Sexual and Reproductive Health Implications of the Cultural Practice of “Rites Of Passage” Among Adolescent Females: The Case of Dipo in Ghana

Relevance of Cultural Rites of Passage (Dipo)

Keywords: Dipo, Krobo culture, Adolescent females, Reproductive Health, Sexual Behaviour

Abstract

Objective: The study explored the relevance and implications of Dipo (a puberty rite of passage in Ghana) on the sexual and reproductive health and rights of adolescent females in the Krobo culture.

Design/Methods: Using a qualitative research design, a total of 23 participants were recruited using a purposive sampling method for the study. Data were gathered through in-depth interviews, focus group discussions, and analysed using the Attride-Stirling thematic network analysis.

Results: Findings indicated that the Dipo represents a cultural means of instruction aimed at encouraging chastity and marriage for adolescent females. Also, the sexual and reproductive health education aimed towards female adolescents during Dipo was found to contain over-generalised, inaccurate, and fear-inducing messages. Within the Dipo rite of passage, limitedopen communication about sexual health and sexual intercourse was reported. Instead, information was unidirectional and postponed to later ages for adolescent females. As a consequence, adolescent females may experience delayed development in their identities as a ‘Krobo’ woman, and also have limited information on safe sex practices in modern times.

Conclusion: The Dipo rite of passage is increasingly viewed as having diminishing relevance and potentially negative consequences for the sexual and reproductive health of adolescent females, partly due to the lack of explicit, age-appropriate sexual health education. In light of modern social changes and the growing recognition of the importance of safe sex practices, this study underscores the need to integrate explicit sexual education into traditional rites. This integration would enhance the relevance of such practices and help protect adolescent health within evolving socio-cultural contexts.

Author Biographies

Elvis Nieuman Nanegbe, John’s Hopkins Centre for Communications Programs

Elvis Neuman Nanegbe, MPhil., BA, is a community engagement specialist currently working with USAID in Ghana. He is skilled in community engagement and mobilization, rural community development, partnerships, and resource mobilization. He has worked on USAID-funded projects in Ghana and with the Ghana Health Service. He has extensive experience in project development and implementation across malaria, maternal, newborn, and child health, as well as nutrition.

Marguerite Daniel, University of Bergen

Marguerite Daniel is a professor in the department of health promotion and development, University of Bergen, Norway. Marguerite holds a PhD in development studies and currently a member of the Equity in Social Welfare and Global Development research group, and Member of the Global Working Group on Salutogenesis. At the university, she teaches Qualitative research methods, Strength-based theories and partnership among others. Her research areas include methodological approaches; qualitative and participatory action research, child protection; local and global perspective, development related health promotion among others. Marguerite research base covers sub-Saharan Africa (South Africa, Botswana, Uganda, Ghana) and Norway.

Paul Okyere, Kwame Nkrumah University of Science and Technology (KNUST)

Paul Okyere, Ph.D., MSc, is a Senior Lecturer in the Health Promotion and Disability Studies department at the Kwame Nkrumah University of Science and Technology (KNUST), Ghana. He studies the influence of behavioral, cultural, and social determinants of health on individual and population health outcomes. His interests particularly revolve around safety promotion, injury prevention, chronic non-communicable diseases, and maternal and reproductive health issues. He is currently the coordinator of the Ph.D. program in the School of Public Health at KNUST, where his department is located.

Hasehni Vampere, Kwame Nkrumah University of Science and Technology

Hasehni Vampere, MPhil. BSc, is an Assistant Lecturer in the department of Health Promotion and Disability Studies, Kwame Nkrumah University of Science and Technology (KNUST), Ghana. He is currently pursuing his PhD in Public Health at KNUST and have keen interest in researching on the health of vulnerable populations especially persons with disabilities. He teaches at the Center for Disability and Rehabilitation Studies, KNUST; and is currently the project coordinator for the undergraduate and postgraduate (MPhil) programs in the department.

Emmanuel Appiah-Brempong , Kwame Nkrumah University of Science and Technology

Emmanuel Appiah-Brempong, PhD., MSc, is a Senior Lecturer of Public Health (Health Promotion) at the Kwame Nkrumah University of Science and Technology (KNUST), and development consultant with both national and international experience. He is a member of the International Union of Health Promotion and Education (IUHPE), the Association of Commonwealth Scholars, the International Society of Global Health (ISoGH) and a DANIDA Fellow. Emmanuel has advance experience with both quantitative and qualitative research approaches and does research in areas including non-communicable disease (NCD) prevention, health impact assessment (HIA), health behaviour modelling, social & behaviour change communication (SBCC), WASH and health, health systems analysis, and mental health promotion. In addition, he has advance skill in the conduct of cluster-randomised controlled trials, Monitoring and Evaluation of public health interventions.

Published
2025-11-11
How to Cite
Nanegbe, E. N., Daniel, M., Okyere, P., Vampere, H., & Appiah-Brempong, E. (2025). Sexual and Reproductive Health Implications of the Cultural Practice of “Rites Of Passage” Among Adolescent Females: The Case of Dipo in Ghana. Journal of Science and Technology, 43(4), 1 - 14. Retrieved from https://journal.knust.edu.gh/index.php?journal=just&page=article&op=view&path[]=1597
Section
Health and Biological Sciences

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