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Sample records for kwabenya-near accra ghana

  1. Characterization and sources of air particulate matter at Kwabenya, near Accra, Ghana

    Aboh, I. J. K.

    2009-01-01

    Gravimetric, reflectometric and elemental analyses have been carried out on airborne particulate matter sampled in a semi-rural area of Kwabenya, near Accra-Ghana. The PM 10 aerosols were sampled using a Gent sampler, size segregating the aerosol into coarse (PM 10-2.5 ) and fine (PM 1.5 ) fractions. The data and derived information were generated from 216 days of sampling spanning a period of about 14 months, 28 th December 2005 to 12 th February 2007. The particulate matter (PM) at Kwabenya was dominated by the coarse particulates and showed low levels during the Rainy season and high levels during the Harmattan period. The levels measured during the 2006/07 Harmattan were very high. The mass concentration for the measuring period were in the following ranges; coarse (PM 10-2.5 ) fraction (0.16 - 1794.01 µg/m 3 ); PM 2.5 (fine) fraction (0.50 - 430.23 µg/m 3 ) and PM 10 (0.87 µg/m 3 to 2064.89 µg/m 3 ). Additional information about the ambient air was obtained through the subsequent determination of elemental concentration using energy dispersive x-ray fluorescence (EDXRF) analysis and black carbon (BC) concentration through the b lack smoke method . The elements identified and quantified with the Quantitative X-ray Analysis System (QXAS) package software were: AI, Si, S, CI, K, Ca, Ti, V, Cr, Mn, Fe, Ni, Cu, Zn, Br, Rb, Sr and Pb in the coarse fraction. The following elements were identified and quantified in the fine fraction: AI, Si, S, K, Ca, Ti, Mn, Fe, Cu, Zn, Br, Rb, Sr and Pb. Validation of the quantitative methods with the standard reference filter SRM2783 gave very good agreement (within ± 15%) for most elements analysed except for Ni (±43%)which was very close to the detection limit. The elemental concentrations in the two fractions vary from season to season. Using simple correlation analysis some elements correlate, the elemental correlations also vary from season to season, for example during the Harmattan S, CI, V, Br and Sr correlated very

  2. Identification of aerosol particle sources in semi-rural area of Kwabenya, near Accra, Ghana, by EDXRF techniques

    Aboh, Innocent Joy Kwame; Henriksson, Dag; Laursen, Jens

    2009-01-01

    is frequently exposed to Harmattan dust from the Sahara-Sahel region. In total 171 filters each of PM2.5 and PM(2.5-10) were collected during 1 year. Levels of elements, black carbon (BC) and mass, were determined for both particle sizes. Principal component analysis (PCA) was performed on the datasets from...... Harmattan and non-Harmattan periods. The daily average of PM10 was very high, 179 μgm-3 and the BC contents were 4 μgm-3. The presence of crustal elements was large in PM(2.5-10) as well as in PM2.5, and had amore than tenfold increase in PM(2.5-10) during the Harmattan period. Major characteristic elements...

  3. Breast cancer in Accra, Ghana

    User

    Most can- cers (97.1%) were found in women with only 24. (2.9%) in males, giving a female:male ratio of. 33.2:1. Figure 1: Age characteristics of breast cancers in Accra. Ductal type represents the most common (90.1%) breast cancer cases followed by lobular carcinomas. (3.9%) (Table 1). The ductal to lobular ratio is.

  4. Cervical human papillomavirus infection in accra, Ghana | Domfeh ...

    ) prevalence and its determinants among a sample of Ghanaian women. Design: Cross-sectional observational study. Setting: Gynaecology outpatient clinic of the Korle-Bu Teaching Hospital, Accra, Ghana; the largest tertiary care ...

  5. Psychosocial aspects of breast cancer treatement in Accra, Ghana ...

    Objectives: To evaluate psychosocial influences and effects of breast cancer treatment. Design: Cohort questionnaire survey. Setting: Surgical Outpatient Department, Korle Bu Teaching Hospital (KBTH), Accra, Ghana. Subjects: Women previously treated for breast cancer, including those still on hormonal therapy.

  6. SEXUAL AND REPRODUCTIVE HEALTH IN ACCRA, GHANA

    David Ofori-Adjei

    2012-06-01

    Jun 1, 2012 ... sexual and reproductive ill health; one in ten women reported menstrual irregularities and almost one quarter ... and fertility from the Women's Health Study of Accra. II (WHSA-II) survey conducted in 2008-9. ..... breast exams (46%), nutrition education (29%) and. HIV tests (25%) were the most commonly ...

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

    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.

  8. What motivates single women to migrate from northern Ghana to Accra?

    Tufuor, Theresa; Sato, Chizu

    2017-01-01

    In recent decades there has been a large migration stream of single women from the north to Accra in Ghana. Existing studies have focused on young migrant women’s livelihood strategies in their place of destination. However, once-married women – divorced and widowed women and neglected wives – also

  9. Food and its preparation conditions in hotels in Accra, Ghana: A ...

    Although a lot of work has been done on the safety of street foods in most developing countries, not much has been done with regards to the hotel industry. A pilot study to investigate food and its preparation conditions in ten selected hotels in Accra, the capital of Ghana with respect to food safety was therefore initiated in ...

  10. Municipal Solid Waste Incineration For Accra Brewery Limited (Ghana)

    Akoore, Alfred Akelibilna

    2016-01-01

    Waste incineration is a common practice of waste management tool in most developed countries, for the purpose of converting mass and volumes of waste into a very useful energy content. The aim of this study was to compare the costs benefits of waste incineration for Accra Brewery boiler plant and to investigate also the availability of waste and it´s compositions in Accra, as well as to determine the feasibility of using this waste as a source of fuel to the waste incineration plant. T...

  11. Radioactivity concentrations and their radiological significance in sediments of the Tema Harbour (Greater Accra, Ghana)

    Benjamin O. Botwe; Antonio Schirone; Ivana Delbono; Mattia Barsanti; Roberta Delfanti; Peter Kelderman; Elvis Nyarko; Piet N.L. Lens

    2017-01-01

    Studies on environmental radioactivity in tropical Africa are scarce. Therefore, a baseline study of natural (238U, 210Pb, 226Ra, 232Th, 228Ra, 228Th, 40K) and anthropogenic (137Cs) radionuclides was carried out on Tema Harbour (Greater Accra, Ghana) surface sediments and on their radiological significance. Grab surface sediment samples were collected from 21 stations within the Tema Harbour and their radioactivity concentrations measured by gamma spectrometry. The mean sediment radioactivity...

  12. Street foods in Accra, Ghana: how safe are they?

    Mensah, Patience; Yeboah-Manu, Dorothy; Owusu-Darko, Kwaku; Ablordey, Anthony

    2002-01-01

    OBJECTIVE: To investigate the microbial quality of foods sold on streets of Accra and factors predisposing to their contamination. METHODS: Structured questionnaires were used to collect data from 117 street vendors on their vital statistics, personal hygiene, food hygiene and knowledge of foodborne illness. Standard methods were used for the enumeration, isolation, and identification of bacteria. FINDINGS: Most vendors were educated and exhibited good hygiene behaviour. Diarrhoea was defined...

  13. Epidemiological link of a major cholera outbreak in Greater Accra region of Ghana, 2014.

    Ohene-Adjei, Kennedy; Kenu, Ernest; Bandoh, Delia Akosua; Addo, Prince Nii Ossah; Noora, Charles Lwanga; Nortey, Priscillia; Afari, Edwin Andrew

    2017-10-11

    Cholera remains an important public health challenge globally. Several pandemics have occurred in different parts of the world and have been epidemiologically linked by different researchers to illustrate how the cases were spread and how they were related to index cases. Even though the risk factors associated with the 2014 cholera outbreak were investigated extensively, the link between index cases and the source of infection was not investigated to help break the transmission process. This study sought to show how the index cases from various districts of the Greater Accra Region may have been linked. We carried out a descriptive cross sectional study to investigate the epidemiological link of the 2014 cholera outbreak in the Greater Accra region of Ghana. An extensive review of all district records on cholera cases in the Greater Accra region was carried out. Index cases were identified with the help of line lists. Univariate analyses were expressed as frequency distributions, percentages, mean ± Standard Deviation, and rates (attack rates, case-fatality rates etc.) as appropriate. Maps were drawn using Arc GIS and Epi info software to describe the pattern of transmission. Up to 20,199 cholera cases were recorded. Sixty percent of the cases were between 20 and 40 years and about 58% (11,694) of the total cases were males. Almost 50% of the cases occurred in the Accra Metro district. Two-thirds of the index cases ate food prepared outside their home and had visited the Accra Metropolis. The 2014 cholera outbreak can be described as a propagated source outbreak linked to the Accra Metropolis. The link between index cases and the source of infection, if investigated earlier could have helped break the transmission process. Such investigations also inform decision-making about the appropriate interventions to be instituted to prevent subsequent outbreaks.

  14. Public's Perception of the Phenomenon of Street Children: A Qualitative Study of Students and Shopkeepers in Accra, Ghana

    Quarshie, Emmanuel Nii-Boye

    2011-01-01

    Drawing on recorded interviews and focus group discussions with shopkeepers, and junior and senior high school children respectively in Accra Central, this study explores the public's perceptions of the phenomenon of street children in Accra, Ghana. A semi-structured interview guide was used. Qualitative analyses of the data indicated that both shopkeepers and school children who participated in this study generally have positive and supportive perception of street children. However, the scho...

  15. Income and health in Accra, Ghana: results from a time use and health study.

    Fink, Günther; Weeks, John R; Hill, Allan G

    2012-10-01

    This paper uses newly collected household survey data from Accra, Ghana, to investigate whether incomes affect acute and chronic health outcomes in settings that can be considered representative for the large and rapidly growing urban centers of sub-Saharan Africa. The Time Use and Health Study in Accra collected information on incomes, current health status, and health care use from 5,484 persons in 1,250 households, each repeatedly sampled on a rolling basis for a period of 13 weeks. Data collection took place during September 2008-March 2010 to capture seasonal variations. The study found that incomes varied widely between households, and that a high fraction of persons lived below the poverty line. Despite this level of income poverty and an overall remarkably high burden of treatable disease, no systematic differences in self-reported and objectively measured health conditions were detected across socioeconomic groups.

  16. Heavy metals concentration and distribution in soils and vegetation at Korle Lagoon area in Accra, Ghana

    Fosu-Mensah, Benedicta Yayra; Addae, Emmanuel; Yirenya-Tawiah, Dzidzo

    2017-01-01

    The call for reclamation of land around Korle Lagoon in Accra, Ghana, where burning of E-waste and cultivation of vegetables takes place, make risk assessment of heavy metal contaminations important. This study aimed at evaluating the levels and risk of heavy metal contamination in soils...... and vegetation around the Korle lagoon area in Accra. Geoaccumulation index, enrichment factor and pollution load index were determined to assess the risk of contamination. The levels and distribution of nine heavy metals (Pb, Hg, Cd, As, Zn, Sn, Ni, Cu and Cr) in soil (0 – 20 cm) and common vegetation (Panicum...... was significantly different (p burning of e-waste should be enforced and animals...

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

    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. © The Author(s) 2014.

  18. Science reporting in Accra, Ghana: Sources, barriers and motivational factors

    Gastel, Barbara; Burdine, James N.; Russell, Leon H.

    2014-01-01

    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. PMID:25193967

  19. Cultural objects as objects: materiality, urban space, and the interpretation of AIDS campaigns in Accra, Ghana.

    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. Impact of urban agriculture on malaria vectors in Accra, Ghana.

    Klinkenberg, Eveline; McCall, Pj; Wilson, Michael D; Amerasinghe, Felix P; Donnelly, Martin J

    2008-08-04

    To investigate the impact of urban agriculture on malaria transmission risk in urban Accra larval and adult stage mosquito surveys, were performed. Local transmission was implicated as Anopheles spp. were found breeding and infected Anopheles mosquitoes were found resting in houses in the study sites. The predominant Anopheles species was Anopheles gambiae s.s.. The relative proportion of molecular forms within a subset of specimens was 86% S-form and 14% M-form. Anopheles spp. and Culex quinquefasciatus outdoor biting rates were respectively three and four times higher in areas around agricultural sites (UA) than in areas far from agriculture (U). The annual Entomological Inoculation Rate (EIR), the number of infectious bites received per individual per year, was 19.2 and 6.6 in UA and U sites, respectively. Breeding sites were highly transitory in nature, which poses a challenge for larval control in this setting. The data also suggest that the epidemiological importance of urban agricultural areas may be the provision of resting sites for adults rather than an increased number of larval habitats. Host-seeking activity peaked between 2-3 am, indicating that insecticide-treated bednets should be an effective control method.

  1. Gestational diabetes mellitus among women attending prenatal care at Korle-Bu Teaching Hospital, Accra, Ghana.

    Oppong, Samuel A; Ntumy, Michael Y; Amoakoh-Coleman, Mary; Ogum-Alangea, Deda; Modey-Amoah, Emefa

    2015-12-01

    To determine the burden of gestational diabetes mellitus (GDM) among pregnant women in Accra, Ghana. The present cross-sectional study enrolled women at 20-24 weeks of pregnancy attending their first prenatal clinic at Korle-Bu Teaching Hospital, Accra, between March and November 2013. Participants underwent a 2-hour, 75-g oral glucose tolerance test between 24 and 28 weeks. The odds of GDM among different body mass index (BMI, calculated as weight in kilograms divided by the square of height in meters) groupings were calculated in a multiple logistic regression model. Among 399 women screened, 37 (9.3%) had GDM. Compared with women with a BMI in the normal range (18.50-24.99), obese women (BMI >30.0) had an increased risk of GDM (odds ratio [OR] 2.98, 95% confidence interval [CI] 1.08-8.20; P=0.034]; overweight women (BMI 25.00-29.99) had a slightly elevated risk (OR 1.20, 95% CI 0.41-3.55; P=0.742). Maternal age, parity, education, employment status, place of residence, and previous pregnancy complications did not affect the risk of GDM. GDM was found in 10% of pregnant women in Accra. Women who were obese by 20-24 weeks of pregnancy had a significantly increased risk of GDM. Copyright © 2015 International Federation of Gynecology and Obstetrics. Published by Elsevier Ireland Ltd. All rights reserved.

  2. Assessing Worker and Environmental Chemical Exposure Risks at an e-Waste Recycling and Disposal Site in Accra, Ghana

    Jack Caravanos

    2011-01-01

    Conclusions. The Agbogbloshie e-waste recycling/disposal site in Accra, Ghana revealed an area with extensive lead contamination in both ambient air and topsoil. Given the urban nature of this site e as well as the large adjacent food distribution market, the potential for human health impact is substantial both to workers and local residents.

  3. Menstrual characteristics in some adolescent girls in Accra, Ghana.

    Gumanga, S K; Kwame-Aryee, R A

    2012-03-01

    Menstruation has a variable pattern within a few years of menarche which may not be well understood by many adolescent girls. Providing accurate information on menstruation is necessary to reduce anxiety, menstrual morbidity and improve reproductive health of these adolescents. To determine the age at menarche, duration of menstruation, length of menstrual cycle, regularity of menstrual cycle, prevalence of dysmenorrhoea and sources of information on menstruation. S(T) Mary's Senior Secondary School, Accra. Cross-sectional descriptive study using self-administered questionnaire. Four hundred and fifty six girls whose ages ranged from 14-19 years with mean and median ages of 16 ± 0.93 years and 16 years respectively were surveyed. Their ages at menarche ranged from 9 years to 16 years and the mean age at menarche was 12.5 ±1.28 years. Their menstrual cycle lengths ranged from 21-35 days with mean menstrual cycle length of 27.9± 0.9 days; the mode and median were both 28 days. The mean duration of menstrual flow was 4.9 days with mode and median of 5 days. Seventy one percent (n=449) had menses lasting 3-5 days while 27.2% had menses lasting over 5 days. Some 24% (n=409) had irregular menses six months after their menarche and 59.6% (n=453) were experiencing menses with clots. The prevalence of dysmenorrhoea was 74.4% (n=453). Some 80.2% (n=378) of the girls got counselling and education on care for their menses from their parents. The age at menarche and other menstrual characteristics observed in this study are similar to adolescent menstrual characteristics described by studies in other populations in the world.

