A comparative appraisal of environmental conditions in two urban low-income communities in Accra, Ghana

This paper examines (i) the state of environmental conditions in two low-income urban communities in Accra, Ghana, using a Participatory Rapid Assessment (PRA) method, and (ii) changes in the environmental conditions in the two low-income communities over the years using the PRA method. The PRA was augmented with qualitative interviews with selected heads of household and other stakeholders from the study communities. The results showed that environmental conditions in the two study communities were poor as indicated by the computed average scores for the environmental problem areas. However, conditions were poorer in Chorkor compared to La. The paper recommends that local governments units in Ghana must prioritise sustained, improved, and reliable funding for Water, Sanitation, and Hygiene (WASH) to ensure undisruptive implementation of environmental health programs and policies. This must be accompanied with improved community education and sensitization on proper sanitary practices, which have the potential to mitigate the effects of disease epidemics such as cholera in the two communities. The study also provides important perspectives on differentials in environmental conditions in low-income communities in urban Ghana.

1. Ansong, R. A. (2015): Factors Contributing to the 2014 High Cases of Cholera in the La Dade-Kotopon Municipality, Accra (Doctoral dissertation, University of Ghana), http://197.255.68.203/handle/123456789/8409.

2. Antwi-Agyei, P., Dwumfour-Asare, B., Adjei, K. A., Kweyu, R., Simiyu, S. (2020): Understanding the barriers and opportunities for effective management of shared sanitation in low-income settlements - the case of Kumasi, Ghana. International Journal of Environmental Research and Public Health 17(12), 4528. CrossRef

3. Appiah-Effah, E., Duku, G. A., Azangbego, N. Y., Aggrey, R. K. A., Gyapong-Korsah, B., Nyarko, K. B. (2019): Ghana's post-MDGs sanitation situation: an overview. Journal of Water, Sanitation and Hygiene for Development 9(3), 397-415. CrossRef

4. Arku, G., Marais, L. (2021): Global South Urbanisms and Urban Sustainability-Challenges and the Way Forward. Frontiers in Sustainable Cities 55. CrossRef

5. Awumbila, M., Owusu, G., Teye, J. K. (2014): Can rural-urban migration into slums reduce poverty? Evidence from Ghana. Migrating Out of Poverty Research Consortium Working Paper 13, University of Sussex, School of Global Studies. Retrieved from: https://opendocs.ids.ac.uk/opendocs/bitstream/handle/20.500.12413/14825/wp-13---awumbila-owusu-teye-2014-can-rural-urban-migration-into-slums-reduce-poverty-final.pdf?sequence=1.

6. Babayemi, J. O., Ogundiran, M. B., Osibanjo, O. (2016): Overview of environmental hazards and health effects of pollution in developing countries: a case study of Nigeria. Environmental Quality Management 26(1), 51-71. CrossRef

7. Bertossa, R. C. (2011): Morphology and behaviour: functional links in development and evolution. Philosophical Transactions of the Royal Society of London. Series B, Biological Sciences 366(1574), 2056-2068. CrossRef

8. Boadi, K. O., Kuitunen, M. (2002): Urban waste pollution in the Korle lagoon, Accra, Ghana. Environmentalist 22(4), 301-309. CrossRef

9. Cissé, G. (2019): Food-borne and water-borne diseases under climate change in low-and middle-income countries: Further efforts needed for reducing environmental health exposure risks. Acta Tropica 194, 181-188. CrossRef

10. Cobbinah, P. B., Poku-Boansi, M., Peprah, C. (2017): Urban environmental problems in Ghana. Environmental Development 23, 33-46. CrossRef

11. Cobbinah, P. B., Korah, P. I. (2015): Religion gnaws urban planning: the geography of places of worship in Kumasi, Ghana. International Journal of Urban Sustainable Development 8(3), 93-109. CrossRef

12. Corvalan, C., Kjellstrom, T. (1996): Health and Environment Analysis for Decision Making. In: Briggs, D., Corvalan, C., Nurminen, M. (eds.). Linkage Methods for Environment and Health Analysis: General Guidelines (WHO/ENG/95.26, Geneva).

13. Darko-Gyeke, M., Kofie, H. M. (2015): Factors influencing prevention and control of malaria among pregnant women resident in urban slums, Southern Ghana. African Journal of Reproductive Health 19(1), 44-53, https://www.ajol.info/index.php/ajrh/article/view/115804.

