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Sample records for ghana research reactor-1

  1. Design of boron carbide-shielded irradiation channel of the outer irradiation channel of the Ghana Research Reactor-1 using MCNP.

    PubMed

    Abrefah, R G; Sogbadji, R B M; Ampomah-Amoako, E; Birikorang, S A; Odoi, H C; Nyarko, B J B

    2011-01-01

    The MCNP model for the Ghana Research Reactor-1 was redesigned to incorporate a boron carbide-shielded irradiation channel in one of the outer irradiation channels. Extensive investigations were made before arriving at the final design of only one boron carbide covered outer irradiation channel; as all the other designs that were considered did not give desirable results of neutronic performance. The concept of redesigning a new MCNP model, which has a boron carbide-shielded channel is to equip the Ghana Research Reactor-1 with the means of performing efficient epithermal neutron activation analysis. After the simulation, a comparison of the results from the original MCNP model for the Ghana Research Reactor-1 and the new redesigned model of the boron carbide shielded channel was made. The final effective criticality of the original MCNP model for the GHARR-1 was recorded as 1.00402 while that of the new boron carbide designed model was recorded as 1.00282. Also, a final prompt neutron lifetime of 1.5245 × 10(-4)s was recorded for the new boron carbide designed model while a value of 1.5571 × 10(-7)s was recorded for the original MCNP design of the GHARR-1.

  2. Korea Research Reactor -1 & 2 Decommissioning Project in Korea

    SciTech Connect

    Park, S. K.; Chung, U. S.; Jung, K. J.; Park, J. H.

    2003-02-24

    Korea Research Reactor 1 (KRR-1), the first research reactor in Korea, has been operated since 1962, and the second one, Korea Research Reactor 2 (KRR-2) since 1972. The operation of both of them was phased out in 1995 due to their lifetime and operation of the new and more powerful research reactor, HANARO (High-flux Advanced Neutron Application Reactor; 30MW). Both are TRIGA Pool type reactors in which the cores are small self-contained units sitting in tanks filled with cooling water. The KRR-1 is a TRIGA Mark II, which could operate at a level of up to 250 kW. The second one, the KRR-2 is a TRIGA Mark III, which could operate at a level of up 2,000 kW. The decontamination and decommissioning (D & D) project of these two research reactors, the first D & D project in Korea, was started in January 1997 and will be completed to stage 3 by 2008. The aim of this decommissioning program is to decommission the KRR-1 & 2 reactors and to decontaminate the residual building structure s and the site to release them as unrestricted areas. KAERI (Korea Atomic Energy Research Institute) submitted the decommissioning plan and the environmental impact assessment reports to the Ministry of Science and Technology (MOST) for the license in December 1998, and was approved in November 2000.

  3. Population ageing in ghana: research gaps and the way forward.

    PubMed

    Mba, Chuks J

    2010-09-29

    This paper attempts to highlight research gaps and what should be done concerning population ageing in the Ghanaian context. The proportion of the elderly increased from 4.9 percent in 1960 to 7.2 percent in 2000, while the number rose from 0.3 million to 1.4 million over the same period (an increase of 367 percent). Projection results indicate that by 2050, the aged population will account for 14.1 percent of the total population. Very little is known about the living arrangements and health profile of Ghana's older population. With increasing urbanization and modernization, it is important to know something about intergenerational transfers from adult children to their elderly parents, and characterize the elderly persons' food security strategies. Training of researchers will be important in terms of strengthening Ghana's capacity to monitor trends, as well as to conduct research and explore new directions in population ageing research.

  4. Applying SNP marker technology in the cacao breeding program at the Cocoa Research Institute of Ghana

    Technology Transfer Automated Retrieval System (TEKTRAN)

    In this investigation 45 parental cacao plants and five progeny derived from the parental stock studied were genotyped using six SNP markers to determine off-types or mislabeled clones and to authenticate crosses made in the Cocoa Research Institute of Ghana (CRIG) breeding program. Investigation wa...

  5. Translating research findings into practice – the implementation of kangaroo mother care in Ghana

    PubMed Central

    2012-01-01

    Background Kangaroo mother care (KMC) is a safe and effective method of caring for low birth weight infants and is promoted for its potential to improve newborn survival. Many countries find it difficult to take KMC to scale in healthcare facilities providing newborn care. KMC Ghana was an initiative to scale up KMC in four regions in Ghana. Research findings from two outreach trials in South Africa informed the design of the initiative. Two key points of departure were to equip healthcare facilities that conduct deliveries with the necessary skills for KMC practice and to single out KMC for special attention instead of embedding it in other newborn care initiatives. This paper describes the contextualisation and practical application of previous research findings and the results of monitoring the progress of the implementation of KMC in Ghana. Methods A three-phase outreach intervention was adapted from previous research findings to suit the local setting. A more structured system of KMC regional steering committees was introduced to drive the process and take the initiative forward. During Phase I, health workers in regions and districts were oriented in KMC and received basic support for the management of the outreach. Phase II entailed the strengthening of the regional steering committees. Phase III comprised a more formal assessment, utilising a previously validated KMC progress-monitoring instrument. Results Twenty-six out of 38 hospitals (68 %) scored over 10 out of 30 and had reached the level of ‘evidence of practice’ by the end of Phase III. Seven hospitals exceeded expected performance by scoring at the level of ‘evidence of routine and institutionalised practice.’ The collective mean score for all participating hospitals was 12.07. Hospitals that had attained baby-friendly status or had been re-accredited in the five years before the intervention scored significantly better than the rest, with a mean score of 14.64. Conclusion The KMC Ghana

  6. Dropping Out of School in Southern Ghana: The Push-Out and Pull-Out Factors. CREATE Pathways to Access. Research Monograph No. 55

    ERIC Educational Resources Information Center

    Ananga, Eric

    2011-01-01

    Addressing school dropout has been one of the most controversial elements of policy since the introduction of free compulsory universal basic education (FCUBE) in Ghana. However, research that utilises qualitative biographical detail surrounding irregular attendance and the critical events in the process that lead to dropout in Ghana is limited. I…

  7. Formative Ethnographic Research to Improve Evaluation of a Novel Water System in Ghana

    PubMed Central

    Alcorn, Ted E.; Opryszko, Melissa C.; Schwab, Kellogg J.

    2011-01-01

    The accessibility of potable water is fundamental to public health. A private for-profit company is installing kiosk-based drinking-water systems in rural and peri-urban villages in Ghana, and we evaluated their performance. Preceding an observational study to measure the effect of these kiosks on the incidence of water-related disease in recipient communities, we conducted ethnographic research to assess local water-related practices and the ways these practices would affect adoption of the new technology. We conducted fieldwork in two communities in Ghana and interviewed stakeholders throughout the water sector. Our findings illustrate the complexity of water-related behaviors and indicate several factors that may sustain disease transmission despite the presence of the new technology. This formative ethnographic research also improved the precision of our subsequent evaluation of the intervention by providing a site-specific, culturally-appropriate knowledge base. This study demonstrates the value of incorporating qualitative research techniques into evaluations of water-related projects. PMID:21540392

  8. Neuroscience-related research in Ghana: a systematic evaluation of direction and capacity.

    PubMed

    Quansah, Emmanuel; Karikari, Thomas K

    2016-02-01

    Neurological and neuropsychiatric diseases account for considerable healthcare, economic and social burdens in Ghana. In order to effectively address these burdens, appropriately-trained scientists who conduct high-impact neuroscience research will be needed. Additionally, research directions should be aligned with national research priorities. However, to provide information about current neuroscience research productivity and direction, the existing capacity and focus need to be identified. This would allow opportunities for collaborative research and training to be properly explored and developmental interventions to be better targeted. In this study, we sought to evaluate the existing capacity and direction of neuroscience-related research in Ghana. To do this, we examined publications reporting research investigations authored by scientists affiliated with Ghanaian institutions in specific areas of neuroscience over the last two decades (1995-2015). 127 articles that met our inclusion criteria were systematically evaluated in terms of research foci, annual publication trends and author affiliations. The most actively-researched areas identified include neurocognitive impairments in non-nervous system disorders, depression and suicide, epilepsy and seizures, neurological impact of substance misuse, and neurological disorders. These studies were mostly hospital and community-based surveys. About 60% of these articles were published in the last seven years, suggesting a recent increase in research productivity. However, data on experimental and clinical research outcomes were particularly lacking. We suggest that future investigations should focus on the following specific areas where information was lacking: large-scale disease epidemiology, effectiveness of diagnostic platforms and therapeutic treatments, and the genetic, genomic and molecular bases of diseases.

  9. Access to Basic Education in Ghana: Politics, Policies and Progress. CREATE Pathways to Access. Research Monograph No. 42

    ERIC Educational Resources Information Center

    Little, Angela W.

    2010-01-01

    This monograph examines the history and politics of educational reform in Ghana. Using data from interviews conducted with senior policy-makers, implementers and researchers, as well as documentary sources, to explore the drivers and inhibitors of change at the political, bureaucratic and grass-roots levels. The monograph explores the nature of…

  10. Prospective Activities outlined for Regulatory Approval in Ghana Overview

    SciTech Connect

    Abrefah, R.G.; Odoi, H.C.; Mo, S.C.; Morman, J.A.; Liaw, J.

    2015-01-01

    The Ghana Research Reactor-1 (GHARR-1) is one of Chinese’s Miniature Neutron Source Reactor (MNSR) which was purchased under a tripartite agreement between Ghana, China and the IAEA. The reactor was installed in 1994 and has since been in operation without any incident. It has been used chiefly for Neutron Activation Analysis (NAA) and Training of students in the field of Nuclear Engineering. The GHARR-1 has been earmarked for the Conversion of Core from HEU to LEU which is in accordance with the GTRI program and other related and/or associated programs. Over the past few years the National Nuclear Research Institute (NNRI), the Operating Organization of the Research Reactor for the Ghana Atomic Energy Commission (GAEC), has undertaken various tasks in order to implement the replacement of the reactor core. After completion, of the neutronic calculations, results showed that that an LEU fuel of 12.5% enrichment was desirable. However, recent developments have shown that an LEU fuel with 13% enrichment will be fabricated by the manufacturers, which is captured in a fuel specification document sent to NNRI by the CIAE. It is therefore imperative that all neutronic and thermal hydraulic calculation be done again to help acquire regulatory approval. Furthermore, the radiation exposure to personnel involved in the conversion must be estimated to help convince our regulators. This paper outlines the processes and activities that will enable us meet regulatory requirements.

  11. Conversion of Molybdenum-99 production process to low enriched uranium: Neutronic and thermal hydraulic analyses of HEU and LEU target plates for irradiation in Pakistan Research Reactor-1

    NASA Astrophysics Data System (ADS)

    Mushtaq, Ahmad; Iqbal, Masood; Bokhari, Ishtiaq Hussain; Mahmood, Tayyab; Muhammad, Atta

    2012-09-01

    Technetium-99m, the daughter product of Molybdenum-99 is the most widely needed radionuclide for diagnostic studies in Pakistan. Molybdenum-99 Production Facility has been established at PINSTECH. Highly enriched uranium (93% 235U) U/Al alloy targets have been irradiated in Pakistan Research Reactor-1 (PARR-1) for the generation of fission Mo-99, while basic dissolution technique is used for separation of Mo-99 from target matrix activity. In line with the international objective of minimizing and eventually eliminating the use of HEU in civil commerce, national and international efforts have been underway to shift the production of medical isotopes from HEU to LEU (LEU; <20% 235U enrichment) targets. To achieve the equivalent amount of 99Mo with LEU targets, approximately 5 times uranium is needed. LEU aluminum uranium dispersion target has been developed, which may replace existing HEU aluminum/uranium alloy targets for production of 99Mo using basic dissolution technique. Neutronic and thermal hydraulic calculations were performed for safe irradiation of targets in the core of PARR-1.

  12. Locally Generated Printed Materials in Agriculture: Experience from Uganda and Ghana. Education Research Paper. Report.

    ERIC Educational Resources Information Center

    Carter, Isabel

    The needs of grassroots farmers in Uganda and Ghana for locally developed print materials were examined through a postal survey of nearly 200 organizations and examinations of 75 autonomous farmer groups and 95 organizations sharing agricultural information in both countries. Both printed agricultural information relevant to grassroots farmers and…

  13. Learning To Compete: Education, Training & Enterprise in Ghana, Kenya & South Africa. Education Research Paper.

    ERIC Educational Resources Information Center

    Afenyadu, Dela; King, Kenneth; McGrath, Simon; Oketch, Henry; Rogerson, Christian; Visser, Kobus

    A multinational, multidisciplinary team examined the impact of globalization on education, training, and small and medium sized enterprise development in Ghana, Kenya, and South Africa. The study focused on the following issues: developing a learner-led competitiveness approach; building learning enterprises; education for microenterprises and…

  14. "Ghana faces ecological disaster".

    PubMed

    Asmah, G F

    1990-05-01

    The rate of deforestation in Ghana is alarming and urgent steps need to be taken to reverse the trend, Robert D. Mann, a British tropical agriculturist, has warned. He says, "There will be further disintegration of the local climate, deterioration of soil fertility and reduced food-crop production, if the present trend of denudation by felling trees and uncontrolled bush fires is not halted and reversed." Mann, who has conducted research on "deforestation, drought and famine in Africa" was in Ghana recently to speak on the "role of the Church in West Africa in stimulating action to combat desertification". Representatives of protestant churches in Ghana, Togo, Liberia, Gambia, Nigeria, Cote d'Ivoire and Sierra Leone attended the 3-day conference which was organized by the Overseas Department of the British Methodist Church. It was to enable participants to share perspectives on the nature, scale and seriousness of the deforestation problem. Participants also exchanged experiences on village-based projects for promoting tree planting and agro-forestry, and developed strategies for the rural development programs. Robert Mann noted that Ghana was not only affected by its proximity to the Sahel, but also by its own deforestation. The situation in Ghana, once renowned for her extensive forests and woodland, has now drastically changed. By 1980/81 the area of closed forest had been reduced to 17,000 sq km from 47,9000 sq km in 1937/38. He said in 1939 the volume of wood exported from Ghana was 42,450 cubic meters but it rose to 1,471,600 cubic meters by 1987. Such activities, Mann said, put severe strain on the environment and affected both the economy and sociocultural basis of the country. PMID:12285641

  15. Using Formative Research to Develop a Counselor Training Program for Newborn Screening in Ghana

    PubMed Central

    Anie, Kofi A.; Grant, Althea M.; Ofori-Acquah, Solomon F.; Ohene-Frempong, Kwaku

    2015-01-01

    Sickle cell disease (SCD), sickle cell trait (SCT) and related conditions are highly prevalent in sub-Saharan Africa. Despite the public health implications, there is limited understanding of the unique needs regarding establishing and implementing extensive screening for newborns and appropriate family counseling. We sought to gain understanding of community attitudes and beliefs about SCD/SCT from counselors and potential counselors in Ghana; obtain their input about goals for counseling following newborn screening; and obtain guidance about developing effective counselor education. Five focus groups with 32 health care providers and health educators from 9 of 10 regions in Ghana were conducted by trained facilitators according to a structured protocol. Qualitative data were coded and categorized to reflect common themes. Saturation was achieved in themes related to genetics/inheritance; common complications of SCD; potential for stigmatization; marital strain; and emotional stress. Misconceptions about SCT as a form of SCD were prevalent as were cultural and spiritual beliefs about the causes of SCD/SCT. Potential positive aspects included affected children's academic achievement as compensation for physical limitations, and family cohesion. This data informed recommendations for content and structure of a counselor training program that was provided to the Ministry of Health in Ghana. PMID:25193810

  16. Research-policy partnerships - experiences of the Mental Health and Poverty Project in Ghana, South Africa, Uganda and Zambia

    PubMed Central

    2012-01-01

    Background Partnerships are increasingly common in conducting research. However, there is little published evidence about processes in research-policy partnerships in different contexts. This paper contributes to filling this gap by analysing experiences of research-policy partnerships between Ministries of Health and research organisations for the implementation of the Mental Health and Poverty Project in Ghana, South Africa, Uganda and Zambia. Methods A conceptual framework for understanding and assessing research-policy partnerships was developed and guided this study. The data collection methods for this qualitative study included semi-structured interviews with Ministry of Health Partners (MOHPs) and Research Partners (RPs) in each country. Results The term partnership was perceived by the partners as a collaboration involving mutually-agreed goals and objectives. The principles of trust, openness, equality and mutual respect were identified as constituting the core of partnerships. The MOHPs and RPs had clearly defined roles, with the MOHPs largely providing political support and RPs leading the research agenda. Different influences affected partnerships. At the individual level, personal relationships and ability to compromise within partnerships were seen as important. At the organisational level, the main influences included the degree of formalisation of roles and responsibilities and the internal structures and procedures affecting decision-making. At the contextual level, political environment and the degree of health system decentralisation affected partnerships. Conclusions Several lessons can be learned from these experiences. Taking account of influences on the partnership at individual, organisation and contextual/system levels can increase its effectiveness. A common understanding of mutually-agreed goals and objectives of the partnership is essential. It is important to give attention to the processes of initiating and maintaining partnerships

  17. [Two research projects on infectious diseases conducted in Noguchi Memorial Institute for Medical Research, University of Ghana by Tokyo Medical and Dental University].

    PubMed

    Ido, Eiji; Yamaoka, Shoji

    2013-01-01

    Ghana-Tokyo Medical and Dental University Research Collaboration Center has been established since 2008 when our Program was chosen together with the Program in the Philippines proposed by Tohoku University as an additional small-scale research center of the Overseas Research Program on Emerging and Reemerging Diseases that is funded by the Ministry of Education, Culture, Sports, Science and Technology of the Japanese Government and started in 2005. This 5-year government-supported Program has changed its name to develop into a more active world-level program called Japan Initiative for Global Research Network on Infectious Diseases (J-GRID) and entered the second 5-year phase in 2010, and our Program is playing an important role among other research centers located in Asia and Africa. Currently, two research projects are carried out in parallel in Noguchi Memorial Institute for Medical Research by Tokyo Medical and Dental University: one is a J-GRID project and the other is the one of Science and Technology Research Partnership for Sustainable Development (SATREPS) which is a joint project between Japan International Cooperation Agency (JICA) and Japan Science and Technology Agency (JST). This special article is describing what these two projects are all about.

  18. Bioinformatics in Africa: The Rise of Ghana?

    PubMed

    Karikari, Thomas K

    2015-09-01

    Until recently, bioinformatics, an important discipline in the biological sciences, was largely limited to countries with advanced scientific resources. Nonetheless, several developing countries have lately been making progress in bioinformatics training and applications. In Africa, leading countries in the discipline include South Africa, Nigeria, and Kenya. However, one country that is less known when it comes to bioinformatics is Ghana. Here, I provide a first description of the development of bioinformatics activities in Ghana and how these activities contribute to the overall development of the discipline in Africa. Over the past decade, scientists in Ghana have been involved in publications incorporating bioinformatics analyses, aimed at addressing research questions in biomedical science and agriculture. Scarce research funding and inadequate training opportunities are some of the challenges that need to be addressed for Ghanaian scientists to continue developing their expertise in bioinformatics.

  19. Bioinformatics in Africa: The Rise of Ghana?

    PubMed Central

    Karikari, Thomas K.

    2015-01-01

    Until recently, bioinformatics, an important discipline in the biological sciences, was largely limited to countries with advanced scientific resources. Nonetheless, several developing countries have lately been making progress in bioinformatics training and applications. In Africa, leading countries in the discipline include South Africa, Nigeria, and Kenya. However, one country that is less known when it comes to bioinformatics is Ghana. Here, I provide a first description of the development of bioinformatics activities in Ghana and how these activities contribute to the overall development of the discipline in Africa. Over the past decade, scientists in Ghana have been involved in publications incorporating bioinformatics analyses, aimed at addressing research questions in biomedical science and agriculture. Scarce research funding and inadequate training opportunities are some of the challenges that need to be addressed for Ghanaian scientists to continue developing their expertise in bioinformatics. PMID:26378921

  20. Ghana Watershed Prototype Products

    USGS Publications Warehouse

    ,

    2007-01-01

    Introduction/Background A number of satellite data sets are available through the U.S. Geological Survey (USGS) for monitoring land surface features. Representative data sets include Landsat, Advanced Spaceborne Thermal Emission and Reflection Radiometer (ASTER), and Shuttle Radar Topography Mission (SRTM). The Ghana Watershed Prototype Products cover an area within southern Ghana, Africa, and include examples of the aforementioned data sets along with sample SRTM derivative data sets.

  1. Oil: Lessons from Comparative Perspectives for Ghana

    NASA Astrophysics Data System (ADS)

    Osei-Boakye, Maame Frema

    Oil as it relates to maintenance of energy consumption is becoming a very important acquired resource all around the world. This thesis focuses on Ghana as a place where recent oil discoveries have taken place, to assess the current policies being put in place to avoid the oil pitfalls of their other African counterparts and to examine oil models that could possibly work to reinforce a positive outcome for the new found oil industry in Ghana. These research aims were met through extensive research of relevant literature. The research resulted in the finding that the Ghanaian government would benefit from a combination of economic models that have been used in the past (spend all, save all and spend interest only). The main conclusion that has resulted from this research is that through strong fiscal policies towards the Ghanaian oil industry Ghana should be able to maintain a relatively stable economy which in turn will produce a stable country all around. This research argues that by creating strong policies and using a combination of the econometric oil models this will help Ghana account for the immediate need for things like infrastructure while also saving money for when/if the oil is no longer being produced in the country.

  2. Water footprint of Ghana

    NASA Astrophysics Data System (ADS)

    Debrah, E. R.; Odai, S. N.; Annor, F. O.; Adjei, K. A.; van der Zaag, P.

    2009-04-01

    Water is used in almost all human endeavour. Unlike oil, water does not have a substitute. There are many factors that affect the water consumption pattern of people. These include climatic condition, income level and agricultural practices among others. The water footprint concept has been developed in order to have an indicator of water use in relation to its consumption by people. The water footprint of a country is defined as the volume of water needed for the production of the goods and services consumed by the inhabitants of the country (Chapagain and Hoekstra, 2008). Due to the bulky nature of water, it is not in its raw state a tradable commodity though it could be traded through the exchange of goods and services from one point to the other. Closely linked to the water footprint concept is the virtual water concept. Virtual water can be defined as the volume of water required to produce a commodity or service (Chapagain and Hoekstra, 2008 and Allan, 1999). The international trade of these commodities implies flows of virtual water over large distances. The water footprint of a nation can therefore be assessed by quantifying the use of domestic water resources, taking out the virtual water flow that leaves the country and adding the virtual water flow that enters the country to it. This research focuses on the assessment and analysis of the water footprints of Ghana considering only the consumptive component of the water footprint. In addition to livestock, 13 crops were considered, 4 of which were cash crops. Data was analysed for the year 2001 to 2005 The most recent framework for the analysis of water footprint is offered by Chapagain and Hoekstra. This was adopted for the study. The water footprint calculations show that the water footprint of Ghana is about 20011 Gm³/yr. Base on this the average water footprint of a Ghanaian is 823 m³/cap/yr. Not only agricultural crops but also other products require water for their manufacture, aluminium being a

  3. Abortion care in Ghana: a critical review of the literature.

    PubMed

    Rominski, Sarah D; Lori, Jody R

    2014-09-01

    The Government of Ghana has taken important steps to mitigate the impact of unsafe abortion. However, the expected decline in maternal deaths is yet to be realized. This literature review aims to present findings from empirical research directly related to abortion provision in Ghana and identify gaps for future research. A total of four (4) databases were searched with the keywords "Ghana and abortion" and hand review of reference lists was conducted. All abstracts were reviewed. The final include sample was 39 articles. Abortion-related complications represent a large component of admissions to gynecological wards in hospitals in Ghana as well as a large contributor to maternal mortality. Almost half of the included studies were hospital-based, mainly chart reviews. This review has identified gaps in the literature including: interviewing women who have sought unsafe abortions and with healthcare providers who may act as gatekeepers to women wishing to access safe abortion services. PMID:25438507

  4. Area Handbook for Ghana.

    ERIC Educational Resources Information Center

    Kaplan, Irving; And Others

    The dominant social, political, and economic aspects of Ghanaian society are described in this handbook. Changes and developments in Ghana in the past 10 years, highlighted by the 1966 overthrough and widespread repudiation of Kwame Nkrumah and his policies and practices, have created a need for this revision of the 1962 edition. The purpose of…

  5. Country Profiles, Ghana.

    ERIC Educational Resources Information Center

    Gaisie, S. K.; And Others

    A profile of Ghana is sketched in this paper. Emphasis is placed on the nature, scope, and accomplishments of population activities in the country. Topics and sub-topics include: location and description of the country; population (size, growth patterns, age structure, urban/rural distribution, ethnic and religious composition, migration,…

  6. Ghana: Disability and Spirituality

    ERIC Educational Resources Information Center

    Botts, Betsy H.; Evans, William H.

    2010-01-01

    This descriptive study explores the educational system and attitudes toward disability in the Volta Region of Ghana. Traditional, Christian, and Islamic beliefs toward disability are explored. Educators from Accra and three families from the Volta Region with children with special needs are interviewed in an effort to explore the connection…

  7. Religious Differences in Modernization of the Family: Family Demographics Trends in Ghana

    ERIC Educational Resources Information Center

    Heaton, Tim B.; Darkwah, Akosua

    2011-01-01

    This research examines trends in a broad set of reproductive and marital behaviors in Ghana, focusing on religious group differences. These comparisons provide evidence of how family trends are constrained by religious identity in a less developed country. Three waves of the Ghana Demographic and Health Surveys are used to track trends in the age…

  8. Bullying and School Attendance: A Case Study of Senior High School Students in Ghana. CREATE Pathways to Access. Research Monograph No. 41

    ERIC Educational Resources Information Center

    Dunne, Mairead; Bosumtwi-Sam, Cynthia; Sabates, Ricardo; Owusu, Andrew

    2010-01-01

    This monograph analyses the effects of bullying on school attendance among senior high school students in Ghana. A strong correlation is found between being bullied and having poor attendance. The effects of emotional problems and of peer friendships on this correlation are then examined. For both boys and girls, having emotional problems is…

  9. Human Capital, Poverty, Educational Access and Exclusion: The Case of Ghana 1991-2006. CREATE Pathways to Access. Research Monograph No. 22

    ERIC Educational Resources Information Center

    Rolleston, Caine

    2009-01-01

    The period since 1991 has seen a general improvement both in terms of household welfare and schooling participation in Ghana. This monograph explores the patterns among descriptive indicators and uses regression analysis to examine possible causal relationships with special reference to the role of education in determining welfare and its…

  10. ELECTRONIC HEALTH IN GHANA: CURRENT STATUS AND FUTURE PROSPECTS

    PubMed Central

    Afarikumah, Ebenezer

    2014-01-01

    The health-care system in Ghana is similar to those in other developing countries and access to health services for remote communities is extremely limited. In July, 2010, the Government of Ghana launched the national e health strategy. A number of international organizations have initiated various pilot projects, including disseminating and collecting data, education initiatives and telemedicine. In addition, several institutions and organizations are dedicated to the promotion of e-health and a range of Web-based health consultancy services have begun. The main objective of this study is to provide an overview of eHealth activities in Ghana. It was a daunting task, not least because of the need to gather information on eHealth projects and initiatives in Ghana, as there is no existing repository of such information. Through literature search in Africa journals online, Hinari, Medline, Google.com, Journal of Telemedicine and e-Health, Journal of Telemedicine and Telecare, Journal of Medical Internet Research and Interaction with eHealth experts, followed up with some of the authors' for directions to other projects, and following the references in some articles. A total of twenty-two (22) pilot projects have been identified in Ghana. Mobile devices in use range from PDAs to simple phones and smart phones. The key findings of this research are that there are about 22 eHealth project at various stages of implementation in Ghana. Some of these projects have wind up and others are still being implemented. Mobile devices in use range from PDAs to simple mobile phones and smart phones. Most of the projects have been donor initiated. Data collection started in March 2010 to June 2013. Although eHealth seems to have a limited role in Ghana at present, there is growing interest in the opportunities it may offer in terms of improving the delivery and access to services, especially in remote locations. Recommendations for further research are provided. PMID:24678382

  11. Lake Volta, Ghana

    NASA Technical Reports Server (NTRS)

    2002-01-01

    This true-color image of Lake Volta in Ghana was acquired March 31, 2002 by the Moderate Resolution Imaging Spectroradiometer (MODIS). Lake Volta is one of the world's largest artificially created lakes. Lake Volta is actually a reservoir formed from the damming of the Volta River, and extends 250 miles north of the Akosombo Dam. The lake covers an area of 8,482 square km. Credit: Jacques Descloitres, MODIS Land Rapid Response Team, NASA/GSFC

  12. The medical system in Ghana.

    PubMed

    Drislane, Frank W; Akpalu, Albert; Wegdam, Harry H J

    2014-09-01

    Ghana is a developing country in West Africa with a population of about 25 million. Medical illnesses in Ghana overlap with those in developed countries, but infection, trauma, and women's health problems are much more prominent. Medical practice in rural Africa faces extremely limited resources, a multiplicity of languages (hundreds in Ghana), and presentation of severe illnesses at later stages than seen elsewhere. Despite these limitations, Ghana has established a relatively successful national medical insurance system, and the quality of medical practice is high, at least where it is available. Ghana also has a well-established and sophisticated administrative structure for the supervision of medical education and accreditation, but it has proven very difficult to extend medical training to rural areas, where health care facilities are particularly short of personnel. Physicians are sorely needed in rural areas, but there are few because of the working conditions and financial limitations. Hospital wards and clinics are crowded; time per patient is limited. This article details some of the differences between medical practice in Ghana and that in wealthier countries and how it functions with very limited resources. It also introduces the medical education and training system in Ghana. The following article describes an attempt to establish and maintain a residency training program in General Medicine in a rural area of Ghana.

  13. Pedestrians Injury Patterns in Ghana

    PubMed Central

    Damsere-Derry, James; Ebel, Beth E.; Mock, Charles N.; Afukaar, Francis; Donkor, Peter

    2010-01-01

    Objective To establish the associations between pedestrian injury and explanatory variables such as vehicular characteristics, temporal trends, and road environment. Methods A retrospective analysis of de-identified pedestrian crash data between 2002 and 2006 was conducted using the Building & Road Research Institute’s crash data bank. We estimated the odds ratios associated with casualty fatalities using a multinomial logistic regression. Results There were 812 pedestrian casualties reported, out of which 33% were fatal, 45% sustained serious injuries requiring hospitalization, and 22% were slightly injured but were not hospitalized. Crossing the roadway accounted for over 70% of all pedestrians deaths. Whereas fatalities in 2002 and 2003 were statistically indistinguishable from those of 2004(p>0.05), in comparison with 2004, there were significantly fewer fatalities in 2005 and 2006 (78% and 65% reduction respectively). According to police report, the probability that a pedestrian fatality occurring in Ghana is attributable to excessive speeding is 65%. The adjusted odds ratio of pedestrian fatality associated with speeding compared with driver inattentiveness was 3.6(95% CI: 2.5 to 5.2). It was also observed that generally, lighter vehicular masses were associated with lower pedestrian fatalities. Compared with buses, pedestrians were less likely to die when struck by private cars (52%), pick-up trucks (57%), and motorcycles (86%). Conclusion Pedestrian death remains the leading cause of fatality among urban road users in Ghana. Risk factors associated with pedestrian fatality include being hit by heavy vehicles, speeding, and roadside activities such as street hawking, jaywalking and nighttime walking. Steps which may contribute to reducing pedestrian fatalities include measures to reduce vehicles speeds in settlements, providing traffic medians and lighting streets in settlements, and discouraging street and roadside activities such as hawking. PMID

  14. Chronic non-communicable diseases and the challenge of universal health coverage: insights from community-based cardiovascular disease research in urban poor communities in Accra, Ghana

    PubMed Central

    2014-01-01

    Background The rising burden of chronic non-communicable diseases in low and middle income countries has major implications on the ability of these countries to achieve universal health coverage. In this paper we discuss the impact of cardiovascular diseases (CVD) on primary healthcare services in urban poor communities in Accra, Ghana. Methods We review the evidence on the evolution of universal health coverage in Ghana and the central role of the community-based health planning services (CHPS) programme and the National Health Insurance Scheme in primary health care. We present preliminary findings from a study on community CVD knowledge, experiences, responses and access to services. Results The rising burden of NCDs in Ghana will affect the achievement of universal health coverage, particularly in urban areas. There is a significant unmet need for CVD care in the study communities. The provision of primary healthcare services for CVD is not accessible, equitable or responsive to the needs of target communities. Conclusions We consider these findings in the context of the primary healthcare system and discuss the challenges and opportunities for strengthening health systems in low and middle-income countries. PMID:25082497

  15. Exploring the Drivers of Teacher Professionalism in Ghana

    ERIC Educational Resources Information Center

    Salifu, Inusah

    2015-01-01

    This research aimed to explore the working conditions teachers in the Ghana Education Service perceived as motivators in their professional practice. The research used mainly a qualitative approach and three focus groups of five members: each were organised with teacher participants drawn from the Ashanti Region purposively selected. The research…

  16. Science reporting in Accra, Ghana: sources, barriers and motivational factors.

    PubMed

    Appiah, Bernard; Gastel, Barbara; Burdine, James N; Russell, Leon H

    2015-01-01

    In Ghana, as in many other developing countries, most science reporting is done by general reporters. However, few studies have investigated science reporting in such a situation. To understand better the dynamics of science reporting in such context, we surveyed 151 general reporters in Ghana. Respondents' demographic characteristics resembled those found in studies elsewhere. Respondents perceived health professionals and scientists as very important sources of information for reporting science. There was an inverse correlation between journalism experience and the number of science feature stories reported in the past 12 months (p=.017). Most respondents indicated that science journalism training would motivate them to report science more. Likewise, most reported that easier access to research findings would do so. We identify characteristics of reporters, media, scientific, and training institutions that are important influences of Ghanaian reporters' coverage of science. We provide recommendations for advancing science reporting in Ghana.

  17. Re-Thinking Arts Education in Ghana.

    ERIC Educational Resources Information Center

    Flolu, E. James

    2000-01-01

    Describes the educational system within the country of Ghana. Focuses on music education. Discusses the visual arts that constitute vocational skills within education. Addresses the need to move toward a systematic philosophy of arts education in Ghana. (CMK)

  18. Culture and the environment in Ghana

    NASA Astrophysics Data System (ADS)

    Dyasi, Hubert M.

    1985-03-01

    The traditional culture of Ghana stressed a strong relationship with the environment, and a culturally acceptable environmental management resulted from strictures and taboos related to the land. Following its independence in 1957, Ghana has enacted laws that reflect an enlightened environmental policy. These are especially important because of the difficulties Ghana has had in its economic development using Western technology that has damaged the fragile tropical ecosystem. A key aspect of Ghana's policy is the attempt to marry scientific knowledge and traditional beliefs for environmentally sound management of Ghana's resources.

  19. Homicide-suicide in Ghana: perpetrators, victims, and incidence characteristics.

    PubMed

    Adinkrah, Mensah

    2014-03-01

    Homicide-suicide in the industrialized West has been studied for many years. Yet, only limited scholarly research currently exists on the subject in Africa and other non-Western societies. The aim of the present descriptive study was to investigate homicide-suicides in contemporary Ghana. A content analysis of homicide-suicide reports in a major Ghanaian daily newspaper during 1990 to 2009 was conducted. The results overwhelmingly support findings in the literature, suggesting that homicide-suicides are extremely rare events in Ghana. The overwhelming majority of reported homicide-suicides were committed by males, with females substantially more likely to be the homicide victims. The offenders and victims were generally of low socioeconomic status. Most homicide-suicides involved victims and offenders who were intimately acquainted as family members. The majority of cases involved men who killed their wives on suspicion of infidelity; the next largest category involved men who murdered wives who threatened divorce or separation. The principal homicide and suicide methods were shooting with firearms, hacking with machetes, and stabbing with knives. The findings of the study are discussed in relation to Ghana's patriarchal family system and ideology and present socioeconomic issues in the country. This study recommends further research on this subject in Ghana and other African countries. This is necessary to further an understanding of homicide-suicide as a phenomenon, as well as a necessary prelude to the development and implementation of effective preventive programs.

  20. Homicide-suicide in Ghana: perpetrators, victims, and incidence characteristics.

    PubMed

    Adinkrah, Mensah

    2014-03-01

    Homicide-suicide in the industrialized West has been studied for many years. Yet, only limited scholarly research currently exists on the subject in Africa and other non-Western societies. The aim of the present descriptive study was to investigate homicide-suicides in contemporary Ghana. A content analysis of homicide-suicide reports in a major Ghanaian daily newspaper during 1990 to 2009 was conducted. The results overwhelmingly support findings in the literature, suggesting that homicide-suicides are extremely rare events in Ghana. The overwhelming majority of reported homicide-suicides were committed by males, with females substantially more likely to be the homicide victims. The offenders and victims were generally of low socioeconomic status. Most homicide-suicides involved victims and offenders who were intimately acquainted as family members. The majority of cases involved men who killed their wives on suspicion of infidelity; the next largest category involved men who murdered wives who threatened divorce or separation. The principal homicide and suicide methods were shooting with firearms, hacking with machetes, and stabbing with knives. The findings of the study are discussed in relation to Ghana's patriarchal family system and ideology and present socioeconomic issues in the country. This study recommends further research on this subject in Ghana and other African countries. This is necessary to further an understanding of homicide-suicide as a phenomenon, as well as a necessary prelude to the development and implementation of effective preventive programs. PMID:23267240

  1. Children's Health and Nutrition as Educational Issues: A Case Study of the Ghana Partnership for Child Development's Intervention Research in the Volta Region of Ghana. Technical Paper No. 91. SD Publication Series.

    ERIC Educational Resources Information Center

    Williams, James H.; Leherr, Kay

    As increasing numbers of children in developing nations survive to school age, practitioners, researchers, and policymakers are increasingly focusing on the health and well-being of school-age children and on the possibility of using the infrastructure of the school system to deliver health and nutrition interventions. This research, conducted in…

  2. Barriers to sustainable MVA supply in Ghana: challenges for the low-volume, low-income providers.

    PubMed

    Graff, Maura; Amoyaw, Dora A

    2009-12-01

    Multiple studies have demonstrated that manual vacuum aspiration (MVA) is ideal for surgical uterine evacuation in low-resource settings such as Ghana, but developing a sustainable supply to MVA has been challenging. In 2007 a situational analysis was conducted in Ghana to identify barriers to sustainable MVA supply. Information about MVA availability was gathered in seven regions of Ghana and obtained through background literature, unpublished data and reports, and 70 informational interviews with stakeholders involved with MVA policy, manufactufing, procurement, distribution, supply, training, and provision. The findings revealed that despite consensus about the dire need for MVA in Ghana, developing sustainable access to MVA instruments has proven difficult. In the public and the private health sectors, procuring MVA equipment has been particularly challenging for low-income, low-volume service providers. Research findings yielded ten recommendations for improving sustainable access to MVA, including the implementation of a revolving purchase mechanismn for health provider associations, such as the Ghana Registered Midwives Association.

  3. Analysis of fatal road traffic crashes in Ghana.

    PubMed

    Ackaah, Williams; Adonteng, David O

    2011-03-01

    The major objective of this study was to identify the risk factors associated with fatal road traffic crashes (RTCs) and to propose remedial measures to address them. Fatal RTC data for the period 2005-2007 in Ghana were analysed using the Micro-computer Accident Analysis Package (MAAP) software. Other transport-related research works were reviewed and incorporated in the article. The study showed that pedestrians accounted for 42% of all road traffic fatalities and nearly one-third (33%) of these crashes occurred during the early night-time hours. Children alone constituted almost one-third of all pedestrian fatalities. The occupants of goods vehicles accounted for 12% of all road traffic fatalities although goods vehicles constitute just about 9% of the total motor vehicle population in Ghana. Pedestrians, especially children bear a disproportionately high share of road traffic fatalities in Ghana. The risk of being killed as a pedestrian in traffic is exacerbated during night time. Excessive vehicular speeds, inappropriate use of goods vehicles for passenger transport, excessive loading and inadequate trauma care are the key contributory risk factors to the high number of road traffic fatalities. Concerted efforts spanning education, engineering, enforcement and trauma care are needed to stem the rise in fatal crashes in Ghana.

  4. Ghana social mobilization analysis.

    PubMed

    Tweneboa-Kodua, A; Obeng-Quaidoo, I; Abu, K

    1991-01-01

    In order to increase communication channels for child survival and development, the government and UNICEF Ghana undertook a "social mobilization analysis." This analysis included three studies that aimed to identify individuals and existing organizations with the potential to serve as health communicators and to determine the type of assistance that they needed to maximize their effectiveness in this role. The first study surveyed governmental institutions, trade unions, revolutionary organizations, traditional leaders, and others and found a largely untapped reservoir of capacities to promote child health, with varying levels of current involvement. The primary need identified was for information and training materials. The second study focused on the mass media and revealed a low coverage of maternal and child health topics and the need for better cooperation between journalists and health professionals. The third study assessed sources of health information for parents and found several sources, such as religious organizations, women's groups, and school teachers that could be mobilized to promote child health. Recommendations are made for the use of the findings. PMID:2037495

  5. Time and Change in Ghana

    ERIC Educational Resources Information Center

    Hodge, Peter

    1969-01-01

    The disastrous state of Ghanaian finances immediately before and after the coup against Nkrumah has had the effect of virtually eliminating community development and health services, particularly in non-urban areas of Ghana. It is hoped that new regional and district structure and improved staff morale can now bring about more effective programs.…

  6. Promoting Inclusive Education in Ghana

    ERIC Educational Resources Information Center

    Djietror, Beauty B. K.; Okai, Edward; Kwapong, Olivia A. T. Frimpong

    2011-01-01

    Inclusive education is critical for nation building. The government of Ghana has put in measures for promoting inclusion from basic through to tertiary level of education. Some of these measures include expansion of school facilities, implementation of the Free Compulsory Universal Basic Education (FCUBE); the change of policy on girls who drop…

  7. Impact of climate on groundwater recharge in the crystalline basement rocks aquifer of Northern Ghana

    NASA Astrophysics Data System (ADS)

    Koffi, K. V.

    2015-12-01

    Water is the cornerstone of human life and for all economic developments. West Africa and specifically Ghana are no exception to this reality.Northern Ghana is characterized by a semi-arid climate, with prolonged dry season (7 months of very few rainfall) leading to the drying up of many rivers and streams. In addition, rainfall is highly variable in space and time. Therefore, surface water is unreliable and insufficient to meet the water demands for socio-economic development in this area. As a result, the area is heavily dependent on groundwater for domestic water supply as well as for dry season irrigation of vegetables (cash crops).However, aquifers in northern Ghana are dominantly the hard rock type (Crystalline basement rock). This aquifer has no primary porosity and may not be able to sustain the increasing demand on the resource. Further, climate change may worsen the situation as recharge is dependent on rainfall in northern Ghana. Therefore, it is important to understand exactly how climate change will impact on recharge to the groundwater for sustainable development and management of the resource.Previous groundwater studies in Northern Ghana barely analyzed the combined impacts of Climate change on the recharge to the groundwater. This research is aimed at determining the current relationship between groundwater recharge and rainfall and to use the relationships to determine the impacts of changes in climate on the groundwater recharge. The results will inform plans and strategies for sustainably managing groundwater resources in Ghana and the Volta basin.

  8. The Effect of Performance Assessment-Driven Instruction on the Attitude and Achievement of Senior High School Students in Mathematics in Cape Coast Metropolis, Ghana

    ERIC Educational Resources Information Center

    Arhin, Ato Kwamina

    2015-01-01

    The study was a quasi-experimental research project conducted to investigate the effect of performance assessment-driven instructions on the attitude and achievement in mathematics of senior high school students in Ghana at Ghana National College in Cape Coast. Two Form 1 science classes were used for the study and were assigned as experimental…

  9. Educational Access in Ghana. Country Policy Brief

    ERIC Educational Resources Information Center

    Akyeampong, K.; Djangmah, J.; Oduro, A.; Seidu, A.; Hunt, F.

    2008-01-01

    This Policy Brief describes and explains patterns of access to schools in Ghana. It outlines policy and legislation on access to education and provides an analysis of access, vulnerability and exclusion. It is based on findings from the Country Analytic Report on Access to Basic Education in Ghana (Akyeampong et al, 2007) [ED508809] which can be…

  10. Pesticide residues in fruits and vegetables in Ghana: a review.

    PubMed

    Donkor, Augustine; Osei-Fosu, Paul; Dubey, Brajesh; Kingsford-Adaboh, Robert; Ziwu, Cephas; Asante, Isaac

    2016-10-01

    Pesticides are known to improve agriculture yield considerably leading to an increase in its application over the years. The use of pesticides has shown varying detrimental effects in humans as well as the environment. Presently, enough evidence is available to suggest their misuse and overuse in the last few decades in most developing nations primarily due to lack of education, endangering the lives of farmers as well as the entire population and environment. However, there is paucity of data especially over long durations in Ghana resulting in the absence of effective monitoring programs regarding pesticide application and subsequent contamination in fruits and vegetables. Therefore, this review discusses comprehensively pesticide type and use, importation, presence in fruits and vegetables, human exposure, and poisoning in Ghana. This is to alert the scientific community in Ghana of the need to further research into the potential implications of pesticide residues in food commodities in order to generate a comprehensive and reliable database which is key in drafting policies simultaneous with food regulation, suitable monitoring initiatives, assessment, and education to minimize their effects thereon. PMID:27530198

  11. Traditional Herbalists and Cancer Management in Kumasi, Ghana

    PubMed Central

    O’Brien, Kieran S.; Annan, Kofi; Lartey, Richard N.; Awuah, Baffour; Merajver, Sofia D.

    2014-01-01

    Cancer incidence rates are increasing in sub-Saharan Africa where traditional medical practitioners (TMPs) are involved in cancer management. Little is known about the specific role that TMPs play in cancer management in Ghana; we hypothesize that an understanding of the practices of TMPs with regard to cancer patients would help to enhance literacy about cancer amongst TMPs and would contribute to the diagnosis of cancer at earlier stages, by avoiding the detrimental delays while enlisting their help in certain activities that enhance cancer care. To elucidate the nature of the involvement of TMPs in cancer management, we conducted semi-structured interviews with 42 TMPs who practice in Kumasi, Ghana. The interviews elicited information about their knowledge and practices regarding cancer management and interactions with local hospitals. The results showed that TMPs tended to identify cancers as diseases of visible masses, fungating lesions, ulceration, and bleeding reflecting the advanced stages and types of cancers they usually encounter. TMPs identified certain causes of cancer and believed that they can treat and prevent cancer. These results indicate that TMPs are significant health service delivery resources in Ghana for patients potentially affected with cancer. Our work suggests that dedicated efforts to further integrate TMPs into the overall health care system would be beneficial to patients. Future research should examine the role of cancer education and training programs for TMPs to enhance their knowledge, strengthen their ability to complement allopathic practitioners, and increase early detection and treatment efforts through appropriate and timely referrals. PMID:22549472

  12. Pesticide residues in fruits and vegetables in Ghana: a review.

    PubMed

    Donkor, Augustine; Osei-Fosu, Paul; Dubey, Brajesh; Kingsford-Adaboh, Robert; Ziwu, Cephas; Asante, Isaac

    2016-10-01

    Pesticides are known to improve agriculture yield considerably leading to an increase in its application over the years. The use of pesticides has shown varying detrimental effects in humans as well as the environment. Presently, enough evidence is available to suggest their misuse and overuse in the last few decades in most developing nations primarily due to lack of education, endangering the lives of farmers as well as the entire population and environment. However, there is paucity of data especially over long durations in Ghana resulting in the absence of effective monitoring programs regarding pesticide application and subsequent contamination in fruits and vegetables. Therefore, this review discusses comprehensively pesticide type and use, importation, presence in fruits and vegetables, human exposure, and poisoning in Ghana. This is to alert the scientific community in Ghana of the need to further research into the potential implications of pesticide residues in food commodities in order to generate a comprehensive and reliable database which is key in drafting policies simultaneous with food regulation, suitable monitoring initiatives, assessment, and education to minimize their effects thereon.

  13. Better dead than dishonored: masculinity and male suicidal behavior in contemporary Ghana.

    PubMed

    Adinkrah, Mensah

    2012-02-01

    In Ghana reliable official data on suicidal behavior are not available. There is also limited empirical research on suicidal behavior in the country. At the same time, police-recorded suicide data, media reports, and communication from professionals in the field indicate that suicidal behavior is a growing problem. To identify current patterns and meanings of male suicidal behavior in Ghana, the study examined official police data spanning 2006-2008. This investigation revealed that reported cases of fatal and nonfatal suicidal behavior overwhelmingly involved males. Furthermore, the majority of males who engaged in suicidal acts did so to deal with feelings of shame and dishonor of variable sources. Findings suggest changing the rigid dichotomization associated with male-female gender roles and socialization that emphasize masculinity ideals in Ghana and the need for increased research and the promotion of counseling for males facing emotional stress.

  14. Perception of Basic Education School Teachers towards Inclusive Education in the Hohoe District of Ghana

    ERIC Educational Resources Information Center

    Ocloo, Mark Anthony; Subbey, Michael

    2008-01-01

    The purpose of this study is to investigate the perception of basic school teachers towards inclusive education in the Hohoe District of Ghana. The research makes use of a descriptive survey design, which engaged both qualitative and quantitative research methodologies. A sample size of 100 respondents, comprising of 60 male teachers and 40 female…

  15. An Integrated Assessment Approach to Address Artisanal and Small-Scale Gold Mining in Ghana.

    PubMed

    Basu, Niladri; Renne, Elisha P; Long, Rachel N

    2015-09-17

    Artisanal and small-scale gold mining (ASGM) is growing in many regions of the world including Ghana. The problems in these communities are complex and multi-faceted. To help increase understanding of such problems, and to enable consensus-building and effective translation of scientific findings to stakeholders, help inform policies, and ultimately improve decision making, we utilized an Integrated Assessment approach to study artisanal and small-scale gold mining activities in Ghana. Though Integrated Assessments have been used in the fields of environmental science and sustainable development, their use in addressing specific matter in public health, and in particular, environmental and occupational health is quite limited despite their many benefits. The aim of the current paper was to describe specific activities undertaken and how they were organized, and the outputs and outcomes of our activity. In brief, three disciplinary workgroups (Natural Sciences, Human Health, Social Sciences and Economics) were formed, with 26 researchers from a range of Ghanaian institutions plus international experts. The workgroups conducted activities in order to address the following question: What are the causes, consequences and correctives of small-scale gold mining in Ghana? More specifically: What alternatives are available in resource-limited settings in Ghana that allow for gold-mining to occur in a manner that maintains ecological health and human health without hindering near- and long-term economic prosperity? Several response options were identified and evaluated, and are currently being disseminated to various stakeholders within Ghana and internationally.

  16. An Integrated Assessment Approach to Address Artisanal and Small-Scale Gold Mining in Ghana

    PubMed Central

    Basu, Niladri; Renne, Elisha P.; Long, Rachel N.

    2015-01-01

    Artisanal and small-scale gold mining (ASGM) is growing in many regions of the world including Ghana. The problems in these communities are complex and multi-faceted. To help increase understanding of such problems, and to enable consensus-building and effective translation of scientific findings to stakeholders, help inform policies, and ultimately improve decision making, we utilized an Integrated Assessment approach to study artisanal and small-scale gold mining activities in Ghana. Though Integrated Assessments have been used in the fields of environmental science and sustainable development, their use in addressing specific matter in public health, and in particular, environmental and occupational health is quite limited despite their many benefits. The aim of the current paper was to describe specific activities undertaken and how they were organized, and the outputs and outcomes of our activity. In brief, three disciplinary workgroups (Natural Sciences, Human Health, Social Sciences and Economics) were formed, with 26 researchers from a range of Ghanaian institutions plus international experts. The workgroups conducted activities in order to address the following question: What are the causes, consequences and correctives of small-scale gold mining in Ghana? More specifically: What alternatives are available in resource-limited settings in Ghana that allow for gold-mining to occur in a manner that maintains ecological health and human health without hindering near- and long-term economic prosperity? Several response options were identified and evaluated, and are currently being disseminated to various stakeholders within Ghana and internationally. PMID:26393627

  17. Who Cares? Pre and Post Abortion Experiences among Young Females in Cape Coast Metropolis, Ghana.

    PubMed

    Esia-Donkoh, Kobina; Darteh, Eugene K M; Blemano, Harriet; Asare, Hagar

    2015-06-01

    Issues of abortion are critical in Ghana largely due to its consequences on sexual and reproductive health. The negative perception society attaches to it makes it difficult for young females to access services and share their experiences. This paper examines the pre and post abortion experiences of young females; a subject scarcely researched in the country. Twenty-one clients of Planned Parenthood Association of Ghana (PPAG) clinic at Cape Coast were interviewed. Guided by the biopsychosocial model, the study revealed that fear of societal stigma, shame, and rejection by partners, as well as self-imposed stigma constituted some of the pre and post abortion experiences the respondents. Other experiences reported were bleeding, severe abdominal pain and psychological pain. The Ghana Health Services (GHS) and other service providers should partner the PPAG clinic to integrate psychosocial treatment in its abortion services while intensifying behaviour change communication and community-based stigma-reduction education in the Metropolis. PMID:26506657

  18. Ghana's National Health Insurance Scheme: insights from members, administrators and health care providers.

    PubMed

    Barimah, Kofi Bobi; Mensah, Joseph

    2013-08-01

    The Ghana National Health Insurance Scheme (NHIS) was established as part of a poverty reduction strategy to make health care more affordable to Ghanaians. It is envisaged that it will eventually replace the existing cash-and-carry system. This paper examines the views of NHIS administrators, members/enrollees, and health care providers on how the Scheme operates in practice. It is part of a larger evaluation project on Ghana's NHIS, sponsored by the Bill and Melinda Gates Foundation and the Global Development Network as part of a two-year global research. We rely primarily on qualitative data from focus group discussion in the Brong Ahafo and the Upper East regions respectively. Our findings suggest that the NHIS has improved access to affordable health care services and prescription drugs to many people in Ghana. However, there are concerns about fraud and corruption that must be addressed if the Scheme is to be financially viable.

  19. Medical physics practice and training in Ghana.

    PubMed

    Amuasi, John H; Kyere, Augustine K; Schandorf, Cyril; Fletcher, John J; Boadu, Mary; Addison, Eric K; Hasford, Francis; Sosu, Edem K; Sackey, Theophilus A; Tagoe, Samuel N A; Inkoom, Stephen; Serfor-Armah, Yaw

    2016-06-01

    Medical physics has been an indispensable and strategic stakeholder in the delivery of radiological services to the healthcare system of Ghana. The practice has immensely supported radiation oncology and medical imaging facilities over the years, while the locally established training programme continues to produce human resource to feed these facilities. The training programme has grown to receive students from other African countries in addition to local students. Ghana has been recognised by the International Atomic Energy Agency as Regional Designated Centre for Academic Training of Medical Physicists in Africa. The Ghana Society for Medical Physics collaborates with the School of Nuclear and Allied Sciences of the University of Ghana to ensure that training offered to medical physicists meet international standards, making them clinically qualified. The Society has also worked together with other bodies for the passage of the Health Profession's Regulatory Bodies Act, giving legal backing to the practice of medical physics and other allied health professions in Ghana. The country has participated in a number of International Atomic Energy Agency's projects on medical physics and has benefited from its training courses, fellowships and workshops, as well as those of other agencies such as International Organization for Medical Physics. This has placed Ghana's medical physicists in good position to practice competently and improve healthcare.

  20. Dilemma of Access and Provision of Quality Basic Education in Central Region, Ghana

    ERIC Educational Resources Information Center

    Amakyi, Michael; Ampah-Mensah, Alfred

    2016-01-01

    A survey research was conducted to find out if reported improvements in access to education in Ghana are reflected in comparable improvements in delivery of quality education. The study examined theoretical constructs on adequacy and quality assurance in education to ascertain the state of quality provision in education, and whether there is a…

  1. Evaluating Team Project-Work Using Triangulation: Lessons from Communities in Northern Ghana

    ERIC Educational Resources Information Center

    Clark, Gordon; Jasaw, Godfred Seidu

    2014-01-01

    This paper uses triangulation to assess key aspects of a team-based, participatory action research programme for undergraduates in rural communities across northern Ghana. The perceptions of the programme and its effects on the students, staff and host communities are compared, showing areas of agreement and disagreement. The successes of the…

  2. Can Community Participation Mobilise Social Capital for Improvement of Rural Schooling? A Case Study from Ghana

    ERIC Educational Resources Information Center

    Pryor, John

    2005-01-01

    This article uses a case study of rural education in Ghana to investigate an important element of the decentralisation agenda--community participation in schooling. Drawing on a theoretical framework derived from Bourdieu, it argues that schooling and community life are two distinct and differently structured fields. The research demonstrates how…

  3. Typology of School Dropout: The Dimensions and Dynamics of Dropout in Ghana

    ERIC Educational Resources Information Center

    Ananga, Eric Daniel

    2011-01-01

    This paper explores the dropout experience of children who dropped out of schools located in two rural communities in the Central Region of Ghana. The main research question sought to explore the meaning and types of drop out founded on the views of children who had dropped out of school. The study tracked 18 children aged 7-17 years. Snowball…

  4. Whose Voices Are Being Heard? Mechanisms for Community Participation in Education in Northern Ghana

    ERIC Educational Resources Information Center

    Mfum-Mensah, Obed; Friedson-Ridenour, Sophia

    2014-01-01

    This article reports on a study of community participation in School "for" Life, a complementary education programme operating in northern Ghana. The researchers investigated three components of community participation: the nature of the mechanisms used to engage community members as participants in the education process; the actors who…

  5. Household Living Arrangements and Transition to Sexual Debut among Young People in Ghana

    ERIC Educational Resources Information Center

    Tenkorang, Eric Y.; Adjei, Jones K.

    2015-01-01

    There is abundant research on the links between family and household structure and young people's sexual risk-taking behaviours, but this scholarship although emerging in sub-Saharan Africa is largely limited to the West. Using data from the 2004 National Adolescent Survey conducted among 12-19 year olds in Ghana, and applying discrete time…

  6. The Efficacies of Secretarial Profession by Ghana Education Service and Higher Education Institutions

    ERIC Educational Resources Information Center

    Adam, Abdul-Kahar

    2015-01-01

    This project is carried out by employing an empirical method through questionnaire design and administration and tapped the perceptions and knowledge of the target elements of this study. The research frame was about Ghana Education Service office workers within the Accra Metropolis including higher education institutions. A qualitative data…

  7. Universities' Role in Regional Development: A Case Study of University for Development Studies, Ghana

    ERIC Educational Resources Information Center

    Abonyi, Usman Kojo

    2016-01-01

    This study, employing an interpretive research paradigm, sought to investigate into how University for Development Studies (UDS) is responding to its regional development mandate with a specific focus on how it is responding to human capital development, innovation capabilities, and social and environmental development in northern Ghana. A study…

  8. The Role of Materiality in Apprenticeships: The Case of the Suame Magazine, Kumasi, Ghana

    ERIC Educational Resources Information Center

    Jaarsma, Thomas; Maat, Harro; Richards, Paul; Wals, Arjen

    2011-01-01

    Although the concept of the apprenticeship seems to be universal, its institutional form and status differ around the world. This article discusses informal apprenticeship training as it occurs among car mechanics in the informal industrial complex of the Suame Magazine, Kumasi, Ghana. Using on-site research and theories of social learning and…

  9. Barriers to Teacher Motivation for Professional Practice in the Ghana Education Service

    ERIC Educational Resources Information Center

    Salifu, Inusah

    2014-01-01

    In Ghana, several education initiatives for promoting the quality of education have excluded the issue of teacher motivation. Well-motivated teachers are likely to be more committed to their profession and this could lead to desirable learning outcomes. This research attempted to identity and analyse what teachers in public pre-tertiary schools in…

  10. SOMARC teams with private distribution firm to implement CSM program in Ghana.

    PubMed

    1985-01-01

    SOMARC, together with a private manufacturer and distributor of pharmaceutical products (Danafco, Limited), is launching a new contraceptive social marketing (CSM) program designed to make low cost, modern contraceptive products widely available in Ghana's cities. Danafco will directly implement the CSM program. Both the US Agency for International Development (USAID) and the government of Ghana will provide support to the program. James R. Kirland, USAID Population Officer, will assume overall responsibility for coordination and monitoring of CSM program activities. By a special amendment to the Pharmacy and Drug Act of 1961, the Ghanaian government has enabled the CSM program to conduct a demonstration project. Under the project, chemical sellers and retailers who successfully complete a special training session will be entitled to dispense oral contraceptives (OCs) without prescription. With the successful completion of this project, it is hoped that the Ghanaian government will further amend the Pharmacy Act to make contraceptives available nationwide on a nonprescription basis. Initially, the Ghana CSM program will market 3 products: a standard dosage OC; a foaming vaginal tablet; and an uncolored condom. Market research is now underway to determine product names for the OCs and vaginal tablets. The condom will be marketed under the name Panther. The project plans to conduct a retail audit to define current prices in the Ghanaian contraceptive market. Danafco will subcontract with Lintas Ghana Limited to provide advertising, package design, and promotion for the Ghana CSM program. Overall campaign efforts will focus on generating a positive climate for the program among influentials in government, religion, education, and health as well as consumers. The advertising campaign will include radio, television, print, and outdoor media. SOMARC, in collaboration with the USAID/Accra mission, hopes to establish an appropriate climate prior to the advertising launch

  11. Pharmacogenetics in Ghana: reviewing the evidence.

    PubMed

    Kudzi, W; Adjei, G O; Ofori-Adjei, D; Dodoo, A N O

    2011-06-01

    Different clinical response of different patients to the same medicine has been recognised and documented since the 1950's. Variability in response of individuals to standard doses of drug therapy is important in clinical practice and can lead to therapeutic failures or adverse drug reactions. Pharmacogenetics seeks to identify individual genetic differences (polymorphisms) in drug absorption, metabolism, distribution and excretion that can affect the activity of a particular drug with the view of improving efficacy and reducing toxicity. Although knowledge of pharmacogenetics is being translated into clinical practice in the developed world, its applicability in the developing countries is low. Several factors account for this including the fact that there is very little pharmacogenetic information available in many indigenous African populations including Ghanaians. A number of genes including Cytochrome P450 (CYP) 2A6, CYP2B6, CYP2C8, CYP2C9, CYP2C19, CYP2D6, MDR1 and TPMT have been genotyped in the Ghanaian population since the completion of the Human genome project. There is however, an urgent need to increase pharmacogenetic research in Ghana to increase availability of data. Introducing Pharmacogenetics into the curriculum of Medical and Pharmacy training institutions will influence translating knowledge of pharmacogenetics into clinical practice. This will also equip health professionals with the skill to integrate genetic information into public health decision making. PMID:21857725

  12. Minimal Coital Dilution in Accra, Ghana

    PubMed Central

    Jenness, Samuel M.; Biney, Adriana A. E.; Ampofo, William Kwabena; Dodoo, F. Nii-Amoo; Cassels, Susan

    2015-01-01

    Background Coital dilution, the reduction in the coital frequency per partner when an additional ongoing partner is added, may reduce the transmission potential of partnership concurrency for HIV and other sexually transmitted infections. Empirical estimates of dilution, especially dilution of sexual acts unprotected by condoms, are needed to inform prevention research. Methods Sexually active adults in Accra, Ghana were recruited in a multi-stage household probability sample. Degree (number of ongoing partners), total acts, and unprotected acts were measured retrospectively for each month in the past year through an event-history calendar. Random effects negative binomial models estimated the association between degree and coital frequency. Results Compared to person-months with a single partner (monogamy), 2.06 times as many total acts and 1.94 times as many unprotected acts occurred in months with 2 partners. In months with 3 partners, 2.90 times as many total acts and 2.39 times as many unprotected acts occurred compared to monogamous months. Total acts but not unprotected acts also declined with partnership duration. Conclusions No dilution was observed for total acts with up to three concurrent partners, but a small amount of dilution was observed for unprotected acts for months with multiple concurrencies. This suggests moderate selective condom use in months with multiple concurrencies. The implications of the observed dilution for future HIV transmission must be investigated with mathematical models. PMID:25622062

  13. Epidemic in Ghana: "a very distinct profile".

    PubMed

    Decosas, J

    1995-06-01

    Sentinel surveillance for HIV among pregnant women in Ghana in 1992 pointed to an HIV prevalence of 3.2% in Koforidua and 4.2% in Kumasi; prevalence of 18%, however, was observed in rural Agomanya in the Eastern Region of the country. This relatively and absolutely high prevalence of HIV infection in the Eastern Region is closely related to the emigration of women to Cote d'Ivoire for work as prostitutes, and their ultimate return to their home villages in Eastern Ghana. It is hypothesized that the construction of the Volta river dam at Akosombe in the 1960s led to the establishment of a prostitution industry in that region. After the work was completed, the female prostitutes from Ghana followed the construction workers to their next site in Koussou, Cote d'Ivoire, and later moved to Abidjan. By 1990, an estimated 60% of the prostitutes in Abidjan were Ghanaian, one third of whom were from the Eastern Region. The national AIDS program of Cote d'Ivoire reported in 1992 that 86% of prostitutes in Abidjan were infected with HIV. Since 1986, these women have been returning to their villages in Ghana's Eastern Region to live out the last few months of their lives. Ghanaians are aware of this phenomenon and generally believe that HIV and AIDS affect only prostitutes from Abidjan. That, however, is not the case. The national AIDS program estimates that 2% of the adult population in the country is infected with HIV, mainly through sex with a Ghanaian in Ghana who is not a prostitute. All sexually active individuals in Ghana may therefore be at risk of contracting and transmitting HIV. This message must be communicated to the general public. PMID:12289034

  14. Epidemic in Ghana: "a very distinct profile".

    PubMed

    Decosas, J

    1995-06-01

    Sentinel surveillance for HIV among pregnant women in Ghana in 1992 pointed to an HIV prevalence of 3.2% in Koforidua and 4.2% in Kumasi; prevalence of 18%, however, was observed in rural Agomanya in the Eastern Region of the country. This relatively and absolutely high prevalence of HIV infection in the Eastern Region is closely related to the emigration of women to Cote d'Ivoire for work as prostitutes, and their ultimate return to their home villages in Eastern Ghana. It is hypothesized that the construction of the Volta river dam at Akosombe in the 1960s led to the establishment of a prostitution industry in that region. After the work was completed, the female prostitutes from Ghana followed the construction workers to their next site in Koussou, Cote d'Ivoire, and later moved to Abidjan. By 1990, an estimated 60% of the prostitutes in Abidjan were Ghanaian, one third of whom were from the Eastern Region. The national AIDS program of Cote d'Ivoire reported in 1992 that 86% of prostitutes in Abidjan were infected with HIV. Since 1986, these women have been returning to their villages in Ghana's Eastern Region to live out the last few months of their lives. Ghanaians are aware of this phenomenon and generally believe that HIV and AIDS affect only prostitutes from Abidjan. That, however, is not the case. The national AIDS program estimates that 2% of the adult population in the country is infected with HIV, mainly through sex with a Ghanaian in Ghana who is not a prostitute. All sexually active individuals in Ghana may therefore be at risk of contracting and transmitting HIV. This message must be communicated to the general public.