  4. Street foods in Accra, Ghana: how safe are they?

    Mensah, Patience; Yeboah-Manu, Dorothy; Owusu-Darko, Kwaku; Ablordey, Anthony

    2002-01-01

    OBJECTIVE: To investigate the microbial quality of foods sold on streets of Accra and factors predisposing to their contamination. METHODS: Structured questionnaires were used to collect data from 117 street vendors on their vital statistics, personal hygiene, food hygiene and knowledge of foodborne illness. Standard methods were used for the enumeration, isolation, and identification of bacteria. FINDINGS: Most vendors were educated and exhibited good hygiene behaviour. Diarrhoea was defined as the passage of > or =3 stools per day) by 110 vendors (94.0%), but none associated diarrhoea with bloody stools; only 21 (17.9%) associated diarrhoea with germs. The surroundings of the vending sites were clean, but four sites (3.4%) were classified as very dirty. The cooking of food well in advance of consumption, exposure of food to flies, and working with food at ground level and by hand were likely risk factors for contamination. Examinations were made of 511 menu items, classified as breakfast/snack foods, main dishes, soups and sauces, and cold dishes. Mesophilic bacteria were detected in 356 foods (69.7%): 28 contained Bacillus cereus (5.5%), 163 contained Staphylococcus aureus (31.9%) and 172 contained Enterobacteriaceae (33.7%). The microbial quality of most of the foods was within the acceptable limits but samples of salads, macaroni, fufu, omo tuo and red pepper had unacceptable levels of contamination. Shigella sonnei and enteroaggregative Escherichia coli were isolated from macaroni, rice, and tomato stew, and Salmonella arizonae from light soup. CONCLUSION: Street foods can be sources of enteropathogens. Vendors should therefore receive education in food hygiene. Special attention should be given to the causes of diarrhoea, the transmission of diarrhoeal pathogens, the handling of equipment and cooked food, hand-washing practices and environmental hygiene. PMID:12163918

  5. Street foods in Accra, Ghana: how safe are they?

    Mensah, Patience; Yeboah-Manu, Dorothy; Owusu-Darko, Kwaku; Ablordey, Anthony

    2002-01-01

    To investigate the microbial quality of foods sold on streets of Accra and factors predisposing to their contamination. Structured questionnaires were used to collect data from 117 street vendors on their vital statistics, personal hygiene, food hygiene and knowledge of foodborne illness. Standard methods were used for the enumeration, isolation, and identification of bacteria. Most vendors were educated and exhibited good hygiene behaviour. Diarrhoea was defined as the passage of > or =3 stools per day) by 110 vendors (94.0%), but none associated diarrhoea with bloody stools; only 21 (17.9%) associated diarrhoea with germs. The surroundings of the vending sites were clean, but four sites (3.4%) were classified as very dirty. The cooking of food well in advance of consumption, exposure of food to flies, and working with food at ground level and by hand were likely risk factors for contamination. Examinations were made of 511 menu items, classified as breakfast/snack foods, main dishes, soups and sauces, and cold dishes. Mesophilic bacteria were detected in 356 foods (69.7%): 28 contained Bacillus cereus (5.5%), 163 contained Staphylococcus aureus (31.9%) and 172 contained Enterobacteriaceae (33.7%). The microbial quality of most of the foods was within the acceptable limits but samples of salads, macaroni, fufu, omo tuo and red pepper had unacceptable levels of contamination. Shigella sonnei and enteroaggregative Escherichia coli were isolated from macaroni, rice, and tomato stew, and Salmonella arizonae from light soup. Street foods can be sources of enteropathogens. Vendors should therefore receive education in food hygiene. Special attention should be given to the causes of diarrhoea, the transmission of diarrhoeal pathogens, the handling of equipment and cooked food, hand-washing practices and environmental hygiene.

  6. Pharmaceutical consumption and residuals potentially relevant to nutrient cycling in Greater Accra, Ghana

    Evren Sinar

    2010-04-01

    Full Text Available Recycling nutrients form sanitary wastes back into agricultural ecosystems offers an option to alleviate soil depletion in regions where the use of mineral fertiliser is limited. Exemplary nutrient and water cycling approaches, including collection, treatment and use of human urine, are established at Valley View University (VVU in Greater Accra, Ghana.Concerns have been recently raised in regard to fate and impact of pharmaceutical residues in soils and interlinked environment. To evaluate in how far emerging knowledge can be transposed onto VVU, urban and rural environments in Greater Accra, spatial disease occurrence and drug consumption patterns were studied. Malaria has been found to represent the most severe health burden in Ghana, but there is also a high prevalence of infectious diseases. Drugs consumed in great quantities and in respect to their residual loads potentially problematic in the environment belong to therapeutic groups of: antibiotics, analgesics, drugs for diabetes, antimalarials, cardiovascular drugs and anthelmintics. Drug consumption revealed to be highest in urban and lowest in rural areas. At VVU the range of consumed drugs is comparable to urban areas except for the negligible use of diabetes and cardiovascular medication as well as contraceptives.

  7. Health insurance and care-seeking behaviours of female migrants in Accra, Ghana.

    Lattof, Samantha R

    2018-05-01

    People working in Ghana's informal sector have low rates of enrolment in the publicly funded National Health Insurance Scheme. Informal sector workers, including migrant girls and women from northern Ghana working as head porters (kayayei), report challenges obtaining insurance and seeking formal health care. This article analyses how health insurance status affects kayayei migrants' care-seeking behaviours. This mixed-methods study involved surveying 625 migrants using respondent-driven sampling and conducting in-depth interviews with a sub-sample of 48 migrants. Analyses explore health status and health seeking behaviours for recent illness/injury. Binary logistic regression modelled the effects of selected independent variables on whether or not a recently ill/injured participant (n = 239) sought health care. Although recently ill/injured participants (38.4%) desired health care, less than half (43.5%) sought care. Financial barriers overwhelmingly limit kayayei migrants from seeking health care, preventing them from registering with the National Health Insurance Scheme, renewing their expired health insurance policies, or taking time away from work. Both insured and uninsured migrants did not seek formal health services due to the unpredictable nature of out-of-pocket expenses. Catastrophic and impoverishing medical expenses also drove participants' migration in search of work to repay loans and hospital bills. Health insurance can help minimize these expenditures, but only 17.4% of currently insured participants (58.2%) reported holding a valid health insurance card in Accra. The others lost their cards or forgot them when migrating. Access to formal health care in Accra remains largely inaccessible to kayayei migrants who suffer from greater illness/injury than the general female population in Accra and who are hindered in their ability to receive insurance exemptions. With internal migration on the rise in many settings, health systems must recognize the

  8. Childbearing and Economic Work: The Health Balance of Women in Accra, Ghana.

    Waterhouse, Philippa; Hill, Allan G; Hinde, Andrew

    2016-02-01

    This study aims to investigate (1) whether the health of working women with young children differs from that of working women without young children, and (2) which social factors mediate the relationship between economic and maternal role performance and health among mothers with young children. The analyses uses panel data from 697 women present in both waves of the Women's Health Study for Accra (WHSA-I and WHSA-II); a community based study of women aged 18 years and older in the Accra Metropolitan Area of Ghana conducted in 2003 and 2008-2009. Change in physical and mental health between the survey waves is compared between women with a biological child alive at WHSA-II and born since WHSA-I and women without a living biological child at WHSA-II born in the interval. To account for attrition between the two survey waves selection models were used with unconditional change score models being used as the outcome model. We found in our sample of working women that those who had a child born between WHSA-I and WHSA-II who was still alive at WHSA-II did not experience a change in mental or physical health different from other women. Among working women with young children, educational status, relationship to the household head and household demography were associated with change in mental health at the 5 % level, whilst migration status and household demography was associated with change in physical health scores. The results suggest there are no health penalties of combining work and childbearing among women with young children in Accra, Ghana.

  9. Assessment of quality of drinking water in Amasaman, Accra (Ghana)

    Quarcoo, G.; Hodgson, I. O. A.; Ampofo, J. A.; Cobbina, S. J.; Koku, J. E.

    2014-01-01

    The physico-chemical and microbial quality attributes of untreated water samples from hand dug wells and treated water delivered by tankers (mobile services) were assessed to determine the susceptibility of Amasaman community to water borne diseases. The physico-chemical parameters of all the water sources for domestic use were within the World Health Organization (WHO) drinking water guidelines and Ghana Standards (GS), with the exception of turbidity and colour which showed higher values for the well waters. With respect to the microbial quality, the waters from the hand-dug wells and tanker services showed presence of both total and faecal coliforms, at levels higher than WHO and GS values of zero counts per 100 mL for drinking water. The poor microbial quality (presence of coliform bacteria) of all the water samples suggested susceptibility and exposure of the community to waterborne diseases on continuously drinking the available water. (au)

  10. A Systems Dynamics Approach to Explore Traffic Congestion and Air Pollution Link in the City of Accra, Ghana

    Alex A. N. M. Pappoe

    2010-01-01

    Full Text Available Economic development and urbanization poses myriad challenges to transportation systems in relation to negative externalities such as traffic congestion and environmental health risks. Accra, the capital of Ghana, faces mounting urban planning problems, for example traffic congestion, air pollution, traffic safety, and land use planning, among others. The paper aims to provide a system dynamics perspective of the problems. Most of the drivers and cause-effect relationships of traffic congestion and its attendant air pollution are investigated and analyzed using causal loop diagrams. The paper further suggests mechanisms by which the negative externalities associated with road transport in the city of Accra can be addressed.

  11. Environment, wealth, inequality and the burden of disease in the Accra metropolitan area, Ghana.

    Boadi, Kwasi Owusu; Kuitunen, Markku

    2005-06-01

    The study examines environmental problems and adverse impacts on the health of urban households in the Accra metropolitan area, Ghana. Accra is faced with severe inadequacy of urban infrastructure in the face of rapid population growth in the metropolis. More than half of the city's population do not have access to solid waste collection services. Only 39.8% of households have indoor pipe and over 35.0% of households depend on unsanitary public latrines whilst 2.5% do not have access to toilet facilities. Human excrement, garbage and wastewater are usually deposited in surface drains, open spaces and streams in poor neighbourhoods. The resultant poor sanitation has serious health impacts as more than half of reported diseases are related to poor environmental sanitation. The majority of households depend on solid fuels for cooking and this leads to indoor air pollution and high incidence of respiratory infections. Poor households bear a disproportionately large share of the burden of environmental health hazards than their wealthy counterparts, due to their particular vulnerability resulting from inadequate access to environmental health facilities and services.

  12. Assessment of the municipal solid waste management system in Accra, Ghana: A 'Wasteaware' benchmark indicator approach.

    Oduro-Appiah, Kwaku; Scheinberg, Anne; Mensah, Anthony; Afful, Abraham; Boadu, Henry Kofi; de Vries, Nanne

    2017-11-01

    This article assesses the performance of the city of Accra, Ghana, in municipal solid waste management as defined by the integrated sustainable waste management framework. The article reports on a participatory process to socialise the Wasteaware benchmark indicators and apply them to an upgraded set of data and information. The process has engaged 24 key stakeholders for 9 months, to diagram the flow of materials and benchmark three physical components and three governance aspects of the city's municipal solid waste management system. The results indicate that Accra is well below some other lower middle-income cities regarding sustainable modernisation of solid waste services. Collection coverage and capture of 75% and 53%, respectively, are a disappointing result, despite (or perhaps because of) 20 years of formal private sector involvement in service delivery. A total of 62% of municipal solid waste continues to be disposed of in controlled landfills and the reported recycling rate of 5% indicates both a lack of good measurement and a lack of interest in diverting waste from disposal. Drains, illegal dumps and beaches are choked with discarded bottles and plastic packaging. The quality of collection, disposal and recycling score between low and medium on the Wasteaware indicators, and the scores for user inclusivity, financial sustainability and local institutional coherence are low. The analysis suggests that waste and recycling would improve through greater provider inclusivity, especially the recognition and integration of the informal sector, and interventions that respond to user needs for more inclusive decision-making.

  13. Geographic object-based delineation of neighborhoods of Accra, Ghana using QuickBird satellite imagery.

    Stow, Douglas A; Lippitt, Christopher D; Weeks, John R

    2010-08-01

    The objective was to test GEographic Object-based Image Analysis (GEOBIA) techniques for delineating neighborhoods of Accra, Ghana using QuickBird multispectral imagery. Two approaches to aggregating census enumeration areas (EAs) based on image-derived measures of vegetation objects were tested: (1) merging adjacent EAs according to vegetation measures and (2) image segmentation. Both approaches exploit readily available functions within commercial GEOBIA software. Image-derived neighborhood maps were compared to a reference map derived by spatial clustering of slum index values (from census data), to provide a relative assessment of potential map utility. A size-constrained iterative segmentation approach to aggregation was more successful than standard image segmentation or feature merge techniques. The segmentation approaches account for size and shape characteristics, enabling more realistic neighborhood boundaries to be delineated. The percentage of vegetation patches within each EA yielded more realistic delineation of potential neighborhoods than mean vegetation patch size per EA.

  14. Sachet drinking water in Ghana's Accra-Tema metropolitan area: past, present, and future.

    Stoler, Justin; Weeks, John R; Fink, Günther

    2012-01-01

    Population growth in West Africa has outpaced local efforts to expand potable water services, and private sector sale of packaged drinking water has filled an important gap in household water security. Consumption of drinking water packaged in plastic sachets has soared in West Africa over the last decade, but the long-term implications of these changing consumption patterns remain unclear and unstudied. This paper reviews recent shifts in drinking water, drawing upon data from the 2003 and 2008 Demographic and Health Surveys, and provides an overview of the history, economics, quality, and regulation of sachet water in Ghana's Accra-Tema Metropolitan Area. Given the pros and cons of sachet water, we suggest that a more holistic understanding of the drinking water landscape is necessary for municipal planning and sustainable drinking water provision.

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

    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.

  16. Prevalence of gastrointestinal helminths and management practices for dogs in the Greater Accra region of Ghana

    Sherry Ama Mawuko Johnson

    2015-09-01

    Full Text Available Toxocariosis and ancylostomosis remain the most important parasitic infections affecting companion animals worldwide and pose a risk to animal and human health. Information on these infections in dogs in Ghana is inadequate. A cross sectional study was undertaken to determine the occurrence of gastrointestinal helminths infections and management practices of dogs in the Greater Accra Region (GAR of Ghana. Faecal samples were obtained from 380 dogs from communities in 11 out of 16 districts in the GAR. Coprological examination of the samples was performed using the modified McMaster technique. Management practices for control of helminths in dogs were assessed through questionnaire interviews of the dog owners. Most dogs (70.7% were kept for security reasons and were not housed (61.8%. Prevalence of gastrointestinal helminths was 62.6%. Hookworm eggs were found in 178 (46.8% dogs, Toxocara canis eggs in 22 (5.8% and mixed infections of hookworms and T. canis in 38 (10.0%. Dipylidium caninum was found in 51 (13.4% dogs, while Isospora species was in 33 (8.5% dogs. Most households (68%; 133/194 of the sampled dogs had at least a child below the age of 5 years. Hookworm, T. canis and D. caninum were the zoonotic gastrointestinal helminths prevalent in dogs in the study area. Lack of housing for dogs creates ideal conditions for infection and spread of the zoonotic parasites.

  17. Access to health in city slum dwellers: The case of Sodom and Gomorrah in Accra, Ghana

    Frances E. Owusu-Ansah

    2016-03-01

    Full Text Available Background: Rapid rural-urban migration of people to cities is a reality around the globe that has increased city slum dwellers. Sodom and Gomorrah is a city slum located in the heart of Accra, Ghana. Like other slums, it lacks basic amenities necessary for dwellers’ quality of life. This study describes residents’ access to health and factors associated with the use of healthcarefacilities. Methods: Questionnaires were administered in systematically selected shacks across the entire slum. Data on demographic characteristics, existent health facilities and number of users, health-insured residents and knowledge of common diseases were collected. Results: Majority of the residents were from the northern parts of Ghana, relative to the south and a few of them come from other parts of West Africa. Seventy-one percent of residents had never visited a health facility in the last 5 years. When necessary, they access health care from drug stores (61.1% or hospitals (33.1%. Residents’ age, educational status, income, health knowledge and membership of National Health Insurance Scheme were significantly (p < 0.05 associated with the use of healthcare facilities. Younger residents and those without National Health Insurance Scheme membership, formal education, no knowledge of common illnesses and regular income were significantly less likely to use a healthcare facility. For most residents, neither distance (73.2% nor transportation to health facilities was a problem (74.1%. Conclusion: Conditions of profound environmental hazards, overcrowding, poor-quality housing and lack of health care in Sodom and Gomorrah pose grave threats to the health of the inhabitants. Multisectoral interventions and resource mobilisation championed by the Ministry of Local Government and Rural Development are needed to alter the trend. Keywords: Slum dwellers, health, access, Sodom and Gomorra, Ghana

  18. Evaluation of cholera surveillance system in Osu Klottey District, Accra, Ghana (2011-2013).

    Adjei, Eric Yirenkyi; Malm, Keziah Laurencia; Mensah, Kofi Nyarko; Sackey, Samuel Oko; Ameme, Donne; Kenu, Ernest; Abdulai, Marijanatu; Mills, Richael; Afari, Edwin

    2017-01-01

    Cholera is an acute illness characterized by profuse watery diarrhea. It is caused by vibrio cholera subgroup 01 and 0139. Rapid administration of fluid replacement therapy and supportive treatment can reduce mortality to around 1%. By the close of 2011, 10,628 cases and 100 deaths were reported in Ghana with a case fatality rate of 0.99. It is important to evaluate the cholera surveillance system in Ghana to determine if it is meeting its objective. The study was conducted in Osu Klottey district in the Accra Metropolitan area in January 2014. We assessed the operations (attributes and performance) of the surveillance system for cholera using CDC guidelines (2001). Surveillance data records at the district level from 2011-2013 were extracted and analyzed for frequency using Microsoft excel. Stakeholders and key informants were interviewed using structured questionnaire. Records were also reviewed at some health facilities and at district levels. In 2011 and 2012, case fatality rates (1.3% and 0.65%) respectively. Males were mostly affected. The most affected age group was 20-29. In 2011, Predictive value positive was 69.2% and 50% in 2012.Cholera peaked in March 2011 and April 2012. The Government of Ghana funded the system. The system is sensitive, simple, stable, flexible, acceptable and representative. It was also useful and data quality was relatively good. Predictive Value Positive was also good. The surveillance system is achieving its set out objectives. The system is sensitive, simple, stable, flexible, and acceptable. Predictive value positive was good.

