Skip to content
SSDP/Country guide

🇬🇭 Ghana

2020 Narcotics Control Act reframes use as a health issue.

AfricaNo chapter yetDetailed profile

Legal context

Many African drug laws still rely on criminal penalties inherited from older control frameworks, while reform debates increasingly centre public health, prison overcrowding and human rights.

Health response (HRI 2024)

Harm Reduction International (2024) reports at least one operational service in Ghana: needle & syringe programmes. National policy documents do not include an explicit supportive reference to harm reduction.

Youth leadership

Young advocates are pushing for honest drug education, non-punitive school policies and meaningful participation in national drug strategy processes.

2020 Narcotics Control Act reframes use as a health issue.

Drug policy briefing

What young people should know about drug policy in Ghana

Decriminalisation

Depenalised personal use

The Narcotics Control Commission Act 2020 removed custodial sentences for personal use of narcotic substances, replacing them with fines and health-oriented responses.

Evidence · Narcotics Control Commission Act, 2020 (Act 1019).

Harm Reduction

Early stage

Harm reduction services are limited and largely pilot-scale. Advocacy for opioid substitution therapy and community-led services is growing.

Evidence · WACD reports; POS Foundation programme data.

Youth Participation

Strong youth advocacy

Youth-led networks influenced the 2020 reform and continue to shape implementation guidance.

Evidence · West Africa Drug Policy Network; SSDP Ghana submissions.

Treatment Systems

Limited public capacity

Treatment relies on a small number of public psychiatric facilities and faith-based programmes; evidence-based options are unevenly available.

Evidence · Ministry of Health; WHO country profile.

Sources · Harm Reduction International, Global State of Harm Reduction 2024 · UNODC · WHO · EMCDDA/EUDA · national laws and civil-society monitoring. Last reviewed Harm Reduction International 2024.