  15. Modelling of fire count data: fire disaster risk in Ghana.

    PubMed

    Boadi, Caleb; Harvey, Simon K; Gyeke-Dako, Agyapomaa

    2015-01-01

    Stochastic dynamics involved in ecological count data require distribution fitting procedures to model and make informed judgments. The study provides empirical research, focused on the provision of an early warning system and a spatial graph that can detect societal fire risks. It offers an opportunity for communities, organizations, risk managers, actuaries and governments to be aware of, and understand fire risks, so that they will increase the direct tackling of the threats posed by fire. Statistical distribution fitting method that best helps identify the stochastic dynamics of fire count data is used. The aim is to provide a fire-prediction model and fire spatial graph for observed fire count data. An empirical probability distribution model is fitted to the fire count data and compared to the theoretical probability distribution of the stochastic process of fire count data. The distribution fitted to the fire frequency count data helps identify the class of models that are exhibited by the fire and provides time leading decisions. The research suggests that fire frequency and loss (fire fatalities) count data in Ghana are best modelled with a Negative Binomial Distribution. The spatial map of observed fire frequency and fatality measured over 5 years (2007-2011) offers in this study a first regional assessment of fire frequency and fire fatality in Ghana. PMID:26702383

  16. Spatial Associations Between Contaminated Land and Socio Demographics in Ghana.

    PubMed

    Dowling, Russell; Ericson, Bret; Caravanos, Jack; Grigsby, Patrick; Amoyaw-Osei, Yaw

    2015-10-01

    Associations between contaminated land and socio demographics are well documented in high-income countries. In low- and middle-income countries, however, little is known about the extent of contaminated land and possible demographic correlations. This is an important yet sparsely researched topic with potentially significant public health implications as exposure to pollution remains a leading source of morbidity and mortality in low-income countries. In this study, we review the associations between several socio demographic factors (population, population density, unemployment, education, and literacy) and contaminated sites in Ghana. Within this context, both correlation and association intend to show the relationship between two variables, namely contaminated sites and socio demographics. Aggregated district level 2010 census data from Ghana Statistical Service and contaminated site location data from Pure Earth's Toxic Sites Identification Program (TSIP) were spatially evaluated using the number of sites per kilometer squared within districts as the unit of measurement. We found a low to medium positive correlation (ρ range: 0.285 to 0.478) between contaminated sites and the following socio demographics: higher population density, higher unemployment, greater education, and higher literacy rate. These results support previous studies and suggest that several socio demographic factors may be reasonably accurate predictors of contaminated site locations. More research and targeted data collection is needed to better understand these associations with the ultimate goal of developing a predictive model. PMID:26516882

  17. Spatial Associations Between Contaminated Land and Socio Demographics in Ghana.

    PubMed

    Dowling, Russell; Ericson, Bret; Caravanos, Jack; Grigsby, Patrick; Amoyaw-Osei, Yaw

    2015-10-27

    Associations between contaminated land and socio demographics are well documented in high-income countries. In low- and middle-income countries, however, little is known about the extent of contaminated land and possible demographic correlations. This is an important yet sparsely researched topic with potentially significant public health implications as exposure to pollution remains a leading source of morbidity and mortality in low-income countries. In this study, we review the associations between several socio demographic factors (population, population density, unemployment, education, and literacy) and contaminated sites in Ghana. Within this context, both correlation and association intend to show the relationship between two variables, namely contaminated sites and socio demographics. Aggregated district level 2010 census data from Ghana Statistical Service and contaminated site location data from Pure Earth's Toxic Sites Identification Program (TSIP) were spatially evaluated using the number of sites per kilometer squared within districts as the unit of measurement. We found a low to medium positive correlation (ρ range: 0.285 to 0.478) between contaminated sites and the following socio demographics: higher population density, higher unemployment, greater education, and higher literacy rate. These results support previous studies and suggest that several socio demographic factors may be reasonably accurate predictors of contaminated site locations. More research and targeted data collection is needed to better understand these associations with the ultimate goal of developing a predictive model.

  18. Spatial Associations Between Contaminated Land and Socio Demographics in Ghana

    PubMed Central

    Dowling, Russell; Ericson, Bret; Caravanos, Jack; Grigsby, Patrick; Amoyaw-Osei, Yaw

    2015-01-01

    Associations between contaminated land and socio demographics are well documented in high-income countries. In low- and middle-income countries, however, little is known about the extent of contaminated land and possible demographic correlations. This is an important yet sparsely researched topic with potentially significant public health implications as exposure to pollution remains a leading source of morbidity and mortality in low-income countries. In this study, we review the associations between several socio demographic factors (population, population density, unemployment, education, and literacy) and contaminated sites in Ghana. Within this context, both correlation and association intend to show the relationship between two variables, namely contaminated sites and socio demographics. Aggregated district level 2010 census data from Ghana Statistical Service and contaminated site location data from Pure Earth’s Toxic Sites Identification Program (TSIP) were spatially evaluated using the number of sites per kilometer squared within districts as the unit of measurement. We found a low to medium positive correlation (ρ range: 0.285 to 0.478) between contaminated sites and the following socio demographics: higher population density, higher unemployment, greater education, and higher literacy rate. These results support previous studies and suggest that several socio demographic factors may be reasonably accurate predictors of contaminated site locations. More research and targeted data collection is needed to better understand these associations with the ultimate goal of developing a predictive model. PMID:26516882

  19. Groundwater Exploration for Rural Communities in Ghana, West Africa

    NASA Astrophysics Data System (ADS)

    McKay, W. A.

    2001-05-01

    Exploration for potable water in developing countries continues to be a major activity, as there are more than one billion people without access to safe drinking water. Exploration for groundwater becomes more critical in regions where groundwater movement and occurrence is controlled by secondary features such as fractures and faults. Drilling success rates in such geological settings are generally very low, but can be improved by integrating geological, hydrogeological, aerial photo interpretation with land-based geophysical technology in the selection of drilling sites. To help alleviate water supply problems in West Africa, the Conrad N. Hilton Foundation and other donors, since 1990, have funded the World Vision Ghana Rural Water Project (GRWP) to drill wells for potable water supplies in the Greater Afram Plains (GAP) of Ghana. During the first two years of the program, drilling success rates using traditional methods ranged from 35 to 80 percent, depending on the area. The average drilling success rate for the program was approximately 50 percent. In an effort to increase the efficiency of drilling operations, the Desert Research Institute evaluated and developed techniques for application to well-siting strategies in the GAP area of Ghana. A critical project element was developing technical capabilities of in-country staff to independently implement the new strategies. Simple cost-benefit relationships were then used to evaluate the economic advantages of developing water resources using advanced siting methods. The application of advanced methods in the GAP area reveal an increase of 10 to 15 percent in the success rate over traditional methods. Aerial photography has been found to be the most useful of the imagery products covering the GAP area. An effective approach to geophysical exploration for groundwater has been the combined use of EM and resistivity methods. Economic analyses showed that the use of advanced methods is cost-effective when success

  20. Multivariate co-integration analysis of the Kaya factors in Ghana.

    PubMed

    Asumadu-Sarkodie, Samuel; Owusu, Phebe Asantewaa

    2016-05-01

    The fundamental goal of the Government of Ghana's development agenda as enshrined in the Growth and Poverty Reduction Strategy to grow the economy to a middle income status of US$1000 per capita by the end of 2015 could be met by increasing the labour force, increasing energy supplies and expanding the energy infrastructure in order to achieve the sustainable development targets. In this study, a multivariate co-integration analysis of the Kaya factors namely carbon dioxide, total primary energy consumption, population and GDP was investigated in Ghana using vector error correction model with data spanning from 1980 to 2012. Our research results show an existence of long-run causality running from population, GDP and total primary energy consumption to carbon dioxide emissions. However, there is evidence of short-run causality running from population to carbon dioxide emissions. There was a bi-directional causality running from carbon dioxide emissions to energy consumption and vice versa. In other words, decreasing the primary energy consumption in Ghana will directly reduce carbon dioxide emissions. In addition, a bi-directional causality running from GDP to energy consumption and vice versa exists in the multivariate model. It is plausible that access to energy has a relationship with increasing economic growth and productivity in Ghana.

  1. Multivariate co-integration analysis of the Kaya factors in Ghana.

    PubMed

    Asumadu-Sarkodie, Samuel; Owusu, Phebe Asantewaa

    2016-05-01

    The fundamental goal of the Government of Ghana's development agenda as enshrined in the Growth and Poverty Reduction Strategy to grow the economy to a middle income status of US$1000 per capita by the end of 2015 could be met by increasing the labour force, increasing energy supplies and expanding the energy infrastructure in order to achieve the sustainable development targets. In this study, a multivariate co-integration analysis of the Kaya factors namely carbon dioxide, total primary energy consumption, population and GDP was investigated in Ghana using vector error correction model with data spanning from 1980 to 2012. Our research results show an existence of long-run causality running from population, GDP and total primary energy consumption to carbon dioxide emissions. However, there is evidence of short-run causality running from population to carbon dioxide emissions. There was a bi-directional causality running from carbon dioxide emissions to energy consumption and vice versa. In other words, decreasing the primary energy consumption in Ghana will directly reduce carbon dioxide emissions. In addition, a bi-directional causality running from GDP to energy consumption and vice versa exists in the multivariate model. It is plausible that access to energy has a relationship with increasing economic growth and productivity in Ghana. PMID:26857005

  2. Ghana's experience in the establishment of a national digital seismic network observatory

    NASA Astrophysics Data System (ADS)

    Ahulu, Sylvanus; Danuor, Sylvester Kojo

    2015-07-01

    The Government of Ghana has established a National Digital Seismic Network Observatory in Ghana with the aim of monitoring events such as earthquakes, blasts from mining and quarrying, nuclear tests, etc. The Digital Observatory was commissioned on 19 December 2012, and was dedicated to Geosciences in Ghana. Previously Ghana did not have any operational, digital seismic network acquisition system with the capability of monitoring and analysing data for planning and research purposes. The Ghana Geological Survey has been monitoring seismic events with an analogue system which was not efficient and does not deliver real-time data. Hence, the importance of setting up the National Digital Seismic Network System which would enable the Geological Survey to constantly monitor, manage and coordinate both natural and man-made seismic activities in the country and around the globe, to some extent on real-time basis. The Network System is made up of six remote digital stations that transmit data via satellite to the central observatory. Sensors used are 3× Trillium Compact and 3× Trillium 120PA with Trident digitizers. The department has also acquired strong motion equipment: Titan accelerometers with Taurus digitizers from Nanometrics. Three of each of these instruments have been installed at the Akosombo and Kpong hydrodams, and also at the Weija water supply dam. These instruments are used to monitor dams. The peak ground acceleration (PGA) values established from the analysed data from the accelerometers will be used to retrofit or carry out maintenance work of the dam structures to avoid collapse. Apart from these, the observatory also assesses and analyses seismic waveforms relevant to its needs from the Global Seismographic Network (GSN) system operated by the US Geological Survey. The Ghana Geological Survey, through its Seismic Network Observatory makes data available to its stakeholder institutions for earthquake disaster mitigation; reports on all aspects of

  3. Assessing the Implementation of Ghana's Patient Charter

    ERIC Educational Resources Information Center

    Abekah-Nkrumah, Gordon; Manu, Abubakar; Atinga, Roger Ayimbillah

    2010-01-01

    Purpose: This paper seeks to assess the implementation of Ghana's Patients' Charter by investigating the level of awareness and knowledge of the Charter's content, some socio-demographic factors that may influence awareness and knowledge of the Charter and how providers have discharged their responsibilities under the Charter.…

  4. Lecturers' Views on Ghana's Undergraduate Mathematics Education

    ERIC Educational Resources Information Center

    Assuah, Charles; Ayebo, Abraham

    2015-01-01

    This paper synthesizes the views of 6 university lecturers on Ghana's undergraduate mathematics education. These views were expressed during a mathematics workshop sensitization program on the "contribution of undergraduate mathematics education to the Ghanaian economy." The data consisting of open-ended questions followed by…

  5. Abuse of Disabled Children in Ghana

    ERIC Educational Resources Information Center

    Kassah, Alexander Kwesi; Kassah, Bente Lilljan Lind; Agbota, Tete Kobla

    2012-01-01

    Even though disabled children are targets of various forms of abuse, such issues remain mostly undocumented open secrets in many countries including Ghana. The article is based on a qualitative data provided by three key informants. Six stories emerged from the data and are discussed in terms of four main forms of abuse. Labelling theories are…

  6. Rights of the Child in Ghana.

    ERIC Educational Resources Information Center

    Lacroix, Anne Laurence

    This report to the United Nations Committee on the Rights of the Child contains observations of the World Organisation Against Torture (OMCT) concerning the application of the U.N. Convention on the Rights of the Child by the Republic of Ghana. The report's introduction asserts that although OMCT welcomes the measures taken by the Ghanian…

  7. Cardiovascular diseases in Ghana within the context of globalization.

    PubMed

    Ofori-Asenso, Richard; Garcia, Daireen

    2016-02-01

    This paper discusses how globalization and its elements are influencing health dynamics and in particular Cardiovascular diseases (CVDs) in Ghana. It assesses the growing burden of CVDs and its relationship with globalization. It further describes the conceptual framework on which to view the impact of globalization on CVDs in Ghana. It also set out the dimensions of the relationship between CVD risk factors and globalization. The paper concludes with a discussion on strategies for tackling the growing burden of CVDs in Ghana.

  8. Higher Education Curriculum for Sustainability: Course Contents Analyses of Purchasing and Supply Management Programme of Polytechnics in Ghana

    ERIC Educational Resources Information Center

    Etse, Daniel; Ingley, Coral

    2016-01-01

    Purpose: The purpose of this study is to determine the degree of attention to and the nature of sustainability issues in the curriculum of the Higher National Diploma (HND) Purchasing and Supply Management programme of Ghana. Design/Methodology/Approach: Documentary research is the approach used to analyse the curriculum document for the programme…

  9. Analysis of the State of Discipline in Kwanyarko Senior High School in the Central Region of Ghana

    ERIC Educational Resources Information Center

    Sackey, Elizabeth; Amaniampong, Kwarteng; Abrokwa, Juliana Efua

    2016-01-01

    The general purpose of this paper was to find out the perceptions of students and teachers on the state of discipline in Senior High Schools (SHS) in Ghana using Kwanyarko SHS in the Central Region as a case study. Questionnaire was formulated to direct the research. The question focused on the perceptions, causes and remedies to discipline in the…

  10. Five Years After; the Impact of a Participatory Technology Development Programme as Perceived by Smallholder Farmers in Benin and Ghana

    ERIC Educational Resources Information Center

    Sterk, B.; Christian, A. K.; Gogan, A. C.; Sakyi-Dawson, O.; Kossou, D.

    2013-01-01

    Purpose: The article reports effects on livelihoods of a participatory technology development effort in Benin and Ghana (2001-2006), five years after it ended. Design: The study uses data from all smallholders who participated in seven experimental groups, each facilitated by a PhD researcher. Baseline data and controls were not available. In…

  11. Education Collaboration to Promote School Participation in Northern Ghana: A Case Study of a Complementary Education Program

    ERIC Educational Resources Information Center

    Mfum-Mensah, Obed

    2011-01-01

    This study explores the perceived benefits and challenges of the collaboration model of a complementary education program which operates in marginalized communities in northern Ghana. The scope of the paper includes the background, collaboration as a transformative process, research methodology, findings, and discussion. The study revealed that:…

  12. "If I Should Stop Teaching Now, Where Will I Go?" Turnover Intentions among High School Teachers in Ghana

    ERIC Educational Resources Information Center

    Adusei, Henry; Sarfo, Jacob Owusu; Manukure, Portia; Cudjoe, Josephine

    2016-01-01

    Teachers form one of the essential professional groups in the development domain of every country. Although most senior high school teachers in Ghana complains about poor conditions of service, a lot of them are still at post. The key research goal was to explore the retaining factors of senior high school teachers, within their existing…

  13. Assessment of formaldehyde levels in local and imported fresh fish in Ghana: a case study in the Tamale Metropolis of Ghana.

    PubMed

    Saba, Courage Kosi Setsoafia; Atayure, Seidu Isaac; Adzitey, Frederick

    2015-03-01

    Fish is an important source of protein all over the world, including in Ghana. The fishery sector plays a major role in meeting the domestic need of animal protein and also contributes greatly in foreign exchange earnings. The domestic supply of fish does not meet the demand, so Ghana imports fish and fish products from other countries. Media reports in Ghana have alleged the use of formaldehyde to preserve fish for increased shelf life and to maintain freshness. This research, therefore, sought to establish the levels of formaldehyde in imported and local fresh fish in the Tamale Metropolis by using a ChemSee formaldehyde and formalin detection test kit. Positive and negative controls were performed by using various concentrations of formalin (1, 10, 30, 50, 100, and 300 ppm) and sterile distilled water, respectively. Three times over a 6-month period, different fish species were obtained from five wholesale cold stores (where fish are sold in cartons) and some local sales points (where locally caught fish are sold). A total of 32 samples were taken during three different sampling sessions: 23 imported fish (mackerel, herring, horse mackerel, salmon, and redfish) and 9 local tilapia. The fish were cut, and 50 g was weighed and blended with an equal volume (50 ml) of sterile distilled water. Samples were transferred to test tubes and centrifuged. A test strip was dipped into the supernatant and observed for a color change. A change in color from white to pink or purple indicated the presence of formaldehyde in fish. The study showed that no formaldehyde was present in the imported and local fish obtained. The appropriate regulatory agencies should carry out this study regularly to ensure that fish consumed in Ghana is safe for consumption.

  14. Two worlds apart: experiential learning in Ghana.

    PubMed

    Ware, Sharon Douglass; Winters-Moorhead, Carol

    2009-07-01

    As our society becomes more diverse, it is important for nursing students to become culturally competent and to view the world from a global perspective. Traveling abroad enlightens the senses and expands the worldview. Traveling for study abroad is more than taking a vacation; it affords students the opportunity to learn experientially and it can be a transforming encounter that influences the way an evolving nurse will practice. Nursing students at North Carolina Central University in Durham, North Carolina, had the opportunity to bridge two worlds, urban life at the university and village life in Dodowa, Ghana, West Africa. The purpose of this article is to explore the role that studying abroad has in nurturing experiential learning. The experiences of students from a southern historically Black university that were enrolled concurrently in two summer independent study courses focusing on global healthcare in Ghana, West Africa, are described. PMID:19691186

  15. Developments in emergency nursing education in Ghana.

    PubMed

    Bell, Sue Anne; Bam, Victoria; Acheampong, Emmanuel

    2015-12-01

    Providing effective emergency nursing is challenging in low- to middle-income countries because of limited resources and an inadequate infrastructure. The role of the emergency nurse is growing throughout sub-Saharan Africa and this will help decrease the burden of acute illness and trauma on both the people and the economies in the area. However, there is a gap in education for emergency nurses in this part of the world which needs to be addressed. This article describes an emergency nursing degree programme in Ghana which was developed in collaboration with a university in the United States and one in Ghana. It also outlines the development and content of the programme and discusses its success and challenges.

  16. Social Factors Influencing Child Health in Ghana

    PubMed Central

    Quansah, Emmanuel; Ohene, Lilian Akorfa; Norman, Linda; Mireku, Michael Osei; Karikari, Thomas K.

    2016-01-01

    Objectives Social factors have profound effects on health. Children are especially vulnerable to social influences, particularly in their early years. Adverse social exposures in childhood can lead to chronic disorders later in life. Here, we sought to identify and evaluate the impact of social factors on child health in Ghana. As Ghana is unlikely to achieve the Millennium Development Goals’ target of reducing child mortality by two-thirds between 1990 and 2015, we deemed it necessary to identify social determinants that might have contributed to the non-realisation of this goal. Methods ScienceDirect, PubMed, MEDLINE via EBSCO and Google Scholar were searched for published articles reporting on the influence of social factors on child health in Ghana. After screening the 98 articles identified, 34 of them that met our inclusion criteria were selected for qualitative review. Results Major social factors influencing child health in the country include maternal education, rural-urban disparities (place of residence), family income (wealth/poverty) and high dependency (multiparousity). These factors are associated with child mortality, nutritional status of children, completion of immunisation programmes, health-seeking behaviour and hygiene practices. Conclusions Several social factors influence child health outcomes in Ghana. Developing more effective responses to these social determinants would require sustainable efforts from all stakeholders including the Government, healthcare providers and families. We recommend the development of interventions that would support families through direct social support initiatives aimed at alleviating poverty and inequality, and indirect approaches targeted at eliminating the dependence of poor health outcomes on social factors. Importantly, the expansion of quality free education interventions to improve would-be-mother’s health knowledge is emphasised. PMID:26745277

  17. E-waste disposal effects on the aquatic environment: Accra, Ghana.

    PubMed

    Huang, Jingyu; Nkrumah, Philip Nti; Anim, Desmond Ofosu; Mensah, Ebenezer

    2014-01-01

    , the need for actions to be taken to reduce entry of e-waste pollutants into Ghana's aquatic environment is real and is immediate.Heavy metals (e.g., lead, cadmium, copper and zinc) and organic pollutants (e.g.,PCDD/Fs and PBDEs) have been detected in the sediments of local water bodies in quantities that greatly exceed background levels. This fact alone suggests that aquatic organisms that live in the affected water bodies are highly exposed to these toxic, bio-accumulative, and persistent contaminants. These contaminants have been confirmed to result from the primitive methods used to recycle and process e-waste within the local environment.Only limited local data exist on the threats posed by these e-waste-related contaminants on nearby natural resources, especially aquatic organisms. In this review,we have addressed the potential toxicity of selected heavy metals and organic pollutants on aquatic organisms. Since there are no data on concentrations of contaminants in the water column, we have based our predictions of effects on pollutant release rates from sediments. Pollutants that are attached to sediments are routinely released into the water column from diffusion and advection, the rate of which depends on pH and Eh of the sediments. E-waste contaminants have the potential to produce deleterious effects on the behavior, physiology, metabolism, reproduction,development and growth of many aquatic organisms. Because it is confirmed that both heavy metal and organic contaminants are reaching the biota of Ghana's local waterways, we presume that they are producing adverse effects. Because local data on the aquatic toxicity of these contaminants are as yet unavailable, we strongly recommend that future research be undertaken to examine, on a large scale and long-term basis, both contamination levels in biota, and adverse effects on biota of the nearby water bodies.

  18. Tertiary Education Policy in Ghana. An Assessment: 1988-1998.

    ERIC Educational Resources Information Center

    Girdwood, Alison

    This study was one of several activities conducted at the end of a 5-year World Bank/Government of Ghana project, the Tertiary Education Project (TEP). This project was designed to assist the government of Ghana with the restructuring and quality enhancement of its tertiary education sector. Although the government had prepared an ambitious reform…

  19. FARM RADIO FORUM PROJECT-GHANA, 1964-65.

    ERIC Educational Resources Information Center

    ABELL, HELEN C.

    IN 1964-65 THE GOVERNMENT OF GHANA, IN COOPERATION WITH UNESCO AND THE GOVERNMENT OF CANADA, CARRIED ON THE FARM RADIO FORUM PILOT PROJECT IN 80 VILLAGES IN GHANA TO TRANSMIT INFORMATION AND STIMULATE RURAL SELF-HELP ACTIVITIES. IN 20 VILLAGES ONE FORUM LISTENING GROUP WAS ORGANIZED, 20 VILLAGES HAD TWO LISTENING GROUPS, 20 CONTROL VILLAGES WERE…

  20. Basic School Leaders in Ghana: How Equipped Are They?

    ERIC Educational Resources Information Center

    Donkor, Anthony Kudjo

    2015-01-01

    This paper examines the leadership preparedness of institutional-level practice with focus on basic schools in Ghana. The analysis of documents on teacher training curriculum and, one-on-one and focus group interviews with teachers and school leaders revealed that in all the 38 teacher training institutions in Ghana where teachers are prepared for…

  1. Rethinking Christian Religious Education in Ghana: History, Challenges and Prospects

    ERIC Educational Resources Information Center

    Addai-Mununkum, Richardson

    2014-01-01

    This scholarly essay employs an African philosophical and symbolic construct--Sank?fa--to examine religious education in Ghana. Sank?fa implores the need to examine the past in order to understand the present and to plan for the future. In line with this frame, I recount the history of religious education in Ghana, examine the present challenges,…

  2. E-waste interventions in Ghana.

    PubMed

    Asante, Kwadwo Ansong; Pwamang, John A; Amoyaw-Osei, Yaw; Ampofo, Joseph Addo

    2016-03-01

    Electrical and electronic waste (e-waste) has become an emerging environmental and human health problem in the world in the 21st century. Recently, the developing nations of West Africa (e.g. Ghana and Nigeria) have become a major destination for e-waste worldwide. In Ghana, the e-waste recyclers use primitive methods (mechanical shredding and open burning) to remove plastic insulation from copper cables. This technique can release highly toxic chemicals and severely affect the environment and human health if improperly managed. It is as a result of the adverse impact on human health that some interventions are being made in Ghana to reduce exposure. The present mode of recycling/dismantling, which happens at Agbogbloshie must be replaced by official receiving/recycling centers to be established. Currently, equipment to strip both large and small cables are available in the country via the Blacksmith Institute (USA) and it is expected that the e-waste workers will embrace the use of these machines. This technology will go a long way to help prevent the burning of e-waste and will be replicated in other smaller e-waste centers in the country. PMID:26812848

  3. Exploring contraceptive knowledge and use among women experiencing induced abortion in the Greater Accra Region, Ghana.

    PubMed

    Biney, Adriana A E

    2011-03-01

    Using a qualitative research methodology, twenty-four semi-structured interviews were conducted with women with induced abortion experiences at Korle Bu and Tema Hospitals in the Greater Accra Region, Ghana. Results suggest that these women tended not to have knowledge of contraceptive methods prior to the abortion, while others were informed but failed to use for a variety of reasons ranging from rumours of side effects to personal negative experiences with modem contraceptive methods. A few women also stated contraceptive failure as a reason for their unintended pregnancies that were later aborted. Peer and reproductive health education must be reinforced in communities in the Greater Accra Region to curb adolescents engaging in early sex and should challenge the existing rumours associated with contraception in Ghana. In addition, family planning services in terms of appropriate methods with no side effects must be made available to women in the reproductive ages.

  4. Religion, HIV/AIDS and sexual risk-taking among men in Ghana.

    PubMed

    Gyimah, Stephen Obeng; Tenkorang, Eric Y; Takyi, Baffour K; Adjei, Jones; Fosu, Gabriel

    2010-07-01

    Although a growing body of research has linked religious involvement with HIV/AIDS protective behaviour in Africa, the focus has mainly been on women. Given the patriarchal nature of African culture, this paper argues for the inclusion of men, a critical group whose sexual behaviours have increasingly been linked to the spread and sustenance of the virus in the region. Drawing on different theoretical discourses and using data from the 2003 Ghana Demographic and Health Survey, this paper examines how religious affiliation influences men's risky sexual behaviours. While the results from the bivariate analysis suggested that Muslims and Traditionalists were significantly less likely to engage in risky sexual behaviour compared with Christians, those differences disappeared once socioeconomic variables were controlled, rendering support for the selectivity thesis. This finding could benefit programmatic and policy formulation regarding AIDS prevention in Ghana.

  5. Education reform for the expansion of mother-tongue education in Ghana

    NASA Astrophysics Data System (ADS)

    Rosekrans, Kristin; Sherris, Arieh; Chatry-Komarek, Marie

    2012-10-01

    In 1957 Ghana was the first sub-Saharan colonial nation-state to achieve independence from British rule. The language of literacy instruction, however, remained English throughout most of Ghana's independence, effectively thwarting reading and writing in 11 major and 67 minor indigenous languages in use today. After years of policy shifts, including the intermittent of mother tongue in early childhood schooling to facilitate English language and literacy instruction, prospects for a bold move towards multilingual education have emerged from a coalescence of forces inside and outside of Ghanaian education policy circles. This article discusses how the inertia of a dated language policy and a historic disregard for Ghana's multilingual landscape by the country's own policy makers are being overcome, at least partially, by progressive powers of change, albeit not without challenge. It undertakes an analysis of how a policy environment that supports bilingual education was created in order to implement a comprehensive and innovative multilingual programme, the National Literacy Acceleration Program (NALAP), which was rolled out across the nation's schools in early 2010. Having been involved in the process of designing NALAP, the authors describe the development of standards of learning and materials, as well as innovative aspects of a constructivist teacher education approach. The paper concludes with recommendations for further research, including combining a change process for key stakeholders and randomised language and literacy assessment with social marketing research in a unified approach.

  6. Impact of Electronic Resources and Usage in Academic Libraries in Ghana: Evidence from Koforidua Polytechnic & All Nations University College, Ghana

    ERIC Educational Resources Information Center

    Akussah, Maxwell; Asante, Edward; Adu-Sarkodee, Rosemary

    2015-01-01

    The study investigates the relationship between impact of electronic resources and its usage in academic libraries in Ghana: evidence from Koforidua Polytechnic & All Nations University College, Ghana. The study was a quantitative approach using questionnaire to gather data and information. A valid response rate of 58.5% was assumed. SPSS…

  7. A survey on depression among infertile women in Ghana

    PubMed Central

    2014-01-01

    Background The desire of many young women to become parents may be influenced by the premium placed on children by society. In Africa, children are highly valued for social, cultural and economic reasons. Infertile and childless women in Africa are therefore confronted with a series of societal discrimination and stigmatization which may lead to psychological disorders such as anxiety and depression. Even though some research has been done on the prevalence of infertility in Ghana, very little is known about the psychological impact of childlessness among infertile women. The present study aimed to examine prevalence and severity of depression in relation to age, type of infertility and duration of infertility in Ghanaian infertile women. Methods A total of 100 infertile women who met the selection criteria and had agreed to participate in the study were interviewed using the Beck Depression Inventory questionnaire from December 2012 to April 2013 at the Tamale Teaching Hospital, Tamale/Ghana. Data concerning socio-demographic characteristics such as age, monthly income, duration of infertility, marital status, educational level, number of previous conception, number of previous children, religion, as well as occupation of the respondents were recorded. Results The prevalence of depression among the women was 62.0% with the level of depression showing a significant positive correlation with age of the women and the duration of infertility. The level of depression was significantly higher among subjects with low or no formal education and among the unemployed. Women with primary infertility also presented with high depression scores as measured by BDI. Conclusions In conclusion, the prevalence of depression among the infertile women is high, especially among infertile women age 26 and above, those who are less educated, those with primary infertility, as well as those who have been diagnosed as infertile for more than 3 years. Interventions to decrease and prevent

  8. Improving Nutrition and Health through Non-timber Forest Products in Ghana

    PubMed Central

    Boon, Emmanuel

    2011-01-01

    Nutrition and health are fundamental pillars of human development across the entire life-span. The potential role of non-timber forest products (NTFPs) in improving nutrition and health and reduction of poverty has been recognized in recent years. NTFPs continue to be an important source of household food security, nutrition, and health. Despite their significant contribution to food security, nutrition, and sustainable livelihoods, these tend to be overlooked by policy-makers. NTFPs have not been accorded adequate attention in development planning and in nutrition-improvement programmes in Ghana. Using exploratory and participatory research methods, this study identified the potentials of NTFPs in improving nutrition and food security in the country. Data collected from the survey were analyzed using the SPSS software (version 16.0). Pearson's correlation (p<0.05) showed that a significant association exists between NTFPs and household food security, nutrition, and income among the populations of Bibiani-Bekwai and Sefwi Wiawso districts in the western region of Ghana. NTFPs contributed significantly to nutrition and health of the poor in the two districts, especially during the lean seasons. The results of the survey also indicated that 90% of the sampled population used plant medicine to cure various ailments, including malaria, typhoid, fever, diarrhoea, arthritis, rheumatism, and snake-bite. However, a number of factors, including policy vacuum, increased overharvesting of NTFPs, destruction of natural habitats, bushfires, poor farming practices, population growth, and market demand, are hindering the use and development of NTFPs in Ghana. The study also provides relevant information that policy-makers and development actors require for improving nutrition and health in Ghana. PMID:21608423

  9. Improving nutrition and health through non-timber forest products in Ghana.

    PubMed

    Ahenkan, Albert; Boon, Emmanuel

    2011-04-01

    Nutrition and health are fundamental pillars of human development across the entire life-span. The potential role of non-timber forest products (NTFPs) in improving nutrition and health and reduction of poverty has been recognized in recent years. NTFPs continue to be an important source of household food security, nutrition, and health. Despite their significant contribution to food security, nutrition, and sustainable livelihoods, these tend to be overlooked by policy-makers. NTFPs have not been accorded adequate attention in development planning and in nutrition-improvement programmes in Ghana. Using exploratory and participatory research methods, this study identified the potentials of NTFPs in improving nutrition and food security in the country. Data collected from the survey were analyzed using the SPSS software (version 16.0). Pearson's correlation (p < 0.05) showed that a significant association exists between NTFPs and household food security, nutrition, and income among the populations of Bibiani-Bekwai and Sefwi Wiawso districts in the western region of Ghana. NTFPs contributed significantly to nutrition and health of the poor in the two districts, especially during the lean seasons. The results of the survey also indicated that 90% of the sampled population used plant medicine to cure various ailments, including malaria, typhoid, fever, diarrhoea, arthritis, rheumatism, and snake-bite. However, a number of factors, including policy vacuum, increased overharvesting of NTFPs, destruction of natural habitats, bushfires, poor farming practices, population growth, and market demand, are hindering the use and development of NTFPs in Ghana. The study also provides relevant information that policy-makers and development actors require for improving nutrition and health in Ghana.

  10. Pulled in or pushed out? Understanding the complexities of motivation for alternative therapies use in Ghana

    PubMed Central

    Gyasi, Razak Mohammed; Asante, Felix; Yeboah, Joseph Yaw; Abass, Kabila; Mensah, Charlotte Monica; Siaw, Lawrencia Pokuah

    2016-01-01

    The impact of strong cultural beliefs on specific reasons for traditional medicine (TRM) use among individuals and populations has long been advanced in health care and spatio-medical literature. Yet, little has been done in Ghana and the Ashanti Region in particular to bring out the precise “pull” and “push” relative influences on TRM utilization. With a qualitative research approach involving rural and urban character, the study explored health beliefs and motivations for TRM use in Kumasi Metropolis and Sekyere South District, Ghana. The study draws on data from 36 in-depth interviews with adults, selected through theoretical sampling. We used the a posteriori inductive reduction model to derive broad themes and subthemes. The “pull factors”—perceived benefits in TRM use vis-à-vis the “push factors”—perceived poor services of the biomedical treatments contributed to the growing trends in TRM use. The result however indicates that the “pull factors,” viz.—personal health beliefs, desire to take control of one's health, perceived efficacy, and safety of various modalities of TRM—were stronger in shaping TRM use. Poor access to conventional medicine accounted for the differences in TRM use between rural and urban areas. Understanding the treatment and health-seeking behaviour of a cultural-related group is critical for developing and sustaining traditional therapy in Ghana. PMID:27018431

  11. Pulled in or pushed out? Understanding the complexities of motivation for alternative therapies use in Ghana.

    PubMed

    Gyasi, Razak Mohammed; Asante, Felix; Yeboah, Joseph Yaw; Abass, Kabila; Mensah, Charlotte Monica; Siaw, Lawrencia Pokuah

    2016-01-01

    The impact of strong cultural beliefs on specific reasons for traditional medicine (TRM) use among individuals and populations has long been advanced in health care and spatio-medical literature. Yet, little has been done in Ghana and the Ashanti Region in particular to bring out the precise "pull" and "push" relative influences on TRM utilization. With a qualitative research approach involving rural and urban character, the study explored health beliefs and motivations for TRM use in Kumasi Metropolis and Sekyere South District, Ghana. The study draws on data from 36 in-depth interviews with adults, selected through theoretical sampling. We used the a posteriori inductive reduction model to derive broad themes and subthemes. The "pull factors"-perceived benefits in TRM use vis-à-vis the "push factors"-perceived poor services of the biomedical treatments contributed to the growing trends in TRM use. The result however indicates that the "pull factors," viz.-personal health beliefs, desire to take control of one's health, perceived efficacy, and safety of various modalities of TRM-were stronger in shaping TRM use. Poor access to conventional medicine accounted for the differences in TRM use between rural and urban areas. Understanding the treatment and health-seeking behaviour of a cultural-related group is critical for developing and sustaining traditional therapy in Ghana.

  12. Oil and gas possibilities onshore and offshore Ghana

    SciTech Connect

    Keese, G.O.

    1984-09-01

    Nearly half of the total area of the Republic of Ghana is covered by sedimentary rocks. These rocks are found mainly in four different parts of the country: Tano basin, Keta basin, Voltaian basin, and the continental shelf. Because oil seeps in saturated superficial sands were found in the Tano basin, efforts to find oil in Ghana started as far back as 1896 in this basin, which is located at the extreme southwestern part of Ghana and has an area of 1165 km/sup 2/ (450 mi/sup 2/). The Keta basin, located at the extreme southeastern part of Ghana, has an area of 2200 km/sup 2/ (850 mi/sup 2/). The continental shelf of Ghana is at the southern part of the country and has an area of 27,562 km/sup 2/ (10,640 mi/sup 2/). The possibility of finding oil and/or gas at the extreme western part of the continental shelf cannot be overemphasized. The expansive Voltaian sedimentary basin, located in the central part of Ghana, covers an area of about 103,600 km/sup 2/ (40,000 mi/sup 2/). Although no trace of hydrocarbon was found in the only well that has been drilled so far in this basin, the presence of traces of bitumen in some parts of the basin indicates that, despite of its age, the basin might prove to be an oil province. The recent discovery of oil in the Ivory Coast means that it is possible to find oil or gas in Ghana, inasmuch as Ghana's petroleum potential is closely associated with that of the Ivory Coast basin, which extends for 560 km (300 mi) along the entire Ivory Coast and persists eastward into Ghana for an additional 320 km (200 mi), terminating in the area directly west of Accra.

  13. Cardiovascular diseases in Ghana within the context of globalization

    PubMed Central

    Garcia, Daireen

    2016-01-01

    This paper discusses how globalization and its elements are influencing health dynamics and in particular Cardiovascular diseases (CVDs) in Ghana. It assesses the growing burden of CVDs and its relationship with globalization. It further describes the conceptual framework on which to view the impact of globalization on CVDs in Ghana. It also set out the dimensions of the relationship between CVD risk factors and globalization. The paper concludes with a discussion on strategies for tackling the growing burden of CVDs in Ghana. PMID:26885494

  14. Ghana--medical care amid economic problems.

    PubMed

    Bacon, L

    1980-07-01

    Describing the pattern of disease encountered in primary health care (PHC) in Ghana and the facilities available to treat it, this discussion provides an account of the rapidly deteriorating economic situation and its effects on the inhabitants and on medical practice. During the 1977-79 period Ghana suffered severe economic and political difficulties, affecting work at the University Hospital in Legon, Ghana. The workload differs from that in developed countries in several ways: tropical diseases are common; the diseases of proverty are rife; diseases due to poor public health and an absence of some diseases, e.g., myocardial infarct and multiple sclerosis. There is no equivalent of the British general practioner, but there are 4 main sources of care: 54 government hospitals with 137 health centrs and health posts distributed around the country; 57 private but relatively low cost hospitals and clinics; exclusive, high cost private clinics; and traditional healers and herbalists practicing their art. Between 1976-79 the economy of Ghana went into a steep decline. Exact figures for inflation are difficult to come by; 15% per year was popularly quoted. The cedi (the Ghanaian unit of currency) was officially devalued. Goods became very scarce as well as expensive. Basic food items, spare parts for vehicles and other machinery, petroleum products, soap, and all medical supplies were hard to obtain. There was public unrest during this period. Strikes became frequent. Notable from the health perspective was a strike of all professionals, including doctors, in June 1977, strikes of government employed nurses in April 1978 and May 1979. The main events were 3 changes of government. Although exact data are not easy to obtain, the diseases of poverty appeared to be on the increase. Lack of money tended to keep those not entitled to free treatment away from private hospitals, but the deteriorating situation at the clinics seemed to more than compensate for this. Shortages

  15. Who pays for health care in Ghana?

    PubMed Central

    2011-01-01

    Background Financial protection against the cost of unforeseen ill health has become a global concern as expressed in the 2005 World Health Assembly resolution (WHA58.33), which urges its member states to "plan the transition to universal coverage of their citizens". An important element of financial risk protection is to distribute health care financing fairly in relation to ability to pay. The distribution of health care financing burden across socio-economic groups has been estimated for European countries, the USA and Asia. Until recently there was no such analysis in Africa and this paper seeks to contribute to filling this gap. It presents the first comprehensive analysis of the distribution of health care financing in relation to ability to pay in Ghana. Methods Secondary data from the Ghana Living Standard Survey (GLSS) 2005/2006 were used. This was triangulated with data from the Ministry of Finance and other relevant sources, and further complemented with primary household data collected in six districts. We implored standard methodologies (including Kakwani index and test for dominance) for assessing progressivity in health care financing in this paper. Results Ghana's health care financing system is generally progressive. The progressivity of health financing is driven largely by the overall progressivity of taxes, which account for close to 50% of health care funding. The national health insurance (NHI) levy (part of VAT) is mildly progressive and formal sector NHI payroll deductions are also progressive. However, informal sector NHI contributions were found to be regressive. Out-of-pocket payments, which account for 45% of funding, are regressive form of health payment to households. Conclusion For Ghana to attain adequate financial risk protection and ultimately achieve universal coverage, it needs to extend pre-payment cover to all in the informal sector, possibly through funding their contributions entirely from tax, and address other issues

  16. Cultural background and infant survival in Ghana.

    PubMed

    Gyimah, Stephen Obeng

    2006-05-01

    This study is premised on the hypothesis that ethnic specific socio-cultural practices such as dietary taboos and food avoidances on mothers and infants, as well as perceptions of disease aetiology and treatment patterns may be salient to understanding infant mortality differentials in Ghana. To inform policy, the paper explores if there are significant ethnic differences in infant survival, and whether such differences reflect socio-economic disparities or intrinsic factors. Using data from the 1998 Ghana Demographic and Health Survey, there was evidence of significant ethnic differences in infant survival at the bivariate level. Using Asante mothers as reference, the risk of death was significantly higher among children whose mothers were Mole-Dagbani, Grussi, Gruma, Dagarti, Fanti and Other Akan. In the multivariate models, however, the higher mortality risks associated with these children significantly attenuated after controlling for the socio-economic and bio-demographic factors except for the Fanti. The findings are discussed with reference to the characteristics and cultural theoretical paradigms.

  17. Ghana seeks to resume offshore production

    SciTech Connect

    Not Available

    1991-06-17

    Ghana National Petroleum Corp. (GNPC) plans a two well offshore drilling program it hopes will lead to a resumption of hydrocarbon production in the West African state. The wells will be drilled in South Tano field in the extreme western sector of Ghana's offshore area, near the boundary with Ivory Coast. If the program is successful, the state company will develop a novel floating production system to handle and export oil. Gas will provide fuel for an electrical power generating unit integrated into a floating production system. Power will move ashore through a submarine cable. North and south Tano fields were discovered by Phillips Petroleum Corp., which relinquished the acreage in 1982. The South Tano discovery well flowed 1,614 b/d of oil and 8.2 MMCfd of gas. Studies by a unit of ARCO, when it was a partner in a group that later acquired the Tano block, pegged North Tano hydrocarbons in place at 53.6 million bbl of oil and 102 bcf of gas. Braspetro, under contract with GNPC, estimated South Tano hydrocarbons in place at 82 million bbl of oil and 100 bcf of gas. GNPC is evaluating the possibility of rehabilitating Saltpond oil field about 150 miles east-northeast of North and South Tano. Saltpond has been shut in since 1985.

  18. Effective programmes for improving nutrition in Ghana.

    PubMed

    Agble, R

    1997-12-01

    This brief article identifies some lessons learned from effective programs for improving nutrition in Ghana. The Ghana nutrition program was initiated in the mid-1980s with the introduction of corn milling machines in over 50 communities. The milling machines were donated by UNICEF. The milling machines were used for the production of an improved cereal and a legume-based weaning food (Weanimix). The program included training and nutrition education. After the program was underway, an income generation component was added. The income from the sale of milled cereal was used to support other community-based activities. The number of mothers using the new weaning food increased. Maternal knowledge of basic nutrition improved in project communities compared to non-project communities. The program contributed to greater household food security and improved nutritional status of children. One important lesson learned was that, in order for community interest to remain high, there must be quality operation and few breakdowns of the milling machines. It is also important for agencies and nongovernmental groups to collaborate and define roles carefully. This program was successful in remote rural communities. Existing women's groups managed the project and maintained a simple record system to monitor progress. An appropriate amount of supervision is necessary to prevent laxness in the community from too little supervision or lack of initiative from too much supervision. The program staff was undecided regarding the use of incentives.

  19. Giardia lamblia infections in children in Ghana

    PubMed Central

    Anim-Baidoo, Isaac; Narh, Charles Akugbey; Oddei, Dora; Brown, Charles Addoquaye; Enweronu-Laryea, Christabel; Bandoh, Betty; Sampane-Donkor, Eric; Armah, George; Adjei, Andrew Anthony; Adjei, David Nana; Ayeh-Kumi, Patrick Ferdinand; Gyan, Ben Adu

    2016-01-01

    Introduction Though giardiasis is an important public health problem in Ghana, several aspects of its epidemiology, particularly the molecular epidemiology has not been investigated adequately. This could be a major hindrance to effective surveillance and control of giardiasis in the country. The study was carried out to determine the prevalence, risk factors and genotypes of Giardia lamblia infecting children at a paediatric hospital in Ghana. Methods A total of 485 patients including 365 diarrhoea and 120 non-diarrhoea children were enrolled into the study. Stool samples were collected and analysed for parasite presence using microscopy, ELISA and PCR. Positive samples were subsequently characterized into assemblages by PCR-RFLP, and further confirmed with sequencing of the glutamate dehydrogenase (gdh) gene. Epidemiological data on demographic, clinical and behavioral features of the study subjects were also collected. Results Prevalence of G. lamblia infections in diarrhoea and non-diarrhoea children were 5.8% and 5% respectively (P>0.5). Sequence data confirmed Giardia lamblia assemblage B as the predominant genotype in both diarrhoea and non-diarrhoea cases. There was no significant association of G. lamblia infection with any of the epidemiological variables investigated. Conclusion Our findings suggest that assemblage B could be the predominant genotype causing giardiasis in children. Increased public health education focusing on good sanitary practices, particularly among mothers and children, could decrease the risk of G. lamblia infection. PMID:27800072

  20. Political commitment to tuberculosis control in Ghana.

    PubMed

    Amo-Adjei, Joshua

    2014-01-01

    As part of expanding and sustaining tuberculosis (TB) control, the Stop TB Partnership of the World Health Organization initiative has called for strong political commitment to TB control, particularly in developing countries. Framing political commitment within the theoretical imperatives of the political economy of health, this study explores the existing and the expected dimensions of political commitment to TB control in Ghana. Semi-structured in-depth interviews were conducted with 29 purposively selected staff members of the Ghana Health Service and some political officeholders. In addition, the study analysed laws, policies and regulations relevant to TB control. Four dimensions of political commitment emerged from the interviews: provision of adequate resources (financial, human and infrastructural); political authorities' participation in advocacy for TB; laws and policies' promulgation and social protection interventions. Particularly in respect to financial resources, donors such as the Global Fund to Fight AIDS, Tuberculosis and Malaria presently give more than 60% of the working budget of the programme. The documentary review showed that laws, policies and regulations existed that were relevant to TB control, albeit they were not clearly linked.

  1. Effective programmes for improving nutrition in Ghana.

    PubMed

    Agble, R

    1997-12-01

    This brief article identifies some lessons learned from effective programs for improving nutrition in Ghana. The Ghana nutrition program was initiated in the mid-1980s with the introduction of corn milling machines in over 50 communities. The milling machines were donated by UNICEF. The milling machines were used for the production of an improved cereal and a legume-based weaning food (Weanimix). The program included training and nutrition education. After the program was underway, an income generation component was added. The income from the sale of milled cereal was used to support other community-based activities. The number of mothers using the new weaning food increased. Maternal knowledge of basic nutrition improved in project communities compared to non-project communities. The program contributed to greater household food security and improved nutritional status of children. One important lesson learned was that, in order for community interest to remain high, there must be quality operation and few breakdowns of the milling machines. It is also important for agencies and nongovernmental groups to collaborate and define roles carefully. This program was successful in remote rural communities. Existing women's groups managed the project and maintained a simple record system to monitor progress. An appropriate amount of supervision is necessary to prevent laxness in the community from too little supervision or lack of initiative from too much supervision. The program staff was undecided regarding the use of incentives. PMID:12293189

  2. The changing face of women in physics in Ghana

    NASA Astrophysics Data System (ADS)

    Andam, Aba Bentil; Amponsah, Paulina Ekua; Nsiah-Akoto, Irene; Gyamfi, Kwame; Hood, Christiana Odumah

    2013-03-01

    Ghana is said to be the first independent sub-Saharan African country outside South Africa to promote science education and the application of science in industrial and social development. It has long been recognized that many schools' science curricula extend the extracurricular activities of boys more than those of girls. In order to bridge this gap, efforts have been made to give girls extra assistance in the learning of science by exposing them to science activities through specific camps, road shows, exhibitions, and so on. The best known of such efforts is the Science, Technology, and Mathematics Education (STME) camps and clinics for girls, which started in Ghana 23 years ago. Since our attendance at the Third International Conference on Women in Physics in Seoul, Korea, a lot has been achieved to further improve female science education, and this credit goes to STME. The first female nuclear engineer from Ghana graduated from the University of Ghana in March 2010.

  3. Cancer incidence in Ghana, 2012: evidence from a population-based cancer registry

    PubMed Central

    2014-01-01

    Background Data on cancers is a challenge in most developing countries. Population-based cancer registries are also not common in developing countries despite the usefulness of such registries in informing cancer prevention and control programmes. The availability of population-based data on cancers in Africa varies across different countries. In Ghana, data and research on cancer have focussed on specific cancers and have been hospital-based with no reference population. The Kumasi Cancer Registry was established as the first population-based cancer registry in Ghana in 2012 to provide information on cancer cases seen in the city of Kumasi. Methods This paper reviews data from the Kumasi Cancer Registry for the year 2012. The reference geographic area for the registry is the city of Kumasi as designated by the 2010 Ghana Population and Housing Census. Data was from all clinical departments of the Komfo Anokye Teaching Hospital, Pathology Laboratory Results, Death Certificates and the Kumasi South Regional Hospital. Data was abstracted and entered into Canreg 5 database. Analysis was conducted using Canreg 5, Microsoft Excel and Epi Info Version 7.1.2.0. Results The majority of cancers were recorded among females accounting for 69.6% of all cases. The mean age at diagnosis for all cases was 51.6 years. Among males, the mean age at diagnosis was 48.4 compared with 53.0 years for females. The commonest cancers among males were cancers of the Liver (21.1%), Prostate (13.2%), Lung (5.3%) and Stomach (5.3%). Among females, the commonest cancers were cancers of the Breast (33.9%), Cervix (29.4%), Ovary (11.3%) and Endometrium (4.5%). Histology of the primary tumour was the basis of diagnosis in 74% of cases with clinical and other investigations accounting for 17% and 9% respectively. The estimated cancer incidence Age Adjusted Standardised Rate for males was 10.9/100,000 and 22.4/100, 000 for females. Conclusion This first attempt at population-based cancer

  4. Women in science in Ghana: The Ghana science clinics for girls

    NASA Astrophysics Data System (ADS)

    Andam, Aba Bentil; Amponsah, Paulina; Nsiah-Akoto, Irene; Anderson, Christina Oduma; Ababio, Baaba Andam; Asenso, Yaa Akomah; Nyarko, Savanna

    2015-12-01

    The Ghana Science Clinics for Girls, started in 1987, gave rise to a paradigm shift in the inclusion of girls in science education. One generation later, we review the impact. Our study indicates that progress has been made in the effort to mainstream women into science studies and careers, mainly as a result of the changes that took place through this intervention strategy. The retention rate for girls in science from primary to university has risen considerably and performance is higher.

  5. Medical missions to Ghana: The ethics of choosing children for cardiac surgery.

    PubMed

    Mitchell, Christine

    2014-01-01

    The Hearts and Minds of Ghana project travels from Boston Children's Hospital for two weeks each year to provide cardiac surgery to children in Ghana. Of the hundreds of children in need, how to choose who will receive lifesaving surgery?

  6. Computer Attitude, and the Impact of Personal Characteristics and Information and Communication Technology Adoption Patterns on Performance of Teaching Faculty in Higher Education in Ghana, West Africa

    ERIC Educational Resources Information Center

    Larbi-Apau, Josephine A.

    2011-01-01

    This study examined computer attitude, and the impact of personal characteristics and ICT adoption patterns on performance of multidisciplinary teaching faculty in three public universities in Ghana. A cross-sectional research of mixed methods was applied in collecting data and information. Quantitative data from 164 respondents were analyzed…

  7. A Design Based Research Framework for Implementing a Transnational Mobile and Blended Learning Solution

    ERIC Educational Resources Information Center

    Palalas, Agnieszka; Berezin, Nicole; Gunawardena, Charlotte; Kramer, Gretchen

    2015-01-01

    The article proposes a modified Design-Based Research (DBR) framework which accommodates the various socio-cultural factors that emerged in the longitudinal PA-HELP research study at Central University College (CUC) in Ghana, Africa. A transnational team of stakeholders from Ghana, Canada, and the USA collaborated on the development,…

  8. Smoking in Ghana: a review of tobacco industry activity

    PubMed Central

    Owusu-Dabo, E; Lewis, S; McNeill, A; Anderson, S; Gilmore, A; Britton, J

    2009-01-01

    Background: African countries are a major potential market for the tobacco industry, and the smoking epidemic is at various stages of evolution across the continent. Ghana is an African country with a low prevalence of smoking despite an active tobacco industry presence for over 50 years. This study explores potential reasons for this apparent lack of industry success. Objective: To explore the history of tobacco industry activity in Ghana and to identify potential reasons for the current low prevalence of smoking. Methods: A search was made of tobacco industry archives and other local sources to obtain data relevant to marketing and consumption of tobacco in Ghana. Findings: British American Tobacco, and latterly the International Tobacco Company and its successor the Meridian Tobacco Company, have been manufacturing cigarettes in Ghana since 1954. After an initial sales boom in the two decades after independence in 1957, the sustained further increases in consumption typical of the tobacco epidemic in most countries did not occur. Possible key reasons include the taking of tobacco companies into state ownership and a lack of foreign exchange to fund tobacco leaf importation in the 1970s, both of which may have inhibited growth at a key stage of development, and the introduction of an advertising ban in 1982. BAT ceased manufacturing cigarettes in Ghana in 2006. Conclusion: The tobacco industry has been active in Ghana for over 50 years but with variable success. The combination of an early advertising ban and periods of unfavourable economic conditions, which may have restricted industry growth, are likely to have contributed to the sustained low levels of tobacco consumption in Ghana to date. PMID:19359263

  9. SANKOFA: a multisite collaboration on paediatric HIV disclosure in Ghana

    PubMed Central

    Reynolds, Nancy R.; Ofori-Atta, Angela; Lartey, Margaret; Renner, Lorna; Antwi, Sampson; Enimil, Anthony; Catlin, Ann Christine; Fernando, Sumudinie; Kyriakides, Tassos C.; Paintsil, Elijah

    2016-01-01

    With the scale-up of effective antiretroviral therapy in resource-limited settings, many HIV-infected children are now able to survive into adulthood. To achieve this potential, children must navigate normative developmental processes and challenges while living with an unusually complex, stigmatizing, potentially fatal chronic illness and meeting the demands of treatment. Yet many of these children, especially preadolescents, do not know they are HIV-infected. Despite compelling evidence supporting the merits of informing children of their HIV status, there has been little emphasis on equipping the child’s caregiver with information and skills to promote disclosure, particularly, when the caregiver faces a variety of sociocultural barriers and is reluctant to do so. In this study, we present the background, process and methods for a first of its kind collaboration that is examining the efficacy of an intervention developed to facilitate the engagement of caregivers in the process of disclosure in a manner suitable to the sociocultural context and developmental age and needs of the child in Ghana. We also report preliminary data that supported the design of the intervention approach and currently available domains of the data system. Finally, we discuss challenges and implications for future research. PMID:26049537

  10. The Other Side of Rapport: Data Collection Mode and Interviewer Gender Effects on Sexual Health Reporting in Ghana.

    PubMed

    Agula, Justina; Barrett, Jennifer B; Tobi, Hilde

    2015-09-01

    Accurate data on young people's sexual behaviour and sexual health practice is essential to inform effective interventions and policy. However, little empirical evidence exists to support methodological design decisions in projects assessing young people's sexual health, especially in African contexts. This short report uses original empirical data collected in Ghana in 2012 to assess the effects of data collection mode and interviewer gender on young people's reporting of sexual health and access to supportive sexual health resources. The findings indicate that the effect of data collection mode may vary by gender, and there is no indication of an interviewer gender effect for males in this study. Preliminary results suggest that building strong rapport with research participants in this context may lead to reduced sexual health data quality. These findings merit further investigation and have direct implications for the design of projects measuring sexual health and related variables in Ghana.

  11. Science-based health innovation in Ghana: health entrepreneurs point the way to a new development path

    PubMed Central

    2010-01-01

    Background Science, technology and innovation have long played a role in Ghana’s vision for development, including in improving its health outcomes. However, so far little research has been conducted on Ghana’s capacity for health innovation to address local diseases. This research aims to fill that gap, mapping out the key actors involved, highlighting examples of indigenous innovation, setting out the challenges ahead and outlining recommendations for strengthening Ghana’s health innovation system. Methods Case study research methodology was used. Data were collected through reviews of academic literature and policy documents and through open-ended, face-to-face interviews with 48 people from across the science-based health innovation system. Data was collected over three visits to Ghana from February 2007 to August 2008, and stakeholders engaged subsequently. Results Ghana has strengths which could underpin science-based health innovation in the future, including health and biosciences research institutions with strong foreign linkages and donor support; a relatively strong regulatory system which is building capacity in other West African countries; the beginnings of new funding forms such as venture capital; and the return of professionals from the diaspora, bringing expertise and contacts. Some health products and services are already being developed in Ghana by individual entrepreneurs, which are innovative in the sense of being new to the country and, in some cases, the continent. They include essential medicines, raw pharmaceutical materials, new formulations for pediatric use and plant medicines at various stages of development. Conclusions While Ghana has many institutions concerned with health research and its commercialization, their ability to work together to address clear health goals is low. If Ghana is to capitalize on its assets, including political and macroeconomic stability which underpin investment in health enterprises, it needs to

  12. Ghana YWCA reaches youth with model health program.

    PubMed

    1993-10-01

    The Centre for Development and Population Activities (CEDPA) operates the Better Life Options for Girls and Young Women Initiative in Ghana. It supports the expansion of Ghana's YWCA model adolescent reproductive health program which is targeted to high risk urban and rural adolescents. This program has been so successful that it has increased the number of youth it influences 3-fold. The sexuality and family planning education programs and counseling attract the youth. Teachers, school administrators, and parents support the YWCA program because it relates the controversial issue of adolescent sexuality with a rise in girls' school dropout rates. The YWCA's Counselling Centre in Accra is the first youth facility in Ghana to provide family life education and family planning services to in-school and out-of-school youths. The YWCA is also collaborating with an association of truck drivers and young male street vendors to distribute condoms in the marketplace. Community and parental concern over rising teenage pregnancy rates, sexually transmitted diseases and HIV infections, and girls leaving school motivates the YWCA to offer this program. In Ghana, 19% of female adolescents have at least 1 child. 75% of these teenagers either did not want or plan these births. In conclusion, the YWCA program hopes to establish a consensus that youth must be helped, both for their good and for the good of Ghana. PMID:12345284

  13. Integrated assessment of artisanal and small-scale gold mining in Ghana--part 1: human health review.

    PubMed

    Basu, Niladri; Clarke, Edith; Green, Allyson; Calys-Tagoe, Benedict; Chan, Laurie; Dzodzomenyo, Mawuli; Fobil, Julius; Long, Rachel N; Neitzel, Richard L; Obiri, Samuel; Odei, Eric; Ovadje, Lauretta; Quansah, Reginald; Rajaee, Mozhgon; Wilson, Mark L

    2015-05-13

    This report is one of three synthesis documents produced via an integrated assessment (IA) that aims to increase understanding of artisanal and small-scale gold mining (ASGM) in Ghana. Given the complexities surrounding ASGM, an IA framework was utilized to analyze economic, social, health, and environmental data, and co-develop evidence-based responses with pertinent stakeholders. The current analysis focuses on the health of ASGM miners and community members, and synthesizes extant data from the literature as well as co-authors' recent findings regarding the causes, status, trends, and consequences of ASGM in Ghana. The results provide evidence from across multiple Ghanaian ASGM sites that document relatively high exposures to mercury and other heavy metals, occupational injuries and noise exposure. The work also reviews limited data on psychosocial health, nutrition, cardiovascular and respiratory health, sexual health, and water and sanitation. Taken together, the findings provide a thorough overview of human health issues in Ghanaian ASGM communities. Though more research is needed to further elucidate the relationships between ASGM and health outcomes, the existing research on plausible health consequences of ASGM should guide policies and actions to better address the unique challenges of ASGM in Ghana and potentially elsewhere.

  14. Rainfall and temperature changes and variability in the Upper East Region of Ghana

    NASA Astrophysics Data System (ADS)

    Issahaku, Abdul-Rahaman; Campion, Benjamin Betey; Edziyie, Regina

    2016-08-01

    The aim of the research was to assess the current trend and variation in rainfall and temperature in the Upper East Region, Ghana, using time series moving average analysis and decomposition methods. Meteorological data obtained from the Ghana Meteorological Agency in Accra, Ghana, from 1954 to 2014 were used in the models. The additive decomposition model was used to analyze the rainfall because the seasonal variation was relatively constant over time, while the multiplicative model was used for both the daytime and nighttime temperatures because their seasonal variations increase over time. The monthly maximum and the minimum values for the entire period were as follows: rainfall 455.50 and 0.00 mm, nighttime temperature 29.10°C and 13.25°C and daytime temperature 41.10°C and 26.10°C, respectively. Also, while rainfall was decreasing, nighttime and daytime temperatures were increasing in decadal times. Since both the daytime and nighttime temperatures were increasing and rainfall was decreasing, climate extreme events such as droughts could result and affect agriculture in the region, which is predominantly rain fed. Also, rivers, dams, and dugouts are likely to dry up in the region. It was also observed that there was much variation in rainfall making prediction difficult. Day temperatures were generally high with the months of March and April have been the highest. The months of December recorded the lowest night temperature. Inhabitants are therefore advised to sleep in well-ventilated rooms during the warmest months and wear protective clothing during the cold months to avoid contracting climate-related diseases.

  15. Kin Group Affiliation and Marital Violence Against Women in Ghana.

    PubMed

    Sedziafa, Alice Pearl; Tenkorang, Eric Y

    2016-01-01

    The socialization of men and women in Ghana often confers either patrilineal or matrilineal rights, privileges, and responsibilities. Yet, previous studies that explored domestic and marital violence in sub-Saharan Africa, and Ghana, paid less attention to kin group affiliation and how the power dynamics within such groups affect marital violence. Using the 2008 Ghana Demographic and Health Survey and applying ordinary least squares (OLS) techniques, this study examined what influences physical, sexual, and emotional violence among matrilineal and patrilineal kin groups. Results indicate significant differences among matrilineal and patrilineal kin groups regarding marital violence. Socioeconomic variables that capture feminist and power theories were significantly related to sexual and emotional violence in matrilineal societies. Also, variables that tap both cultural and life course epistemologies of domestic violence were strongly related to physical, sexual, and emotional violence among married women in patrilineal kin groups. Policymakers must pay attention to kin group affiliation in designing policies aimed at reducing marital violence among Ghanaian women.

