This is according to a new District-Level Small Area Estimation findings released by the Ghana Statistical Service (GSS), which combine the 2022 Ghana Demographic and Health Survey with the 2021 Population and Housing Census.

Per the data, the Volta Region posted the highest levels of sexual violence, recording 22.3%, well above the national pattern. It is followed by the Central Region and Savannah at 19.6% each, while the North East recorded the lowest instances at 5.2 %.

The analysis also identifies extreme district-level vulnerabilities that national averages fail to show. Sawla-Tuna-Kalba in the Savannah Region recorded the most alarming figure in the country, with 61.9% of women aged 15–49 estimated to have experienced at least one form of domestic violence — physical, emotional or sexual.

In contrast, districts in Bono, Bono East, Upper West and North East regions posted far lower levels of physical violence, some below 25%, highlighting major protection inequalities across the country.

The GSS report maintains that protecting women in high-risk areas will require a deliberate shift toward district-specific interventions, particularly in Central, Volta and Savannah, where prevalence levels are most severe.

It stresses that institutions such as the Domestic Violence and Victims Support Unit (DOVVSU), the family courts and district gender desks must be adequately staffed and resourced to respond effectively to rising cases.

The Service also urges the government to integrate the new district estimates into local planning and budgeting processes so that funding and programmes are directed to the communities with the highest risk.

It further recommends deeper engagement with traditional and religious leaders to help challenge social norms that reinforce domestic violence and hinder reporting.