The need for alternative pest management methods to mitigate risks among cocoa farmers in the Volta region, Ghana

= 39.275, p < 0.000) and farmers' knowledge on alternative pest control methods. Farmers who relied on agrochemical shop services for pest control methods were 87% less likely to be knowledgeable on alternative pest control methods while those who considered degree of pest infestation in pest management were (OR = 1.150, p <0.008) more likely to be knowledgeable on alternative pest control methods. For the socio-cultural factors, Leklebi Kame (OR = 9.53-e 08, p < 0.000), Bla (OR = 0.280, p < 0.027) and Gbledi Chebi (OR = 0.287, p < 0.053) were less likely to be knowledgeable on alternative method of pest control compared to Kpedze. Fellow farmers and extension agents were the major sources of information on alternative pest control methods in the study area. Economic, technical, unavailability of labour, and farm implements were factors hampering adoption of alternative pest control methods in the study area. The most pesticide toxicological symptom reported was skin irritation and was recorded among majority of the farmers in Hohoe and Afadjato South districts where low knowledge and patronage of alternative pests control methods were identified. Awareness creation and capacity building programs should be organized through fellow farmers and extension agents on the need to reduce the use of chemical pesticide in pest management.