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