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

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

    2014-01-01

    The volume of e-waste is growing around the world, and, increasingly, it is being disposed of by export from developed to developing countries. This is the situation in Ghana, and, in this paper we address the potential consequences of such e-waste disposal. Herein, we describe how e-waste is processed in Ghana, and what the fate is of e-waste-chemical contaminants during recycling and storage. Finally, to the extent it is known, we address the prospective adverse effects of e-waste-related contaminants on health and aquatic life downstream from a large e-waste disposal facility in Accra, Ghana.In developing countries, including Ghana, e-waste is routinely disassembled by unprotected workers that utilize rudimentary methods and tools. Once disassembled,e-waste components are often stored in large piles outdoors. These processing and storage methods expose workers and local residents to several heavy metals and organic chemicals that exist in e-waste components. The amount of e-waste dumped in Ghana is increasing annually by about 20,000 t. The local aquatic environment is at a potential high risk, because the piles of e-waste components stored outside are routinely drenched or flooded by rainfall, producing run-off from storage sites to local waterways. Both water and sediment samples show that e-waste-related contaminant shave entered Ghana's water ways.The extent of pollution produced in key water bodies of Ghana (Odaw River and the Korle Lagoon) underscores the need for aquatic risk assessments of the many contaminants released during e-waste processing. Notwithstanding the fact that pollutants from other sources reach the water bodies, it is clear that these water bodies are also heavily impacted by contaminants that are found in e-waste. Our concern is that such exposures have limited and will continue to limit the diversity of aquatic organisms.There have also been changes in the abundance and biomass of surviving species and changes in food chains. Therefore

  20. Trends in Urbanization and Implications for Peri-Urban Livelihoods in Accra, Ghana

    Adom, Cynthia

    Urbanization is a common occurrence in both developed and developing worlds. Similar to occurrences in other developing world cities, Accra's urbanization is marked by fast, unplanned and uneven growth into mostly peripheral lands (Grant and Yankson 2002; Yeboah 2001; Ghana Statistical Service (GSS) 2002). Such trends in urbanization in places where data on the urbanization process is seriously inadequate and infrequent, (Rakodi 1997a; Ohadika 1991; Fasona and Omojola 2004) pose a major challenge to urban planning and management (Henderson 2002), and affect the livelihood base of several peri-urban households. Properly monitoring the urbanization process in the developing world and understanding its effects on people's lives depends on the availability of useful and up-to- date data (Weber and Puissant 2003; Mundia and Aniya 2006) that could be obtained using new and robust analytical techniques (Yang 2003). In addition, in the urban environment, differences in rates of urbanization, income, employment status, and gender dynamics across neighborhoods suggest that the impacts of increasing urbanization on peri-urban livelihoods are likely to vary across peoples and places. Against this backdrop, this dissertation uses Accra as a case study to, first, measures the nature and extent of urban expansion using a non-conventional technique, and then analyzes neighborhood - and gender-differentiated impacts of increasing urbanization on household livelihoods in peri-urban Accra. Study findings reveal: 1) major conversion of vegetated land to urban lands uses and support the effectiveness of the Self-Organizing Map and Landsat data to map complex and hazy urban tropical environments; 2) that the impacts of urbanization on peri-urban livelihoods are structured along the lines of neighborhood-level urbanization; changes brought by a higher rate of urbanization are more beneficial than harmful to household livelihoods; 3) that positive livelihood outcomes in high

  1. Improving urban visibility through fractal analysis of street edges: The case of John Evans Atta Mills High Street in Accra, Ghana

    R.A. Oppong; A.B. Marful; E.S. Asare

    2017-01-01

    Streets are a representation of cities, and the image of a city is a reflection of its home country. Although attempts to ensure harmonious spatial and environmental development in Ghanaian settlements date back to the colonial era, these efforts have minimal physical manifestation in the urban fabric of the city of Accra. The Independence Arch of Ghana, an important landmark in the urban fabric and history of Accra, lacks the striking vista and approach it deserves. This paper introduces the...

  2. Access to health in city slum dwellers: The case of Sodom and Gomorrah in Accra, Ghana.

    Owusu-Ansah, Frances E; Tagbor, Harry; Togbe, Mabel Afi

    2016-03-29

    Rapid rural-urban migration of people to cities is a reality around the globe that has increased city slum dwellers. Sodom and Gomorrah is a city slum located in the heart of Accra, Ghana. Like other slums, it lacks basic amenities necessary for dwellers' quality of life. This study describes residents' access to health and factors associated with the use of healthcarefacilities. Questionnaires were administered in systematically selected shacks across the entire slum. Data on demographic characteristics, existent health facilities and number of users, health-insured residents and knowledge of common diseases were collected. Majority of the residents were from the northern parts of Ghana, relative to the south and a few of them come from other parts of West Africa. Seventy-one percent of residents had never visited a health facility in the last 5 years. When necessary, they access health care from drug stores (61.1%) or hospitals (33.1%). Residents' age, educational status, income, health knowledge and membership of National Health Insurance Scheme were significantly (p < 0.05) associated with the use of healthcare facilities. Younger residents and those without National Health Insurance Scheme membership, formal education, no knowledge of common illnesses and regular income were significantly less likely to use a healthcare facility. For most residents, neither distance (73.2%) nor transportation to health facilities was a problem (74.1%). Conditions of profound environmental hazards, overcrowding, poor-quality housing and lack of health care in Sodom and Gomorrah pose grave threats to the health of the inhabitants. Multisectoral interventions and resource mobilisation championed by the Ministry of Local Government and Rural Development are needed to alter the trend.

  3. Chemical composition and sources of particle pollution in affluent and poor neighborhoods of Accra, Ghana

    Zhou, Zheng; Dionisio, Kathie L; Verissimo, Thiago G; Kerr, Americo S; Coull, Brent; Arku, Raphael E; Koutrakis, Petros; Spengler, John D; Vallarino, Jose; Hughes, Allison F; Agyei-Mensah, Samuel; Ezzati, Majid

    2013-01-01

    The highest levels of air pollution in the world now occur in developing country cities, where air pollution sources differ from high-income countries. We analyzed particulate matter (PM) chemical composition and estimated the contributions of various sources to particle pollution in poor and affluent neighborhoods of Accra, Ghana. Elements from earth’s crust were most abundant during the seasonal Harmattan period between late December and late January when Saharan dust is carried to coastal West Africa. During Harmattan, crustal particles accounted for 55 μg m −3 (37%) of fine particle (PM 2.5 ) mass and 128 μg m −3 (42%) of PM 10 mass. Outside Harmattan, biomass combustion, which was associated with higher black carbon, potassium, and sulfur, accounted for between 10.6 and 21.3 μg m −3 of fine particle mass in different neighborhoods, with its contribution largest in the poorest neighborhood. Other sources were sea salt, vehicle emissions, tire and brake wear, road dust, and solid waste burning. Reducing air pollution in African cities requires policies related to energy, transportation and urban planning, and forestry and agriculture, with explicit attention to impacts of each strategy in poor communities. Such cross-sectoral integration requires emphasis on urban environment and urban poverty in the post-2015 Development Agenda. (letter)

  4. Radioactivity concentrations and their radiological significance in sediments of the Tema Harbour (Greater Accra, Ghana

    Benjamin O. Botwe

    2017-01-01

    Full Text Available Studies on environmental radioactivity in tropical Africa are scarce. Therefore, a baseline study of natural (238U, 210Pb, 226Ra, 232Th, 228Ra, 228Th, 40K and anthropogenic (137Cs radionuclides was carried out on Tema Harbour (Greater Accra, Ghana surface sediments and on their radiological significance. Grab surface sediment samples were collected from 21 stations within the Tema Harbour and their radioactivity concentrations measured by gamma spectrometry. The mean sediment radioactivity concentrations (Bq kg−1 dw were 34 for 238U, 210 for 210Pb, 14 for 226Ra, 30 for 232Th, 29 for 228Ra, 31 for 228Th, 320 for 40K, and 1.5 for 137Cs. Large 238U/226Ra disequilibria were observed in the harbour sediments and a complex dynamics of several mixed sources of sediments within the Tema Harbour can be inferred from the spatial variations in the radioactivity concentrations. The estimated total absorbed dose rate in air (D, radium equivalent activity (Raeq, external hazard index (Hex, annual gonadal dose equivalent (AGDE and annual effective dose equivalent (AEDE indicated no significant radiological risks from the sediment radioactivity concentrations. Application of the Environmental Risk from Ionising Contaminants Assessment and Management tool (ERICA confirmed that the potential dose rates to biota from the sediment radioactivity concentrations are unlikely to pose appreciable ecological risks. The radioactivity levels are compared with levels reported in sediments from other coastal areas of the world.

  5. Facilitators and barriers of herbal medicine use in Accra, Ghana: an inductive exploratory study.

    Aziato, Lydia; Antwi, Hannah Ohemeng

    2016-05-26

    The use of complementary and alternative medicine including herbal medicine is increasing in many countries including Ghana. However, there is paucity of research on the perspectives of patrons of herbal medicine regarding the facilitators and barriers of herbal medicine use. This study sought to investigate the facilitators and barriers of herbal medicine among Ghanaian adults who use one form of herbal medicine or the other. The study employed an inductive exploratory qualitative approach. It was conducted at a private herbal clinic in Accra. Purposive sampling was employed to recruit 16 participants. Data collection was through individual face-to-face interviews and these were transcribed and analysed using content analysis procedures. It was realized that the factors that enhanced the use of herbal medicine included use of convincing information to enhance the initiation of herbal medicine use, effectiveness of herbal medicine, personal preference for herbal medicine, perceived ineffectiveness of western medicine and integration of spirituality in herbal medicine. The factors that hindered herbal medicine use included negative perceptions and attitudes about herbal medicine, poor vending environment, poor knowledge of vendors, high cost of herbal products at credible herbal clinics and inconsistent effectiveness of some herbal products. Participants desired that the national health insurance scheme will cover the cost of herbal medicine to alleviate the financial burden associated with herbal medicine use. Although some Ghanaians patronize herbal medicine, the negative perceptions about herbal medicine resulting from deceitful producers and vendors call for enhanced education and monitoring to ensure that effective herbal products are used.

  6. Heavy metals in vegetables sampled from farm and market sites in Accra metropolis, Ghana

    Fordjour, Linda Addae

    2015-07-01

    This study reports for the first time in Ghana long-term monitoring of heavy metal contamination of vegetables. As reliable residue data analysis resulting from monitoring programs in foods is of great value to the general populace; this could address the possible risk of heavy metal exposure to human health. In this study, monitoring of heavy metals (As, Cd, Co, Cr, Cu, Fe, Mn, Ni, Pb and Zn) in consumable vegetables was assessed for a period of 2 years, 2013-2014. In all, a total of 479 vegetables (cabbage (Brassica oleracea), carrot (Daucus carota), cucumber (Cucumis sativus), green pepper (Capsicum annuum) and lettuce (Lactuca sativa)) were purchased from farm (production) and market sites within Accra Metropolis, Ghana. Samples were subjected to acid digestion and analyzed with atomic absorption spectrometer (AAS). All the vegetables studied contained at least two (2) or more metals; 18.99% of the samples had metal detections below the European Union (EU) guideline values, whereas 81% were above limits. Vegetables from Mallam Attah market and the Ghana Broadcasting Corporation (GBC) sites registered the highest percentage exceedances (100%) with the largest violation occurring in lettuce (97.41%). Elevated concentrations of these metals were also observed in vegetables from markets compared to the farms except As, Cd, Co and Fe. Ni and Cr were undetected in vegetables from farms, however their maximum concentrations (1.236 and 2.459 mg/kg) were recorded in lettuce at market sites. Additionally, the significant metal increases in vegetables from the markets could be due to atmospheric depositions and mode of handling by both farmers and buyers. On the other hand, studies of the soils from the various farm sites had varying mean concentrations of heavy metals, Fe (189.703), Mn (142.246) and As (9.145 mg/kg). However, all the metal levels in the soil were below EU limits, except As (24.2 mg/kg) found at Dzorwulu site, which exceeded the 20.0 mg/kg limit for As in

  7. Consumer attitudes towards vegetable attributes: potential buyers of pesticide-free vegetables in Accra and Kumasi, Ghana.

    Probst, Lorenz; Aigelsperger, Lisa; Hauser, Michael

    2010-01-01

    Considering the inappropriate use of synthetic pesticides on vegetables in West Africa, the rationale behind this research was to assess the extent to which consumers can function as demanders of risk reduced vegetables and hence act as innovators towards vegetable safety. Using the cases of Kumasi and Accra in Ghana, the study examined possible consumer responses to product certification that communicates freedom from pesticides (e.g., organic certification). Generally, search attributes such as the fresh and healthy appearance of a vegetable were found to be central to consumer choice. While consumers stress the importance of health value, they are mostly unaware of agro-chemical risks related to vegetable consumption.

  8. A Farm to Fork Risk Assessment for the Use of Wastewater in Agriculture in Accra, Ghana.

    Prince Antwi-Agyei

    Full Text Available The need to minimise consumer risk, especially for food that can be consumed uncooked, is a continuing public health concern, particularly in places where safe sanitation and hygienic practices are absent. The use of wastewater in agriculture has been associated with disease risks, though its relative significance in disease transmission remains unclear. This study aimed at identifying key risk factors for produce contamination at different entry points of the food chain. Over 500 produce and ready-to-eat salad samples were collected from fields, markets, and kitchens during the dry and wet seasons in Accra, Ghana, and over 300 soil and irrigation water samples were collected. All samples were analysed for E. coli, human adenovirus and norovirus using standard microbiological procedures, and real time RT-PCR. Finally, critical exposures associated with microbial quality of produce were assessed through observations and interviews. The study found that over 80% of produce samples were contaminated with E. coli, with median concentrations ranging from 0.64 to 3.84 Log E. coli/g produce. Prepared salad from street food vendors was found to be the most contaminated (4.23 Log E. coli/g, and that consumption of salad exceeded acceptable health limits. Key risk factors identified for produce contamination were irrigation water and soil at the farm level. Storage duration and temperature of produce had a significant influence on the quality of produce sold at markets, while observations revealed that the washed water used to rinse produce before sale was dirty. The source of produce and operating with a hygiene permit were found to influence salad microbial quality at kitchens. This study argues for a need to manage produce risk factors at all domains along the food chain, though it would be more effective to prioritise at markets and kitchens due to cost, ease of implementation and public health significance.

  9. Occupational hearing loss of market mill workers in the city of Accra, Ghana.

    Kitcher, Emmanuel D; Ocansey, Grace; Abaidoo, Benjamin; Atule, Alidu

    2014-01-01

    Noise induced hearing loss (NIHL) is an irreversible sensorineural hearing loss associated with exposure to high levels of excessive noise. Prevention measures are not well established in developing countries. This comparative cross sectional study aims to determine the prevalence of hearing loss in both a group of high risk workers and a control group and to assess their knowledge of the effects of noise on hearing health. A total of 101 market mill workers and 103 controls employed within markets in the city of Accra, Ghana, were evaluated using a structured questionnaire and pure tone audiometry. The questionnaire assessed factors including self-reported hearing loss, tinnitus, knowledge on the effects of noise on hearing health and the use of hearing protective devices. Pure tone audiometric testing was conducted for both mill workers and controls. Noise levels at the work premises of the mill workers and controls were measured. Symptoms of hearing loss were reported by 24 (23.76%) and 8 (7.7%) mill workers and controls respectively. Fifty-five (54.5%) and fifty-four (52.37%) mill workers and controls exhibited knowledge of the effects of noise on hearing health. Five (5.0%) mill workers used hearing protective devices. There was significant sensorineural hearing loss and the presence of a 4 kHz audiometric notch among mill workers when compared with controls for the mean thresholds of 2 kHz, 3 kHz and 4 kHz (P = 0. 001). The prevalence of hearing loss in the better hearing ears of the mill workers and controls was 24.8% and 4.8% respectively (P hearing loss, which may be characteristic of NIHL in the better hearing ears of the mill workers and controls was 24.8% and 4.8% respectively. The majority of mill workers did not use hearing protection.

  10. Occupational hearing loss of market mill workers in the city of Accra, Ghana

    Emmanuel D Kitcher

    2014-01-01

    Full Text Available Noise induced hearing loss (NIHL is an irreversible sensorineural hearing loss associated with exposure to high levels of excessive noise. Prevention measures are not well established in developing countries. This comparative cross sectional study aims to determine the prevalence of hearing loss in both a group of high risk workers and a control group and to assess their knowledge of the effects of noise on hearing health. A total of 101 market mill workers and 103 controls employed within markets in the city of Accra, Ghana, were evaluated using a structured questionnaire and pure tone audiometry. The questionnaire assessed factors including self-reported hearing loss, tinnitus, knowledge on the effects of noise on hearing health and the use of hearing protective devices. Pure tone audiometric testing was conducted for both mill workers and controls. Noise levels at the work premises of the mill workers and controls were measured. Symptoms of hearing loss were reported by 24 (23.76% and 8 (7.7% mill workers and controls respectively. Fifty-five (54.5% and fifty-four (52.37% mill workers and controls exhibited knowledge of the effects of noise on hearing health. Five (5.0% mill workers used hearing protective devices. There was significant sensorineural hearing loss and the presence of a 4 kHz audiometric notch among mill workers when compared with controls for the mean thresholds of 2 kHz, 3 kHz and 4 kHz (P = 0. 001. The prevalence of hearing loss in the better hearing ears of the mill workers and controls was 24.8% and 4.8% respectively (P < 0.5. The prevalence of hearing loss, which may be characteristic of NIHL in the better hearing ears of the mill workers and controls was 24.8% and 4.8% respectively. The majority of mill workers did not use hearing protection.

  11. Agency, access, and Anopheles: neighborhood health perceptions and the implications for community health interventions in Accra, Ghana

    Marta M. Jankowska

    2015-05-01

    Full Text Available Background: Social and environmental factors are increasingly recognized for their ability to influence health outcomes at both individual and neighborhood scales in the developing urban world. Yet issues of spatial heterogeneity in these complex environments may obscure unique elements of neighborhood life that may be protective or harmful to human health. Resident perceptions of neighborhood effects on health may help to fill gaps in our interpretation of household survey results and better inform how to plan and execute neighborhood-level health interventions. Objective: We evaluate differences in housing and socioeconomic indicators and health, environment, and neighborhood perceptions derived from the analysis of a household survey and a series of focus groups in Accra, Ghana. We then explore how neighborhood perceptions can inform survey results and ultimately neighborhood-level health interventions. Design: Eleven focus groups were conducted across a socioeconomically stratified sample of neighborhoods in Accra, Ghana. General inductive themes from the focus groups were analyzed in tandem with data collected in a 2009 household survey of 2,814 women. In-depth vignettes expand upon the three most salient emergent themes. Results: Household and socioeconomic characteristics derived from the focus groups corroborated findings from the survey data. Focus group and survey results diverged for three complex health issues: malaria, health-care access, and sense of personal agency in promoting good health. Conclusion: Three vignettes reflecting community views about malaria, health-care access, and sense of personal agency in promoting good health highlight the challenges facing community health interventions in Accra and exemplify how qualitatively derived neighborhood-level health effects can help shape health interventions.

