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Associations between Perceived Climate Change and Food Insecurity in a Last Mile District of Rural Ghana: A Mixed-Methods Study

21 Pages Posted: 26 Sep 2024

See all articles by Jessica Lily Boxall

Jessica Lily Boxall

University of Southampton

Braimah Baba Abubakari

Ghana Health Service

Bruce Abugri

University for Development Studies

Bright Amoore

University for Development Studies

Maria Ayichuru

Ghana Health Service

Ken Brackstone

University of Southampton

Winfred Dotse-Gborgbortsi

University of Southampton

Natasha Fothergill-Misbah

University of Southampton

Sophia Kpebu

University for Development Studies

M. Kunc

Southampton Business School

Kennedy Miah

Ghana Health Service

Eric Tweneboah

University of Southampton

Jim Wright

University of Southampton

Michael G. Head

University of Southampton - Clinical Informatics Research Unit

Victor Mogre

University for Development Studies

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Abstract

Background: West Africa, including Ghana, is a climate change hotspot, experiencing unpredictable rainfall, and extreme weather.  Rural Ghana is especially vulnerable, where poverty, and dependence on climate-sensitive activities mean that under-served communities have less capacity to withstand climate shocks.  This threatens food security and health.

Methods: This May 2023 study investigated associations between perceived impacts of climate change and household food insecurity in Mion district (Northern Region, Ghana). Participant data came from surveys (n=397) and focus groups (n=16). Rasch modelling analysed Food Insecurity Experience Scale data, compared with national and international data.  Multivariate regression identified food insecurity predictors and associations with self-reported knowledge of climate change.  Thematic analyses described the focus groups. Geospatial analysis compared pre-survey and long-term precipitation patterns.

Findings: Prevalence of moderate or severe food insecurity Mion is 61.5%, with 26.4% severe, both higher than 2023 national and global prevalence.  Monthly precipitation during the survey recall period was similar to preceding 20 years.  Nearly all (99.95%) reported climate change was negatively affecting household food supply, and 75.6% perceived climate change has affected their health.  Larger households, 20–29-year-olds, unemployment, and those with weaker climate knowledge experienced greater food insecurity (p<0.05).  Focus groups reinforced these findings, adding that bush-burning is an urgent problem. 

Interpretation: Participants feel that high food insecurity is worsening due to climate change.  The most food insecure participants reported lowest climate knowledge, potentially exacerbating their inability to respond.  Decision-makers must consider specific challenges that agriculture-dependent areas face to their nutrition and health.

Funding: University of Southampton.

Declaration of Interest: There are no competing interests to declare.

Ethical Approval: Ethical approvals for the study were granted by UoS (ERGO: 79159) and UDS in Ghana (Ref: UDS/RB/013/23).

Keywords: global health, climate change, food security, nutrition

Suggested Citation

Boxall, Jessica Lily and Abubakari, Braimah Baba and Abugri, Bruce and Amoore, Bright and Ayichuru, Maria and Brackstone, Ken and Dotse-Gborgbortsi, Winfred and Fothergill-Misbah, Natasha and Kpebu, Sophia and Kunc, Martin H. and Miah, Kennedy and Tweneboah, Eric and Wright, Jim and Head, Michael G. and Mogre, Victor, Associations between Perceived Climate Change and Food Insecurity in a Last Mile District of Rural Ghana: A Mixed-Methods Study. Available at SSRN: https://ssrn.com/abstract=4965932 or http://dx.doi.org/10.2139/ssrn.4965932

Jessica Lily Boxall (Contact Author)

University of Southampton ( email )

Southampton Business School
Southampton
United Kingdom

Braimah Baba Abubakari

Ghana Health Service ( email )

Accra
Ghana

Bruce Abugri

University for Development Studies ( email )

P.O. Box TL 1350
Tamale
Ghana

Bright Amoore

University for Development Studies ( email )

Maria Ayichuru

Ghana Health Service ( email )

Accra
Ghana

Ken Brackstone

University of Southampton ( email )

Winfred Dotse-Gborgbortsi

University of Southampton ( email )

Southampton Business School
Southampton
United Kingdom

Natasha Fothergill-Misbah

University of Southampton ( email )

Southampton Business School
Southampton
United Kingdom

Sophia Kpebu

University for Development Studies ( email )

P.O. Box TL 1350
Tamale
Ghana

Martin H. Kunc

Southampton Business School ( email )

United Kingdom
+44 (0)2380 592663 (Phone)

Kennedy Miah

Ghana Health Service ( email )

Accra
Ghana

Eric Tweneboah

University of Southampton ( email )

Southampton Business School
Southampton
United Kingdom

Jim Wright

University of Southampton ( email )

Southampton Business School
Southampton
United Kingdom

Michael G. Head

University of Southampton - Clinical Informatics Research Unit ( email )

Southampton
United Kingdom

Victor Mogre

University for Development Studies ( email )

P.O. Box TL 1350
Tamale
Ghana