Barriers and facilitators of weight management: Perspectives of the urban poor in Accra, Ghana

Background Obesity is rising in sub-Saharan Africa and globally, and is a highly significant public health problem that needs urgent attention. To reduce the obesity prevalence levels and associated challenges, public health interventions highlight healthy eating and increased physical activity, which are key elements for weight management. Aim This study explored perceived factors that hinder or facilitate weight management in an urban poor context in Accra, Ghana. Methods A cross-sectional qualitative data was obtained from eight focus group discussions (FGDs) conducted among community members. The FGDs were audio recorded, transcribed, and analysed using thematic analysis. Results The findings indicate that weight management is mainly inhibited by the perception that healthy foods are expensive and not satisfying, laziness, lack of time to engage in physical activity, and social representation of being fat or slim. On the contrary, personal decision to manage weight and social support facilitated engagement in weight management. Conclusion The findings indicate that weight management is influenced by individual, community, and structural factors. These findings have programmatic implications in terms of health education strategies and messaging.

Automated summary

This study examined the barriers and facilitators to weight management in a deprived urban area in Accra, Ghana. Findings suggested that economic constraints, lifestyle factors, and social perceptions influenced individuals' ability to manage their weight. Personal motivation and social support were identified as positive factors for successful weight management.