  12. Assessment of the structural shielding integrity of some selected computed tomography facilities in the Greater Accra Region of Ghana

    Nkansah, A.

    2010-01-01

    The structural shielding integrity was assessed for four of the CT facilities at Trust Hospital, Korle-Bu Teaching Hospital, the 37 Military Hospital and Medical Imaging Ghana Ltd. in the Greater Accra Region of Ghana. From the shielding calculations, the concrete wall thickness computed are 120, 145, 140 and 155mm, for Medical Imaging Ghana Ltd. 37 Military, Trust Hospital and Korle-Bu Teaching Hospital respectively using Default DLP values. The wall thickness using Derived DLP values are 110, 110, 120 and 168mm for Medical Imaging Ghana Ltd, 37 Military Hospital, Trust Hospital and Korle-Bu Teaching Hospital respectively. These values are within the accepted standard concrete thickness of 102- 152mm prescribed by the National Council of Radiological Protection and measurement. The ultrasonic pulse testing indicated that all the sandcrete walls are of good quality and free of voids since pulse velocities estimated were approximately equal to 3.45km/s. an average dose rate measurement for supervised areas is 3.4 μSv/wk and controlled areas is 18.0 μSv/wk. These dose rates were below the acceptable levels of 100 μSv per week for the occupationally exposed and 20 μSv per week for members of the public provided by the ICRU. The results mean that the structural shielding thickness are adequate to protect members of the public and occupationally exposed workers (au).

  13. Experiences of pregnancy and motherhood among teenage mothers in a suburb of Accra, Ghana: a qualitative study

    Gyesaw NYK

    2013-11-01

    Full Text Available Nana Yaa Konadu Gyesaw,1 Augustine Ankomah2 1Regional Health Directorate, Ghana Health Service, Koforidua, Eastern Region, 2Department of Population, Family and Reproductive Health, School of Public Health, University of Ghana, Accra, Ghana Background: The proportion of teenage girls who are mothers or who are currently pregnant in sub-Saharan African countries is staggering. There are many studies regarding teenage pregnancy, unsafe abortions, and family planning among teenagers, but very little is known about what happens after pregnancy, ie, the experience of teenage motherhood. Several studies in Ghana have identified the determinants of early sexual activity, contraception, and unsafe abortion, with teenage motherhood only mentioned in passing. Few studies have explored the experiences of adolescent mothers in detail with regard to their pregnancy and childbirth. This qualitative study explores the experiences of adolescent mothers during pregnancy, childbirth, and care of their newborns. Methods: This qualitative study was based on data from focus group discussions and indepth interviews with teenage mothers in a suburb in Accra. Participants were recruited from health facilities as well as by snowball sampling. Results: Some of the participants became pregnant as a result of transactional sex in order to meet their basic needs, while others became pregnant as a result of sexual violence and exploitation. A few others wanted to become pregnant to command respect from people in society. In nearly all cases, parents and guardians of the adolescent mothers were upset in the initial stages when they heard the news of the pregnancy. One key finding, quite different from in other societies, was how often teenage pregnancies are eventually accepted, by both the young women and their families. Also observed was a rarity of willingness to resort to induced abortion. Conclusion: Special programs should be initiated by the government and the various

  14. Participation, politics, and panaceas: exploring the possibilities and limits of participatory urban water governance in Accra, Ghana

    Cynthia Morinville

    2014-09-01

    Full Text Available Water governance debates have increasingly recognized the importance of adaptive governance for short- and long-term sustainability, especially with respect to increasing climate unpredictability and growing urbanization. A parallel focus on enhancing community participation pervades international development recommendations and policy literature. Indeed, there are often implicit and explicit connections made between the participatory character of water governance institutions and their adaptive capacity. The social-ecological systems literature, however, has also urged caution with respect to embracing panaceas, with increasing calls to be attentive to the limitations of proposed "solutions." We discuss the parallels between the adaptive governance, comanagement, and participatory resource governance literatures and analyze efforts to encourage such participation in urban water governance through Local Water Boards in Accra, Ghana. Drawing on interview data, participant observations, and a survey of 243 individuals, we explored what participatory spaces have been opened or foreclosed as well as the possibilities for adaptive urban water governance in Accra. Applying insights from recent debates about panaceas, we argue that discerning the potential and limits for sustainable resource governance and associated development goals requires that participatory mechanisms be subjected to systematic and contextual analysis.

  15. When urban taps run dry: sachet water consumption and health effects in low income neighborhoods of Accra, Ghana.

    Stoler, Justin; Fink, Günther; Weeks, John R; Otoo, Richard Appiah; Ampofo, Joseph A; Hill, Allan G

    2012-03-01

    Intraurban differentials in safe drinking water in developing cities have been exacerbated by rapid population growth that exceeds expansion of local water infrastructure. In Accra, Ghana, municipal water is rationed to meet demand, and the gap in water services is increasingly being filled by private water vendors selling packaged "sachet" water. Sachets extend drinking water coverage deeper into low-income areas and alleviate the need for safe water storage, potentially introducing a health benefit over stored tap water. We explore correlates of using sachets as the primary drinking water source for 2093 women in 37 census areas classified as slums by UN-Habitat, and links between sachet water and reported diarrhea episodes in a subset of 810 children under five. We find that neighborhood rationing exerts a strong effect on a household's likelihood of buying sachet water, and that sachet customers tend to be the poorest of the poor. Sachet use is also associated with higher levels of self-reported overall health in women, and lower likelihood of diarrhea in children. We conclude with implications for sachet regulation in Accra and other sub-Saharan cities facing drinking water shortages. Copyright © 2011 Elsevier Ltd. All rights reserved.

  16. When urban taps run dry: Sachet water consumption and health effects in low income neighborhoods of Accra, Ghana

    Stoler, Justin; Fink, Günther; Weeks, John R.; Otoo, Richard Appiah; Ampofo, Joseph A.; Hill, Allan G.

    2011-01-01

    Intraurban differentials in safe drinking water in developing cities have been exacerbated by rapid population growth that exceeds expansion of local water infrastructure. In Accra, Ghana, municipal water is rationed to meet demand, and the gap in water services is increasingly being filled by private water vendors selling packaged “sachet” water. Sachets extend drinking water coverage deeper into low-income areas and alleviate the need for safe water storage, potentially introducing a health benefit over stored tap water. We explore correlates of using sachets as the primary drinking water source for 2,093 women in 37 census areas classified as slums by UN-Habitat, and links between sachet water and reported diarrhea episodes in a subset of 810 children under five. We find that neighborhood rationing exerts a strong effect on a household's likelihood of buying sachet water, and that sachet customers tend to be the poorest of the poor. Sachet use is also associated with higher levels of self-reported overall health in women, and lower likelihood of diarrhea in children. We conclude with implications for sachet regulation in Accra and other sub-Saharan cities facing drinking water shortages. PMID:22018970

  17. Sachet water quality and brand reputation in two low-income urban communities in greater Accra, Ghana.

    Stoler, Justin; Tutu, Raymond A; Ahmed, Hawa; Frimpong, Lady Asantewa; Bello, Mohammed

    2014-02-01

    Sachet water has become an important primary source of drinking water in western Africa, but little is known about bacteriologic quality and improvements to quality control given the recent, rapid evolution of this industry. This report examines basic bacteriologic indicators for 60 sachet water samples from two very low-income communities in Accra, Ghana, and explores the relationship between local perceptions of brand quality and bacteriologic quality after controlling for characteristics of the vending environment. No fecal contamination was detected in any sample, and 82% of total heterotrophic bacteria counts were below the recommended limit for packaged water. Sachets from brands with a positive reputation for quality were 90% less likely to present any level of total heterotrophic bacteria after controlling for confounding factors. These results contrast with much of the recent sachet water quality literature and may indicate substantial progress in sachet water regulation and quality control.

  18. Self-Medication Practices with Antibiotics among Tertiary Level Students in Accra, Ghana: A Cross-Sectional Study

    Patrick Nartey

    2012-10-01

    Full Text Available The study was carried out to estimate the prevalence of self-medication with antibiotics among tertiary level students in Accra (Ghana and evaluate factors associated with the practice. This was a descriptive cross-sectional study and involved face-to-face interviews of 600 respondents selected by convenient sampling. Prevalence of self medication was 70% (95% CI: 66.3–73.7, and the practice was significantly lower among medically inclined students (OR: 0.2, 95% CI: 0.1–0.4, p < 0.001. Among the respondents who practiced self medication, the most common frequency of antibiotic usage was at intervals of one month (30%, 95% CI: 25.6–34.4%, and the most common antibiotic used was amoxacillin (23.9%, 95% CI: 21.0–26.8%. Treatment failure were reported by 35% (95% CI: 30.5–39.6% of the respondents, and the main reasons cited for self medication were that, it was less expensive compared to medical care in the hospital and  secondly, medical care in hospitals were associated with long delays. Forty nine percent (95% CI: 44.2–53.8% of the respondents had poor knowledge about the health implications of irrational use of antibiotics, and 46% (95% CI: 41.2–50.8% did not comply with the completion of the full course of antibiotics. Self medication among tertiary students in Accra is an important public health problem and this may reflect the situation among tertiary students in the whole of Ghana.

  19. Family communication about HIV/AIDS and sexual behaviour among senior secondary school students in Accra, Ghana.

    Adu-Mireku, Samuel

    2003-04-01

    Sexually active adolescents in Ghana are increasingly at risk of HIV and other sexually transmitted infections. As a primary agent of socialization, the family can exert a strong influence on adolescent sexual behaviour. Therefore, to aid in the design and implementation of effective prevention programmes, it is important to understand the role of the family in influencing sexual behaviour among school-going adolescents. To evaluate the relationship between family communications about HIV/AIDS and sexual activity and condom use among school-going adolescents in Accra, Ghana. A sample of 894 students (56.9% girls, 43.1% boys; mean age = 17.4 years, SD = 1.40) at two senior secondary schools in Accra completed a modified version of the Youth Risk Behavior Survey (YRBS) questionnaire, a self-administered instrument developed by the Centers for Disease Control and Prevention. Analytical techniques utilized included logistic regression and chi-square. Twenty-five percent of the participants reported being sexually experienced, and 73.6% had talked about HIV/AIDS with parents or other family members. Of the sexually experienced students, 64.7% initiated first sexual intercourse by age 16; and 55.7% did not use a condom at last sexual intercourse. Bivariate analysis showed significant gender differences in sexual activity, condom use, and family communication about HIV/AIDS. Logistic regression analysis showed that student-family communication about HIV/AIDS was not associated with sexual activity. However, communication about HIV/AIDS between students and parents or other family members increased the odds of using a condom at last sexual intercourse. The findings of this study suggest that prevention programmes that seek to educate Ghanaian school-going adolescents about sexual risk behaviour must strongly encourage communication about HIV/AIDS between students and family members.

  20. Examining Work and Family Conflict among Female Bankers in Accra Metropolis, Ghana

    Kissi-Abrokwah, Bernard; Andoh-Robertson, Theophilus; Tutu-Danquah, Cecilia; Agbesi, Catherine Selorm

    2015-01-01

    This study investigated the effects and solutions of work and family conflict among female bankers in Accra Metropolis. Using triangulatory mixed method design, a structured questionnaire was randomly administered to 300 female bankers and 15 female Bankers who were interviewed were also sampled by using convenient sampling technique. The…

  1. Impact of rapid urbanization on mosquitoes and their disease transmission potential in Accra and Tema, Ghana.

    Chinery, W A

    1995-06-01

    The total of 75 mosquito species recorded in Accra have declined to 28 species. Contributing factors to this decline and the reduction in prevalence of malaria and bancroftian filariasis in Accra presently include extensive water pollution and a fairly high daily mosquito mortality due to several factors including loss of natural adult resting places, use of mosquito repellents and the probable increase of Anopheles arabiensis population. Presently low yellow fever incidence is due inter alia to loss of its feral vectors and reduced intradomiciliary breeding of Aedes aegypti (L) although more common species like A. gambiae s.l., A. aegypti and C. p. quinquefasciatus could between them transmit many other arboviruses. However because of ready availability of human blood, spill-over of viruses from reservoir hosts to man will be rare. Ipso factor, malaria is the most common mosquito-borne disease with centripetal distribution of prevalence.

  2. Living with Familiar Hazards: Flood Experiences and Human Vulnerability in Accra, Ghana

    Dacosta Aboagye

    2012-10-01

    Full Text Available The paper explores demographic characteristics, migration history, and impact of flooding on households and communities. The main objective is to explore the different ways in which floods impact households and communities in Accra. Specifically, the paper analyzes how floods alter the set of resources available to households and communities. The results indicate that urbanization and governmental policies have rendered more people, especially the poor and recent migrants, homeless. These homeless people have become more vulnerable to flooding than the average Accra resident. The results also show that the homeless community contrast with the fixed community in terms of socio-economic characteristics, degree of social cohesion, and physical location. The paper concludes that the unchanging pattern of vulnerability shows the inability of a society to cope and adjust to familiar hazards.

  3. Public health facility resource availability and provider adherence to first antenatal guidelines in a low resource setting in Accra, Ghana.

    Amoakoh-Coleman, Mary; Agyepong, Irene Akua; Kayode, Gbenga A; Grobbee, Diederick E; Klipstein-Grobusch, Kerstin; Ansah, Evelyn K

    2016-09-21

    Lack of resources has been identified as a reason for non-adherence to clinical guidelines. Our aim was to describe public health facility resource availability in relation to provider adherence to first antenatal visit guidelines. A cross-sectional analysis of the baseline data of a prospective cohort study on adherence to first antenatal care visit guidelines was carried out in 11 facilities in the Greater Accra Region of Ghana. Provider adherence was studied in relation to health facility resource availability such as antenatal workload for clinical staffs, routine antenatal drugs, laboratory testing, protocols, ambulance and equipment. Eleven facilities comprising 6 hospitals (54.5 %), 4 polyclinics (36.4 %) and 1 health center were randomly sampled. Complete provider adherence to first antenatal guidelines for all the 946 participants was 48.1 % (95 % CI: 41.8-54.2 %), varying significantly amongst the types of facilities, with highest rate in the polyclinics. Average antenatal workload per month per clinical staff member was higher in polyclinics compared to the hospitals. All facility laboratories were able to conduct routine antenatal tests. Most routine antenatal drugs were available in all facilities except magnesium sulphate and sulphadoxine-pyrimethamine which were lacking in some. Antenatal service protocols and equipment were also available in all facilities. Although antenatal workload varies across different facility types in the Greater Accra region, other health facility resources that support implementation of first antenatal care guidelines are equally available in all the facilities. These factors therefore do not adequately account for the low and varying proportions of complete adherence to guidelines across facility types. Providers should be continually engaged for a better understanding of the barriers to their adherence to these guidelines.

  4. Fibreoptic gastro-intestinal endoscopy at the Korle Bu Teaching Hospital, Accra, Ghana: a historical perspective.

    Nkrumah, Kofi N; Archampong, Emmanuel Q

    2017-12-01

    Fibreoptic (or Flexible) endoscopy has revolutionized and completely transformed practice of gastroenterology, and many other medical specialties, over the past half century or so. At the Korle Bu Teaching Hospital, Accra the development of this facility has evolved gradually, especially involving specialists from the Departments of Medicine and Surgery since the 1970s. This article is an attempt to trace and record this journey and to highlight some of the problems and challenges yet to be overcome. It is an anecdotal account based on the authors' recollection with attempts at verification of important dates.

  5. Determination of radon in soil and water in parts of Accra, and generation of preliminary radon map for Ghana

    Osei, Peter

    2016-07-01

    The research was focused on determining the radon levels in soil and water in parts of Accra, generate a preliminary radon map for Ghana and estimate a pilot reference level for the country, using the data obtained from this research and collated data from other researchers. The radon gas measurement was done with the passive method, using the SSNTDs which are sensitive to alpha particles emitted by radon. Cellulose nitrate LR – 115 type II alpha particle detectors were used. The detectors were chemically etched in a 2.5 M NaOH solution at a temperature of 60 °C for 90 minutes, after two weeks and two months of exposure to soil and water respectively. The images of the etched detectors were acquired by means of a scanner and then tracks counted with ImageJ software. Inverse Distance Weighing (IDW) method of ArcGIS 10.2 was used to spatially distribute the radon concentration on a map. The average soil radon concentration in the study area ranges from 0.191 kBqm"-"3 to 3.416 kBqm"-"3 with a mean of 1.193 kBqm"-"3. The radon concentration in water from the study area ranges from 0.00346 BqL"-"1 to 0.00538 BqL"-"1 with an average of 0.00456 BqL"-"1. A strong negative correlation has been established between radon in soil and water in the study area. The preliminary national average indoor, water and soil radon concentrations are 137 Bqm"-"3, 361.93 Bqm"-"3 and 3716.74 Bqm"-"3 respectively. The average levels of water and indoor radon exceeded WHO’s reference level of 100 Bqm"-"3. Accordingly, the pilot national indoor radon reference level for Ghana is set as 200 Bqm"-"3. (au)

  6. Seismic ground motion and hazard assessment of the Greater Accra Metropolitan Area, southeastern Ghana

    Amponsah, P.E.; Banoeng-Yakubo, B.K.; Asiedu, D.; Vaccari, F.; Panza, G.F.

