Access to Healthcare and Health Seeking Behaviour among Female Head Porters in Kumasi, Ghana: The Impact on Public Health
Abstract:
Given the nodality of
Kumasi, the city attracts migrants from all parts of Ghana into its market space.
Notable among such migrants are the female head porters popularly called “Kayayie”.
As a result of the expensive rents in urban space, female head porters live in kiosks,
verandas, and squatters in any available space. This exposes the porters to a myriad
of environmental and health risks amidst poor health-seeking behaviour. This study
sought to examine access to health and health-seeking behaviour of female head porters
in Kumasi. The
study adopted quantitative methods in collecting and analyzing data. The primary units of the investigation
were female head porters. The study used a sample size of 250 respondents who were
interviewed through self-administered questionnaires.
Findings show that only
25.2% of the respondents had access to healthcare, as about 74.8% lacked access
to basic healthcare. The majority of those who had access to healthcare (54%) go
to the health facility by foot, while about 42.9% access the facility by car. Though
71.4% of the head porters were subscribers of NHIS, only 25.2% resort to professional
healthcare givers when they are sick. Generally, access to health and health-seeking
was poor among the female head porters. The study recommended the expansion of health
facilities, especially in poor urban communities, and education on health-seeking
among head porters.
Keywords: Female head porters, Health seeking behaviour, Health conditions, Migration; Urban poor.
References:
[1] Awumbila, M., Kofi Tehe, J., Litchfield, J., Boakye-Yiadom, L.,
Deshingkar, P. & Quartey, P. (2015). Are migrant households better off than
non-migrant households? Evidence from Ghana. Migration Out of Poverty Working Paper
No. 28.
[2] UNICEF (2007). The impact of international migration: children
left behind in selected countries of Latin America and the Carribean, Division of
policy and planning, working paper. University of Ghana http://ugspace.ug.edu.gh.
[3] Deshingkar, P. & Grimm, S. (2005) Voluntary internal migration:
An update. Overseas Development Institute.
[4] Owusu,
L., & Yeboah, T. (2018). Living conditions and social determinants of healthcare
inequities affecting female migrants in Ghana. GeoJournal, 83(5),
1005-1017.
[5] Tufeiru, A. (2014). The Nexus of Female Capital and North–South
Labor Migration in Ghana: A Potential Remedy from Microfinance. Journal of Developing
Societies (Sage Publications Inc.), 30(1), 91–114. https://doi.org/10.1177/0169796X13504680.
[6] Awumbila, M., Manuh,T. Quartey, P., Bosiakoh, T.A and Tagoe,
C.A. (2011a) Migration and Mobility in Ghana: Trends, Issues and Emerging Research
Gaps. Woeli Publishing: Accra.
[7] Creswell, J.W. (2009). Research Design: A Qualitative, Quantitative,
and Mixed Method Approaches. Los Angeles: SAGE Publication.
[8] Owusu, A. (2012). The Living Conditions of Female Head Porters
in the Kumasi Metropolis, Ghana. https://www.researchgate.net/publication/256932927.
[9] Otieku, E., Ackah, C. G., & Forkuor, D. (2017). Motivations,
income determinants and livelihood vulnerability of female teenage head porters
in Kasoa, Ghana. International Journal of Social Economics, 44(12), 2396–2408.
https://doi.org/10.1108/IJSE-10-2016-0286.
[10] Azumah, F. D. & Onzaberrugu J. N. (2018). The Lifestle of
female head porters: the single mother and her coping strategies at Aboabo, Kumasi.
International Journal of Innovation Education and Research 6(2).
[11] ILO (2014). World of work report: Developing with jobs.
[12] Kwankye, S.O., Anarfi, J. K., Tagoe, (2011) Migration Impacts
within the West African Sub-Region. Unpublished paper prepared for the Research
Programme Consortium (RPC) on Migrating out of poverty. Brighton: University of
Sussex.
[13] Wilson, A. (2012). Resources for Thriving among Female porters
in Accra. A Qualitative study of Migrants from Northern Ghana to Greater Accra Region.
A Salutogenic Approach. Retrieved from https://bora.uib.no/handle/1956/5879.
[14] Shamsu–Deen, Z. (2013). Migration and Health Nexus: A Case of
Female Porters (Kayayei) in Accra, Ghana. Research on Humanities and Social Sciences,
3(3), 103–109.
[15] Nyarko, S. H., & Tahiru, A. M. (2018). Harsh Working Conditions
and Poor Eating Habits: Health-Related Concerns of Female Head Porters (Kayayei)
in the Mallam Atta Market, Accra, Ghana. BioMed Research International, 2018,
1–7. https://doi.org/10.1155/2018/6201837.
[16] Shamsu-Deen, Z., & Adadow, Y. (2019). Health-seeking behaviour
among migrant female head porters in the City of Accra, Ghana. Ghana Journal
of Development Studies, 16(2), 138-156–156. https://doi.org/10.4314/gjds.v16i2.7.
[17] Opare, J. A. (2003). Kayayei: The women head porters of southern
Ghana. Journal of Social Development in Africa, 18(2). https://doi.org/10.4314/jsda.v18i2.23825.
[18] Awumbila, M. and Ardayfio-Schandorf, E (2008). Gendered poverty,
migration and livelihood strategies of female porters in Accra, Ghana, Norwegian
journal of Geography, 62(3):171-179.
[19] Montgomery, M., R. (2009). Urban poverty and health in developing
Countries. Population Bulletins Vol. 64, No.2. Stony Brook University.
[20] Owusu, G., Agyei-Mensah, S. and Lund, R. (2008). Slums of hope
and slums of despair: Mobility and livelihoods in Nima, Accra, Norsk Geografisk
Tidsskrift, 62:180-190.
[21] Owusu-Ansah, J. K., & Addai, M. (2016). Coping with life
in a squatter settlement: The case of migrant women in Kumasi, Ghana. Journal
of Science and Technology, 33(3).
[22] Awumbila, M., & Ardayfio-Schandorf, E. (2008). Gendered poverty,
migration and livelihood
strategies of female porters in Accra, Ghana. Norwegian Journal of Geography,
62(3), 171–179. https://doi.org/10.1080/00291950802335772.
[23] Potts, D. (2008). Recent trends in rural-urban and urban-rural
migration in sub-Saharan Africa: The empirical evidence and implications for understanding
urban livelihood insecurity. Paper No. 6, Department of Geography, King’s College
London.
[24] Kwankye, S.O., Anarfi, J. K., Tagoe, C. A., and Castaldo, A.
(2009) Independent North-South Child Migration in Ghana: The Decision-making Process.
Migration DRC Working Paper T29.
[25] Assesfa A., Nash, J., Tefera Tamiru, & Byass, P. (2000).
Patterns of health seeking behavior amongst leprosy patients in the former Shao
province. Ethiop. J. Health Dev.14(1):43- 47.
[26] Owusu, L. & Yeboah, T. (2017). Living conditions and social
determinants of healthcare inequalities affecting female migrants in Ghana. Geo
Journal.
[27] Agarwal, S., Attah, M., Apt, N., Grieco, M., Kwakye, E. A., &
Turner, J. (1997). Bearing the weight: The kayayoo, Ghana’s working girl child.
International Social Work, 40(3), 245–263. https://doi.org/10.1177/002087289704000302.