Brokering Development: Enabling Factors for Public-Private-Producer Partnerships in Agricultural Value Chains. Summary of Ghana case study

This is a summary of the Ghana Country Report, which was written by Daniel Bruce Sarpong and Henry Anim-Somuah, based on research carried out in 2014 in association with the Institute of Development Studies (IDS) as part of an IFAD-funded programme on the role of PPPs in agriculture. It is one of the four IFAD project-supported Public-Private-Producer Partnerships analysed for the research report ‘Brokering Development: Enabling Factors for Public-Private-Producer Partnerships in Agricultural Value Chains’. The report syntheses the four case studies and discuss the findings on how PPPPs in agricultural value chains can be designed and implemented to achieve more sustained increases in income for smallholder farmers and broader rural development

Household Health and Cocoa Production: A Baseline Survey of Smallholder Farming Households in Western Region, Ghana

Background Chronic illness and premature mortality from malaria, water-borne diseases, and respiratory illnesses have long been known to diminish the welfare of individuals and households in developing countries. Previous research has also shown that chronic diseases among farming populations suppress labor productivity and agricultural output. As the illness and death toll from HIV/AIDS continues to climb in most of sub-Saharan Africa, concern has arisen that the loss of household labor it causes will reduce crop yields, impoverish farming households, intensify malnutrition, and suppress growth in the agricultural sector. If chronic morbidity and premature mortality among individuals in farming households have substantial impacts on household production, and if a large number of households are affected, it is possible that an increase in morbidity and mortality from HIV/AIDS or other diseases could affect national aggregate output and exports. If, on the other hand, the impact at the household farm level is modest, or if relatively few households are affected, there is likely to be little effect on aggregate production across an entire country. Which of these outcomes is more likely in West Africa is unknown. Little rigorous, quantitative research has been published on the impacts of AIDS on smallholder farm production, particularly in West Africa. The handful of studies that have been conducted have looked mainly at small populations in areas of very high HIV prevalence in southern and eastern Africa. Conclusions about how HIV/AIDS, and other causes of chronic morbidity and mortality, are affecting agriculture across the continent cannot be drawn from these studies. In view of the importance of agriculture, and particularly smallholder agriculture, in the economies of most African countries and the scarcity of resources for health interventions, it is valuable to identify, describe, and quantify the impact of chronic morbidity and mortality on smallholder production of important crops in West Africa. One such crop is cocoa. In Ghana, cocoa is a crop of national importance that is produced almost exclusively by smallholder households. In 2003, Ghana was the world’s second-largest producer of cocoa. Cocoa accounted for a quarter of Ghana’s export revenues that year and generated 15 percent of employment. The success and growth of the cocoa industry is thus vital to the country’s overall social and economic development. Study Objectives and Methods In February and March 2005, the Center for International Health and Development of Boston University (CIHD) and the Department of Agricultural Economics and Agribusiness (DAEA) of the University of Ghana, with financial support from the Africa Bureau of the U.S. Agency for International Development and from Mars, Inc., which is a major purchaser of West African cocoa, conducted a survey of a random sample of cocoa farming households in the Western Region of Ghana. The survey documented the extent of chronic morbidity and mortality in cocoa growing households in the Western Region of Ghana, the country’s largest cocoa growing region, and analyzed the impact of morbidity and mortality on cocoa production. It aimed to answer three specific research questions. (1) What is the baseline status of the study population in terms of household size and composition, acute and chronic morbidity, recent mortality, and cocoa production? (2) What is the relationship between household size and cocoa production, and how can this relationship be used to understand the impact of adult mortality and chronic morbidity on the production of cocoa at the household level? The study population was the approximately 42,000 cocoa farming households in the southern part of Ghana’s Western Region. A random sample of households was selected from a roster of eligible households developed from existing administrative information. Under the supervision of the University of Ghana field team, enumerators were graduate students of the Department of Agricultural Economics and Agribusiness or employees of the Cocoa Services Division. A total of 632 eligible farmers participated in the survey. Of these, 610 provided complete responses to all questions needed to complete the multivariate statistical analysis reported here

Household health and cocoa production: a baseline survey of smallholder farming households in Western Region, Ghana

This repository item contains a single issue of the Health and Development Discussion Papers, an informal working paper series that began publishing in 2002 by the Boston University Center for Global Health and Development. It is intended to help the Center and individual authors to disseminate work that is being prepared for journal publication or that is not appropriate for journal publication but might still have value to readers

Policy Guidelines: Enhancing Markets for Nutrient-Dense Foods in Ghana

This report analyses policy options for promoting nutrient-dense foods to reduce undernutrition in Ghana. Markets have great potential for providing nutrient-dense foods, but they are commonly inhibited by a number of market failures. Imperfect information, bounded rationality, uncertainty and opportunistic behaviour lead businesses to underinvest in nutritious foods. Policy interventions can help overcome these problems. To develop solutions, it is important to identify four conditions under which agri-food value chains successfully contribute to better nutrition: value chains must make food that is adequately nutritious, available to those that need it, affordable to the poor and acceptable to consumer tastes. There are a number of nutrient-dense products on the market in Ghana, but they are generally not accessible to the poor. To overcome the problem, four challenges must be met: (1) improve food safety by securing supplies that are free of aflatoxin contamination; (2) raise consumer awareness about nutrition and food safety; (3) create mechanisms to verify the nutritional quality of products and signal this quality to consumers and (4) reduce costs so that nutrient-dense foods are available and affordable to the populations that need them.DFI

Strengthening Agri-Food Value Chains for Nutrition: Mapping Value Chains for Nutrient-Dense Foods in Ghana

