors of family planning, nutrition, health, education and skills development, the economy and good governance,” said Dr. Appiah. adding that “The window of opportunity closes when the opportunity is not utilized.”

According to the Executive Director of Irbard Security Consult, Irbard Ibrahim, Ghana’s burgeoning population provides b ad news for labour but an even worse one for national security fi the right policies are not put in place to mange population growth and cushion the youth demographic bulge.

“What is even the essence of labour if it not skilled? These growing questions give security sector actors like us a cause for concern,” he asked.”

Ibrahim recommended a consistent and regular engagement between national security and the NPC so that both outfits can exchange notes and experiences not only on the phenomenon of child ‘streetism’ but also the wider population issues of port parenting, early and forced marriage, unp0lanned childbirth, poor education and a dangerously unaddressed youth bulge.

February 19, 2021, By: Kofi Ahovi

High Population Growth Rate, A Challenge, Sustainer Of Poverty – Dr. Leticia Appiah

In this interview, with ADEZE OJUKWU, the Executive Director of National Population Council and a member of the National COVID-19 Taskforce in Ghana, Dr. Leticia Appiah, called for urgency, in addressing the negative trend, in order to avert its far-reaching socio-economic consequences on the continent and its future.

TNE: Can you briefly speak about your academic and professional background?

I completed Medical School from Donetsk Medical Institute in Ukraine in 1993.
I obtained a Master‘s and PhD in Public Health from University of Ghana in 2003 and 2018 respectively. In 2011, I became a fellow of Hubert H. Humphrey Programme under the Fulbright Scholarship. During this period I obtained further training and experience, in HIV policy and prevention at Rollins School of Public Health, Emory University in Atlanta. I am the Executive Director of National Population Council, the highest statutory body set up by the constitution, which advises Government on population.

I am a member of Ghana AIDS Commission Board, National Steering Committee of the 2020 Ghana Population and Housing Census, Sustainable Development Goals(SDGs) and Technical Committee National COVID-19 Taskforce in Ghana.

TNE: What does an effective population management mean for a nation?

Effective population management starts with reduction of high-risk pregnancies, which ultimately improves the lives and livelihoods of citizens. This makes it easier and cheaper to implement other policies such as education, housing, sanitation, employment and security.

TNE: What is the role of government in population management?

Governments have the prime responsibility for the provision of policies and programmes aimed at harnessing the human capital. Consequently, this will improve the quality of life of its citizens and make the nation a prosperous one.
Population is every nation’s most valuable resource, but for it to be fit for the purpose, it needs to be transformed into capital through systematic and timely investments in adequate nutrition, health and education.

Just like crude oil, a natural resource needs to be refined for value addition before it can be consumed.

At the very core of our conversation on sustainable development therefore is how many people we have and can adequately plan for at any point in time without destroying the ecosystem that sustains lives.

TNE: How does high population growth affect unemployment, poverty and public health?

Employment is a condition for prosperity, community stability and national development.
Rapid population growth makes it more challenging for governments and private sector to create jobs. The correlation between fertility levels and future employment opportunities for young people should be clear. With high fertility rates, high population growth rate could outstrip the nation’s ability and capacity to provide necessities for good health cognizant of the finite nature of resources, such as land and water. Again, governments may have difficulties in providing adequate and quality education as well as jobs for the huge number of people, to meet the requirements of 21st century. This could chronically lead to low savings, unemployment, underemployment and poverty, which threaten sustainable development.

TNE: What is the impact of the region’s high population growth rate on the response to COVID-19?

Generally, high population growth in Africa affected its response to coronavirus in several ways, especially with the lockdowns in several countries.
Undoubtedly, population structure is a major factor for underdevelopment and economic stagnation. Africa has a youthful population and ensuring their reproductive health needs are met is imperative to contain and slow the high population growth rate during the pandemic and beyond. However, during the lockdown, access to family planning and reproductive health services was restricted, especially for the poor.

This obviously could have led to unplanned and accidental pregnancies, thus adding to family and national responsibilities. Also, with children out of school, many girls from poor families may end as child brides, contributing to high population growth, widening inequality and ravaging poverty gaps.

TNE: What is the significance of COVID-19 to Africa?