    2008-08-01

    The seismic ground motion of the Greater Accra Metropolitan area has been computed and the hazard zones assessed using a deterministic hybrid approach based on the modal summation and finite difference methods. The seismic ground motion along four profiles located in the Greater Accra Metropolitan Area has been modelled using the 1939 earthquake of magnitude 6.5(M L ) as the scenario earthquake. Synthetic seismic waveforms from which parameters for engineering design such as peak ground acceleration, velocity and spectral amplifications have been produced along the geological cross sections. From the seismograms computed, the seismic hazard of the metropolis, expressed in terms of peak ground acceleration and peak ground velocity have been estimated. The peak ground acceleration estimated in the study ranges from 0.14 - 0.57 g and the peak ground velocity from 9.2 - 37.1cms -1 . The presence of low velocity sediments gave rise to high peak values and amplifications. The maximum peak ground accelerations estimated are located in areas with low velocity formations such as colluvium, continental and marine deposits. Areas in the metropolis underlain by unconsolidated sediments have been classified as the maximum damage potential zone and those underlain by highly consolidated geological materials are classified as low damage potential zone. The results of the numerical simulation have been extended to all areas in the metropolis with similar geological formation. (author)

  7. Organochlorine pesticide residues in sardinella aurita from the coastal waters of Accra-Tema, Ghana and their potential health risks

    Nyarko, E.; Botwe, B.O.; Bampoe, A.A.; Addo, S.; Armah, A.K.; Ntow, W.J.; Kelderman, P.

    2011-01-01

    Sardinella aurita and seawater samples from the Accra-Tema coast of Ghana were analysed for organochlorine (OC) pesticides using gas chromatography (GC) with electron capture detection (ECD). Residues of DDTs (p,p'-DDT, p'p'-DDE,p,p'-DDD), hexachlorocyclohexane (HCHs - α-HCH, β-HCH and γ-HCH), endosulfan (α-endosulfan, β-endosulfan, endosulfan sulphate) and heptachlor were detected in fish at average concentrations ranging from 3.0 to 1235.0 μg/kg wet wt. These residues were, however, below the detection limit in seawater samples. Significant differences (p < 0.05) in residue levels were also observed across sites, decreasing from Chorkor to Kpone for seven (7) of the residues that were detected in S. aurita. Evaluation of hazard ratios (HRs) and the health risk associated with OC exposure from consumption of sardinellas revealed a probability of adverse health effect due to p,p'-DDT, γ-HCH and heptachlor. Hence, p,p'-DDT, γ-HCH and heptachlor may be of particular health concern. (au)

  8. LEAF ANATOMICAL VARIATION IN RELATION TO STRESS TOLERANCE AMONG SOME WOODY SPECIES ON THE ACCRA PLAINS OF GHANA

    DZOMEKU BELOVED MENSAH

    2012-12-01

    Full Text Available Leaf anatomical study was conducted on some woody species on the Accra Plains of Ghana. Leaf epidermal strips and transverse sections were mounted in Canada balsam and studied. The anatomical studies revealed numerous stomata on the lower epidermis of Azadirachta indica. The anatomical studies revealed the presence of thick cuticles, double-layered palisade mesophyll in most species and the presence of epidermal hairs in some species. Ficus capensis showed the presence of cystolith in the lower epidermis whereas Zanthoxylum zanthoxyloides showed the presence of mucilage gland in the upper epidermis. Epidermal cell of Chromolaena odorata are very large with undulating cell walls. The species studied had various adaptive anatomical features. The stomatal frequency of Azadirachta indica was very high. With the exception of Chromolaena odorata the stomatal frequencies of the species were relatively high. The stomatal dimensions showed that most of the species maintained constant stomatal length during the study period except Griffonia simplicifolia that increased the stomatal width during the afternoon. Unlike Morinda lucida, Griffonia simplicifolia and Chromolaena odorata, that showed reduction in the breadth of stomata, the other species maintained constant stomatal width.

  9. Distance threshold for the effect of urban agriculture on elevated self-reported malaria prevalence in Accra, Ghana.

    Stoler, Justin; Weeks, John R; Getis, Arthur; Hill, Allan G

    2009-04-01

    Irrigated urban agriculture (UA), which has helped alleviate poverty and increase food security in rapidly urbanizing sub-Saharan Africa, may inadvertently support malaria vectors. Previous studies have not identified a variable distance effect on malaria prevalence from UA. This study examines the relationships between self-reported malaria information for 3,164 women surveyed in Accra, Ghana, in 2003, and both household characteristics and proximity to sites of UA. Malaria self-reports are associated with age, education, overall health, socioeconomic status, and solid waste disposal method. The odds of self-reported malaria are significantly higher for women living within 1 km of UA compared with all women living near an irrigation source, the association disappearing beyond this critical distance. Malaria prevalence is often elevated in communities within 1 km of UA despite more favorable socio-economic characteristics than communities beyond 1 km. Neighborhoods within 1 km of UA should be reconsidered as a priority for malaria-related care.

  10. Factors influencing use of analgesics among construction workers in the Ga-Eastmunicipality of the Greater Accra region, Ghana.

    Badzi, Caroline D; Ackumey, Mercy M

    2017-12-01

    Analgesics also known as painkillers are widely used for pain relief. There are severe health implications associated with excessive use of analgesics. This paper examines factors influencing the use of analgesics among construction workers in the Ga-East Municipality (GEM) of the Greater Accra region of Ghana. This is a cross-sectional study involving 206 construction workers randomly sampled from 7 construction sites in the GEM. A structured questionnaire was used to elicit responses on knowledge of analgesics, types of analgesics used and factors influencing the use of analgesics. Chi-square test analysis was used to examine factors influencing analgesic use. The majority of workers were aged between 15 to 44 years (89.8%) and 51.9 percent of respondents had completed Junior high school. Many respondents (68.0%) used Brand 1 a locally manufactured analgesic with paracetamol, aspirin and caffeine as the active ingredients and 31.6 percent of respondents had no knowledge of possible side effects of continuous use of analgesics. Chi square analysis showed that age was significantly associated with use of analgesics (peffects did not influence use (p>0.05). Television and radio advertisements influenced use of analgesics (peffects was inadequate. Pharmacists and chemists involvement in education of clients of the side effects of analgesics is highly recommended to minimise misuse. The Food and Drugs Authority should regulate the proliferation of advertisements for analgesics in the media. None declared.

  11. Listening to women's voices: the quality of care of women experiencing severe maternal morbidity, in Accra, Ghana.

    Ozge Tunçalp

    Full Text Available BACKGROUND: Women who survive severe obstetric complications can provide insight into risk factors and potential strategies for prevention of maternal morbidity as well as maternal mortality. We interviewed 32 women, in an urban facility in Ghana, who had experienced severe morbidity defined using a standardized WHO near-miss definition and identification criteria. Women provided personal accounts of their experiences of severe maternal morbidity and perceptions of the care they received. METHODS AND FINDINGS: The study took place in a referral facility in urban Accra, and semi-structured interviews were conducted with women who had either a maternal near miss (n = 17 or a potentially life-threatening complication (n = 15. The most common themes surrounding the traumatic delivery were the fear of dying and concern over the potential (or actual loss of the baby. For many women, the loss of a baby negatively influenced how they viewed and coped with this experience. Women's perceptions of the quality of the care highlighted several key factors such as the importance of information, good communication and attitudes, and availability of human (i.e., more doctors and physical resources (i.e., more beds, water at the facility. CONCLUSIONS: Our results suggest that experiences of women with severe maternal morbidity may inform different aspects of quality improvement in the facilities, which in turn have a positive impact on future health seeking behavior, service utilization and reduction in maternal morbidity and mortality.

  12. Decision-Making for Induced Abortion in the Accra Metropolis, Ghana

    Abstract. Decision-making for induced abortion can be influenced by various circumstances including those surrounding onset of a pregnancy. There are various dimensions to induced abortion decision-making among women who had an elective induced abortion in a cosmopolitan urban setting in Ghana, which this paper ...

  13. Extending the moral economy beyond households: Gendered livelihood strategies of single migrant women in Accra, Ghana

    Tufuor, T.; Niehof, A.; Sato, C.; Horst, van der H.M.

    2015-01-01

    This article highlights how single migrant women (SMW) from rural northern Ghana generate livelihoods through the adoption of both market and non-market based strategies by extending and then prioritising moral obligations to community members beyond their immediate households instead of focusing on

  14. Facilitators and barriers of herbal medicine use in Accra, Ghana: an inductive exploratory study

    Aziato, Lydia; Antwi, Hannah Ohemeng

    2016-01-01

    Background The use of complementary and alternative medicine including herbal medicine is increasing in many countries including Ghana. However, there is paucity of research on the perspectives of patrons of herbal medicine regarding the facilitators and barriers of herbal medicine use. This study sought to investigate the facilitators and barriers of herbal medicine among Ghanaian adults who use one form of herbal medicine or the other. Methods The study employed an inductive exploratory qua...

  15. Explanatory models of diabetes in urban poor communities in Accra, Ghana.

    de-Graft Aikins, Ama; Awuah, Raphael Baffour; Pera, Tuula Anneli; Mendez, Montserrat; Ogedegbe, Gbenga

    2015-01-01

    The objective of the study was to examine explanatory models of diabetes and diabetes complications among urban poor Ghanaians living with diabetes and implications for developing secondary prevention strategies. Twenty adults with type 2 diabetes were recruited from three poor communities in Accra. Qualitative data were obtained using interviews that run between 40 and 90 minutes. The interviews were audio-taped, transcribed and analysed thematically, informed by the 'explanatory model of disease' concept. Respondents associated diabetes and its complications with diet, family history, lifestyle factors (smoking, excessive alcohol consumption and physical inactivity), psychological stress and supernatural factors (witchcraft and sorcery). These associations were informed by biomedical and cultural models of diabetes and disease. Subjective experience, through a process of 'body-listening,' constituted a third model on which respondents drew to theorise diabetes complications. Poverty was an important mediator of poor self-care practices, including treatment non-adherence. The biomedical model of diabetes was a major source of legitimate information for self-care practices. However, this was understood and applied through a complex framework of cultural theories of chronic disease, the biopsychological impact of everyday illness experience and the disempowering effects of poverty. An integrated biopsychosocial approach is proposed for diabetes intervention in this research community.

  16. Urban Household Characteristics and Dietary Diversity: An Analysis of Food Security in Accra, Ghana.

    Codjoe, Samuel Nii Ardey; Okutu, David; Abu, Mumuni

    2016-06-01

    The world's population is increasingly becoming urbanized. If the current urban growth rate is to continue, new and unprecedented challenges for food security will be inevitable. Dietary diversity has been used to ascertain food security status albeit at the multicountry and country levels. Thus, household-level studies in urban settings, particularly in sub-Sahara African, are few. Yet, it is imperative that assessments of food security are undertaken particularly in urban settings, due to the projected fast rate of urbanization and the challenges of attaining food security. To examine household characteristics and dietary diversity. The study uses data from 452 households from the second round of the Regional Institute for Population Studies (RIPS) EDULINK urban poverty and health study. Bivariate and multivariate analyses are undertaken. Mean dietary diversity for all households is 6.8. Vegetables have the highest diversity, followed by cereal-based and grain products. Household characteristics that have statistically significant associations with dietary diversity include sex and level of education of household head, household wealth quintile, and source of food. There is high dietary diversity in the study communities of Accra but low consumption of foods rich in micronutrient, such as fruits and milk/dairy products. The study brings to fore issues related to resource-disadvantaged entities of the urban system, namely, females, poor households, and the non-educated who have food insecurity problems. © The Author(s) 2016.

  17. Experiences of pregnancy and motherhood among teenage mothers in a suburb of Accra, Ghana: a qualitative study.

    Gyesaw, Nana Yaa Konadu; Ankomah, Augustine

    2013-01-01

    The proportion of teenage girls who are mothers or who are currently pregnant in sub-Saharan African countries is staggering. There are many studies regarding teenage pregnancy, unsafe abortions, and family planning among teenagers, but very little is known about what happens after pregnancy, ie, the experience of teenage motherhood. Several studies in Ghana have identified the determinants of early sexual activity, contraception, and unsafe abortion, with teenage motherhood only mentioned in passing. Few studies have explored the experiences of adolescent mothers in detail with regard to their pregnancy and childbirth. This qualitative study explores the experiences of adolescent mothers during pregnancy, childbirth, and care of their newborns. This qualitative study was based on data from focus group discussions and indepth interviews with teenage mothers in a suburb in Accra. Participants were recruited from health facilities as well as by snowball sampling. Some of the participants became pregnant as a result of transactional sex in order to meet their basic needs, while others became pregnant as a result of sexual violence and exploitation. A few others wanted to become pregnant to command respect from people in society. In nearly all cases, parents and guardians of the adolescent mothers were upset in the initial stages when they heard the news of the pregnancy. One key finding, quite different from in other societies, was how often teenage pregnancies are eventually accepted, by both the young women and their families. Also observed was a rarity of willingness to resort to induced abortion. Special programs should be initiated by the government and the various responsible departments to address ignorance on sexual matters, and the challenges and risks associated with pregnancy and parenting by adolescents. Parenting techniques should be taught in sex education programs.

  18. Care decision making of frontline providers of maternal and newborn health services in the greater Accra region of Ghana.

    Ebenezer Oduro-Mensah

    Full Text Available To explore the "how" and "why" of care decision making by frontline providers of maternal and newborn services in the Greater Accra region of Ghana and determine appropriate interventions needed to support its quality and related maternal and neonatal outcomes.A cross sectional and descriptive mixed method study involving a desk review of maternal and newborn care protocols and guidelines availability, focus group discussions and administration of a structured questionnaire and observational checklist to frontline providers of maternal and newborn care.Tacit knowledge or 'mind lines' was an important primary approach to care decision making. When available, protocols and guidelines were used as decision making aids, especially when they were simple handy tools and in situations where providers were not sure what their next step in management had to be. Expert opinion and peer consultation were also used through face to face discussions, phone calls, text messages, and occasional emails depending on the urgency and communication medium access. Health system constraints such as availability of staff, essential medicines, supplies and equipment; management issues (including leadership and interpersonal relations among staff, and barriers to referral were important influences in decision making. Frontline health providers welcomed the idea of interventions to support clinical decision making and made several proposals towards the development of such an intervention. They felt such an intervention ought to be multi-faceted to impact the multiple influences simultaneously. Effective interventions would also need to address immediate challenges as well as more long-term challenges influencing decision-making.Supporting frontline worker clinical decision making for maternal and newborn services is an important but neglected aspect of improved quality of care towards attainment of MDG 4 & 5. A multi-faceted intervention is probably the best way to make a

  19. Waste electrical and electronic Equipment (E-Wastes) management in Ghana: environmental impacts at Agbogbloshie, Accra Ghana

    Manukure, Sampson Atiemo

    2016-07-01

    Ghana has relatively large volumes of e-wastes but inefficient recycling methods adopted by the informal sector causes both environmental contamination and potential loss of scarce metals. The control of pollution and management of e-wastes are twin challenges confronted by Ghana. The main objective of the study is to assess the extent to which the current methods employed in e-waste management in Ghana promote sound environmental management. Interviews and field observations were used to collect and collate data from key stakeholders on sustainable e-wastes management in Ghana. Soil samples were collected and analysed using Energy Dispersive X-ray fluorescence technique (EDXRF) and neutron activation analysis (NAA). The results of the field survey revealed that there were three main method of getting e-waste into the yard; house-to-house collection, business-to-business collection and e-waste from dump sites. Majority of the scrap dealers (72%) have not received any form of training in the handling of the hazardous fractions hence do not use any personal protection equipment (PPE). There is poor awareness on the association between disease symptoms and e-waste activity however, 46% of the workers associated symptoms such as headaches, fever, stomach ache and vomiting to e-wastes activities. The challenges of the scrap dealers identified include; rampant arrests and beatings of collectors, fluctuating prices of general scraps, transportation costs, lack of access to working capital as well as ethnic, political and religious difference among the scrap dealers. The results of the elemental analysis revealed that generally the different sampling locations in the study area exhibited an overall metallic dominance pattern of SC > RD > VG > MS > CS > RS > DS > SG > BS. Lead levels registered in the in the soil samples analyzed ranged from 14.2 mg/kg to 7,020.0 mg/kg while Cd was found to be in the range of DS>SG>RS>MS>RD>CS>VF>SC. All the sampling sites showed very high

  20. Levels and sources of particulate lead in air at Kwabenya, Accra, Ghana

    Ofosu, F.G.; Aboh, I.J.K.

    2008-01-01

    The Government of Ghana by Legislation Instrument L.I 1732 banned the production, importation, storage, sale and use of leaded gasoline in Ghana with effect from 1 st January 2004. The aim of this work is to find out the contribution of lead to the atmospheric aerosol two years after the coming into force of the ban. The sampling was done using a Gent sampler with stacked filter units and the aerosol collected size fractionated into PM 2.5 (fine) and PM 10-2.5 (Coarse). Energy dispersive x-ray fluorescence (EDXRF) analysis was used to identify and quantify lead (Pb) and other elements in both the coarse and fine fractions. The average concentration of Pb in the ambient air was 1.49 ngm -3 and 0.70 ngm -3 for the coarse and fine fractions respectively. The average total of both the coarse and fine fractions (which is PM 10 ) was 2.19 ngm -3 , which is well below the US EPA set standard of 1.5 μgm -3 . Source apportionment on the fine fraction using Principal Component Analysis (PCA) showed that mostly soil/dust and to a lesser extent combustion processes were the sources of the Pb. (au)

  1. Assessment of heavy metal contamination, levels in topsoil at selected auto-workshops in Accra, Ghana

    Ziblim, M. Y.

