Ethiopia is still predominantly a rural country, with only 20% of its population living in urban areas. But this is set to change dramatically.
Figures from the Ethiopian Central Statistics Agency, project the urban population is will triple to 42.3 million by 2037, growing at 3.8% a year. According to the 2015 Ethiopia Urbanization Review, the rate of urbanization will be even faster, at about 5.4% a year. That would mean a tripling of the urban population even earlier—by 2034, with 30% of the country’s people in urban areas by 2028.
Ghana has suffered from large fiscal volatility around election cycles for the past two decades. This volatility has been identified as one of the key challenges for Ghana’s future development path in the 2018 World Bank Systematic Country Diagnostic. Fiscal deficits increased sharply and above 5% of gross domestic production (GDP) in all but the 2004 election year since 2000. At 11.5% of GDP, 2012 had the largest ever recorded fiscal deficit in Ghana. And the level of overshooting in fiscal election cycles has increased over the past decade with the discovery of offshore oil fields in 2017. Between 2005 and 2012, public expenditure rose rapidly – related to increased spending on wages due to the introduction of the single spine salary structure, which standardized the public sector pay scale across Government entities and grade levels – from 20 to 30% of GDP.
Ghana recently held a Family Planning (FP) 2020 stock-taking event as a countdown to the country’s FP 2020 goals and commitment made during the 2012 London summit. The conference, which brought together multi-sector stakeholders, reviewed Ghana’s progress, challenges and options to accelerate achievement of the country’s FP 2020 targets and commitment.
With a high unmet need for family planning compared to many other early demographic dividend countries across lower-middle income countries, three in 10 Ghanaian women who want contraception to space or limit births currently lack access. Access to contraception is a key strategic lever for development – to empower women, improve investments in children, and ultimately contribute to poverty reduction. Unplanned pregnancies, including teenage pregnancy, perpetuated by lack of access to family planning are linked with higher risks of birth complications such as maternal deaths and early child deaths, and malnutrition in children under-five, particularly in the critical window of child development - the first 1000 days. Securing access to family planning services therefore remains a critical component of building human capital in Ghana.