This report details the findings of value chain mapping of nutrient-dense foods in Ghana. By providing evidence on value chains, the report assesses the potential of a number of products to contribute to reducing undernutrition in Ghana. It analyses the challenges that inhibit these products from having greater impact and identifies options for development agencies, public-private partnerships and others to help address these challenges. It focuses on the key actors and processes involved in producing, processing and delivering foods to consumers. This report supports an accompanying set of policy guidelines, which outline programmatic and policy approaches to promote the provision of nutrient-dense foods in Ghana. Both this mapping report and the accompanying policy guidelines are based on a value chain framework for assessing the impact of food-based and market-based approaches to address undernutrition.DFI

Application of livelihood vulnerability index in assessing smallholder maize farming households' vulnerability to climate change in Brong-Ahafo region of Ghana

Climate change is adversely affecting smallholder farming households in Africa and in particular in Ghana because their activity depends on climate-regulated water resources. This study examined the vulnerability of smallholder maize farming households to climate change in the Brong-Ahafo region of Ghana by employing the Livelihood Vulnerability Index with particular emphasis on access to and utilization of water resources. The primary data were based on 150 maize farming households, complemented by secondary data on rainfall and temperature over the period 1983–2013. To assess the climate change effects and related vulnerability, a comparative analysis was performed for the Wenchi and Techiman municipalities in the Brong-Ahafo region. The empirical results revealed that farming households in Wenchi municipality were more vulnerable to climate change and weather variability in terms of food, water, and health than those in Techiman municipality. Furthermore, farming households in Wenchi municipality were more vulnerable in terms of adaptive capacity, taking into account the socio-demographic aspects, social networks, and livelihoods of households in the municipality than those in Techiman municipality. These results have implications for the initiation and implementation of climate change adaptation and household resilience projects by the government, donor agencies, and other related organizations in the two municipalities in the region. Keywords: climate change, Ghana, households, livelihood vulnerability, water resource

Pregnancy and neonatal outcomes of COVID -19: coreporting of common outcomes from PAN-COVID and AAP-SONPM registries

Objective Few large cohort studies have reported data on maternal, fetal, perinatal and neonatal outcomes associated with severe acute respiratory syndrome coronavirus 2 (SARS‐CoV‐2) infection in pregnancy. We report the outcome of infected pregnancies from a collaboration formed early during the pandemic between the investigators of two registries, the UK and Global Pregnancy and Neonatal outcomes in COVID‐19 (PAN‐COVID) study and the American Academy of Pediatrics (AAP) Section on Neonatal–Perinatal Medicine (SONPM) National Perinatal COVID‐19 Registry. Methods This was an analysis of data from the PAN‐COVID registry (1 January to 25 July 2020), which includes pregnancies with suspected or confirmed maternal SARS‐CoV‐2 infection at any stage in pregnancy, and the AAP‐SONPM National Perinatal COVID‐19 registry (4 April to 8 August 2020), which includes pregnancies with positive maternal testing for SARS‐CoV‐2 from 14 days before delivery to 3 days after delivery. The registries collected data on maternal, fetal, perinatal and neonatal outcomes. The PAN‐COVID results are presented overall for pregnancies with suspected or confirmed SARS‐CoV‐2 infection and separately in those with confirmed infection. Results We report on 4005 pregnant women with suspected or confirmed SARS‐CoV‐2 infection (1606 from PAN‐COVID and 2399 from AAP‐SONPM). For obstetric outcomes, in PAN‐COVID overall and in those with confirmed infection in PAN‐COVID and AAP‐SONPM, respectively, maternal death occurred in 0.5%, 0.5% and 0.2% of cases, early neonatal death in 0.2%, 0.3% and 0.3% of cases and stillbirth in 0.5%, 0.6% and 0.4% of cases. Delivery was preterm (< 37 weeks' gestation) in 12.0% of all women in PAN‐COVID, in 16.1% of those women with confirmed infection in PAN‐COVID and in 15.7% of women in AAP‐SONPM. Extreme preterm delivery (< 27 weeks' gestation) occurred in 0.5% of cases in PAN‐COVID and 0.3% in AAP‐SONPM. Neonatal SARS‐CoV‐2 infection was reported in 0.9% of all deliveries in PAN‐COVID overall, in 2.0% in those with confirmed infection in PAN‐COVID and in 1.8% in AAP‐SONPM; the proportions of neonates tested were 9.5%, 20.7% and 87.2%, respectively. The rates of a small‐for‐gestational‐age (SGA) neonate were 8.2% in PAN‐COVID overall, 9.7% in those with confirmed infection and 9.6% in AAP‐SONPM. Mean gestational‐age‐adjusted birth‐weight Z‐scores were −0.03 in PAN‐COVID and −0.18 in AAP‐SONPM. Conclusions The findings from the UK and USA registries of pregnancies with SARS‐CoV‐2 infection were remarkably concordant. Preterm delivery affected a higher proportion of women than expected based on historical and contemporaneous national data. The proportions of pregnancies affected by stillbirth, a SGA infant or early neonatal death were comparable to those in historical and contemporaneous UK and USA data. Although maternal death was uncommon, the rate was higher than expected based on UK and USA population data, which is likely explained by underascertainment of women affected by milder or asymptomatic infection in pregnancy in the PAN‐COVID study, although not in the AAP‐SONPM study. The data presented support strong guidance for enhanced precautions to prevent SARS‐CoV‐2 infection in pregnancy, particularly in the context of increased risks of preterm delivery and maternal mortality, and for priority vaccination of pregnant women and women planning pregnancy. Copyright © 2021 ISUOG. Published by John Wiley & Sons Ltd