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The book examines the settlement conditions of a specific group of child migrants who have moved beyond their communities in the northern parts of Ghana to engage in work at Old Fadama (Agbogloshie) in Accra. These are girl migrants referred to as Kayayei. The Harris-Todaro Model of Labour Migration and The Push Pull model has been cited to explain the north-south girl migration event in that part of Ghana. A major finding in this review paper is that most girls are motivated to migrate largely by personal gains. The paper reveals appalling living and working conditions of the girls, which expose them to differing forms of exploitation, risks, and health hazards pushing them to the brink of uncertainty. The paper critically discusses selected interventions from government to address the kayayei phenomenon and concludes that they have not been effective as a result of funding difficulties, administrative lapses and poor planning of projects. The paper recommends a nationwide data collection exercise to address the challenge of inadequate statistics on child migrants in Ghana.