  16. Evolutionary History of Rabies in Ghana

    PubMed Central

    Hayman, David T. S.; Johnson, Nicholas; Horton, Daniel L.; Hedge, Jessica; Wakeley, Philip R.; Banyard, Ashley C.; Zhang, Shoufeng; Alhassan, Andy; Fooks, Anthony R.

    2011-01-01

    Rabies virus (RABV) is enzootic throughout Africa, with the domestic dog (Canis familiaris) being the principal vector. Dog rabies is estimated to cause 24,000 human deaths per year in Africa, however, this estimate is still considered to be conservative. Two sub-Saharan African RABV lineages have been detected in West Africa. Lineage 2 is present throughout West Africa, whereas Africa 1a dominates in northern and eastern Africa, but has been detected in Nigeria and Gabon, and Africa 1b was previously absent from West Africa. We confirmed the presence of RABV in a cohort of 76 brain samples obtained from rabid animals in Ghana collected over an eighteen-month period (2007–2009). Phylogenetic analysis of the sequences obtained confirmed all viruses to be RABV, belonging to lineages previously detected in sub-Saharan Africa. However, unlike earlier reported studies that suggested a single lineage (Africa 2) circulates in West Africa, we identified viruses belonging to the Africa 2 lineage and both Africa 1 (a and b) sub-lineages. Phylogeographic Bayesian Markov chain Monte Carlo analysis of a 405 bp fragment of the RABV nucleoprotein gene from the 76 new sequences derived from Ghanaian animals suggest that within the Africa 2 lineage three clades co-circulate with their origins in other West African countries. Africa 1a is probably a western extension of a clade circulating in central Africa and the Africa 1b virus a probable recent introduction from eastern Africa. We also developed and tested a novel reverse-transcription loop-mediated isothermal amplification (RT-LAMP) assay for the detection of RABV in African laboratories. This RT-LAMP was shown to detect both Africa 1 and 2 viruses, including its adaptation to a lateral flow device format for product visualization. These data suggest that RABV epidemiology is more complex than previously thought in West Africa and that there have been repeated introductions of RABV into Ghana. This analysis highlights the

  17. Mapping mental health finances in Ghana, Uganda, Sri Lanka, India and Lao PDR

    PubMed Central

    2010-01-01

    Background Limited evidence about mental health finances in low and middle-income countries is a key challenge to mental health care policy initiatives. This study aimed to map mental health finances in Ghana, Uganda, India (Kerala state), Sri Lanka and Lao PDR focusing on how much money is available for mental health, how it is spent, and how this impacts mental health services. Methods A researcher in each region reviewed public mental health-related budgets and interviewed key informants on government mental health financing. A total of 43 key informant interviews were conducted. Quantitative data was analyzed in an excel matrix using descriptive statistics. Key informant interviews were coded a priori against research questions. Results National ring-fenced budgets for mental health as a percentage of national health spending for 2007-08 is 1.7% in Sri Lanka, 3.7% in Ghana, 2.0% in Kerala (India) and 6.6% in Uganda. Budgets were not available in Lao PDR. The majority of ring-fenced budgets (76% to 100%) is spent on psychiatric hospitals. Mental health spending could not be tracked beyond the psychiatric hospital level due to limited information at the health centre and community levels. Conclusions Mental health budget information should be tracked and made publically accessible. Governments can adapt WHO AIMS indicators for reviewing national mental health finances. Funding allocations work more effectively through decentralization. Mental health financing should reflect new ideas emerging from community based practice in LMICs. PMID:20507558

  18. Evaluating international collaboration: differential perceptions of partnership in a CBPR project in Ghana.

    PubMed

    de Schweinitz, Peter; Ansong, Daniel; Manortey, Stephen; Amuasi, John; Boakye, Isaac; Crookston, Benjamin T; Alder, Stephen

    2009-12-01

    Practitioners of community-based participatory research (CBPR) must overcome numerous barriers in order to include research participants as equal partners in decision-making. The decision-making processes of stakeholders (including research participants) of one international CBPR project based in the middle belt of Ghana were analyzed through qualitative focus group and interview data, as well as direct observation of formal meetings. Using modified grounded theory to interpret our data, we find that despite the intentions of extracommunity stakeholders, ordinary community members do not experience full ownership of the governance of the research enterprise. We conclude that organizational philosophy, cultural expectations, and environmental context can help to explain differential perceptions of stakeholders and function as barriers to full partnership. PMID:19919319

  19. Quality of health care, survival and health outcomes in Ghana.

    PubMed

    Lavy, V; Strauss, J; Thomas, D; de Vreyer, P

    1996-06-01

    This paper analyzes the effect of quality and accessibility of health services and other public infrastructure on the health of children in Ghana. We focus on child survival, child height and weight using data from the Ghana Living Standards Survey. The results suggest an important role for public health policy in eliminating the rural-urban disparities in health status and particularly in improving the health status of rural children and reducing their mortality rates. Increased availability of birth services and other related child programs, as well as Improved water and sanitation infrastructure would have an immediate payoff.

  20. Career Ladder Policy For Teachers: The Case Of Ghana

    NASA Astrophysics Data System (ADS)

    Osei, George M.

    2008-01-01

    In 1984 the Ministry of Education in Ghana introduced a career ladder policy for teachers. While reformers believe that this has improved the condition of the teaching profession, the net gains of the policy remain deceptive. There has even been a reduction in some of the benefits that teachers used to enjoy in the single salary scheme in the past. After critically assessing the major aspects of the policy, along with the voices of Ghanaian teachers, this study argues that the career ladder policy for teachers in Ghana is another prototypical case of a failed experiment in terms of both improving the lives of teachers and maintaining their professional rights.

  1. Identification of Response Options to Artisanal and Small-Scale Gold Mining (ASGM) in Ghana via the Delphi Process

    PubMed Central

    Basu, Avik; Phipps, Sean; Long, Rachel; Essegbey, George; Basu, Niladri

    2015-01-01

    The Delphi technique is a means of facilitating discussion among experts in order to develop consensus, and can be used for policy formulation. This article describes a modified Delphi approach in which 27 multi-disciplinary academics and 22 stakeholders from Ghana and North America were polled about ways to address negative effects of small-scale gold mining (ASGM) in Ghana. In early 2014, the academics, working in disciplinary groups, synthesized 17 response options based on data aggregated during an Integrated Assessment of ASGM in Ghana. The researchers participated in two rounds of Delphi polling in March and April 2014, during which 17 options were condensed into 12. Response options were rated via a 4-point Likert scale in terms of benefit (economic, environmental, and benefit to people) and feasibility (economic, social/cultural, political, and implementation). The six highest-scoring options populated a third Delphi poll, which 22 stakeholders from diverse sectors completed in April 2015. The academics and stakeholders also prioritized the response options using ranking exercises. The technique successfully gauged expert opinion on ASGM, and helped identify potential responses, policies and solutions for the sector. This is timely given that improvement to the ASGM sector is an important component within the UN Minamata Convention. PMID:26378557

  2. Evaluation of anti-depressant and anxiolytic activity of Rasayana Ghana Tablet (A compound Ayurvedic formulation) in albino mice

    PubMed Central

    Deole, Yogesh S.; Chavan, Sulakshan S.; Ashok, B. K.; Ravishankar, B.; Thakar, A. B.; Chandola, H. M.

    2011-01-01

    In recent years, many Ayurvedic formulations are being researched to provide an effective antidepressant and anxiolytic drug in the field of psycho-pharmacology. The present study was planned to evaluate the anti-depressant and anxiolytic activity of Rasayana Ghana Tablet comprising three herbs Guduchi (Tinospora cordifolia Miers), Aamalaki (Emblica officinalis Garten) (RGT) and Gokshura (Tribulus terrestris Linn). Swiss albino mice were divided into four groups of six animals each, comprising of both male and female in each group. Group I received water served as normal control (WC), group II received vehicle and served as vehicle control (VC), group III received Rasayana Ghana tablet and group IV received standard drug diazepam (2 mg/kg) for anxiolytic study in elevated plus maze and standard antidepressant imipramine (5 mg/kg) for anti-depressant activity in behavior despair test. Rasayana Ghana tablet along with ghee and honey as vehicle is found to be having antidepressant and anxiolytic activity in experimental animals. Thus, this formulation can be used in prevention and treatment of depression and anxiety. PMID:22529654

  3. Integrated Assessment of Artisanal and Small-Scale Gold Mining in Ghana-Part 2: Natural Sciences Review.

    PubMed

    Rajaee, Mozhgon; Obiri, Samuel; Green, Allyson; Long, Rachel; Cobbina, Samuel J; Nartey, Vincent; Buck, David; Antwi, Edward; Basu, Niladri

    2015-08-01

    This paper is one of three synthesis documents produced via an integrated assessment (IA) that aims to increase understanding of artisanal and small-scale gold mining (ASGM) in Ghana. Given the complexities surrounding ASGM, an integrated assessment (IA) framework was utilized to analyze socio-economic, health, and environmental data, and co-develop evidence-based responses with stakeholders. This paper focuses on the causes, status, trends, and consequences of ecological issues related to ASGM activity in Ghana. It reviews dozens of studies and thousands of samples to document evidence of heavy metals contamination in ecological media across Ghana. Soil and water mercury concentrations were generally lower than guideline values, but sediment mercury concentrations surpassed guideline values in 64% of samples. Arsenic, cadmium, and lead exceeded guideline values in 67%, 17%, and 24% of water samples, respectively. Other water quality parameters near ASGM sites show impairment, with some samples exceeding guidelines for acidity, turbidity, and nitrates. Additional ASGM-related stressors on environmental quality and ecosystem services include deforestation, land degradation, biodiversity loss, legacy contamination, and potential linkages to climate change. Though more research is needed to further elucidate the long-term impacts of ASGM on the environment, the plausible consequences of ecological damages should guide policies and actions to address the unique challenges posed by ASGM. PMID:26264012

  4. Integrated Assessment of Artisanal and Small-Scale Gold Mining in Ghana-Part 2: Natural Sciences Review.

    PubMed

    Rajaee, Mozhgon; Obiri, Samuel; Green, Allyson; Long, Rachel; Cobbina, Samuel J; Nartey, Vincent; Buck, David; Antwi, Edward; Basu, Niladri

    2015-07-31

    This paper is one of three synthesis documents produced via an integrated assessment (IA) that aims to increase understanding of artisanal and small-scale gold mining (ASGM) in Ghana. Given the complexities surrounding ASGM, an integrated assessment (IA) framework was utilized to analyze socio-economic, health, and environmental data, and co-develop evidence-based responses with stakeholders. This paper focuses on the causes, status, trends, and consequences of ecological issues related to ASGM activity in Ghana. It reviews dozens of studies and thousands of samples to document evidence of heavy metals contamination in ecological media across Ghana. Soil and water mercury concentrations were generally lower than guideline values, but sediment mercury concentrations surpassed guideline values in 64% of samples. Arsenic, cadmium, and lead exceeded guideline values in 67%, 17%, and 24% of water samples, respectively. Other water quality parameters near ASGM sites show impairment, with some samples exceeding guidelines for acidity, turbidity, and nitrates. Additional ASGM-related stressors on environmental quality and ecosystem services include deforestation, land degradation, biodiversity loss, legacy contamination, and potential linkages to climate change. Though more research is needed to further elucidate the long-term impacts of ASGM on the environment, the plausible consequences of ecological damages should guide policies and actions to address the unique challenges posed by ASGM.

  5. Identification of Response Options to Artisanal and Small-Scale Gold Mining (ASGM) in Ghana via the Delphi Process.

    PubMed

    Basu, Avik; Phipps, Sean; Long, Rachel; Essegbey, George; Basu, Niladri

    2015-09-10

    The Delphi technique is a means of facilitating discussion among experts in order to develop consensus, and can be used for policy formulation. This article describes a modified Delphi approach in which 27 multi-disciplinary academics and 22 stakeholders from Ghana and North America were polled about ways to address negative effects of small-scale gold mining (ASGM) in Ghana. In early 2014, the academics, working in disciplinary groups, synthesized 17 response options based on data aggregated during an Integrated Assessment of ASGM in Ghana. The researchers participated in two rounds of Delphi polling in March and April 2014, during which 17 options were condensed into 12. Response options were rated via a 4-point Likert scale in terms of benefit (economic, environmental, and benefit to people) and feasibility (economic, social/cultural, political, and implementation). The six highest-scoring options populated a third Delphi poll, which 22 stakeholders from diverse sectors completed in April 2015. The academics and stakeholders also prioritized the response options using ranking exercises. The technique successfully gauged expert opinion on ASGM, and helped identify potential responses, policies and solutions for the sector. This is timely given that improvement to the ASGM sector is an important component within the UN Minamata Convention.

  6. Biochar/compost project in Ghana

    NASA Astrophysics Data System (ADS)

    Roessler, K.; Jenny, F.

    2012-04-01

    In cooperation with the organization Abokobi Society Switzerlands (ASS) the biochar/compost project tries to assist impecunious farmers in the Tamale /Walewale area in the northern region of Ghana. The soil of these farmers is often overused and low in organic matter and minerals. Field tests have been carried out since 2009 in the Walewale area and in the year 2011 also in the Tamale area. In 2011 combinations of Biochar with other natural fertilizers were tested, such as poultry manure and compost. By using the combination of biochar, compost and poultry manure as an organic soil improvement material the soil quality could be improved and higher crop yields of 50% and more could be achieved, without the use of chemical fertilizer. It is possible to achieve remarkably higher crop yields for a longer period of time, with only one single application. Local farmers were shown the new trial results in the field. They were convinced by the positive results of the crop yields. Those who would also like to improve the soil of their fields, could be given initial aid allowing them to help themselves to improve their dire situation. The biochar/compost project provided the occasion to raise awareness amongst local farmers for sustainable agriculture.

  7. Factors Influencing Health Facility Delivery in Predominantly Rural Communities across the Three Ecological Zones in Ghana: A Cross-Sectional Study

    PubMed Central

    Enuameh, Yeetey Akpe Kwesi; Okawa, Sumiyo; Asante, Kwaku Poku; Kikuchi, Kimiyo; Mahama, Emmanuel; Ansah, Evelyn; Tawiah, Charlotte; Adjei, Kwame; Shibanuma, Akira; Nanishi, Keiko; Yeji, Francis; Agyekum, Enoch Oti; Yasuoka, Junko; Gyapong, Margaret; Oduro, Abraham Rexford; Quansah Asare, Gloria; Hodgson, Abraham; Jimba, Masamine; Owusu-Agyei, Seth

    2016-01-01

    Background Maternal and neonatal mortality indicators remain high in Ghana and other sub-Saharan African countries. Both maternal and neonatal health outcomes improve when skilled personnel provide delivery services within health facilities. Determinants of delivery location are crucial to promoting health facility deliveries, but little research has been done on this issue in Ghana. This study explored factors influencing delivery location in predominantly rural communities in Ghana. Methods Data were collected from 1,500 women aged 15–49 years with live or stillbirths that occurred between January 2011 and April 2013. This was done within the three sites operating Health and Demographic Surveillance Systems, i.e., the Dodowa (Greater Accra Region), Kintampo (Brong Ahafo Region), and Navrongo (Upper-East Region) Health Research Centers in Ghana. Multivariable logistic regression was used to identify the determinants of delivery location, controlling for covariates that were statistically significant in univariable regression models. Results Of 1,497 women included in the analysis, 75.6% of them selected health facilities as their delivery location. After adjusting for confounders, the following factors were associated with health facility delivery across all three sites: healthcare provider’s influence on deciding health facility delivery, (AOR = 13.47; 95% CI 5.96–30.48), place of residence (AOR = 4.49; 95% CI 1.14–17.68), possession of a valid health insurance card (AOR = 1.90; 95% CI 1.29–2.81), and socio-economic status measured by wealth quintiles (AOR = 2.83; 95% CI 1.43–5.60). Conclusion In addition to known factors such as place of residence, socio-economic status, and possession of valid health insurance, this study identified one more factor associated with health facility delivery: healthcare provider’s influence. Ensuring care provider’s counseling of clients could improve the uptake of health facility delivery in rural communities in

  8. E-waste disposal effects on the aquatic environment: Accra, Ghana.

    PubMed

    Huang, Jingyu; Nkrumah, Philip Nti; Anim, Desmond Ofosu; Mensah, Ebenezer

    2014-01-01

    , the need for actions to be taken to reduce entry of e-waste pollutants into Ghana's aquatic environment is real and is immediate.Heavy metals (e.g., lead, cadmium, copper and zinc) and organic pollutants (e.g.,PCDD/Fs and PBDEs) have been detected in the sediments of local water bodies in quantities that greatly exceed background levels. This fact alone suggests that aquatic organisms that live in the affected water bodies are highly exposed to these toxic, bio-accumulative, and persistent contaminants. These contaminants have been confirmed to result from the primitive methods used to recycle and process e-waste within the local environment.Only limited local data exist on the threats posed by these e-waste-related contaminants on nearby natural resources, especially aquatic organisms. In this review,we have addressed the potential toxicity of selected heavy metals and organic pollutants on aquatic organisms. Since there are no data on concentrations of contaminants in the water column, we have based our predictions of effects on pollutant release rates from sediments. Pollutants that are attached to sediments are routinely released into the water column from diffusion and advection, the rate of which depends on pH and Eh of the sediments. E-waste contaminants have the potential to produce deleterious effects on the behavior, physiology, metabolism, reproduction,development and growth of many aquatic organisms. Because it is confirmed that both heavy metal and organic contaminants are reaching the biota of Ghana's local waterways, we presume that they are producing adverse effects. Because local data on the aquatic toxicity of these contaminants are as yet unavailable, we strongly recommend that future research be undertaken to examine, on a large scale and long-term basis, both contamination levels in biota, and adverse effects on biota of the nearby water bodies. PMID:24515808

  9. Socio-Demographic Factors, Social Support, Quality of Life, and HIV/AIDS in Ghana.

    PubMed

    Abrefa-Gyan, Tina; Cornelius, Llewellyn J; Okundaye, Joshua

    2016-01-01

    The increase in the access to biomedical interventions for people living with HIV/AIDS in the developing world has not been adequately matched with the requisite psychosocial treatments to help improve the effectiveness of biomedical interventions. Therefore, in this study the author seeks to determine whether socio-demographic characteristics and social support are associated with quality of life in individuals diagnosed with HIV/AIDS in Ghana. A convenience sample of 300 HIV/AIDS support group members was obtained via cross-sectional design survey. The Medical Outcome Studies (MOS) HIV Health Survey, the MOS Social Support Survey (MOS-SSS), and demographic questionnaire instruments were used to assess quality of life, social support, and demographic information respectively. Multiple regression analysis showed that there was a positive association between overall social support and overall quality of life (r = .51). It also showed that being younger, male, attending support group meetings for over a year, and having ≥ 13 years of schooling related to higher quality of life. Implications of the findings for practice, policy, and research in Ghana and the rest of the developing world are discussed.

  10. Mainstreaming Climate Change Into Geosciences Curriculum of Tertiary Educational Systems in Ghana

    NASA Astrophysics Data System (ADS)

    Nyarko, B. K.

    2015-12-01

    The impact of Climate Change has a far-reaching implication for economies and people living in the fragile Regions of Africa analysts project that by 2020, between 75 million and 250 million people will be exposed various forms of Climate Change Stresses. Education as a key strategy identified under Agenda 21 has been incorporated into the efforts of various educational institutions as a means of mitigating climate change and enhancing sustainability. Climate Change education offers many opportunities and benefits for educators, researchers, learners, and for wider society, but there are also many challenges, which can hinder the successful mainstreaming of climate change education. The study aims at understanding barriers for Climate Change Education in selected tertiary institutions in Ghana. The study was conducted among Geoscience Departments of the 7 main public universities of Ghana and also juxtapose with the WASCAL graduate school curriculum. The transcript analysis identified issues that hinders the mainstreaming of Climate Change, these includes existing levels of knowledge and understanding of the concept of climate change, appreciating the threshold concepts, ineffective teaching of Climate Change and some Departments are slow in embracing Climate Change as a discipline. Hence to develop strategies to mainstream climate change education it is important to recognize that increasing the efficiency and delivery of Climate Change education requires greater attention and coordination of activities and updating the educators knowledge and skill's. Institutions and Educator should be encouraged to undertake co-curricula activities and finding ways to make Climate Change education practical.

  11. Assessing equity in health care through the national health insurance schemes of Nigeria and Ghana: a review-based comparative analysis

    PubMed Central

    2013-01-01

    Background Nigeria and Ghana have recently introduced a National Health Insurance Scheme (NHIS) with the aim of moving towards universal health care using more equitable financing mechanisms. This study compares health and economic indicators, describes the structure of each country’s NHIS within the wider healthcare system, and analyses impacts on equity in financing and access to health care. Methods The World Bank and other sources were used to provide comparative health and economic data. Pubmed, Embase and EconLit were searched to locate studies providing descriptions of each NHIS and empirical evidence regarding equity in financing and access to health care. A diagrammatical representation of revenue-raising, pooling, purchasing and provision was produced in order to analyse the two countries’ systems. Results Over the period 2000–2010, Ghana maintained a marked advantage in life expectancy, infant mortality, under-5 year mortality, and has a lower burden of major diseases. Health care expenditure is about 5% of GDP in both countries but public expenditure in 2010 was 38% of total expenditure in Nigeria and 60% in Ghana. Financing and access are less equitable in Nigeria as, inter alia, private out-of-pocket expenditure has fallen from 80% to 66% of total spending in Ghana since the introduction of its NHIS but has remained at over 90% in Nigeria; NHIS membership in Nigeria and Ghana is approximately 3.5% and 65%, respectively; Nigeria offers a variable benefits package depending on membership category while Ghana has uniform benefits across all beneficiaries. Both countries exhibit improvements in equity but there is a pro-rich and pro-urban bias in membership. Conclusions Major health indicators are more favourable in Ghana and overall equity in financing and access are weaker in Nigeria. Nigeria is taking steps to expand NHIS membership and has potential to expand its public spending to achieve greater equity. However, heavy burdens of poverty

  12. Ethnicity and Economic Well-Being: The Case of Ghana

    ERIC Educational Resources Information Center

    Addai, Isaac; Pokimica, Jelena

    2010-01-01

    In the context of decades of successful economic reforms in Ghana, this study investigates whether ethnicity influences economic well-being (perceived and actual) among Ghanaians at the micro-level. Drawing on Afro-barometer 2008 data, the authors employs logistic and multiple regression techniques to explore the relative effect of ethnicity on…

  13. ABCs of Diversifying Information Resources among Rice Smallholders of Ghana

    ERIC Educational Resources Information Center

    Misiko, M.; Halm, E.

    2016-01-01

    Purpose: We investigated how information resource diversification can enhance smallholder agricultural knowledge in Ghana. Design/Methodology/Approach: Study tools and methods were questionnaire survey (N = 200), focus group discussion (N = 1), in-depth interviews (N = 18) and field direct observation. Findings: This study shows there existed…

  14. Newspaper Framing of Climate Change in Nigeria and Ghana

    ERIC Educational Resources Information Center

    Nwabueze, Chinenye; Egbra, Stella

    2016-01-01

    This study is a content analysis of two newspapers from Nigeria and Ghana to determine the coverage and framing of climate change issues for a period of 7 months. The main objective of this study is to find out how climate change stories are framed in Nigerian and Ghanaian national dailies. It was found among others, that the overall dominant…

  15. An Exploratory Study of Trust and Material Hardship in Ghana

    ERIC Educational Resources Information Center

    Addai, Isaac; Pokimica, Jelena

    2012-01-01

    We explore associations among interpersonal (thick and thin) and institutional (legislative, executive, and judicial) trust and material hardship outcomes in Ghana. We use data from the 2008 Afrobarometer survey. Material hardship is conceptualized in terms of frequency of going without five basic necessities/consumptive deprivations, each of…

  16. Religion and Subjective Well-Being in Ghana

    ERIC Educational Resources Information Center

    Pokimica, Jelena; Addai, Isaac; Takyi, Baffour K.

    2012-01-01

    Using 2008 Afrobarometer survey data, we examine the relationship between religion and subjective well-being (SWB) in Ghana, as well as religious group differences in their experiences of SWB. Two measures of religion--religious affiliation and religious importance, and two measures of SWB--absolute SWB (own perceived living conditions) and…

  17. Technical-Vocational Education and Language Policy in Ghana

    ERIC Educational Resources Information Center

    Adogpa, James Nsoh

    2015-01-01

    Technical and vocational graduates in Ghana are often ill-equipped to become self-reliant or well-fitted into the demands of the job market. This pattern can be examined in terms of the educational language policy implementation that disregards regional linguistic needs. This seems to arise as a result of the medium of instruction that is…

  18. Measuring Nutritional Intake of Adolescents in Ghana, West Africa

    ERIC Educational Resources Information Center

    Owusu, Andrew; Murdock, Peggy O'Hara; Weatherby, Norman L.

    2007-01-01

    With 85% of the world's adolescent populations residing in developing countries, it is important to monitor and track their nutrition status and habits. The purpose of this study, conducted in Ghana, was to provide results from a nutrition intake and eating habits questionnaire which was modified from the Youth Risk Behavior Survey. Questions were…

  19. Career Ladder Policy for Teachers: The Case of Ghana

    ERIC Educational Resources Information Center

    Osei, George M.

    2008-01-01

    In 1984 the Ministry of Education in Ghana introduced a career ladder policy for teachers. While reformers believe that this has improved the condition of the teaching profession, the net gains of the policy remain deceptive. There has even been a reduction in some of the benefits that teachers used to enjoy in the single salary scheme in the…

  20. Girl-Child Education Outcomes: A Case Study from Ghana

    ERIC Educational Resources Information Center

    Arku, Frank S.; Angmor, Emmanuel N.; Tetteh, Isaac K.

    2014-01-01

    The importance of girl-child education is largely documented and initiatives to promote girl-child education are widespread. However, studies on service delivery methods, processes and the impacts are limited in the literature. This study assessed the Plan Ghana's girl-child educational project. According to the findings, the project has helped to…

  1. Skills Development, Employment and Sustained Growth in Ghana: Sustainability Challenges

    ERIC Educational Resources Information Center

    Palmer, Robert

    2009-01-01

    Against a backdrop of some two decades of sustained economic growth in Ghana, this paper argues that there are a series of sustainability challenges related to technical and vocational skills development (TVSD) that need to be addressed. This paper analyses several sustainability dimensions of TVSD related to: promoting the sustainability of…

  2. Tackling Poverty-Migration Linkages: Evidence from Ghana and Egypt

    ERIC Educational Resources Information Center

    Sabates-Wheeler, Rachel; Sabates, Ricardo; Castaldo, Adriana

    2008-01-01

    Are migrants able to use the migration experience to their benefit, that is to improve their livelihoods, and is this result nuanced by whether migrants are poor or non-poor? This paper explores these questions quantitatively using data on migrants and non-migrants from Ghana and Egypt. It describes the main challenges in the empirical literature…

  3. Revisiting Free Compulsory Universal Basic Education (FCUBE) in Ghana

    ERIC Educational Resources Information Center

    Akyeampong, Kwame

    2009-01-01

    When Ghana became independent in 1957 it had one of the most developed education systems in sub-Saharan Africa (SSA). Over the next forty years its education system expanded to provide places for most, but not all, of its children. Since the education reforms of the late 1980s enrolments have grown steadily; this contrasts with some SSA countries…

  4. Ghana Fiasco Shows Risks of Faculty-Led Study Trips

    ERIC Educational Resources Information Center

    Fischer, Karin

    2007-01-01

    This article illustrates the importance of preparation for professors who take students overseas. A University of Washington study-abroad program in Ghana that was cut short last summer after the medical evacuation of half of its participants highlights the potential hazards associated with programs led by individual faculty members who may lack…

  5. Public University Entry in Ghana: Is It Equitable?

    ERIC Educational Resources Information Center

    Yusif, Hadrat; Yussof, Ishak; Osman, Zulkifly

    2013-01-01

    Public universities in Ghana are highly subsidised by the central government and account for about 80 per cent of university students in the country. Yet issues of fairness in terms of entry into the public university system have so far hardly been addressed. To find out whether participation in public university education is equitable, the…

  6. Teachers in Ghana: Issues of Training, Remuneration and Effectiveness

    ERIC Educational Resources Information Center

    Osei, George M.

    2006-01-01

    This study addresses educational reform in Ghana with reference to one of the most important potential agents of change in any system of schooling--its teachers. The empirical data on secondary teachers and trainee teachers used here is taken from a larger case study of the attitudes and opinions of teachers and parents in the education system of…

  7. Assessing School Leadership Challenges in Ghana Using Leadership Practices Inventory

    ERIC Educational Resources Information Center

    Edwards, Alexander Kyei; Aboagye, Samuel Kwadwo

    2015-01-01

    The Ghana Education Service (GES) is facing challenges in school leadership and hence a lot of criticisms on basic school performances. The issue is whether school leadership relates to school performances and that there is the need for transformation leadership. The purpose of this study was to discuss self-reported leadership practices…

  8. Examining Teachers' Concerns and Attitudes to Inclusive Education in Ghana

    ERIC Educational Resources Information Center

    Agbenyega, Joseph

    2007-01-01

    This paper reports on a study that examined teachers' concerns and attitude toward inclusive education of students with disabilities in Ghana. A 20 item Attitudes Toward Inclusion in Africa Scale (ATIAS) was completed by 100 teachers from five "Inclusive Project" schools and five Non-Project coeducational basic schools in three different…

  9. Developing Higher Education Programs in Emergency Management: Ghana's Experience

    ERIC Educational Resources Information Center

    Yakubu, Mariama Bisongu

    2013-01-01

    Ghana is highly vulnerable and threatened by several hazards and has sought ways of minimizing impacts of hazards events over time including demonstrating an interest in developing an emergency management training and an higher education degree program. Yet, as of 2013, the country has not developed a disaster management training program or a…

  10. Comparing Power Spaces: The Shaping of Ghana's Education Strategic Plan

    ERIC Educational Resources Information Center

    Takyi-Amoako, Emefa

    2012-01-01

    This article compares the power spaces occupied by both donors and the Ministry of Education in the formulation of Ghana's Education Strategic Plan (ESP). It shows that the formulation of the ESP was more donor-led than Ministry-led due to the donor-initiated global policy frameworks also referred to as the non-negotiables. Consequently, donors…

  11. The Determinants of Household Education Expenditure in Ghana

    ERIC Educational Resources Information Center

    Donkoh, S. A.; Amikuzuno, J. A.

    2011-01-01

    The role of formal education in the socio-economic development of a country cannot be over-emphasized. It is in this light, that over the years, governments of Ghana and other organizations have supported the education sector in many ways. Despite the efforts, many people think that a lot more can be done, but resources are not unlimited. Against…

  12. Infection with Mansonella perstans Nematodes in Buruli Ulcer Patients, Ghana

    PubMed Central

    Frimpong, Michael; Sarfo, Fred S.; Kretschmer, Birte; Beissner, Marcus; Debrah, Alexander; Ampem-Amoako, Yaw; Abass, Kabiru M.; Thompson, William; Duah, Mabel Sarpong; Abotsi, Justice; Adjei, Ohene; Fleischer, Bernhard; Bretzel, Gisela; Wansbrough-Jones, Mark; Jacobsen, Marc

    2014-01-01

    During August 2010–December 2012, we conducted a study of patients in Ghana who had Buruli ulcer, caused by Mycobacterium ulcerans, and found that 23% were co-infected with Mansonella perstans nematodes; 13% of controls also had M. perstans infection. M. perstans co-infection should be considered in the diagnosis and treatment of Buruli ulcer. PMID:24857346

  13. Infection with Mansonella perstans Nematodes in Buruli Ulcer Patients, Ghana.

    PubMed

    Phillips, Richard O; Frimpong, Michael; Sarfo, Fred S; Kretschmer, Birte; Beissner, Marcus; Debrah, Alexander; Ampem-Amoako, Yaw; Abass, Kabiru M; Thompson, William; Duah, Mabel Sarpong; Abotsi, Justice; Adjei, Ohene; Fleischer, Bernhard; Bretzel, Gisela; Wansbrough-Jones, Mark; Jacobsen, Marc

    2014-06-01

    During August 2010-December 2012, we conducted a study of patients in Ghana who had Buruli ulcer, caused by Mycobacterium ulcerans, and found that 23% were co-infected with Mansonella perstans nematodes; 13% of controls also had M. perstans infection. M. perstans co-infection should be considered in the diagnosis and treatment of Buruli ulcer. PMID:24857346

  14. Deaf Sociality and the Deaf Lutheran Church in Adamorobe, Ghana

    ERIC Educational Resources Information Center

    Kusters, Annelies

    2014-01-01

    This article provides an ethnographic analysis of "deaf sociality" in Adamorobe, a village in Ghana, where the relatively high prevalence of hereditary deafness has led to dense social and spatial connections. Deaf people are part of their hearing environment particularly through family networks, and produce deaf sociality through many…

  15. Using Natural Materials for Educational Toys: Examples from Ghana.

    ERIC Educational Resources Information Center

    William, Musah; Preston, Christine

    1998-01-01

    Describes educational toys that are made from natural and readily available materials in Ghana. Directions and diagrams for the pawpaw-leaf horn, milk-tin helicopter, pen-top propeller, bow and arrow, spinning top, and feather helicopter are included. (DDR)

  16. Investment in Human Capital. Schooling Supply Constraints in Rural Ghana.

    ERIC Educational Resources Information Center

    Lavy, Victor

    This paper hypothesizes that the cost differential between primary school and middle or secondary schooling will affect household decisions to invest in any one schooling level in Ghana. Human capital investment is usually modeled in an intertemporal optimization framework in which households or individuals maximize the present value of life-time…

  17. Referrals for obstetrical complications from Ejisu district, Ghana.

    PubMed

    Martey, J O; Djan, J O; Twum, S; Browne, E N; Opoku, S A

    1998-01-01

    A study of referrals due to obstetrical complications from the Ejisu district, Ashanti region, Ghana was done to determine the institutions that receive them, their outcome and the effectiveness of the referral system. This formed part of a multidisciplinary research on the prevention of maternal mortality in the district. It covered 15 health facilities in the district. The receiving institutions identified in the study were Komfo Anokye teaching Hospital (KATH) in Kumasi, Agogo Presbyterian Hospital in the neighbouring Ashanti Akim district and the St. Michael's Hospital at Pramso in the same district. In the period under review, there were 192 referrals from the district, 139 to KATH with 87 (63%) reporting, 19 to Pramso with 14 (74%) reporting and 34 to Agogo with 17 (50%) reporting. The 3 most important complications referred were maternal haemorrhage (29%), high-risk pregnancy (24%) and delayed second stage (21%). The referring institutions had a defaulting rate varying from 8-56% with a median of 42%. This study did not specifically investigate the factors influencing the high defaulting rates in some institutions. However, focus-group discussions (FGDs) held in selected communities revealed the following factors as inhibiting the utilization of health services: * prohibitive hospital fees; * illegal fees and bribes; * irregular transport and uncooperative drivers; * poor and unmotorable roads; * lack of drugs and essential supplies and; * negative staff attitudes. Those health facilities with low defaulting rates had their own transport or were close to major trunk roads. From the study, the referral system was very weak. It is also possible that some of the referrals reported at the receiving institutions but were not classified as such. Interventions to improve the situation are currently being implemented.

  18. Heat exposure on farmers in northeast Ghana

    NASA Astrophysics Data System (ADS)

    Frimpong, Kwasi; Van Etten E J, Eddie; Oosthuzien, Jacques; Fannam Nunfam, Victor

    2016-08-01

    Environmental health hazards faced by farmers, such as exposure to extreme heat stress, are a growing concern due to global climate change, particularly in tropical developing countries. In such environments, farmers are considered to be a population at risk of environmental heat exposure. The situation is exacerbated due to their farming methods that involve the use of primitive equipment and hard manual labour conducted in full sunshine under hot and humid conditions. However, there is inadequate information about the extent of heat exposure to such farmers, both at the household and farm levels. This paper presents results from a study assessing environmental heat exposure on rural smallholder farmers in Bawku East, Northern Ghana. From January to December 2013, Lascar USB temperature and humidity sensors and a calibrated Questemp heat stress monitor were deployed to farms and homes of rural farmers at Pusiga in Bawku East to capture farmers' exposure to heat stress in both their living and working environments as they executed regular farming routines. The Lascar sensors have the capability to frequently, accurately and securely measure temperature and humidity over long periods. The Questemp heat stress monitor was placed in the same vicinity and showed strong correlations to Lascar sensors in terms of derived values of wet-bulb globe temperature (WBGT). The WBGT in the working environment of farmers peaked at 33.0 to 38.1 °C during the middle of the day in the rainy season from March to October and dropped to 14.0-23.7 °C in the early morning during this season. A maximum hourly WBGT of 28.9-37.5 °C (March-October) was recorded in the living environment of farmers, demonstrating little relief from heat exposure during the day. With these levels of heat stress, exposed farmers conducting physically demanding outdoor work risk suffering serious health consequences. The sustainability of manual farming practices is also under threat by such high levels of

  19. Investigating Coastal Processes and Hazards Along the Coastline of Ghana, West Africa (Invited)

    NASA Astrophysics Data System (ADS)

    Hapke, C. J.; Ashton, A. D.; Wiafe, G.; Addo, K. A.; Ababio, S.; Agyekum, K. A.; Lippmann, T. C.; Roelvink, J.

    2010-12-01

    As with many coastlines worldwide, erosion is a chronic issue along the Ghana coast. Erosion is presently impacting coastal infrastructure ranging from urban areas to small fishing villages, and threatening important cultural and historical resources in some locales. The Ghanaian coast displays significant geomorphological variability, ranging from rocky and bluffed shores to low-lying barrier beaches. Rates and trends of coastal change vary along the coast, interacting with physical oceanographic processes, alongshore sediment transport gradients, and anthropogenic disruptions of sediment supply. Little data are available for the systematic assessment of the relative importance of the various factors controlling coastal change, and thus the understanding of erosion threats and the response has been haphazard and inconsiderate of the system as a whole. Information on historical coastal change rates, alongshore geomorphic and geologic variation, sediment budgets, wave climates and other factors that shape the coast is limited. An enhanced understanding of basic coastal processes is critical as development pressures, including eco- and cultural tourism, and oil and gas exploration, continue to increase. An initiative is underway to develop a more comprehensive scientific understanding of coastal processes along the Ghana coastline. An international team of scientists, working in collaboration with researchers at the University of Ghana, are building the data- and knowledge-base required for a holistic and systematic assessment to understand coastal change and its driving forces. The approach includes regional analyses of shoreline change, field mapping of geology and geomorphology, short-term monitoring surveys, collection of geophysical data, deployment of a remote camera system, deployment of a directional wave buoy, and regional hydrodynamic modeling. These data and analyses will ultimately provide the foundation needed to make informed decisions on managing the

  20. Laboratory-based nationwide surveillance of antimicrobial resistance in Ghana

    PubMed Central

    Opintan, Japheth A; Newman, Mercy J; Arhin, Reuben E; Donkor, Eric S; Gyansa-Lutterodt, Martha; Mills-Pappoe, William

    2015-01-01

    Global efforts are underway to combat antimicrobial resistance (AMR). A key target in this intervention is surveillance for local and national action. Data on AMR in Ghana are limited, and monitoring of AMR is nonexistent. We sought to generate baseline data on AMR, and to assess the readiness of Ghana in laboratory-based surveillance. Biomedical scientists in laboratories across Ghana with capacity to perform bacteriological culture were selected and trained. In-house standard operating protocols were used to perform microbiological investigations on clinical specimens. Additional microbiological tests and data analyses were performed at a centralized laboratory. Surveillance data were stored and analyzed using WHONET program files. A total of 24 laboratories participated in the training, and 1,598 data sets were included in the final analysis. A majority of the bacterial species were isolated from outpatients (963 isolates; 60.3%). Urine (617 isolates; 38.6%) was the most common clinical specimen cultured, compared to blood (100 isolates; 6.3%). Ten of 18 laboratories performed blood culture. Bacteria isolated included Escherichia coli (27.5%), Pseudomonas spp. (14.0%), Staphylococcus aureus (11.5%), Streptococcus spp. (2.3%), and Salmonella enterica serovar Typhi (0.6%). Most of the isolates were multidrug-resistant, and over 80% of them were extended-spectrum beta-lactamases-producing. Minimum inhibitory concentration levels at 50% and at 90% for ciprofloxacin, ceftriaxone, and amikacin on selected multidrug-resistant bacteria species ranged between 2 µg/mL and >256 µg/mL. A range of clinical bacterial isolates were resistant to important commonly used antimicrobials in the country, necessitating an effective surveillance to continuously monitor AMR in Ghana. With local and international support, Ghana can participate in global AMR surveillance. PMID:26604806

  1. Myiasis in Dogs in the Greater Accra Region of Ghana.

    PubMed

    Johnson, Sherry A M; Gakuya, Daniel W; Mbuthia, Paul G; Mande, John D; Afakye, Kofi; Maingi, Ndichu

    2016-01-01

    Myiasis is the infestation of tissues of live vertebrate animals and humans with dipterous larvae. In sub-Saharan Africa, Cordylobia anthropohaga and Cordylobia rodhaini are known to be responsible for cutaneous myiasis in animals and humans. Human cases of myiasis, purportedly acquired in Ghana but diagnosed in other countries, have been reported; however, published data on its occurrence in animals in Ghana is unavailable. This study assessed the prevalence of canine myiasis among owned dogs in the Greater Accra region (GAR) of Ghana. A cross-sectional study was conducted in the Greater Accra region of Ghana, selected for being the region with the highest estimated population density of owned dogs. Physical examination and demographic characteristics of the study dogs were assessed. Management of the dogs was assessed through a questionnaire administered to the dog owners. A total of 392 owned dogs were sampled. Twenty-nine (7.4%) had cutaneous myiasis caused by C. rodhaini. In addition, one (0.2%) of the dogs had intestinal myiasis, with Dermatobia hominis as the offending larvae. Among the breeds of dogs with myiasis, the mongrel was most affected, with 24 (82.8%) out of the 29 cases. The mongrels, majority of which (24; 82.8%) were males, were left to roam freely in the community. Results from this study demonstrate that C. rodhaini and D. hominis are important causes of myiasis in owned dogs in the GAR of Ghana. Dogs could play a role in the spread of myiasis to humans, with its attendant public health implications.

  2. Clonal distribution of pneumococcal serotype 19F isolates from Ghana.

    PubMed

    Sparding, Nadja; Dayie, Nicholas T K D; Mills, Richael O; Newman, Mercy J; Dalsgaard, Anders; Frimodt-Møller, Niels; Slotved, Hans-Christian

    2015-04-01

    Streptococcus pneumoniae is a major cause of morbidity and mortality worldwide. Pneumococcal strains are classified according to their capsular polysaccharide and more than 90 different serotypes are currently known. In this project, three distinct groups of pneumococcal carriage isolates from Ghana were investigated; isolates from healthy children in Tamale and isolates from both healthy and children attending the outpatient department at a hospital in Accra. The isolates were previously identified and characterized by Gram staining, serotyping and susceptibility to penicillin. In this study, isolates of the common serotype 19F were further investigated by Multi-Locus Sequence Typing (MLST). Overall, 14 different Sequence Types (STs) were identified by MLST, of which nine were novel based on the international MLST database. Two clones within serotype 19F seem to circulate in Ghana, a known ST (ST 4194) and a novel ST (ST 9090). ST 9090 was only found in healthy children in Accra, whereas ST 4194 was found equally in all children studied. In the MLST database, other isolates of ST 4194 were also associated with serotype 19F, and these isolates came from other West African countries. The majority of isolates were penicillin intermediate resistant. In conclusion, two clones within serotype 19F were found to be dominating in pneumococcal carriage in Accra and Tamale in Ghana. Furthermore, it seems as though the clonal distribution of serotype 19F may be different from what is currently known in Ghana in that many new clones were identified. This supports the importance of continued monitoring of pneumococcal carriage in Ghana and elsewhere when vaccines, e.g., PCV-13, have been introduced to monitor the possible future spread of antimicrobial resistant clones.

  3. Public Perception of Environmental Issues in a Developing Setting: Environmental Concern in Coastal Ghana.

    PubMed

    White, Michael J; Hunter, Lori M

    2009-12-01

    OBJECTIVE: Balancing environmental quality with economic growth in less developed settings is clearly a challenge. Still surprisingly little empirical evidence has been brought to bear on the relative priority given environmental and socioeconomic issues among the residents themselves of such settings. This research explores such perceptions. METHODS: We undertake survey research with 2500 residents of coastal Ghana on policy issues, focusing on environmental topics. RESULTS: Our analyses reveal a significant amount of environmental awareness, with education and political engagement consistently predicting higher levels of concern. In addition, environmental issues are deemed important even when considered relative to other socioeconomic issues. CONCLUSION: In the end, we argue that our work sheds light on global environmentalism and the ways in which local populations in less developed settings prioritize social and environmental concerns. This work also has important policy implications since insight on local perceptions may help buttress policy responses designed to cope with global change. PMID:22639472

  4. Public Perception of Environmental Issues in a Developing Setting: Environmental Concern in Coastal Ghana

    PubMed Central

    White, Michael J.; Hunter, Lori M.

    2012-01-01

    Objective Balancing environmental quality with economic growth in less developed settings is clearly a challenge. Still surprisingly little empirical evidence has been brought to bear on the relative priority given environmental and socioeconomic issues among the residents themselves of such settings. This research explores such perceptions. Methods We undertake survey research with 2500 residents of coastal Ghana on policy issues, focusing on environmental topics. Results Our analyses reveal a significant amount of environmental awareness, with education and political engagement consistently predicting higher levels of concern. In addition, environmental issues are deemed important even when considered relative to other socioeconomic issues. Conclusion In the end, we argue that our work sheds light on global environmentalism and the ways in which local populations in less developed settings prioritize social and environmental concerns. This work also has important policy implications since insight on local perceptions may help buttress policy responses designed to cope with global change. PMID:22639472

  5. Public Perception of Environmental Issues in a Developing Setting: Environmental Concern in Coastal Ghana.

    PubMed

    White, Michael J; Hunter, Lori M

    2009-12-01

    OBJECTIVE: Balancing environmental quality with economic growth in less developed settings is clearly a challenge. Still surprisingly little empirical evidence has been brought to bear on the relative priority given environmental and socioeconomic issues among the residents themselves of such settings. This research explores such perceptions. METHODS: We undertake survey research with 2500 residents of coastal Ghana on policy issues, focusing on environmental topics. RESULTS: Our analyses reveal a significant amount of environmental awareness, with education and political engagement consistently predicting higher levels of concern. In addition, environmental issues are deemed important even when considered relative to other socioeconomic issues. CONCLUSION: In the end, we argue that our work sheds light on global environmentalism and the ways in which local populations in less developed settings prioritize social and environmental concerns. This work also has important policy implications since insight on local perceptions may help buttress policy responses designed to cope with global change.

  6. Identities and Archaeological Heritage Preservation at the Crossroads: Understanding the Challenges of Economic Development at Tengzug, Upper East Region, Ghana

    PubMed Central

    Kankpeyeng, Benjamin W.; Insoll, Timothy; MacLean, Rachel

    2011-01-01

    It is evident that both tangible and intangible elements constitute heritage and this needs to be recognized by researchers, heritage professionals and government bodies charged with implementing development policies. However, the relationship between traditional beliefs, worldview, heritage conservation, and archaeological investigation is a complex one. This is considered with reference to the conflict that can occur between government policy and indigenous beliefs in relation to architecture, and with reference to perceptions of landscape amongst the Talensi communities of Tengzug in Upper East Region, Ghana. PMID:22003263

  7. Adolescent suicide in Ghana: a content analysis of media reports.

    PubMed

    Quarshie, Emmanuel Nii-Boye; Osafo, Joseph; Akotia, Charity S; Peprah, Jennifer

    2015-01-01

    Adolescent suicide is now a major health concern for many countries. However, there is paucity of systematic studies and lack of official statistics on adolescent suicide in Ghana. Mass media coverage of adolescent suicide (even though crude), at least, may reflect the reality of the phenomenon. With an ecological orientation, this study used qualitative content analysis to analyse the pattern of 44 media reports of adolescent suicide in Ghana from January 2001 through September 2014. Results showed that hanging was the dominant method used. The behaviour usually takes place within or near the adolescent's home environment. The act was often attributed to precursors within the microsystem (family and school) of the deceased. This study serves a seminal function for future empirical studies aimed at deeper examination of the phenomenon in order to inform prevention programmes.

  8. Adolescent suicide in Ghana: a content analysis of media reports.

    PubMed

    Quarshie, Emmanuel Nii-Boye; Osafo, Joseph; Akotia, Charity S; Peprah, Jennifer

    2015-01-01

    Adolescent suicide is now a major health concern for many countries. However, there is paucity of systematic studies and lack of official statistics on adolescent suicide in Ghana. Mass media coverage of adolescent suicide (even though crude), at least, may reflect the reality of the phenomenon. With an ecological orientation, this study used qualitative content analysis to analyse the pattern of 44 media reports of adolescent suicide in Ghana from January 2001 through September 2014. Results showed that hanging was the dominant method used. The behaviour usually takes place within or near the adolescent's home environment. The act was often attributed to precursors within the microsystem (family and school) of the deceased. This study serves a seminal function for future empirical studies aimed at deeper examination of the phenomenon in order to inform prevention programmes. PMID:26015405

  9. Scientific equity: experiments in laboratory education in Ghana.

    PubMed

    Osseo-Asare, Abena Dove

    2013-12-01

    During the 1960s the Ministry of Education in Ghana created a network of school laboratories to increase scientific literacy among young citizens. The ministry stocked these "Science Centres" with imported beakers, Bunsen burners, and books. Education officials and university scientists worked with teachers to create lesson plans on water, air, plants, and other topics. The government hoped that scientifically minded schoolchildren would be better prepared to staff the industries of the future. The adoption of laboratory norms represented a desire for scientific equity, rather than a condition of cultural mimicry. Interviews with ministry officials and science educators, alongside letters and reports, indicate how students and teachers appropriated the laboratories in the small West African nation. Their experiences in mobilizing resources from across Ghana and around the world provide a metaphor for ongoing efforts to establish access to scientific goods in Africa.

  10. Scientific equity: experiments in laboratory education in Ghana.

    PubMed

    Osseo-Asare, Abena Dove

    2013-12-01

    During the 1960s the Ministry of Education in Ghana created a network of school laboratories to increase scientific literacy among young citizens. The ministry stocked these "Science Centres" with imported beakers, Bunsen burners, and books. Education officials and university scientists worked with teachers to create lesson plans on water, air, plants, and other topics. The government hoped that scientifically minded schoolchildren would be better prepared to staff the industries of the future. The adoption of laboratory norms represented a desire for scientific equity, rather than a condition of cultural mimicry. Interviews with ministry officials and science educators, alongside letters and reports, indicate how students and teachers appropriated the laboratories in the small West African nation. Their experiences in mobilizing resources from across Ghana and around the world provide a metaphor for ongoing efforts to establish access to scientific goods in Africa. PMID:24783491

  11. Adolescent suicide in Ghana: A content analysis of media reports

    PubMed Central

    Quarshie, Emmanuel Nii-Boye; Osafo, Joseph; Akotia, Charity S.; Peprah, Jennifer

    2015-01-01

    Adolescent suicide is now a major health concern for many countries. However, there is paucity of systematic studies and lack of official statistics on adolescent suicide in Ghana. Mass media coverage of adolescent suicide (even though crude), at least, may reflect the reality of the phenomenon. With an ecological orientation, this study used qualitative content analysis to analyse the pattern of 44 media reports of adolescent suicide in Ghana from January 2001 through September 2014. Results showed that hanging was the dominant method used. The behaviour usually takes place within or near the adolescent's home environment. The act was often attributed to precursors within the microsystem (family and school) of the deceased. This study serves a seminal function for future empirical studies aimed at deeper examination of the phenomenon in order to inform prevention programmes. PMID:26015405

  12. The economic cost of fuel price subsidies in Ghana

    NASA Astrophysics Data System (ADS)

    Ofori, Roland Oduro

    I adapt the Harberger formula for deadweight loss to develop approximations for the deadweight loss created by multiple fuel price subsidies. I also estimate the own-price, cross-price, and income elasticities of demand for gasoline and diesel in Africa. I use data on fuel prices and sales in combination with my formulas and elasticity estimates to calculate the deadweight loss of fuel price subsidies in Ghana from 2009 to 2014. I show that the average efficiency cost of the gasoline and diesel price subsidies in Ghana is 0.8% of fuel price subsidy transfers. This result stresses the futility of basing subsidy reforms on economic efficiency losses, which are relatively small due to very inelastic energy demand, and the need for such reforms to be motivated by the poor-targeting of subsidies to low-income households and the impact of subsidies on government debt-financing.

  13. Situated knowledge of pathogenic landscapes in Ghana: Understanding the emergence of Buruli ulcer through qualitative analysis.

    PubMed

    Tschakert, Petra; Ricciardi, Vincent; Smithwick, Erica; Machado, Mario; Ferring, David; Hausermann, Heidi; Bug, Leah

    2016-02-01

    Successfully addressing neglected tropical diseases requires nuanced understandings of pathogenic landscapes that incorporate situated, contexualized community knowledge. In the case of Buruli ulcer (BU), the role of social science is vital to investigate complex human-environment interactions and navigate different ways of knowing. We analyze a set of qualitative data from our interdisciplinary project on BU in Ghana, drawing from participatory mapping, focus group discussions, semi-structured interviews, and open-ended survey questions to explore how people in endemic and non-endemic areas see themselves embedded in changing environmental and social landscapes. We pay particular attention to landscape disturbance through logging and small-scale alluvial gold mining. The results from our participatory research underscore the holistic nature of BU emergence in landscapes, encapsulated in partial and incomplete local descriptions, the relevance of collective learning to distill complexity, and the potential of rich qualitative data to inform quantitative landscape-disease models.

  14. Guinea worm in southern Ghana: its epidemiology and impact on agricultural productivity.

    PubMed

    Belcher, D W; Wurapa, F K; Ward, W B; Lourie, I M

    1975-03-01

    In southern Ghana guinea worm disease was found to occur almost exclusively in villages dependent upon pond water during the dry season. The recent occurrence of guinea worm for the first time in many villages in the survey area suggests that the disease is spreading. The risk of increasing disease in the Accra plains is serious, because almost half of the 159 villages surveyed use pond water, and residents frequently travel to endemic areas. In this study adult male farmers were at greatest risk of becoming infected. The average work loss in untreated adults was more than 5 weeks. Because guinea worm disease is seasonal, conciding with peak agricultural activities, and few alternative labor sources are available for the incapacitated farmer, a marked reduction in agricultural output occurs. Additional research is needed to guide health education programs, to evaluate the effectiveness of chemical control of cyclops in ponds, and to develop low-cost improved rural water supplies.

  15. Situated knowledge of pathogenic landscapes in Ghana: Understanding the emergence of Buruli ulcer through qualitative analysis.

    PubMed

    Tschakert, Petra; Ricciardi, Vincent; Smithwick, Erica; Machado, Mario; Ferring, David; Hausermann, Heidi; Bug, Leah

    2016-02-01

    Successfully addressing neglected tropical diseases requires nuanced understandings of pathogenic landscapes that incorporate situated, contexualized community knowledge. In the case of Buruli ulcer (BU), the role of social science is vital to investigate complex human-environment interactions and navigate different ways of knowing. We analyze a set of qualitative data from our interdisciplinary project on BU in Ghana, drawing from participatory mapping, focus group discussions, semi-structured interviews, and open-ended survey questions to explore how people in endemic and non-endemic areas see themselves embedded in changing environmental and social landscapes. We pay particular attention to landscape disturbance through logging and small-scale alluvial gold mining. The results from our participatory research underscore the holistic nature of BU emergence in landscapes, encapsulated in partial and incomplete local descriptions, the relevance of collective learning to distill complexity, and the potential of rich qualitative data to inform quantitative landscape-disease models. PMID:26761375

  16. Inter-comparison of safety culture within selected practices in Ghana utilising ionising radiation.

    PubMed

    Faanu, A; Schandorf, C; Darko, E O; Boadu, M; Emi-Reynolds, G; Awudu, A R; Gyekye, P K; Kpeglo, D O

    2010-12-01

    The safety culture of selected practices and facilities in Ghana utilising radiation sources or radiation emitting devices has been assessed using a performance indicator, which provided status information on management and operating staff commitment to safety. The questionnaire was based on the following broad areas: general safety considerations, safety policy at the facility level, safety practices at the facility level, definition of responsibility, staff training, safety of the physical structure of the facility and the emergency plans. The analysis showed that the percentage levels of commitment to safety for the respective practices are as follows: conventional radiography, 23.3-90.0%; research reactor, 73.3%; gamma irradiation facility, 53.3%; radiotherapy, 76.7%; X-ray scanner, 80.0%; gamma scanner, 76.7%; industrial radiography 86.7% and nuclear density practice, 78%. None of the practices or facilities was able to satisfy all the requirements that will ensure a 100% level of safety culture.

  17. Jobs, Skills and Incomes in Ghana: How Was Poverty Halved?

    ERIC Educational Resources Information Center

    Nsowah-Nuamah, Nicholas; Teal, Francis; Awoonor-Williams, Moses

    2012-01-01

    On the basis of official statistics, poverty has halved in Ghana over the period from 1991 to 2005. Our objective in this paper is to assess how far this fall was linked to the creation of better paying jobs and the increase in education. We find that earnings rose rapidly in the period from 1998 to 2005, by 64% for men and by 55% for women. While…

  18. Pediatric heart surgery in Ghana: three ethical questions.

    PubMed

    Eyal, Nir

    2014-01-01

    When a group of doctors and nurses from Boston, Massachusetts, provided evaluation and heart surgery to children in Ghana, they encountered three rationing dilemmas: (1) What portion of surgery slots should they reserve for the simplest, most cost-effective surgeries? (2) How much time should be reserved for especially simple, nonsurgical interventions? (3) How much time should be reserved to training local staff to perform such surgeries? This article investigates these three dilemmas.

  19. Physical violence during pregnancy and pregnancy outcomes in Ghana

    PubMed Central

    2014-01-01

    Background In pregnancy, violence can have serious health consequences that could affect both mother and child. In Ghana there are limited data on this subject. We sought to assess the relationship between physical violence during pregnancy and pregnancy outcomes (early pregnancy loss, perinatal mortality and neonatal mortality) in Ghana. Method The 2008 Ghana Demographic and Health Survey data were used. For the domestic violence module, 2563 women were approached of whom 2442 women completed the module. After excluding missing values and applying the weight factor, 1745 women remained. Logistic regression analysis was performed to assess the relationship between physical violence in pregnancy and adverse pregnancy outcomes with adjustments for potential confounders. Results About five percent of the women experienced violence during their pregnancy. Physical violence in pregnancy was positively associated with perinatal mortality and neonatal mortality, but not with early pregnancy loss. The differences remained largely unchanged after adjustment for age, parity, education level, wealth status, marital status and place of residence: adjusted odds ratios were 2.32; 95% CI: 1.34-4.01 for perinatal mortality, 1.86; 95% CI: 1.05-3.30 for neonatal mortality and 1.16; 95% CI: 0.60-2.24 for early pregnancy loss. Conclusion Our findings suggest that violence during pregnancy is related to adverse pregnancy outcomes in Ghana. Major efforts are needed to tackle violence during pregnancy. This can be achieved through measures that are directed towards the right target groups. Measures should include education, empowerment and improving socio-economic status of women. PMID:24528555

  20. A baby incubator designed for conditions in Ghana.

    PubMed

    Riggs, R J

    1977-01-01

    The prototype is described of a baby incubator, designed to be manufactured and used in Ghana, but of high enough quality to complete directly with imported models. A novel design is used, in which the usual all-round hood, with a sealed control unit underneath it, is replaced by a one-sided configuration, with the control system built into the back. It is much easier to manufacture, but still allows good access and temperature control.

  1. Integrated Assessment of Artisanal and Small-Scale Gold Mining in Ghana - Part 3: Social Sciences and Economics.

    PubMed

    Wilson, Mark L; Renne, Elisha; Roncoli, Carla; Agyei-Baffour, Peter; Tenkorang, Emmanuel Yamoah

    2015-07-01

    This article is one of three synthesis reports resulting from an integrated assessment (IA) of artisanal and small-scale gold mining (ASGM) in Ghana. Given the complexities that involve multiple drivers and diverse disciplines influencing ASGM, an IA framework was used to analyze economic, social, health, and environmental data and to co-develop evidence-based responses in collaboration with pertinent stakeholders. We look at both micro- and macro-economic processes surrounding ASGM, including causes, challenges, and consequences. At the micro-level, social and economic evidence suggests that the principal reasons whereby most people engage in ASGM involve "push" factors aimed at meeting livelihood goals. ASGM provides an important source of income for both proximate and distant communities, representing a means of survival for impoverished farmers as well as an engine for small business growth. However, miners and their families often end up in a "poverty trap" of low productivity and indebtedness, which reduce even further their economic options. At a macro level, Ghana's ASGM activities contribute significantly to the national economy even though they are sometimes operating illegally and at a disadvantage compared to large-scale industrial mining companies. Nevertheless, complex issues of land tenure, social stability, mining regulation and taxation, and environmental degradation undermine the viability and sustainability of ASGM as a livelihood strategy. Although more research is needed to understand these complex relationships, we point to key findings and insights from social science and economics research that can guide policies and actions aimed to address the unique challenges of ASGM in Ghana and elsewhere. PMID:26184277

  2. Developing a scale to measure stigmatizing attitudes and beliefs about women who have abortions: results from Ghana and Zambia.

    PubMed

    Shellenberg, Kristen M; Hessini, Leila; Levandowski, Brooke A

    2014-01-01

    The objective of this research was to explore the context of abortion stigma in Ghana and Zambia through qualitative research, and develop a quantitative instrument to measure stigmatizing attitudes and beliefs about abortion. Ultimately, we aimed to develop a scale to measure abortion stigma at the individual and community level that can also be used in the evaluation of stigma reduction interventions. Focus group discussions were conducted in both countries to provide information around attitudes and beliefs about abortion. A 57-item instrument was created from these data, pre-tested, and then administered to 531 individuals (n = 250 in Ghana and n = 281 in Zambia). Exploratory factor analyses were conducted on 33 of the original 57 items to identify a statistically and conceptually relevant scale. Items with factor loadings > 0.39 were retained. All analyses were completed using Stata IC/11.2. Exploratory factor analysis resulted in a three-factor solution that explained 53% of the variance in an 18-item instrument. The three identified subscales are: (i) negative stereotypes (eight items), (ii) discrimination and exclusion (seven items), and (iii) potential contagion (three items). Coefficient alphas of 0.85, 0.80, and 0.80 for the three subscales, and 0.90 for the full 18-item instrument provide evidence of internal consistency reliability. Our Stigmatizing Attitudes, Beliefs, and Actions scale captures three important dimensions of abortion stigma: negative stereotypes about men and women who are associated with abortion, discrimination/exclusion of women who have abortions, and fear of contagion as a result of coming in contact with a woman who has had an abortion. The development of this scale provides a validated tool for measuring stigmatizing attitudes and beliefs about abortion in Ghana and Zambia. Additionally, the scale has the potential to be applicable in other country settings. It represents an important contribution to the fields of reproductive

  3. Integrated Assessment of Artisanal and Small-Scale Gold Mining in Ghana - Part 3: Social Sciences and Economics.

    PubMed

    Wilson, Mark L; Renne, Elisha; Roncoli, Carla; Agyei-Baffour, Peter; Tenkorang, Emmanuel Yamoah

    2015-07-15

    This article is one of three synthesis reports resulting from an integrated assessment (IA) of artisanal and small-scale gold mining (ASGM) in Ghana. Given the complexities that involve multiple drivers and diverse disciplines influencing ASGM, an IA framework was used to analyze economic, social, health, and environmental data and to co-develop evidence-based responses in collaboration with pertinent stakeholders. We look at both micro- and macro-economic processes surrounding ASGM, including causes, challenges, and consequences. At the micro-level, social and economic evidence suggests that the principal reasons whereby most people engage in ASGM involve "push" factors aimed at meeting livelihood goals. ASGM provides an important source of income for both proximate and distant communities, representing a means of survival for impoverished farmers as well as an engine for small business growth. However, miners and their families often end up in a "poverty trap" of low productivity and indebtedness, which reduce even further their economic options. At a macro level, Ghana's ASGM activities contribute significantly to the national economy even though they are sometimes operating illegally and at a disadvantage compared to large-scale industrial mining companies. Nevertheless, complex issues of land tenure, social stability, mining regulation and taxation, and environmental degradation undermine the viability and sustainability of ASGM as a livelihood strategy. Although more research is needed to understand these complex relationships, we point to key findings and insights from social science and economics research that can guide policies and actions aimed to address the unique challenges of ASGM in Ghana and elsewhere.

  4. Achieving Quality Education in Ghana: The Spotlight on Primary Education within the Kumasi Metropolis

    ERIC Educational Resources Information Center

    Boakye-Amponsah, Abraham; Enninful, Ebenezer Kofi; Anin, Emmanuel Kwabena; Vanderpuye, Patience

    2015-01-01

    Background: Ghana being a member of the United Nations, committed to the Universal Primary Education initiative in 2000 and has since implemented series of educational reforms to meet the target for the Millennium Development Goal (MDG) 2. Despite the numerous government interventions to achieve the MDG 2, many children in Ghana have been denied…

  5. Rosmarinic acid content in antidiabetic aqueous extract of Ocimum canum Sims grown in Ghana

    Technology Transfer Automated Retrieval System (TEKTRAN)

    Rosmarinic acid (RA) is an important polyphenol that is found in a variety of herbs including Ocimum canum sims (locally called eme or akokobesa in Ghana). Aqueous extracts from the leaves of O.canum are used as an antidiabetic herbal medicine in Ghana. Interestingly, rosmarinic acid content and p...

