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Health Care, Citizenship, and Policy Intervention in Ghana: An Agenda for Change

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dc.contributor.advisor Johnson, Candace
dc.contributor.author Agyei, Ebenezer Bossman
dc.date.accessioned 2019-01-22T15:10:28Z
dc.date.available 2019-01-22T15:10:28Z
dc.date.copyright 2019-01-15
dc.date.created 2019-01-15
dc.date.issued 2019-01-22
dc.identifier.uri http://hdl.handle.net/10214/14971
dc.description.abstract Recent research shows a growing interest in young people’s health. Yet there is relatively little empirical research on programs and health interventions for young people, particularly in developing countries. The present study contributes to filling this knowledge gap. Specifically, this dissertation comparatively examines Ghana’s prior Adolescent Health and Development Programme (ADHD), and a more recent health initiative – the Ghana Adolescent Reproductive Health Programme (GHARH). Situating the study within the broader context of new global paradigms – that is, the Sustainable Development Goals (SDGs), the Global Strategy, and the Global Accelerated Action for the Health of Adolescents (AA-HA!) – this research examines the impact of policy framing on citizenship and development outcomes for young people. In light of the research objectives, this dissertation contributes broadly to the literature on health, citizenship, youth studies, globalization, and development studies. The study employs a qualitative case study method, which involves extensive document analysis, elite interviews, and focus group discussions. The study involved sixty participants, and was conducted over a period of six months in Ghana in 2017. Overall, three key findings emerge from the study. First, policy frames might or might not hold any potential for inclusive citizenship and change in health outcomes; contextual and institutional factors must be taken into careful account. Importantly, the analysis highlights how initiatives for young people’s health are shaped by the complex and dynamic interaction of the micro and macro political environment. In line with this understanding, the study establishes five key factors that shape adolescent and youth health outcomes: policy frames, political structure, economic framework, cultural discourse, and policy framework. Second, adolescent health programming must be understood within the broader context of participatory governance. As the analysis suggests, engaging young people in program interventions could potentially foster better policy outcomes. Third, health, as a social right of citizenship, is not a policy domain of state monopoly. Through collective action strategies, young people can reconfigure state-society relationship in ways that position them to better make claims on the state regarding their citizenship entitlements. As such, the substance of citizenship will likely be a function of both contestation and state-activated access. en_US
dc.language.iso en en_US
dc.subject Global health en_US
dc.subject Adolescent health en_US
dc.subject Sustainable development goals en_US
dc.subject Reproductive rights en_US
dc.subject Issue framing en_US
dc.subject Policy implementation en_US
dc.subject Citizenship en_US
dc.subject Globalization en_US
dc.subject Ghana en_US
dc.subject Youth en_US
dc.title Health Care, Citizenship, and Policy Intervention in Ghana: An Agenda for Change en_US
dc.type Thesis en_US
dc.degree.programme Political Science en_US
dc.degree.name Doctor of Philosophy en_US
dc.degree.department Department of Political Science en_US
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