Final answer:
The high birth rate in Ghana can be attributed to limited family planning access, low female education levels, cultural norms valuing large families, and poverty, which all interplay to result in a higher number of births.
Step-by-step explanation:
The four causes of high birth rate in Ghana are largely due to socio-economic factors. One critical factor is limited access to family planning and birth control, particularly in rural areas, which hinders the ability to regulate births. Additionally, low levels of female education contribute to higher birth rates, as women with less education may not have the same opportunities for workforce participation and may have less knowledge about or access to reproductive health resources. Thirdly, cultural practices and norms can play a role; in some societies, having more children is seen as a source of wealth or security.
Finally, poverty can be both a cause and an effect of high birth rates, as families in impoverished conditions may rely on children for labor and lack proper resources for family planning. Together, these factors contribute to Ghana's high birth rate.