14. de Sherbinin, A., Carr, D., Cassels, S., Jiang, L. (2007): Population and Environment. Annual Review of Environment and Resources 32, 345-373. CrossRef

15. Dietz, T., Rosa, E. A., York, R. (2007): Driving the human ecological footprint. Frontiers in Ecology and the Environment 5(1), 13-18. CrossRef

16. Dodman, D., McGranahan, G., Dalal-Clayton, B. (2013): Integrating the environment in urban planning and management: Key principles and approaches for cities in the 21st century. UNEP, http://hdl.handle.net/20.500.11822/8540.

17. Dudley L., Poston, (2015): Human Ecology. In: Wright, J. D. (ed.). International Encyclopedia of the Social and Behavioral Sciences. 2nd ed. Elsevier, 283-288. CrossRef

18. Eckelman, M. J., Huang, K., Lagasse, R., Senay, E., Dubrow, R., Sherman, J. D. (2020): Health Care Pollution and Public Health Damage in the United States: An Update: Study examines healthcare pollution and public health damage in the United States. Health Affairs 39(12), 2071-2079. CrossRef

19. European Environment Agency. (2022). Environmental and Health. Retrieved from: https://www.eea.europa.eu/themes/human/intro.

20. Flies, E. J., Mavoa, S., Zosky, G. R., Mantzioris, E., Williams, C., Eri, R., Brook, B. W., Jessie C., Buettel, B. (2019): Urban-associated diseases: Candidate diseases, environmental risk factors, and a path forward. Environment International 13. CrossRef

21. Ghana Statistical Service (GSS). (2014a): 2010 Population and Housing Census Summary Report of Final Results. Ghana Statistical Service. Accra: Sakoa Press Limited.

22. Ghana Statistical Service (GSS). (2014b): 2010 Population and Housing Census District Analytical Report, Accra Metropolis. Retrieved from: https://www2.statsghana.gov.gh/docfiles/2010_District_Report/Greater%20Accra/AMA.pdf.

23. Ghana Statistical Service (GSS). (2014c): 2010 Population and Housing Census District Analytical Report, La Dade-Kotopon Municipality. Retrieved from: https://www2.statsghana.gov.gh/docfiles/2010_District_Report/Greater%20Accra/LA%20DADEkotopon.pdf.

24. Ghana Statistical Service (GSS). (2018): Snapshots on key Findings, Ghana Multiple Indicator Cluster Survey (MICS 2017/18), Survey Findings Report. Accra, Ghana.

25. Gyimah, R. R. (2017): The State of Disaster Preparedness and Response to Cholera Epidemics in the Greater Accra Metropolitan Area (GAMA): The Case of the Indigenous Communities of La and Chorkor (Masters Dissertation, University of Ghana).

26. Hawley, A. H. (1944): Ecology and human ecology. Social Forces 22(4), 398-405. CrossRef

27. Heymann, D. L., Rodier, G. R. (2001): Hot spots in a wired world: WHO surveillance of emerging and re-emerging infectious diseases. The Lancet Infectious Diseases 1(5), 345-353. CrossRef

28. Kassam, K. S., Baumflek, M., Ruelle, M., Wilson, N. (2011): Human Ecology of Vulnerability, Resilience and Adaptation: Case Studies of Climate Change from High Latitudes and Altitudes. Retrieved from: https://www.intechopen.com/chapters/19638.

29. Ketadzo, J. A. (2019): Effects of Urbanization on Groundwater Quality in African Cities: A Case Study of Accra, Ghana (Master's thesis, PAUWES), http://repository.pauwes-cop.net/handle/1/334.

30. Lawrence, R. J. (2018): Human Ecology in the Context of Urbanization. In: Nieuwenhuijsen, M., Bastiaanssen, J., Sersli, S., Waygood, E. O. D., Khreis, H. (eds.). Implementing car-free cities: Rationale, requirements, barriers and facilitators. Integrating Human Health into Urban and Transport Planning: A Framework. CrossRef

31. Li, A. M. L. (2017): Ecological determinants of health: food and environment on human health. Environmental Science and Pollution Research 24(10), 9002-9015. CrossRef

32. Mariwah, S., Hampshire, K., Owusu-Antwi, C. (2017): Getting a foot on the sanitation ladder: user satisfaction and willingness to pay for improved public toilets in Accra, Ghana. Journal of Water, Sanitation and Hygiene for Development 7(3), 528-534. CrossRef

33. Marten, G. G. (2010): Human ecology: Basic concepts for sustainable development. Routledge. CrossRef

34. McGranahan, G., Jacobi, P., Songsore, J., Surjadi, C., Kjellen, M. (2001): The citizens at risk: from urban sanitation to sustainable cities. Earthscan. Stockholm Environmental Institute.

