Background: The world’s population is increasingly becoming urbanized. If the current urban growth rate is to continue, new and unprecedented challenges for food security will be inevitable. Dietary diversity has been used to ascertain food security status albeit at the multicountry and country levels. Thus, household-level studies in urban settings, particularly in sub-Sahara African, are few. Yet, it is imperative that assessments of food security are undertaken particularly in urban settings, due to the projected fast rate of urbanization and the challenges of attaining food security. Objective: To examine household characteristics and dietary diversity. Methods: The study uses data from 452 households from the second round of the Regional Institute for Population Studies (RIPS) EDULINK urban poverty and health study. Bivariate and multivariate analyses are undertaken. Results: Mean dietary diversity for all households is 6.8. Vegetables have the highest diversity, followed by cereal-based and grain products. Household characteristics that have statistically significant associations with dietary diversity include sex and level of education of household head, household wealth quintile, and source of food. Conclusions: There is high dietary diversity in the study communities of Accra but low consumption of foods rich in micronutrient, such as fruits and milk/dairy products. The study brings to fore issues related to resource-disadvantaged entities of the urban system, namely, females, poor households, and the non-educated who have food insecurity problems.

Appeaning Addo, K.; Nicholls, R.J.; Codjoe, S.N.A., and Abu, M., 2018. A biophysical and socioeconomic review of the Volta delta, Ghana.Delta regions are dynamic and rich environments with diverse economic activities and are often densely populated. Deltas are being shaped by multiple drivers, including changes in sediment delivery to the coastal zone due to catchment changes, especially construction of dams on major rivers, intensified agriculture and/or aquaculture, mining, urbanisation, human-induced subsidence, climate change, and sea-level rise. These environmental challenges have significant implications for the livelihoods of delta residents. Thus, the integrated assessment of deltas is now attracting the attention of the scientific research community to analyse and understand deltas as coupled biophysical and socioeconomic systems. Most attention has been focussed on the major deltas. This review focusses on the smaller but regionally significant Volta delta, Ghana. Previous scientific studies are limited, with more focus upstream on the Volta River basin. Many contemporary problems are recognised in the Volta delta, especially erosion and flooding of the open coast fringe, such as at the town of Keta. However, these problems are treated independently, which may hinder identifying the root causes and the most effective solutions. Equally, the emergence of new problems might be anticipated and hence better managed or even avoided. This paper reviews the present delta with emphasis on biophysical processes and socioeconomic characteristics and considers in particular the current drivers and challenges. With this information, a research agenda will be established for a more systemic approach to understanding the Volta delta, including its residents and development.

Diarrheal disease is a critical health condition in urban areas of developing countries due to increasing urbanization and its associated problems of sanitation and poor access to good drinking water. Increasing floods in cities have been linked to the risk of diarrheal disease. There are few studies that specifically link flooding with diarrhea diseases. This may be due to the fact that secondary data mainly hospital recorded cases, and not individual cases at the household level are used. Furthermore, of the few papers that consider the flood-diarrheal diseases nexus, none have considered risk perceptions in general, and more specifically, whether households that have experienced floods which resulted in a reported case of diarrhea, have higher perceived risks of future occurrences of the two phenomena compared to households that had different experiences. Yet, this is critical for the development of interventions that seek to increase protective behaviors and reduce the risk of contracting diarrhea. We surveyed 401 households in some selected urban poor communities in Accra, the capital of Ghana. Results show that households that experienced floods which resulted in a reported case of diarrhea, have higher perceived risk of future occurrence of the two phenomena compared to other households. We recommend public education that reduces the risk of exposure to flood and diarrhea through flood mitigation measures, including the construction of drains in communities and educating communities on good sanitation.