    2015-07-01

    The research was conducted to assess the levels of contamination of heavy metals in the topsoil at selected auto-workshops in Accra to determine the anthropogenic and crustal contributions and the human heath risk associated with them. Soil samples collected from four auto-workshops were analysed using Atomic Absorption Spectrometer. Eleven (11) elements: Co, Fe, Cu, Mn, Cr, As, Hg, Zn, Pb, Ni, and Cd were identified in each sample collected from the auto-workshops. Pollution indices; contamintion factor (Cf) index of geoaccumulation (Igeo) and pollution load index (PLI) were used to assess the contamination levels. It revealed the extent of contamination at the auto-workshops for most of the elements which range from low to considerate contamintion. Lead (Pb) recorded the greatest contamination levels at the auto-electrical location. The results from the index of geoccumulation showed no pollution to highly pollution indicting high variations of pollution levels at different locations. The results of the PLI in almost all locations ranged from moderately to extremely polluted. Noncancer effect on children and adults due to exposure to the topsoil were also estimated with some selected metal elements. The hazard quotient (HQ) evaluation, showed ingestion to be the route of exposure to soil dust that results in a higher risk for heavy metals, followed by dermal contact. The effect due to inhalation of resuspended dust particles through the mouth and nose is relatively low. It was observed that, the auto-workshops are generally polluted with heavy metals and therefore posing ill-health effect to the humans and the environment. (au)

  2. Subsidized Sachet Water to Reduce Diarrheal Disease in Young Children: A Feasibility Study in Accra, Ghana.

    Wright, James; Dzodzomenyo, Mawuli; Fink, Günther; Wardrop, Nicola A; Aryeetey, Genevieve C; Adanu, Richard M; Hill, Allan G

    2016-07-06

    Use of drinking water sold in plastic bags (sachet water) is growing rapidly in west Africa. The impact on water consumption and child health remains unclear, and a debate on the taxation and regulation of sachet water is ongoing. This study assessed the feasibility of providing subsidized sachet water to low-income urban households in Accra and measured the resultant changes in water consumption. A total of 86 children, 6-36 months of age in neighborhoods lacking indoor piped water, were randomized to three study arms. The control group received education about diarrhea. The second arm received vouchers for 15 L/week/child of free water sachets (value: $0.63/week) plus education. The third arm received vouchers for the same water sachet volume at half price plus education. Water consumption was measured at baseline and followed for 4 months thereafter. At baseline, 66 of 81 children (82%) drank only sachet water. When given one voucher/child/week, households redeemed an average 0.94 vouchers/week/child in the free-sachet-voucher arm and 0.82 vouchers/week/child in the half-price arm. No change in water consumption was observed in the half-price arm, although the study was not powered to detect such differences. In the free-sachet-voucher arm, estimated sachet water consumption increased by 0.27 L/child/day (P = 0.03). The increase in sachet water consumption by children in the free-sachet-voucher arm shows that provision of fully subsidized water sachets might improve the quality of drinking water consumed by children. Further research is needed to quantify this and any related child health impacts. © The American Society of Tropical Medicine and Hygiene.

  3. 'That is how the real mad people behave': Beliefs about and treatment of mental disorders by traditional medicine-men in Accra, Ghana.

    Kpobi, Lily; Swartz, Leslie

    2018-06-01

    Traditional healing methods are considered central to mental health care in low-income countries such as Ghana, because they are perceived to be more easily accessible, more affordable and generally ascribe similar causal beliefs to those of the patients. However, not much is known about the work of traditional healers largely because their methods are shrouded in mysticism and secrecy. There is a need to understand the ideology and beliefs of traditional healers surrounding mental disorders, including knowledge about their practices in mental health care. In this article, we discuss the causal beliefs and treatment methods of traditional medicine-men from Accra, Ghana. We also describe their diagnostic and treatment methods for mental disorders. Eight medicine-men, indigenous to the Greater Accra Region, were interviewed through individual semi-structured interviews. The data were analysed through thematic analysis. The medicine-men's beliefs about mental illness were dominated by supernatural ideas. Mental illness was also seen as a form of punishment or resulting from envy, and there was a strong reliance on spiritual direction from the gods for diagnosis and treatment. These themes are discussed with emphasis on their potential implications for patients, as well as for collaborative efforts.

  4. Birthing experiences of Ghanaian women in 37th Military Hospital, Accra, Ghana

    R.S. Mensah

    2014-01-01

    Full Text Available The purpose of the study was to explore the expectations of women relating to their labor and delivery needs at the 37th Military Hospital, in Ghana. Using a generic or non-categorical qualitative research design women who delivered at the 37th Military Hospital were interviewed. Data was collected by using semi-structured individual interviews. Emerging themes from the data were: the importance of environmental serenity in childbirth, the need to confirm true labor, being in control during labor, the importance of midwives, and childbirth as a sacred and euphoric journey. The findings revealed that not only were the environment serene and devoid of noise but the nurse-midwives were friendly and supportive for the women and were competent in diagnosing the progression of labor. The competencies and attributes that the nurse-midwives possessed at this hospital offered the women with an element of ownership regarding their laboring processes.

  5. Assessing the impact of sea-level rise on a vulnerable coastal community in Accra, Ghana

    Kwasi Appeaning Addo

    2013-08-01

    Full Text Available Climate change and its associated sea-level rise are expected to significantly affect vulnerable coastal communities. Although the extent of the impact will be localised, its assessment will adopt a monitoring approach that applies globally. The topography of the beach, the type of geological material and the level of human intervention will determine the extent of the area to be flooded and the rate at which the shoreline will move inland. Gleefe, a coastal community in Ghana, has experienced frequent flooding in recent times due to the increasing occurrence of storm surge and sea-level rise. This study used available geospatial data and field measurements to determine how the beach topography has contributed to the incidence of flooding at Gleefe. The topography is generally low-lying. Sections of the beach have elevations of around 1 m, which allows seawater to move inland during very high tide. Accelerated sea-level rise as predicted by the Intergovernmental Panel on Climate Change (IPCC will destroy homes of the inhabitants and inundate the Densu wetlands behind the beach. Destruction of infrastructure will render the inhabitants homeless, whilst flooding of the wetlands will destroy the habitats of migratory birds and some endangered wildlife species such as marine turtle. Effective adaptation measures should be adopted to protect this very important coastal environment, the ecology of the wetlands and the livelihoods of the community dwellers.

  6. Decision-Making for Induced Abortion in the Accra Metropolis, Ghana.

    Gbagbo, Fred Yao; Amo-Adjei, Joshua; Laar, Amos

    2015-06-01

    Decision-making for induced abortion can be influenced by various circumstances including those surrounding onset of a pregnancy. There are various dimensions to induced abortion decision-making among women who had an elective induced abortion in a cosmopolitan urban setting in Ghana, which this paper examined. A cross-sectional mixed method study was conducted between January and December 2011 with 401 women who had undergone an abortion procedure in the preceding 12 months. Whereas the quantitative data were analysed with descriptive statistics, thematic analysis was applied to the qualitative data. The study found that women of various profiles have different reasons for undergoing abortion. Women considered the circumstances surrounding onset of pregnancy, person responsible for the pregnancy, gestational age at decision to terminate, and social, economic and medical considerations. Pressures from partners, career progression and reproductive intentions of women reinforced these reasons. First time pregnancies were mostly aborted regardless of gestational ages and partners' consent. Policies and programmes targeted at safe abortion care are needed to guide informed decisions on induced abortions.

  7. Evaluation of Groundwater Pollution with Heavy Metals at the Oblogo No.1 Dumpsite in Accra, Ghana

    Kodwo Beedu Keelson

    2014-07-01

    Full Text Available The aim of this research study was to evaluate the groundwater pollution risks from heavy metal contaminants near the de-commissioned Oblogo No.1 dumpsite using a combination of USEPA leachate estimation and migration models. The Hydraulic Evaluation of Landfill Performance (HELP model was used to determine leachate volumes from the base of the dumpsite whereas the Industrial Waste Evaluation Model (IWEM was used to determine contaminant concentrations at groundwater wells located at various distances from the dumpsite. It was observed that there is a wide variation in the concentration of the contaminants measured at different sampling periods between 2004 and 2011. Pollution risks from chromium, lead, manganese, cobalt and zinc were determined to be very low since the simulated contaminant concentrations in the wells were less than the reference ground water concentrations. However, the concentrations of cadmium, copper and arsenic were determined to be high enough to constitute a potential risk to groundwater wells which are down-gradient of the dumpsite. It was also determined that the minimum buffer distance of 360 m specified in the Ghana Landfill Guidelines may not ensure adequate protection for groundwater wells located down-gradient of the Oblogo No.1 dumpsite.

  8. Cooking fuel choices and garbage burning practices as determinants of birth weight: a cross-sectional study in Accra, Ghana

    Amegah Adeladza K

    2012-10-01

    Full Text Available Abstract Background Effect of indoor air pollution (IAP on birth weight remains largely unexplored but yet purported as the most important environmental exposure for pregnant women in developing countries due to the effects of second-hand smoke. We investigated the associations between the determinants of indoor air quality in households and birth weight. Methods A cross-sectional study of 592 mothers and their newborns using postnatal services at the Korle Bu Teaching Hospital located in Accra, Ghana was conducted in 2010 to collect information on characteristics of indoor environment and other potential determinants of fetal growth. Birth weight was recorded from hospital records. Results Household cooking fuel choices and garbage burning practices were determinants of birth weight. Multivariate linear regression analysis adjusting for age, social class, marital status and gravidity of mothers, and sex of neonate resulted in a 243g (95% CI: 496, 11 and 178g (95% CI: 421, 65 reduction in birth weight for use of charcoal, and garbage burning respectively compared with use of LPG only. The estimated reductions in birth weight was not statistically significant. Applying the ordinal scale exposure parameter nonetheless revealed a significant exposure-response relationship between maternal exposures from charcoal use and garbage burning, and birth weight. Generalized linear models adjusting for confounders resulted in a 41% (risk ratio [RR] = 1.41; 95% CI: 0.62, 3.23 and 195% (RR=2.95; 95% CI: 1.10, 7.92 increase in the risk of low birth weight (LBW for use of charcoal, and garbage burning respectively compared with use of LPG only. A combination of charcoal use and household garbage burning during pregnancy on fetal growth resulted in a 429g (95% CI: 259, 599 reduction in birth weight and 316% (RR=4.16; 95% CI: 2.02, 8.59 excess risk of LBW. Sensitivity analysis performed by restricting the analysis to term births produced similar results

  9. Determination of levels of organochlorine pesticides in plastic resin pellets on selected beaches in the Greater Accra region of Ghana

    Amoatey, A. E.

    2012-07-01

    The levels of organochlorine pesticides (OCPs) in beached plastic resin pellets were determined with the objective of assessing the status of OCP pollution in the marine ecosystem in selected beaches in Ghana. Samples of plastic resin pellets were collected at seven beaches in Accra (namely Art centre, Sakumono, Osu castle, Labadi, Korle-Gonno, Independence Square and Tema Mighty beaches) and analyzed for organochlorine pesticides, total chlorine and extractable chlorine. The plastic pellets were subjected to Soxhlet extraction and the extracts analyzed using Gas chromatograph coupled with electron capture detector. The detected compounds were alpha-HCH, beta-HCH, gamma-HCH, delta-HCH, hexachlorobenzene, o, p' -DDE, p, p'-DDE, o,p'-DDD, o, p'-DDT, heptachlor, trans-heptachlor epoxy, trans-chlordane, trans-nanochlor, aldrin, dieldrin, endrin, alpha-endosulphan, beta-endosulphan, endosulphan sulphate and methoxychlor. Analysis of the virgin pellets recorded no organochlorine pesticides present. However, plastics pellets collected from all seven beaches were found to contain OCPs with the highest recorded on the Art Centre beach with a total concentration of 106.26 ng/g. Plastic pellets collected on the Labadi beach recorded the lowest OCPs with a concentration of 20.2 ng/g. Total chlorine and extractable organochlorine (EOCI) were also determined in the plastic resin pellets by using the Instrumental Neutron Activation Analysis (INAA). The concentrations of total chlorine analyzed by INAA were between 2.82 and 50.25 mg/kg whereas the EOCR concentrations ranged from 1.67 to 30.90 mg/kg. EOCR accounted for 48.05% of the total chlorine in plastic pellets, suggesting that chlorine in the beached pellet relatively existed as organic and are extractable. The relative proportion of known or identified organochlorines (such as HCHs, DDT s, chlordane compounds, endosulphans, HCB and methoxychlor) to the total extractable organochlorine(EOCI) was averagely 7.4% which suggested

  10. Improving urban visibility through fractal analysis of street edges: The case of John Evans Atta Mills High Street in Accra, Ghana

    R.A. Oppong

    2017-06-01

    Full Text Available Streets are a representation of cities, and the image of a city is a reflection of its home country. Although attempts to ensure harmonious spatial and environmental development in Ghanaian settlements date back to the colonial era, these efforts have minimal physical manifestation in the urban fabric of the city of Accra. The Independence Arch of Ghana, an important landmark in the urban fabric and history of Accra, lacks the striking vista and approach it deserves. This paper introduces the use of fractal analysis of street edges to understand the characteristics of the John Evans Atta Mills (JEAM High Street for developing recommendations to improve visibility along its stretch and the overall image of the city. The box-counting method with visual survey was used in research. The pertinent questions this paper seeks to address are as follows: What factors affect the visibility and imageability of JEAM High Street? What design aspects should be considered to improve urban visibility along JEAM High Street? What is the link of fractals to urban design and architecture? The paper recommends various design considerations and qualities to improve the urban visibility and imageability of JEAM High Street.

  11. Harsh Working Conditions and Poor Eating Habits: Health-Related Concerns of Female Head Porters (Kayayei) in the Mallam Atta Market, Accra, Ghana.

    Nyarko, Samuel Harrenson; Tahiru, Abdul Majeed

    2018-01-01

    The kaya business is known to pose significant health-related risks to female migrants. This study sought to explore the health-related concerns of female head porters in the Mallam Atta market, Accra, Ghana. A qualitative study was conducted in which twenty female head porters at the Mallam Atta market in Accra were interviewed. A thematic analysis was performed and the emerging themes were presented and supported with quotations from the respondents. Poor accommodation and eating habits, harsh working conditions, and lack of knowledge about health conditions exposed the respondents to several health-related concerns like neck pains, skin rashes, malaria, cholera, and stomach ache among other infections. The popular means of seeking health care was through purchasing drugs from pharmacies or drug peddlers instead of health facilities. Financial constraints, lack of faith in the National Health Insurance Scheme, and long waiting periods at the health facilities militated against seeking appropriate health care at the hospitals and clinics. Political willpower needs to be strengthened for poverty reduction strategies such as training of hairdressing, dress and soap making, and shea butter processing for women from the Northern regions in order to ameliorate their livelihoods and/or reduce migration to the south.

  12. Harsh Working Conditions and Poor Eating Habits: Health-Related Concerns of Female Head Porters (Kayayei in the Mallam Atta Market, Accra, Ghana

    Samuel Harrenson Nyarko

    2018-01-01

    Full Text Available Background. The kaya business is known to pose significant health-related risks to female migrants. This study sought to explore the health-related concerns of female head porters in the Mallam Atta market, Accra, Ghana. Methods. A qualitative study was conducted in which twenty female head porters at the Mallam Atta market in Accra were interviewed. A thematic analysis was performed and the emerging themes were presented and supported with quotations from the respondents. Results. Poor accommodation and eating habits, harsh working conditions, and lack of knowledge about health conditions exposed the respondents to several health-related concerns like neck pains, skin rashes, malaria, cholera, and stomach ache among other infections. The popular means of seeking health care was through purchasing drugs from pharmacies or drug peddlers instead of health facilities. Financial constraints, lack of faith in the National Health Insurance Scheme, and long waiting periods at the health facilities militated against seeking appropriate health care at the hospitals and clinics. Conclusion. Political willpower needs to be strengthened for poverty reduction strategies such as training of hairdressing, dress and soap making, and shea butter processing for women from the Northern regions in order to ameliorate their livelihoods and/or reduce migration to the south.

  13. Factors associated with gastro-duodenal disease in patients undergoing upper GI endoscopy at the Korle-Bu Teaching Hospital, Accra, Ghana.

    Archampong, Timothy N A; Asmah, Richard H; Wiredu, Edwin K; Gyasi, Richard K; Nkrumah, Kofi N

    2016-06-01

    There is a high prevalence of gastro-duodenal disease in sub-Saharan Africa. Peptic ulcer disease in dyspeptic patients, 24.5%, was comparable to prevalence of gastro-duodenal disease among symptomatic individuals in developed countries (12 - 25%). Limited data exists regarding its associated risk factors despite accumulating evidence indicating that gastroduodenal disease is common in Ghana. This study investigates risk factors associated with gastro-duodenal disease at the Korle-Bu Teaching Hospital, Accra, Ghana. This study utilized a cross-sectional design to consecutively recruit patients referred with upper gastro-intestinal symptoms for endoscopy. The study questionnaire was administered to study participants. Helicobacter pylori infection was confirmed by rapid-urease examination at endoscopy. Of 242 patients sampled; 64 had duodenal ulcer, 66 gastric ulcer, 27gastric cancer and 64 non-ulcer dyspepsia. Nineteen (19) had duodenal and gastric ulcer while 2 had gastric ulcer and cancer. A third (32.6%) of patients had history of NSAID-use. H. pyloriwas associated with gastric ulcer (p=0.033) and duodenal ulcer (p=0.001). There was an increased prevalence of duodenal ulcer in H. pylori-infected patients taking NSAIDs, P=0.003. H. pylori was a major risk factor for peptic ulcer disease. However, NSAID-related gastro-duodenal injury has been shown to be common in H. pylori infected patients. It highlights the need for awareness of the adverse gastro-intestinal effects in a H. pylori endemic area.