35. McManus, P. (2009). Ecology. In: International Encyclopedia for Human Geography, 294-303. CrossRef

36. Mensah, C. A. (2014): Urban green spaces in Africa: nature and challenges. International Journal of Ecosystem 4(1), 1-11. CrossRef

37. Miezah, K., Obiri-Danso, K., Kádár, Z., Fei-Baffoe, B., Mensah, M. Y. (2015): Municipal solid waste characterization and quantification as a measure towards effective waste management in Ghana. Waste Management 46, 15-27. CrossRef

38. Milner-Gulland, E. J. (2012): Interactions between human behaviour and ecological systems. Philosophical Transactions of the Royal Society of London. Series B, Biological Sciences 367(1586), 270-278. CrossRef

39. Ministry of Health (2005): Management of environmental health in decentralised government. Retrieved from: https://www.moh.gov.gh/wp-content/uploads/2016/02/Management-of-Envrnmntl-Hlth-in-DecentrGov-Vol-I-Guide.pdf.

40. Monney, I., Antwi-Agyei, P. (2018): Beyond the MDG water target to universal water coverage in Ghana: the key transformative shifts required. Journal of Water, Sanitation and Hygiene for Development 8(2), 127-141. CrossRef

41. Monney, I., Ocloo, K. (2017): Towards sustainable utilisation of water resources: a comprehensive analysis of Ghana's National Water Policy. Water Policy 19(3), 377-389. CrossRef

42. Nelson, G. C., Janetos, A., Bennet, E. (2005): Drivers of change in ecosystem condition and services. In: Carpenter, S. R., Pingali, L. P., Bennett, M. E., Zurek, M. B. (eds.). Scenarios Assessment of the Millennium Ecosystem Assessment. Island Press, London, 175-192.

43. Netherlands Development Organisation (SNV). (2018): Analysis of the implementation of the WASH Pro-Poor Guideline and the Environmental Sanitation Policy on Inclusion in Ghana. SNV. Retrieved from: https://snv.org/assets/explore/download/analysis_of_the_pro-poor_guideline_and_esp_inclusion_in_ghana-_0.pdf.

44. Ogato, G. S. (2013): The human ecology of wetlands in Least Developed Countries in time of climate change: policy and strategy implications for wise use and conservation of wetlands. American Journal of Human Ecology 2(4), 127-138. CrossRef

45. Okyere, S. A, Frimpong, L. K., Diko, S. K, Abunyewah, M., Kita, M. (2021): Situating everyday urban struggles within the context of the SDGs in an informal settlement in Accra, Ghana. In: Cobbinah, P. B., Adanney, M. (eds.). Sustainable Urban Futures in Africa. Routledge, 261-283, 605 Third Avenue, New York, NY. CrossRef

46. Oteng-Ababio, M. (2013): Unscripted (In) Justice: Exposure to Ecological Hazards in Metropolitan Accra. Environment and Planning A 45(5), 1199-1218. CrossRef

47. Oteng-Ababio, M., Arguello, J. E. M. (2014): Paradigm of mediocrity: poverty and risk accumulation in urban Africa - the case of Korle Gonno, Accra. Journal of Urbanism: International Research on Placemaking and Urban Sustainability 7(1), 45-61. CrossRef

48. Oteng-Ababio, M., Smout, I. Esson, J., Amankwaah, F. E. (2017): The divergence between acceptability of municipal services and urbanization in developing countries: insights from Accra and Sekondi-Takoradi, Ghana. Geografisk Tidsskrift-Danish Journal of Geography 117(2), 142-154. CrossRef

49. Owusu, G. (2010): Social effects of poor sanitation and waste management on poor urban communities: A neighbourhood-specific study of Sabon Zongo, Accra. Journal of Urbanism: International Research on Placemaking and Urban Sustainability 3(2), 145-160. CrossRef

50. Owusu, G., Afutu-Kotey, R. L. (2010): Poor urban communities and municipal interface in Ghana: Case study of Accra and Sekondi-Takoradi Metropolis. African Studies Quarterly 12(1), 1-16.