  6. Rosmarinic acid content in antidiabetic aqueous extract from ocimum canum sims in Ghana

    Technology Transfer Automated Retrieval System (TEKTRAN)

    Rosmarinic acid (RA) is an important polyphenol that is found in a variety of herbs including Ocimum canum sims (locally called eme or akokobesa in Ghana). Aqueous extracts from the leaves of O. canum are used as an antidiabetic herbal medicine in Ghana. Analytical TLC was used to examine the compos...

  7. Ghana. Part One-Class Materials. Development Studies No. 1, Third Impression.

    ERIC Educational Resources Information Center

    Jones, Paula; Bourne, Fay

    Background readings and classroom materials dealing with Ghana for use with secondary and college students are provided in this publication. The major historical, social, geographical, and political aspects which have contributed to the present day development of Ghana are examined. The background readings for teachers which comprise section one…

  8. What Is the Effect of Child Labour on Learning Achievement? Evidence from Ghana. Innocenti Working Papers.

    ERIC Educational Resources Information Center

    Heady, Christopher

    This paper reports on a study that analyzed the links between child labor and poor school performance. Using data gathered in Ghana in recent years through the administration of tests, the study measured reading achievement and mathematics achievement to about half of the individuals surveyed as part of the Ghana Living Standards Survey. The paper…

  9. Education Reform for the Expansion of Mother-Tongue Education in Ghana

    ERIC Educational Resources Information Center

    Rosekrans, Kristin; Sherris, Arieh; Chatry-Komarek, Marie

    2012-01-01

    In 1957 Ghana was the first sub-Saharan colonial nation-state to achieve independence from British rule. The language of literacy instruction, however, remained English throughout most of Ghana's independence, effectively thwarting reading and writing in 11 major and 67 minor indigenous languages in use today. After years of policy shifts,…

  10. School Feeding and Educational Access in Rural Ghana: Is Poor Targeting and Delivery Limiting Impact?

    ERIC Educational Resources Information Center

    Essuman, Ato; Bosumtwi-Sam, Cynthia

    2013-01-01

    In an effort to address social imbalances and equity in Ghana's education delivery and to achieve her Education for All (EFA) agenda, some pro-poor programmes have been introduced. Among these is the Ghana School Feeding Programme (GSFP) that aims among others, at providing safety nets for the poor, increasing school enrolment in addition to…

  11. The Determination of Exclusion: Evidence from the Ghana Living Standards Surveys 1991-2006

    ERIC Educational Resources Information Center

    Rolleston, Caine

    2009-01-01

    This article examines access to and exclusion from basic education in Ghana over the period 1991-2006, using data derived from the Ghana Living Standards Surveys. It uses the CREATE "zones of exclusion" model to explore schooling access outcomes within the framework of the household production function. Empirical findings indicate that the period…

  12. The Internationalisation Agenda: A Critical Examination of Internationalisation Strategies in Public Universities in Ghana

    ERIC Educational Resources Information Center

    Gyamera, Gifty Oforiwaa

    2015-01-01

    Recently, various strategies have been adopted and adapted by universities in Ghana to re/position themselves in the international arena. Utilising postcolonial and neoliberal theories, this paper critically examines the internationalisation strategies of three public universities in Ghana. Although all the universities have adopted strategies to…

  13. Adjudicating mentally disordered offenders in Ghana: The criminal and mental health legislations.

    PubMed

    Adjorlolo, Samuel; Chan, Heng Choon Oliver; Mensah Agboli, Jacob

    2016-01-01

    The involvement of mentally disordered offenders (MDOs) in the criminal justice system (CJS) is currently a major public health concern. This has culminated in several empirical researches over the years, with a particular focus on addressing the problem. The present study examines the criminal and the mental health legislations available to offenders raising fitness to stand trial issues, as well as those pleading insanity at the time of the offense (insanity defense) in Ghana. The legislations are examined within a framework of reducing the overrepresentation of MDOs in the CJS. In doing so, comparisons are made to similar legislations in other commonwealth jurisdictions, when necessary. Regarding fitness to stand trial, it is evident that the Ghanaian legislation does not contain discrete fitness indicators, relative to, for instance, Canada. Yet, it is interesting that the terminologies 'unsound mind' and 'incapable of making a defence' used in the proviso convey similar meaning and requirements to those used in other jurisdictions. The insanity defense standard, on the other hand, is also heavily influenced by the M'Naughton Rules in England. The defense consists of two separate cognitive tests, each of which can result in an acquittal. One of the tests strictly emphasizes knowledge of the nature and consequences of the act while knowledge of the wrongness of the criminal act is implied in the other. However, none of the tests takes into consideration uncontrollable impulse arising from mental disorder. The study proposes some revisions and amendments to the insanity legislation in its current formulation. Recommendations are also offered for critical areas that warrant research attention in relation to MDOs in Ghana, and in Africa as a whole.

  14. Adjudicating mentally disordered offenders in Ghana: The criminal and mental health legislations.

    PubMed

    Adjorlolo, Samuel; Chan, Heng Choon Oliver; Mensah Agboli, Jacob

    2016-01-01

    The involvement of mentally disordered offenders (MDOs) in the criminal justice system (CJS) is currently a major public health concern. This has culminated in several empirical researches over the years, with a particular focus on addressing the problem. The present study examines the criminal and the mental health legislations available to offenders raising fitness to stand trial issues, as well as those pleading insanity at the time of the offense (insanity defense) in Ghana. The legislations are examined within a framework of reducing the overrepresentation of MDOs in the CJS. In doing so, comparisons are made to similar legislations in other commonwealth jurisdictions, when necessary. Regarding fitness to stand trial, it is evident that the Ghanaian legislation does not contain discrete fitness indicators, relative to, for instance, Canada. Yet, it is interesting that the terminologies 'unsound mind' and 'incapable of making a defence' used in the proviso convey similar meaning and requirements to those used in other jurisdictions. The insanity defense standard, on the other hand, is also heavily influenced by the M'Naughton Rules in England. The defense consists of two separate cognitive tests, each of which can result in an acquittal. One of the tests strictly emphasizes knowledge of the nature and consequences of the act while knowledge of the wrongness of the criminal act is implied in the other. However, none of the tests takes into consideration uncontrollable impulse arising from mental disorder. The study proposes some revisions and amendments to the insanity legislation in its current formulation. Recommendations are also offered for critical areas that warrant research attention in relation to MDOs in Ghana, and in Africa as a whole. PMID:26923137

  15. Health implications of partner violence against women in Ghana.

    PubMed

    Issahaku, Paul Alhassan

    2015-01-01

    This article explores the health implications of partner violence against women in Ghana using data from northern Ghana. Face-to-face structured interviews were conducted with a sample of 443 women contacted at health facilities in the northern region. Results indicate that 7 out of 10 women have experienced intimate partner violence (IPV) within the past 12 months; 62% had experienced psychological violence, 29% had experienced physical violence, and 34% had experienced sexual violence. Participants reported health problems associated with violence, including injury, thoughts of suicide, sleep disruption, and fear of partner (FP). Logistic regression analyses showed that women who reported physical, psychological, and sexual violence, respectively, had 3.94 times, 10.50 times, and 2.21 times the odds of reporting thoughts of suicide, whereas the odds that women who reported physical, psychological, and sexual violence would report sleep disruption were 4.82 times higher, 4.44 times higher, and 2.50 times higher, respectively. However, only physical and psychological violence predicted the odds of FP. This study shows that IPV is a health risk factor among women in Ghana. Measures that should be designed to improve the health of women experiencing marital violence are suggested.

  16. Kin Group Affiliation and Marital Violence Against Women in Ghana.

    PubMed

    Sedziafa, Alice Pearl; Tenkorang, Eric Y

    2016-01-01

    The socialization of men and women in Ghana often confers either patrilineal or matrilineal rights, privileges, and responsibilities. Yet, previous studies that explored domestic and marital violence in sub-Saharan Africa, and Ghana, paid less attention to kin group affiliation and how the power dynamics within such groups affect marital violence. Using the 2008 Ghana Demographic and Health Survey and applying ordinary least squares (OLS) techniques, this study examined what influences physical, sexual, and emotional violence among matrilineal and patrilineal kin groups. Results indicate significant differences among matrilineal and patrilineal kin groups regarding marital violence. Socioeconomic variables that capture feminist and power theories were significantly related to sexual and emotional violence in matrilineal societies. Also, variables that tap both cultural and life course epistemologies of domestic violence were strongly related to physical, sexual, and emotional violence among married women in patrilineal kin groups. Policymakers must pay attention to kin group affiliation in designing policies aimed at reducing marital violence among Ghanaian women. PMID:27075121

  17. Researching Citizenship Education in Africa: Considerations from Ghana and Liberia

    ERIC Educational Resources Information Center

    Quaynor, Laura J.

    2015-01-01

    Within the last 30 years, the African continent has experienced significant changes related to democracy, governance, and education; however, large-scale international studies of citizenship education have not included African nations. Despite this gap, youth political movements incubated in universities and secondary schools have been influential…

  18. Levels of electric field strength within the immediate vicinity of FM radio stations in Accra, Ghana.

    PubMed

    Azah, C K; Amoako, J K; Fletcher, J J

    2013-10-01

    Heightened awareness of the ever-expanding use of radiofrequency (RF) techniques and technology has led to mounting concerns from the general public and the scientific community regarding the possible health effects that may arise as a consequence of exposure to RF radiations and has drawn the attention of many researchers the world over. A survey of the RF electromagnetic radiation at public access points in the vicinity of 20 frequency-modulated (FM) radio stations has been made in Accra, Ghana. The fundamental object was to determine the levels of RF fields from FM broadcast antennae within 10-200 m radius about the foot of the FM base station and at a height of 1.5 m above the ground at selected locations. A spectrum analyser and a bi-conical antenna element sensitive and effective within the frequency band of 30-300 MHz were used. Results obtained indicated that the levels of electric field strength ranged from 5.4E-04 V m(-1) at FM station 'O' to 7.4E-08 V m(-1) at FM station 'D'. At a transmission frequency range of 88-108 MHz, the variation of power densities is from 2.5E-10 to 1.5E-17 Wm(-2). These values are very low and are far below the reference level set by the International Commission on Non-Ionizing Radiation Protection and therefore do not pose any known hazard to the inhabitants of Accra, Ghana. The electric field levels presented in this work are comparable with those reported from epidemiological studies conducted elsewhere. PMID:23567196

  19. Levels of electric field strength within the immediate vicinity of FM radio stations in Accra, Ghana.

    PubMed

    Azah, C K; Amoako, J K; Fletcher, J J

    2013-10-01

    Heightened awareness of the ever-expanding use of radiofrequency (RF) techniques and technology has led to mounting concerns from the general public and the scientific community regarding the possible health effects that may arise as a consequence of exposure to RF radiations and has drawn the attention of many researchers the world over. A survey of the RF electromagnetic radiation at public access points in the vicinity of 20 frequency-modulated (FM) radio stations has been made in Accra, Ghana. The fundamental object was to determine the levels of RF fields from FM broadcast antennae within 10-200 m radius about the foot of the FM base station and at a height of 1.5 m above the ground at selected locations. A spectrum analyser and a bi-conical antenna element sensitive and effective within the frequency band of 30-300 MHz were used. Results obtained indicated that the levels of electric field strength ranged from 5.4E-04 V m(-1) at FM station 'O' to 7.4E-08 V m(-1) at FM station 'D'. At a transmission frequency range of 88-108 MHz, the variation of power densities is from 2.5E-10 to 1.5E-17 Wm(-2). These values are very low and are far below the reference level set by the International Commission on Non-Ionizing Radiation Protection and therefore do not pose any known hazard to the inhabitants of Accra, Ghana. The electric field levels presented in this work are comparable with those reported from epidemiological studies conducted elsewhere.

  20. Levels and Seasonal Variability of Persistent Organic Pollutants in Rural and Urban Atmosphere of Southern Ghana

    NASA Astrophysics Data System (ADS)

    Adu-Kumi, Sam; Klanova, Jana; Holoubek, Ivan

    2010-05-01

    Concentrations of persistent organic pollutants (POPs) in air are reported from the first full year of the RECETOX-Africa Air Monitoring (MONET_AFRICA) Project. Passive air samplers composed of polyurethane foam disks (PUF-disk samplers) were deployed for sampling background air concentrations from January-December 2008 at two urban sites in Ghana, namely, Ghana Atomic Energy Commission (Biotechnology and Nuclear Agricultural Research Institute, Kwabenya); and Ghana Meteorological Agency (East Legon). Another set of PUF-disk samplers were deployed at a rural/agricultural location (Lake Bosumtwi) from July-November 2008. For the purposes of this study, 28 days was the sampling period for polyaromatic hydrocarbons (PAHs), polychlorinated biphenyls (PCBs) and organochlorine pesticides (OCPs); and 3 months for OCPs (Drins) and dioxins/furans (PCDD/Fs) respectively. MONET_AFRICA constituted part of the activities under the Global Monitoring Plan (GMP) for the effectiveness evaluation (Article 16) of the Stockholm Convention on POPs and the air sampling survey was conducted at 26 sites across the African continent with the aim to establish baseline information on contamination of ambient air with persistent organic pollutants (POPs) as a reference for future monitoring programmes in the region. For the pesticides, endosulfans constituted the highest contaminants measured followed by HCHs and DDTs in that order. The large temporal variability in the pesticide concentrations suggested seasonal application of endosulfans and γ-HCH. Levels of endosulfans were initially found to be below detection limit during the first sampling period (January - March 2008) but recorded the highest concentration than any other pesticide from all 16 sites in the African region during the second sampling period (April - June 2008). Concentrations of DDTs and HCHs were generally low throughout the sampling periods. p,p'-DDE/p,p'-DDT ratio in ambient air showed that the metabolite DDE was the

  1. Health providers' perception of quality of care for neonates in health facilities in a municipality in Southern Ghana.

    PubMed

    Elikplim Pomevor, Kokui; Adomah-Afari, Augustine

    2016-10-10

    Purpose The purpose of this paper is to assess available human resources for neonatal care and their skills, in order to explore health providers' perceptions of quality of neonatal care in health facilities in Ghana. Design/methodology/approach Data were gathered using qualitative interviews with health providers working in the maternity and paediatric wards and midwives; direct observation; and documentary review at a regional hospital, a municipal hospital and four health centres in a municipality in a region in Southern Ghana. Data were analysed using thematic framework through the process of coding in six phases to create and establish meaningful patterns. Findings The study revealed that health providers were concerned about the number of staff available, their competence and also equipment available for them to work more efficiently. Some essential equipment for neonatal care was either not available or was non-functional where it was available, while aseptic procedures were not adhered to. Moreover, personal protective equipment such as facemask, caps, aprons were not used except in the labour wards where staff had to change their footwear before entering. Research limitations/implications Limited number of health providers and facilities used, lack of exploration of parents of neonates' perspective of quality of neonatal care in this study and other settings, including the teaching hospitals. The authors did not examine issues related to the ineffective use of IV cannulation for neonates by nurses as well as referral of neonates. Additionally, the authors did not explore the perspectives of management of the municipal and regional health directorates or policy makers of the Ministry of Health and Ghana Health Service regarding the shortage of staff, inadequate provision of medical equipment and infrastructure. Practical implications This paper suggests the need for policy makers to redirect their attention to the issues that would improve the quality of

  2. Health providers' perception of quality of care for neonates in health facilities in a municipality in Southern Ghana.

    PubMed

    Elikplim Pomevor, Kokui; Adomah-Afari, Augustine

    2016-10-10

    Purpose The purpose of this paper is to assess available human resources for neonatal care and their skills, in order to explore health providers' perceptions of quality of neonatal care in health facilities in Ghana. Design/methodology/approach Data were gathered using qualitative interviews with health providers working in the maternity and paediatric wards and midwives; direct observation; and documentary review at a regional hospital, a municipal hospital and four health centres in a municipality in a region in Southern Ghana. Data were analysed using thematic framework through the process of coding in six phases to create and establish meaningful patterns. Findings The study revealed that health providers were concerned about the number of staff available, their competence and also equipment available for them to work more efficiently. Some essential equipment for neonatal care was either not available or was non-functional where it was available, while aseptic procedures were not adhered to. Moreover, personal protective equipment such as facemask, caps, aprons were not used except in the labour wards where staff had to change their footwear before entering. Research limitations/implications Limited number of health providers and facilities used, lack of exploration of parents of neonates' perspective of quality of neonatal care in this study and other settings, including the teaching hospitals. The authors did not examine issues related to the ineffective use of IV cannulation for neonates by nurses as well as referral of neonates. Additionally, the authors did not explore the perspectives of management of the municipal and regional health directorates or policy makers of the Ministry of Health and Ghana Health Service regarding the shortage of staff, inadequate provision of medical equipment and infrastructure. Practical implications This paper suggests the need for policy makers to redirect their attention to the issues that would improve the quality of

  3. Valuing and Sustaining (or Not) the Ability of Volunteer Community Health Workers to Deliver Integrated Community Case Management in Northern Ghana: A Qualitative Study

    PubMed Central

    Daniels, Karen; Sanders, David; Daviaud, Emmanuelle; Doherty, Tanya

    2015-01-01

    Background Within the integrated community case management of childhood illnesses (iCCM) programme, the traditional health promotion and prevention role of community health workers (CHWs) has been expanded to treatment. Understanding both the impact and the implementation experience of this expanded role are important. In evaluating UNICEF’s implementation of iCCM, this qualitative case study explores the implementation experience in Ghana. Methods and Findings Data were collected through a rapid appraisal using focus groups and individual interviews during a field visit in May 2013 to Accra and the Northern Region of Ghana. We sought to understand the experience of iCCM from the perspective of locally based UNICEF staff, their partners, researchers, Ghana health services management staff, CHWs and their supervisors, nurses in health facilities and mothers receiving the service. Our analysis of the findings showed that there is an appreciation both by mothers and by facility level staff for the contribution of CHWs. Appreciation was expressed for the localisation of the treatment of childhood illness, thus saving mothers from the effort and expense of having to seek treatment outside of the village. Despite an overall expression of value for the expanded role of CHWs, we also found that there were problems in supporting and sustaining their efforts. The data showed concern around CHWs being unpaid, poorly supervised, regularly out of stock, lacking in essential equipment and remaining outside the formal health system. Conclusions Expanding the roles of CHWs is important and can be valuable, but contextual and health system factors threaten the sustainability of iCCM in Ghana. In this and other implementation sites, policymakers and key donors need to take into account historical lessons from the CHW literature, while exploring innovative and sustainable mechanisms to secure the programme as part of a government owned and government led strategy. PMID:26079713

  4. Accumulation profile and seasonal variations of polychlorinated biphenyls (PCBs) in bivalves Crassostrea tulipa (oysters) and Anadara senilis (mussels) at three different aquatic habitats in two seasons in Ghana.

    PubMed

    Dodoo, D K; Essumang, D K; Jonathan, J W A

    2013-02-01

    Research has shown that some polychlorinated biphenyl congeners degrade slowly in the environment and build up in the food chain, causing a wide range of possible adverse effects to humans. In order to ascertain the nature of the situation in Ghana, polychlorinated biphenyls congener residues in Crassostrea tulipa (oysters) and Anadara senilis (mussels) at Narkwa, Ada and Anyanui in the coastal region of Ghana were determined. At Narkwa, both bivalves' species were collected; at Ada only Anadara senilis were collected while at Anyanui, only Crassotrea tulipa were collected. The number of each bivalve species collected from each site was 80 (n=80), making up a total of 320 for the dry and the wet seasons. The PCBs were extracted with (1:1) hexane-acetone mixture and analyzed with a gas chromatogram equipped with (65)Ni electron capture detector, model CP 3800 using the mixed PCBs standard of the ICES 7. Total PCBs in the bivalves ranged from 5.55 to 6.37 μg/kg wet weight in mussels and 2.95-11.41 μg/kg wet weight in oysters, respectively. The composition of the PCB homologues in the bivalves was dominated by tri-, hepta- and hexa-PCBs in descending order. Risk assessments conducted on the samples indicated that edible bivalves from Narkwa, Ada and Anyanui in Ghana might pose some health risk to the consumers.

  5. Food safety concerns of fast food consumers in urban Ghana.

    PubMed

    Omari, Rose; Frempong, Godfred

    2016-03-01

    In Ghana, out-of-home ready-to-eat foods including fast food generally have been associated with food safety problems. Notwithstanding, fast food production and consumption are increasing in Ghana and therefore this study sought to determine the food safety issues of importance to consumers and the extent to which they worry about them. First, through three focus group discussions on consumers' personal opinions about food safety issues, some emergent themes were obtained, which were used to construct an open-ended questionnaire administered face-to-face to 425 respondents systematically sampled from 20 fast food restaurants in Accra. Findings showed that most fast food consumers were concerned about food hazards such as pesticide residue in vegetables, excessive use of artificial flavour enhancers and colouring substances, bacterial contamination, migrated harmful substances from plastic packages, and general unhygienic conditions under which food is prepared and sold. Consumers also raised concerns about foodborne diseases such as cholera, typhoid, food poisoning, diarrhoea, bird flu and swine flu. The logistic regression model showed that being male increased the likelihood of worrying about general food safety issues and excessive use of flavour enhancers than in females while being youthful increased the likelihood of being worried about typhoid fever than in older consumers. These findings imply that consumers in urban Ghana are aware and concerned about current trends of food safety and foodborne disease challenges in the country. Therefore, efforts targeted at improving food safety and reducing incidences of foodborne diseases should not only focus on public awareness creation but should also design more comprehensive programmes to ensure the making of food safety rules and guidelines and enforcing compliance to facilitate availability and consumers' choice of safe foods.

  6. Wonsuom--a rural communication project in Ghana.

    PubMed

    Boafo, S T

    1984-01-01

    The urban bias of the communication infrastructure in most parts of sub-Saharan Africa has comprised a major obstacle to the participation of the rural population in development decsion making. This article describes the Wonsuom rural communication pilot project in Ghana, aimed at providing communication technologies at the grassroots level to enhance the contribution of communication in rural development. When fully operational, the project will use a combination of a rural newspaper published in the local Fante language, rural radio broadcasts, radio listening clubs, and slide projectors to carry development-oriented information to rural communities and mobilize people for development programs. The project, which is carried out by the School of Journalism and Communication of the University of Ghana, covers 22 rural communities with a population of 150,000. The radio programs, started in 1983, include local and national news; discussions involving local community leaders, farmers, fishermen, and extension agents on problems facing the community and on issues such as primary health care and family planning; and features on the achievements of individual community members and development activities. Radio listening clubs meet on a regular basis to listen to the broadcasts, discuss issues highlighted, and deliberate on ways to generate development projects in their community. The discussions are recorded for subsequent broadcast on the program, creating a 2-way communication process. The listening clubs also serve as the focus of social and cultural life in the communities. Publication of the newspaper has been delayed by problems stemming from Ghana's socioeconomic crisis, but newspaper reading clubs are also projected. PMID:12279924

  7. Ebola virus disease surveillance and response preparedness in northern Ghana

    PubMed Central

    Adokiya, Martin N.; Awoonor-Williams, John K.

    2016-01-01

    Background The recent Ebola virus disease (EVD) outbreak has been described as unprecedented in terms of morbidity, mortality, and geographical extension. It also revealed many weaknesses and inadequacies for disease surveillance and response systems in Africa due to underqualified staff, cultural beliefs, and lack of trust for the formal health care sector. In 2014, Ghana had high risk of importation of EVD cases. Objective The objective of this study was to assess the EVD surveillance and response system in northern Ghana. Design This was an observational study conducted among 47 health workers (district directors, medical, disease control, and laboratory officers) in all 13 districts of the Upper East Region representing public, mission, and private health services. A semi-structured questionnaire with focus on core and support functions (e.g. detection, confirmation) was administered to the informants. Their responses were recorded according to specific themes. In addition, 34 weekly Integrated Disease Surveillance and Response reports (August 2014 to March 2015) were collated from each district. Results In 2014 and 2015, a total of 10 suspected Ebola cases were clinically diagnosed from four districts. Out of the suspected cases, eight died and the cause of death was unexplained. All the 10 suspected cases were reported, none was confirmed. The informants had knowledge on EVD surveillance and data reporting. However, there were gaps such as delayed reporting, low quality protective equipment (e.g. gloves, aprons), inadequate staff, and lack of laboratory capacity. The majority (38/47) of the respondents were not satisfied with EVD surveillance system and response preparedness due to lack of infrared thermometers, ineffective screening, and lack of isolation centres. Conclusion EVD surveillance and response preparedness is insufficient and the epidemic is a wake-up call for early detection and response preparedness. Ebola surveillance remains a neglected public

  8. Autopsy Practice in Ghana - Reflections of a Pathologist.

    PubMed

    Anim, J T

    2015-06-01

    Autopsy practice in Ghana can be said to be far from satisfactory. Most Ghanaians do not know that there are different categories of death, which categories of death require an autopsy and who is required to perform the autopsy. The problems have further been complicated by the fact that, unlike other countries where separate facilities are available for storage of the different categories of dead bodies, all dead bodies in Ghana are conveyed to the hospital mortuary, thus encouraging hospitals to expand body storage facilities in their mortuaries to meet the increasing demand. Public or community mortuaries used elsewhere for storage of bodies of deaths occurring in the community pending the Coroner's directions are non-existent in Ghana. Storage of all categories of dead bodies in hospital mortuaries has resulted in virtually all autopsies being done by the hospital pathologists, especially in the large centres, at the expense of other very important diagnostic functions of the pathologist. This paper explains relevant portions of the Coroner's Act of 1960 and emphasises the need to separate the few hospital autopsies that require the expertise of the pathologist from Coroner's autopsies that may be carried out by any registered medical officer, as specified in the Act, or better still, by specially trained Forensic Physicians/Medical Examiners, as pertains in other countries. The paper also clarifies the different categories of death, those that fall in the jurisdiction of the Coroner and the personnel required to assist the Coroner in his investigastions. Suggestions have also been made on how to approach manpower development to ensure that appropriate personnel are trained to assist the Coroner in the investgation of medico-legal cases. PMID:26339096

  9. Report on the feasibility study for improving electric motor service centers in Ghana

    SciTech Connect

    Hsu, J.S.; Jallouk, P.A.; Staunton, R.H.

    1999-12-10

    On March 3 and 4, 1998, a visit was made to Oak Ridge National Laboratory (ORNL) by two officials from Ghana: Mr. I.K. Mintah, Acting Executive Director, Technical Wing, Ministry of Mines and Energy (MOME) and Dr. A.K. Ofosu-Ahenkorah, Coordinator, Energy Efficiency and Conservation Program, MOME. As a result of this visit, Dr. John S. Hsu of ORNL was invited by MOME to visit the Republic of Ghana in order to study the feasibility of improving electric motor service centers in Ghana.

  10. The State of Information and Communication Technology and Health Informatics in Ghana

    PubMed Central

    Achampong, Emmanuel Kusi

    2012-01-01

    Information and Communication Technology (ICT) has become a major tool in delivery of health services and has had an innovative impact on quality of life. ICT is affecting the way healthcare is delivered to clients. In this paper, we discuss the state of ICT and health informatics in Ghana. We also discuss the state of various relevant infrastructures for the successful implementation of ehealth projects. We analyse the past and present state of health informatics in Ghana, in comparison to other African countries. We also review the challenges facing successful implementation of health informatics projects in Ghana and suggest possible solutions. PMID:23569633

  11. Behavioral change communications on malaria prevention in Ghana.

    PubMed

    Tweneboah-Koduah, Ernest Yaw; Braimah, Mahama; Otuo, Priscilla Ntriwaa

    2012-01-01

    The purpose of this study is to assess the various communications strategies designed to promote insecticide-treated nets (ITN) use among pregnant women and children. This study is an exploratory study into the communications activities by institutions involved in malaria prevention in Ghana. In-depth interviews were conducted and the data were analyzed. We found that most of the interventions are aimed at encouraging the target markets to acquire ITNs, although most messages on malaria prevention are not integrated. Several challenges were noted, including financial constraints, lack of human resources, cultural barriers, negative publicity, and negative perceptions on malaria.

  12. Decentralization of health systems in Ghana, Zambia, Uganda and the Philippines: a comparative analysis of decision space.

    PubMed

    Bossert, Thomas J; Beauvais, Joel C

    2002-03-01

    This study reviews the experience of decentralization in four developing countries: Ghana, Uganda, Zambia and the Philippines. It uses two analytical frameworks to describe and compare the types and degrees of decentralization in each country. The first framework specifies three types of decentralization: deconcentration, delegation and devolution. The second framework uses a principal agent approach and innovative maps of 'decision space' to define the range of choice for different functions that is transferred from the centre to the periphery of the system. The analysis finds a variety of different types and degrees of decentralization, with the Philippines demonstrating the widest range of choice over many functions that were devolved to local government units. The least choice was transferred through delegation to an autonomous health service in Ghana. Uganda and Zambia display variations between these extremes. There was insufficient evidence of the impact of decentralization to assess how these differences in 'decision space' influenced the performance of each health system. The authors suggest that this is a major area for future research.

  13. Uncovering the fruit bat bushmeat commodity chain and the true extent of fruit bat hunting in Ghana, West Africa.

    PubMed

    Kamins, A O; Restif, O; Ntiamoa-Baidu, Y; Suu-Ire, R; Hayman, D T S; Cunningham, A A; Wood, J L N; Rowcliffe, J M

    2011-12-01

    Harvesting, consumption and trade of bushmeat are important causes of both biodiversity loss and potential zoonotic disease emergence. In order to identify possible ways to mitigate these threats, it is essential to improve our understanding of the mechanisms by which bushmeat gets from the site of capture to the consumer's table. In this paper we highlight the previously unrecognized scale of hunting of the African straw-colored fruit bat, Eidolon helvum, a species which is important in both ecological and public health contexts, and describe the commodity chain in southern Ghana for its trade. Based on interviews with 551 Ghanaians, including bat hunters, vendors and consumers, we estimate that a minimum of 128,000 E. helvum bats are sold each year through a commodity chain stretching up to 400 km and involving multiple vendors. Unlike the general bushmeat trade in Ghana, where animals are sold in both specialized bushmeat markets and in restaurants, E. helvum is sold primarily in marketplaces; many bats are also kept by hunters for personal consumption. The offtake estimated in this paper raises serious conservation concerns, while the commodity chain identified in this study may offer possible points for management intervention. The separation of the E. helvum commodity chain from that of other bushmeat highlights the need for species-specific research in this area, particularly for bats, whose status as bushmeat is largely unknown.

  14. Characterization of low power research reactor neutrons for the validation of k(0)-INAA standardization based on k(0)-IAEA software.

    PubMed

    Baidoo, I K; Nyarko, B J B; Akaho, E H K; Dampare, S B; Sogbadji, R B M; Poku, L O

    2013-09-01

    Channel Bsite2 of Ghana research reactor-1 has been characterized for k0-INAA application. Cadmium ratio and bare multi-monitor were used to determine flux parameters using 0.1%Au-Al, Fe, and Zr wire as flux monitors. The parameters determined were 18.36±1.91, 0.0479±0.012, 5.12×10(11)±0.42×10(11) ncm(-2)s(-1), 2.74×10(10)±0.14×10(10) ncm(-2)s(-1), 7.73×10(10)±0.16×10(10) ncm(-2)s(-1) and 16.75±1.58, -0.034±0.0028, 4.28×10(11)±1.71×10(11) ncm(-2)s(-1), 2.55×10(10)±0.15×10(10) ncm(-2)s(-1) respectively for thermal-to-epithermal flux ratio, alpha, thermal neutron, epithermal neutron and fast neutron flux using cadmium ratio and multi-monitor method accordingly. The k0-INAA performance assessment based on z-score distributions showed most results within |z|<2.

  15. Public university entry in Ghana: Is it equitable?

    NASA Astrophysics Data System (ADS)

    Yusif, Hadrat; Yussof, Ishak; Osman, Zulkifly

    2013-06-01

    Public universities in Ghana are highly subsidised by the central government and account for about 80 per cent of university students in the country. Yet issues of fairness in terms of entry into the public university system have so far hardly been addressed. To find out whether participation in public university education is equitable, the authors of this paper carried out a binary logistic regression analysis. Individual data were collected from 1,129 (614 male and 515 female) final year senior high school (SHS) students for the 2009 cohort. The authors measured student, father and mother characteristics likely to influence admission to a public university. The results show that the major predictors of public university entry are students' academic ability, quality of SHS attended and number of siblings. This seems to suggest that there is a significant bias in the selection of students from different socio-economic groups for admission to highly subsidised public universities. The implication is that public financing of university education in Ghana may not be equitable.

  16. Perceived impact of Ghana's conditional cash transfer on child health.

    PubMed

    Owusu-Addo, Ebenezer

    2016-03-01

    A plethora of studies from sub-Saharan Africa indicate that orphaned and vulnerable children are exposed to adverse health, education and other social outcomes. Across diverse settings, conditional cash transfer (CCT) programmes have been successful in improving health outcomes amongst vulnerable children. This study explored the pathways of CCTs' impact on the health of orphans and vulnerable children in rural Ghana. Due to the multi-dimensional nature of CCTs, the programme impact theory was used to conceptualize CCTs' pathways of impact on child health. A qualitative descriptive exploratory approach was used for this study. This study drew on the perspectives of 18 caregivers, 4 community leaders and 3 programme implementers from two rural districts in Ghana. Semi-structured individual interviews were conducted with the participants. Thematic content analysis was conducted on the interview transcripts to pull together core themes running through the entire data set. Five organizing themes emerged from the interview transcripts: improved child nutrition, health service utilization, poverty reduction and social transformation, improved education and improved emotional health and well-being demonstrating the pathways through which CCTs work to improve child health. The results indicated that CCTs offer a valuable social protection instrument for improving the health of orphans and vulnerable children by addressing the social determinants of child health such as nutrition, access to health care, child poverty and education.

  17. Hospital health care cost of diarrheal disease in Northern Ghana.

    PubMed

    Aikins, Moses; Armah, George; Akazili, James; Hodgson, Abraham

    2010-09-01

    Diarrhea caused by rotaviruses is one of the most frequent causes of hospitalization among pediatric patients in rural communities of developing countries in sub-Saharan Africa and Southeast Asia, and it is a major cause of death in these communities. The complexity of diarrhea and the increasing cost of treatment puts additional burden on the health sector. To demonstrate the economic burden of diarrhea to policy makers, this study was conducted to estimate the treatment cost of diarrhea in children <5 years old in Ghana using the World Health Organization protocol for cost data collection and estimation. The study was undertaken in Navrongo War Memorial Hospital in northern Ghana. Cost estimates were made for 3 treatment scenarios observed: (1) treatment by rehydration, (2) treatment by rehydration and antibiotics, and (3) treatment of diarrhea and other diseases. The average outpatient treatment costs for the 3 treatment scenarios were US$3.86, $4.10, and $4.35 respectively, and the average treatment costs for hospitalization (inpatient care) were $65.14, $97.40, and $133.86 respectively. The annual national treatment costs, based on the 3 treatment scenarios, ranged from $907,116 to $1,851,280 for outpatients clinic visits and from $701,833 to $4,581,213 for hospitalizations. The average length of stay for the inpatients ranged from 2.3 to 4.9 days. The study did not cover patient costs (ie, household costs).

  18. Determinants of nurses' knowledge gap on pain management in Ghana.

    PubMed

    Aziato, Lydia; Adejumo, Oluyinka

    2014-03-01

    There are concerns about adequacy of nurses' knowledge and skill in effective pain management since effective pain management promotes early recovery after surgery. This study explores factors that accounted for Ghanaian nurses' inadequate knowledge of postoperative pain management using a focused ethnographic design for data collection at a tertiary teaching hospital in Ghana. Fourteen nurses designated as key informants with different backgrounds as nurse educators and leaders were purposively sampled to participate. Data were collected through in-depth individual interviews; all interviews were conducted in English, audio-taped and transcribed verbatim. The study revealed that nurses' inadequate pain management knowledge might have resulted from curriculum gaps during training; inadequate clinical supervision, study days, and workshops for practising nurses; lack of funding for organising regular workshops; and, negative attitudes of nurses whereby new information learned at workshops was not readily applied in clinical practice. It was concluded that nursing curricula at all levels of training in Ghana should incorporate credit-bearing courses on pain management, and appropriate pain management education programmes should be instituted for practising nurses. Regular monitoring and evaluation of the impact of such education programs is required.

  19. Women's cultural perceptions and attitudes towards breast cancer: Northern Ghana.

    PubMed

    Asobayire, Alice; Barley, Ruth

    2015-09-01

    This study investigates problems confronting breast cancer awareness in Ghana by ascertaining how societal perceptions and attitudes influence women's awareness of breast cancer in the Kassena-Nankana district. Data were gathered through focus group interviews and documentary analysis of current practices within the region. The data were then thematically analysed following an inductive analytical framework. The study concludes that women's perceptions of and attitudes towards breast cancer and its treatment are influenced by a myriad of economic and socio-cultural factors, which practitioners need to take into account when planning public health initiatives. There are a number of economic challenges facing breast cancer education and awareness programmes due to a lack of adequate numbers of specialized health personnel and breast cancer screening facilities in the district. Additionally, socio-cultural factors such as the absence of biomedical terminology in the local language, gender inequality and the prevailing influence of traditional health practitioners further compound the situation. Knowledge, awareness and attitudes of women towards breast cancer can also be improved if husbands of married women and respective community compound heads are targeted by public health educationists to get actively involved in education and awareness campaigns. The need to incorporate indigenous languages in public health educational materials for breast cancer in remote communities of deprived districts of Ghana is also recommended. PMID:24474424

  20. Women's sexual empowerment and contraceptive use in Ghana.

    PubMed

    Crissman, Halley P; Adanu, Richard M; Harlow, Siobán D

    2012-09-01

    Pervasive gendered inequities and norms regarding the subordination of women give Ghanaian men disproportionately more power than women, particularly in relation to sex. We hypothesize that lack of sexual empowerment may pose an important barrier to reproductive health and adoption of family planning methods. Using the 2008 Ghana Demographic Health Survey, we examine the association between women's sexual empowerment and contraceptive use in Ghana among nonpregnant married and partnered women not desiring to conceive in the next three months. Increasing levels of sexual empowerment are found to be associated with use of contraceptives, even after adjusting for demographic predictors of contraceptive use. This association is moderated by wealth. Formal education, increasing wealth, and being in an unmarried partnership are associated with contraceptive use, whereas women who identify as being Muslim are less likely to use contraceptives than those who identify as being Christian. These findings suggest that to achieve universal access to reproductive health services, gendered disparities in sexual empowerment, particularly among economically disadvantaged women, need to be better addressed.

  1. Speaking the Unspeakable: Discursive Strategies To Express Language Attitudes in Legon (Ghana) Graffiti.

    ERIC Educational Resources Information Center

    Obeng, Samuel Gyasi

    2000-01-01

    Examines how language attitudes are expressed in Legon, Ghana, a multilingual society. Focuses on the graffiti in male lavatories, which offers an interesting glimpse of some of the intergroup tensions existing within Ghanian society. (Author/VWL)

  2. Water mites of the genus Atractides Koch, 1837 (Acari: Hydrachnidia: Hygrobatidae) from Ghana.

    PubMed

    Pešić, Vladimir; Smit, Harry

    2015-01-20

    New records of water mites of the genus Atractides Koch, 1837 (Acari: Hydrachnidia: Hygrobatidae) from streams in Ghana are presented. Six species are reported, one of these, Atractides (Atractides) ghanaensis n. sp., is described as new for science. First records for Ghana are given for A. (Atractides) damkoehleri (K. Viets, 1916), A. (A.) latisetus (K. Viets, 1916), A. (Polymegapus) kuehnei (K. Viets, 1911) and A. (Tympanomegapus) tuberipalpis (K. Viets, 1913).

  3. Status of cacao breeding in Ghana

    Technology Transfer Automated Retrieval System (TEKTRAN)

    Research into cocoa improvement has made a considerable impact on the productivity of the crop in West Africa. Much of the germplasm distributed to farmers have been of Upper Amazon origin following the realisation of their higher agronomic worth over the local Trinitario and Amelonado germplasm. Ho...

  4. Progressivity of health care financing and incidence of service benefits in Ghana.

    PubMed

    Akazili, James; Garshong, Bertha; Aikins, Moses; Gyapong, John; McIntyre, Di

    2012-03-01

    The National Health Insurance (NHI) scheme was introduced in Ghana in 2004 as a pro-poor financing strategy aimed at removing financial barriers to health care and protecting all citizens from catastrophic health expenditures, which currently arise due to user fees and other direct payments. A comprehensive assessment of the financing and benefit incidence of health services in Ghana was undertaken. These analyses drew on secondary data from the Ghana Living Standards Survey (2005/2006) and from an additional household survey which collected data in 2008 in six districts covering the three main ecological zones of Ghana. Findings show that Ghana's health care financing system is progressive, driven largely by the progressivity of taxes. The national health insurance levy (which is part of VAT) is mildly progressive while NHI contributions by the informal sector are regressive. The distribution of total benefits from both public and private health services is pro-rich. However, public sector district-level hospital inpatient care is pro-poor and benefits of primary-level health care services are relatively evenly distributed. For Ghana to attain an equitable health system and fully achieve universal coverage, it must ensure that the poor, most of whom are not currently covered by the NHI, are financially protected, and it must address the many access barriers to health care.

  5. A comparative study of Shankhapushpyadi Ghana Vati and Sarpagandhadi Ghana Vati in the management of "Essential Hypertension".

    PubMed

    Mishra, Jyoti; Joshi, Nayan P; Pandya, Dilip M

    2012-01-01

    Hypertension is a major public health problem of this era. Hypertension related morbidity and mortality rates have dramatically increased over the last 25 years. Stressful life style is one of the leading causes of Hypertension. The treatment of hypertension remains a primary goal in the effort to reduce morbidity and mortality from cardiovascular disease, stroke and kidney disease. In this study, 20 patients were randomly divided in two groups and treated along with restricted diet pattern for 8 weeks. Patients of Group A received poly-herbal compound formulation Shankhapushpyadi Ghana Vati (2gm/day). It was found that, relief in overall symptoms (63.93%) elevated blood pressure (8.91% in Systolic blood pressure and 8.44% in diastolic blood pressure). In group-B, with Sarpagandhadi Ghana Vati (2gm/day) the percent relief was better on elevated blood pressure (12.00% in Systolic blood pressure and 11.02% in diastolic blood pressure). When data is subjected in between both the groups, it is found that, both drugs are equally effective. PMID:23049185

  6. The Ghana essential health interventions program: a plausibility trial of the impact of health systems strengthening on maternal & child survival

    PubMed Central

    2013-01-01

    Background During the 1990s, researchers at the Navrongo Health Research Centre in northern Ghana developed a highly successful community health program. The keystone of the Navrongo approach was the deployment of nurses termed community health officers to village locations. A trial showed that, compared to areas relying on existing services alone, the approach reduced child mortality by half, maternal mortality by 40%, and fertility by nearly a birth — from a total fertility rate of 5.5 in only five years. In 2000, the government of Ghana launched a national program called Community-based Health Planning and Services (CHPS) to scale up the Navrongo model. However, CHPS scale-up has been slow in districts located outside of the Upper East Region, where the “Navrongo Experiment” was first carried out. This paper describes the Ghana Essential Health Intervention Project (GEHIP), a plausibility trial of strategies for strengthening CHPS, especially in the areas of maternal and newborn health, and generating the political will to scale up the program with strategies that are faithful to the original design. Description of the intervention GEHIP improves the CHPS model by 1) extending the range and quality of services for newborns; 2) training community volunteers to conduct the World Health Organization service regimen known as integrated management of childhood illness (IMCI); 3) simplifying the collection of health management information and ensuring its use for decision making; 4) enabling community health nurses to manage emergencies, particularly obstetric complications and refer cases without delay; 5) adding $0.85 per capita annually to district budgets and marshalling grassroots political commitment to financing CHPS implementation; and 6) strengthening CHPS leadership at all levels of the system. Evaluation design GEHIP impact is assessed by conducting baseline and endline survey research and computing the Heckman “difference in difference” test for

  7. Chasing spirits: Clarifying the spirit child phenomenon and infanticide in Northern Ghana.

    PubMed

    Denham, Aaron R; Adongo, Philip B; Freydberg, Nicole; Hodgson, Abraham

    2010-08-01

    In the Kassena-Nankana District of Ghana, researchers and health interventionists describe a phenomenon wherein some children are subject to infanticide because they are regarded as spirit children sent "from the bush" to cause misfortune and destroy the family. This phenomenon remains largely misunderstood and misrepresented. Based upon both ethnographic research and verbal autopsy data from 2006 to 2007 and 2009, this paper clarifies the characteristics of and circumstances surrounding the spirit child phenomenon, the role it plays within community understandings of childhood illness and mortality, and the variations present within the discourse and practice. The spirit child is a complex explanatory model closely connected to the Nankani sociocultural world and understandings surrounding causes of illness, disability, and misfortune, and is best understood within the context of the larger economic, social, and health concerns within the region. The identification of a child as a spirit child does not necessarily indicate that the child was a victim of infanticide. The spirit child best describes why a child died, rather than how the death occurred. In addition to shaping maternal and child health interventions, these findings have implications for verbal autopsy assessments and the accuracy of demographic data concerning the causes of child mortality.

  8. Institutional, Legal, and Economic Instruments in Ghana's Environmental Policy.

    PubMed

    Hens; Boon

    1999-10-01

    / This paper reviews the state of the environment in Ghana and explores the potential for the use of institutional, legal, and economic instruments in environmental management in the specific context of this developing country.The environmental situation in Ghana is characterized by desertification, land degradation, deforestation, soil erosion, and inadequate water supply in the northern regions of the country. The population as a whole is growing at a rate of 3% per annum, with even greater urban growth rates, due to rural out-migration. Large parts of the coastal zone in the south are rapidly developing to become one large suburbanized area. Water quality is particularly threatened in the urban and industrialized areas, which are mainly located in the southern part of the country. The coastal lagoons and coastal waters are moderately to heavily polluted. Erosion extends along the whole Ghanaian coast with excesses, for example, in the Keta area, where during the last century over 90% of the original buildings have been washed awayby the sea. The obvious environmental consequences of the mining sector are illustrative of the environmental threats caused by a fast growing industry and industrializing agriculture, in a country where environmental policy is only in its formative years. Desertification, food insecurity and coastal erosion all contribute to an increasing number of environmental refugees.Environmental policy in Ghana is a post-Rio phenomenon. Environmental laws, a Ministry of Environment, Science and Technology, an advisory National Committee for the Implementation of Agenda 21, and a fully mandated environmental administration have been established. This administration advocates a progressive attitude towards environmental legislation and points out the specific utility of economic and legal instruments in environmental management in this relatively fast developing country.The choice of instruments for environmental management is increasingly

  9. Religion, contraception, and method choice of married women in Ghana.

    PubMed

    Gyimah, Stephen Obeng; Adjei, Jones K; Takyi, Baffour K

    2012-12-01

    Using pooled data from the 1998 and 2003 Demographic and Health Surveys, this paper investigates the association between religion and contraceptive behavior of married women in Ghana. Guided by the particularized theology and characteristics hypotheses, multinomial logit and complementary log-log models are used to explore denominational differences in contraceptive adoption among currently married women and assess whether the differences could be explained through other characteristics. We found that while there were no differences between women of different Christian faiths, non-Christian women (Muslim and Traditional) were significantly more likely to have never used contraception compared with Christian women. Similar observations were made on current use of contraception, although the differences were greatly reduced in the multivariate models.

  10. The development of community water supplies in Ghana*

    PubMed Central

    Ferguson, W. R. W.

    1962-01-01

    Ghana, with a population of 6 700 000, largely distributed in rural districts, is representative of many a country where the problem of water supply is associated with the construction of numerous small supplies for the villages and towns scattered over the whole area. This paper gives a general impression of the various methods in use for tackling the problem. Well-sinking, drilling, and pond-digging, and the advantages and disadvantages of a variety of methods, are described, and the problems met with under different geological conditions are considered. Details of the various systems for pumping the water from the source to the villages and towns are given. The important question of standardization, both in design and equipment, is dealt with, and reference is made to the operation of supplies and to the training of operatives. PMID:13892347

  11. Malaria prophylaxis in long-term expatriate mineworkers in Ghana.

    PubMed

    Fegan, D; Glennon, J

    1993-08-01

    The role of malaria chemoprophylaxis for long-term expatriates has not been re-evaluated since the emergence of widespread multidrug resistance. A survey of 106 expatriates working in a mine in Ghana (holoendemic for malaria) was conducted to determine the compliance with malaria chemoprophylaxis. Overall 64 per cent took regular chemoprophylaxis. Of the long-term expatriates (5 or more years in areas with holoendemic malaria), 48.4 per cent either took malaria prophylaxis very irregularly or not at all. The main reasons for failing to comply were fear of long-term side effects and conflicting advice on prophylaxis. This reluctance to take long-term chemoprophylaxis highlights the need to re-emphasise the importance of anti-mosquito measures, prompt treatment of fevers, and perhaps consider abandoning chemoprophylaxis in those expatriate workers with ready access to hospital care.

  12. Groundwater resource sustainability in the Nabogo Basin of Ghana

    NASA Astrophysics Data System (ADS)

    Lutz, Alexandra; Thomas, James M.; Pohll, Greg; McKay, W. Alan

    2007-10-01

    In order to address groundwater resource sustainability, a conceptual groundwater flow model is developed for a hydrographic basin of northern Ghana. A three-dimensional steady-state model is applied to the Nabogo Basin, a sub-catchment of the White Volta River Basin. Mean annual data are used for input parameters. Parameters include rates of precipitation, recharge, surface water discharge, and groundwater extraction (pumpage). The model indicates that current well pumpage rates are significantly less than annual groundwater recharge to the basin. Model results for several scenarios tested (i.e., increased population, access to potable water for all citizens, and/or decreased rainfall) indicate that extraction rates will still be less than groundwater input to the basin.

  13. Onchocerciasis and optic atrophy in the Savannah area of Ghana.

    PubMed

    Berghout, E

    1987-10-01

    The ocular findings in the male population of 3 villages from a hyperendemic area of onchocerciasis in North Ghana have been recorded. Vector control in the Volta River Basin has led to reduced microfilarial loads and improved tolerance of treatment with diethylcarbamazine-citrate (DEC-C). Prevalence of posterior eye lesions increased sharply above the age of 30 years in the survey population. In patients with palpable onchocercomas (nodules) serious pathology of the posterior segment of the eye was found twice as frequently as in onchocerciasis patients without nodules. In the village visited by the Mobile Eye Team since 1978 the prevalence of serious eye lesions was slightly lower than in the two villages never visited by the eye team. Desirability to give treatment to the younger population with low incidence of serious eye lesions is expressed. Attention is drawn to the increased danger of adverse reactions to treatment in the presence of posterior eye lesions. PMID:3451406

  14. Onchocerciasis and optic atrophy in the Savannah area of Ghana.

    PubMed

    Berghout, E

    1987-10-01

    The ocular findings in the male population of 3 villages from a hyperendemic area of onchocerciasis in North Ghana have been recorded. Vector control in the Volta River Basin has led to reduced microfilarial loads and improved tolerance of treatment with diethylcarbamazine-citrate (DEC-C). Prevalence of posterior eye lesions increased sharply above the age of 30 years in the survey population. In patients with palpable onchocercomas (nodules) serious pathology of the posterior segment of the eye was found twice as frequently as in onchocerciasis patients without nodules. In the village visited by the Mobile Eye Team since 1978 the prevalence of serious eye lesions was slightly lower than in the two villages never visited by the eye team. Desirability to give treatment to the younger population with low incidence of serious eye lesions is expressed. Attention is drawn to the increased danger of adverse reactions to treatment in the presence of posterior eye lesions.

  15. International rotations during residency: spine deformity surgery in Ghana.

    PubMed

    Daniels, Alan H

    2013-05-01

    International elective rotations are becoming increasingly common in residency training programs. These experiences offer a tremendous opportunity to help patients in medically underserved nations, and can enhance training by exposing participants to pathology not often encountered in developed countries. Additionally, there is emerging evidence that international training exposure develops a broader appreciation of cultural diversity in patient care, offers personal and professional development, and teaches residents to use limited resources more efficiently, giving them a unique perspective on the ordering of tests and delivery of care when they return. This paper highlights the author's experience on a volunteer trip to Ghana that was focused on treating pediatric spinal deformity, and reviews notable international medical volunteers, and highlights the evidence supporting the benefits of international residency rotations.

  16. The changing rainy season climatology of mid-Ghana

    NASA Astrophysics Data System (ADS)

    Owusu, Kwadwo; Waylen, Peter R.

    2013-05-01

    Daily rainfall data are examined through the temporal analysis of various definitions of variable temporal units (VTUs) consisting of combinations of various starting dates and durations over mid-Ghana. These VTUs are independent of, yet encompass, the starting dates and durations of the major and minor rainy seasons. Within each VTU, total rainfall and number of rainy days are calculated to describe the rainfall characteristics of the unit. Means and variances of each variable are calculated for each unit over two 20-year periods, 1951-1970 (P1) and 1981-2000 (P2). In P2, the major and minor rainy seasons have undergone varying degrees of desiccation. This reduction in rainfall is, however, not temporally or spatially uniform. The widespread decline of mean rainfall totals and number of rainy days during the minor rainy season, often associated with greater inter-annual variability, is particularly threatening to the production of a second crop.

  17. International rotations during residency: spine deformity surgery in Ghana.

    PubMed

    Daniels, Alan H

    2013-05-01

    International elective rotations are becoming increasingly common in residency training programs. These experiences offer a tremendous opportunity to help patients in medically underserved nations, and can enhance training by exposing participants to pathology not often encountered in developed countries. Additionally, there is emerging evidence that international training exposure develops a broader appreciation of cultural diversity in patient care, offers personal and professional development, and teaches residents to use limited resources more efficiently, giving them a unique perspective on the ordering of tests and delivery of care when they return. This paper highlights the author's experience on a volunteer trip to Ghana that was focused on treating pediatric spinal deformity, and reviews notable international medical volunteers, and highlights the evidence supporting the benefits of international residency rotations. PMID:23641456

  18. Light trap collections of ovipositing Simulium squamosum in Ghana.

    PubMed

    Service, M W

    1979-10-01

    At a site near Boti waterfalls in southern Ghana a total of 14 644 female and two male Simulium squamosum were caught in four nights in Monks Wood light traps. The highest catch, of 6520 females, was obtained in a single night with an ultraviolet light tube that had a one-second flash rate. About 12% of the females caught were gravid and dissections of non-gravids showed that they had oviposited very recently. The traps were clearly catching females before or soon after oviposition. The same traps caught none or very few blackflies when placed in two other localities near Akosombo. Trap location appeared very important in sampling ovipositing females of S. squamosum.

  19. A retrospective audit of antibiotic prescriptions in primary health-care facilities in Eastern Region, Ghana

    PubMed Central

    Ahiabu, Mary-Anne; Tersbøl, Britt P; Biritwum, Richard; Bygbjerg, Ib C; Magnussen, Pascal

    2016-01-01

    Resistance to antibiotics is increasing globally and is a threat to public health. Research has demonstrated a correlation between antibiotic use and resistance development. Developing countries are the most affected by resistance because of high infectious disease burden, limited access to quality assured antibiotics and more optimal drugs and poor antibiotic use practices. The appropriate use of antibiotics to slow the pace of resistance development is crucial. The study retrospectively assessed antibiotic prescription practices in four public and private primary health-care facilities in Eastern Region, Ghana using the WHO/International Network for the Rational Use of Drugs rational drug use indicators. Using a systematic sampling procedure, 400 prescriptions were selected per facility for the period April 2010 to March 2011. Rational drug use indicators were assessed in the descriptive analysis and logistic regression was used to explore for predictors of antibiotic prescription. Average number of medicines prescribed per encounter was 4.01, and 59.9% of prescriptions had antibiotics whilst 24.2% had injections. In total, 79.2% and 88.1% of prescribed medicines were generics and from the national essential medicine list, respectively. In the multivariate analysis, health facility type (odds ratio [OR] = 2.05; 95% confidence interval [CI]: 1.42, 2.95), patient age (OR = 0.97; 95% CI: 0.97, 0.98), number of medicines on a prescription (OR = 1.85; 95% CI: 1.63, 2.10) and ‘no malaria drug’ on prescription (OR = 5.05; 95% CI: 2.08, 12.25) were associated with an antibiotic prescription. A diagnosis of upper respiratory tract infection was positively associated with antibiotic use. The level of antibiotic use varied depending on the health facility type and was generally high compared with the national average estimated in 2008. Interventions that reduce diagnostic uncertainty in illness management should be considered. The National Health

  20. Yankey's dilemma: conservation versus the people of Ghana.

    PubMed

    Murphree, Michael

    2002-10-01

    The past 20 years have seen a shift in conservation approaches to realize the importance of people in conservation and wildlife management (CWM). To this extent, in most conservation circles the concept of community involvement is no longer debated. The following factors have influenced the growth of CWM, especially in Africa: (i) recent developments in postcolonial governments have made them unable to manage and control the use of natural resources in the restrictive manner mandated by the legislation of the colonial past still in place; (ii) successes, particularly in southern Africa, of approaches that involved devolution of greater access rights and responsibilities to communities have led to these approaches being used by other countries; (iii) donor agencies, encouraged by the success of these approaches, have allocated more of their resources to community-based projects; and (iv) changes in international perceptions have been heavily influenced by the growing voice of the "South" in international fora. While there has been some success, there have also been failures. In Ghana, there has been considerable effort to develop programs that incorporate community aspirations into specific objectives; one inherent problem with these programs-not exclusive to Ghana-is the tendency for conservation programs to try to fit community aspirations into conservation objectives as opposed to finding ways of using conservation to help fulfill community aspirations. When community-based programs fail to recognize this, they are generally unable to deliver on their expected outputs. Some critics have used this to dismiss the community approach, which poses a dangerous reversion to a paradigm that has significantly failed in Africa, and much of the developing world, especially in regard to wildlife outside of protected areas. PMID:12381557

  1. The politics of tuberculosis and HIV service integration in Ghana.

    PubMed

    Amo-Adjei, Joshua; Kumi-Kyereme, Akwasi; Fosuah Amo, Hannah; Awusabo-Asare, Kofi

    2014-09-01

    The need to integrate TB/HIV control programmes has become critical due to the comorbidity regarding these diseases and the need to optimise the use of resources. In developing countries such as Ghana, where public health interventions depend on donor funds, the integration of the two programmes has become more urgent. This paper explores stakeholders' views on the integration of TB/HIV control programmes in Ghana within the remits of contingency theory. With 31 purposively selected informants from four regions, semi-structured interviews and observations were conducted between March and May 2012, and the data collected were analysed using the inductive approach. The results showed both support for and opposition to integration, as well as some of the avoidable challenges inherent in combining TB/HIV control. While those who supported integration based their arguments on clinical synergies and the need to promote the efficient use of resources, those who opposed integration cited the potential increase in workload, the clinical complications associated with joint management, the potential for a leadership crisis, and the "smaller the better" propositions to support their stance. Although a policy on TB/HIV integration exists, inadequate 'political will' from the top management of both programmes has trickled down to lower levels, which has stifled progress towards the comprehensive management of TB/HIV and particularly leading to weak data collection and management structures and unsatisfactory administration of co-trimoxazole for co-infected patients. It is our view that the leadership of both programmes show an increased commitment to protocols involving the integration of TB/HIV, followed by a commitment to addressing the 'fears' of frontline service providers to encourage confidence in the process of service integration.

  2. The politics of tuberculosis and HIV service integration in Ghana.

    PubMed

    Amo-Adjei, Joshua; Kumi-Kyereme, Akwasi; Fosuah Amo, Hannah; Awusabo-Asare, Kofi

    2014-09-01

    The need to integrate TB/HIV control programmes has become critical due to the comorbidity regarding these diseases and the need to optimise the use of resources. In developing countries such as Ghana, where public health interventions depend on donor funds, the integration of the two programmes has become more urgent. This paper explores stakeholders' views on the integration of TB/HIV control programmes in Ghana within the remits of contingency theory. With 31 purposively selected informants from four regions, semi-structured interviews and observations were conducted between March and May 2012, and the data collected were analysed using the inductive approach. The results showed both support for and opposition to integration, as well as some of the avoidable challenges inherent in combining TB/HIV control. While those who supported integration based their arguments on clinical synergies and the need to promote the efficient use of resources, those who opposed integration cited the potential increase in workload, the clinical complications associated with joint management, the potential for a leadership crisis, and the "smaller the better" propositions to support their stance. Although a policy on TB/HIV integration exists, inadequate 'political will' from the top management of both programmes has trickled down to lower levels, which has stifled progress towards the comprehensive management of TB/HIV and particularly leading to weak data collection and management structures and unsatisfactory administration of co-trimoxazole for co-infected patients. It is our view that the leadership of both programmes show an increased commitment to protocols involving the integration of TB/HIV, followed by a commitment to addressing the 'fears' of frontline service providers to encourage confidence in the process of service integration. PMID:25042543

  3. Migration, sexual networks, and HIV in Agbogbloshie, Ghana

    PubMed Central

    Cassels, Susan; Jenness, Samuel M.; Biney, Adriana A. E.; Ampofo, William Kwabena; Dodoo, F. Nii-Amoo

    2014-01-01

    BACKGROUND HIV is spread through structured sexual networks, which are influenced by migration patterns, but network-oriented studies of mobility and HIV risk behavior have been limited. OBJECTIVE We present a comprehensive description and initial results from our Migration & HIV in Ghana (MHG) study in Agbogbloshie, an urban slum area within Accra, Ghana. METHODS The MHG study was a population-based cross-sectional study of adults aged 18–49 in Agbogbloshie in 2012. We used a one-year retrospective relationship history calendar to collect egocentric network data on sexual partners as well as migration and short-term mobility, and tested for prevalent HIV-1/2 infection. RESULTS HIV prevalence was 5.5%, with prevalence among women (7.2%) over twice that of men (2.8%). Three-quarters of residents were born outside the Greater Accra region, but had lived in Agbogbloshie an average of 10.7 years. Only 7% had moved housing structures within the past year. However, short-term mobility was common. Residents had an average of 7.3 overnight trips in the last year, with women reporting more travel than men. Thirty-seven percent of men and 9% of women reported more than one sexual partner in the last year. CONCLUSIONS Population-based surveys of migration and sexual risk behavior using relationship history calendars in low-resource settings can produce high quality data. Residents in Agbogbloshie are disproportionately affected by HIV, and have high levels of short-term mobility. HIV prevention interventions targeted to highly mobile populations in high prevalence settings may have far-reaching and long-term implications. PMID:25364298

  4. Knowledge and uses of African pangolins as a source of traditional medicine in Ghana.

    PubMed

    Boakye, Maxwell Kwame; Pietersen, Darren William; Kotzé, Antoinette; Dalton, Desiré-Lee; Jansen, Raymond

    2015-01-01

    Traditional medicine has been practised in Ghana for centuries with the majority of Ghanaians still patronising the services of traditional healers. Throughout Africa a large number of people use pangolins as a source of traditional medicine, however, there is a dearth of information on the use of animals in folk medicine in Ghana, in particular the use of pangolins. The aim of this study was to determine the prevalent use of pangolins and the level of knowledge of pangolin use among traditional healers in Ghana for the treatment of human ailments. Data was gathered from 48 traditional healers using semi-structured interviews on the traditional medicinal use of pangolin body parts in the Kumasi metropolis of Ghana. The cultural importance index, relative frequency of citation, informant agreement ratio and use agreement values were calculated to ascertain the most culturally important pangolin body part as well as the level of knowledge dissemination among traditional healers with regards pangolin body parts. Our study revealed that 13 body parts of pangolins are used to treat various medicinal ailments. Pangolin scales and bones were the most prevalent prescribed body parts and indicated the highest cultural significance among traditional healing practices primarily for the treatment of spiritual protection, rheumatism, financial rituals and convulsions. Despite being classified under Schedule 1 of Ghana's Wildlife Conservation Act of 1971 (LI 685), that prohibits anyone from hunting or being in possession of a pangolin, our results indicated that the use of pangolins for traditional medicinal purposes is widespread among traditional healers in Ghana. A study on the population status and ecology of the three species of African pangolins occurring in Ghana is urgently required in order to determine the impact this harvest for traditional medical purposes has on their respective populations as current levels appear to be unmonitored and unsustainable.