  14. Multi-trace element levels and arsenic speciation in urine of e-waste recycling workers from Agbogbloshie, Accra in Ghana

    Asante, Kwadwo Ansong [Center for Marine Environmental Studies (CMES), Ehime University, Bunkyo-cho 2-5, Matsuyama 790-8577 (Japan); CSIR Water Research Institute, P. O. Box AH 38, Achimota, Accra (Ghana); Agusa, Tetsuro [Center for Marine Environmental Studies (CMES), Ehime University, Bunkyo-cho 2-5, Matsuyama 790-8577 (Japan); Biney, Charles Augustus [Volta Basin Authority (VBA), 10 P. O. Box 13621, Ouagadougou 10 (Burkina Faso); Agyekum, William Atuobi; Bello, Mohammed [CSIR Water Research Institute, P. O. Box AH 38, Achimota, Accra (Ghana); Otsuka, Masanari [Center for Marine Environmental Studies (CMES), Ehime University, Bunkyo-cho 2-5, Matsuyama 790-8577 (Japan); Ehime Prefectural Institute of Public Health and Environmental Science, 8-234 Sanban-cho, Matsuyama 790-0003 (Japan); Itai, Takaaki; Takahashi, Shin [Center for Marine Environmental Studies (CMES), Ehime University, Bunkyo-cho 2-5, Matsuyama 790-8577 (Japan); Tanabe, Shinsuke, E-mail: shinsuke@agr.ehime-u.ac.jp [Center for Marine Environmental Studies (CMES), Ehime University, Bunkyo-cho 2-5, Matsuyama 790-8577 (Japan)

    2012-05-01

    To understand human contamination by multi-trace elements (TEs) in electrical and electronic waste (e-waste) recycling site at Agbogbloshie, Accra in Ghana, this study analyzed TEs and As speciation in urine of e-waste recycling workers. Concentrations of Fe, Sb, and Pb in urine of e-waste recycling workers were significantly higher than those of reference sites after consideration of interaction by age, indicating that the recycling workers are exposed to these TEs through the recycling activity. Urinary As concentration was relatively high, although the level in drinking water was quite low. Speciation analysis of As in human urine revealed that arsenobetaine and dimethylarsinic acid were the predominant As species and concentrations of both species were positively correlated with total As concentration as well as between each other. These results suggest that such compounds may be derived from the same source, probably fish and shellfish and greatly influence As exposure levels. To our knowledge, this is the first study on human contamination resulting from the primitive recycling of e-waste in Ghana. This study will contribute to the knowledge about human exposure to trace elements from an e-waste site in a less industrialized region so far scantly covered in the literature. - Highlights: Black-Right-Pointing-Pointer Exposure status of trace elements in e-waste recycling workers was assessed in Ghana. Black-Right-Pointing-Pointer Concentrations of Fe, Sb, and Pb in urine of e-waste workers were significantly higher than those of the reference subjects. Black-Right-Pointing-Pointer This study is the first to investigate human contamination arising from primitive recycling of e-waste arguably from Africa.

  15. Multi-trace element levels and arsenic speciation in urine of e-waste recycling workers from Agbogbloshie, Accra in Ghana

    Asante, Kwadwo Ansong; Agusa, Tetsuro; Biney, Charles Augustus; Agyekum, William Atuobi; Bello, Mohammed; Otsuka, Masanari; Itai, Takaaki; Takahashi, Shin; Tanabe, Shinsuke

    2012-01-01

    To understand human contamination by multi-trace elements (TEs) in electrical and electronic waste (e-waste) recycling site at Agbogbloshie, Accra in Ghana, this study analyzed TEs and As speciation in urine of e-waste recycling workers. Concentrations of Fe, Sb, and Pb in urine of e-waste recycling workers were significantly higher than those of reference sites after consideration of interaction by age, indicating that the recycling workers are exposed to these TEs through the recycling activity. Urinary As concentration was relatively high, although the level in drinking water was quite low. Speciation analysis of As in human urine revealed that arsenobetaine and dimethylarsinic acid were the predominant As species and concentrations of both species were positively correlated with total As concentration as well as between each other. These results suggest that such compounds may be derived from the same source, probably fish and shellfish and greatly influence As exposure levels. To our knowledge, this is the first study on human contamination resulting from the primitive recycling of e-waste in Ghana. This study will contribute to the knowledge about human exposure to trace elements from an e-waste site in a less industrialized region so far scantly covered in the literature. - Highlights: ► Exposure status of trace elements in e-waste recycling workers was assessed in Ghana. ► Concentrations of Fe, Sb, and Pb in urine of e-waste workers were significantly higher than those of the reference subjects. ► This study is the first to investigate human contamination arising from primitive recycling of e-waste arguably from Africa.

  16. Risk of transmission of viral haemorrhagic fevers and the insecticide susceptibilitystatus of aedes aegypti (linnaeus) in some sites in Accra, Ghana.

    Suzuki, Takashi; Osei, Joseph H; Sasaki, Akihiro; Adimazoya, Michelle; Appawu, Maxwell; Boakye, Daniel; Ohta, Nobuo; Dadzie, Samuel

    2016-09-01

    Dengue is one of the emerging diseases that can mostly only be controlled by vector control since there is no vaccine for the disease. Although, Dengue has not been reported in Ghana, movement of people from neighbouring countries where the disease has been reported can facilitate transmission of the disease. This study was carried on the University of Ghana campus to determine the risk of transmission of viral haemorrhagic fevers and the insecticide susceptibility status of Ae. aegypti in some sites in Accra, Ghana. Larval surveys were carried to inspect containers within households and estimate larval indices and adult Aedes mosquitoes were collected using human landing collection technique. WHO tube assays was used to assess the insecticide susceptibility status of Aedes mosquitoes. Ae. aegypti were the most prevalent species, 75.5% and followed by Ae. vittatus , 23.9 %. Ae. albopictus and Ae. granti were in smaller numbers. Household index (HI), Breteau index (BI), and container index were calculated as 8.2%, 11.2% and 10.3% respectively with man-vector contact rate of 0.67 bites/man-hour estimated for the area. The mortalities recorded for Ae. aegypti from WHO tube assays was 88%, 94%, 80% and 99% for DDT (4%), deltamethrin (0.05%), lambdacyhalothrin (0.05%) and permethrin (0.75%) respectively. The survey results indicated that the density of Aedes mosquitoes was considered to be sufficient to promote an outbreak of viral haemorrhagic fevers on Legon Campus. Aedes mosquitoes were found to be resistant to DDT, deltamethrin and lamdacyhalothrin, but susceptible to permethrin. This study was supported in part by Japan Initiative for Global Research Network on Infectious Diseases (J-Grid).

  17. Comparative studies of the ITU-T prediction model for radiofrequency radiation emission and real time measurements at some selected mobile base transceiver stations in Accra, Ghana

    Obeng, S. O

    2014-07-01

    Recent developments in the electronics industry have led to the widespread use of radiofrequency (RF) devices in various areas including telecommunications. The increasing numbers of mobile base station (BTS) as well as their proximity to residential areas have been accompanied by public health concerns due to the radiation exposure. The main objective of this research was to compare and modify the ITU- T predictive model for radiofrequency radiation emission for BTS with measured data at some selected cell sites in Accra, Ghana. Theoretical and experimental assessment of radiofrequency exposures due to mobile base station antennas have been analysed. The maximum and minimum average power density measured from individual base station in the town was 1. 86µW/m2 and 0.00961µW/m2 respectively. The ITU-T Predictive model power density ranged between 6.40mW/m 2 and 0.344W/m 2 . Results obtained showed a variation between measured power density levels and the ITU-T predictive model. The ITU-T model power density levels decrease with increase in radial distance while real time measurements do not due to fluctuations during measurement. The ITU-T model overestimated the power density levels by a factor l0 5 as compared to real time measurements. The ITU-T model was modified to reduce the level of overestimation. The result showed that radiation intensity varies from one base station to another even at the same distance. Occupational exposure quotient ranged between 5.43E-10 and 1.89E-08 whilst general public exposure quotient ranged between 2.72E-09 and 9.44E-08. From the results, it shows that the RF exposure levels in Accra from these mobile phone base station antennas are below the permitted RF exposure limit to the general public recommended by the International Commission on Non-Ionizing Radiation Protection. (au)

  18. The influence of socio-cultural interpretations of pregnancy threats on health-seeking behavior among pregnant women in urban Accra, Ghana.

    Dako-Gyeke, Phyllis; Aikins, Moses; Aryeetey, Richmond; McCough, Laura; Adongo, Philip Baba

    2013-11-19

    Although antenatal care coverage in Ghana is high, there exist gaps in the continued use of maternity care, especially utilization of skilled assistance during delivery. Many pregnant women seek care from different sources aside the formal health sector. This is due to negative perceptions resulting from poor service quality experiences in health facilities. Moreover, the socio-cultural environment plays a major role for this care-seeking behavior. This paper seeks to examine beliefs, knowledge and perceptions about pregnancy and delivery and care-seeking behavior among pregnant women in urban Accra, Ghana. A qualitative study with 6 focus group discussions and 13 in-depth interviews were conducted at Taifa-Kwabenya and Madina sub-districts, Accra. Participants included mothers who had delivered within the past 12 months, pregnant women, community members, religious and community leaders, orthodox and non-orthodox healthcare providers. Interviews and discussions were audio-taped, transcribed and coded into larger themes and categories. Evidence showed perceived threats, which are often given socio-cultural interpretations, increased women's anxieties, driving them to seek multiple sources of care. Crucially, care-seeking behavior among pregnant women indicated sequential or concurrent use of biomedical care and other forms of care including herbalists, traditional birth attendants, and spiritual care. Use of multiple sources of care in some cases disrupted continued use of skilled provider care. Furthermore, use of multiple forms of care is encouraged by a perception that facility-based care is useful only for antenatal services and emergencies. It also highlights the belief among some participants that care from multiple sources are complementary to each other. Socio-cultural interpretations of threats to pregnancy mediate pregnant women's use of available healthcare services. Efforts to encourage continued use of maternity care, especially skilled birth

  19. Socio-cultural and economic factors influencing adolescents' resilience against the threat of teenage pregnancy: a cross-sectional survey in Accra, Ghana.

    Ahorlu, Collins K; Pfeiffer, Constanze; Obrist, Brigit

    2015-12-23

    Adolescent pregnancy exposes female adolescents to medical, social and economic risks. In Ghana, adolescent mothers are more likely to experience complications during pregnancy and delivery as compared to older mothers. This study examined the competencies of adolescent girls to either proactively prevent teenage pregnancy or reactively cope effectively with it. A cross-sectional survey approach was used to interview 820 adolescent girls aged 15-19 years in Accra, Ghana. The main focus of the study was to examine how social capital (various kinds of valued relations with significant others), economic capital (command over economic resources, mainly cash and assets), cultural capital (personal dispositions and habits; knowledge and tradition stored in material forms and institutionalized) and symbolic capital (honour, recognition and prestige) contribute to the development of competencies of adolescents to deal with the threat of teenage pregnancy and childbirth. Out of 820 adolescents interviewed, 128 (16%) were pregnant or mothers. Adolescents in both groups (62% never pregnant girls and 68% pregnant/young mothers) have access to social support, especially from their parents. Parents are taking the place of aunts and grandmothers in providing sexual education to their adolescent girls due to changing social structures where extended families no longer reside together in most cases. More (79%) pregnant girls and young mothers compared to never pregnant girls (38%) have access to economic support (P = pregnancy among adolescent girls. Findings showed that adolescent girls, especially those that get pregnant should not be viewed as weak and vulnerable because many of them have developed competencies to cope with pregnancy and childbirth effectively. Thus, focusing on developing the competencies of girls to access social, economic and cultural capitals may be an effective way of tackling the threat of teenage pregnancy than focusing only on their vulnerability and

  20. The influence of institutions and organizations on urban waste collection systems: an analysis of waste collection system in Accra, Ghana (1985-2000).

    Fobil, Julius N; Armah, Nathaniel A; Hogarh, Jonathan N; Carboo, Derick

    2008-01-01

    Urban waste collection system is a pivotal component of all waste management schemes around the world. Therefore, the efficient performance and the success of these schemes in urban pollution control rest on the ability of the collection systems to fully adapt to the prevailing cultural and social contexts within which they operate. Conceptually, institutions being the rules guiding the conduct of public service provision and routine social interactions, waste collection systems embedded in institutions can only realize their potentials if they fully evolve continuously to reflect evolving social and technical matrices underlying the cultures, organizations, institutions and social conditions they are designed to address. This paper is a product of an analysis of waste collection performance in Ghana under two different institutional and/or organizational regimes; from an initial entirely public sector dependence to a current mix of public-private sector participation drawing on actual planning data from 1985 to 2000. The analysis found that the overall performance of waste collection services in Ghana increased under the coupled system, with efficiency (in terms of total waste clearance and coverage of service provision) increasing rapidly with increased private-sector controls and levels of involvement, e.g. for solid waste, collection rate and disposal improved from 51% in 1998 to about 91% in the year 2000. However, such an increase in performance could not be sustained beyond 10 years of public-private partnerships. This analysis argues that the sustainability of improved waste collection efficiency is a function of the franchise and lease arrangements between private sector group on the one hand and public sector group (local authorities) on the other hand. The analysis therefore concludes that if such franchise and lease arrangements are not conceived out of an initial transparent process, such a provision could undermine the overall sustainability of

  1. Microbial Content of “Bowl Water” Used for Communal Handwashing in Preschools within Accra Metropolis, Ghana

    Patience B. Tetteh-Quarcoo

    2016-01-01

    Full Text Available Objective. This study aimed at determining the microbial content of “bowl water” used for communal handwashing in preschools within the Accra Metropolis. Method. Six (6 preschools in the Accra Metropolis were involved in the study. Water samples and swabs from the hands of the preschool children were collected. The samples were analysed and tested for bacteria, fungi, parasites, and rotavirus. Results. Eight different bacteria, two different parasites, and a fungus were isolated while no rotavirus was detected. Unlike the rest of the microbes, bacterial isolates were found among samples from all the schools, with Staphylococcus species being the most prevalent (40.9%. Out of the three schools that had parasites in their water, two of them had Cryptosporidium parvum. The fungus isolated from two out of the six schools was Aspergillus niger. All bacteria isolated were found to be resistant to cotrimoxazole, ciprofloxacin, and ampicillin and susceptible to amikacin and levofloxacin. Conclusion. Although handwashing has the ability to get rid of microbes, communal handwashing practices using water in bowls could be considered a possible transmission route and may be of public concern.

  2. Chlorine treatment effectiveness and physico-chemical and bacteriological characteristics of treated water supplies in distribution networks of Accra-Tema Metropolis, Ghana

    Karikari, A. Y.; Ampofo, J. A.

    2013-06-01

    Drinking water quality from two major treatment plants in Ghana; Kpong and Weija Plants, and distribution networks in the Accra-Tema Metropolis were monitored monthly for a year at fifteen different locations. The study determined the relationship between chlorine residual, other physico-chemical qualities of the treated water, and, bacteria regrowth. Results indicated that the treated water at the Kpong and Weija Treatment Plants conformed to WHO guidelines for potable water. However, the water quality deteriorated bacteriologically, from the plants to the delivery points with high numbers of indicator and opportunistic pathogens. This could be due to inadequate disinfection residual, biofilms or accidental point source contamination by broken pipes, installation and repair works. The mean turbidity ranged from 1.6 to 2.4 NTU; pH varied from 6.8 to 7.4; conductivity fluctuated from 71.1 to 293 μS/cm. Chlorine residual ranged from 0.13 to 1.35 mg/l. High residual chlorine was observed at the treatment plants, which decreased further from the plants. Results showed that additional chlorination does not take place at the booster stations. Chlorine showed inverse relationship with microbial counts. Total coliform bacteria ranged from 0 to 248 cfu/100 ml, and faecal coliform values varied from 0 to 128 cfu/100 ml. Other microorganisms observed in the treated water included Aeromonas spp., Clostridium spp. and Pseudomonas spp. Boiling water in the household before consumption will reduce water-related health risks.

  3. Effect of gamma irradiation on microbial quality of minimally processed carrot and lettuce: A case study in Greater Accra region of Ghana

    Frimpong, G.K.; Kottoh, I.D.; Ofosu, D.O.; Larbi, D.

    2015-01-01

    The effect of ionizing radiation on the microbiological quality on minimally processed carrot and lettuce was studied. The aim was to investigate the effect of irradiation as a sanitizing agent on the bacteriological quality of some raw eaten salad vegetables obtained from retailers in Accra, Ghana. Minimally processed carrot and lettuce were analysed for total viable count, total coliform count and pathogenic organisms. The samples collected were treated and analysed for a 15 day period. The total viable count for carrot ranged from 1.49 to 14.01 log 10 cfu/10 g while that of lettuce was 0.70 to 8.5 7 log 10 cfu/10 g. It was also observed that total coliform count for carrot was 1.46–7.53 log 10 cfu/10 g and 0.14–7.35 log 10 cfu/10 g for lettuce. The predominant pathogenic organisms identified were Bacillus cereus, Cronobacter sakazakii, Staphylococcus aureus, and Klebsiella spp. It was concluded that 2 kGy was most effective for medium dose treatment of minimally processed carrot and lettuce. - Highlights: • The microbial load on the cut-vegetables was beyond acceptable level for consumption. • The microbial contamination of carrot was found to be higher than that of lettuce. • 2 kGy was most appropriate in treating cut-vegetables for microbial safety

  4. Effect of gamma irradiation on microbial quality of minimally processed carrot and lettuce: A case study in Greater Accra region of Ghana

    Frimpong, G. K.; Kottoh, I. D.; Ofosu, D. O.; Larbi, D.

    2015-05-01

    The effect of ionizing radiation on the microbiological quality on minimally processed carrot and lettuce was studied. The aim was to investigate the effect of irradiation as a sanitizing agent on the bacteriological quality of some raw eaten salad vegetables obtained from retailers in Accra, Ghana. Minimally processed carrot and lettuce were analysed for total viable count, total coliform count and pathogenic organisms. The samples collected were treated and analysed for a 15 day period. The total viable count for carrot ranged from 1.49 to 14.01 log10 cfu/10 g while that of lettuce was 0.70 to 8.5 7 log10 cfu/10 g. It was also observed that total coliform count for carrot was 1.46-7.53 log10 cfu/10 g and 0.14-7.35 log10 cfu/10 g for lettuce. The predominant pathogenic organisms identified were Bacillus cereus, Cronobacter sakazakii, Staphylococcus aureus, and Klebsiella spp. It was concluded that 2 kGy was most effective for medium dose treatment of minimally processed carrot and lettuce.