The pandemic underscores the need to place equal premium on population dynamics, public health and economics, as important variables in the simultaneous equation of sustainable development for maximum impact.

COVID-19 offers an opportunity to reflect on the linkages between population and socio-economic policies that healthily balance the supply of labor and the job opportunities to meet our development targets. This will ultimately, create the Africa we want.

The pandemic offers Africans the opportunity to rethink resilience, amidst physical and social distancing. With closed borders and protective equipment in short supply, self-reliance and economic growth should be central to our agenda.


TNE: Can you highlight strategies to improve acceptance of family planning in Africa?

In resource constraint settings, the right health policy, such as family planning contributes to improving macro-economic policies by keeping people healthy and productive, in all spheres of life, from education to skill acquisition and employment. To improve acceptance of family planning two main approaches are critical. Firstly, advocacy and awareness creation, are needed to build coalitions and support among key actors and decision makers at all levels to overcome barriers to supporting a family planning campaign, as a developmental programme. Secondly, implementation of a national communications campaign among all sectors at the national, district, and community levels on the critical role of family planning in poverty reduction.

TNE: How can governments and regional bodies work with stakeholders, including traditional and religious leaders to manage population?

All stakeholders including religious organizations should work together to improve quality life of citizens. Evidence shows that investment in family planning improves quality of life. In reference to religious leaders, the fact that religion and spirituality entreat us to harness our God-given talents for his kingdom’s purpose and our common good forms the basis for planning. To achieve this, reducing high population growth rate by reducing child marriage, teen pregnancies and other high-risk pregnancies makes it easier for families and governments to adequately invest in skill development and other productive ventures. All these will empower citizens to become financially independent.

Majority of Africans have a religious affiliation, so engaging religious leaders, as stewards of population management, is critical, in addressing Africa’s population dynamics. The strategy is to develop problem points, based on the impact of unmanaged populations, in order to identify solutions at the community level. The potential outcomes will include sensitizing majority of the country to population issues, through trusted sources, while countering the perception that religious authorities will not support population efforts.

TNE: Africa has enough expertise on development. Why are African governments not implementing solutions already working in China or India?

The reasons are many. However solutions, which have worked for other countries, may not necessarily work exactly the same way. Each country is unique and dynamic.

It cannot be one size fitting all. The socio-economic and cultural nuances of Africa must be considered in implementation of programmes, which may have worked in other regions. Africans must come to the realization that high population growth rate is a challenge and a sustainer of poverty. We need to confront head-on and find appropriate ways to communicate the need to reduce the growth rate to enable quality human capital accumulation for sustainable development, especially in the 21st century. Generally, human capital enables nations and families to overcome poverty.

TNE: How will the region integrate strategic planning in human capital development policies?

Accumulation of human capital has a right order and optimal timing just like prevention of COVID- 19 has its own protocols, which do not take into consideration our wishes, dreams, habits and cultures. Human capital accumulation is not ad hoc programme. It involves a strategic plan with appropriate investments along with the critical role of population dynamics in development frameworks.

Environmental, social and economic agenda can no longer be pursued, separately but must be merged into a single sustainable, inclusive and equitable growth policy which will invariably lead to improved productivity and reduction of inequality in society.
TNE: Can you mention a few practical strategies on diversifying the African economy.

Labour and education policies should keep up with the pace of innovation with talent adaptability. They are critical in helping nations cope with disruptions, such as COVID-19.

A holistic approach will better balance short term considerations against factors, because their impact is felt beyond short term cycles. COVID-19 has indeed ignited our creative and innovative skills to start production of needed Personal Protective Equipment (PPE) and ventilators, due to the universal demand for them. We cannot continue to depend on other nations for things we can easily produce. This is pointing us to the need to focus more on technical education and industrialization of our countries and less reliance on imported finished products.

By ADEZE OJUKWU – June 20, 2020

COVID-19 also threatening Sexual Reproductive Healthcare – Dr. Leticia Appiah

The Executive Director of National Population Council, Dr. Leticia Appiah has noted that COVID-19 is highlighting the imbalance in Sexual Reproductive Healthcare delivery.
Speaking at the launch of World Population Day on Tuesday, July 7, 2020, she noted that COVID-19 has exposed the weak health systems which cripple women’s development.