  5. Knowledge and uses of African pangolins as a source of traditional medicine in Ghana.

    PubMed

    Boakye, Maxwell Kwame; Pietersen, Darren William; Kotzé, Antoinette; Dalton, Desiré-Lee; Jansen, Raymond

    2015-01-01

    Traditional medicine has been practised in Ghana for centuries with the majority of Ghanaians still patronising the services of traditional healers. Throughout Africa a large number of people use pangolins as a source of traditional medicine, however, there is a dearth of information on the use of animals in folk medicine in Ghana, in particular the use of pangolins. The aim of this study was to determine the prevalent use of pangolins and the level of knowledge of pangolin use among traditional healers in Ghana for the treatment of human ailments. Data was gathered from 48 traditional healers using semi-structured interviews on the traditional medicinal use of pangolin body parts in the Kumasi metropolis of Ghana. The cultural importance index, relative frequency of citation, informant agreement ratio and use agreement values were calculated to ascertain the most culturally important pangolin body part as well as the level of knowledge dissemination among traditional healers with regards pangolin body parts. Our study revealed that 13 body parts of pangolins are used to treat various medicinal ailments. Pangolin scales and bones were the most prevalent prescribed body parts and indicated the highest cultural significance among traditional healing practices primarily for the treatment of spiritual protection, rheumatism, financial rituals and convulsions. Despite being classified under Schedule 1 of Ghana's Wildlife Conservation Act of 1971 (LI 685), that prohibits anyone from hunting or being in possession of a pangolin, our results indicated that the use of pangolins for traditional medicinal purposes is widespread among traditional healers in Ghana. A study on the population status and ecology of the three species of African pangolins occurring in Ghana is urgently required in order to determine the impact this harvest for traditional medical purposes has on their respective populations as current levels appear to be unmonitored and unsustainable. PMID:25602281

  6. Exploring the Fault Lines of Cross-Cultural Collaborative Research

    ERIC Educational Resources Information Center

    Pryor, John; Kuupole, Alfredina; Kutor, Nicholas; Dunne, Mairead; Adu-Yeboah, Christine

    2009-01-01

    This paper explores issues emerging from the authors' experiences of collaborative research in Ghana, by researchers from a Ghanaian and a British university. The text emerges from discussions between partners and in retrospective reflection on the research process. It is constructed by bringing together personal accounts of the different authors…

  7. The Association of HIV Stigma and HIV/STD Knowledge With Sexual Risk Behaviors Among Adolescent and Adult Men Who Have Sex With Men in Ghana, West Africa.

    PubMed

    Nelson, LaRon E; Wilton, Leo; Agyarko-Poku, Thomas; Zhang, Nanhua; Aluoch, Marilyn; Thach, Chia T; Owiredu Hanson, Samuel; Adu-Sarkodie, Yaw

    2015-06-01

    Ghanaian men who have sex with men (MSM) have a high HIV seroprevalence, but despite a critical need to address this public health concern, research evidence has been extremely limited on influences on sexual risk behavior among MSM in Ghana. To investigate associations between HIV/STD knowledge, HIV stigma, and sexual behaviors in a sample of MSM in Ghana, we conducted a secondary data analysis of cross-sectional survey data from a non-probability sample of Ghanaian MSM (N = 137). Nearly all the men (93%) had more than one current sex partner (M = 5.11, SD = 7.4). Of those reported partners, the average number of current female sexual partners was 1.1 (SD = 2.6). Overall, knowledge levels about HIV and STDs were low, and HIV stigma was high. There was no age-related difference in HIV stigma. Younger MSM (≤25 years) used condoms less often for anal and vaginal sex than did those over 25. Relative frequency of condom use for oral sex was lower in younger men who had higher STD knowledge and also was lower in older men who reported high HIV stigma. Knowledge and stigma were not associated with condom use for anal or vaginal sex in either age group. These descriptive data highlight the need for the development of intervention programs that address HIV/STD prevention knowledge gaps and reduce HIV stigma in Ghanaian communities. Intervention research in Ghana should address age-group-specific HIV prevention needs of MSM youth.

  8. Adapting a multifaceted U.S. HIV prevention education program for girls in Ghana.

    PubMed

    Fiscian, Vivian Sarpomaa; Obeng, E Kwame; Goldstein, Karen; Shea, Judy A; Turner, Barbara J

    2009-02-01

    We adapted a U.S. HIV prevention program to address knowledge gaps and cultural pressures that increase the risk of infection in adolescent Ghanaian girls. The theory-based nine-module HIV prevention program combines didactics and games, an interactive computer program about sugar daddies, and tie-and-dye training to demonstrate an economic alternative to transactional sex. The abstinence-based study was conducted in a church-affiliated junior secondary school in Nsawam, Ghana. Of 61 subjects aged 10-14 in the prevention program, over two thirds were very worried about becoming HIV infected. A pre-post evaluation of the intervention showed significant gains in three domains: HIV knowledge (p = .001) and self efficacy to discuss HIV and sex with men (p < .001) and with boys (p < .001). Responses to items about social norms of HIV risk behavior were also somewhat improved (p = .09). Subjects rated most program features highly. Although short-term knowledge and self-efficacy to address HIV improved significantly, longer term research is needed to address cultural and economic factors placing young women at risk of HIV infection.

  9. Men’s and women’s migration in coastal Ghana: An event history analysis

    PubMed Central

    Reed, Holly E.; Andrzejewski, Catherine S.; White, Michael J.

    2013-01-01

    This article uses life history calendar (LHC) data from coastal Ghana and event history statistical methods to examine inter-regional migration for men and women, focusing on four specific migration types: rural-urban, rural-rural, urban-urban, and urban-rural. Our analysis is unique because it examines how key determinants of migration— including education, employment, marital status, and childbearing—differ by sex for these four types of migration. We find that women are significantly less mobile than men overall, but that more educated women are more likely to move (particularly to urban areas) than their male counterparts. Moreover, employment in the prior year is less of a deterrent to migration among women. While childbearing has a negative effect on migration, this impact is surprisingly stronger for men than for women, perhaps because women’s search for assistance in childcare promotes migration. Meanwhile, being married or in union appears to have little effect on migration probabilities for either men or women. These results demonstrate the benefits of a LHC approach and suggest that migration research should further examine men’s and women’s mobility as it relates to both human capital and household and family dynamics, particularly in developing settings. PMID:24298203

  10. Pharmacist-led medication-related needs assessment in rural Ghana.

    PubMed

    Wilby, Kyle John; Lacey, Jill

    2013-12-01

    Access to both essential and non-essential medications is increasing worldwide. While increased drug access is a positive development, many countries lack the infrastructure for appropriate distribution, administration, and monitoring of drug therapy. The objective of this study was to assess medication and pharmacy-related needs in the rural Ashanti Region of Ghana and to determine barriers of achieving optimal health outcomes in this region. Qualitative domains and associated themes were identified by observations from integration into community culture and from conduction of semi-structured interviews with local community leaders, health workers, or those with knowledge of health-related issues. Eight semi-structured interviews were completed and four thematic domains were identified; access to care, resource shortages, medication safety, and education/training. Barriers and challenges identified under each thematic domain included (but were not limited to) availability of clean water sources, shortages of medications and diagnostic equipment, financial considerations, misunderstanding of medication indications and directions for use, and shortages of qualified pharmacy or dispensary staff. Most respondents also expressed a need for continuing education and training of healthcare personnel. It can be concluded that there is a need for development of health services related to medications. Locally supported interventions and future research should focus on barriers and challenges identified from the thematic domains.

  11. Hard times and common mental health disorders in developing countries: insights from urban Ghana.

    PubMed

    Dzator, Janet

    2013-01-01

    Over the past century, the world has rapidly become urbanized, meaning more people now live in urban areas and cities than in rural areas. The mass movement of the rural poor to urban centers and cities has also changed the dynamics of poverty. Scarce employment opportunities, lack of assets, and sudden changes in economic conditions have been proposed as increasing the stress level for most urban residents, especially the poorer ones. Using a face-to-face household survey that included a six-item non-specific psychometric instrument, the data revealed how psychological distress may be patterned by socioeconomic status among urban residents in Ghana during difficult times characterized by food and fuel price hikes. The data collected in interviews of 1,158 adults (49% males and 51% females) who were 18 years and above were analyzed using multinomial logit regressions. The results confirmed previous findings and showed negative links between socioeconomic status, adverse life events, and psychological distress. Specifically, low income, low level of education, large household size, undesirable life events and being employed in agriculture was found to be associated with psychological disorders. The outcomes of this research project are consistent with previous findings-that people in lower socioeconomic strata and those who have suffered adverse events are more likely to suffer psychological distress. The implications of these results for behavioral health are discussed. PMID:23250769

  12. Childhood burns in Ghana: epidemiological characteristics and home-based treatment.

    PubMed

    Forjuoh, S N; Guyer, B; Smith, G S

    1995-02-01

    The objectives of this research were to study the epidemiological characteristics and home-based treatment of childhood burns in the Ashanti Region of Ghana. Children aged 0-5 years with a burn history were identified through a community-based, multisite survey. A standard questionnaire was administered to mothers of 630 of these children to elicit information on their sociodemographic characteristics and the circumstances of the burn event. Ninety-two per cent of the burns occurred in the home, particularly in the kitchen (51 per cent) and the house yard (36 per cent), with most of them happening in the late morning and around the evening meal. The main causes of the burns were scalds (45 per cent), contact with a hot object (34 per cent) and flame (20 per cent). 'Cool' water was applied to the burned area in 30 per cent of cases. Otherwise, treatment with a traditional preparation was the most popular first-aid choice. Since a considerable proportion of burns happened between meals when children 'play with fire' in the house yard, the provision of alternative play activities and community play areas may reduce the incidence of burns to these children. Secondly, we recommend that education on first-aid management of burns be intensified, with special emphasis on alternatives to the use of traditional preparations. PMID:7718113

  13. Hegemonic Masculinity, HIV/AIDS Risk Perception, and Sexual Behavior Change Among Young People in Ghana.

    PubMed

    Ganle, John Kuumuori

    2016-05-01

    Among the youth in some parts of sub-Saharan Africa, a paradoxical mix of adequate knowledge of HIV/AIDS and high-risk behavior characterizes their daily lives. Based on original qualitative research in Ghana, I explore in this article the ways in which the social construction of masculinity influences youth's responses to behavior change HIV/AIDS prevention interventions. Findings show that although awareness of the HIV/AIDS epidemic and the risks of infection is very high among the youth, a combination of hegemonic masculinity and perceptions of personal invulnerability acts to undermine the processes of young people's HIV/AIDS risk construction and appropriate behavioral change. I argue that if HIV/AIDS prevention is to be effective and sustained, school- and community-based initiatives should be developed to provide supportive social spaces in which the construction of masculinity, the identity of young men and women as gendered persons, and perceptions of their vulnerability to HIV/AIDS infection are challenged.

  14. Neighborhoods and Fertility in Accra, Ghana: An AMOEBA-based Approach

    PubMed Central

    Weeks, John R.; Getis, Arthur; Hill, Allan G.; Agyei-Mensah, Samuel; Rain, David

    2010-01-01

    Fertility levels remain high in most of sub-Saharan Africa, despite recent declines, and even in a large capital city such as Accra, Ghana, women are having children at a pace that is well above replacement level and this will contribute to significant levels of future population growth in the city. Our purpose in this paper is to evaluate the way in which neighborhood context may shape reproductive behavior in Accra. In the process, we introduce several important innovations to the understanding of intra-urban fertility levels in a sub-Saharan African city: (1) despite the near explosion of work on neighborhoods as a spatial unit of analysis, very little of this research has been conducted outside of the richer countries; (2) we characterize neighborhoods on the basis of local knowledge of what we call “vernacular neighborhoods”; (3) we then define what we call “organic neighborhoods” using a new clustering tool—the AMOEBA algorithm—to create these neighborhoods; and then (4) we evaluate and explain which of the neighborhood concepts has the largest measurable contextual effect on an individual woman’s reproductive behavior. Multi-level regression analysis suggests that vernacular neighborhoods are more influential on a woman’s decision to delay marriage, whereas the organic neighborhoods based on socioeconomic status better capture the factors that shape fertility decisions after marriage. PMID:21572914

  15. The influences of drivers/riders in road traffic crashes in Ghana between 2001 and 2011.

    PubMed

    Amo, Thompson

    2014-07-01

    The road traffic accident (RTA) is a global misfortune and the leading cause of death among young drivers. In safeguarding and developing innovative safety strategies to curtail the situation, the factors causing this menace needs proper attention and investigation. The objective of this study is to identify the potential factors responsible for causing a traffic accident in Ghana. In studying these factors extensively, a descriptive study with quantitative technique was employed. Analyses used data between 2001 and 2011 obtained from the Building and Road Research Institute (BRRI) with specific focus on the age, drinking, vehicle defect, driver/rider error, injury, road surface type and weather. A total of 200,528 cases of drivers/riders were analysed and discovered that, people with younger age (21-40) contribute 62.97% of total crashes. Crashes reduce steadily as drivers/riders age increases. Also, the vehicle defect analysis shows that 87.46% of accidents cannot be linked to the fault of the vehicle before incidence, while the majority (75.38%) of drivers/riders had no injury during a traffic accident. Higher number of fatalities are recorded on tar good roads (81.57%) and clear weather (91.75%). The fight against this canker by the authorities must consider periodic refresher courses for younger drivers/riders on traffic law to bring to bear the adherence of good driving/riding principles and attitudes to ensure that safety is guaranteed for all road users in the country. PMID:24999145

  16. Public Health and Education Spending in Ghana in 1992-98: Issues of Equity and Efficiency. Working Paper No. 2579.

    ERIC Educational Resources Information Center

    Canagarajah, Sudharshan; Ye, Xiao

    This paper analyzes efficiency and equity issues in public expenditures on education and health in Ghana during the 1990s. Data were drawn from reports of the ministries of education and health and from household surveys conducted 1988-98. In the late 1990s, Ghana's public expenditures on education decreased. Basic education enrollment was…

  17. African Regional Seminar for Advanced Training In Systematic Curriculum Development and Evaluation. (Achimota, Ghana, 14 July--15 August 1975). Report.

    ERIC Educational Resources Information Center

    Swedish International Development Authority (SIDA).

    This report summarizes the African Regional Seminar for Advanced Training in Systematic Curriculum Development and Evaluation that was held at Achimota, Ghana, July 14-August 15 1975. Attending the seminar were 67 participants from 12 African countries, including Cameroon, Gambia, Ghana, Kenya, Liberia, Malawi, Nigeria, Sierra Leone, Swaziland,…

  18. Integrated Assessment of Artisanal and Small-Scale Gold Mining in Ghana — Part 3: Social Sciences and Economics

    PubMed Central

    Wilson, Mark L.; Renne, Elisha; Roncoli, Carla; Agyei-Baffour, Peter; Yamoah Tenkorang, Emmanuel

    2015-01-01

    This article is one of three synthesis reports resulting from an integrated assessment (IA) of artisanal and small-scale gold mining (ASGM) in Ghana. Given the complexities that involve multiple drivers and diverse disciplines influencing ASGM, an IA framework was used to analyze economic, social, health, and environmental data and to co-develop evidence-based responses in collaboration with pertinent stakeholders. We look at both micro- and macro-economic processes surrounding ASGM, including causes, challenges, and consequences. At the micro-level, social and economic evidence suggests that the principal reasons whereby most people engage in ASGM involve “push” factors aimed at meeting livelihood goals. ASGM provides an important source of income for both proximate and distant communities, representing a means of survival for impoverished farmers as well as an engine for small business growth. However, miners and their families often end up in a “poverty trap” of low productivity and indebtedness, which reduce even further their economic options. At a macro level, Ghana’s ASGM activities contribute significantly to the national economy even though they are sometimes operating illegally and at a disadvantage compared to large-scale industrial mining companies. Nevertheless, complex issues of land tenure, social stability, mining regulation and taxation, and environmental degradation undermine the viability and sustainability of ASGM as a livelihood strategy. Although more research is needed to understand these complex relationships, we point to key findings and insights from social science and economics research that can guide policies and actions aimed to address the unique challenges of ASGM in Ghana and elsewhere. PMID:26184277

  19. Mapping irrigated areas of Ghana using fusion of 30 m and 250 m resolution remote-sensing data

    USGS Publications Warehouse

    Gumma, M.K.; Thenkabail, P.S.; Hideto, F.; Nelson, A.; Dheeravath, V.; Busia, D.; Rala, A.

    2011-01-01

    Maps of irrigated areas are essential for Ghana's agricultural development. The goal of this research was to map irrigated agricultural areas and explain methods and protocols using remote sensing. Landsat Enhanced Thematic Mapper (ETM+) data and time-series Moderate Resolution Imaging Spectroradiometer (MODIS) data were used to map irrigated agricultural areas as well as other land use/land cover (LULC) classes, for Ghana. Temporal variations in the normalized difference vegetation index (NDVI) pattern obtained in the LULC class were used to identify irrigated and non-irrigated areas. First, the temporal variations in NDVI pattern were found to be more consistent in long-duration irrigated crops than with short-duration rainfed crops due to more assured water supply for irrigated areas. Second, surface water availability for irrigated areas is dependent on shallow dug-wells (on river banks) and dug-outs (in river bottoms) that affect the timing of crop sowing and growth stages, which was in turn reflected in the seasonal NDVI pattern. A decision tree approach using Landsat 30 m one time data fusion with MODIS 250 m time-series data was adopted to classify, group, and label classes. Finally, classes were tested and verified using ground truth data and national statistics. Fuzzy classification accuracy assessment for the irrigated classes varied between 67 and 93%. An irrigated area derived from remote sensing (32,421 ha) was 20-57% higher than irrigated areas reported by Ghana's Irrigation Development Authority (GIDA). This was because of the uncertainties involved in factors such as: (a) absence of shallow irrigated area statistics in GIDA statistics, (b) non-clarity in the irrigated areas in its use, under-development, and potential for development in GIDA statistics, (c) errors of omissions and commissions in the remote sensing approach, and (d) comparison involving widely varying data types, methods, and approaches used in determining irrigated area statistics

  20. Turning around an ailing district hospital: a realist evaluation of strategic changes at Ho Municipal Hospital (Ghana)

    PubMed Central

    2010-01-01

    as the core mechanisms underlying the changes taking place at Ho Municipal Hospital. Conclusions This study shows how a hospital management team in Ghana succeeded in resuscitating an ailing hospital. Their high commitment management approach led to the active involvement and empowerment of staff. It also showed how a realist evaluation approach such as this, could be used in the research of the management of health care organisations to explain how management interventions may or may not work. PMID:21184678

  1. Are the Schools We HAVE the Schools We NEED in Ghana? A Contribution to the Ongoing Debate on Ghana's Education Reform

    ERIC Educational Resources Information Center

    Agbemabiese, Padmore E.

    2010-01-01

    The purpose of this study is to contribute to the ongoing discussion on Ghana's education reform initiatives in the light of contemporary socioeconomic constraints, and linguistic and diversity issues. The Ghanaian education system today faces inadequate financial resources (for education programs) combined with the continuous unprecedented demand…

  2. Influence of the inter tropical discontinuity on Harmattan dust deposition in Ghana

    NASA Astrophysics Data System (ADS)

    Lyngsie, G.; Olsen, J. L.; Awadzi, T. W.; Fensholt, R.; Breuning-Madsen, H.

    2013-09-01

    The Harmattan is a dry dust-laden continental wind, and in the boreal winter Harmattan dust plumes affects many West African countries, including Ghana. When the Harmattan is strongest the southern part of Ghana is affected by the Inter Tropical Discontinuity (ITD). In this study, we investigate if the ITD functions as a barrier, preventing long transported Harmattan dust to settle south of, and below, it. This is done by analyzing a Harmattan dust outbreak, mapped using Earth observation (EO) data from the Spinning Enhanced Visible and Infrared Imager (SEVIRI) onboard the Meteosat Second Generation (MSG) platform, coupled with data from West African AERONET stations, and comparing these observations with wind data from NOAA's Air Resources Laboratory (ARL) program and the mineral suite of samples from seasonal dust deposits in north and south Ghana. In northern Ghana traces of minerals indicate a weak influence of particles from an arid environment, which is found consistent with the mapped dust plumes and NE wind directions. In southern Ghana the mineral composition show no sediments of an arid origin, the mapped dust plumes is less intense, and the surface wind directions and wind mass trajectories are more varying with lower wind speeds. Based on the results of this study it is concluded that dust deposited, or measured near ground, in the Harmattan period under the ITD, and south of it, does not contain material from the Chad Basin due to the local winds conditions.

  3. [Evaluation of community-based rehabilitation programs in Ghana and Benin].

    PubMed

    Jadin, O; Agbogbe, N; Barima, O

    2005-11-01

    This article describes two community-based rehabilitation programs set up for disabled persons in Ghana and Benin in the early 1990s. Both programs were based on the model described by the World Health Organization but differed greatly with regard to implementation. This difference had great impact on the respective effectiveness, efficiency and viability. Analysis of 624 disabled persons ranging in age from 0 to 30 years showed better progress in the Beninese group for all areas considered with a resulting improvement in quality of life. Assessment of the cost-effectiveness indicated that spending was higher and less effective in Ghana for globally less benefit than in Benin. Data also suggested that differences in implementation impacted program viability since the Ghana program collapsed in 1999 while the Beninese program is ongoing. The authors speculate that the differences in the two programs were related to failure to observe the basic principles of any community development strategy in Ghana. For successful community response to difficult local situations, populations require technical assistance from outside sources. National authorities must provide players at both lower levels with the necessary resources including subsidies, training, salaries, planning, monitoring and legislation. These basic rules were largely applied in Benin but almost completely ignored in Ghana. PMID:16555522

  4. Refrigerator Efficiency in Ghana: Tailoring an appliance markettransformation program design for Africa

    SciTech Connect

    Ben Hagan, Essel; Van Buskirk, Robert; Ofosu-Ahenkorah, Alfred; McNeil, Michael A.

    2006-02-28

    A simple replication of developed country applianceefficiency labels and standards is unlikely to be feasible in Ghana andmany other countries in Africa. Yet by creatively modifying the developedcountry appliance efficiency market transformation model, it should bepossible to achieve dramatic energy use reductions. As was true indeveloped countries in the previous two decades, refrigeration efficiencyimprovements provide the greatest energy savings potential in theresidential electricity sector in Ghana. Although Ghana, like manyAfrican countries may impose standards on imports since Ghana does nothave manufacturing facilities for appliances in country. This approachmay hurt some consumers who patronize a very diverse market of usedappliances imported from Europe. We discuss how meeting the challenges ofthe Ghanaian market will require modification of the usual energyefficiency labeling and standards paradigm. But once a refrigeratormarket transformation is accomplished in Ghana, we estimate an averageenergy savings potential of 550 kWh/refrigerator/year, and a monetarysavings of more than $35/refrigerator/year. We discuss how this modifiedrefrigerator efficiency market transformation may occur in the Ghanaiancontext. If successful, this market transformation is likely to be anexample for many other African countries.

  5. "I don't know anything about their culture": the disconnect between allopathic and traditional maternity care providers in rural northern Ghana.

    PubMed

    Hill, Elizabeth; Hess, Rebecca; Aborigo, Raymond; Adongo, Philip; Hodgson, Abraham; Engmann, Cyril; Moyer, Cheryl A

    2014-06-01

    The provision of maternal and neonatal health care in rural northern Ghana is pluralistic, consisting of traditional and allopathic providers. Although women often use these providers interchangeably, important differences exist. This study explored the differences in approaches to maternal and neonatal care provision by these two different types of providers. This research was part of the Stillbirth and Neonatal Death Study (SANDS), conducted in northern Ghana in 2010. Trained field staff of the Navrongo Health Research Centre conducted in-depth interviews with 13 allopathic and 8 traditional providers. Interviews were audio-recorded, transcribed, and analyzed using in vivo coding and discussion amongst the research team. Three overarching themes resulted: 1) many allopathic providers were isolated from the culture of the communities in which they practiced, while traditional providers were much more aware of the local cultural beliefs and practices. 2) Allopathic and traditional healthcare providers have different frameworks for understanding health and disease, with allopathic providers relying heavily on their biomedical knowledge, and traditional providers drawing on their knowledge of natural remedies. 3) All providers agreed that education directed at pregnant women, providers (both allopathic and traditional), and the community at large is needed to improve maternal and neonatal outcomes. Our findings suggest that, among other things, programmatic efforts need to be placed on the cultural education of allopathic providers.

  6. Implementation of dose management system at radiation protection board of Ghana Atomic Energy Commission.

    PubMed

    Hasford, F; Amoako, J K; Darko, E O; Emi-Reynolds, G; Sosu, E K; Otoo, F; Asiedu, G O

    2012-01-01

    The dose management system (DMS) is a computer software developed by the International Atomic Energy Agency for managing data on occupational exposure to radiation sources and intake of radionuclides. It is an integrated system for the user-friendly storage, processing and control of all existing internal and external dosimetry data. The Radiation Protection Board (RPB) of the Ghana Atomic Energy Commission has installed, customised, tested and using the DMS as a comprehensive DMS to improve personnel and area monitoring in the country. Personnel dose records from the RPBs database from 2000 to 2009 are grouped into medical, industrial and education/research sectors. The medical sector dominated the list of monitored institutions in the country over the 10-y period representing ∼87 %, while the industrial and education/research sectors represent ∼9 and ∼4 %, respectively. The number of monitored personnel in the same period follows a similar trend with medical, industrial and education/research sectors representing ∼74, ∼17 and ∼9 %, respectively. Analysis of dose data for 2009 showed that there was no instance of a dose above the annual dose limit of 20 mSv, however, 2.7 % of the exposed workers received individual annual doses >1 mSv. The highest recorded individual annual dose and total collective dose in all sectors were 4.73 mSv and 159.84 man Sv, respectively. Workers in the medical sector received higher individual doses than in the other two sectors, and average dose per exposed worker in all sectors is 0.25 mSv.

  7. Challenges Women with Disability Face in Accessing and Using Maternal Healthcare Services in Ghana: A Qualitative Study

    PubMed Central

    Ganle, John Kuumuori; Otupiri, Easmon; Obeng, Bernard; Edusie, Anthony Kwaku; Ankomah, Augustine; Adanu, Richard

    2016-01-01

    Background While a number of studies have examined the factors affecting accessibility to and utilisation of healthcare services by persons with disability in general, there is little evidence about disabled women's access to maternal health services in low-income countries and few studies consult disabled women themselves to understand their experience of care and the challenges they face in accessing skilled maternal health services. The objective of this paper is to explore the challenges women with disabilities encounter in accessing and using institutional maternal healthcare services in Ghana. Methods and Findings A qualitative study was conducted in 27 rural and urban communities in the Bosomtwe and Central Gonja districts of Ghana with a total of 72 purposively sampled women with different physical, visual, and hearing impairments who were either lactating or pregnant at the time of this research. Semi-structured in-depth interviews were used to gather data. Attride-Stirling’s thematic network framework was used to analyse the data. Findings suggest that although women with disability do want to receive institutional maternal healthcare, their disability often made it difficult for such women to travel to access skilled care, as well as gain access to unfriendly physical health infrastructure. Other related access challenges include: healthcare providers’ insensitivity and lack of knowledge about the maternity care needs of women with disability, negative attitudes of service providers, the perception from able-bodied persons that women with disability should be asexual, and health information that lacks specificity in terms of addressing the special maternity care needs of women with disability. Conclusions Maternal healthcare services that are designed to address the needs of able-bodied women might lack the flexibility and responsiveness to meet the special maternity care needs of women with disability. More disability-related cultural competence and

  8. Predictors of condom use among peer social networks of men who have sex with men in Ghana, West Africa.

    PubMed

    Nelson, LaRon E; Wilton, Leo; Agyarko-Poku, Thomas; Zhang, Nanhua; Zou, Yuanshu; Aluoch, Marilyn; Apea, Vanessa; Hanson, Samuel Owiredu; Adu-Sarkodie, Yaw

    2015-01-01

    Ghanaian men who have sex with men (MSM) have high rates of HIV infection. A first step in designing culturally relevant prevention interventions for MSM in Ghana is to understand the influence that peer social networks have on their attitudes and behaviors. We aimed to examine whether, in a sample of Ghanaian MSM, mean scores on psychosocial variables theorized to influence HIV/STI risk differed between peer social networks and to examine whether these variables were associated with condom use. We conducted a formative, cross-sectional survey with 22 peer social networks of MSM (n = 137) in Ghana. We assessed basic psychological-needs satisfaction, HIV/STI knowledge, sense of community, HIV and gender non-conformity stigmas, gender equitable norms, sexual behavior and condom use. Data were analyzed using analysis of variance, generalized estimating equations, and Wilcoxon two sample tests. All models were adjusted for age and income, ethnicity, education, housing and community of residence. Mean scores for all psychosocial variables differed significantly by social network. Men who reported experiencing more autonomy support by their healthcare providers had higher odds of condom use for anal (AOR = 3.29, p<0.01), oral (AOR = 5.06, p<0.01) and vaginal (AOR = 1.8, p<0.05) sex. Those with a stronger sense of community also had higher odds of condom use for anal sex (AOR = 1.26, p<0.001). Compared to networks with low prevalence of consistent condom users, networks with higher prevalence of consistent condom users had higher STD and HIV knowledge, had norms that were more supportive of gender equity, and experienced more autonomy support in their healthcare encounters. Healthcare providers and peer social networks can have an important influence on safer-sex behaviors in Ghanaian MSM. More research with Ghanaian MSM is needed that considers knowledge, attitudes, and norms of their social networks in the development and implementation of culturally relevant HIV

  9. Chlamydia Trachomatis and Neisseria Gonorrhoeae prevalence among women of reproductive age living in urogenital schistosomiasis endemic area in Ghana

    PubMed Central

    2014-01-01

    Background Many studies have shown an overlap in the epidemiology of sexually transmitted infections (STIs) and urogenital schistosomiasis among young women living in schistosomiasis endemic areas. Yet we found no study assessing the prevalence of STI infections in urogenital schistosomiasis endemic areas in Ghana. As part of an epidemiological study on urogenital schistosomiasis and HIV, we sought to assess the prevalence of both Chlamydia trachomatis (CT) and Neisseria gonorhoeae (NG) infections among women living in schistosomiasis endemic communities and explore the relationship between the sexually transmitted infections (STIs) and demographic characteristics, sexual behaviour and self-reported symptoms. Methods This was a cross-sectional study in which endocervical samples were collected from 191 women aged 15–49 years from October 2005 to March 2006. Samples were examined for CT and NG using Polymerase Chain Reaction (PCR). A structured questionnaire was also used to elicit information on study participant’s gynaecological and obstetric history and symptoms for genital infection. Chi-square test and binary logistic regression were used to assess association between CT and NG and other variables such as age, sexual behaviour and self-reported symptoms. Results The overall prevalence of CT and NG were 6.3% and 2.6% respectively.The highest prevalence rates of CT were in the 15 to 19 year group while only individuals between 15 and 39 years were positive for NG. There was no association between CT and age, contraceptive use and the other variables assessed. NG on the other hand was found to be associated with age, number of births and number of sexual partners only by chi-square test. Conclusions Our research revealed higher prevalence of CT and NG infections when compared to previous studies conducted among higher risk groups in non-urogenital schistosomiasis areas in Ghana. We therefore recommend further studies of these STIs in urogenital

  10. Assessing the Utility of Satellite Imagery with Differing Spatial Resolutions for Deriving Proxy Measures of Slum Presence in Accra, Ghana

    PubMed Central

    Stoler, Justin; Daniels, Dean; Weeks, John R.; Stow, Douglas A.; Coulter, Lloyd L.; Finch, Brian Karl

    2012-01-01

    Little research has been conducted on how differing spatial resolutions or classification techniques affect image-driven identification and categorization of slum neighborhoods in developing nations. This study assesses the correlation between satellite-derived land cover and census-derived socioeconomic variables in Accra, Ghana to determine whether the relationship between these variables is altered with a change in spatial resolution or scale. ASTER and Landsat TM satellite images are each used to classify land cover using spectral mixture analysis (SMA), and land cover proportions are summarized across Enumeration Areas in Accra and compared to socioeconomic data for the same areas. Correlation and regression analyses compare the SMA results with a Slum Index created from various socio-economic data taken from the Census of Ghana, as well as to data derived from a “hard” per-pixel classification of a 2.4 m Quickbird image. Results show that the vegetation fraction is significantly correlated with the Slum Index (Pearson’s r ranges from −0.33 to −0.51 depending on which image-derived product is compared), and the use of a spatial error model improves results (multivariate model pseudo-R2 ranges from 0.37 to 0.40 by image product). We also find that SMA products derived from ASTER are a sufficient substitute for classification products derived from higher spatial resolution QB data when using land cover fractions as a proxy for slum presence, suggesting that SMA might be more cost-effective for deriving land cover fractions than the use of high-resolution imagery for this type of demographic analysis. PMID:23847453

  11. Attitudes toward rape and victims of rape: a test of the feminist theory in Ghana.

    PubMed

    Boakye, Kofi E

    2009-10-01

    This study explores the usefulness of the feminist theory in explaining attitudes toward rape and victims of rape in Ghana. The feminist theory of rape posits, inter alia, that patriarchy and gender inequality are major factors in the aetiology of rape and attitudes toward rape and that underlying patriarchy and gender inequality are gender stereotypes and false beliefs (myths) about rape, rapists, and victims of rape. Thus, the theory suggests a relationship between rape myths and less favorable attitudes toward rape and victims of rape. Results from a survey conducted in Ghana show some support for the feminist theory of rape: There is evidence of rape myth acceptance in Ghana; gender is significant in predicting levels of rape myth acceptance; and finally, education or profession and age, but not religion, are associated with levels of rape myth acceptance in a predictable way.

  12. Incidence and Characteristics of Bacteremia among Children in Rural Ghana

    PubMed Central

    Nielsen, Maja Verena; Sarpong, Nimako; Krumkamp, Ralf; Dekker, Denise; Loag, Wibke; Amemasor, Solomon; Agyekum, Alex; Marks, Florian; Huenger, Frank; Krefis, Anne Caroline; Hagen, Ralf Matthias; Adu-Sarkodie, Yaw; May, Jürgen; Schwarz, Norbert Georg

    2012-01-01

    The objective of the study was to describe systemic bacterial infections occurring in acutely ill and hospitalized children in a rural region in Ghana, regarding frequency, incidence, antimicrobial susceptibility patterns and associations with anthropometrical data. Blood cultures were performed in all children below the age of five years, who were admitted to Agogo Presbyterian Hospital (APH), Asante Region, Ghana, between September 2007 and July 2009. Medical history and anthropometrical data were assessed using a standardized questionnaire at admission. Incidences were calculated after considering the coverage population adjusted for village-dependent health-seeking behavior. Among 1,196 hospitalized children, 19.9% (n = 238) were blood culture positive. The four most frequent isolated pathogens were nontyphoidal salmonellae (NTS) (53.3%; n = 129), Staphylococcus aureus (13.2%; n = 32), Streptococcus pneumoniae (9.1%; n = 22) and Salmonella ser. Typhi (7.0%; n = 17). Yearly cumulative incidence of bacteremia was 46.6 cases/1,000 (CI 40.9–52.2). Yearly cumulative incidences per 1,000 of the four most frequent isolates were 25.2 (CI 21.1–29.4) for NTS, 6.3 (CI 4.1–8.4) for S. aureus, 4.3 (CI 2.5–6.1) for S. pneumoniae and 3.3 (CI 1.8–4.9) for Salmonella ser. Typhi. Wasting was positively associated with bacteremia and systemic NTS bloodstream infection. Children older than three months had more often NTS bacteremia than younger children. Ninety-eight percent of NTS and 100% of Salmonella ser. Typhi isolates were susceptible to ciprofloxacin, whereas both tested 100% susceptible to ceftriaxone. Seventy-seven percent of NTS and 65% of Salmonella ser. Typhi isolates were multi-drug resistant (MDR). Systemic bacterial infections in nearly 20% of hospitalized children underline the need for microbiological diagnostics, to guide targeted antimicrobial treatment and prevention of bacteremia. If microbiological diagnostics are lacking

  13. Notions and treatment of guinea worm in northern Ghana.

    PubMed

    Bierlich, B

    1995-08-01

    Dracunculiasis, infection with Dracunculus medinensis or guinea worm, is widespread in the Northern Region of Ghana, where rural people drink from unprotected water sources such as ponds and small-scale dams. This paper discusses the results of an anthropological study of beliefs and practices concerning commonly occurring illnesses, such as infection with guinea worm (nierifu), in two rural Dagomba communities in the Northern Region of Ghana. The importance of knowing about local perceptions and treatment of guinea worm is stressed. Guinea worm is not attributed to water. The general understanding is that guinea worm is an innate part of human anatomy. It is not seen as an alien presence in the body. Guinea worm is rather said to be 'in people's blood', and sooner or later to 'stand up'. Guinea worm is considered an 'inevitable' feature of living. After a description of the background to the study, the methods are characterized. Brief background information on the people, their environment and their water sources are given. The central portion of the paper focuses on local perceptions of illness and notions of guinea worm ('guinea worm is in the human blood'), which are very different from those of biomedicine ('guinea worm is a disease'). Attention is also given to perceptions of water ('bitter' vs 'sweet') and the prevention of guinea worm. The social limitations to the filter technology are addressed. People's choice of therapy and the role of medicines (herbs and Western pharmaceuticals) in treatment of guinea worm are also considered. The paper concludes with a discussion of health education and stresses the importance of showing respect for the local view of guinea worm, which is said to be 'in the blood'. It is suggested that, since people are not adverse to the use of Western pharmaceuticals, the use of Western medicines to treat guinea worm should be further promoted. The social constraints on filtering must also be appreciated. These relate to the

  14. Contraceptive behavior in Ghana: a two-sex model.

    PubMed

    Dodoo, F N

    1995-01-01

    This report uses data of the 1988 Ghana Demographic and Health Survey (GDHS), a nationally representative self-weighting sample of 4488 female respondents 15-49 years old. 943 co-resident husbands of the surveyed women were also interviewed, thus the data provided 1010 dyads, which facilitated a couple-level analysis of contraceptive behavior. The determinants of modern contraceptive adoption were examined among dependent variables, including both modern and traditional methods, and the predictors of future usage among the nonusers were also assessed. For each of dependent variables, two logistic regressions were estimated, one for females, and the second one for couple measures of intentions and male preferences. Males were older and more educated than their female counterparts, and women were more likely than men to want to cease and space childbearing. 68.8% of women were in monogamous marriages, and the average age of women was 31.8 years, compared to 41 years for men among 1008 people in the sample. 43.5% of women had lost more than 1 child, and 22.9% had urban residence. 11.7% of couples agreed that contraceptives were needed for stopping childbearing. However, 14.9% said that there was no need for contraception, while 27.7% wanted contraception for spacing of births. 46% of the sample disagreed about contraceptive need and use. 6% of the women used modern contraceptives, while 8.7% used traditional methods. In addition, 29.7% of the women intended to use contraception in the future, while 55.6% did not intend to do this. Examination of contraceptive use and selected background variables indicates urban-rural differences. Also, the advancing age of wives and all levels of female schooling means increasing contraceptive use, but secondary schooling was associated with lower use for men than primary schooling. Use of contraception was also positively associated with the desire to cease childbearing for both sexes whether users or non-users. The findings

  15. Saharan Dust Particle Size And Concentration Distribution In Central Ghana

    NASA Astrophysics Data System (ADS)

    Sunnu, A. K.

    2010-12-01

    A.K. Sunnu*, G. M. Afeti* and F. Resch+ *Department of Mechanical Engineering, Kwame Nkrumah University of Science and Technology (KNUST) Kumasi, Ghana. E-mail: albertsunnu@yahoo.com +Laboratoire Lepi, ISITV-Université du Sud Toulon-Var, 83162 La Valette cedex, France E-mail: resch@univ-tln.fr Keywords: Atmospheric aerosol; Saharan dust; Particle size distributions; Particle concentrations. Abstract The Saharan dust that is transported and deposited over many countries in the West African atmospheric environment (5°N), every year, during the months of November to March, known locally as the Harmattan season, have been studied over a 13-year period, between 1996 and 2009, using a location at Kumasi in central Ghana (6° 40'N, 1° 34'W) as the reference geographical point. The suspended Saharan dust particles were sampled by an optical particle counter, and the particle size distributions and concentrations were analysed. The counter gives the total dust loads as number of particles per unit volume of air. The optical particle counter used did not discriminate the smoke fractions (due to spontaneous bush fires during the dry season) from the Saharan dust. Within the particle size range measured (0.5 μm-25 μm.), the average inter-annual mean particle diameter, number and mass concentrations during the northern winter months of January and February were determined. The average daily number concentrations ranged from 15 particles/cm3 to 63 particles/cm3 with an average of 31 particles/cm3. The average daily mass concentrations ranged from 122 μg/m3 to 1344 μg/m3 with an average of 532 μg/m3. The measured particle concentrations outside the winter period were consistently less than 10 cm-3. The overall dust mean particle diameter, analyzed from the peak representative Harmattan periods over the 13-year period, ranged from 0.89 μm to 2.43 μm with an average of 1.5 μm ± 0.5. The particle size distributions exhibited the typical distribution pattern for

  16. Maternal Determinants of Birth Weight in Northern Ghana

    PubMed Central

    Abubakari, Abdulai; Kynast-Wolf, Gisela; Jahn, Albrecht

    2015-01-01

    Objectives Weight at birth is usually considered as an indicator of the health status of a given society. As a result this study was designed to investigate the association between birth weight and maternal factors such as gestational weight gain, pre—pregnancy BMI and socio—economic status in Northern Ghana. Methods The study was a facility-based cross-sectional survey conducted in two districts in the Northern region of Ghana. These districts were purposively sampled to represent a mix of urban, peri—urban and rural population. The current study included 419 mother-infant pairs who delivered at term (37–42 weeks). Mother’s height, pre-pregnancy weight and weight changes were generated from the antenatal records. Questionnaires were administered to establish socio-economic and demographic information of respondents. Maternal factors associated with birth weight were examined using multiple and univariate regressions. Results The mothers were generally well nourished before conception (Underweight 3.82%, Normal 57.76%, Overweight 25.06% and Obesity 13.37%) but approximately half of them could not gain adequate weight according to Institute of Medicine recommendations (Low weight gain 49.64%, Adequate weight gain 42.96% and Excessive weight gain 7.40%). Infants whose mothers had excess weight gain were 431g (95% CI 18–444) heavier compared to those whose mothers gained normal weight, while those whose mothers gained less were 479g (95% CI -682– (-276) lighter. Infants of mothers who were overweight and obese before conception were 246g (95% CI 87–405) and 595g (95% CI 375–815) respectively heavier than those of normal mothers, whereas those whose mothers were underweight were 305g (95% CI -565 –(-44) lighter. The mean birth weight observed was 2.98 ± 0.68 kg. Conclusion Our findings show that pre-pregnancy body mass index and weight gain during pregnancy influence birth weight. Therefore, emphasis should be placed on counseling and assisting

  17. Nutrition sensitivity of the 2014 budget statement of Republic of Ghana.

    PubMed

    Laar, Amos; Aryeetey, Richmond N O; Akparibo, Robert; Zotor, Francis

    2015-11-01

    Ghana's Constitution and several international treaties she has ratified demonstrate support for fundamental human rights to nutrition and freedom from hunger. However, it is unknown how this support is being translated into investment in nutrition. National budgets are important vehicles through which governments communicate intent to address pertinent national challenges. The present paper assesses the nutrition sensitivity of Ghana's budget statement for the year ending 31 December 2014. We perused the budget in its entirety, examining allocations to various sectors with the goal of identifying support for direct nutrition interventions. We examined allocations to various sectors as per cent of gross domestic product (GDP). The review shows that the total revenue and grants for the 2014 fiscal year is Ghana Cedis (GH¢) 26 001·9 million (25 % of GDP). The total expenditure for the same period is estimated at GH¢34 956·8 million (33·1 % of GDP). The health sector is allocated GH¢3 353 707 814 (3·8 % of GDP). As of 28 October 2014, the Bank of Ghana's Official Exchange Rate was US$1 = GH¢3·20. It is one of the key sectors whose interventions directly or indirectly impact on nutrition. However, the proportion of the national budget that goes to direct nutrition interventions is not evident in the budget. Nutrition is embedded in other budget lines. Allocations to relevant nutrition-sensitive sectors are very low (<0·5 % of GDP). We conclude that Ghana's 2014 budget statement pays scant attention to nutrition. By embedding nutrition in other budget lines, Ghana runs the risk of perpetually rolling out national spending actions insensitive to nutrition. PMID:26242904

  18. Euthanasia, assisted dying and the right to die in Ghana: a socio-legal analysis.

    PubMed

    Owusu-Dapaa, Ernest

    2013-12-01

    There is unanimity among states to protect the continuation of life of the individual as a safeguard against their collective extinction. The right to life is accordingly guaranteed but its antithesis, the right to die is the subject of an unending debate. The controversy over the right to die is deepened by rapid advances in medicine, creating the capability for prolongation of life beyond the span which one's natural strength can endure. Ghana's supreme law explicitly guarantees the right to life but remains ambiguous on right to die, particularly euthanasia and assisted dying. Thus, some of the other rights, such as the right to dignity and not to be tortured, can creatively be exploited to justify some instances of euthanasia. Ghana's criminal code largely proscribes euthanasia. Notwithstanding, proscription of euthanasia and assisted dying by the law, in Ghana's empirical work undertaken in some of the communities in Ghana, suggests that euthanasia is quietly practisedin health facilities and private homes, especially in the rural areas. Contrary to the popular reasons assigned in the literature of the Western world, with respect to the practice or quest for legalization of euthanasia as being a necessity for providing relief from pain or hopeless quality of life, empirical data from social and anthropological studies conducted in Ghana reveal that poverty is the motivation for informal euthanasia practice in Ghana rather than genuine desire on part of patients to die or their relatives to see to their accelerated death. Apart from poverty, traditional cultural values of African societies consider non-natural death as a taboo and ignominy to the victim and his family. Thus, any move by the government to legalize euthanasia will need to be informed by widely held consultations and a possible referendum; otherwise the law may be just a mere transplant of Western models of legislation on euthanasia without reflecting the ethos of the African people.

  19. Knowledge and Uses of African Pangolins as a Source of Traditional Medicine in Ghana

    PubMed Central

    Boakye, Maxwell Kwame; Pietersen, Darren William; Kotzé, Antoinette; Dalton, Desiré-Lee; Jansen, Raymond

    2015-01-01

    Traditional medicine has been practised in Ghana for centuries with the majority of Ghanaians still patronising the services of traditional healers. Throughout Africa a large number of people use pangolins as a source of traditional medicine, however, there is a dearth of information on the use of animals in folk medicine in Ghana, in particular the use of pangolins. The aim of this study was to determine the prevalent use of pangolins and the level of knowledge of pangolin use among traditional healers in Ghana for the treatment of human ailments. Data was gathered from 48 traditional healers using semi-structured interviews on the traditional medicinal use of pangolin body parts in the Kumasi metropolis of Ghana. The cultural importance index, relative frequency of citation, informant agreement ratio and use agreement values were calculated to ascertain the most culturally important pangolin body part as well as the level of knowledge dissemination among traditional healers with regards pangolin body parts. Our study revealed that 13 body parts of pangolins are used to treat various medicinal ailments. Pangolin scales and bones were the most prevalent prescribed body parts and indicated the highest cultural significance among traditional healing practices primarily for the treatment of spiritual protection, rheumatism, financial rituals and convulsions. Despite being classified under Schedule 1 of Ghana’s Wildlife Conservation Act of 1971 (LI 685), that prohibits anyone from hunting or being in possession of a pangolin, our results indicated that the use of pangolins for traditional medicinal purposes is widespread among traditional healers in Ghana. A study on the population status and ecology of the three species of African pangolins occurring in Ghana is urgently required in order to determine the impact this harvest for traditional medical purposes has on their respective populations as current levels appear to be unmonitored and unsustainable. PMID

  20. Status of implementation of Framework Convention on Tobacco Control (FCTC) in Ghana: a qualitative study

    PubMed Central

    2010-01-01

    Background The Framework Convention on Tobacco Control (FCTC), a World Health Organization treaty, has now been ratified by over 165 countries. However there are concerns that implementing the Articles of the treaty may prove difficult, particularly in the developing world. In this study we have used qualitative methods to explore the extent to which the FCTC has been implemented in Ghana, a developing country that was 39th to ratify the FCTC, and identify barriers to effective FCTC implementation in low income countries. Methods Semi-structured interviews with 20 members of the national steering committee for tobacco control in Ghana, the official multi-disciplinary team with responsibility for tobacco control advocacy and policy formulation, were conducted. The Framework method for analysis and NVivo software were used to identify key issues relating to the awareness of the FCTC and the key challenges and achievements in Ghana to date. Results Interviewees had good knowledge of the content of the FCTC, and reported that although Ghana had no explicitly written policy on tobacco control, the Ministry of Health had issued several tobacco control directives before and since ratification. A national tobacco control bill has been drafted but has not been implemented. Challenges identified included the absence of a legal framework for implementing the FCTC, and a lack of adequate resources and prioritisation of tobacco control efforts, leading to slow implementation of the treaty. Conclusion Whilst Ghana has ratified the FCTC, there is an urgent need for action to pass a national tobacco control bill into law to enable it to implement the treaty, sustain tobacco control efforts and prevent Ghana's further involvement in the global tobacco epidemic. PMID:20043862

  1. Nutrition sensitivity of the 2014 budget statement of Republic of Ghana.

    PubMed

    Laar, Amos; Aryeetey, Richmond N O; Akparibo, Robert; Zotor, Francis

    2015-11-01

    Ghana's Constitution and several international treaties she has ratified demonstrate support for fundamental human rights to nutrition and freedom from hunger. However, it is unknown how this support is being translated into investment in nutrition. National budgets are important vehicles through which governments communicate intent to address pertinent national challenges. The present paper assesses the nutrition sensitivity of Ghana's budget statement for the year ending 31 December 2014. We perused the budget in its entirety, examining allocations to various sectors with the goal of identifying support for direct nutrition interventions. We examined allocations to various sectors as per cent of gross domestic product (GDP). The review shows that the total revenue and grants for the 2014 fiscal year is Ghana Cedis (GH¢) 26 001·9 million (25 % of GDP). The total expenditure for the same period is estimated at GH¢34 956·8 million (33·1 % of GDP). The health sector is allocated GH¢3 353 707 814 (3·8 % of GDP). As of 28 October 2014, the Bank of Ghana's Official Exchange Rate was US$1 = GH¢3·20. It is one of the key sectors whose interventions directly or indirectly impact on nutrition. However, the proportion of the national budget that goes to direct nutrition interventions is not evident in the budget. Nutrition is embedded in other budget lines. Allocations to relevant nutrition-sensitive sectors are very low (<0·5 % of GDP). We conclude that Ghana's 2014 budget statement pays scant attention to nutrition. By embedding nutrition in other budget lines, Ghana runs the risk of perpetually rolling out national spending actions insensitive to nutrition.

  2. Healthy Firms: Constraints to Growth among Private Health Sector Facilities in Ghana and Kenya

    PubMed Central

    Burger, Nicholas E.; Kopf, Daniel; Spreng, Connor P.; Yoong, Joanne; Sood, Neeraj

    2012-01-01

    Background Health outcomes in developing countries continue to lag the developed world, and many countries are not on target to meet the Millennium Development Goals. The private health sector provides much of the care in many developing countries (e.g., approximately 50 percent in Sub-Saharan Africa), but private providers are often poorly integrated into the health system. Efforts to improve health systems performance will need to include the private sector and increase its contributions to national health goals. However, the literature on constraints private health care providers face is limited. Methodology/Principal Findings We analyze data from a survey of private health facilities in Kenya and Ghana to evaluate growth constraints facing private providers. A significant portion of facilities (Ghana: 62 percent; Kenya: 40 percent) report limited access to finance as the most significant barrier they face; only a small minority of facilities report using formal credit institutions to finance day to day operations (Ghana: 6 percent; Kenya: 11 percent). Other important barriers include corruption, crime, limited demand for goods and services, and poor public infrastructure. Most facilities have paper-based rather than electronic systems for patient records (Ghana: 30 percent; Kenya: 22 percent), accounting (Ghana: 45 percent; Kenya: 27 percent), and inventory control (Ghana: 41 percent; Kenya: 24 percent). A majority of clinics in both countries report undertaking activities to improve provider skills and to monitor the level and quality of care they provide. However, only a minority of pharmacies report undertaking such activities. Conclusions/Significance The results suggest that improved access to finance and improving business processes especially among pharmacies would support improved contributions by private health facilities. These strategies might be complementary if providers are more able to take advantage of increased access to finance when they have

  3. Gender and Children as the Moderators of the Relationship between Social Support and Quality of Life: An Empirical Study of People Living with HIV/AIDS in Ghana.

    PubMed

    Abrefa-Gyan, Tina; Cornelius, Llewellyn; Okundaye, Joshua

    2015-01-01

    Although gender differences persist in the receipt of social support and the report of quality of life among people living with HIV/AIDS in Sub-Saharan Africa, the knowledge base on this topic is scant. For those living with HIV/AIDS, women tend to participate more than men in support group activities, but their gender predisposes them to lower quality of life. Therefore, this study seeks to determine what demographic factors moderate the relationship between social support and quality of life among those living with HIV/AIDS in Ghana. A convenience sample of 300 HIV/AIDS support group members who have experience participating in research studies and was obtained for use via cross-sectional design survey in September and October 2013. The Medical Outcome Studies (MOS) HIV Health Survey, the MOS Social Support Survey, and demographic questionnaire instruments were used to assess quality of life, social support, and demographic information respectively. Gender (male) F(3, 296) = 66.04, t = 2.26, p = .024) and having children (have children) (F(5, 294) = 40.34, t = 2.50, p = .013) moderated the relationship between social support and quality of life. Implications of the findings for practice, policy, and research in Ghana and the rest of the developing world were discussed.

  4. From Rhetoric to Reality: Planning and Conducting Collaborations for International Research in the Global South

    ERIC Educational Resources Information Center

    Lombe, Margaret; Newransky, Chrisann; Crea, Tom; Stout, Anna

    2013-01-01

    International collaboration in social work research, particularly research in the global south, presents unique opportunities for the personal and professional development of researchers and students alike. Yet data to help direct the process are limited. Using a research project recently carried out in Ghana as background, the authors present…

  5. Determinants of use of maternal-child health services in rural Ghana.

    PubMed

    Addai, I

    2000-01-01

    This study uses data from the Ghana Demographic and Health Survey (GDHS) of 1993 to examine factors determining the use of maternal-child health (MCH) services in rural Ghana. The MCH services under study are: (1) use of a doctor for prenatal care; (2) soliciting four or more antenatal check-ups; (3) place of delivery; (4) participation in family planning. Bivariate and multivariate techniques are employed in the analyses. The analyses reveal that the use of MCH services tends to be shaped mostly by level of education, religious background and region of residence, and partially by ethnicity and occupation. The implications of these results are discussed.

  6. The meanings of suicidal behaviour to psychology students in Ghana: a qualitative approach.

    PubMed

    Osafo, Joseph; Hjelmeland, Heidi; Akotia, Charity S; Knizek, Birthe Loa

    2011-11-01

    The objective of this study was to examine psychology students' attitudes toward suicidal behaviour and the meanings they assign to the act. In-depth interviews were conducted with 15 final year psychology students at a university in Ghana. Interpretative Phenomenological Analysis (IPA) was used to analyze the data. The results indicated that the students had a generalized negative attitude toward suicide. Religious beliefs and family harmony are cultural contexts influencing the interpretation of suicidal behaviour as breach of divine and communal moralities. The implications of these meanings of suicidal behaviour for suicide prevention in Ghana are discussed.

  7. Teachers Motivation in Senior High Schools in Ghana: A Case of Ghana Senior High School

    ERIC Educational Resources Information Center

    Kingful, Stephen; Nusenu, Angela Abena

    2015-01-01

    Motivation involves both extrinsic and intrinsic types. One must intrinsically be motivated before accepting a new challenges followed by intrinsic motivation for best achievement. In this study, the researcher used census sampling technique whereby all 85 respondents were used for the case study as a result of the fairly small total population of…

  8. Community-company relations in gold mining in Ghana.

    PubMed

    Garvin, Theresa; McGee, Tara K; Smoyer-Tomic, Karen E; Aubynn, Emmanuel Ato

    2009-01-01

    As a result of Structural Adjustment Programme from the 1980s, many developing countries have experienced an increase in resource extraction activities by international and transnational corporations. The work reported here examines the perceived impacts of gold mining at the community level in the Wassa West District of Ghana, Africa and discusses those perceived impacts in the context of globalization processes and growing multinational corporate interest in Corporate Social Responsibility (CSR). Interview data compared community members' perceptions with those of company representatives in three communities. The results indicate that communities held companies responsible for a series of economic, social, and environmental changes. While recognizing some of the benefits brought by the mines, communities felt that the companies did not live up to their responsibility to support local development. Companies responded by denying, dismissing concerns, or shifting blame. Findings from this work show that lack of engagement and action by government agencies at all levels resulted in companies acting in a surrogate governmental capacity. In such situations, managing expectations is key to community-company relations. PMID:18242818

  9. Factors associated with induced abortion among women in Hohoe, Ghana.

    PubMed

    Mote, Charity V; Otupiri, Easmon; Hindin, Michelle J

    2010-12-01

    In Hohoe, Ghana, induced abortion is the second highest cause of hospital admissions. We aimed to describe factors influencing induced abortion among 408 randomly selected women aged 15-49 years. 21% of the women had had an abortion; of those, 36% said they did not want to disrupt their education or employment; 66% of the abortions were performed by doctors. Bivariate logistic regression showed that compared with women with secondary education, women with basic education (OR = 0.31, 95% CI: 0.18-0.54) and uneducated women (OR = 0.24, 95% CI: 0.07-0.70) were significantly less likely to have had an abortion. Women who were married (OR = 1.83, 95% CI: 1.10-3.04), peri-urban residents (OR = 1.88, 95% CI: 0.95-3.94), and women with formal employment (OR = 2.22, 95% CI: 0.86-5.45) were more likely to have had an abortion. Stakeholders should improve access to effective contraception to lower the chance of needing an abortion and target education programmes at those with unmet need for contraception.

  10. Extreme value modelling of Ghana stock exchange index.

    PubMed

    Nortey, Ezekiel N N; Asare, Kwabena; Mettle, Felix Okoe

    2015-01-01

    Modelling of extreme events has always been of interest in fields such as hydrology and meteorology. However, after the recent global financial crises, appropriate models for modelling of such rare events leading to these crises have become quite essential in the finance and risk management fields. This paper models the extreme values of the Ghana stock exchange all-shares index (2000-2010) by applying the extreme value theory (EVT) to fit a model to the tails of the daily stock returns data. A conditional approach of the EVT was preferred and hence an ARMA-GARCH model was fitted to the data to correct for the effects of autocorrelation and conditional heteroscedastic terms present in the returns series, before the EVT method was applied. The Peak Over Threshold approach of the EVT, which fits a Generalized Pareto Distribution (GPD) model to excesses above a certain selected threshold, was employed. Maximum likelihood estimates of the model parameters were obtained and the model's goodness of fit was assessed graphically using Q-Q, P-P and density plots. The findings indicate that the GPD provides an adequate fit to the data of excesses. The size of the extreme daily Ghanaian stock market movements were then computed using the value at risk and expected shortfall risk measures at some high quantiles, based on the fitted GPD model. PMID:26587364

  11. Guinea worm disease outcomes in Ghana: determinants of broken worms.

    PubMed

    Glenshaw, Mary T; Roy, Sharon; Ruiz-Tiben, Ernesto; Downs, Philip; Williamson, John; Eberhard, Mark

    2009-08-01

    In 2006, Ghana ranked second in Guinea worm disease (GWD) incidence and reported a previously undocumented 20% prevalence of worm breakage. A prospective study was conducted in 2007 to validate and describe worm breakage and determinants. Among 221 patients with known outcomes, the worm breakage rate observed was 46%. After controlling for demographics, worm and wound presentation, and treatment course and provision, worm breakage was associated with narrow-diameter worms (< 2 mm) (adjusted odds ratio [AOR] 2.79; 95% confidence interval [CI] = 1.03-7.53). Protective factors against worm breakage included antibiotic ointment use (AOR 0.31; 95% CI = 0.14-0.70), bandage protocol compliance (AOR: 0.38; 95% CI = 0.16-0.89), intact bandages (AOR 0.27; 95% CI = 0.09-0.82), and bloody compared with dry wounds (AOR 0.09; 95% CI = 0.01-0.7). The high worm breakage rate observed warrants improvement in case management and patient care. Adherence to established treatment protocols should be facilitated through improved provider training and supervision to reduce the disabling consequences of broken worms.

  12. Is routine human papillomavirus vaccination an option for ghana?

    PubMed

    Edwin, A K

    2010-06-01

    Cervical cancer remains an important public health problem in developing countries where over 80% of the global burden occurs annually but screening has been ineffective. In a polygamous country like Ghana with a high incidence of cervical cancer but no national screening program, the Human Papilloma Virus (HPV) vaccine presents a unique opportunity to reduce the burden of HPV infection and cervical cancer in Ghanaian women. The evidence so far indicates that the vaccines are safe and efficacious. Although routine HPV vaccination of girls raises several religious, political, socioeconomic and ethical challenges, the emphasis of this paper will be on addressing the ethical challenges using the principles of autonomy, beneficence, non-maleficence and justice as a framework. Parental autonomy can be preserved with judicious exemptions for those who decline the vaccine on religious and philosophical grounds. This promotes public health without trampling parental authority. Routine HPV vaccination confers several benefits to individuals and society by preventing HPV infection. Instead of causing harm; it reduces harm by preventing the development of about 70% of cervical cancers and removing the negative physical and psychological impact of a cervical cancer diagnosis. It also has the potential to reduce the disparities in cervical cancer rates and its cost effectiveness will ensure considerable cost savings in terms of the money spent on diagnosis and treatment. Consequently, the HPV vaccine is an important public health landmark and achievement in women's health that must be heralded, especially in developing countries where the bulk of the disease and death occur.

  13. Ivory Coast-Ghana margin: model of a transform margin

    SciTech Connect

    Mascle, J.; Blarez, E.

    1987-05-01

    The authors present a marine study of the eastern Ivory Coast-Ghana continental margins which they consider one of the most spectacular extinct transform margins. This margin has been created during Early-Lower Cretaceous time and has not been submitted to any major geodynamic reactivation since its fabric. Based on this example, they propose to consider during the evolution of the transform margin four main and successive stages. Shearing contact is first active between two probably thick continental crusts and then between progressively thinning continental crusts. This leads to the creation of specific geological structures such as pull-apart graben, elongated fault lineaments, major fault scarps, shear folds, and marginal ridges. After the final continental breakup, a hot center (the mid-oceanic ridge axis) is progressively drifting along the newly created margin. The contact between two lithospheres of different nature should necessarily induce, by thermal exchanges, vertical crustal readjustments. Finally, the transform margin remains directly adjacent to a hot but cooling oceanic lithosphere; its subsidence behavior should then progressively be comparable to the thermal subsidence of classic rifted margins.

  14. Hydrogeochemical evaluation of groundwater in the lower Offin basin, Ghana

    NASA Astrophysics Data System (ADS)

    Kortatsi, Benony K.; Tay, Collins K.; Anornu, Geophrey; Hayford, Ebenezer; Dartey, Grace A.

    2008-02-01

    Alumino-silicate mineral dissolution, cation exchange, reductive dissolution of hematite and goethite, oxidation of pyrite and arsenopyrite are processes that influence groundwater quality in the Offin Basin. The main aim of this study was to characterise groundwater and delineate relevant water rock interactions that control the evolution of water quality in Offin Basin, a major gold mining area in Ghana. Boreholes, dug wells, springs and mine drainage samples were analysed for major ions, minor and trace elements. Major ion study results show that the groundwater is, principally, Ca Mg HCO3 or Na Mg Ca HCO3 in character, mildly acidic and low in conductivity. Groundwater acidification is principally due to natural biogeochemical processes. Though acidic, the groundwater has positive acid neutralising potential provided by the dissolution of alumino-silicates and mafic rocks. Trace elements’ loading (except arsenic and iron) of groundwater is generally low. Reductive dissolution of iron minerals in the presence of organic matter is responsible for high-iron concentration in areas underlain by granitoids. Elsewhere pyrite and arsenopyrite oxidation is the plausible process for iron and arsenic mobilisation. Approximately 19 and 46% of the boreholes have arsenic and iron concentrations exceeding the WHO’s (Guidelines for drinking water quality. Final task group meeting. WHO Press, World Health Organization, Geneva, 2004) maximum acceptable limits of 10 μg l-1 and 0.3 mg l-1, for drinking water.

  15. Community-company relations in gold mining in Ghana.

    PubMed

    Garvin, Theresa; McGee, Tara K; Smoyer-Tomic, Karen E; Aubynn, Emmanuel Ato

    2009-01-01

    As a result of Structural Adjustment Programme from the 1980s, many developing countries have experienced an increase in resource extraction activities by international and transnational corporations. The work reported here examines the perceived impacts of gold mining at the community level in the Wassa West District of Ghana, Africa and discusses those perceived impacts in the context of globalization processes and growing multinational corporate interest in Corporate Social Responsibility (CSR). Interview data compared community members' perceptions with those of company representatives in three communities. The results indicate that communities held companies responsible for a series of economic, social, and environmental changes. While recognizing some of the benefits brought by the mines, communities felt that the companies did not live up to their responsibility to support local development. Companies responded by denying, dismissing concerns, or shifting blame. Findings from this work show that lack of engagement and action by government agencies at all levels resulted in companies acting in a surrogate governmental capacity. In such situations, managing expectations is key to community-company relations.

