Background:

Currently, there is limited evidence on estimates for physical activity (PA) behavior and sedentary behavior (SB) in Ghana. This report card (RC) is intended to increase awareness and sensitivity about issues surrounding PA and SB in Ghana.

Methods:

Data were collected from peer-reviewed literature, graduate students’ theses, physical education and sports documents, and a survey of opinions of stakeholders covering the 10 key RC indicators and benchmarks. The principal investigator harmonized all grades. A consensus meeting of the RC team was held to assign the final grades.

Results:

School and Community grades declined from a D in 2014 to an F in 2016. SB declined from B to D. Family and Active Play were not graded in 2014 and now received an F and a B, respectively. Family and Built Environment were graded F, Active Transportation received a C, and Government and Overall PA were graded D.

Conclusions:

A conscious national investment effort can increase overall PA among children.

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Ocansey, Nazzar, Nartey, and Sarkwa are with Active Living &Wellness Alliance Group, Research & Education Center, Nungua, Ghana. Aryeetey is with the School of Public Health; Delali is with the Regional Institute of Population Studies; University of Ghana, Legon, Ghana. Sofo is with the Dept of Health and Human Services, Southeast Missouri State University, Cape Girardeau, MO, USA. Pambo is with the National Sports Authority Medical Directorate, Accra, Ghana. Nyawornota is with Labone Senior High School, Accra, Ghana. Ocansey (rocansey@gmail.com) is corresponding author.