Socioeconomic determinants of birth registration in Ghana

BMC Int Health Hum Rights. 2015 Jun 15:15:14. doi: 10.1186/s12914-015-0053-z.

Abstract

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.

MeSH terms

  • Adult
  • Birth Certificates*
  • Child
  • Child, Preschool
  • Female
  • Ghana
  • Humans
  • Infant
  • Logistic Models
  • Male
  • Middle Aged
  • Parturition*
  • Registries* / statistics & numerical data
  • Social Class
  • Socioeconomic Factors*
  • Surveys and Questionnaires
  • Young Adult