  16. Controlling sickle cell disease in Ghana - ethics and options

    PubMed Central

    Kyerewaa Edwin, Ama; Edwin, Frank; Etwire, Victor

    2011-01-01

    Sickle Cell Disease (SCD) is a significant public health burden in Ghana. Recent studies indicate that 2% of Ghanaian newborns are affected by SCD; one in three Ghanaians has the hemoglobin S and/or C gene. As a means of controlling the disease, some authorities have recommended prenatal diagnosis (PND) and selective abortion. In the current era, SCD has a good prognosis and fairly reasonable quality of life. Advances in bone marrow transplantation have shown the disease is curable in selected patients. PND and selective abortion therefore raises a myriad of ethical dilemmas which are considered in this review. In the light of the demonstration of improved prognosis in recent times, PND and selective abortion appears to be applying capital punishment to the unborn child for “crimes” only the parents can be responsible for. In this review, we recommend control of SCD on three levels – preconception genetic testing and strategic reproductive choices, PND and education for carrier parents, and holistic management of persons with SCD. We emphasize the critical importance of self-management, especially self-awareness, in assuring a good quality of life for persons with SCD. We believe such an approach is cost-effective, and consistent with sound ethical principles and good conscience. PMID:22187596

  17. The composition and origin of Ghana medicine clays

    PubMed Central

    van Dongen, Bart E.; Fraser, Sharon E.; Insoll, Timothy

    2011-01-01

    The mineral, organic and elemental composition of medicine clays from three shrines in the Tong Hills in northern Ghana (Gbankil, Kusanaab, and Yaane) are assessed to ascertain what additives they might contain and the implications for their recognition, for example in archaeological contexts. These are clays that are widely used for healing purposes being perceived efficacious in curing multiple ailments and which are given a divine provenance, but their collection is ascribed human agency. The Yaane clay is also supplied as part of the process of obtaining the right to operate the shrine elsewhere making it widely dispersed. Organic geochemical analyses revealed a predominance of plant-derived material with a substantial contribution of microbial origin. Based on these (supported by elemental and mineral analyses), no unnatural organic material could be detected, making an exogenous contribution to these clays unlikely. The implications are that these are wholly natural medicinal substances with no anthropogenic input into their preparation, as the traditions suggest. The very similar mineralogy of all the clays, including a non-medicine clay sampled, suggests that, unless the geology radically differed, differentiating between them analytically in an archaeological contexts would be doubtful. PMID:21810043

  18. Ghana's army goes into combat readiness against HIV.

    PubMed

    1992-01-01

    Ghana's professional army of 12,000 men were joined by the national police in launching a campaign of education about AIDS which promotes condom use. The campaign received some funding from USAID and AIDS Tech/Family Health International. 94% of the soldiers had 7 years of education and 95% were married. 47% had never used the condom, 37% used it only occasionally, and only 19% used it regularly. An AIDS Awareness Day was followed up by 3000 posters, 1800 bumper stickers, 1500 T-shirts, 300 press packs, 1000 keychains and a video. Comic books in the local pidgin English idiom also proved popular for promotion. In a social marketing scheme, condoms were made available in barracks, army shops, and canteens for a modest price. The sales of condoms rose from about 500 a month in 1991 to 6000-7000 by January 1992. The army AIDS policy spelled out that HIV positivity will be revealed to the infected soldier. HIV-positive soldIers will not be sent abroad, curtailing the chances of disease transmission. They are kept in active service as long as they are capable of meeting their duties. Nevertheless, this policy hinges on the outcome of the AIDS education campaign whose failure could result in a policy of dismissing HIV-infected soldiers.

  19. The expression of perinatal depression in rural Ghana

    PubMed Central

    Scorza, Pamela; Owusu-Agyei, Seth; Asampong, Emmanuel; Wainberg, Milton L.

    2015-01-01

    In low- and middle-income countries, perinatal depression (PND) has been associated with poor infant health outcomes, including frequency of infant diarrheal episodes, preterm delivery and low birth weight, and discontinuation or problems breastfeeding. Yet little is known about the awareness or expression of PND depression in Ghana. A total of 12 in-depth key-informant interviews were conducted with women who had experienced PND within the previous two-and-a-half years. Three focus-group discussions were conducted with new mothers (n = 11), grandmothers (n = 8), and fathers (n = 9) for contextual and supporting information. ‘Thinking too much’ was the term most commonly used to describe PND. The women saw their distress as caused largely by poverty, lack of social support, and domestic problems. Women sought help through family and religious organizations, rather than through medical services. Problems producing breast milk or breastfeeding were nearly universal complaints and suggest significant effects on infant health in the study area. These results present evidence to support the increasing consensus that depression presents in similar and disabling ways across cultures and contexts. This formative qualitative data is required to tailor depression prevention or treatment interventions to this particular socio-cultural context. PMID:26539247

  20. Controlling Sickle Cell Disease in Ghana--ethics and options.

    PubMed

    Kyerewaa Edwin, Ama; Edwin, Frank; Etwire, Victor

    2011-01-01

    Sickle Cell Disease (SCD) is a significant public health burden in Ghana. Recent studies indicate that 2% of Ghanaian newborns are affected by SCD; one in three Ghanaians has the hemoglobin S and/or C gene. As a means of controlling the disease, some authorities have recommended prenatal diagnosis (PND) and selective abortion. In the current era, SCD has a good prognosis and fairly reasonable quality of life. Advances in bone marrow transplantation have shown the disease is curable in selected patients. PND and selective abortion therefore raises a myriad of ethical dilemmas which are considered in this review. In the light of the demonstration of improved prognosis in recent times, PND and selective abortion appears to be applying capital punishment to the unborn child for "crimes" only the parents can be responsible for. In this review, we recommend control of SCD on three levels--preconception genetic testing and strategic reproductive choices, PND and education for carrier parents, and holistic management of persons with SCD. We emphasize the critical importance of self-management, especially self-awareness, in assuring a good quality of life for persons with SCD. We believe such an approach is cost-effective, and consistent with sound ethical principles and good conscience.

  1. Hydrochemical characterization of groundwater in the Akyem area, Ghana

    USGS Publications Warehouse

    Banoeng-Yakubo, B.; Yidana, S.M.; Anku, Y.; Akabzaa, T.; Asiedu, D.

    2008-01-01

    The Akyem area is a small farming community located in southeastern Ghana. Groundwater samples from wells in the area were analyzed for concentrations of the major ions, silica, electrical conductivity and pH. The objective was to determine the main controls on the hydrochemistry of ground-water. Mass balance modeling was used together with multivariate R-mode hierarchical cluster analysis to determine the significant sources of variation in the hydrochemistry. Two water types exist in this area. The first is influenced most by the weathering of silicate minerals from the underlying geology, and is thus rich in silica, sodium, calcium, bicarbonate, and magnesium ions. The second is water that has been influenced by the effects of fertilizers and other anthropogenic activities in the area. Mineral speciation and silicate mineral stability diagrams suggest that montmorillonite, probably derived from the incongruent dissolution of feldspars and micas, is the most stable silicate phase in the groundwaters. The apparent incongruent weathering of silicate minerals in the groundwater system has led to the enrichment of sodium, calcium, magnesium and bicarbonate ions as well as silica, leading to the supersaturation of calcite, aragonite, dolomite and quartz. Stability in the montmorillonite field suggests restricted flow conditions and a long groundwater residence time, leading to greater exposure of the rock to weathering. Cation exchange processes appear to play minor roles in the hydrochemistry of groundwater.

  2. HIV/AIDS-related stigma in Kumasi, Ghana

    PubMed Central

    Ulasi, Chijioke I; Preko, Peter O; Baidoo, Joseph A.; Bayard, Budry; Ehiri, John E; Jolly, Curtis M; Jolly, Pauline E

    2009-01-01

    Objective To assess HIV/AIDS-related stigma and discrimination of people living with HIV/AIDS (PLWHA) in Kumasi, Ghana. Methods A cross-sectional survey of 104 adults from the four sub-districts in Kumasi was conducted. Results Four stigma constructs, employment-based discrimination, screening and identification of HIV positive people, revelation of HIV status and social contact stigma were determined based on reliability measures from responses to the questionnaire. Regression analysis showed that participants with higher educational attainment were more likely to favor policies denying employment to PLWHA (p<0.05), but disapproved of revealing HIV sero-status (p<0.05). Muslims were more likely than Christians to agree with identifying PLWHA (p<0.05) and more likely to advocate revealing HIV sero-status (p<0.05). Males were more likely to favor revealing HIV status (p<0.05). Employed persons were more likely to have social contact with PLWHA (p<0.05). Conclusions These findings are useful in guiding the design of interventions against HIV/AIDS-related stigma in Kumasi. PMID:18632302

  3. Community and household determinants of water quality in coastal Ghana.

    PubMed

    McGarvey, Stephen T; Buszin, Justin; Reed, Holly; Smith, David C; Rahman, Zarah; Andrzejewski, Catherine; Awusabo-Asare, Kofi; White, Michael J

    2008-09-01

    Associations between water sources, socio-demographic characteristics and household drinking water quality are described in a representative sample of six coastal districts of Ghana's Central Region. Thirty-six enumeration areas (EAs) were randomly chosen from a representative survey of 90 EAs in rural, semi-urban and urban residence strata. In each EA, 24 households were randomly chosen for water quality sampling and socio-demographic interview. Escherichia coli per 100 ml H2O was quantified using the IDEXX Colilert system and multi-stage regression models estimated cross-sectional associations between water sources, sanitation and socio-demographic factors. Almost three quarters, 74%, of the households have > 2 E. coli /100 ml H2O. Tap water has significantly lower E. coli levels compared with surface or rainwater and well water had the highest levels. Households with a water closet toilet have significantly lower E. coli compared with those using pit latrines or no toilets. Household size is positively associated, and a possessions index is negatively associated, with E. coli. Variations in community and household socio-demographic and behavioural factors are key determinants of drinking water quality. These factors should be included in planning health education associated with investments in water systems.

  4. Ghana's army goes into combat readiness against HIV.

    PubMed

    1992-01-01

    Ghana's professional army of 12,000 men were joined by the national police in launching a campaign of education about AIDS which promotes condom use. The campaign received some funding from USAID and AIDS Tech/Family Health International. 94% of the soldiers had 7 years of education and 95% were married. 47% had never used the condom, 37% used it only occasionally, and only 19% used it regularly. An AIDS Awareness Day was followed up by 3000 posters, 1800 bumper stickers, 1500 T-shirts, 300 press packs, 1000 keychains and a video. Comic books in the local pidgin English idiom also proved popular for promotion. In a social marketing scheme, condoms were made available in barracks, army shops, and canteens for a modest price. The sales of condoms rose from about 500 a month in 1991 to 6000-7000 by January 1992. The army AIDS policy spelled out that HIV positivity will be revealed to the infected soldier. HIV-positive soldIers will not be sent abroad, curtailing the chances of disease transmission. They are kept in active service as long as they are capable of meeting their duties. Nevertheless, this policy hinges on the outcome of the AIDS education campaign whose failure could result in a policy of dismissing HIV-infected soldiers. PMID:12317821

  5. Assessing the groundwater fortunes of aquifers in the White Volta Basin, Ghana: An application of numerical groundwater flow modeling and isotopic studies

    NASA Astrophysics Data System (ADS)

    Oteng, F. M.; Yidana, S. M.; Alo, C. A.

    2012-12-01

    Effective development and informed management of groundwater resources represent a critical opportunity for improved rural water supply in Ghana and enhanced livelihoods particularly in the northern part of the White Volta Basin, a region already prone to a myriad of water-related infirmities. If adequately developed, the resource will form a sufficient buffer against the effects of climate change/variability and foster food security and sustainable livelihoods among the largely peasant communities in the region. This research presents the results of a preliminary assessment of the hydrogeological conditions and recharge regimes of the aquifers in the Northern parts of the White Volta Basin, Ghana. Results of estimates of groundwater recharge through the conventional isotopic and mass balance techniques are presented. Details of the groundwater flow pattern and preliminary delineation of local and regional groundwater recharge areas are presented from initial simulations of the hydrogeological system with a robust groundwater flow simulation code, MODFLOW, in the Groundwater Modeling System, GMS, version 7.1. The stream flow and evapotranspiration components of the program were activated to incorporate surface flow processes, so that the resulting model represents the conditions of the entire hydrological system. The results of this study form a platform for detailed numerical assessment of the conditions of the aquifers in the area under transient conditions of fluctuating rainfall patterns in the face of climate change/variability.

  6. Sex Differences in the Forms of Aggression among Adolescent Students in Ghana

    ERIC Educational Resources Information Center

    Amedahe, Francis K.; Owusu-Banahene, Nana Opoku

    2007-01-01

    A number of studies have investigated sex differences in the forms of aggression exhibited by adolescent students, particularly in the Western world. No such study has been done among sub-Saharan Africa students. The aim was to examine the sex differences in forms of aggression among adolescent students in Ghana. A total of 800 adolescent students…

  7. Corporal Punishment in the Schools of Ghana: Does Inclusive Education Suffer?

    ERIC Educational Resources Information Center

    Agbenyega, Joseph S.

    2006-01-01

    This paper reports on a study that compared the practice of corporal punishment in ten basic schools in the Greater Accra District in Ghana. Five of the ten schools were designated as inclusive project schools (IPS) and the other five as non-inclusive project schools (NIS). The primary purpose was to find out if the inclusive project schools were…

  8. Testing the cultural group selection hypothesis in Northern Ghana and Oaxaca.

    PubMed

    Acedo-Carmona, Cristina; Gomila, Antoni

    2016-01-01

    We examine the cultural group selection (CGS) hypothesis in light of our fieldwork in Northern Ghana and Oaxaca, highly multi-ethnic regions. Our evidence fails to corroborate two central predictions of the hypothesis: that the cultural group is the unit of evolution, and that cultural homogenization is to be expected as the outcome of a selective process. PMID:27561825

  9. Attitudes toward Rape and Victims of Rape: A Test of the Feminist Theory in Ghana

    ERIC Educational Resources Information Center

    Boakye, Kofi E.

    2009-01-01

    This study explores the usefulness of the feminist theory in explaining attitudes toward rape and victims of rape in Ghana. The feminist theory of rape posits, inter alia, that patriarchy and gender inequality are major factors in the aetiology of rape and attitudes toward rape and that underlying patriarchy and gender inequality are gender…

  10. Attitudes toward Psychiatry among Final-Year Medical Students in Kumasi, Ghana

    ERIC Educational Resources Information Center

    Laugharne, Richard; Appiah-Poku, John; Laugharne, Jon; Shankar, Rohit

    2009-01-01

    Objective: Most sub-Saharan African countries have fewer psychiatrists than one per one million people. One possible reason could be that medical students have a negative attitude toward the specialty. The authors evaluated the attitudes toward a career in psychiatry of final-year medical students in Kumasi, Ghana, and compare these with attitudes…

  11. Sex, Grades and Power in Higher Education in Ghana and Tanzania

    ERIC Educational Resources Information Center

    Morley, Louise

    2011-01-01

    Quantitative increases tell a partial story about the quality of women's participation in higher education. Women students' reporting of sexual harassment has been noteworthy in a recent study that I directed on widening participation in higher education in Ghana and Tanzania. The hierarchical and gendered power relations within universities have…

  12. Influence of Culture on Curriculum Development in Ghana: An Undervalued Factor?

    ERIC Educational Resources Information Center

    Gervedink Nijhuis, Chantal J.; Pieters, Jules M.; Voogt, Joke M.

    2013-01-01

    Curriculum implementation often falls short because of a lack of cultural understanding by curriculum developers and aid organizations. This paper describes a single-case study of a professional development programme for polytechnic Heads of Department in Ghana, which aimed at identifying how curriculum development activities were sensitive to…

  13. Commodification of Ghana's Volta River: An Example of Ellul's Autonomy of Technique

    ERIC Educational Resources Information Center

    Agbemabiese, Lawrence; Byrne, John

    2005-01-01

    Jacques Ellul argued that modernity's nearly exclusive reliance on science and technology to design society would threaten human freedom. Of particular concern for Ellul was the prospect of the technical milieu overwhelming culture. The commodification of the Volta River in order to modernize Ghana illustrates the Ellulian dilemma of the autonomy…

  14. Private and Public Schooling in Ghana: A Census and Comparative Survey

    ERIC Educational Resources Information Center

    Tooley, James; Dixon, Pauline; Amuah, Isaac

    2007-01-01

    A census and survey of schools in the district of Ga, Ghana, explored the nature and extent of private education, and compared inputs to public and private schooling. Three quarters of all schools found were private, with almost as many unregistered private as government schools. Several important differences between registered and unregistered…

  15. Updating Polytechnic Teachers' Knowledge and Skills through Teacher Design Teams in Ghana

    ERIC Educational Resources Information Center

    Bakah, Marie A. B.; Voogt, Joke M.; Pieters, Jules M.

    2012-01-01

    While teachers and administrators in polytechnics in Ghana have categorically expressed the growing need for the former's knowledge and skills to be updated in the era of polytechnic transformation, little attention has been paid to the subject. This study reports a professional development intervention organised for 16 engineering teachers…

  16. Publishing for Mother Tongue-Based Bilingual Education in Ghana: Politics and Consequences

    ERIC Educational Resources Information Center

    Opoku-Amankwa, Kwasi; Edu-Buandoh, Dora F.; Brew-Hammond, Aba

    2015-01-01

    One often cited challenge to effective mother tongue-based bilingual education (MTBE) in multilingual countries like Ghana is the difficulty of developing curriculum and instructional materials in many languages. To explain this situation, factors such as shortage of writers and teachers in the local languages, lack of interest on the part of…

  17. Ghana's Education Reform 2007: A Realistic Proposition or a Crisis of Vision?

    ERIC Educational Resources Information Center

    Kuyini, Ahmed Bawa

    2013-01-01

    Ghana's recent "Education Reform 2007" envisions a system that strives to achieve both domestic and internationally-oriented goals emanating (1) from the Education for All (EFA) initiative, (2) from the UN Convention on the Rights of the Child and (3) from global trends in education. Emboldened by the implementation of…

  18. Assessing the Higher National Diploma Chemical Engineering Programme in Ghana: Students' Perspective

    ERIC Educational Resources Information Center

    Boateng, Cyril D.; Bensah, Edem Cudjoe; Ahiekpor, Julius C.

    2012-01-01

    Chemical engineers have played key roles in the growth of the chemical and allied industries in Ghana but indigenous industries that have traditionally been the domain of the informal sector need to be migrated to the formal sector through the entrepreneurship and innovation of chemical engineers. The Higher National Diploma Chemical Engineering…

  19. Pattern of Breast Cancer Distribution in Ghana: A Survey to Enhance Early Detection, Diagnosis, and Treatment.

    PubMed

    Naku Ghartey Jnr, Frank; Anyanful, Akwasi; Eliason, Sebastian; Mohammed Adamu, Saanid; Debrah, Samuel

    2016-01-01

    Background. Nearly 70% of women diagnosed with breast cancer in Ghana are in advanced stages of the disease due especially to low awareness, resulting in limited treatment success and high death rate. With limited epidemiological studies on breast cancer in Ghana, the aim of this study is to assess and understand the pattern of breast cancer distribution for enhancing early detection and treatment. Methods. We randomly selected and screened 3000 women for clinical palpable breast lumps and used univariate and bivariate analysis for description and exploration of variables, respectively, in relation to incidence of breast cancer. Results. We diagnosed 23 (0.76%) breast cancer cases out of 194 (6.46%) participants with clinically palpable breast lumps. Seventeen out of these 23 (0.56%) were premenopausal (<46.6 years) with 7 (0.23%) being below 35 years. With an overall breast cancer incidence of 0.76% in this study, our observation that about 30% of these cancer cases were below 35 years may indicate a relative possible shift of cancer burden to women in their early thirties in Ghana, compared to Western countries. Conclusion. These results suggest an age adjustment for breast cancer screening to early twenties for Ghanaian women and the need for a nationwide breast cancer screening to understand completely the pattern of breast cancer distribution in Ghana. PMID:27635263

  20. "Once a Miner, Always a Miner": Poverty and Livelihood Diversification in Akwatia, Ghana

    ERIC Educational Resources Information Center

    Hilson, Gavin

    2010-01-01

    This paper offers an alternative viewpoint on why people choose to engage in artisanal mining--the low tech mineral extraction and processing of mainly precious metals and stones--for extended periods in sub-Saharan Africa. Drawing upon experiences from Akwatia, Ghana's epicentre of diamond production since the mid-1920s, the analysis challenges…

  1. Trend analysis and short-term forecast of incident HIV infection in Ghana.

    PubMed

    Aboagye-Sarfo, Patrick; Cross, James; Mueller, Ute

    2010-06-01

    The study uses time-series modelling to determine and predict trends in incident HIV infection in Ghana among specific age groups. The HIV data for Ghana were grouped according to northern and southern spatial sectors as they exhibited slightly different data collection formats. The trend of the epidemic is modelled using moving-average smoothing techniques, and the Box-Jenkins ARIMA model is used to forecast cases of newly acquired (incident) HIV infection. Trend analysis of past growth patterns reveals an increase in new cases of HIV infection in the northern sector, with the greatest increase occurring among persons aged 30 years and over. The epidemic in the southern sector appears to have levelled off. However, incident HIV infection in the 20-39-year-old age group of females in the sector is estimated to increase in the next three years. Moreover, the estimates suggest a higher increase in incident cases than that predicted by the National AIDS Control Programme. Nevertheless, incident HIV infection among persons aged 19 and below is found to be relatively stable. Thus, if efforts are made to reduce or prevent an increase in the number of new infections in the northern sector, and for the 20-39 years age group in the southern sector, Ghana will have a brighter future with regard to its response to the HIV epidemic. These findings can assist with developing strategic-intervention policy planning for Ghana and other countries in sub-Saharan Africa.

  2. From Pentecostalism to Politics: Mass Literacy and Community Development in Late Colonial Northern Ghana

    ERIC Educational Resources Information Center

    Skinner, Kate

    2010-01-01

    This article takes as its starting point a strike among African trainee literacy workers in the Northern Territories of the Gold Coast (now Ghana) in 1952. While the existing literature tends to concentrate on the tensions and contradictions in British colonial education policy, this article uses the strike to investigate how these agendas were…

  3. Situation Reports--Ceylon, Costa Rica, Ghana, Haiti, Morocco, Sudan, Tunisia, and U.S.A.

    ERIC Educational Resources Information Center

    International Planned Parenthood Federation, London (England).

    Data relating to population and family planning in eight countries are presented in these situation reports. Countries included are Ceylon, Costa Rica, Ghana, Haiti, Morocco, Sudan, Tunisia, and the United States of America. Information is provided under two topics, general background and family planning situation, where appropriate and if it is…

  4. A Review of Community Extension Approaches to Innovation for Improved Livelihoods in Ghana, Uganda and Malawi

    ERIC Educational Resources Information Center

    Wellard, Kate; Rafanomezana, Jenny; Nyirenda, Mahara; Okotel, Misaki; Subbey, Vincent

    2013-01-01

    Purpose: Farmer-to-farmer extension offers a potentially low-cost and wide-reach alternative in supporting agricultural innovation. Various approaches are being promoted but information on their impact and sustainability is sparse. This study examines experiences of Self Help Africa and partners in Ghana, Uganda and Malawi. It asks: What is good…

  5. Design and Usability Testing of an mHealth Application for Midwives in Rural Ghana

    ERIC Educational Resources Information Center

    Velez, Olivia

    2011-01-01

    Midwives in Ghana provide the majority of rural primary and maternal healthcare services, but have limited access to data for decision making and knowledge work. Few mobile health (mHealth) applications have been designed for midwives. The study purpose was to design and test an mHealth application (mClinic) that can improve data access and reduce…

  6. Policy Implications for Using ICTs for Empowerment of Rural Women in Ghana

    ERIC Educational Resources Information Center

    Kwapong, Olivia Adwoa Tiwaah Frimpong

    2008-01-01

    Using rural household survey data collected from 1000 female household heads selected from all the ten administrative regions in Ghana, this paper explored the policy implications for using ICTs for empowerment of rural women. A contingent valuation (CV) method was used to quantitatively estimate the influence of selected socio-economic factors on…

  7. Why Teachers Leave Teaching: The Case of Pretertiary Institutions in Ghana

    ERIC Educational Resources Information Center

    Agezo, Clement K.

    2010-01-01

    In Ghana, many professional teachers have been leaving teaching to seek employment in jobs that they think hold promise of better pay and prestige. This article critically examines the key factors that compel teachers to leave the teaching profession for other jobs. Thirty professionally trained teachers who had taught at pretertiary institutions…

  8. Teachers' Perception on Sustainability of Distance Education in Ghana: Evidence from Ashanti Region

    ERIC Educational Resources Information Center

    Osei-Owusu, Benedict; Awunyo-Vitor, Dadson

    2012-01-01

    The study examined the sustainability of distance education in the context of finance, management and availability of support services in Ashanti region of Ghana. Data for the study were obtained from five groups of respondents namely; centre coordinators, educational administrators, facilitators of distance education programme, potential and…

  9. The Association between Bullying and Psychological Health among Senior High School Students in Ghana, West Africa

    ERIC Educational Resources Information Center

    Owusu, Andrew; Hart, Peter; Oliver, Brittney; Kang, Minsoo

    2011-01-01

    Background: School-based bullying, a global challenge, negatively impacts the health and development of both victims and perpetrators. This study examined the relationship between bullying victimization and selected psychological variables among senior high school (SHS) students in Ghana, West Africa. Methods: This study utilized data from the…

  10. Psallops niedzwiedzkii, a new species from Ghana with a key to African species (Heteroptera, Miridae, Psallopinae).

    PubMed

    Herczek, Aleksander; Popov, Yuri A; Gorczyca, Jacek

    2016-01-01

    A new species from Ghana, Psallops niedzwiedzkii Herczek & Popov, sp. n. is described. The dorsal habitus, head and male genitalia are presented and some morphological features are discussed. A key, short descriptions and map of the distribution of the African species of the genus are also provided. PMID:27551202

  11. International trends in health science librarianship part 15: West Africa (Ghana, Nigeria, Senegal).

    PubMed

    Sulemani, Solomon Bayugo; Afarikumah, Ebenezer; Aggrey, Samuel Bentil; Ajuwon, Grace A; Diallo, Ousmane

    2015-09-01

    This is the 15th in a series of articles exploring international trends in health science librarianship in the 21st century. It is the third of four articles pertaining to different regions in the African continent. The present issue focuses on countries in West Africa (Ghana, Nigeria and Senegal). The next feature column will investigate trends in North Africa. JM.

  12. Between Tradition and Modernity: Girls' Talk about Sexual Relationships and Violence in Kenya, Ghana and Mozambique

    ERIC Educational Resources Information Center

    Parkes, Jenny; Heslop, Jo; Januario, Francisco; Oando, Samwel; Sabaa, Susan

    2016-01-01

    This paper interrogates the influence of a tradition-modernity dichotomy on perspectives and practices on sexual violence and sexual relationships involving girls in three districts of Kenya, Ghana and Mozambique. Through deploying an analytical framework of positioning within multiple discursive sites, we argue that although the dichotomy…

  13. Teacher Professional Development through Sandwich Programmes and Absenteeism in Basic Schools in Ghana

    ERIC Educational Resources Information Center

    Tamanja, Emmanuel Makabu J.

    2016-01-01

    Continuous professional development of teachers plays a crucial role in improving learning outcomes in schools. This study investigated how teaching time is lost when teachers absent themselves to participate in sandwich programmes to upgrade themselves in the University of Education, Winneba (UEW) in Ghana. Using a survey of 475 teachers pursuing…

  14. Religious Education and the Feminisation of Witchcraft: A Study of Three Secondary Schools in Kumasi, Ghana

    ERIC Educational Resources Information Center

    Thomas, Paul

    2012-01-01

    This study, conducted during the summer of 2008 in Kumasi, Ghana analysed the role of religious and moral education (RME) in ameliorating the witchcraft discourse in three Ghanaian junior secondary schools. Although the syllabus acknowledges the pernicious effects of witchcraft allegations, it adopts a "Thou shalt not" approach that fails to…

  15. Critical Factors in Selecting a Course Management System for Higher Education in Ghana

    ERIC Educational Resources Information Center

    Awidi, Isaiah T.

    2008-01-01

    Course management systems (CMSs) currently drive educational delivery in most developed countries. Their absence in higher education in most developing countries creates a digital divide between first- and third-world students. Meeting the needs of higher education in Ghana therefore depends on identifying the factors that should inform the choice…

  16. Secondary Level Teachers: Supply and Demand in Ghana. Country Study No. 12.

    ERIC Educational Resources Information Center

    Hanson, John W.

    This is one of 15 studies of the supply of secondary level teachers in English-speaking Africa. Following an introduction which examines the economic and social development of Ghana, there are four main sections: 1) Probable Growth of Secondary School and Teacher Training College Enrollments Through 1975"; 2) "The Supply of Teachers for Secondary…

  17. Psallops niedzwiedzkii, a new species from Ghana with a key to African species (Heteroptera, Miridae, Psallopinae)

    PubMed Central

    Herczek, Aleksander; Popov, Yuri A.; Gorczyca, Jacek

    2016-01-01

    Abstract A new species from Ghana, Psallops niedzwiedzkii Herczek & Popov, sp. n. is described. The dorsal habitus, head and male genitalia are presented and some morphological features are discussed. A key, short descriptions and map of the distribution of the African species of the genus are also provided. PMID:27551202

  18. Development of Early Years Policy and Practice in Ghana: Can Outcomes Be Improved for Marginalised Children?

    ERIC Educational Resources Information Center

    Agbenyega, Joseph

    2008-01-01

    Even though several attempts have been made by the government of Ghana towards its goal of eradicating child labour, poverty, and marginalisation in educational outcomes for all children, the condition of disadvantaged children remain terribly devastating compared with those of more advantaged children. This article discusses the extent to which…

  19. Solving the Teacher Shortage Problem in Ghana: Critical Perspectives for Understanding the Issues

    ERIC Educational Resources Information Center

    Cobbold, Cosmas

    2015-01-01

    The problem of getting sufficient numbers of qualified teachers to staff classrooms is one of the most significant public policy issues facing many countries. In Ghana, the problem of teacher shortage has been a perennial one, necessitated by educational expansion as well as adverse socio-economic and political circumstances, and exacerbated by…

  20. Trinidad, Brazil, and Ghana: Three Melting Moments in the History of Cocoa

    ERIC Educational Resources Information Center

    Leiter, Jeffrey; Harding, Sandra

    2004-01-01

    This paper examines decline in cocoa production at three historical moments: Trinidad in the early 18th century, Brazil in the first half of the 20th century, and Ghana in the recent transition from colonialism to independence. In each, decline followed promising expansion. Conventional explanations have been based on biological, agronomic, and…

  1. Gender, Sexuality and Schooling: Everyday Life in Junior Secondary Schools in Botswana and Ghana

    ERIC Educational Resources Information Center

    Dunne, Mairead

    2007-01-01

    In this paper, the focus is upon daily school practices in Junior Secondary Schools in Ghana and Botswana. The data from 12 ethnographic case studies have been used to explore how the institution of schooling is gendered. The analysis focuses predominantly on the informal practices of the hidden curriculum through a theoretical perspective that…

  2. Pattern of Breast Cancer Distribution in Ghana: A Survey to Enhance Early Detection, Diagnosis, and Treatment

    PubMed Central

    Debrah, Samuel

    2016-01-01

    Background. Nearly 70% of women diagnosed with breast cancer in Ghana are in advanced stages of the disease due especially to low awareness, resulting in limited treatment success and high death rate. With limited epidemiological studies on breast cancer in Ghana, the aim of this study is to assess and understand the pattern of breast cancer distribution for enhancing early detection and treatment. Methods. We randomly selected and screened 3000 women for clinical palpable breast lumps and used univariate and bivariate analysis for description and exploration of variables, respectively, in relation to incidence of breast cancer. Results. We diagnosed 23 (0.76%) breast cancer cases out of 194 (6.46%) participants with clinically palpable breast lumps. Seventeen out of these 23 (0.56%) were premenopausal (<46.6 years) with 7 (0.23%) being below 35 years. With an overall breast cancer incidence of 0.76% in this study, our observation that about 30% of these cancer cases were below 35 years may indicate a relative possible shift of cancer burden to women in their early thirties in Ghana, compared to Western countries. Conclusion. These results suggest an age adjustment for breast cancer screening to early twenties for Ghanaian women and the need for a nationwide breast cancer screening to understand completely the pattern of breast cancer distribution in Ghana. PMID:27635263

  3. Pattern of Breast Cancer Distribution in Ghana: A Survey to Enhance Early Detection, Diagnosis, and Treatment

    PubMed Central

    Debrah, Samuel

    2016-01-01

    Background. Nearly 70% of women diagnosed with breast cancer in Ghana are in advanced stages of the disease due especially to low awareness, resulting in limited treatment success and high death rate. With limited epidemiological studies on breast cancer in Ghana, the aim of this study is to assess and understand the pattern of breast cancer distribution for enhancing early detection and treatment. Methods. We randomly selected and screened 3000 women for clinical palpable breast lumps and used univariate and bivariate analysis for description and exploration of variables, respectively, in relation to incidence of breast cancer. Results. We diagnosed 23 (0.76%) breast cancer cases out of 194 (6.46%) participants with clinically palpable breast lumps. Seventeen out of these 23 (0.56%) were premenopausal (<46.6 years) with 7 (0.23%) being below 35 years. With an overall breast cancer incidence of 0.76% in this study, our observation that about 30% of these cancer cases were below 35 years may indicate a relative possible shift of cancer burden to women in their early thirties in Ghana, compared to Western countries. Conclusion. These results suggest an age adjustment for breast cancer screening to early twenties for Ghanaian women and the need for a nationwide breast cancer screening to understand completely the pattern of breast cancer distribution in Ghana.

  4. Teachers' ICT Usage in Second-Cycle Institutions in Ghana: A Qualitative Study

    ERIC Educational Resources Information Center

    Buabeng-Andoh, Charles; Yidana, Issifu

    2015-01-01

    The purpose of this study was to investigate teachers' use of ICT and the factors that affect their ICT use in secondary schools in Ghana. A focus group interview was used to gather data from participants. Ten groups of six students each from urban, semi-urban and rural schools were chosen for the focus group interviews. The results of this study…

  5. Exploring Perceptions of Private University Education by Hiring Professionals in Ghana

    ERIC Educational Resources Information Center

    Mainu, Eric

    2012-01-01

    This quantitative study explored the perceptions of private university education compared to public university education by hiring professionals in Ghana using four dimensions: quality of degree and diploma programs, credibility of degree and diploma programs, characteristics of graduating student applicants, and skills of graduating student…

  6. Implementing Free Primary Education Policy in Malawi and Ghana: Equity and Efficiency Analysis

    ERIC Educational Resources Information Center

    Inoue, Kazuma; Oketch, Moses

    2008-01-01

    Malawi and Ghana are among the numerous Sub-Saharan Africa countries that have in recent years introduced Free Primary Education (FPE) policy as a means to realizing the 2015 Education for All and Millennium Development Goals international targets. The introduction of FPE policy is, however, a huge challenge for any national government that has…

  7. Curriculum Reform and Teachers' Training Needs: The Case of Higher Education in Ghana

    ERIC Educational Resources Information Center

    Bakah, Marie A. B.; Voogt, Joke M.; Pieters, Jules M.

    2012-01-01

    Professional development is the key to curriculum-based reform, yet there is little empirical evidence upon which to base decisions of design or implementation of training and development programmes. This study examined the training and development needs of Ghana's polytechnic teachers in an existing curriculum reform scenario as they became…

  8. Prevalence of Dental Fear and Anxiety amongst Patients in Selected Dental Clinics in Ghana

    ERIC Educational Resources Information Center

    Ofori, Marian A.; Adu-Ababio, F.; Nyako, E. A.; Ndanu, Tom A.

    2009-01-01

    Objective: To find out the prevalence of dental anxiety and fear amongst patients in various selected dental clinics in Accra, Ghana. Study design: Dental patients (n = 279) who had either been exposed to dental treatments or had no prior dental exposure, attending four selected dental clinics in Accra were randomly sampled. They were interviewed…

  9. Critical Factors Underlying Students' Choice of Institution for Graduate Programmes: Empirical Evidence from Ghana

    ERIC Educational Resources Information Center

    Mbawuni, Joseph; Nimako, Simon Gyasi

    2015-01-01

    The growth in higher education industry has caused a tremendous increase in the number and type of colleges, polytechnics and universities offering similar academic programmes especially in business disciplines in Ghana. The resultant competition in the education industry makes it crucial for education managers to understand the latent factors…

  10. Gender Differences in Participation in Elective Mathematics of Senior Secondary School Students in Ghana

    ERIC Educational Resources Information Center

    Baah-Korang, Kwame; Gyan, Emmanuel; McCarthy, Paul; McCarthy, Peter

    2015-01-01

    This paper aims at contributing to the body of knowledge that exists in the area of differences in participation in elective mathematics, between boys and girls in Secondary Schools in Ghana. A sample of 738 respondents from five Secondary Schools was purposively selected using purposive sampling technique. All the respondents were final year…

  11. Congruence between National Policy for Science and Humanities Enrolment Ratio and Labour Market Demand in Ghana

    ERIC Educational Resources Information Center

    Alabi, Goski; Alabi, Joshua; Mohammed, Ibrahim

    2013-01-01

    The paper undertook a snapshot of the demand for various academic programmes on the labour market and compared this with national policy norms for enrolment in public universities in Ghana. The objective was to ascertain whether national higher education enrolments are responsive to the national policy target of 60:40 (Sciences : Humanities) or…

  12. Developing an E-Learning Strategy for Public Universities in Ghana

    ERIC Educational Resources Information Center

    Awidi, Isaiah T.

    2008-01-01

    While technology has enabled online education in many countries, the same cannot be said for African public universities. Universities in Ghana have made some progress in building networking infrastructure and acquiring computers, but integrating technology into the teaching and learning process has been a challenge. Instructional delivery remains…

  13. Decolonising Knowledge Production: The Pedagogic Relevance of Gandhian Satyagraha to Schooling and Education in Ghana

    ERIC Educational Resources Information Center

    Adjei, Paul Banahene

    2007-01-01

    In this article, I examine how Mahatma Gandhi's philosophy of non-violent resistance (Satyagraha) can be applied to decolonize schooling and education practices in Ghana. Satyagraha consists of three fundamental elements: appeal to the oppressor, non-cooperation, and civil disobedience. Part of an anti-racist and anti-colonial discourse,…

  14. Anthropogenic Enrichment and Nutrients in Some Tropical Lagoons of Ghana, West Africa

    EPA Science Inventory

    As part of a larger study of demographic change in coastal Ghana, we measured the concentrations of major plant nutrients and phytoplankton chlorophyll in eight coastal lagoons with different land use and human population density. The purpose of our study was to relate human acti...

  15. Trend analysis and short-term forecast of incident HIV infection in Ghana.

    PubMed

    Aboagye-Sarfo, Patrick; Cross, James; Mueller, Ute

    2010-06-01

    The study uses time-series modelling to determine and predict trends in incident HIV infection in Ghana among specific age groups. The HIV data for Ghana were grouped according to northern and southern spatial sectors as they exhibited slightly different data collection formats. The trend of the epidemic is modelled using moving-average smoothing techniques, and the Box-Jenkins ARIMA model is used to forecast cases of newly acquired (incident) HIV infection. Trend analysis of past growth patterns reveals an increase in new cases of HIV infection in the northern sector, with the greatest increase occurring among persons aged 30 years and over. The epidemic in the southern sector appears to have levelled off. However, incident HIV infection in the 20-39-year-old age group of females in the sector is estimated to increase in the next three years. Moreover, the estimates suggest a higher increase in incident cases than that predicted by the National AIDS Control Programme. Nevertheless, incident HIV infection among persons aged 19 and below is found to be relatively stable. Thus, if efforts are made to reduce or prevent an increase in the number of new infections in the northern sector, and for the 20-39 years age group in the southern sector, Ghana will have a brighter future with regard to its response to the HIV epidemic. These findings can assist with developing strategic-intervention policy planning for Ghana and other countries in sub-Saharan Africa. PMID:25860525

  16. Maternal health-seeking behavior: the role of financing and organization of health services in Ghana.

    PubMed

    Aboagye, Emmanuel; Agyemang, Otuo Serebour

    2013-05-30

    This paper examines how organization and financing of maternal health services influence health-seeking behavior in Bosomtwe district, Ghana. It contributes in furthering the discussions on maternal health-seeking behavior and health outcomes from a health system perspective in sub-Saharan Africa. From a health system standpoint, the paper first presents the resources, organization and financing of maternal health service in Ghana, and later uses case study examples to explain how Ghana's health system has shaped maternal health-seeking behavior of women in the district. The paper employs a qualitative case study technique to build a complex and holistic picture, and report detailed views of the women in their natural setting. A purposeful sampling technique is applied to select 16 women in the district for this study. Through face-to-face interviews and group discussions with the selected women, comprehensive and in-depth information on health- seeking behavior and health outcomes are elicited for the analysis. The study highlights that characteristics embedded in decentralization and provision of free maternal health care influence health-seeking behavior. Particularly, the use of antenatal care has increased after the delivery exemption policy in Ghana. Interestingly, the study also reveals certain social structures, which influence women's attitude towards their decisions and choices of health facilities.

  17. The Politics of Educational Borrowing: Reopening the Case of Achimota in British Ghana.

    ERIC Educational Resources Information Center

    Steiner-Khamsi, Gita; Quist, Hubert O.

    2000-01-01

    Modeled on Hampton Institute (Virginia) and Tuskegee Institute (Alabama), Achimota College in colonial Gold Coast (later Ghana) provided Black students with "adapted education" in agriculture and industrial arts, suitable for a life of manual labor. This case of international educational transfer is analyzed from the perspective of the politics of…

  18. Human Betacoronavirus 2c EMC/2012–related Viruses in Bats, Ghana and Europe

    PubMed Central

    Annan, Augustina; Baldwin, Heather J.; Corman, Victor Max; Klose, Stefan M.; Owusu, Michael; Nkrumah, Evans Ewald; Badu, Ebenezer Kofi; Anti, Priscilla; Agbenyega, Olivia; Meyer, Benjamin; Oppong, Samuel; Sarkodie, Yaw Adu; Kalko, Elisabeth K.V.; Lina, Peter H.C.; Godlevska, Elena V.; Reusken, Chantal; Seebens, Antje; Gloza-Rausch, Florian; Vallo, Peter; Tschapka, Marco; Drosten, Christian

    2013-01-01

    We screened fecal specimens of 4,758 bats from Ghana and 272 bats from 4 European countries for betacoronaviruses. Viruses related to the novel human betacoronavirus EMC/2012 were detected in 46 (24.9%) of 185 Nycteris bats and 40 (14.7%) of 272 Pipistrellus bats. Their genetic relatedness indicated EMC/2012 originated from bats. PMID:23622767

  19. Sexual and Reproductive Health Education: Opinions of Students and Educators in Bolgatanga Municipality, Northern Ghana

    ERIC Educational Resources Information Center

    van der Geugten, Jolien; Dijkstra, Marlies; van Meijel, Berno; den Uyl, Marion H. G.; de Vries, Nanne K.

    2015-01-01

    There have been few assessments of sexual and reproductive health (SRH) education programmes in sub-Saharan Africa from the students' and educators' perspective. This study examined students' opinions on an SRH programme in northern Ghana and explored the facilitators and barriers for educators regarding the implementation of the…

  20. Pre-Service Teachers' Views on Inclusive Education in Ghana

    ERIC Educational Resources Information Center

    Nketsia, William; Saloviita, Timo

    2013-01-01

    Pre-service teacher training has been identified as one of the key factors in the promotion of inclusive education. In this study, 200 final-year pre-service teachers from three colleges of education in Ghana were surveyed about their views and knowledge on inclusive education and special educational needs (SEN). The results showed that almost all…

  1. "The Older Women Are Men:" Navigating the Academic Terrain, Perspectives from Ghana

    ERIC Educational Resources Information Center

    Mabokela, Reitumetse Obakeng; Mlambo, Yeukai Angela

    2015-01-01

    This qualitative study investigates how the intersection of gender, socio-cultural factors, and organizational culture impact professional experiences of women academics at a selected public university in Ghana. Given the glaring absence of women in academic positions across many African universities, particularly at academic ranks beyond the…

  2. Factors Associated with Waiting Time for Breast Cancer Treatment in a Teaching Hospital in Ghana

    ERIC Educational Resources Information Center

    Dedey, Florence; Wu, Lily; Ayettey, Hannah; Sanuade, Olutobi A.; Akingbola, Titilola S.; Hewlett, Sandra A.; Tayo, Bamidele O.; Cole, Helen V.; de-Graft Aikins, Ama; Ogedegbe, Gbenga; Adanu, Richard

    2016-01-01

    Background: Breast cancer is the leading cause of cancer-related mortality among women in Ghana. Data are limited on the predictors of poor outcomes in breast cancer patients in low-income countries; however, prolonged waiting time has been implicated. Among breast cancer patients who received treatment at Korle Bu Teaching Hospital, this study…

  3. Impact of Lecturers' Gender on Learning: Assessing University of Ghana Students' Views

    ERIC Educational Resources Information Center

    Appiah, Samson Obed; Agbelevor, Emelia Afi

    2015-01-01

    Studies conducted since the late 1970s have sought to describe students' conceptions of learning especially how gender of lecturers affected the learning of students. However, not many studies have been done in Ghana concerning how gender of lecturers affected learning among students. The purpose of this study was to explore the influence of…

  4. Re-Examining the Fluctuations in Language in-Education Policies in Post-Independence Ghana

    ERIC Educational Resources Information Center

    Ansah, Gladys Nyarko

    2014-01-01

    Language-in-education policy in Ghana has been in a flux since British colonial rule but particularly so after independence. A close examination of post independence language in education policies shows these fluctuating policies have moved from one form of bilingual education policy to another. Many tensions and paradoxes that arise from…

  5. Viewing Teacher Motivation in the Ghana Education Service through a Postcolonial Lens

    ERIC Educational Resources Information Center

    Salifu, Inusah; Agbenyega, Joseph Seyram

    2013-01-01

    In recent times, quality teaching has become the focus of many education systems including that of Ghana, and yet little attention has been given to teacher motivation that could ensure quality teaching and improved learning outcomes. Drawing on contemporary literature on issues associated with teacher motivation, this conceptual paper critically…

  6. Increasing Access to Science Oriented Education Programmes in Tertiary Institutions in Ghana through Distance Education

    ERIC Educational Resources Information Center

    Osei, C. K.; Mensah, J. A.

    2014-01-01

    There is emphasis in the educational policy of Ghana for the promotion of Distance Education programmes to widen access to education at all levels and facilitate human resource development. This study examined the level of access and challenges faced by learners in science oriented programmes offered by distance in the Kwame Nkrumah University of…

  7. Language-Learner Strategy Instruction and English Achievement: Voices from Ghana

    ERIC Educational Resources Information Center

    Agor, John T.

    2014-01-01

    This paper presents the results of a one-year longitudinal study which sought to investigate the effect that strategy instruction may have on English language achievement. Two classes of junior high school students at Madina in Ghana were involved in an experiment. The experimental class was taught various language-learner strategies both…

  8. First Report of Soybean Rust Caused by Phakopsora pachyrhizi in Ghana

    Technology Transfer Automated Retrieval System (TEKTRAN)

    Nigeria is the only country in West Africa where soybean rust, caused by Phakopsora pachyrhizi has been officially reported (1). During a disease survey in Ghana in October 2006, soybean (Glycine max) leaves with rust symptoms (tan, angular lesions with erumpent sori exuding urediniospores) were ob...

  9. Determinants of Psychological Help-Seeking Intentions of University Students in Ghana

    ERIC Educational Resources Information Center

    Andoh-Arthur, Johnny; Oppong Asante, Kwaku; Osafo, Joseph

    2015-01-01

    Non-utilization of mental health resources is a well-documented problem among adolescents and young adults. However, little is known about the psychological help-seeking intentions of young adults in Ghana. The aim of this study was to examine the predictors of psychological help-seeking intentions among university students in Accra, Ghana…

  10. Language Policy and Instructional Practice Dichotomy: The Case of Primary Schools in Ghana

    ERIC Educational Resources Information Center

    Davis, Ernest; Agbenyega, Joseph S.

    2012-01-01

    "Clear grounding in a location gives us the confidence to engage with knowledge from other locations as we deconstruct and reconstruct them with our purposes" (Canagarajah, 2005, p. 15). This quote serves the basis of what this paper presents on language policy and pedagogical practices in Ghana. Language plays an important role in pedagogy, it is…

  11. Implementation of Innovations in Higher Education: The Case of Competency-Based Training in Ghana

    ERIC Educational Resources Information Center

    Boahin, Peter; Hofman, W. H. Adriaan

    2012-01-01

    A notable trend in recent years has been the introduction of competency-based training (CBT) in vocational education and training systems in many countries. Several CBT training programmes in Ghana have been accredited and quality assured. This article explores the perception of both students and lecturers towards CBT and examines factors that…

  12. Electronic Waste is a Mess: Awareness and Proenvironmental Behavior among University Students in Ghana

    ERIC Educational Resources Information Center

    Edumadze, John K. E.; Tenkorang, Eric Y.; Armah, Frederick A.; Luginaah, Isaac; Edumadze, Gladys E.

    2013-01-01

    E-waste contains hazardous chemicals and materials that threaten the environment and human health, when improperly disposed. This study examined levels of awareness of e-waste disposal among university students in Ghana, and their proenvironmental decision-making using two outcome variables: "knowledge on environmental impact and policy…

  13. Above ground biomass and tree species richness estimation with airborne lidar in tropical Ghana forests

    NASA Astrophysics Data System (ADS)

    Vaglio Laurin, Gaia; Puletti, Nicola; Chen, Qi; Corona, Piermaria; Papale, Dario; Valentini, Riccardo

    2016-10-01

    Estimates of forest aboveground biomass are fundamental for carbon monitoring and accounting; delivering information at very high spatial resolution is especially valuable for local management, conservation and selective logging purposes. In tropical areas, hosting large biomass and biodiversity resources which are often threatened by unsustainable anthropogenic pressures, frequent forest resources monitoring is needed. Lidar is a powerful tool to estimate aboveground biomass at fine resolution; however its application in tropical forests has been limited, with high variability in the accuracy of results. Lidar pulses scan the forest vertical profile, and can provide structure information which is also linked to biodiversity. In the last decade the remote sensing of biodiversity has received great attention, but few studies focused on the use of lidar for assessing tree species richness in tropical forests. This research aims at estimating aboveground biomass and tree species richness using discrete return airborne lidar in Ghana forests. We tested an advanced statistical technique, Multivariate Adaptive Regression Splines (MARS), which does not require assumptions on data distribution or on the relationships between variables, being suitable for studying ecological variables. We compared the MARS regression results with those obtained by multilinear regression and found that both algorithms were effective, but MARS provided higher accuracy either for biomass (R2 = 0.72) and species richness (R2 = 0.64). We also noted strong correlation between biodiversity and biomass field values. Even if the forest areas under analysis are limited in extent and represent peculiar ecosystems, the preliminary indications produced by our study suggest that instrument such as lidar, specifically useful for pinpointing forest structure, can also be exploited as a support for tree species richness assessment.

  14. A multivariate statistical analysis of surface water chemistry data--the Ankobra Basin, Ghana.

    PubMed

    Yidana, Sandow M; Ophori, Duke; Banoeng-Yakubo, Bruce

    2008-01-01

    R-mode hierarchical cluster and principal component analysis (PCA) were simultaneously applied to surface water hydrochemical data from three different locations, Ankwaso, Dominase and Prestea, along the Ankobra Basin, Ghana, to extract principal factors corresponding to the different sources of variation in the hydrochemistry, with the objective of defining the main controls on the hydrochemistry at the basin scale. Using the Kaiser criterion, principal components (PC) were extracted from the data and rotated using varimax normalization, for each location. The varimax rotation ensured that variation in the data was maximized for easy interpretation of the results. The analysis reduced 30, 33 and 33 data points, respectively, for Ankwaso, Dominase and Prestea to four, three and four PC representing the sources of variation in the hydrochemistry at the three different locations. Though the PC analysis proved to be more robust at unveiling the sources of variation in the hydrochemistry than the R-mode hierarchical cluster analysis (HCA), the combined use of both techniques resulted in more reliable interpretations of the hydrochemistry. On the basis of these analyses, the hydrochemistry of the basin is controlled largely by the weathering of minerals (silicates, carbonates, gypsum and apatite) from the underlying meta-sediments of the Birimian and Tarkwaian Systems, and the decay of organic matter from the heavily forested regions. Concentrations of the major chemical parameters are within naturally acceptable limits and do not pose threats to the local ecology and humans. There is no strong evidence of high anthropogenic impacts on the major anions and cations used for this research, though there are variations at the different locations studied. The hydrochemistry at Ankwaso is principally controlled by the weathering of silicate minerals, whereas those of Dominase and Prestea are, respectively, influenced by precipitation and domestic wastewaters, and the decay of

  15. Tobacco use in older adults in Ghana: sociodemographic characteristics, health risks and subjective wellbeing

    PubMed Central

    2013-01-01

    Background Tobacco use over the life-course threatens to increase disease burden in older adulthood, including lower income countries like Ghana. This paper describes demographic, socioeconomic, health risks and life satisfaction indices related to tobacco use among older adults in Ghana. Methods This work was based on the World Health Organization’s multi-country Study on global AGEing and adult health (SAGE), conducted in six countries including Ghana. Wave one of SAGE in Ghana was conducted in 2007-2008 as collaboration between WHO and the University of Ghana Medical School through the Department of Community Health. A nationally representative sample of 4305 older adults aged 50 years and above were interviewed. Associations between tobacco consumption and sociodemographic, socioeconomic, health risk and life satisfaction were evaluated using chi-square and odds ratio (OR). Logistic regression analyses, adjusted for age, sex and other variables, were conducted to determine predictors of tobacco consumption in older persons. Results Overall prevalence of current daily smokers among older adults in Ghana was 7.6%. Tobacco use (i.e. ever used tobacco) was associated with older males, (AOR = 1.10, CI 1.05-1.15), older adults residing in rural locations (AOR = 1.37, CI 1.083-1.724), and older adults who used alcohol (AOR = 1.13, CI 0.230-2.418). Tobacco use was also associated (although not statistically significant per p-values) with increased self-reporting of angina, arthritis, asthma, chronic lung disease, depression, diabetes, hypertension, and stroke. Older adults who used tobacco and with increased health risks, tended to be without health insurance (AOR = 1.41, CI 1.111-1.787). Satisfaction with life and daily living was much lower for those who use tobacco. Regional differences existed in tobacco use; the three northern regions (Upper East, Northern and Upper West) had higher proportions of tobacco use among older adults in the country

  16. Groundwater Quality Assessment in the Upper East Region of Ghana

    NASA Astrophysics Data System (ADS)

    Apambire, W. B.

    2001-05-01

    In Ghana, West Africa, fluoride occurs as a natural pollutant in some groundwaters, while the presence of isolated high levels of nitrate and arsenic in groundwater is due to human activities such as poor sanitation, garbage disposal and mining practices. The challenge for Ghana is to ensure that groundwater quality and environmental adversities such as water level decline are not compromised by attempts to increase water quantity. Concentrations of groundwater fluoride in the study area range from 0.11 to 4.60 mg/L, with the highest concentrations found in the fluorine-enriched Bongo granitoids. Eighty-five out of 400 wells sampled have fluoride concentrations above the World Health Organization maximum guideline value of 1.5 mg/L and thus causes dental fluorosis in children drinking from the wells. The distribution of fluoride in groundwater is highly related to the distribution of dental fluorosis in the UER. Nitrate concentrations ranged from 0.03 to 211.00 mg/L and the mean value was 16.11 mg/L. Twenty-one samples had concentrations in excess of the guideline value of 45 mg/L. Consumption of water in excess of the guideline value, by infants, may cause an infantile disease known as methaemoglobinaemia. It is inferred that groundwaters with exceptionally high NO3 values have been contaminated principally through human activities such as farming and waste disposal. This is because wells with high nitrate concentrations are all located in and around towns and sizable villages. Also, there is good correlation between Cl and NO3 (r = +0.74), suggesting that both elements come from the same sources of pollution. Only two well waters had concentrations of iron in excess of the guideline value of 0.3 mg/L. These samples come from shallow hand-dug wells. The maximum concentration of iron in groundwaters is 3.5 mg/L. The recommended guideline limit for Al in drinking water is 0.2 mg/L; two wells had Al concentrations of 12.0 and 4.0 mg/L, respectively. Other high

  17. Mapping Irrigation Potential in the Upper East Region of Ghana

    NASA Astrophysics Data System (ADS)

    Akomeah, E.; Odai, S. N.; Annor, F. O.; Adjei, K. A.; Barry, B.

    2009-04-01

    The Upper East Region together with the other two regions in Northern Ghana (Upper West and Northern Region) is seen as the locus of perennial food deficit (GPRS, 2003). Despite, the provision of over 200 small scale dams and various mechanisms aimed at poverty alleviation, the region is still plagued with poverty and yearly food shortages. To achieve food security and alleviate poverty in the region however, modernization of agriculture through irrigation is deemed inevitable. While it is true that considerable potential still exists for future expansion of irrigation, it cannot be refuted that water is becoming scarcer in the regions where the need for irrigation is most important, hence mapping the irrigation potential of the region will be the first step toward ensuring sound planning and sustainability of the irrigation developments. In this study, an attempt has been made to map out the irrigation potential of the Upper East Region. The river basin approach was used in assessing the irrigation potential. The catchments drained by The White Volta river, Red volta river, River Sissili and River Kulpawn were considered in the assessment. The irrigation potential for the sub basins was computed by combining information on gross irrigation water requirements for the selected cash crops, area of soil suitable for irrigation and available water resources. The capacity of 80%, 70%, 60% and 50% time of exceedance flow of the available surface water resources in the respective sub basins was estimated. The area that can be irrigated with this flow was computed with selected cropping pattern. Combining the results of the potential irrigable areas and the land use map of the respective sub basins, an irrigation potential map has been generated showing potential sites in the upper east region that can be brought under irrigation. Keywords: Irrigation potential, irrigation water requirement, land evaluation, dependable flow

  18. Source tracking Mycobacterium ulcerans infections in the Ashanti region, Ghana.

    PubMed

    Narh, Charles A; Mosi, Lydia; Quaye, Charles; Dassi, Christelle; Konan, Daniele O; Tay, Samuel C K; de Souza, Dziedzom K; Boakye, Daniel A; Bonfoh, Bassirou

    2015-01-01

    Although several studies have associated Mycobacterium ulcerans (MU) infection, Buruli ulcer (BU), with slow moving water bodies, there is still no definite mode of transmission. Ecological and transmission studies suggest Variable Number Tandem Repeat (VNTR) typing as a useful tool to differentiate MU strains from other Mycolactone Producing Mycobacteria (MPM). Deciphering the genetic relatedness of clinical and environmental isolates is seminal to determining reservoirs, vectors and transmission routes. In this study, we attempted to source-track MU infections to specific water bodies by matching VNTR profiles of MU in human samples to those in the environment. Environmental samples were collected from 10 water bodies in four BU endemic communities in the Ashanti region, Ghana. Four VNTR loci in MU Agy99 genome, were used to genotype environmental MU ecovars, and those from 14 confirmed BU patients within the same study area. Length polymorphism was confirmed with sequencing. MU was present in the 3 different types of water bodies, but significantly higher in biofilm samples. Four MU genotypes, designated W, X, Y and Z, were typed in both human and environmental samples. Other reported genotypes were only found in water bodies. Animal trapping identified 1 mouse with lesion characteristic of BU, which was confirmed as MU infection. Our findings suggest that patients may have been infected from community associated water bodies. Further, we present evidence that small mammals within endemic communities could be susceptible to MU infections. M. ulcerans transmission could involve several routes where humans have contact with risk environments, which may be further compounded by water bodies acting as vehicles for disseminating strains.

  19. Environmental flows in the context of small reservoirs in Ghana

    NASA Astrophysics Data System (ADS)

    Gao, Y.; Kirshen, P.; Vogel, R.; Walker, P.

    2009-04-01

    Modification of rivers by dams reduces the magnitude and frequency of floods, and impacts the entire flow regime. In many cases, these modifications have adversely affected the ecological and hydrological integrity of the watershed as well as impacting food security and livelihood choices of the local community. There is now an increasing consensus that modification to river flows needs to be balanced with maintenance of essential water-dependent ecological services. Many small multi-purpose reservoirs have been built in West Africa, where rainfall is highly variable, and droughts and flash floods are frequent. These small reservoirs are an important source of water for domestic use, livestock watering, small-scale irrigation and other beneficial uses in rural communities. The small reservoirs are hydrologically linked by their associated stream network. The reservoirs alter the hydrology of the streams and the groundwater resources within the region. When an individual reservoir is considered, alteration to the entire watershed is usually not significant. However, when considered as a system, together the small reservoirs store a significant quantity of water and influence downstream flows. The small reservoirs have rarely been considered as a system, thus little consideration has been given to their collective impact on the natural environment and livelihoods of the local population in the long term. Furthermore, the impact is difficult to quantify given the diffuse nature of the small reservoirs. Therefore, a comprehensive environmental flow assessment is needed to investigate the effect of the small reservoirs as a system on the watershed, and appropriate water policy should be formulated to implement the finding from the assessment. Our project is specifically aimed at addressing this topic. We will present a case study conducted in the Upper East Region of Ghana and will discuss the findings on the hydrological, ecological and socio-economic implications of

  20. Understanding the continuum of maternal morbidity in Accra, Ghana.

    PubMed

    Tunçalp, Ozge; Hindin, Michelle J; Adu-Bonsaffoh, Kwame; Adanu, Richard M

    2014-09-01

    The objective was to determine the levels of maternal morbidity from no complications to near miss and describe factors associated with different levels of morbidity. We conducted an observational study of all women delivering at a tertiary hospital in Accra, Ghana between October 2010 and March 2011. We examined the factors associated with the continuum of maternal outcomes in terms of severity using multinomial logistic regression. Data were extracted from women's maternal care files with the main outcome measures of no complications, non-life threatening complications, potentially life-threatening conditions (PLTC), and near miss as defined by World Health Organization. Our study includes 1,586 women with no complications, 1,205 women with non-life threatening complications, 516 women with PLTC, and 94 near-miss cases. All of the factors associated with PLTC and near-miss cases were similar. None of the socio-demographic variables remained significant in the multivariate analysis comparing different levels of severe morbidity with no complications. Women with no complications shared similar characteristics with women who experienced non-life threatening complications. As compared to women who had no complications, women who had severe morbidity were significantly more likely to have had no antenatal care. Our results underline the concept that morbidity is a continuum and indicate that if the underlying causes of poor maternal health outcomes are addressed, it is likely that changes such as better access to antenatal care will improve health outcomes across the continuum of morbidity. However, by only monitoring near-miss cases and mortality, we underestimate the impact on women who will live with non-life threatening, yet serious maternal morbidities.

  1. Arterial Stiffness in Nonhypertensive Type 2 Diabetes Patients in Ghana

    PubMed Central

    Antwi, Daniel A.; Gyan, Ben

    2016-01-01

    Background. Increased arterial stiffness is an independent cardiovascular risk factor in diabetes patients and general population. However, the contribution of diabetes to arterial stiffness is often masked by coexistent obesity and hypertension. In this study, we assessed arterial stiffness in nonhypertensive, nonobese type 2 diabetes (T2DM) patients in Ghana. Methods. In case-control design, 166 nonhypertensive, nonobese participants, comprising 96 T2DM patients and 70 nondiabetes controls, were recruited. Peripheral and central blood pressure (BP) indices were measured, and arterial stiffness was assessed as aortic pulse wave velocity (PWVao), augmentation index (AIx), cardioankle vascular index (CAVI), and heart-ankle pulse wave velocity (haPWV). Results. With similar peripheral and central BP indices, T2DM patients had higher PWVao (8.3 ± 1 versus 7.8 ± 1.3, p = 0.044) and CAVI (7.9 ± 1.2 versus 6.9 ± 0.7, p = 0.021) than nondiabetic control. AIx and haPWV were similar between T2DM and nondiabetic controls. Multiple regression models showed that, in the entire study participants, the major determinants of PWVao were diabetes status, age, gender, systolic BP, and previous smoking status (β = 0.22, 0.36, 0.48, 0.21, and 0.25, resp.; all p < 0.05); the determinants of CAVI were diabetes status, age, BMI, heart rate, HbA1c, total cholesterol, HDL cholesterol, and previous smoking status (β = 0.21, 0.38, 0.2, 0.18, 0.24. 0.2, −0.19, and 0.2, resp.; all p < 0.05). Conclusion. Our findings suggest that nonhypertensive, nonobese T2DM patients have increased arterial stiffness without appreciable increase in peripheral and central pressure indices. PMID:27774104

  2. Pesticide and pathogen contamination of vegetables in Ghana's urban markets.

    PubMed

    Amoah, P; Drechsel, P; Abaidoo, R C; Ntow, W J

    2006-01-01

    The objective of the study was to determine and compare the current level of exposure of the Ghanaian urban population to hazardous pesticide and fecal coliform contamination through the consumption of fresh vegetables produced in intensive urban and periurban smallholder agriculture with informal wastewater irrigation. A total of 180 vegetable samples (lettuce, cabbage, and spring onion) were randomly collected under normal purchase conditions from 9 major markets and 12 specialized selling points in 3 major Ghanaian cities: Accra, Kumasi and Tamale. The samples were analyzed for pesticide residue on lettuce leaves, total and fecal coliforms, and helminth egg counts on all three vegetables. Chlopyrifos (Dursban) was detected on 78% of the lettuce, lindane (Gamalin 20) on 31%, endosulfan (Thiodan) on 36%, lambda-cyhalothrin (Karate) on 11%, and dichloro-diphenyl-trichloroethane on 33%. Most of the residues recorded exceeded the maximum residue limit for consumption. Vegetables from all 3 cities were fecally contaminated and carried fecal coliform populations with geometric mean values ranging from 4.0 x 10(3) to 9.3 x 10(8) g(-1) wet weight and exceeded recommended standards. Lettuce, cabbage, and spring onion also carried an average of 1.1, 0.4, and 2.7 helminth eggs g(-1), respectively. The eggs were identified as those of Ascaris lumbricoides, Ancylostoma duodenale, Schistosoma heamatobium, and Trichuris trichiura. Because many vegetables are consumed fresh or only slightly cooked, the study shows that intensive vegetable production, common in Ghana and its neighboring countries, threatens public health from the microbiologic and pesticide dimensions. Standard recommendations to address this situation (better legislations, law enforcement, or integrated pest management) often do not match the capabilities of farmers and authorities. The most appropriate entry point for risk decrease that also addresses postharvest contamination is washing vegetables before food

  3. Alluvial Diamond Resource Potential and Production Capacity Assessment of Ghana

    USGS Publications Warehouse

    Chirico, Peter G.; Malpeli, Katherine C.; Anum, Solomon; Phillips, Emily C.

