Socioeconomic determinants of birth registration in Ghana

Socioeconomic determinants of birth registration in Ghana
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DOI:
10.1186/s12914-015-0053-z
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发表时间:
2015-06-15
影响因子:
3
通讯作者:
Annim, Samuel Kobina
Annim, Samuel Kobina
中科院分区:
医学3区
文献类型:
--
作者:
Amo-Adjei, Joshua;Annim, Samuel Kobina

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背景:身份登记不仅是人权问题,而且也是规划卫生、教育和全面发展的重要工具。本文考察了2001至2006年间在加纳出生的儿童获得合法身份的机会。方法:本文的数据摘自2006年加纳多指标集群调查(MICS)。我们使用离散选择模型来估计加纳儿童登记的可能性。结果:母亲的教育程度和家庭财富与儿童登记的可能性呈正相关。在结构性因素方面,加纳东部地区和农村地区的居民被发现是未登记儿童的风险因素。此外,居住在户主属于传统宗教的家庭的儿童被发现有很大的未登记风险。结论:总体来说,我们的发现给人一种印象,出生登记是父母受过教育、富裕和居住在城市社区的儿童的特权。旨在增加吸纳量的政策必须具有广泛的基础,特别是通过实际干预措施,如向登记中心提供交通券,针对较弱势群体。这可能有助于将出生登记作为加纳所肯定的人权问题的国际议定书的适当含义。
Background: Identity registration is not only a matter of human rights but it also serves as an important instrument for planning about health, education and overall development. This paper examines the chances of a child born in Ghana between 2001 and 2006 obtaining legal status of identity.Methods: Data for this paper were extracted from the 2006 Ghana Multiple Indicator Cluster Survey (MICS). We used discrete choice modelling in estimating the likelihood of child registration in Ghana.Results: Mother's education and household wealth are identified to be positively associated with the likelihood of a child being registered. In the context of structural factors, being a resident in the Eastern region of Ghana and rural areas were found to be risk factors for children not being registered. Besides, children who were resident in households where the head is affiliated to Traditional Religion were found to be at significant risk of being unregistered.Conclusion: Overall, our findings give an impression of birth registration being a privilege for children whose parents are educated, wealthy and resident in urban communities. Policies meant to increase uptake have to be broad-based, targeting the less privileged particularly with practical interventions such as transport vouchers to registration centres. This may help appropriate meaning to international protocols on birth registration as a human right issue to which Ghana affirms.