Jeff Grischow

This paper provides insights from experiences in data gathering and recruitment from two research projects on disability/mental health in Ghana. The focus of the study explores stigma amongst individuals diagnosed with mental illness and their caregivers. The study investigates the positioning of the researcher in a superior light by participants which often wrests power from those who should be considered the true experts of their own circumstances. Inequality in the interview process thus carried the risk of impacting the quality of the data, as some participants did not consider themselves as ‘experts’ of their condition. The paper explores strategies for addressing these challenges of hierarchy and inequality in the research process in the Global South. Based on the study, we report on our experiences as follows: (1) ensuring that participants are empowered to engage with researchers; and (2) training local researchers to engage in culturally sensitive research processes.

This article analyses the struggle for disability rights in Ghana by offering a window into the lived experience of physically disabled Ghanaians in the Akyem Abuakwa traditional area of Ghana’s Eastern Region. Utilizing grassroots narratives of sixteen participants, the article focuses on the themes of financial and social support to illuminate the challenges facing disabled individuals in a peri-urban area of Southern Ghana. The analysis engages with the concept of Ubuntu, which focuses a lens on traditional African community as a natural and inherently good vehicle for social inclusion. Using the idea of community as a frame of reference, we present a brief historical overview, followed by data from sixteen interviews to explore the connection between socio-economic change, community dynamics and disability rights. We conclude by arguing that the data raises questions about the revival of traditional communal bonds as a solution to social exclusion produced by disability.

This article investigates the socio-economic impact of mental illness on individuals and their caregivers in Ghana, whose plight is dire due to poverty, stigma and discrimination. Seeking to illuminate participants’ lived experiences, the study is based on grassroots, first-hand narratives from 12 individuals receiving psychiatric care and 7 of their caregivers. Including caregivers fills a major research gap because they have not been studied extensively in Ghana or Africa, despite facing similar challenges including financial burdens and stigma. We conclude with recommendations for improving government support and social work practice in the context of mental illness in Ghana.

This article uses a case study from Ghana to argue that rights-based legal instruments are important but insufficient steps towards securing disability rights in non-western societies. Despite Ghana’s implementation of a Disability Act and ratification of the United Nations Convention on the Rights of Persons with Disabilities, a grassroots perspective shows that legislation and the model of legal empowerment will not automatically produce equal access to human rights. The paper will present this argument through a case study of an individual who became disabled in 2008 and struggled for four years to secure his rights to healthcare and employment. I also argue that the case has a wider significance for disability rights in Ghana and beyond.

This article examines a rehabilitation program for disabled Ghanaians developed by Kwame Nkrumah's government between 1961 and 1966. Arising at a time when Nkrumah was moving away from welfarism in favor of a ‘big push’ for industrialization, rehabilitation sought to integrate disabled citizens into the national economy as productive workers. Nkrumah's program was preceded by a colonial rehabilitation project during the 1940s for disabled African soldiers. The colonial initiative drew heavily on the British model of social orthopaedics, which equated citizenship with work. This philosophy resonated with Nkrumah's vision of national development based on full employment. Although its economic focus had troubling implications for citizenship and welfare, Nkrumah's rehabilitation program was unique among newly independent African states, and it arguably produced a positive legacy.

This article critiques the recent turn towards social capital from the perspective of the history of colonial Uganda and the Gold Coast. Social capitalists emphasise the need for community solidarity and networks as an essential framework for development. This emphasis usually assigns a role to traditional institutions, which is interesting for historians of Africa because it calls up the ghost of the colonial doctrine of Indirect Rule. In fact, a very close parallel exists between Indirect Rule and social capital as tools of development. There is a crucial difference, however, between the two doctrines. While colonial officials used discourses about African community to shore up the power of the dominant elites, social capitalists tend to ignore the possibility that community-based policies might reproduce unequal power relations at the village level. For this reason, it is important to historicise social capital with reference to the colonial period.