    2010-01-01

    In May of 2000, a meeting was convened in Kimberley, South Africa, and attended by representatives of the diamond industry and leaders of African governments to develop a certification process intended to assure that rough, exported diamonds were free of conflictual concerns. This meeting was supported later in 2000 by the United Nations in a resolution adopted by the General Assembly. By 2002, the Kimberley Process Certification Scheme (KPCS) was ratified and signed by both diamond-producing and diamond-importing countries. Over 70 countries were included as members at the end of 2007. To prevent trade in 'conflict' diamonds while protecting legitimate trade, the KPCS requires that each country set up an internal system of controls to prevent conflict diamonds from entering any imported or exported shipments of rough diamonds. Every diamond or diamond shipment must be accompanied by a Kimberley Process (KP) certificate and be contained in tamper-proof packaging. The objective of this study was to assess the alluvial diamond resource endowment and current production capacity of the alluvial diamond-mining sector in Ghana. A modified volume and grade methodology was used to estimate the remaining diamond reserves within the Birim and Bonsa diamond fields. The production capacity of the sector was estimated using a formulaic expression of the number of workers reported in the sector, their productivity, and the average grade of deposits mined. This study estimates that there are approximately 91,600,000 carats of alluvial diamonds remaining in both the Birim and Bonsa diamond fields: 89,000,000 carats in the Birim and 2,600,000 carats in the Bonsa. Production capacity is calculated to be 765,000 carats per year, based on the formula used and available data on the number of workers and worker productivity. Annual production is highly dependent on the international diamond market and prices, the numbers of seasonal workers actively mining in the sector, and

  4. International parental migration and the psychological well-being of children in Ghana, Nigeria, and Angola.

    PubMed

    Mazzucato, Valentina; Cebotari, Victor; Veale, Angela; White, Allen; Grassi, Marzia; Vivet, Jeanne

    2015-05-01

    When parents migrate, leaving their children in the origin country, transnational families are formed. Transnational family studies on children who are "left behind" indicate that children suffer psychologically from parental migration. Many of the factors identified as affecting children's responses to parental migration however are not considered in child psychology and family sociology studies. This study aims to bridge these areas of knowledge by quantitatively investigating the association between transnational families and children's psychological well-being. It analyzes a survey conducted in three African countries in 2010-11 (Ghana N = 2760; Angola N = 2243; Nigeria N = 2168) amongst pupils of secondary schools. The study compares children in transnational families to those living with their parents in their country of origin. Children's psychological well-being is measured through the Strengths and Difficulties Questionnaire. Multiple regression analyses reveal that children in transnational families fare worse than their counterparts living with both parents but not in Ghana where living conditions mediate this relationship. This paper also looks at four characteristics of transnational families and finds that specific characteristics of transnational families and country contexts matter: (1) changing caregivers is associated with poorer well-being in all countries; (2) which parent migrates does not make a difference in Ghana, when mothers migrate and fathers are caregivers results in poorer well-being in Nigeria, and both mother's and father's migration result in worse outcomes in Angola; (3) the kin relationship of the caregiver is not associated with poorer well-being in Ghana and Nigeria but is in Angola; (4) children with parents who migrate internationally do not show different results than children whose parents migrate nationally in Ghana and Nigeria but in Angola international parental migration is associated with poorer psychological well

  5. Costs of near-miss obstetric complications for women and their families in Benin and Ghana.

    PubMed

    Borghi, J; Hanson, K; Acquah, C Adjei; Ekanmian, G; Filippi, V; Ronsmans, C; Brugha, R; Browne, E; Alihonou, Eusebe

    2003-12-01

    This paper estimates the total cost to women and their families associated with a spontaneous vaginal delivery and five types of 'near-miss' obstetric complication in Benin and Ghana, and assesses affordability in relation to household cash expenditure. A retrospective evaluation of costs was carried out among 121 mothers in three hospitals in Ghana. A prospective evaluation of costs was undertaken among 420 pregnant women in two hospitals in Benin. Information was collected on the cost of travel to the facilities and of direct medical and non-medical costs incurred during their stay in hospital. In Benin, costs ranged from an average of 15 US dollars for a spontaneous delivery to 256 US dollars for a near-miss complication caused by dystocia. In Ghana, average costs ranged from 18 US dollars for a spontaneous vaginal delivery to 115 US dollars for a near-miss complication caused by haemorrhage. Medical costs accounted for the largest share of total costs, mainly drugs and medical supplies in Ghana and costs of the delivery and any surgical intervention in Benin. Payments associated with a spontaneous vaginal delivery amounted to at least 2% of annual household cash expenditure in both countries. In the case of severe obstetric complications, costs incurred reached a high of 34% of annual household cash expenditure in Benin. The economic burden of hospital-based delivery care in Ghana and Benin is likely to deter or delay women's use of health services. Should a woman develop severe obstetric complications while in labour, the relatively high costs of hospital care could have a potentially catastrophic impact on the household budget.

  6. Ghana's education reform 2007: A realistic proposition or a crisis of vision?

    NASA Astrophysics Data System (ADS)

    Kuyini, Ahmed Bawa

    2013-07-01

    Ghana's recent "Education Reform 2007" envisions a system that strives to achieve both domestic and internationally-oriented goals emanating (1) from the Education for All (EFA) initiative, (2) from the UN Convention on the Rights of the Child and (3) from global trends in education. Emboldened by the implementation of foreign-donor-funded programmes such as EFA, the restructuring of the Ghana Education Sector Project (EdSeP) and the Science Resource Centres (SRC) project, both the education reform of 2007 and recent educational policy debates have reiterated the need to emphasise the teaching of science and information and communication technology to make Ghana's students/graduates more competitive in the global labour market. However, the bulk of Ghana's economic activity actually remains domestic or unglobalised. And given a weak economy and declining social spending due to strict adherence to the prescribed structural adjustment policies of the International Monetary Fund (IMF) and the World Bank (WB), there is concern that a focus on international competitiveness may be a crisis of vision. On the basis of the Ghanaian government's failure to meet the stated goals of previous reforms such as that of 1974, and the education system's continuing dependence on foreign donor support, this paper argues that the goals of the new reform may be unachievable on a sustainable basis. It also argues that rather than subjugate national domestic priorities to a mirage of international credibility/competitiveness, Ghana should concentrate on capacitating her students/graduates to make maximum impact at domestic and local community levels.

  7. Next-Generation Sequencing Reveals Frequent Opportunities for Exposure to Hepatitis C Virus in Ghana

    PubMed Central

    Phillips, Richard O.; Mora, Nallely; Xia, Guo-liang; Campo, David S.; Purdy, Michael A.; Dimitrova, Zoya E.; Owusu, Dorcas O.; Punkova, Lili T.; Skums, Pavel; Owusu-Ofori, Shirley; Sarfo, Fred Stephen; Vaughan, Gilberto; Roh, Hajung; Opare-Sem, Ohene K.; Cooper, Richard S.; Khudyakov, Yury E.

    2015-01-01

    Globally, hepatitis C Virus (HCV) infection is responsible for a large proportion of persons with liver disease, including cancer. The infection is highly prevalent in sub-Saharan Africa. West Africa was identified as a geographic origin of two HCV genotypes. However, little is known about the genetic composition of HCV populations in many countries of the region. Using conventional and next-generation sequencing (NGS), we identified and genetically characterized 65 HCV strains circulating among HCV-positive blood donors in Kumasi, Ghana. Phylogenetic analysis using consensus sequences derived from 3 genomic regions of the HCV genome, 5'-untranslated region, hypervariable region 1 (HVR1) and NS5B gene, consistently classified the HCV variants (n = 65) into genotypes 1 (HCV-1, 15%) and genotype 2 (HCV-2, 85%). The Ghanaian and West African HCV-2 NS5B sequences were found completely intermixed in the phylogenetic tree, indicating a substantial genetic heterogeneity of HCV-2 in Ghana. Analysis of HVR1 sequences from intra-host HCV variants obtained by NGS showed that three donors were infected with >1 HCV strain, including infections with 2 genotypes. Two other donors share an HCV strain, indicating HCV transmission between them. The HCV-2 strain sampled from one donor was replaced with another HCV-2 strain after only 2 months of observation, indicating rapid strain switching. Bayesian analysis estimated that the HCV-2 strains in Ghana were expanding since the 16th century. The blood donors in Kumasi, Ghana, are infected with a very heterogeneous HCV population of HCV-1 and HCV-2, with HCV-2 being prevalent. The detection of three cases of co- or super-infections and transmission linkage between 2 cases suggests frequent opportunities for HCV exposure among the blood donors and is consistent with the reported high HCV prevalence. The conditions for effective HCV-2 transmission existed for ~ 3–4 centuries, indicating a long epidemic history of HCV-2 in Ghana. PMID

  8. Vibrio cholerae O1 lineages driving cholera outbreaks during seventh cholera pandemic in Ghana.

    PubMed

    Thompson, Cristiane C; Freitas, Fernanda S; Marin, Michel A; Fonseca, Erica L; Okeke, Iruka N; Vicente, Ana Carolina P

    2011-12-01

    In recent years, the frequency of cholera epidemics across Africa has increased significantly with thousands of people dying each year. However, there still exists a lack of information concerning the Vibrio cholerae O1 lineages driving early and contemporary epidemics since the seventh cholera pandemic started in the continent. This compromises the understanding of the forces determining the epidemiology of cholera in Africa and its control. This study aimed to analyze a collection of V. cholerae O1 strains from the beginning of the seventh cholera pandemic in Ghana and to compare them with recent isolates to understand the evolution of the cholera epidemic in Ghana. V. cholerae O1 strains were characterized by means of Multilocus Sequence Analysis (MLSA), genes from the virulence core genome (VCG), and genes related to the choleragenic phenotype. Our results revealed two major clusters of Ghanaian V. cholerae O1 strains, El Tor and Amazonia/Ghana. Concerning the virulence genes, all strains harbored the set of VCG and most were positive for VSP-II genomic island. The ctxB gene of the contemporary strains was characterized as Altered El Tor. The strains from 1970 to 1980 were susceptible to all antibiotics tested, except for the Amazonia/Ghana cluster that was resistant to aminoglycosides and carried the class 2 integron with the sat2-aadA1 arrangement. This study showed that distinct V. cholerae O1 were the determinants of cholera outbreaks in Ghana. Thus, in endemic regions, such as Africa, cholera can be caused by various V. cholerae O1 genotypes. PMID:21896336

  9. A retrospective content analysis of studies on factors constraining the implementation of health sector reform in Ghana.

    PubMed

    Sakyi, E Kojo

    2008-01-01

    Ghana has undertaken many public service management reforms in the past two decades. But the implementation of the reforms has been constrained by many factors. This paper undertakes a retrospective study of research works on the challenges to the implementation of reforms in the public health sector. It points out that most of the studies identified: (1) centralised, weak and fragmented management system; (2) poor implementation strategy; (3) lack of motivation; (4) weak institutional framework; (5) lack of financial and human resources and (6) staff attitude and behaviour as the major causes of ineffective reform implementation. The analysis further revealed that quite a number of crucial factors obstructing reform implementation which are particularly internal to the health system have either not been thoroughly studied or overlooked. The analysis identified lack of leadership; weak communication and consultation; lack of stakeholder participation, corruption and unethical professional behaviour as some of the missing variables in the literature. The study, therefore, indicated that there are gaps in the literature that needed to be filled through rigorous reform evaluation based on empirical research particularly at district, sub-district and community levels. It further suggested that future research should be concerned with the effects of both systems and structures and behavioural factors on reform implementation.

  10. Barriers to Accessing Emergency Medical Services in Accra, Ghana: Development of a Survey Instrument and Initial Application in Ghana

    PubMed Central

    Mould-Millman, Nee-Kofi; Rominski, Sarah D; Bogus, Joshua; Ginde, Adit A; Zakariah, Ahmed N; Boatemaah, Christiana A; Yancey, Arthur H; Akoriyea, Samuel Kaba; Campbell, Thomas B

    2015-01-01

    Background: Emergency medical services (EMS) systems provide professional prehospital emergency medical care and transportation to help improve outcomes from emergency conditions. Ghana’s national ambulance service has relatively low public utilization in comparison with the large burden of acute disease. Methods: A survey instrument was developed using Pechansky and Thomas’s model of access covering 5 dimensions of availability, accessibility, accommodation, affordability, and acceptability. The instrument was used in a cross-sectional survey in 2013 in Accra, Ghana; eligible participants were those 18 years and older who spoke English, French, or Twi. Although the analysis was mainly descriptive, logistic regression was used to identify factors associated with reported intention to call for an ambulance in the case of a medical emergency. Results: 468 participants completed surveys, with a response rate of 78.4%. Few (4.5%) respondents had ever used an ambulance in prior emergency situations. A substantial proportion (43.8%) knew about the public access medical emergency telephone number, but of those only 37.1% knew it was a toll-free call. Most (54.7%) respondents believed EMTs offered high-quality care, but 78.0% believed taxis were faster than ambulances and 69.2% thought the number of ambulances in Accra insufficient. Many (23.4%) thought using ambulances to transport corpses would be appropriate. In two hypothetical emergency scenarios, respondents most commonly reported taxis as the preferred transportation (63.6% if a family member were burned in a house fire, 64.7% if a pedestrian were struck by a vehicle). About 1 in 5 respondents said they would call an ambulance in either scenario (20.7% if a family member were burned in a house fire, 23.3% if a pedestrian were struck by a vehicle) while 15.5% and 10.2%, respectively, would use any available vehicle. Those aged 18–35 years were more likely than older respondents to prefer an ambulance (odds

  11. Cultural imperatives and the ethics of verbal autopsies in rural Ghana

    PubMed Central

    Aborigo, Raymond A.; Allotey, Pascale; Tindana, Paulina; Azongo, Daniel; Debpuur, Cornelius

    2013-01-01

    Background Due to a paucity of statistics from vital registration systems in developing countries, the verbal autopsy (VA) approach has been used to obtain cause-specific mortality data by interviewing lay respondents on the signs and symptoms experienced by the deceased prior to death. In societies where the culture of mourning is adhered to, the use of VA could clash with traditional norms, thus warranting ethical consideration by researchers. Objective The study was designed to explore the ethics and cultural context of collecting VA information through a demographic and health surveillance system in the Kassena-Nankana District (KND) of Ghana. Study Design Data were collected through qualitative in-depth interviews (IDIs) with four field staff involved in the routine conduct of VAs, four physicians who code VAs, 20 selected respondents to the VA tool, and eight opinion leaders in the KND. The interviews were supplemented with observation by the researchers and with the field notes of field workers. Interviews were audio-recorded, and local language versions transcribed into English. Thematic analysis was performed using QSR NVivo 8 software. Results The data indicate that cultural sensitivities in VA procedures at both the individual and family levels need greater consideration not only for ethical reasons but also to ensure the quality of the data. Discussions of some deaths are culturally prohibited and therefore lead to refusal of interviews. Families were also concerned about the confidentiality of information because of the potential of blame for the death. VA teams do not necessarily engage in culturally appropriate bereavement practices such as the presentation of tokens. The desire by families for feedback on the cause of death, which is currently not provided by researchers, was frequently expressed. Finally, no standard exists on the culturally acceptable time interval between death and VA interviews. Conclusion Ethical issues need to be given greater

  12. Grandmothers as gatekeepers? The role of grandmothers in influencing health-seeking for mothers and newborns in rural northern Ghana.

    PubMed

    Gupta, Mira L; Aborigo, Raymond Akawire; Adongo, Philip Baba; Rominski, Sarah; Hodgson, Abraham; Engmann, Cyril M; Moyer, Cheryl A

    2015-10-01

    Previous research suggests that care-seeking in rural northern Ghana is often governed by a woman's husband or compound head. This study was designed to explore the role grandmothers (typically a woman's mother-in-law) play in influencing maternal and newborn healthcare decisions. In-depth interviews were conducted with 35 mothers of newborns, 8 traditional birth attendants and local healers, 16 community leaders and 13 healthcare practitioners. An additional 18 focus groups were conducted with stakeholders such as household heads, compound leaders and grandmothers. In this region, grandmothers play many roles. They may act as primary support providers to pregnant mothers, care for newborns following delivery, preserve cultural traditions and serve as repositories of knowledge on local medicine. Grandmothers may also serve as gatekeepers for health-seeking behaviour, especially with regard to their daughters and daughters-in-law. This research also sheds light on the potential gap between health education campaigns that target mothers as autonomous decision-makers, and the reality of a more collectivist community structure in which mothers rarely make such decisions without the support of other community members.

  13. Cohort shifts in the timing of births in Ghana.

    PubMed

    Oheneba-sakyi, Y

    1989-01-01

    A comparison of cohorts of ever-married Chanaian women suggests evidence of a fertility transition beginning among younger women and select subgroups. Ghana's crude birth rate declined from a high of 50/1000 population in 1970 to 38.8/1000 in 1985. To ascertain whether marital fertility is now being controlled through conscious attempts to lengthen birth intervals, World Fertility Survey data from 1979-80 on the timing of births among different birth cohorts were analyzed. It was hypothesized that, as a result of the influence of Western values that stress independence from parents and the introduction of compulsory education, cohorts of the mid-1950s and 1960s would be more likely to postpone childbearing, more active in the modern sector of the economy, and more accepting of modern contraceptive usage for birth spacing than women in the 1930-39, 1940-49, and 1950-59 cohorts. For the 1940-49 cohort, it took 10.8 months for 25% to have a birth following 1st marriage, 18.7 months for 50% to have a 1st birth, and 27.4 months for 75% to complete this step. By comparison, these figures for the 1955-64 birth cohort were 9.9, 16.7, and 20.5 months, respectively. The significantly shorter (p 0.01) interval between marriage and 1st birth found among younger women in part reflects rising age at marriage; mean age at 1st marriage was 17.9 years for the 1940 cohort and 21.6 years for the most recent cohort. After the birth of the 1st child, recent cohorts were more likely to wait longer for the 2nd birth. For women born in 1950-64, it took 21.8, 36.7, and 44.6 months for 25%, 50%, and 75%, respectively, to reach parity 2. This pattern of lengthened birth interval beyond the 1st birth was apparent at all parities in the youngest cohort and indicates increasing acceptance of contraception among those who have come of age during a period of rapid social change.

  14. Causes of infertility among 1000 patients in Ghana.

    PubMed

    Fiander, A

    1990-07-01

    Infertility is a serious problem in Africa; affecting large number of women and causing much suffering. To address this problem an infertility clinic was opened in an isolated District General Hospital in Ghana. Statistics were kept over an 18-month period to identify the numbers of patients involved and the main cause of infertility. 1000 patients were registered during the course of twice-weekly clinics over 18 months. 118 patients (11.8%) became pregnant during this time and in 482 (48.2%) others a definite diagnosis was reached. The remaining patients were still under investigation or lost to follow-up at the end of the study period. Of the 118 pregnancies 40% had suffered from primary and 60% from secondary infertility. The duration of infertility ranged from 1 to 10 years. As expected the "successful" patients tended to be young (65% under 25 years) and to have had subfertility of limited duration (77% 4 years). 113 patients had evidence of tubal damage (43% primary and 57% secondary infertility), 63% had a history of pelvic inflammatory disease and 37% had a history of abdominal or pelvic surgery. 219 male partners were subfertile: 38% were azoospermic; 33% severely oligospermic ( 5 x 10 to the 6th power/ml); 29% moderately oligospermic (20 x 10 tot he 6th power/ml); and 40% had never fathered a child. 61 patients were anovulatory as judged by amenorrhea or an irregular menstrual cycle. 10 of them were thought to be perimenopausal. 37 patients had uterine factors (27% primary and 73% secondary). 33 women had fibroids, 2 congenital abnormalities and 2 previous subtotal hysterectomies. 52 patients had unexplained infertility, although there were associated factors in 5; 3 men refused to have seminal analysis, 1 woman had unilateral tubal block on hysterosalpingogram and 1 required dilatation of a stenosed cervix early in the study. That infertility is a serious problem in Africa is shown by the large numbers of patients registering at the clinic during the

  15. Temporal trends in childhood mortality in Ghana: impacts and challenges of health policies and programs

    PubMed Central

    Kayode, Gbenga A.; Grobbee, Diederick E.; Koduah, Augustina; Amoakoh-Coleman, Mary; Agyepong, Irene A.; Ansah, Evelyn; van Dijk, Han; Klipstein-Grobusch, Kerstin

    2016-01-01

    Background Following the adoption of the Millennium Development Goal 4 (MDG 4) in Ghana to reduce under-five mortality by two-thirds between 1990 and 2015, efforts were made towards its attainment. However, impacts and challenges of implemented intervention programs have not been examined to inform implementation of Sustainable Development Goal 3.2 (SDG 3.2) that seeks to end preventable deaths of newborns and children aged under-five. Thus, this study aimed to compare trends in neonatal, infant, and under-five mortality over two decades and to highlight the impacts and challenges of health policies and intervention programs implemented. Design Ghana Demographic and Health Survey data (1988–2008) were analyzed using trend analysis. Poisson regression analysis was applied to quantify the incidence rate ratio of the trends. Implemented health policies and intervention programs to reduce childhood mortality in Ghana were reviewed to identify their impact and challenges. Results Since 1988, the annual average rate of decline in neonatal, infant, and under-five mortality in Ghana was 0.6, 1.0, and 1.2%, respectively. From 1988 to 1989, neonatal, infant, and under-five mortality declined from 48 to 33 per 1,000, 72 to 58 per 1,000, and 108 to 83 per 1,000, respectively, whereas from 1989 to 2008, neonatal mortality increased by 2 per 1,000 while infant and under-five mortality further declined by 6 per 1,000 and 17 per 1,000, respectively. However, the observed declines were not statistically significant except for under-five mortality; thus, the proportion of infant and under-five mortality attributed to neonatal death has increased. Most intervention programs implemented to address childhood mortality seem not to have been implemented comprehensively. Conclusion Progress towards attaining MDG 4 in Ghana was below the targeted rate, particularly for neonatal mortality as most health policies and programs targeted infant and under-five mortality. Implementing neonatal

  16. Needs assessment of science teachers in secondary schools in Kumasi, Ghana: A basis for in-service education training programs at the Science Resource Centers

    NASA Astrophysics Data System (ADS)

    Gyamfi, Alexander

    The purpose of this study was twofold. First, it identified the priority needs common to all science teachers in secondary schools in Kumasi, Ghana. Second, it investigated the relationship existing between the identified priority needs and the teacher demographic variables (type of school, teacher qualification, teaching experience, subject discipline, and sex of teacher) to be used as a basis for implementing in-service education training programs at the Science Resource Centers in Kumasi Ghana. An adapted version of the Moore Assessment Profile (MAP) survey instrument and a set of open-ended questions were used to collect data from the science teachers. The researcher handed out one hundred and fifty questionnaire packets, and all one hundred and fifty (100%) were collected within a period of six weeks. The data were analyzed using descriptive statistics, content analysis, and inferential statistics. The descriptive statistics reported the frequency of responses, and it was used to calculate the Need Index (N) of the identified needs of teachers. Sixteen top-priority needs were identified, and the needs were arranged in a hierarchical order according to the magnitude of the Need Index (0.000 ≤ N ≤ 1.000). Content analysis was used to analyze the responses to the open-ended questions. One-way analysis of variance (ANOVA) was used to test the null hypotheses of the study on each of the sixteen identified top-priority needs and the teacher demographic variables. The findings of this study were as follows: (1) The science teachers identified needs related to "more effective use of instructional materials" as a crucial area for in-service training. (2) Host and Satellite schools exhibited significant difference on procuring supplementary science books for students. Subject discipline of teachers exhibited significant differences on utilizing the library and its facilities by students, obtaining information on where to get help on effective science teaching

  17. Mapping Spatial Variability in Health and Wealth Indicators in Accra, Ghana Using High Spatial Resolution Imagery

    NASA Astrophysics Data System (ADS)

    Engstrom, R.; Ashcroft, E.

    2014-12-01

    There has been a tremendous amount of research conducted that examines disparities in health and wealth of persons between urban and rural areas however, relatively little research has been undertaken to examine variations within urban areas. A major limitation to elucidating differences with urban areas is the lack of social and demographic data at a sufficiently high spatial resolution to determine these differences. Generally the only available data that contain this information are census data which are collected at most every ten years and are often difficult to obtain at a high enough spatial resolution to allow for examining in depth variability in health and wealth indicators at high spatial resolutions, especially in developing countries. High spatial resolution satellite imagery may be able to provide timely and synoptic information that is related to health and wealth variability within a city. In this study we use two dates of Quickbird imagery (2003 and 2010) classified into the vegetation-impervious surface-soil (VIS) model introduced by Ridd (1995). For 2003 we only have partial coverage of the city, while for 2010 we have a mosaic, which covers the entire city of Accra, Ghana. Variations in the VIS values represent the physical variations within the city and these are compared to variations in economic, and/or sociodemographic data derived from the 2000 Ghanaian census at two spatial resolutions, the enumeration area (approximately US Census Tract) and the neighborhood for the city. Results indicate a significant correlation between both vegetation and impervious surface to type of cooking fuel used in the household, population density, housing density, availability of sewers, cooking space usage, and other variables. The correlations are generally stronger at the neighborhood level and the relationships are stable through time and space. Overall, the results indicate that information derived from high resolution satellite data is related to

  18. Predictors of Condom Use among Peer Social Networks of Men Who Have Sex with Men in Ghana, West Africa

    PubMed Central

    Nelson, LaRon E.; Wilton, Leo; Agyarko-Poku, Thomas; Zhang, Nanhua; Zou, Yuanshu; Aluoch, Marilyn; Apea, Vanessa; Hanson, Samuel Owiredu; Adu-Sarkodie, Yaw

    2015-01-01

    Ghanaian men who have sex with men (MSM) have high rates of HIV infection. A first step in designing culturally relevant prevention interventions for MSM in Ghana is to understand the influence that peer social networks have on their attitudes and behaviors. We aimed to examine whether, in a sample of Ghanaian MSM, mean scores on psychosocial variables theorized to influence HIV/STI risk differed between peer social networks and to examine whether these variables were associated with condom use. We conducted a formative, cross-sectional survey with 22 peer social networks of MSM (n = 137) in Ghana. We assessed basic psychological-needs satisfaction, HIV/STI knowledge, sense of community, HIV and gender non-conformity stigmas, gender equitable norms, sexual behavior and condom use. Data were analyzed using analysis of variance, generalized estimating equations, and Wilcoxon two sample tests. All models were adjusted for age and income, ethnicity, education, housing and community of residence. Mean scores for all psychosocial variables differed significantly by social network. Men who reported experiencing more autonomy support by their healthcare providers had higher odds of condom use for anal (AOR = 3.29, p<0.01), oral (AOR = 5.06, p<0.01) and vaginal (AOR = 1.8, p<0.05) sex. Those with a stronger sense of community also had higher odds of condom use for anal sex (AOR = 1.26, p<0.001). Compared to networks with low prevalence of consistent condom users, networks with higher prevalence of consistent condom users had higher STD and HIV knowledge, had norms that were more supportive of gender equity, and experienced more autonomy support in their healthcare encounters. Healthcare providers and peer social networks can have an important influence on safer-sex behaviors in Ghanaian MSM. More research with Ghanaian MSM is needed that considers knowledge, attitudes, and norms of their social networks in the development and implementation of culturally relevant HIV

  19. Vaccination timing of low-birth-weight infants in rural Ghana: a population-based, prospective cohort study

    PubMed Central

    Thomas, Sara; Hurt, Lisa; Floyd, Sian; Shannon, Caitlin; Newton, Sam; Thomas, Gyan; Amenga-Etego, Seeba; Tawiah-Agyemang, Charlotte; Gram, Lu; Hurt, Chris; Bahl, Rajiv; Owusu-Agyei, Seth; Kirkwood, Betty; Edmond, Karen

    2016-01-01

    Abstract Objective To investigate delays in first and third dose diphtheria–tetanus–pertussis (DTP1 and DTP3) vaccination in low-birth-weight infants in Ghana, and the associated determinants. Methods We used data from a large, population-based vitamin A trial in 2010–2013, with 22 955 enrolled infants. We measured vaccination rate and maternal and infant characteristics and compared three categories of low-birth-weight infants (2.0–2.4 kg; 1.5–1.9 kg; and < 1.5 kg) with infants weighing ≥ 2.5 kg. Poisson regression was used to calculate vaccination rate ratios for DTP1 at 10, 14 and 18 weeks after birth, and for DTP3 at 18, 22 and 24 weeks (equivalent to 1, 2 and 3 months after the respective vaccination due dates of 6 and 14 weeks). Findings Compared with non-low-birth-weight infants (n = 18 979), those with low birth weight (n = 3382) had an almost 40% lower DTP1 vaccination rate at age 10 weeks (adjusted rate ratio, aRR: 0.58; 95% confidence interval, CI: 0.43–0.77) and at age 18 weeks (aRR: 0.63; 95% CI: 0.50–0.80). Infants weighing 1.5–1.9 kg (n = 386) had vaccination rates approximately 25% lower than infants weighing ≥ 2.5 kg at these time points. Similar results were observed for DTP3. Lower maternal age, educational attainment and longer distance to the nearest health facility were associated with lower DTP1 and DTP3 vaccination rates. Conclusion Low-birth-weight infants are a high-risk group for delayed vaccination in Ghana. Efforts to improve the vaccination of these infants are warranted, alongside further research to understand the reasons for the delays. PMID:27274596

  20. The effect of social health insurance on prenatal care: the case of Ghana.

    PubMed

    Abrokwah, Stephen O; Moser, Christine M; Norton, Edward C

    2014-12-01

    Many developing countries have introduced social health insurance programs to help address two of the United Nations' millennium development goals-reducing infant mortality and improving maternal health outcomes. By making modern health care more accessible and affordable, policymakers hope that more women will seek prenatal care and thereby improve health outcomes. This paper studies how Ghana's social health insurance program affects prenatal care use and out-of-pocket expenditures, using the two-part model to model prenatal care expenditures. We test whether Ghana's social health insurance improved prenatal care use, reduced out-of-pocket expenditures, and increased the number of prenatal care visits. District-level differences in the timing of implementation provide exogenous variation in access to health insurance, and therefore strong identification. Those with access to social health insurance have a higher probability of receiving care, a higher number of prenatal care visits, and lower out-of-pocket expenditures conditional on spending on care.

  1. A ground-water reconnaissance of the Republic of Ghana, with a description of geohydrologic provinces

    USGS Publications Warehouse

    Gill, H.E.

    1969-01-01

    This report gives a general summary of the availability and use of ground water and describes the occurrence of ground water in five major geohydrologic provinces lying in the eight administrative regions of Ghana. The identification and delineation of the geohydrologic provinces are based on their distinctive characteristics with respect to the occurrence and availability of ground water. The Precambrian province occupies the southern, western, and northern parts of Ghana and is underlain largely by intrusive crystalline and metasedimentary rocks. The Voltaian province includes that part of the Voltaian sedimentary basin in central Ghana and is underlain chiefly by consolidated sandstone, mudstone, and shale. Narrow discontinuous bands of consolidated Devonian and Jurassic sedimentary rocks near the coast constitute the Coastal Block Fault province. The Coastal Plain province includes semiconsolidated to unconsolidated sediments of Cretaceous to Holocene age that underlie coastal plain areas in southwestern and southeastern Ghana. The Alluvial province includes the Quaternary alluvial deposits in the principal river valleys and on the delta of the Volta River. Because of the widespread distribution of crystalline and consolidated sedimentary rocks of low permeability in the Precambrian, Voltaian, and Coastal Block Fault provinces, it is difficult to develop large or event adequate groundwater supplies in much of Ghana. On the other hand, small (1 to 50 gallons per minute) supplies of water of usable quality are available from carefully sited boreholes in most parts of the country. Also, moderate (50 to 200 gpm) supplies of water are currently (1964) obtained from small-diameter screened boreholes tapping sand and limestone aquifers in the Coastal Plain province in southwestern and southeastern Ghana, but larger supplies could be obtained through properly constructed boreholes. In the Alluvial province, unconsolidated deposits in the larger stream valleys that are

  2. Women's access to health care in Ghana: effects of education, residence, lineage and self-determination.

    PubMed

    Boateng, John; Flanagan, Constance

    2008-01-01

    Women's physical and psychological access to health care was analyzed using the 2003 Ghana Demographic and Health Survey (GDHS), a nationally representative study for monitoring population and health in Ghana. Female respondents from the 2133 cases in the couple's data set were used in this study. Women's level of education was positively related to physical but not to psychological access to health care. Residing in an urban area was positively related to both types of access. Matriliny consistently showed positive effects on physical access. In addition to these demographic factors, both physical and psychological access were positively related to women's self-determination, i.e., women's right and ability to make real choices about their lives including their health, fertility, sexuality, childcare and all areas where women are denied autonomy and dignity in their identities as women. Self-determination factors both mediated the effects of background factors on access and added explanatory power to the models.

  3. The practice of behaviour therapy in West Africa: the case of Ghana.

    PubMed

    Danquah, S A

    1982-03-01

    The purpose of this report is to discuss the role of behavior therapy as an additional treatment model in the field of mental health in Ghana. The problems and achievements in its pioneer stage have been discussed. Ghanaian neurotics' concept of etiology of illness is profoundly rooted in cultural beliefs such as evil machination and cosmic forces. The profound role played by the traditional healers' definition of "mysterious illness" and treatment of neurotic symptoms has been modified since the introduction of behaviour therapy and this serves as a threat to the "healers". Analysing the findings so far one can recommend that behaviour therapy be included and emphasized in the future training of African psychiatrists and other mental health professionals in Africa in general and in Ghana in particular.

  4. Does Where You Live Influence What You Know? Community Effects on Health Knowledge in Ghana

    PubMed Central

    Andrzejewski, Catherine S.; Reed, Holly E.; White, Michael J.

    2008-01-01

    This paper examines community effects on health knowledge in a developing country setting. We examine knowledge about the etiology and prevention of child illnesses using a unique 2002 representative survey of communities and households in Ghana. We find that community context matters appreciably, even after adjusting for the anticipated positive effects of an individual’s education, literacy, media exposure and household socioeconomic status. The proportion of literate adults and the presence of a market in a community positively influence a person’s health knowledge. In other words, even if a person herself is not literate, living in a community with high levels of literacy or a regular market can still positively affect her health knowledge. Our results suggest that social networks and diffusion play a key role in these community effects. In turn, these results offer policy implications for Ghana and sub-Saharan Africa. PMID:18603464

  5. Does where you live influence what you know? Community effects on health knowledge in Ghana.

    PubMed

    Andrzejewski, Catherine S; Reed, Holly E; White, Michael J

    2009-03-01

    This paper examines community effects on health knowledge in a developing country setting. We examine knowledge about the etiology and prevention of child illnesses using a unique 2002 representative survey of communities and households in Ghana. We find that community context matters appreciably, even after adjusting for the anticipated positive effects of an individual's education, literacy, media exposure and household socioeconomic status. The proportion of literate adults and the presence of a market in a community positively influence a person's health knowledge. In other words, even if a person herself is not literate, living in a community with high levels of literacy or a regular market can still positively affect her health knowledge. Our results suggest that social networks and diffusion play a key role in these community effects. In turn, these results offer policy implications for Ghana and sub-Saharan Africa.

  6. Prevalence of congenital eye anomalies in a paediatric clinic in Ghana.

    PubMed

    Ilechie, A A; Essuman, V A; Enyionam, S

    2014-01-09

    There is little information about the epidemiology of congenital eye anomalies in Ghana. We retrospectively reviewed the clinical records of 485 admissions to the paediatric eye centre of the Korle-Bu Teaching Hospital, Ghana (2004-2009) and 263 were diagnosed with at least one anomaly. Visual acuity was quantitatively assessed in 209 patients and 130 had some visual impairment; 49 with bilateral and 64 with unilateral blindness. The most frequent congenital anomaly overall was cataract (n = 44). In infants, cataract was the most frequent finding (28/121). Toddlers most frequently presented with retinoblastoma (10/65). Glaucoma was the most frequent anomaly in preschool (9/39) and school (10/38) children. We conclude that avoidable causes of childhood blindness caused most congenital eye anomalies. Intensification of community-based health promotion and preventive eye care, early detection and provision of adequate resources for effective therapy could reverse these trends.

  7. [Tropical medicine/tropical dermatology training in Tanzania and Ghana: Personal experience and selected case reports].

    PubMed

    Völker, K

    2015-05-01

    As a consultant for dermatology with special interested in tropical diseases, I accepted my employers offer (German Armed Forces) to start my training in tropical medicine and tropical dermatology in Africa. The dermatological part of the training was completed at the Regional Dermatology Training Centre (RDTC) in Moshi, Tanzania. This was followed by tropical medicine training at the Presbyterian Hospital in Agogo, Ghana. In this article, I report on my experiences in Africa and present selected case reports.

  8. Rural perspectives on HIV/AIDS prevention: a comparative study of Thailand and Ghana.

    PubMed

    Aheto, Denis Worlanyo; Gbesemete, Kwame Prosper

    2005-04-01

    The paper compares rural perspectives in Thailand and Ghana on the level of condom acceptance in sexual relations, willingness to test oneself for HIV before and in marriage and sources of information on HIV/AIDS. We also compared the policy approaches to combating HIV/AIDS in both countries. The results indicates that in the villages studied in Thailand, all single men and the majority of the single women were in favour of using condoms in sexual relations. This group also showed a positive attitude to HIV/AIDS test before and in marriage. However, married men in rural Thailand disapproved of the use of condoms with their wives but married women in the sample population were open to the possibility of using condoms. Both married men and women were strongly against HIV/AIDS test in marriage. In contrast to Thailand, most single men in the communities studied in Ghana showed a disapproval to the use of condoms in sexual relations. However, they condoned HIV test before marriage. Married men and women in rural Ghana were against the use of condoms in sexual relations as well as HIV/AIDS test in marriage. In order to mitigate mother-to-child transmission, the Thais applied anti-retroviral drug care for HIV positive pregnant women during pregnancy and after delivery. In Ghana on the other hand, pregnant women were subject to HIV test and counselling. The mode of information acquisition on HIV/AIDS in both countries were through the media, campaigns and village volunteers. Finally, we observed that fighting poverty is a sine qua non for the success of any HIV/AIDS eradication programme.

  9. Human parvovirus 4 in nasal and fecal specimens from children, Ghana.

    PubMed

    Drexler, Jan Felix; Reber, Ulrike; Muth, Doreen; Herzog, Petra; Annan, Augustina; Ebach, Fabian; Sarpong, Nimarko; Acquah, Samuel; Adlkofer, Julia; Adu-Sarkodie, Yaw; Panning, Marcus; Tannich, Egbert; May, Jürgen; Drosten, Christian; Eis-Hübinger, Anna Maria

    2012-10-01

    Nonparenteral transmission might contribute to human parvovirus 4 (PARV4) infections in sub-Saharan Africa. PARV4 DNA was detected in 8 (0.83%) of 961 nasal samples and 5 (0.53%) of 943 fecal samples from 1,904 children in Ghana. Virus concentrations ≤ 6-7 log(10) copies/mL suggest respiratory or fecal-oral modes of PARV4 transmission.

  10. The relationship between carbon dioxide and agriculture in Ghana: a comparison of VECM and ARDL model.

    PubMed

    Asumadu-Sarkodie, Samuel; Owusu, Phebe Asantewaa

    2016-06-01

    In this paper, the relationship between carbon dioxide and agriculture in Ghana was investigated by comparing a Vector Error Correction Model (VECM) and Autoregressive Distributed Lag (ARDL) Model. Ten study variables spanning from 1961 to 2012 were employed from the Food Agricultural Organization. Results from the study show that carbon dioxide emissions affect the percentage annual change of agricultural area, coarse grain production, cocoa bean production, fruit production, vegetable production, and the total livestock per hectare of the agricultural area. The vector error correction model and the autoregressive distributed lag model show evidence of a causal relationship between carbon dioxide emissions and agriculture; however, the relationship decreases periodically which may die over-time. All the endogenous variables except total primary vegetable production lead to carbon dioxide emissions, which may be due to poor agricultural practices to meet the growing food demand in Ghana. The autoregressive distributed lag bounds test shows evidence of a long-run equilibrium relationship between the percentage annual change of agricultural area, cocoa bean production, total livestock per hectare of agricultural area, total pulses production, total primary vegetable production, and carbon dioxide emissions. It is important to end hunger and ensure people have access to safe and nutritious food, especially the poor, orphans, pregnant women, and children under-5 years in order to reduce maternal and infant mortalities. Nevertheless, it is also important that the Government of Ghana institutes agricultural policies that focus on promoting a sustainable agriculture using environmental friendly agricultural practices. The study recommends an integration of climate change measures into Ghana's national strategies, policies and planning in order to strengthen the country's effort to achieving a sustainable environment.

  11. The relationship between carbon dioxide and agriculture in Ghana: a comparison of VECM and ARDL model.

    PubMed

    Asumadu-Sarkodie, Samuel; Owusu, Phebe Asantewaa

    2016-06-01

    In this paper, the relationship between carbon dioxide and agriculture in Ghana was investigated by comparing a Vector Error Correction Model (VECM) and Autoregressive Distributed Lag (ARDL) Model. Ten study variables spanning from 1961 to 2012 were employed from the Food Agricultural Organization. Results from the study show that carbon dioxide emissions affect the percentage annual change of agricultural area, coarse grain production, cocoa bean production, fruit production, vegetable production, and the total livestock per hectare of the agricultural area. The vector error correction model and the autoregressive distributed lag model show evidence of a causal relationship between carbon dioxide emissions and agriculture; however, the relationship decreases periodically which may die over-time. All the endogenous variables except total primary vegetable production lead to carbon dioxide emissions, which may be due to poor agricultural practices to meet the growing food demand in Ghana. The autoregressive distributed lag bounds test shows evidence of a long-run equilibrium relationship between the percentage annual change of agricultural area, cocoa bean production, total livestock per hectare of agricultural area, total pulses production, total primary vegetable production, and carbon dioxide emissions. It is important to end hunger and ensure people have access to safe and nutritious food, especially the poor, orphans, pregnant women, and children under-5 years in order to reduce maternal and infant mortalities. Nevertheless, it is also important that the Government of Ghana institutes agricultural policies that focus on promoting a sustainable agriculture using environmental friendly agricultural practices. The study recommends an integration of climate change measures into Ghana's national strategies, policies and planning in order to strengthen the country's effort to achieving a sustainable environment. PMID:26898935

  12. Filariasis in northern Ghana: some cultural beliefs and practices and their implications for disease control.

    PubMed

    Gyapong, M; Gyapong, J O; Adjei, S; Vlassoff, C; Weiss, M

    1996-07-01

    This article reports on how some endemic rural communities in northern Ghana perceive and manage lymphatic filariasis. The disease was mainly attributed to supernatural and spiritual factors. Except for a few instances of neglect, the community was generally caring towards people with the disease. Issues related to marriage, stigma, concealment and leadership are discussed. On the whole, the importance of social and cultural perceptions of a disease and its relevance to control cannot be over emphasized.

  13. Technical efficiency of public district hospitals and health centres in Ghana: a pilot study

    PubMed Central

    Osei, Daniel; d'Almeida, Selassi; George, Melvill O; Kirigia, Joses M; Mensah, Ayayi Omar; Kainyu, Lenity H

    2005-01-01

    Background The Government of Ghana has been implementing various health sector reforms (e.g. user fees in public health facilities, decentralization, sector-wide approaches to donor coordination) in a bid to improve efficiency in health care. However, to date, except for the pilot study reported in this paper, no attempt has been made to make an estimate of the efficiency of hospitals and/or health centres in Ghana. The objectives of this study, based on data collected in 2000, were: (i) to estimate the relative technical efficiency (TE) and scale efficiency (SE) of a sample of public hospitals and health centres in Ghana; and (ii) to demonstrate policy implications for health sector policy-makers. Methods The Data Envelopment Analysis (DEA) approach was used to estimate the efficiency of 17 district hospitals and 17 health centres. This was an exploratory study. Results Eight (47%) hospitals were technically inefficient, with an average TE score of 61% and a standard deviation (STD) of 12%. Ten (59%) hospitals were scale inefficient, manifesting an average SE of 81% (STD = 25%). Out of the 17 health centres, 3 (18%) were technically inefficient, with a mean TE score of 49% (STD = 27%). Eight health centres (47%) were scale inefficient, with an average SE score of 84% (STD = 16%). Conclusion This pilot study demonstrated to policy-makers the versatility of DEA in measuring inefficiencies among individual facilities and inputs. There is a need for the Planning and Budgeting Unit of the Ghana Health Services to continually monitor the productivity growth, allocative efficiency and technical efficiency of all its health facilities (hospitals and health centres) in the course of the implementation of health sector reforms. PMID:16188021

  14. Complete genome sequencing of two causative viruses of cassava mosaic disease in Ghana.

    PubMed

    Oteng-Frimpong, R; Levy, Y; Torkpo, S K; Danquah, E Y; Offei, S K; Gafni, Y

    2012-01-01

    Cassava mosaic disease (CMV), caused by one or a combination of cassava mosaic geminiviruses, is ranked among the most important constraints to profitable and efficient production of cassava. Effective control measures require in-depth knowledge of the viral causative agent. Using rolling-circle amplification and unique enzymes, the full genome of two species of cassava mosaic geminivirus isolated from infected cassava plants in Ghana were cloned into pCambia 1300 and pET-28b. The sequences of the genome were determined on an ABI sequencer and a pairwise comparison was performed with other cassava-infecting geminiviruses from different countries. It was revealed that cassava grown in Ghana is attacked by two species of geminivirus in either single or mixed infections. These are the African cassava mosaic virus (ACMV) and the East African cassava mosaic virus (EACMV)-like, with high sequence similarity of 94% and 80%, respectively, between the DNA-A and DNA-B components of each virus, and 66% and 41% similarity of the common region (CR) (for A and B accordingly). The DNA-A of ACMV and EACMV-like contained 2781 and 2800 nucleotides, respectively, while their DNA-B components had 2725 and 2734 nucleotides, respectively. ACMV DNA-A was over 97% similar to those of other ACMVs from the continent. In contrast, EACMV-like DNA-A was over 98% similar to the isolates from Cameroon and other West African countries, and less than 88% similar to other EACMV species. Thus ACMV and EACMV-like were named African cassava mosaic virus-Ghana and East African cassava mosaic Cameroon virus-Ghana. Computer analysis revealed that their genome arrangement follows the typical old world bipartite begomovirus genome. The association of these two species and their interaction might account for the severe symptoms observed on infected plants in the field and in the greenhouse.

  15. Failure of atovaquone-proguanil malaria chemoprophylaxis in a traveler to Ghana.

    PubMed

    Boggild, Andrea K; Lau, Rachel; Reynaud, Denis; Kain, Kevin C; Gerson, Marvin

    2015-01-01

    Clinical failure of Malarone™ chemoprophylaxis is extremely rare. We report a case of Plasmodium falciparum malaria in a returned traveler to Ghana who fully adhered to atovaquone-proguanil (Malarone™) chemoprophylaxis daily dosing, yet took the pills on an empty stomach. Screening of the P. falciparum isolate revealed triple codon mutation of Dhfr at positions 51, 59, and 108. Plasma drug levels of both atovaquone and proguanil revealed sub-therapeutic concentrations. PMID:25582377

  16. Analysing the primacy of distance in the utilization of health services in the Ahafo-Ano South district, Ghana.

    PubMed

    Buor, Daniel

    2003-01-01

    Although the distance factor has been identified as key in the utilization of health services in rural areas of developing countries, it has been analysed without recourse to related factors of travel time and transport cost. Also, the influence of distance on vulnerable groups in utilization has not been an object of survey by researchers. This paper addresses the impact of distance on utilization, and how distance compares with travel time and transport cost that are related to it in the utilization of health services in the Ahafo-Ano South (rural) district in Ghana. The study, a cross-sectional survey, also identifies the position of distance among other important factors of utilization. A sample of 400, drawn through systematic random technique, was used for the survey. Data were analysed using the regression model and some graphic techniques. The main instruments used in data collection were formal (face-by-face) interview and a questionnaire. The survey finds that distance is the most important factor that influences the utilization of health services in the Ahafo-Ano South district. Other key factors are income, service cost and education. The effect of travel time on utilization reflects that of distance and utilization. Recommendations to reduce distance coverage, improve formal education and reduce poverty have been made.

  17. How community physical, structural, and social stressors relate to mental health in the urban slums of Accra, Ghana.

    PubMed

    Greif, Meredith J; Nii-Amoo Dodoo, F

    2015-05-01

    Urban health in developing counties is a major public health challenge. It has become increasingly evident that the dialog must expand to include mental health outcomes, and to shift focus to the facets of the urban environment that shape them. Population-based research is necessary, as empirical findings linking the urban environment and mental health have primarily derived from developed countries, and may not be generalizable to developing countries. Thus, the current study assesses the prevalence of mental health problems (i.e., depression, perceived powerlessness), as well as their community-based predictors (i.e., crime, disorder, poverty, poor sanitation, local social capital and cohesion), among a sample of 690 residents in three poor urban communities in Accra, Ghana. It uncovers that residents in poor urban communities in developing countries suffer from mental health problems as a result of local stressors, which include not only physical and structural factors but social ones. Social capital and social cohesion show complex, often unhealthy, relationships with mental health, suggesting considerable drawbacks in making social capital a key focus among policymakers.

  18. Evaluation of a Sexual and Reproductive Health Education Programme: Students' Knowledge, Attitude and Behaviour in Bolgatanga Municipality, Northern Ghana.

    PubMed

    van der Geugten, Jolien; van Meijel, Berno; den Uyl, Marion H G; de Vries, Nanne K

    2015-09-01

    Evaluation research concerning the impact of sexual and reproductive health (SRH) education in sub-Saharan Africa is scarce. This study obtained more insight into the knowledge, attitudes and behavioural intentions of students concerning SRH in Bolgatanga municipality in northern Ghana, and studied the effects of an SRH programme for this group. This quasi-experimental study used a pre-post-intervention design, with an SRH programme as intervention. A questionnaire was filled in by 312 students before, and by 272 students after the SRH programme. The results showed that before the programme, students answered half of the knowledge questions correctly, they thought positively about deciding for themselves whether to have a relationship and whether to have sex, and their intentions towards SRH behaviour, such as condom use were positive. The SRH intervention led to a small but significant increase in the students' knowledge. It was also found that the attitude of the students aged 18-20 significantly improved. Finally, it was found that female students aged 18-20 were more positive towards changing their behaviour after following the SRH programme. It can be concluded that the impact of the SRH programme in general was positive. Significant effects were found for gender and age. PMID:26897921

  19. The Challenge of Financing Higher Education and the Role of Student Loans Scheme: An Analysis of the Student Loan Trust Fund (SLTF) in Ghana

    ERIC Educational Resources Information Center

    Atuahene, Francis

    2008-01-01

    Student loans program is one of the most controversial phenomena in financing higher education in Ghana, but its importance as a cost sharing mechanism is incontestable. This paper describes the challenge of financing higher education in Ghana. It provides a critique of the Social Security and National Insurance Trust (SSNIT) Student Loans Scheme,…

  20. Ghana and Mali. Grade 7 Model Lesson for Standard 7.4. World History and Geography: Medieval Sub-Saharan Africa. California History-Social Science Course Models.

    ERIC Educational Resources Information Center

    Zachlod, Michelle, Ed.

    California State Standard 7.4 is delineated in the following manner: "Students analyze the geographic, political, economic, religious, and social structures of the sub-Saharan civilizations of Ghana and Mali in Medieval Africa. Seventh-grade students focus on the Niger River and the growth of the Mali and Ghana empires; analyze the importance of…

  1. Depression and its correlates in South Africa and Ghana among people aged 50 and above: Findings from the WHO Study on global AGEing and adult health

    PubMed Central

    Thapa, Suraj Bahadur; Martinez, Priscilla; Clausen, Thomas

    2014-01-01

    Objective The growth of the older adult population in Africa demands more knowledge about their chronic health problems, such as depression. The aim of this paper is to estimate depression prevalence and identify correlates of depression among older adults in Ghana and South Africa. Method The WHO Study on global AGEing and adult health (SAGE study) was conducted in Ghana and South Africa from 2007 to 2009 by the World Health Organization, using a standardized questionnaire among an adult population. Our analyses included 4289 adults aged 50 and above in Ghana and 3668 in South Africa. Depression was measured using self-reported symptoms over the last 12 months according to ICD-10 criteria. Results The prevalence of mild depression was 6.7% and 2.7% in Ghana and South Africa, respectively (p<.001), with a gender difference only in Ghana. Factors independently associated with depression among women in Ghana were migration and lack of current work.. Similarly, higher age, lack of current work and lower quality of life were independently associated with depression among women in South Africa, whereas higher age and lower quality of life were associated with depression among men in South Africa. Conclusions Ghana had a higher depression rate than South Africa and we identified different factors associated with depression among men and women in these two countries. Our finding underscores the need for culture- and gender-sensitive approaches for the prevention and management of depression among the older adult population in Ghana and South Africa. PMID:25914902

  2. Promoting Socio-Economic Development: How Mobile Telephony Is an Agent for Creating High-Paying Jobs in Ghana from the Service Providers' Perspective

    ERIC Educational Resources Information Center

    Boateng, Ofori

    2011-01-01

    This exploration study examined solely, mobile telephony (which is an important aspect of ICTs) and how it promotes the creation of high-paying jobs that positively impact socio-economic development in Ghana from the service providers. perspective. This academic study focusing solely on Ghana mobile telephony service providers is the first of its…

  3. Introduction of Core Based Subjects in the Curriculum of Technical and Vocational Institutions in Ghana: Assessment of Its Effect on Practical Training Sessions

    ERIC Educational Resources Information Center

    William, Otu

    2015-01-01

    Technical education among other things focuses on training the skill manpower needs of the youth in most countries of which Ghana is no exception. This study looks at Ghana Education Service technical and vocational sector reform programme introduced in 2010 with emphasis on the introduction of compulsory core based subjects and its effect on…

  4. Comparative Analysis of Households Solid Waste Management in Rural and Urban Ghana

    PubMed Central

    Appiah, Divine Odame; Poku, Adjoa Afriyie; Garsonu, Emmanuel Kofi

    2016-01-01

    The comparative analysis of solid waste management between rural and urban Ghana is largely lacking. This study investigated the solid waste situation and the organisation of solid waste management in both urban and rural settings from the perspective of households. The study employed cross-sectional survey covering both rural and urban districts in the Ashanti and Greater Accra Regions of Ghana. The study systematically sampled houses from which 400 households and respondents were randomly selected. Pearson's Chi square test was used to compare demographic and socioeconomic variables in rural and urban areas. Multivariate Test, Tests of Between-Subjects Effects, and Pair-Wise Comparisons were performed through one-way MANOVA to determine whether or not solid waste situations in rural and urban areas are significantly different. The results revealed that location significantly affects solid waste management in Ghana. Urban communities had lower mean scores than rural communities for poor solid waste situation in homes. However, urban communities had higher mean scores than rural communities for poor solid waste situation in principal streets and dumping sites. The study recommends that the local government authorities implement very comprehensive policies (sanitary inspection, infrastructure development, and community participation) that will take into consideration the specific solid waste management needs of both urban and rural areas. PMID:27807453

  5. Financing the delivery of animal health services in developing countries: a case study of Ghana.

    PubMed

    Turkson, P K; Brownie, C F

    1999-02-01

    Inadequate financing for the delivery of animal health services in many developing countries has been blamed for lack of efficiency and effectiveness of veterinary services. There are no reports of how the delivery of veterinary services in Ghana is financed. The aim of this paper is to provide information on the funding of veterinary services in Ghana to help in decision making on resource allocation. Various indicators and measures were used in assessing the adequacy of financing and resource allocation from 1990 to 1995. These measures were the veterinary budget as proportions of the national budget, GDP and AGDP; the proportions of the veterinary budget allocated to salaries; the ratios of salaries to non-staff expenditure and of non-staff expenditure to veterinary livestock units and technical staff; coefficient of efficacy; and R-ratio. These generally declined or worsened over the period, deviating from recommended norms where such norms exist. This confirmed the paucity of financing and resource allocation for the delivery of veterinary services. Revenue generation from cost recovery over the 1993-95 period was a potential source of funding, exceeding 100% of non-staff expenditure for 1993 and 1994. However, the revenue generated was not channelled back to veterinary services but went to the national coffers. This served as a disincentive. There is an urgent need to review how veterinary services are financed in Ghana, if the delivery of services is to improve in efficiency and effectiveness.

  6. Nursing in Ghana: A Search for Florence Nightingale in an African City

    PubMed Central

    Adu-Gyamfi, Samuel; Brenya, Edward

    2016-01-01

    Nursing in Ghana is a crucial subject that permeates almost every issue in the society especially the field of hospital care. To a large extent, the frontiers of nursing have expanded since the time of Florence Nightingale. Globally some studies have been done to study nursing icons like her. The values in nursing practice however continue to preoccupy our minds. The need to accentuate the gains made by historical figures in nursing in present times as well as the nature of interactions between practitioners and patients continues to be of paramount concern to many across the globe and Ghana in particular. This study does an analysis of existing literature on Florence Nightingale and the nature of nursing in Ghana from the colonial times. Additionally, it analyzes responses concerning the activities of nurses and their interactions with patients in Kumasi. The varied information has been thematically pieced together to make inferences that are of great interest to nursing practitioners, policy makers, administrators, and educators among others. The findings to the study suggest among other things that the challenges faced by the nursing institution in modern times are similar to those of the earlier period. The study calls for the emulation of the positive ideas of Florence Nightingale to promote the interest of patients, a core objective championed by a revered nurse. PMID:27382644

  7. Collective familial decision-making in times of trouble: intergenerational solidarity in Ghana.

    PubMed

    McGadney-Douglass, Brenda F; Douglass, Richard L

    2008-06-01

    In post-colonial populations the retention of the nuclear family concept of collectivism as the basis for decision-making is associated with familial and cultural survival. Collectivism within familial contexts provides intergenerational access to experience, information, resources, and sound decision making during times of conflict or dealing with the consequences of poverty. In contemporary Ghana inter-ethnic wars and conflict have marginalized minority groups, causing substantial internal displacement of people. Poverty and cultural issues have caused a persistently high level of child malnutrition and mortality in all areas of Ghana, including urban centers where appropriate food is in abundance. In each of these circumstances the senior women, particularly the grandmothers, have been found to be essential for child survival, protecting the family from dissolution, and ensuring intergenerational cultural transmission. This paper discusses the place of collective decision-making processes of older African women in two studies in Ghana that assessed the: (1) indigenous methods used for understanding and arresting violent ethnic conflict by internally displaced women who survived the 1994/95 Guinea Fowl War; and (2) parenting and grandparenting strategies from families who insured the survival of children suffering from kwashiorkor, a severe form of childhood malnutrition. In this paper, findings from qualitative interview data will include narratives and illustrative cases.

  8. Rosmarinic acid content in antidiabetic aqueous extract of Ocimum canum sims grown in Ghana.

    PubMed

    Berhow, Mark A; Affum, Andrews Obeng; Gyan, Ben A

    2012-07-01

    Rosmarinic acid (RA) is an important antioxidant polyphenol that is found in a variety of spices and herbs, including Ocimum canum Sims (locally called eme or akokobesa in Ghana). Aqueous extracts from the leaves of O. canum are used as an antidiabetic herbal medicine in Ghana. Analytical thin-layer chromatography was used to examine the composition of the polyphenols in leaf extracts. The polyphenol content in the aqueous and methanol extracts from the leaf, as determined by the Folin-Ciocalteu method, were 314 and 315 mg gallic acid equivalent/g leaf sample, respectively. The total flavonoid concentration as determined by the aluminum(III) chloride method was 135 mg catechin equivalent/g leaf sample. High-performance liquid chromatography coupled to an electrospray Quadrupole time-of-flight mass spectrometer was also used to determine the polyphenol fingerprint profile in the leaf extracts of O. canum. Although the average RA concentration in the O. canum leaf extracts from Ghana was 1.69 mg/g dry weight (reported values range from 0.01 to 99.62 mg/g dry weight), this polyphenol was still a prominent peak in addition to caffeic acid derivatives.

  9. Snapshot fecal survey of domestic animals in rural Ghana for Mycobacterium ulcerans

    PubMed Central

    Tobias, Nicholas J.; Ammisah, Nana Ama; Ahortor, Evans K.; Wallace, John R.; Ablordey, Anthony

    2016-01-01

    Identifying the source reservoirs of Mycobacterium ulcerans is key to understanding the mode of transmission of this pathogen and controlling the spread of Buruli ulcer (BU). In Australia, the native possum can harbor M. ulcerans in its gastrointestinal tract and shed high concentrations of the bacteria in its feces. To date, an analogous animal reservoir in Africa has not been identified. Here we tested the hypothesis that common domestic animals in BU endemic villages of Ghana are reservoir species analogous to the Australian possum. Using linear-transects at 10-meter intervals, we performed systematic fecal surveys across four BU endemic villages and one non-endemic village in the Asante Akim North District of Ghana. One hundred and eighty fecal specimens from a single survey event were collected and analyzed by qPCR for the M. ulcerans diagnostic DNA targets IS2404 and KR-B. Positive and negative controls performed as expected but all 180 test samples were negative. This structured snapshot survey suggests that common domestic animals living in and around humans do not shed M. ulcerans in their feces. We conclude that, unlike the Australian native possum, domestic animals in rural Ghana are unlikely to be major reservoirs of M. ulcerans. PMID:27280071

  10. Perceived constraints to privatization of delivery of veterinary services in Ghana.

    PubMed

    Turkson, P K; Brownie, C F

    1999-04-01

    Ghana is on the verge of privatizing selected activities in the delivery of animal health services. However, various constraints are being encountered. The aim of this paper is to identify these constraints so as to help find and solutions to them. Questionnaires were administered to veterinarians in Ghana to elicit their responses on various issues concerning privatization. A significant proportion (61%) of government veterinarians, who formed 94% of the respondents, were unwilling to go into private practice. Among the reasons given were that private practice was too risky, that farmers were unwilling or unable to pay for services, that capital to start practices was lacking and that the societal value for animals was low. Also, low livestock densities in many areas and the absence of commercial livestock farming were perceived as deterrents to the sustainability of private practice. Furthermore, the poor macroeconomic environment of high inflation, high interest rates and unstable currency discouraged investment. If privatization of veterinary services is to succeed in Ghana, these perceptions have to be addressed and solutions found, since veterinarians are the targets of the privatization process. PMID:10371009

  11. Crustal structure of Nigeria and Southern Ghana, West Africa from P-wave receiver functions

    NASA Astrophysics Data System (ADS)

    Akpan, Ofonime; Nyblade, Andrew; Okereke, Chiedu; Oden, Michael; Emry, Erica; Julià, Jordi

    2016-04-01

    We report new estimates of crustal thickness (Moho depth), Poisson's ratio and shear-wave velocities for eleven broadband seismological stations in Nigeria and Ghana. Data used for this study came from teleseismic earthquakes recorded at epicentral distances between 30° and 95° and with moment magnitudes greater than or equal to 5.5. P-wave receiver functions were modeled using the Moho Ps arrival times, H-k stacking, and joint inversion of receiver functions and Rayleigh wave group velocities. The average crustal thickness of the stations in the Neoproterozoic basement complex of Nigeria is 36 km, and 23 km for the stations in the Cretaceous Benue Trough. The crustal structure of the Paleoproterozoic Birimian Terrain, and Neoproterozoic Dahomeyan Terrain and Togo Structural Unit in southern Ghana is similar, with an average Moho depth of 44 km. Poisson's ratios for all the stations range from 0.24 to 0.26, indicating a bulk felsic to intermediate crustal composition. The crustal structure of the basement complex in Nigeria is similar to the average crustal structure of Neoproterozoic terrains in other parts of Africa, but the two Neoproterozoic terrains in southern Ghana have a thicker crust with a thick mafic lower crust, ranging in thickness from 12 to 17 km. Both the thicker crust and thick mafic lower crustal section are consistent with many Precambrian suture zones, and thus we suggest that both features are relict from the collisional event during the formation of Gondwana.