51. Owusu-Sekyere, E., Attakora-Amaniampong, E., Aboagye, D. (2016): Wealth, Health, and Inequality: Households Exposure to Environmental Hazards. Geography Journal. CrossRef

52. Peprah, D., Baker, K. K., Moe, C., Robb, K., Wellington, N. I. I., Yakubu, H., Null, C. (2015): Public toilets and their customers in low-income Accra, Ghana. Environment and Urbanization 27(2), 589-604. CrossRef

53. Quaye, D. N. D. (2018): A Comparative Study of Urban Poverty among Migrants and Indigenes in the Communities of Chorkor and Old Fadama, Accra. MPhil dissertation, University of Ghana.

54. Ray, D. J., Jacob, J. (2015): Critical analysis of ecological theory for the emergence of right human environmental perspectives. Lissah Journal 1(1), 37-62.

55. Ritchie, H., Roser, M. (2018): Urbanization. Retrieved from: https://ourworldindata.org/urbanization.

56. Rohde, K. (2013): Parasitism. In: Levin, S. A (ed.). Encyclopedia of Biodiversity. 2nd ed., Academic Press. CrossRef

57. Songsore, J. (2017): The complex interplay between everyday risks and disaster risks: the case of the 2014 cholera pandemic and 2015 flood disaster in Accra, Ghana. International Journal of Disaster Risk Reduction 26, 43-50. CrossRef

58. Songsore, J., McGranahan, G. (2007): Poverty and the Environmental Health Agenda in a Low-income City: The Case of the Greater Accra Metropolitan Area (GAMA). In: Marcotullio, P. J., McGranahan, G. Scaling Urban Environmental Challenges: From Local to Global and Back. Earthscan, London.

59. Songsore, J. Nabila, J. S., Yangyuoru, Y., Avle, S., Bosque-Hamilton, E. K., Amponsah, P.E., Alhassan, O. (2009): Integrated Disaster Risk and Environmental Health Monitoring: Greater Accra Metropolitan Area, Ghana. In: Pelling, M., Wisner, B. Disaster Risk Reduction: Cases from Urban Africa Publisher: Earthscan, London.

60. Songsore, J., Nabila, J. S., Amuzu, A. T., Tutu, K. A., Yangyuoru, Y., McGranahan, G., Kjellén, M. (1998). Proxy Indicators for Rapid Assessment of Environmental Health Status of Residential Areas: The Case of the Greater Accra Metropolitan Area (GAMA), Ghana. Stockholm: Stockholm Environment Institute.

61. Songsore, J., Nabila, J.S., Yangyuoru, Y., Avle, S., Bosque-Hamilton, E. K., Amponsah, P.E., Alhassan, O. (2005). Environmental Health Watch and Disaster Monitoring in the Greater Accra Metropolitan Area (GAMA). Ghana Universities Press.

62. Sotiangco, I., Piamonte, S. B., Castillo-Israell, K. A. (2016). Food Safety and Marketability Assessment of Fresh-Cut Vegetable Mixes Sold in Los Banos, Laguna Markets. Journal of Human Ecology 5(1), https://ovcre.uplb.edu.ph/journals-uplb/index.php/JHE/article/view/402/374.

63. Tanle, A., Kendie, S. B. (2013): Sanitation: A drawback to achieving the Millennium Development Goals? The situation in Ghana. Journal of Arts and Social Sciences 1(2), 125-147, http://hdl.handle.net/123456789/2580.

64. The World Bank (2015): Rising through Cities in Ghana Urbanization Review. Overview Report World Bank, Washington DC.

65. UN-DESA. (United Nations Department of Economic and Social Affairs) (2010): World Urbanization Prospects - The 2009 Revision. New York: United Nations, Department of Economic and Social Affairs.

66. Wainger, L., Mazzotta, M. (2011): Realizing the potential of ecosystem services: a framework for relating ecological changes to economic benefits. Environmental Management 48(4), 710-733. CrossRef

67. WHO (World Health Organization). (2010): Urbanization and Health: Cities, Better Life and Equity Assessment. Retrieved from: https://www.who.int/social_determinants/resources/knus_final_report_052008.pdf.

68. WHO (World Health Organization). (2016): Global report on urban health: equitable healthier cities for sustainable development. Retrieved from: http://www.who.int.

69. WHO (World Health Organization). (2018): Foodborne Diseases in WHO African Region - Fact Sheet. Retrieved from: http://www.who.int/foodsafety/areas_work/foodborne-diseases/infographics_afro_en.pdf.