“COVID-19 has indeed exposed the lack of equity and fairness in our societies and widening the inequality gap… Healthy and empowered women can bring about the change needed to create a sustainable future for all.”

Speaking on the theme “Putting the brake on COVID-19: how to safeguard the health and rights of women and girls now”, she explained that COVID-19 is threatening to derail measures to attain “Zero Maternal Deaths, Zero Unmet Need for Family Planning and Zero Sexual and Gender-Based Violence and Harmful Practices targets, which are necessary for meeting our SDG goals and in our Ghana Beyond Aid Agenda.”

But Dr. Leticia Appiah further assured the general public that the NPC and its partners are working hard to save the gains made in ensuring that the Sexual Reproductive Health Rights stay on the local agenda.

“As a nation, the NPC and its partners are committed to safeguarding the hard-fought gains and ensuring that Sexual Reproductive Health Rights and services stay on the local agenda to enlist societal and political wills in maintaining the momentum towards achieving the SDGs by 2030 and develop Ghana beyond Aid.”

Below is her full speech at the launch


Good morning
Country Representative, UNFPA
Country Director, Marie Stopes international
And all other distinguished partners present
The Media
Ladies and Gentlemen

The National Population Council warmly welcomes you all to the pre-launch of the 2020 World Population Day Celebration. Each year, the celebration offers National Population Council (NPC) and its partners the opportunity to raise awareness on emerging population issues confronting humanity. It is a time to assess how well society honors its citizens by meeting their needs and well- being across everyone’s life course and across generations.

Ladies and Gentlemen, the theme for this year’s celebration is “Putting the brake on COVID-19: how to safeguard the health and rights of women and girls now”.

Globally, the pandemic is threatening to derail many efforts including efforts to achieve Zero Maternal Deaths, Zero Unmet need for Family Planning and Zero Sexual and Gender-Based Violence and Harmful Practices targets, which are necessary in meeting our SDG goals and in our Ghana Beyond Aid Agenda.

As a nation, the NPC and its partners are committed to safeguarding the hard-fought gains and ensuring that Sexual Reproductive Health Rights and services stay on the local agenda to enlist societal and political wills in maintaining the momentum towards achieving the SDGs by 2030 and develop Ghana beyond Aid.

According to the 2017 Ghana Maternal Health Survey, the Maternal Mortality Ratio is estimated at 310 deaths per 100,000 live births (i.e. 12 per cent of deaths among women in Ghana is due to maternal causes). In relation to unmet need for family planning, almost one out of three married women who want to space or limit the number of children they want to have is not using any family planning method leading to many unintended and mistimed pregnancies.

More so, more than 50 percent of the population are females and 16.1 percent are young females aged 10-24. Some of these women and girls have been abused and their human rights violated in several ways. Over 40 percent of women who are married or living together with their partners have had any form of social violence or physical violence; 30.1 per cent with various forms of sexual violence. It must be noted that these figures were higher in rural areas as compared to urban areas. On the average, women who marry before age 18 is 19 percent higher in the Northern and Upper East regions and lowest in Greater Accra region.

In this wave of COVID-19 pandemic, population issues are also influencing the outcome of our livelihoods and thus should no longer be ignored.COVID-19 has indeed exposed the lack of equity and fairness in our societies and widening the inequality gap. The pandemic has presented the world a chance to address the imbalance to build strong and resilient health system and equitable development of all including women and girls. Healthy and empowered women can bring about the change needed to create a sustainable future for all.

Ladies and gentlemen, how do we as a nation safeguard the health and rights of our women and girls in order to achieve the SDGs by 2030 without engaging the media?

We need the help of the MEDIA to create and maintain awareness on sexual and reproductive health needs and vulnerabilities of women and girls during the pandemic and beyond. Also, advocate for the continuity of SRHR and Sexual and Gender Based Violence services in the midst of COVID-19 pandemic. We need to focus on the harm such practices cause and the benefits we seek to realize from abandoning them. We cannot achieve these lofty goals alone since public health needs all hands-on deck. Therefore, I urge all stakeholders to come together to safeguard the health rights of women and girls now.

Thank you.

by Ernest Arhinful – July 8, 2020