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Background While Rwanda's progress towards achieving the maternal health care targets of the Sustainable Development Goals is impressive, evidence of women’s limited utilization of antenatal care (ANC) services in the context of an improved health care system provides an opportunity for exploring other essential but less highlighted factors that may shape ANC service utilization. In this study, we examined the association between women’s knowledge of pregnancy complications and the utilization of maternal health services. Methods We employed logistic regression analysis using the 2015 Rwanda Demographic and Health Survey data. Our analytical sample consisted of women (n = 5883) in their reproductive ages (15–49 years). Three maternal health care indicators, namely, timing of first ANC visit, number of ANC visits, and place of delivery, were explored. We controlled for the effects of socioeconomic and demographic characteristics, including marital status, place of residence and age. Results The results show that women with no knowledge of pregnancy complications were less likely to utilize ANC services within the first trimester (odds ratio [OR] = 0.76, p < 0.01), achieve the WHO recommended minimum of eight visits (OR = 0.66, p < 0.01), and deliver at a health facility (OR = 0.77, p < 0.10). Conclusion Given these findings, we recommend restructuring existing maternal health care programs to include rigorous maternal health education.

There is increasing scholarly attention on the role of food insecurity on the health of older adults in sub-Saharan Africa, including Ghana. Yet, we know very little about the association between food insecurity and self-rated oral health. To address this void in the literature, this study uses a representative survey of adults aged 60 or older from three regions in Ghana to examine whether respondents who experienced household food insecurity rated their oral health as poor compared to their counterparts who did not. We found that 34% of respondents rated their oral health as poor, while 7%, 21%, and 36% experienced mild, moderate, and severe food insecurity, respectively. Moreover, the results from the logistic regression analysis showed that older adults who experienced mild (OR = 1.66, p < 0.05), moderate (OR = 2.06, p < 0.01), and severe (OR = 2.71, p < 0.01) food insecurity were more likely to self-rate their oral health as poor, compared to those who did not experience any type of food insecurity. Based on these findings, we discuss several implications for policymakers and directions for future research.

Climate change threatens human health, food security, and ecological sustainability. In marginalized and vulnerable communities around the globe, there is a crucial need to initiate actions to reduce adverse climatic impacts and support sustainable development goals (SDGs), particularly on food and health. Climate change’s multidimensional and complex impact on food and health has prompted calls for an integrated, science-based approach that could simultaneously improve the environment and nourish development-constrained communities. This paper examines a transdisciplinary practice of agroecology that bridges the gap between science, practice, and policy for climate action. We also analyze the significance of agroecology in building climate-resilient communities through sustainable food systems. We assert that the marriage of science and local knowledge that addresses access inequities through agroecology can lessen the impact of climate change on rural communities to achieve healthier, more sustainable, and equitable food systems. Furthermore, a transformative agroecological paradigm can provide farmers with a host of adaptive possibilities leading to healthier communities, improved food security, and restored lands and forests that can sequester greenhouse gases. Based on our findings, we call on the science and policy communities to integrate agroecology as part of the broader strategic approach to climate change adaptation and mitigation.

Background Ghana’s growing older adult population raises critical questions regarding healthcare for these older adults. At the same time, food insecurity is high among older adults in Ghana. This underscores the need to investigate the issues of food security and healthcare seeking behaviour among older adults. However, research on the association between food security status and healthcare seeking behaviour among older adults is scant in the Ghanaian context. In this study, we advance the social gerontology literature by examining the association between food security status and healthcare seeking behaviors among older adults. Methods Using a multi-stage sampling framework, we collected data from a representative sample of older adults across three regions in Ghana. Data were analyzed using logistic regression technique. We determined the significance of the test at a probability value of 0.05 or less. Results Over two-thirds (69%) of respondents did not seek care during their last illness. Additionally, 36% of respondents were severely food insecure, 21% were moderately food insecure, 7% were mildly food insecure, and 36% were food secure. After controlling for theoretically relevant variables, our multivariable analysis revealed a statistically significant association between food security status and healthcare seeking behaviors with older people who are food secure (OR = 1.80, p < 0.01) and mildly food insecure (OR = 1.89, p < 0.05) being more likely to seek healthcare compared with their counterparts who are food insecure. Conclusion Our findings highlight the need for sustainable intervention programs to improve food access and health service use among older adults in Ghana and similar contexts.