  12. Modeling inflation rates and exchange rates in Ghana: application of multivariate GARCH models.

    PubMed

    Nortey, Ezekiel Nn; Ngoh, Delali D; Doku-Amponsah, Kwabena; Ofori-Boateng, Kenneth

    2015-01-01

    This paper was aimed at investigating the volatility and conditional relationship among inflation rates, exchange rates and interest rates as well as to construct a model using multivariate GARCH DCC and BEKK models using Ghana data from January 1990 to December 2013. The study revealed that the cumulative depreciation of the cedi to the US dollar from 1990 to 2013 is 7,010.2% and the yearly weighted depreciation of the cedi to the US dollar for the period is 20.4%. There was evidence that, the fact that inflation rate was stable, does not mean that exchange rates and interest rates are expected to be stable. Rather, when the cedi performs well on the forex, inflation rates and interest rates react positively and become stable in the long run. The BEKK model is robust to modelling and forecasting volatility of inflation rates, exchange rates and interest rates. The DCC model is robust to model the conditional and unconditional correlation among inflation rates, exchange rates and interest rates. The BEKK model, which forecasted high exchange rate volatility for the year 2014, is very robust for modelling the exchange rates in Ghana. The mean equation of the DCC model is also robust to forecast inflation rates in Ghana. PMID:25741459

  13. Sexual and physical violence victimization among senior high school students in Ghana: Risk and protective factors.

    PubMed

    Ohene, Sally-Ann; Johnson, Kiana; Atunah-Jay, Sarah; Owusu, Andrew; Borowsky, Iris Wagman

    2015-12-01

    Violence in all forms poses a concern because of associations with multiple adverse effects including injuries and mental health problems. There is however limited data on violence in general and youth violence in particular in Ghana. To explore the nature and scope of youth violence in Ghana, we used the nationwide Global School-based Health Survey, conducted among senior high school students in Ghana, to explore risk and protective factors at the individual, family, and environmental levels associated with sexual and physical violence victimization. A fifth of these students reported being forced to have sex in their lifetime while two out of five had been a victim of a physical attack in the year preceding the survey. In final multivariate analysis, for sexual violence victimization, history of sexual activity with or without condom use at last sex, feeling sad or hopeless, and being a victim of bullying and electronic bullying were identified as risk factors, while having friends who were not sexually active was protective. Independent risk factors for physical violence victimization were attempting suicide in the last year, alcohol use in the past month, and bullying other students in the past month. Parent respect for privacy just reached significance as a protective factor for physical violence victimization in the final model. Recognition of the magnitude of violence victimization among Ghanaian students and associated factors must be used to guide development and implementation of appropriate concrete measures to prevent and address the problem. PMID:26603310

  14. Estimating the demand for municipal waste compost via farmers' willingness-to-pay in Ghana.

    PubMed

    Danso, G; Drechsel, P; Fialor, S; Giordano, M

    2006-01-01

    This paper has its primary focus on the analysis of perceptions and willingness-to-pay (WTP) for composted municipal solid and faecal waste among urban and peri-urban farmers and other potential compost users in Ghana. Participatory rural appraisal and contingent valuation methods (CVM) were used for the demand analysis. Most respondents were clear and firm in their responses to the principal question about WTP for compost, as well as in giving their views and perceptions about issues involved in demand for compost. The probit analysis proved valuable in highlighting variables, which explain variations in the WTP. The WTP analysis allowed the quantification of the compost demand under different scenarios of subsidized and non-subsidized compost production, with due allowance for a local reference price to cover compost station operating costs. The analysis revealed that the effective demand for compost for agricultural purposes is marginal and limited by farmers' transport costs. Only through the additional consideration of the demand of the construction sector can about 25% of the organic waste produced in Ghana's capital, Accra, be transformed and utilized. Public subsidies appear necessary and could be generated through savings in transport and disposal. Without subsidies, the challenge for an increased agricultural use is how to produce a low-cost but nutrient-rich compost, which can compete with abundant and cheap poultry manure and still achieve the price to maintain a compost station. The experience in Ghana shows that this is hardly possible except through private-public partnerships. PMID:16356706

  15. Modeling inflation rates and exchange rates in Ghana: application of multivariate GARCH models.

    PubMed

    Nortey, Ezekiel Nn; Ngoh, Delali D; Doku-Amponsah, Kwabena; Ofori-Boateng, Kenneth

    2015-01-01

    This paper was aimed at investigating the volatility and conditional relationship among inflation rates, exchange rates and interest rates as well as to construct a model using multivariate GARCH DCC and BEKK models using Ghana data from January 1990 to December 2013. The study revealed that the cumulative depreciation of the cedi to the US dollar from 1990 to 2013 is 7,010.2% and the yearly weighted depreciation of the cedi to the US dollar for the period is 20.4%. There was evidence that, the fact that inflation rate was stable, does not mean that exchange rates and interest rates are expected to be stable. Rather, when the cedi performs well on the forex, inflation rates and interest rates react positively and become stable in the long run. The BEKK model is robust to modelling and forecasting volatility of inflation rates, exchange rates and interest rates. The DCC model is robust to model the conditional and unconditional correlation among inflation rates, exchange rates and interest rates. The BEKK model, which forecasted high exchange rate volatility for the year 2014, is very robust for modelling the exchange rates in Ghana. The mean equation of the DCC model is also robust to forecast inflation rates in Ghana.

  16. Nursing in Ghana: A Search for Florence Nightingale in an African City.

    PubMed

    Adu-Gyamfi, Samuel; Brenya, Edward

    2016-01-01

    Nursing in Ghana is a crucial subject that permeates almost every issue in the society especially the field of hospital care. To a large extent, the frontiers of nursing have expanded since the time of Florence Nightingale. Globally some studies have been done to study nursing icons like her. The values in nursing practice however continue to preoccupy our minds. The need to accentuate the gains made by historical figures in nursing in present times as well as the nature of interactions between practitioners and patients continues to be of paramount concern to many across the globe and Ghana in particular. This study does an analysis of existing literature on Florence Nightingale and the nature of nursing in Ghana from the colonial times. Additionally, it analyzes responses concerning the activities of nurses and their interactions with patients in Kumasi. The varied information has been thematically pieced together to make inferences that are of great interest to nursing practitioners, policy makers, administrators, and educators among others. The findings to the study suggest among other things that the challenges faced by the nursing institution in modern times are similar to those of the earlier period. The study calls for the emulation of the positive ideas of Florence Nightingale to promote the interest of patients, a core objective championed by a revered nurse.

  17. Conducting an audit to improve the facilitation of emergency maternal and newborn referral in northern Ghana.

    PubMed

    Awoonor-Williams, John Koku; Bailey, Patricia E; Yeji, Francis; Adongo, Ayire Emmanuel; Baffoe, Peter; Williams, Afua; Mercer, Sarah

    2015-10-01

    Ghana Health Service conducted an audit to strengthen the referral system for pregnant or recently pregnant women and newborns in northern Ghana. The audit took place in 16 facilities with two 3-month cycles of data collection in 2011. Midwife-led teams tracked 446 referred women until they received definitive treatment. Between the two audit cycles, teams identified and implemented interventions to address gaps in referral services. During this time period, we observed important increases in facilitating referral mechanisms, including a decrease in the dependence on taxis in favour of national or facility ambulances/vehicles; an increase in health workers escorting referrals to the appropriate receiving facility; greater use of referral slips and calling ahead to alert receiving facilities and higher feedback rates. As referral systems require attention from multiple levels of engagement, on the provider end we found that regional managers increasingly resolved staffing shortages; district management addressed the costliness and lack of transport and increased midwives' ability to communicate with pregnant women and drivers; and that facility staff increasingly adhered to guidelines and facilitating mechanisms. By conducting an audit of maternal and newborn referrals, the Ghana Health Service identified areas for improvement that service providers and management at multiple levels addressed, demonstrating a platform for problem solving that could be a model elsewhere.

  18. Social injury: An interpretative phenomenological analysis of the attitudes towards suicide of lay persons in Ghana

    PubMed Central

    Osafo, Joseph; Hjelmeland, Heidi; Akotia, Charity Sylvia; Knizek, Birthe Loa

    2011-01-01

    One way of furthering our understanding of suicidal behaviour is to examine people's attitudes towards it and how they conceive the act. The aim of this study was to understand how lay persons conceive the impact of suicide on others and how that influences their attitudes towards suicide; and discuss the implications for suicide prevention in Ghana. This is a qualitative study, using a semi-structured interview guide to investigate the attitudes and views of 27 lay persons from urban and rural settings in Ghana. Interpretative Phenomenological Analysis was used to analyse the data. Findings showed that the perceived breach of interrelatedness between people due to suicidal behaviour influenced the informants’ view of suicide as representing a social injury. Such view of suicide influenced the negative attitudes the informants expressed towards the act. The negative attitudes towards suicide in Ghana are cast in consequential terms. Thus, suicide is an immoral act because it socially affects others negatively. The sense of community within the African ethos and The Moral Causal Ontology for Suffering are theoretical postulations that are used to offer some explanations of the findings in this study. PMID:22065981

  19. Infertility and childlessness: a qualitative study of the experiences of infertile couples in Northern Ghana

    PubMed Central

    2013-01-01

    Background Infertility is a global reproductive health issue that affects many individuals and couples. Despite the high prevalence of infertility in Ghana, no study has been done on the experiences of infertile couples in Northern Ghana. This study therefore explored the experiences of infertile couples in Northern Ghana using the Upper West Region as a case study. Methods We interviewed fifteen childless couples, forty-five couples with children, and eight key informants using a semi-structured interview guide. We also carried out three focus group discussions; one for childless women, one for women with children and one for men with children. The data were transcribed, coded, arranged and analyzed for categories and themes. Results Infertile couples are socially stigmatised and excluded from leadership roles in their communities. Couples without children are denied membership in the ancestral world thereby losing the opportunity to live again. Both males and females are engaged in sex with multiple partners to prove their fertility. Conclusions Both men and women suffer from the social effects of childlessness. The desire to have biological children in a pronatalist society results in unhealthy practices. Health policy makers and gender advocates should be more concerned about infertility. PMID:23517021

  20. Antibodies to henipavirus or henipa-like viruses in domestic pigs in Ghana, West Africa.

    PubMed

    Hayman, David T S; Wang, Lin-Fa; Barr, Jennifer; Baker, Kate S; Suu-Ire, Richard; Broder, Christopher C; Cunningham, Andrew A; Wood, James L N

    2011-01-01

    Henipaviruses, Hendra virus (HeV) and Nipah virus (NiV), have Pteropid bats as their known natural reservoirs. Antibodies against henipaviruses have been found in Eidolon helvum, an old world fruit bat species, and henipavirus-like nucleic acid has been detected in faecal samples from E. helvum in Ghana. The initial outbreak of NiV in Malaysia led to over 265 human encephalitis cases, including 105 deaths, with infected pigs acting as amplifier hosts for NiV during the outbreak. We detected non-neutralizing antibodies against viruses of the genus Henipavirus in approximately 5% of pig sera (N = 97) tested in Ghana, but not in a small sample of other domestic species sampled under a E. helvum roost. Although we did not detect neutralizing antibody, our results suggest prior exposure of the Ghana pig population to henipavirus(es). Because a wide diversity of henipavirus-like nucleic acid sequences have been found in Ghanaian E. helvum, we hypothesise that these pigs might have been infected by henipavirus(es) sufficiently divergent enough from HeVor NiV to produce cross-reactive, but not cross-neutralizing antibodies to HeV or NiV.

  1. Sexual and physical violence victimization among senior high school students in Ghana: Risk and protective factors.

    PubMed

    Ohene, Sally-Ann; Johnson, Kiana; Atunah-Jay, Sarah; Owusu, Andrew; Borowsky, Iris Wagman

    2015-12-01

    Violence in all forms poses a concern because of associations with multiple adverse effects including injuries and mental health problems. There is however limited data on violence in general and youth violence in particular in Ghana. To explore the nature and scope of youth violence in Ghana, we used the nationwide Global School-based Health Survey, conducted among senior high school students in Ghana, to explore risk and protective factors at the individual, family, and environmental levels associated with sexual and physical violence victimization. A fifth of these students reported being forced to have sex in their lifetime while two out of five had been a victim of a physical attack in the year preceding the survey. In final multivariate analysis, for sexual violence victimization, history of sexual activity with or without condom use at last sex, feeling sad or hopeless, and being a victim of bullying and electronic bullying were identified as risk factors, while having friends who were not sexually active was protective. Independent risk factors for physical violence victimization were attempting suicide in the last year, alcohol use in the past month, and bullying other students in the past month. Parent respect for privacy just reached significance as a protective factor for physical violence victimization in the final model. Recognition of the magnitude of violence victimization among Ghanaian students and associated factors must be used to guide development and implementation of appropriate concrete measures to prevent and address the problem.

  2. Population Structure of Candida albicans from Three Teaching Hospitals in Ghana.

    PubMed

    Adjapong, Gloria; Hale, Marie; Garrill, Ashley

    2016-02-01

    Previous studies on Candida species in a clinical setting in Ghana have shown a prevalence of Candida albicans. Despite this, very little is known about the various strain types and their population genetic structure. In this study three microsatellite loci, CAI, CAIII and CAVI, were used to investigate the population genetic structure of C. albicans from clinical isolates in Ghana. In all, 240 clinically unrelated C. albicans isolates were recovered from patients reporting at three teaching hospitals. All the isolates were heterozygous for at least one of the three loci, except for one isolate, which was homozygous for all three loci. Sixty-seven unique alleles and 240 different genotypes were generated by the three polymorphic microsatellite loci, resulting in a very high discriminatory potential of approximately 0.98. There was no significant difference in allele frequencies from the small number of anatomical sites sampled, regardless of the host conditions although high genotypic diversities were observed among the isolates. There was evidence for clonal reproduction, including over-expression of observed heterozygotes across the populations. The populations deviated significantly from Hardy-Weinberg equilibrium and pair-wise genotypic linkage disequilibria comparisons across the three loci were significant, also suggesting a clonal population. The overall Wright FIS for the three loci was negative, and the overall FST value was not significantly different from zero for the three loci analyzed, indicating a clonal and homogeneous population across the three sampling locations from Ghana.

  3. Droughts, Irrigation Development, and Hydropower: Different Development Priorities in Ghana and Burkina Faso and Their Effect on Management of the Volta River, West Africa

    NASA Astrophysics Data System (ADS)

    van de Giesen, N.; Andreini, M.; van Edig, A.

    2001-05-01

    The Volta Basin covers 400,000 km2 of the West-African savanna zone. Ghana lies downstream and contains 42% of the basin. Most of the upstream part of the basin lies in Burkina Faso (43% of total), and the remaining 15% lies in Mali, Côte d'Ivoire, Togo, and Benin. Average rainfall is 1000 mm per year of which around 9% or 36 km3 becomes available as runoff in the Volta River. Small variations in rainfall cause relatively large variations in runoff. The Volta Basin is undergoing rapid changes in land use and water resource development, mainly driven by the high population growth of 3% per year. However, different countries pursue economic development in different ways. At independence in 1957, Ghana's leaders saw industrialization as essential to development and electric power from the Volta Dam as central to that industrialization. In 1964, the Volta Dam was built and Ghana's economic growth in the mining, industrial, and service sectors has depended on the dam's hydropower ever since. In contrast, land-locked Burkina Faso has less industrial potential and seeks to develop through its agriculture, both for subsistence and export crops. Given the extremely unreliable rainfall, irrigation development is seen as the only way to increase agricultural production. In general, irrigation in Burkina Faso takes the form of many small scale, village-based schemes of which the downstream impact is difficult to gauge. A minor drought in 1997 and 1998 caused the level of Lake Volta to drop, resulting in widespread power outages. In the ensuing public discussion, hydraulic development in Burkina Faso was seen as one of the potential causes of the lack of water. No firm data were available to substantiate this claim. In fact, over-withdrawals in previous years combined with climate variability were more likely culprits. A recently initiated multi-disciplinary research project will be presented that seeks to provide a scientific basis on which future discussions between the two

  4. An analysis of socio-demographic patterns in child malnutrition trends using Ghana demographic and health survey data in the period 1993–2008

    PubMed Central

    2013-01-01

    Background A small but growing body of research indicates that progress in reducing child malnutrition is substantially uneven from place to place, even down to the district level within countries. Yet child malnutrition prevalence and trend estimates available for public health planning are mostly available only at the level of global regions and/or at country level. To support carefully targeted intervention to reduce child malnutrition, public health planners and policy-makers require access to more refined prevalence data and trend analyses than are presently available. Responding to this need in Ghana, this report presents trends in child malnutrition prevalence in socio-demographic groups within the country’s geographic regions. Methods The study uses the Ghana Demographic and Health Surveys (GDHS) data. The GDHS are nationally representative cross-sectional surveys that have been carried out in many developing countries. These surveys constitute one of the richest sources of information currently available to examine time trends in child malnutrition. Data from four surveys were used for the analysis: 1993, 1998, 2003 and 2008. Results The results show statistically significant declining trends at the national level for stunting (F (1, 7204) = 7.89, p ≤ .005), underweight (F (1, 7441) = 44.87, p ≤ .001) and wasting (F (1, 7130) = 6.19, p ≤ .013). However, analyses of the sex-specific trends revealed that the declining trends in stunting and wasting were significant among males but not among females. In contrast to the national trend, there were significantly increasing trends in stunting for males (F (1, 2004) = 3.92, p ≤ .048) and females (F (1, 2004) = 4.34, p ≤ .037) whose mothers had higher than primary education, while the trends decreased significantly for males and females whose mothers had no education. Conclusions At the national level in Ghana, child malnutrition is significantly declining

  5. Something old or something new? Social health insurance in Ghana

    PubMed Central

    2009-01-01

    Background There is considerable interest at present in exploring the potential of social health insurance to increase access to and affordability of health care in Africa. A number of countries are currently experimenting with different approaches. Ghana's National Health Insurance Scheme (NHIS) was passed into law in 2003 but fully implemented from late 2005. It has already reached impressive coverage levels. This article aims to provide a preliminary assessment of the NHIS to date. This can inform the development of the NHIS itself but also other innovations in the region. Methods This article is based on analysis of routine data, on secondary literature and on key informant interviews conducted by the authors with stakeholders at national, regional and district levels over the period of 2005 to 2009. Results In relation to its financing sources, the NHIS is heavily reliant on tax funding for 70–75% of its revenue. This has permitted quick expansion of coverage, partly through the inclusion of large exempted population groups. Card holders increased from 7% of the population in 2005 to 45% in 2008. However, only around a third of these are contributing to the scheme financially. This presents a sustainability problem, in that revenue is de-coupled from the growing membership. In addition, the NHIS offers a broad benefits package, with no co-payments and limited gate-keeping, and also faces cost escalation related to its new payment system and the growing utilisation of members. These features contributed to a growth in distressed schemes and failure to pay outstanding facility claims in 2008. The NHIS has had a considerable impact on the health system as a whole, taking on a growing role in funding curative care. In 2009, it is expected to contribute 41% of the overall resource envelope. However there is evidence that this funding is not additional but has been switched from other funding channels. There are some equity concerns about this, as the new funding

  6. Public-private delivery of insecticide-treated nets: a voucher scheme in Volta Region, Ghana

    PubMed Central

    Kweku, Margaret; Webster, Jayne; Taylor, Ian; Burns, Susan; Dedzo, McDamien

    2007-01-01

    Background Coverage of vulnerable groups with insecticide-treated nets (ITNs) in Ghana, as in the majority of countries of sub-Saharan Africa is currently low. A voucher scheme was introduced in Volta Region as a possible sustainable delivery system for increasing this coverage through scale-up to other regions. Successful scale-up of public health interventions depends upon optimal delivery processes but operational research for delivery processes in large-scale implementation has been inadequate. Methods A simple tool was developed to monitor numbers of vouchers given to each health facility, numbers issued to pregnant women by the health staff, and numbers redeemed by the distributors back to the management agent. Three rounds of interviews were undertaken with health facility staff, retailers and pregnant women who had attended antenatal clinic (ANC). Results During the one year pilot 25,926 vouchers were issued to eligible women from clinics, which equates to 50.7% of the 51,658 ANC registrants during this time period. Of the vouchers issued 66.7% were redeemed by distributors back to the management agent. Initially, non-issuing of vouchers to pregnant women was mainly due to eligibility criteria imposed by the midwives; later in the year it was due to decisions of the pregnant women, and supply constraints. These in turn were heavily influenced by factors external to the programme: current household ownership of nets, competing ITN delivery strategies, and competition for the limited number of ITNs available in the country from major urban areas of other regions. Conclusion Both issuing and redemption of vouchers should be monitored as factors assumed to influence voucher redemption had an influence on issuing, and vice versa. More evidence is needed on how specific contextual factors influence the success of voucher schemes and other models of delivery of ITNs. Such an evidence base will facilitate optimal strategic decision making so that the delivery model

  7. Exploring the linkage between exposure to mass media and HIV testing among married women and men in Ghana.

    PubMed

    Sano, Yujiro; Sedziafa, Alice P; Amoyaw, Jonathan A; Boateng, Godfred O; Kuuire, Vincent Z; Boamah, Sheila; Kwon, Eugena

    2016-01-01

    Although HIV testing is critical to the treatment and prevention of HIV/AIDS, utilization rate of HIV testing services among married women and men remains low in Ghana. Mass media, as a tool to increase overall HIV testing turnouts, has been considered one of the important strategies in promoting and enhancing behavioural changes related to HIV/AIDS prevention. Using the 2014 Ghana Demographic and Health Survey, the current study examines the relationship between levels of exposure to print media, radio, and television and the uptake of HIV testing among married women and men in Ghana. Results show that HIV testing is more prevalent among married women than their male counterparts. We also find that higher levels of exposure to radio is associated with HIV testing among women, while higher levels of exposure to print media and television are associated with HIV testing among men. Implications of these findings are discussed for Ghana's HIV/AIDS strategic framework, which aims to expanding efforts at dealing with the HIV/AIDS epidemic. Specifically, it is important for health educators and programme planners to deliver HIV-related messages through television, radio, and print media to increase the uptake of HIV testing particularly among married women and men in Ghana.

  8. Spatio-Temporal Distribution of Mycobacterium tuberculosis Complex Strains in Ghana

    PubMed Central

    Asare, P.; Asante-Poku, A.; Otchere, I. D.; Osei-Wusu, S.; Danso, E.; Forson, A.; Koram, K. A.; Gagneux, Sebastien

    2016-01-01

    Background There is a perception that genomic differences in the species/lineages of the nine species making the Mycobacterium tuberculosis complex (MTBC) may affect the efficacy of distinct control tools in certain geographical areas. We therefore analyzed the prevalence and spatial distribution of MTBC species and lineages among isolates from pulmonary TB cases over an 8-year period, 2007–2014. Methodology Mycobacterial species isolated by culture from consecutively recruited pulmonary tuberculosis patients presenting at selected district/sub-district health facilities were confirmed as MTBC by IS6110 and rpoß PCR and further assigned lineages and sub lineages by spoligotyping and large sequence polymorphism PCR (RDs 4, 9, 12, 702, 711) assays. Patient characteristics, residency, and risks were obtained with a structured questionnaire. We used SaTScan and ArcMap analyses to identify significantly clustered MTBC lineages within selected districts and spatial display, respectively. Results Among 2,551 isolates, 2,019 (79.1%), 516 (20.2%) and 16 (0.6%) were identified as M. tuberculosis sensu stricto (MTBss), M. africanum (Maf), 15 M. bovis and 1 M. caprae, respectively. The proportions of MTBss and Maf were fairly constant within the study period. Maf spoligotypes were dominated by Spoligotype International Type (SIT) 331 (25.42%), SIT 326 (15.25%) and SIT 181 (14.12%). We found M. bovis to be significantly higher in Northern Ghana (1.9% of 212) than Southern Ghana (0.5% of 2339) (p = 0.020). Using the purely spatial and space-time analysis, seven significant MTBC lineage clusters (p< 0.05) were identified. Notable among the clusters were Ghana and Cameroon sub-lineages found to be associated with north and south, respectively. Conclusion This study demonstrated that overall, 79.1% of TB in Ghana is caused by MTBss and 20% by M. africanum. Unlike some West African Countries, we did not observe a decline of Maf prevalence in Ghana. PMID:27564240

  9. The challenges of developing an instrument to assess health provider motivation at primary care level in rural Burkina Faso, Ghana and Tanzania

    PubMed Central

    Prytherch, Helen; Leshabari, Melkidezek T.; Wiskow, Christiane; Aninanya, Gifty A.; Kakoko, Deodatus C.V.; Kagoné, Moubassira; Burghardt, Juliane; Kynast-Wolf, Gisela; Marx, Michael; Sauerborn, Rainer

    2012-01-01

    Background The quality of health care depends on the competence and motivation of the health workers that provide it. In the West, several tools exist to measure worker motivation, and some have been applied to the health sector. However, none have been validated for use in sub-Saharan Africa. The complexity of such tools has also led to concerns about their application at primary care level. Objective To develop a common instrument to monitor any changes in maternal and neonatal health (MNH) care provider motivation resulting from the introduction of pilot interventions in rural, primary level facilities in Ghana, Burkina Faso, and Tanzania. Design Initially, a conceptual framework was developed. Based upon this, a literature review and preliminary qualitative research, an English-language instrument was developed and validated in an iterative process with experts from the three countries involved. The instrument was then piloted in Ghana. Reliability testing and exploratory factor analysis were used to produce a final, parsimonious version. Results and discussion This paper describes the actual process of developing the instrument. Consequently, the concepts and items that did not perform well psychometrically at pre-test are first presented and discussed. The final version of the instrument, which comprises 42 items for self-assessment and eight for peer-assessment, is then shown. This is followed by a presentation and discussion of the findings from first use of the instrument with MNH providers from 12 rural, primary level facilities in each of the three countries. Conclusions It is possible to undertake work of this nature at primary health care level, particularly if the instruments are kept as straightforward as possible and well introduced. However, their development requires very lengthy preparatory periods. The effort needed to adapt such instruments for use in different countries within the region of sub-Saharan Africa should not be underestimated. PMID

  10. Use of Bacillus thuringiensis var israelensis as a viable option in an Integrated Malaria Vector Control Programme in the Kumasi Metropolis, Ghana

    PubMed Central

    2013-01-01

    Background Integrated Vector Control (IVC) remains the approach for managing the malaria-causing vector. The study investigated the contribution of Bacillus thuringiensis israelensis (Bti) in the control of malaria by targeting the larvae and also mapped and documented major breeding sites in the Kumasi metropolis, Ghana. Methods Using a hand held GPS receiver unit, major breeding sites within the metropolis were mapped out during the larval survey. Mosquito larvae were then collected from the breeding sites and reared in an insectary to obtain an F1 generation for laboratory bioassays. The minimum effective dosage of Bti Water Dispersible Granular (WDG) formulation was determined by a series of bioassays. Based on the results obtained in the laboratory, the optimum effective dosage of Bti formulations against naturally occurring larvae of the indigenous mosquito species was determined through open field trials. Results A total of 33 breeding sites were identified and geo-referenced during the larval surveys with the majority of the breeding sites located in the Asokwa sub-metropolis, Kumasi, Ghana. A Bti (3,000 International Toxic Unit (ITU)/mg) concentration of 0.026 mg/l resulted in 50% mortality whilst a concentration of 0.136 mg/l resulted in 95% mortality. Results from the open field trials with Bti showed that a dosage of 0.2 kg/ha is as effective as 0.4 kg/ha in suppressing late instars and resulting pupae. Conclusion This study reveals that Bti at a very low dosage of 0.2 kg/ha is highly effective against Anopheles larvae and therefore offers viable options for the management of vector mosquitoes. Further research is needed to extend this to the field in order to determine its ability to reduce malaria incidence. PMID:23607376

  11. Theoretical Framework for Plastic Waste Management in Ghana through Extended Producer Responsibility: Case of Sachet Water Waste

    PubMed Central

    Quartey, Ebo Tawiah; Tosefa, Hero; Danquah, Kwasi Asare Baffour; Obrsalova, Ilona

    2015-01-01

    Currently, use and disposal of plastic by consumers through waste management activities in Ghana not only creates environmental problems, but also reinforces the notion of a wasteful society. The magnitude of this problem has led to increasing pressure from the public for efficient and practical measures to solve the waste problem. This paper analyses the impact of plastic use and disposal in Ghana. It emphasizes the need for commitment to proper management of the impacts of plastic waste and effective environmental management in the country. Sustainable Solid Waste Management (SSWM) is a critical problem for developing countries with regards to climate change and greenhouse gas emission, and also the general wellbeing of the populace. Key themes of this paper are producer responsibility and management of products at end of life. The paper proposes two theatrical recovery models that can be used to address the issue of sachet waste in Ghana. PMID:26308016

  12. Theoretical Framework for Plastic Waste Management in Ghana through Extended Producer Responsibility: Case of Sachet Water Waste.

    PubMed

    Quartey, Ebo Tawiah; Tosefa, Hero; Danquah, Kwasi Asare Baffour; Obrsalova, Ilona

    2015-08-01

    Currently, use and disposal of plastic by consumers through waste management activities in Ghana not only creates environmental problems, but also reinforces the notion of a wasteful society. The magnitude of this problem has led to increasing pressure from the public for efficient and practical measures to solve the waste problem. This paper analyses the impact of plastic use and disposal in Ghana. It emphasizes the need for commitment to proper management of the impacts of plastic waste and effective environmental management in the country. Sustainable Solid Waste Management (SSWM) is a critical problem for developing countries with regards to climate change and greenhouse gas emission, and also the general wellbeing of the populace. Key themes of this paper are producer responsibility and management of products at end of life. The paper proposes two theatrical recovery models that can be used to address the issue of sachet waste in Ghana. PMID:26308016

  13. Theoretical Framework for Plastic Waste Management in Ghana through Extended Producer Responsibility: Case of Sachet Water Waste.

    PubMed

    Quartey, Ebo Tawiah; Tosefa, Hero; Danquah, Kwasi Asare Baffour; Obrsalova, Ilona

    2015-08-20

    Currently, use and disposal of plastic by consumers through waste management activities in Ghana not only creates environmental problems, but also reinforces the notion of a wasteful society. The magnitude of this problem has led to increasing pressure from the public for efficient and practical measures to solve the waste problem. This paper analyses the impact of plastic use and disposal in Ghana. It emphasizes the need for commitment to proper management of the impacts of plastic waste and effective environmental management in the country. Sustainable Solid Waste Management (SSWM) is a critical problem for developing countries with regards to climate change and greenhouse gas emission, and also the general wellbeing of the populace. Key themes of this paper are producer responsibility and management of products at end of life. The paper proposes two theatrical recovery models that can be used to address the issue of sachet waste in Ghana.

  14. A Comparative Qualitative Study of Misconceptions Associated with Contraceptive Use in Southern and Northern Ghana

    PubMed Central

    Adongo, Philip B.; Tabong, Philip T.-N.; Azongo, Thomas B.; Phillips, James F.; Sheff, Mallory C.; Stone, Allison E.; Tapsoba, Placide

    2014-01-01

    Evidence from Ghana consistently shows that unmet need for contraception is pervasive with many possible causes, yet how these may differ by cultural zone remains poorly understood. This qualitative study was designed to elicit information on the nature and form of misconceptions associated with contraceptive use among northern and southern Ghanaians. Twenty-two focus group discussions (FGDs) with married community members were carried out. Community health officers, community health volunteers, and health care managers were also interviewed using a semi-structured interview guide. FGDs and in-depth interviews were recorded digitally, transcribed verbatim, and analyzed using QSR Nvivo 10 to compare contraceptive misconceptions in northern and southern Ghana. Results indicate that misconceptions associated with the use of contraceptives were widespread but similar in both settings. Contraceptives were perceived to predispose women to both primary and secondary infertility, uterine fibroids, and cancers. As regular menstrual flow was believed to prevent uterine fibroids, contraceptive use-related amenorrhea was thought to render acceptors vulnerable to uterine fibroids as well as cervical and breast cancers. Contraceptive acceptors were stigmatized and ridiculed as promiscuous. Among northern respondents, condom use was generally perceived to inhibit erection and therefore capable of inducing male impotence, while in southern Ghana, condom use was believed to reduce sensation and sexual gratification. The study indicates that misconceptions associated with contraceptive use are widespread in both regions. Moreover, despite profound social and contextual differences that distinguish northern and southern Ghanaians, prevailing fears and misconceptions are shared by respondents from both settings. Findings attest to the need for improved communication to provide accurate information for dispelling these misconceptions. PMID:25250307

  15. Residential characteristics as correlates of occupants’ health in the greater Accra region, Ghana

    PubMed Central

    2014-01-01

    Background Housing has been a relatively neglected site for public health action. However, it remains a place where human beings spend the most part of their day. As a result, the quality of housing has consequences for human health. We investigate residential characteristics associated with self-rated occupant health in five neighbourhoods in the Greater Accra Region, Ghana. Methods A cross sectional study using a semi-structured questionnaire was conducted among 500 informed adults aged 18 years and above to investigate residential characteristics associated with self-rated occupant health in five neighbourhoods in the Greater Accra Region, Ghana. Correlates of occupant rated health were determined using Pearson chi-square test and binary logistic regression. Results Forty-two per cent of houses were rented, 44% required repair and 46% shared sanitation facilities. One in twenty occupants reported poor health. Gender, employment status, income, ventilation, house wall material, odours, stale air, privacy, shared facilities, hand washing facility, type of house and house repair status were associated with poor health in the bivariate analysis. Only two variables were independently associated with poor self-rated health: occupants who lacked privacy were eight times more likely to report poor self-rated health when compared to peers who did not lack privacy [OR = 8.16, 95% CI 2.86-23.26] and women were three times more likely than men to report poor health [OR = 2.98, 95% CI 1.06-8.35]. Conclusion The results provide further evidence of housing as a determinant of occupants’ health, and identify housing characteristics and living conditions as issues for public health action in Ghana. PMID:24612884

  16. Grounding a theory of African migration in recent data on Ghana.

    PubMed

    Achanfuo-yeboah, D

    1993-06-01

    This article discusses the development of a single theory of migration in Africa, which accounts for social, economic, cultural, psychological, and demographic factors. Prior migration literature refers to many countries in Africa. The empirical test in this paper is based on Ghana and data for 1960, 1970, and 1984. Ghana is described as having rapid population growth and urbanization reaching 12.5 million in 1984. The economy is based on agriculture, mining, and manufacturing. Education is available for free through the secondary school level (since 1965). The general theory of migration holds that the nature, intensity, direction, and patterns of migration are shaped by social, cultural, economic, and political developments. Sociocultural developments, or nonagricultural occupations and educational resources, may influence the flow of migration to urban areas. The regression model shows that 70% of the variance in net migration is explained by education, economic activity, and population growth. Education determines the direction and intensity of migration. A unit value of education causes a change of 0.251952 in the value of net migration. Norms, values, and beliefs are affected by educational and employment opportunities and are influenced by factors such as kinship, clan, language, beliefs, and religion. Economic infrastructure, industrialization, employment opportunities, and increased wages and salaries exert a pull on migrants. During the 1960s, Ghana attracted migrants from Nigeria. During the 1970s and 1980s, the reverse occurred. Migrants tend to move based on expectations of higher wages and better employment. In a bivariate relationship, economic activity explains 62% of the variance in migration. A unit change in the value of economic activity leads to a change of 1.379382 in the value of net migration. The literature emphasizes rural-urban flows, but migration in Gwan state in Cameroon and Udo state in Nigeria reflects the prevalence of rural

  17. Pesticide exposures in a malarious and predominantly farming area in Central Ghana

    PubMed Central

    Ae-Ngibise, Kenneth Ayuurebobi; Kinney, Patrick L.; Asante, Kwaku Poku; Jack, Darby; Boamah, Ellen Abrafi; Whyatt, Robin; Mujtaba, Mohammed; Manu, Alexander; Owusu-Agyei, Seth; Wylie, Blair J.

    2016-01-01

    In areas where malaria is endemic, pesticides are widely deployed for vector control, which has contributed to reductions in malaria deaths. Pesticide use for agrarian purposes reduces pest populations, thus improving crop production and post-harvest losses. However, adverse health effects have been associated with pesticide exposure, ranging from skin irritation to neurotoxicity and carcinogenicity. Though misuse of these pesticides can lead to widespread potential dangers, the debilitating effects are usually underappreciated in many developing countries. To evaluate the pattern of pesticide usage among rural communities in the Kintampo area of Ghana, a cross-sectional survey was conducted among 1455 heads of households randomly sampled from among 29,073 households in the Kintampo Health and Demographic Surveillance System area of Ghana to estimate the prevalence of pesticide use and indications for use among this rural populace. Seventy-one percent (1040/1455) of household heads reported having used pesticides on either their farms or homes, most commonly for control of weeds (96.4%, 1003/1040) or insects (85.4%, 888/1040). Dichlorodiphenyltrichloroethane (DDT) was used by 22.9% (238/1040) of respondents. The majority of households who reported use of pesticides said women in their households assisted in the spraying efforts (69.3%, 721/1040); of these women, 50.8% (366/721) did so while carrying their babies on their backs. Only 28.9% (301/1040) of the study participants wore protective devices during pesticide applications. Frequent symptoms that were reported after spraying, included cough (32.3%; 336/1040), difficulty in breathing (26.7%; 278/1040) and skin irritation (39.0%; 406/1040). Pesticide use among community members in the Kintampo area of Ghana is common and its potential health impacts warrant further investigation. PMID:27239261

  18. Indoor Air Pollution and Health in Ghana: Self-Reported Exposure to Unprocessed Solid Fuel Smoke.

    PubMed

    Armah, Frederick A; Odoi, Justice O; Luginaah, Isaac

    2015-06-01

    Most countries in Sub-Saharan Africa including Ghana still depend extensively on unprocessed solid cooking fuels with many people exposed on a daily basis to harmful emissions and other health risks. In this study, using complementary log-log multivariate models, we estimated the health effects of exposure to smoke from unprocessed wood in four regions of Ghana while controlling for socio-environmental and socio-demographic factors. The results show that the distribution of self-reported exposure to smoke was highest among participants in the Northern region, rural dwellers, the 25-49 age groups, individuals with no education, and married women. As expected, exposure to smoke was higher in crowded households and in communities without basic social amenities. Region, residential locality, housing quality (type of roofing, floor and exterior materials), self-reported housing condition, and access to toilet facilities were associated with self-reported exposure to solid fuel smoke. Participants living in urban areas were less likely (OR = 0.82, ρ ≤ 0.01) to be exposed to solid fuel smoke compared to their rural counterparts. An inverse relationship between self-reported housing condition and exposure to solid fuel smoke was observed and persisted even after adjustments were made for confounding variables in the demographic model. In Ghana, the cost and intermittent shortages of liquefied petroleum gas and other alternative fuel sources hold implications for the willingness of the poor to shift to their use. Thus, the poorest rural populations with nearly no cash income and electricity, but with access to wood and/or agricultural waste, are unlikely to move to clean fuels or use significantly improved stoves without large subsidies, which are usually not sustainable. However, there appears to be large populations between these extremes that can be targeted by efforts to introduce improved stoves.

  19. Buruli Ulcer Disease and Its Association with Land Cover in Southwestern Ghana

    PubMed Central

    Tschakert, Petra; Klutse, Erasmus; Ferring, David; Ricciardi, Vincent; Hausermann, Heidi; Oppong, Joseph

    2015-01-01

    Background Buruli ulcer (BU), one of 17 neglected tropical diseases, is a debilitating skin and soft tissue infection caused by Mycobacterium ulcerans. In tropical Africa, changes in land use and proximity to water have been associated with the disease. This study presents the first analysis of BU at the village level in southwestern Ghana, where prevalence rates are among the highest globally, and explores fine and medium-scale associations with land cover by comparing patterns both within BU clusters and surrounding landscapes. Methodology/Principal Findings We obtained 339 hospital-confirmed BU cases in southwestern Ghana between 2007 and 2010. The clusters of BU were identified using spatial scan statistics and the percentages of six land cover classes were calculated based on Landsat and Rapid Eye imagery for each of 154 villages/towns. The association between BU prevalence and each land cover class was calculated using negative binomial regression models. We found that older people had a significantly higher risk for BU after considering population age structure. BU cases were positively associated with the higher percentage of water and grassland surrounding each village, but negatively associated with the percent of urban. The results also showed that BU was clustered in areas with high percentage of mining activity, suggesting that water and mining play an important and potentially interactive role in BU occurrence. Conclusions/Significance Our study highlights the importance of multiple land use changes along the Offin River, particularly mining and agriculture, which might be associated with BU disease in southwestern Ghana. Our study is the first to use both medium- and high-resolution imagery to assess these changes. We also show that older populations (≥ 60 y) appear to be at higher risk of BU disease than children, once BU data were weighted by population age structures. PMID:26091265

  20. The development of cardiac surgery in West Africa--the case of Ghana.

    PubMed

    Edwin, Frank; Tettey, Mark; Aniteye, Ernest; Tamatey, Martin; Sereboe, Lawrence; Entsua-Mensah, Kow; Kotei, David; Baffoe-Gyan, Kofi

    2011-01-01

    West Africa is one of the poorest regions of the world. The sixteen nations listed by the United Nations in this sub-region have some of the lowest gross domestic products in the world. Health care infrastructure is deficient in most of these countries. Cardiac surgery, with its heavy financial outlay is unavailable in many West African countries. These facts notwithstanding, some West African countries have a proud history of open heart surgery not very well known even in African health care circles. Many African health care givers are under the erroneous impression that the cardiovascular surgical landscape of West Africa is blank. However, documented reports of open-heart surgery in Ghana dates as far back as 1964 when surface cooling was used by Ghanaian surgeons to close atrial septal defects. Ghana's National Cardiothoracic Center is still very active and is accredited by the West African College of Surgeons for the training of cardiothoracic surgeons. Reports from Nigeria indicate open-heart surgery taking place from 1974. Cote D'Ivoire had reported on its first 300 open-heart cases by 1983. Senegal reported open-heart surgery from 1995 and still runs an active center. Cameroon started out in 2009 with work done by an Italian group that ultimately aims to train indigenous surgeons to run the program. This review traces the development and current state of cardiothoracic surgery in West Africa with Ghana's National Cardiothoracic Center as the reference. It aims to dispel the notion that there are no major active cardiothoracic centers in the West African sub-region. PMID:22355425

  1. Anthropometric Measurements: Options for Identifying Low Birth Weight Newborns in Kumasi, Ghana

    PubMed Central

    Otupiri, Easmon; Wobil, Priscilla; Nguah, Samuel Blay; Hindin, Michelle J.

    2014-01-01

    Background In Ghana, 32% of deliveries take place outside a health facility, and birth weight is not measured. Low birth weight (LBW) newborns who are at increased risk of death and disability, are not identified; 13%–14% of newborns in Ghana are LBW. We aimed at determining whether alternative anthropometrics could be used to identify LBW newborns when weighing scales are not available to measure birth weight. Methods We studied 973 mother and newborn pairs at the Komfo Anokye Teaching and the Suntreso Government hospitals between November 2011 and October 2012. We used standard techniques to record anthropometric measurements of newborns within 24 hours of birth; low birth weight was defined as birth weight <2.5kg. Pearson's correlation coefficient and the area under the curve were used to determine the best predictors of low birth weight. The sensitivity, specificity and predictive values were reported with 95% confidence intervals at generated cut-off values. Results One-fifth (21.7%) of newborns weighed less than 2.5 kg. Among LBW newborns, the following measurements had the highest correlations with birth weight: chest circumference (r = 0.69), mid-upper arm circumference (r = 0.68) and calf circumference (r = 0.66); the areas under the curves of these three measurements demonstrated the highest accuracy in determining LBW newborns. Chest, mid-upper arm and calf circumferences at cut-off values of ≤29.8 cm, ≤9.4 cm and ≤9.5 cm respectively, had the best combination of maximum sensitivity, specificity and predictive values for identifying newborns with LBW. Conclusions Anthropometric measurements, such as the chest circumference, mid-upper arm circumference and calf circumference, offer an opportunity for the identification of and subsequent support for LBW newborns in settings in Ghana, where birth weights are not measured by standardized weighing scales. PMID:25226505

  2. Indoor Air Pollution and Health in Ghana: Self-Reported Exposure to Unprocessed Solid Fuel Smoke.

    PubMed

    Armah, Frederick A; Odoi, Justice O; Luginaah, Isaac

    2015-06-01

    Most countries in Sub-Saharan Africa including Ghana still depend extensively on unprocessed solid cooking fuels with many people exposed on a daily basis to harmful emissions and other health risks. In this study, using complementary log-log multivariate models, we estimated the health effects of exposure to smoke from unprocessed wood in four regions of Ghana while controlling for socio-environmental and socio-demographic factors. The results show that the distribution of self-reported exposure to smoke was highest among participants in the Northern region, rural dwellers, the 25-49 age groups, individuals with no education, and married women. As expected, exposure to smoke was higher in crowded households and in communities without basic social amenities. Region, residential locality, housing quality (type of roofing, floor and exterior materials), self-reported housing condition, and access to toilet facilities were associated with self-reported exposure to solid fuel smoke. Participants living in urban areas were less likely (OR = 0.82, ρ ≤ 0.01) to be exposed to solid fuel smoke compared to their rural counterparts. An inverse relationship between self-reported housing condition and exposure to solid fuel smoke was observed and persisted even after adjustments were made for confounding variables in the demographic model. In Ghana, the cost and intermittent shortages of liquefied petroleum gas and other alternative fuel sources hold implications for the willingness of the poor to shift to their use. Thus, the poorest rural populations with nearly no cash income and electricity, but with access to wood and/or agricultural waste, are unlikely to move to clean fuels or use significantly improved stoves without large subsidies, which are usually not sustainable. However, there appears to be large populations between these extremes that can be targeted by efforts to introduce improved stoves. PMID:24136388

  3. Health worker (internal customer) satisfaction and motivation in the public sector in Ghana.

    PubMed

    Agyepong, Irene Akua; Anafi, Patricia; Asiamah, Ebenezer; Ansah, Evelyn K; Ashon, Daniel A; Narh-Dometey, Christiana

    2004-01-01

    This paper describes factors affecting health worker motivation and satisfaction in the public sector in Ghana. The data are from a survey of public sector health care providers carried out in January 2002 and repeated in August 2003 using an interviewer administered structured questionnaire. It is part of a continuous quality improvement (CQI) effort in the health sector in the Greater Accra region of Ghana. Workplace obstacles identified that caused dissatisfaction and de-motivated staff in order of the most frequently mentioned were low salaries such that obtaining basic necessities of daily living becomes a problem; lack of essential equipment, tools and supplies to work with; delayed promotions; difficulties and inconveniences with transportation to work; staff shortages; housing, additional duty allowances and in-service (continuous) training. Others included children's education, vehicles to work with such as ambulances and pickups, staff transfer procedures, staff pre-service education inadequate for job requirements, and the effect of the job on family and other social factors. There were some differences in the percentages of staff selecting a given workplace obstacle between the purely rural districts, the highly urbanized Accra metropolis and the districts that were a mixture of urbanized and rural. It is unlikely that the Ghana Health Service can provide high quality of care to its end users (external customers) if workplace obstacles that de-motivate staff (internal customers) and negatively influence their performance are not properly recognized and addressed as a complex of inter-related problems producing a common result--dissatisfied poorly motivated staff and resulting poor quality services. PMID:15688876

  4. Human Coronaviruses Associated with Upper Respiratory Tract Infections in Three Rural Areas of Ghana

    PubMed Central

    Owusu, Michael; Annan, Augustina; Corman, Victor Max; Larbi, Richard; Anti, Priscilla; Drexler, Jan Felix; Agbenyega, Olivia; Adu-Sarkodie, Yaw; Drosten, Christian

    2014-01-01

    Background Acute respiratory tract infections (ARI) are the leading cause of morbidity and mortality in developing countries, especially in Africa. This study sought to determine whether human coronaviruses (HCoVs) are associated with upper respiratory tract infections among older children and adults in Ghana. Methods We conducted a case control study among older children and adults in three rural areas of Ghana using asymptomatic subjects as controls. Nasal/Nasopharyngeal swabs were tested for Middle East respiratory syndrome coronavirus (MERS-CoV), HCoV-22E, HCoV-OC43, HCoV-NL63 and HCoV-HKU1 using Reverse Transcriptase Real-Time Polymerase Chain Reaction. Results Out of 1,213 subjects recruited, 150 (12.4%) were positive for one or more viruses. Of these, single virus detections occurred in 146 subjects (12.0%) and multiple detections occurred in 4 (0.3%). Compared with control subjects, infections with HCoV-229E (OR = 5.15, 95%CI = 2.24–11.78), HCoV-OC43 (OR = 6.16, 95%CI = 1.77–21.65) and combine HCoVs (OR = 2.36, 95%CI = 1.5 = 3.72) were associated with upper respiratory tract infections. HCoVs were found to be seasonally dependent with significant detections in the harmattan season (mainly HCoV-229E) and wet season (mainly HCoV-NL63). A comparison of the obtained sequences resulted in no differences to sequences already published in GenBank. Conclusion HCoVs could play significant role in causing upper respiratory tract infections among adults and older children in rural areas of Ghana. PMID:25080241

  5. Abuse, Neglect, and Violence Against Elderly Women in Ghana: Implications for Social Justice and Human Rights.

    PubMed

    Sossou, Marie-Antoinette; Yogtiba, Joseph A

    2015-01-01

    This article discusses abuse and neglect of elderly women in Ghana and the traditional practices that adversely affect their human rights. Their situation is characterized by pervasive poverty, illiteracy, widowhood, predominantly rural dwelling, and subjection to insidious cultural practices and superstitious beliefs. Increase in life expectancy and population trends point to significant increases in the numbers of the elderly women. Breakdown of the extended family support system and the waning of filial obligations are factors affecting their welfare. Accurate data on these abuses is lacking due to cultural inhibitions and non-reporting. Legislations and NGO programs are addressed to combat abuses.

  6. The path dependence of district manager decision-space in Ghana.

    PubMed

    Kwamie, Aku; van Dijk, Han; Ansah, Evelyn K; Agyepong, Irene Akua

    2016-04-01

    The district health system in Ghana today is characterized by high resource-uncertainty and narrow decision-space. This article builds a theory-driven historical case study to describe the influence of path-dependent administrative, fiscal and political decentralization processes on development of the district health system and district manager decision-space. Methods included a non-exhaustive literature review of democratic governance in Ghana, and key informant interviews with high-level health system officials integral to the development of the district health system. Through our analysis we identified four periods of district health system progression: (1) development of the district health system (1970-85); (2) Strengthening District Health Systems Initiative (1986-93); (3) health sector reform planning and creation of the Ghana Health Service (1994-96) and (4) health sector reform implementation (1997-2007). It was observed that district manager decision-space steadily widened during periods (1) and (2), due to increases in managerial profile, and concerted efforts at managerial capacity strengthening. Periods (3) and (4) saw initial augmentation of district health system financing, further widening managerial decision-space. However, the latter half of period 4 witnessed district manager decision-space contraction. Formalization of Ghana Health Service structures influenced by self-reinforcing tendencies towards centralized decision-making, national and donor shifts in health sector financing, and changes in key policy actors all worked to the detriment of the district health system, reversing early gains from bottom-up development of the district health system. Policy feedback mechanisms have been influenced by historical and contemporary sequencing of local government and health sector decentralization. An initial act of administrative decentralization, followed by incomplete political and fiscal decentralization has ensured that the balance of power has

  7. Women, religion, and maternal health care in Ghana, 1945-2000.

    PubMed

    Johnson, Lauren; Wall, Barbra Mann

    2014-01-01

    This article documents the historical factors that led to shifts in mission work toward a greater emphasis on community health for the poor and most vulnerable of society in sub-Saharan Africa after 1945. Using the example of the Medical Mission Sisters from Philadelphia, Pennsylvania, and their work in Ghana, we challenge the conventional narrative of medical missions as agents of imperialism. We assert that missions-particularly those run by Catholic sister physicians, nurses, and midwives-have changed over time and that those changes have been beneficial to the expansion of community health, particularly in the area of improvement of maternal care.

  8. Micro and Macro Element Composition of Kalanchoe integra Leaves: An Adjuvant Treatment for Hypertension in Ghana

    PubMed Central

    Frimpong-Manso, S.; Asiedu-Gyekye, I. J.; Naadu, J. P.; Magnus-Aryitey, G. T.; Nyarko, A. K.; Boamah, D.; Awan, M.

    2015-01-01

    Two samples, water extract and blended whole leaves, of fresh Kalanchoe integra leaves (Crassulaceae), a traditional antihypertensive medicine used in Ghana, were analyzed with Energy Dispersive X-Ray Fluorescence spectroscopy (EDXRF). Analysis revealed 12 macro and 26 micro elements in both extracts. Further quantitative assessment of the results for amounts of elements that are pharmacologically significant revealed that the amounts of calcium, potassium, and magnesium present in the extracts could be correlated to its traditional usage in managing hypertension and arrhythmias. However, heavy metals (lead and inorganic arsenic) detected in the extracts may pose a threat at doses normally used traditionally for the treatment of hypertension. PMID:26495138

  9. Cultural objects as objects: materiality, urban space, and the interpretation of AIDS campaigns in Accra, Ghana.

    PubMed

    McDonnell, Terence E

    2010-05-01

    AIDS media lead unexpected lives once distributed through urban space: billboards fade, posters go missing, bumper stickers travel to other cities. The materiality of AIDS campaign objects and of the urban settings in which they are displayed structures how the public interprets their messages. Ethnographic observation of AIDS media in situ and interview data reveal how the materiality of objects and places shapes the availability of AIDS knowledge in Accra, Ghana. Significantly for AIDS organizations, these material conditions often systematically obstruct access to AIDS knowledge for particular groups. Attending to materiality rethinks how scholars assess the cultural power of media. PMID:20853708

  10. Resistance and change: a multiple streams approach to understanding health policy making in Ghana.

    PubMed

    Kusi-Ampofo, Owuraku; Church, John; Conteh, Charles; Heinmiller, B Timothy

    2015-02-01

    Although much has been written on health policy making in developed countries, the same cannot be said of less developed countries, especially in Africa. Drawing largely on available historical and government records, newspaper publications, parliamentary Hansards, and published books and articles, this article uses John W. Kingdon's multiple streams framework to explain how the problem, politics, and policy streams converged for Ghana's National Health Insurance Scheme (NHIS) to be passed into law in 2003. The article contends that a change in government in the 2000 general election opened a "policy window" for eventual policy change from "cash-and-carry" to the NHIS.

  11. Case Study: The Role of eLearning in Midwifery Pre-Service Education in Ghana.

    PubMed

    Appiagyei, Martha; Trump, Alison; Danso, Evans; Yeboah, Alex; Searle, Sarah; Carr, Catherine

    2015-01-01

    The issues and challenges of implementing eLearning in pre-service health education were explored through a pilot study conducted in six nurse-midwifery education programs in Ghana. Case-based, interactive computer mediated eLearning modules, targeted to basic emergency and obstetrical signal functions, were delivered both online and offline using a free-for-use eLearning platform, skoool HE(®). Key success factors included broad stakeholder support, an established curriculum and student and tutor interest. Challenges included infrastructure limitations, large class sizes and added workloads for tutors and information technology staff. National scale up is planned. PMID:26860764

  12. Towards a Tool for Malaria Supply Chain Management Improvement in Rural Ghana.

    PubMed

    Carlo, Lorena; Bakken, Suzanne; Mamykina, Lena; Kodie, Richmond; Kanter, Andrew S

    2015-01-01

    The maintenance of adequate quantities of antimalarial medicines and rapid diagnostic tests (RDTs) at health facilities in rural areas of sub-Saharan Africa is a challenging task because of poor supply chain management. Antimalarial stock-outs in the communities could lead patients (that need to travel long distances to get medications) to remain untreated, develop severe malaria and die. A prototype to improve the management of health commodities in rural Ghana through the visualization of current stock levels and the forecasting of commodities is proposed. PMID:26262307

  13. Wealth and antenatal care use: implications for maternal health care utilisation in Ghana.

    PubMed

    Arthur, Eric

    2012-01-01

    The study investigates the effect of wealth on maternal health care utilization in Ghana via its effect on Antenatal care use. Antenatal care serves as the initial point of contact of expectant mothers to maternal health care providers before delivery. The study is pivoted on the introduction of the free maternal health care policy in April 2005 in Ghana with the aim of reducing the financial barrier to the use of maternal health care services, to help reduce the high rate of maternal deaths. Prior to the introduction of the policy, studies found wealth to have a positive and significant influence on the use of Antenatal care. It is thus expected that with the policy, wealth should not influence the use of maternal health care significantly. Using secondary data from the 2008 Ghana Demographic and Health survey, the results have revealed that wealth still has a significant influence on adequate use of Antenatal care. Education, age, number of living children, transportation and health insurance are other factors that were found to influence the use of Antenatal care in Ghana. There also exist considerable variations in the use of Antenatal care in the geographical regions and between the rural and urban dwellers. It is recommended that to improve the use of Antenatal care and hence maternal health care utilization, some means of support is provided especially to women within the lowest wealth quintiles, like the provision and availability of recommended medication at the health center; secondly, women should be encouraged to pursue education to at least the secondary level since this improves their use of maternal health services. Policy should also target mothers who have had the experience of child birth on the need to use adequate Antenatal care for each pregnancy, since these mothers tend to use less antenatal care for subsequent pregnancies. The regional disparities found may be due to inaccessibility and unavailability of health facilities and services in the

  14. Micro and Macro Element Composition of Kalanchoe integra Leaves: An Adjuvant Treatment for Hypertension in Ghana.

    PubMed

    Frimpong-Manso, S; Asiedu-Gyekye, I J; Naadu, J P; Magnus-Aryitey, G T; Nyarko, A K; Boamah, D; Awan, M

    2015-01-01

    Two samples, water extract and blended whole leaves, of fresh Kalanchoe integra leaves (Crassulaceae), a traditional antihypertensive medicine used in Ghana, were analyzed with Energy Dispersive X-Ray Fluorescence spectroscopy (EDXRF). Analysis revealed 12 macro and 26 micro elements in both extracts. Further quantitative assessment of the results for amounts of elements that are pharmacologically significant revealed that the amounts of calcium, potassium, and magnesium present in the extracts could be correlated to its traditional usage in managing hypertension and arrhythmias. However, heavy metals (lead and inorganic arsenic) detected in the extracts may pose a threat at doses normally used traditionally for the treatment of hypertension.

  15. Wealth and antenatal care use: implications for maternal health care utilisation in Ghana

    PubMed Central

    2012-01-01

    The study investigates the effect of wealth on maternal health care utilization in Ghana via its effect on Antenatal care use. Antenatal care serves as the initial point of contact of expectant mothers to maternal health care providers before delivery. The study is pivoted on the introduction of the free maternal health care policy in April 2005 in Ghana with the aim of reducing the financial barrier to the use of maternal health care services, to help reduce the high rate of maternal deaths. Prior to the introduction of the policy, studies found wealth to have a positive and significant influence on the use of Antenatal care. It is thus expected that with the policy, wealth should not influence the use of maternal health care significantly. Using secondary data from the 2008 Ghana Demographic and Health survey, the results have revealed that wealth still has a significant influence on adequate use of Antenatal care. Education, age, number of living children, transportation and health insurance are other factors that were found to influence the use of Antenatal care in Ghana. There also exist considerable variations in the use of Antenatal care in the geographical regions and between the rural and urban dwellers. It is recommended that to improve the use of Antenatal care and hence maternal health care utilization, some means of support is provided especially to women within the lowest wealth quintiles, like the provision and availability of recommended medication at the health center; secondly, women should be encouraged to pursue education to at least the secondary level since this improves their use of maternal health services. Policy should also target mothers who have had the experience of child birth on the need to use adequate Antenatal care for each pregnancy, since these mothers tend to use less antenatal care for subsequent pregnancies. The regional disparities found may be due to inaccessibility and unavailability of health facilities and services in the

  16. Application of geographical information system (GIS) technology in the control of Buruli ulcer in Ghana

    PubMed Central

    2014-01-01

    Background Buruli ulcer (BU) disease is a chronic debilitating skin disease caused by Mycobacteriumulcerans. It is associated with areas where the water is slow-flowing or stagnant. Policy makers take the necessary strategic and policy decisions especially where to target interventions based on available evidence including spatial distribution of the disease. Unfortunately, there is limited information on the spatial distribution of BU in Ghana. The aim of the study was to use Geographical Information System (GIS) technology to show the spatial distribution and hot spots of BU in Greater Accra and Eastern Regions in Ghana. The information could then be used by decision makers to make the necessary strategic and policy decisions, especially where to target intervention. Methods We conducted a community case search and spatial mapping in two districts in Eastern region (Akuapem South and Suhum- Kraboa-Coaltar) and two districts in Greater Accra region (Ga West and Ga South Municipalities) of Ghana to identify the spatial distribution of BU cases in the communities along the Densu River. These municipalities are already known to the Ministry of Health as having high case load of BU. Structured questionnaires on demographic characteristics, environmental factors and general practices were administered to the cases. Using the E-trex Garmin Geographical Positioning System (GPS), the location of the case patient was marked along with any important attributes of the community. ArcGIS was used to generate maps showing BU distribution and hot spots. Results Two hundred and fifty-seven (257) probable BU patients were enrolled in the study after the case search. These cases and their houses (or homes) were located with the GPS. The GIS maps generated showed a varying distribution of BU in the various communities. We observed clustering of BU patients downstream of the Densu River which had hitherto not been observed. Conclusions There is clustering of BU in areas where the

  17. Estimating the fluvial sediment input to the coastal sediment budget: A case study of Ghana

    NASA Astrophysics Data System (ADS)

    Boateng, Isaac; Bray, Malcolm; Hooke, Janet

    2012-02-01

    Knowledge of fluvial sediment supply to the coastal sediment budget is important for the assessment of the impacts on coastal stability. Such knowledge is valuable for designing coastal engineering schemes and the development of shoreline management planning policies. It also facilitates understanding of the connection between rivers in the hinterland and adjoining coastal systems. Ghana's coast has many fluvial sediment sources and this paper provides the first quantitative assessments of their contributions to the coastal sediment budget. The methods use largely existing data and attempt to cover all of Ghana's significant coastal rivers. Initially work was hindered by insufficient direct measured data. However, the problem was overcome by the application of a regression approach, which provides an estimated sediment yield for non-gauged rivers based on data from gauged rivers with similar characteristics. The regression approach was effective because a regional coherence in behaviour was determined between those rivers, where direct measured data were available. The results of the assessment revealed that Ghana's coast is dissected by many south-draining rivers, stream and lagoons. These rivers, streams and lagoons supply significant amounts of sediment to coastal lowlands and therefore contribute importantly to beaches. Anthropogenic impoundment of fluvial sediment, especially the Akosombo dam on the Volta River, has reduced the total fluvial sediment input to the coast from about 71 × 10 6 m 3/a before 1964 (pre-Akosombo dam) to about 7 × 10 6 m 3/a at present (post-Akosombo dam). This sharp reduction threatened the stability of the east coast and prompted an expensive ($83 million) defence scheme to be implemented to protect 8.4 km-long coastline at Keta. Sections of Ghana's coast are closely connected to the hinterland through the fluvial sediment input from local rivers. Therefore, development in the hinterland that alters the fluvial sediment input from

  18. The path dependence of district manager decision-space in Ghana

    PubMed Central

    Kwamie, Aku; van Dijk, Han; Ansah, Evelyn K; Agyepong, Irene Akua

    2016-01-01

    The district health system in Ghana today is characterized by high resource-uncertainty and narrow decision-space. This article builds a theory-driven historical case study to describe the influence of path-dependent administrative, fiscal and political decentralization processes on development of the district health system and district manager decision-space. Methods included a non-exhaustive literature review of democratic governance in Ghana, and key informant interviews with high-level health system officials integral to the development of the district health system. Through our analysis we identified four periods of district health system progression: (1) development of the district health system (1970–85); (2) Strengthening District Health Systems Initiative (1986–93); (3) health sector reform planning and creation of the Ghana Health Service (1994–96) and (4) health sector reform implementation (1997–2007). It was observed that district manager decision-space steadily widened during periods (1) and (2), due to increases in managerial profile, and concerted efforts at managerial capacity strengthening. Periods (3) and (4) saw initial augmentation of district health system financing, further widening managerial decision-space. However, the latter half of period 4 witnessed district manager decision-space contraction. Formalization of Ghana Health Service structures influenced by self-reinforcing tendencies towards centralized decision-making, national and donor shifts in health sector financing, and changes in key policy actors all worked to the detriment of the district health system, reversing early gains from bottom-up development of the district health system. Policy feedback mechanisms have been influenced by historical and contemporary sequencing of local government and health sector decentralization. An initial act of administrative decentralization, followed by incomplete political and fiscal decentralization has ensured that the balance of

  19. Cultural objects as objects: materiality, urban space, and the interpretation of AIDS campaigns in Accra, Ghana.

    PubMed

    McDonnell, Terence E

    2010-05-01

    AIDS media lead unexpected lives once distributed through urban space: billboards fade, posters go missing, bumper stickers travel to other cities. The materiality of AIDS campaign objects and of the urban settings in which they are displayed structures how the public interprets their messages. Ethnographic observation of AIDS media in situ and interview data reveal how the materiality of objects and places shapes the availability of AIDS knowledge in Accra, Ghana. Significantly for AIDS organizations, these material conditions often systematically obstruct access to AIDS knowledge for particular groups. Attending to materiality rethinks how scholars assess the cultural power of media.

  20. Improving the Skill Component of Clothing and Textiles among Students in Second Cycle Institutions in Ghana and Its Effect on the Polytechnic Fashion Student. A Case Study of OLA Girls, Mawuko Girls and Mawuli Senior High School in Ho, Ghana

    ERIC Educational Resources Information Center

    Joana, Amankwa; Selase, Gbadegbe Richard; Selorm, Gbetodeme; Emefa, Agra Florence

    2015-01-01

    For a nation like Ghana to develop, it is necessary to pay much attention to Vocational and Technical Education. This is so because school programmes that place emphasis on theory courses or humanities are no longer useful to the nation.Graduates who offer such programmes find it very difficult to secure employment in the Ghanaian job market…