  5. Application of Quantitative Microbial Risk Assessment to analyze the public health risk from poor drinking water quality in a low income area in Accra, Ghana.

    Machdar, E; van der Steen, N P; Raschid-Sally, L; Lens, P N L

    2013-04-01

    In Accra, Ghana, a majority of inhabitants lives in over-crowded areas with limited access to piped water supply, which is often also intermittent. This study assessed in a densely populated area the risk from microbial contamination of various sources of drinking water, by conducting a Quantitative Microbiological Risk Assessment (QMRA) to estimate the risk to human health from microorganism exposure and dose-response relationships. Furthermore the cost-effectiveness in reducing the disease burden through targeted interventions was evaluated. Five risk pathways for drinking water were identified through a survey (110 families), namely household storage, private yard taps, communal taps, communal wells and water sachets. Samples from each source were analyzed for Escherichia coli and Ascaris contamination. Published ratios between E. coli and other pathogens were used for the QMRA and disease burden calculations. The major part of the burden of disease originated from E. coli O157:H7 (78%) and the least important contributor was Cryptosporidium (0.01%). Other pathogens contributed 16% (Campylobacter), 5% (Rotavirus) and 0.3% (Ascaris). The sum of the disease burden of these pathogens was 0.5 DALYs per person per year, which is much higher than the WHO reference level. The major contamination pathway was found to be household storage. Disinfection of water at household level was the most cost-effective intervention (Water supply network improvements were significantly less cost-effective. Copyright © 2013 Elsevier B.V. All rights reserved.

  6. Levels of Polychlorinated Biphenyls in Plastic Resin Pellets from Six Beaches on the Accra-Tema Coastline, Ghana

    Irene A. Agbo

    2016-01-01

    Conclusions. The concentrations of four detected PCB congeners (28, 52, 101 and 156 were significantly higher than the World Health Organization (WHO allowable daily intake of 6 ng/g food per day for PCBs. A more efficient industrial and domestic waste disposal system is advocated for Ghana. Competing Interests. The authors declare no competing financial interests.

  7. A cross-sectional study of tuberculosis drug resistance among previously treated patients in a tertiary hospital in Accra, Ghana: public health implications of standardized regimens.

    Forson, Audrey; Kwara, Awewura; Kudzawu, Samuel; Omari, Michael; Otu, Jacob; Gehre, Florian; de Jong, Bouke; Antonio, Martin

    2018-04-02

    Mycobacterium tuberculosis drug resistance is a major challenge to the use of standardized regimens for tuberculosis (TB) therapy, especially among previously treated patients. We aimed to investigate the frequency and pattern of drug resistance among previously treated patients with smear-positive pulmonary tuberculosis at the Korle-Bu Teaching Hospital Chest Clinic, Accra. This was a cross-sectional survey of mycobacterial isolates from previously treated patients referred to the Chest Clinic Laboratory between October 2010 and October 2013. The Bactec MGIT 960 system for mycobactrerial culture and drug sensitivity testing (DST) was used for sputum culture of AFB smear-positive patients with relapse, treatment failure, failure of smear conversion, or default. Descriptive statistics were used to summarize patient characteristics, and frequency and patterns of drug resistance. A total of 112 isolates were studied out of 155 from previously treated patients. Twenty contaminated (12.9%) and 23 non-viable isolates (14.8%) were excluded. Of the 112 studied isolates, 53 (47.3%) were pan-sensitive to all first-line drugs tested Any resistance (mono and poly resistance) to isoniazid was found in 44 isolates (39.3%) and any resistance to streptomycin in 43 (38.4%). Thirty-one (27.7%) were MDR-TB. Eleven (35.5%) out of 31 MDR-TB isolates were pre-XDR. MDR-TB isolates were more likely than non-MDR isolates to have streptomycin and ethambutol resistance. The main findings of this study were the high prevalence of MDR-TB and streptomycin resistance among previously treated TB patients, as well as a high prevalence of pre-XDR-TB among the MDR-TB patients, which suggest that first-line and second-line DST is essential to aid the design of effective regimens for these groups of patients in Ghana.

  8. Multipathway Quantitative Assessment of Exposure to Fecal Contamination for Young Children in Low-Income Urban Environments in Accra, Ghana: The SaniPath Analytical Approach.

    Wang, Yuke; Moe, Christine L; Null, Clair; Raj, Suraja J; Baker, Kelly K; Robb, Katharine A; Yakubu, Habib; Ampofo, Joseph A; Wellington, Nii; Freeman, Matthew C; Armah, George; Reese, Heather E; Peprah, Dorothy; Teunis, Peter F M

    2017-10-01

    Lack of adequate sanitation results in fecal contamination of the environment and poses a risk of disease transmission via multiple exposure pathways. To better understand how eight different sources contribute to overall exposure to fecal contamination, we quantified exposure through multiple pathways for children under 5 years old in four high-density, low-income, urban neighborhoods in Accra, Ghana. We collected more than 500 hours of structured observation of behaviors of 156 children, 800 household surveys, and 1,855 environmental samples. Data were analyzed using Bayesian models, estimating the environmental and behavioral factors associated with exposure to fecal contamination. These estimates were applied in exposure models simulating sequences of behaviors and transfers of fecal indicators. This approach allows us to identify the contribution of any sources of fecal contamination in the environment to child exposure and use dynamic fecal microbe transfer networks to track fecal indicators from the environment to oral ingestion. The contributions of different sources to exposure were categorized into four types (high/low by dose and frequency), as a basis for ranking pathways by the potential to reduce exposure. Although we observed variation in estimated exposure (10 8 -10 16 CFU/day for Escherichia coli ) between different age groups and neighborhoods, the greatest contribution was consistently from food (contributing > 99.9% to total exposure). Hands played a pivotal role in fecal microbe transfer, linking environmental sources to oral ingestion. The fecal microbe transfer network constructed here provides a systematic approach to study the complex interaction between contaminated environment and human behavior on exposure to fecal contamination.

  9. Using High Resolution Commercial Satellite Imagery to Quantify Spatial Features of Urban Areas and their Relationship to Quality of Life Indicators in Accra, Ghana

    Sandborn, A.; Engstrom, R.; Yu, Q.

    2014-12-01

    Mapping urban areas via satellite imagery is an important task for detecting and anticipating land cover and land use change at multiple scales. As developing countries experience substantial urban growth and expansion, remotely sensed based estimates of population and quality of life indicators can provide timely and spatially explicit information to researchers and planners working to determine how cities are changing. In this study, we use commercial high spatial resolution satellite imagery in combination with fine resolution census data to determine the ability of using remotely sensed data to reveal the spatial patterns of quality of life in Accra, Ghana. Traditionally, spectral characteristics are used on a per-pixel basis to determine land cover; however, in this study, we test a new methodology that quantifies spatial characteristics using a variety of spatial features observed in the imagery to determine the properties of an urban area. The spatial characteristics used in this study include histograms of oriented gradients, PanTex, Fourier transform, and line support regions. These spatial features focus on extracting structural and textural patterns of built-up areas, such as homogeneous building orientations and straight line indices. Information derived from aggregating the descriptive statistics of the spatial features at both the fine-resolution census unit and the larger neighborhood level are then compared to census derived quality of life indicators including information about housing, education, and population estimates. Preliminary results indicate that there are correlations between straight line indices and census data including available electricity and literacy rates. Results from this study will be used to determine if this methodology provides a new and improved way to measure a city structure in developing cities and differentiate between residential and commercial land use zones, as well as formal versus informal housing areas.

  10. Interplay of metals and bromine with dioxin-related compounds concentrated in e-waste open burning soil from Agbogbloshie in Accra, Ghana.

    Fujimori, Takashi; Itai, Takaaki; Goto, Akitoshi; Asante, Kwadwo A; Otsuka, Masanari; Takahashi, Shin; Tanabe, Shinsuke

    2016-02-01

    Open burning of electronic waste (e-waste) releases various metals and organohalogen compounds in the environment. Here we investigated the interplay of metals (Cu, Pb, Zn, Fe, Co, and Sr) and bromine (Br) in the formation of dioxin-related compounds (DRCs), including polychlorinated dibenzo-p-dioxins/furans (PCDD/Fs) and dioxin-like polychlorinated biphenyls (DL-PCBs), as well as non-regulated DRCs such as polybrominated dibenzo-p-dioxins/furans (PBDD/Fs) and their monobrominated PCDD/Fs in soils sampled from open burning e-waste sites at Agbogbloshie in Accra, Ghana. The predominant DRCs were PBDFs, PCDFs, PCDDs, and DL-PCBs. Statistical analyzes, X-ray absorption spectroscopy, and the PCDF/PCDD ratio suggested possible formation paths of PCDD/Fs and DL-PCBs by catalytic behaviors of copper chlorides (CuCl, CuCl2, and Cu2(OH)3Cl) and thermal breakdown of polyvinyl chloride. Predominant formation of brominated furans may be derived from electron transfer from intermediates of PBDE to copper, Cu(II) → Cu(I). Lead chloride also contributed to generate DRCs and may become highly bioaccessible through the open burning of e-waste. The main zinc species (ZnCl2 and ZnS) suggested a possible relationship to generate DRCs and specific zinc source such as tire burning. Cu, Pb, Zn, and Br contained in various e-wastes, wires/cables, plastics, and tires strongly influenced generation of many DRCs. Copyright © 2015 Elsevier Ltd. All rights reserved.

  11. Criteria-based audit of quality of care to women with severe pre-eclampsia and eclampsia in a referral hospital in Accra, Ghana.

    Joyce L Browne

    Full Text Available Severe pre-eclampsia and eclampsia are one of the major causes of maternal mortality globally. Reducing maternal morbidity and mortality demands optimizing quality of care. Criteria-based audits are a tool to define, assess and improve quality of care. The aim of this study was to determine applicability of a criteria-based audit to assess quality of care delivered to women with severe hypertensive disorders in pregnancy, and to assess adherence to protocols and quality of care provided at a regional hospital in Accra, Ghana.Checklists for management of severe preeclampsia, hypertensive emergency and eclampsia were developed in an audit cycle based on nine existing key clinical care protocols. Fifty cases were audited to assess quality of care, defined as adherence to protocols. Analysis was stratified for complicated cases, defined as (imminent eclampsia, perinatal mortality and/or one or more WHO maternal near miss C-criteria.Mean adherence to the nine protocols ranged from 15-85%. Protocols for 'plan for delivery' and 'magnesium sulphate administration' were best adhered to (85%, followed by adherence to protocols for 'eclampsia' (64%, 'severe pre-eclampsia at admission' (60%, 'severe pre-eclampsia ward follow-up' (53% and 'hypertensive emergency' (53%. Protocols for monitoring were least adhered to (15%. No difference was observed for severe disease. Increased awareness, protocol-based training of staff, and clear task assignment were identified as contributors to better adherence.A criteria-based audit is an effective tool to determine quality of care, identify gaps in standard of care, and allow for monitoring and evaluation in a health facility, ultimately resulting in improved quality of care provided and reduced maternal morbidity and mortality. In our audit, good adherence was observed for plan for delivery and treatment with magnesium sulphate. Substandard adherence to a number of protocols was identified, and points towards

  12. Variation and distribution of metals and metalloids in soil/ash mixtures from Agbogbloshie e-waste recycling site in Accra, Ghana.

    Itai, Takaaki; Otsuka, Masanari; Asante, Kwadwo Ansong; Muto, Mamoru; Opoku-Ankomah, Yaw; Ansa-Asare, Osmund Duodu; Tanabe, Shinsuke

    2014-02-01

    Illegal import and improper recycling of electronic waste (e-waste) are an environmental issue in developing countries around the world. African countries are no exception to this problem and the Agbogbloshie market in Accra, Ghana is a well-known e-waste recycling site. We have studied the levels of metal(loid)s in the mixtures of residual ash, formed by the burning of e-waste, and the cover soil, obtained using a portable X-ray fluorescence spectrometer (P-XRF) coupled with determination of the 1M HCl-extractable fraction by an inductively coupled plasma mass spectrometer. The accuracy and precision of the P-XRF measurements were evaluated by measuring 18 standard reference materials; this indicated the acceptable but limited quality of this method as a screening tool. The HCl-extractable levels of Al, Co, Cu, Zn, Cd, In, Sb, Ba, and Pb in 10 soil/ash mixtures varied by more than one order of magnitude. The levels of these metal(loid)s were found to be correlated with the color (i.e., soil/ash ratio), suggesting that they are being released from disposed e-waste via open burning. The source of rare elements could be constrained using correlation to the predominant metals. Human hazard quotient values based on ingestion of soil/ash mixtures exceeded unity for Pb, As, Sb, and Cu in a high-exposure scenario. This study showed that along with common metals, rare metal(loid)s are also enriched in the e-waste burning site. We suggest that risk assessment considering exposure to multiple metal(loid)s should be addressed in studies of e-waste recycling sites. © 2013. Published by Elsevier B.V. All rights reserved.

  13. Signatures of vehicular emissions and human health risk assessment of road dust in selected roads of Accra, Ghana

    Manukure, A.S.

    2009-06-01

    Street dust samples were collected from Mallam Junction-Weija road, John Teye-Pokuase road, Tema Motorway (near Ashiaman overhead) and Tetteh Quarshie interchange in Accra. The samples were segregated into grain sizes between 250μm-100μm and less than 100μm. Energy dispersive X-ray florescence technique was used to determine the elemental compositions. In all twenty (20) elements were identified: K, Ca, Ti, V, Cr, Mn, Fe, Ni, Cu, Zn, Ga, Ge, As, Se, Br, Rb, Sr, Y, Zr and Pb. The results show significant concentration levels of K, Ca, Ti Pb, Zn, Cu, Mn, Fe, Rb, Sr, Y, Zr and Cr in all the samples. Ultra violet visible spectrophotometer was used to determine the concentrations of SO 4 2- and NO 3 - . Enrichment factors calculated for the elements show high enrichment of Pb, V, Zn, Cu, Zr, Cr, Br and Pb from the sample sites. There was no indication of significant anthropogenic contribution of manganese (Mn) which gave enrichment factor values in the range of 0.57- 1.00 in the road dust. The average SO 4 2- and NO 3 - concentration ranged between 17.69mg/kg-28.86mg/kg and 14.76mg/kg-23.70mg/kg respectively. The principal component analysis was used to identify sources and their contributions. The sources identified were natural crust, brake wear, tyre wear and vehicle exhaust emission. The results show high levels of vehicle non-exhaust emission than vehicular exhaust emission. A risk assessment of selected heavy metal contaminants from all sites indicate that Pb which is the most toxic among the elements gave Hazard Index (H-I) value in the range of 0.14 - 0.62 which is less than the safe level of one (1). It was also observed that ingestion pathway which gave HI value in the range of 1.1- 2.3 showed the highest risk of exposure. Tetteh Quarshie Interchange gave the highest cumulative risk exposure. (au)

  14. All projects related to Ghana | IDRC - International Development ...

    Home · What we do / Regions and countries / Ghana ... Integrated Climate Smart Flood Management for Accra, Ghana ... by scaling up enhanced information and communication technology-enabled (ICT) extension service models in Ghana.

  15. Knowledge and disclosure of HIV status among adolescents and young adults attending an adolescent HIV clinic in Accra, Ghana.

    Kenu, Ernest; Obo-Akwa, Adjoa; Nuamah, Gladys B; Brefo, Anita; Sam, Miriam; Lartey, Margaret

    2014-11-26

    In Ghana it is estimated that 1.2% of HIV infections occur in young people aged 15-24 but the representation in our clinics is small. Adherence to treatment, appointment keeping and knowledge of HIV status remains a challenge. Disclosure has been shown to result in better adherence to therapy, good clinical outcomes, psychological adjustment and reduction in the risk of HIV transmission when the young person becomes sexually active. A baseline study was conducted to ascertain if adolescents and young adults knew their HIV status and their knowledge on HIV. Informed consent and assent were obtained from willing participants. Self-administered questionnaires on general knowledge of HIV, HIV treatment and disclosure were collected and analyzed. Thirty-four young persons participated in the study. The mean age was 16.9±SD 2.5 and 62% (21/32) were female. All of them were still in school. Eighty-five percent were aware that young people their age could fall sick, 91% had heard of HIV, 70% knew someone with HIV and 45% thought that adolescents were not at risk of HIV. On modes of HIV transmission, 66.7% knew HIV was transmitted through sex and 63.6% knew about mother to child transmission. Fifty three percent (18/34) knew their HIV status, 50% (17/34) were on antiretroviral and 35% (6/17) of them admitted to missing ARV doses. One person who said he was HIV negative and another who did not know his status were both on ARVs. Disclosure of HIV status to adolescents and young people is dependent on a complex mix of factors and most practitioners recommend an age and developmentally appropriate disclosure. Thus it is highly individualized. The knowledge and awareness of HIV was 91% compared to 97% of adults in the most recent Ghana Demographic and Health Survey however only about two thirds had acceptable in depth knowledge on HIV. Only half knew their HIV status which was not the best considering their ages. There is the need to strengthen education to young persons with

  16. Health risk assessment of pesticides and polychlorinated biphenyls contaminations in dairy products from selected farms in Greater Accra Region - Ghana

    Amoako, D.

    2013-07-01

    The residual concentrations of synthetic chemicals such as organochlorines pesticides (OCPs), pyrethroids and polychlorinated biphenyls (PCBs) in dairy products (milk, yoghurt, cheese) from selected farms in Greater Accra were analyzed using Gas Chromatography (GC). A total of 50 samples of dairy products (9 cheese, 25 cow milk and 16 yogourt) were analyzed for OCPs, prethroids and PCBs. Of the numerious pesticides evaluated, detectable levels of OCPs (β-HCH, endrin, heptachlor, endosulfan, p ' p-DDT and methoxchlor); synthetic prethroids (permathrin, allethrin, cypermethrin and deltamethrin) and PCBs (18, 28, 52, 101, 153, 138, and 180) were found in all the dairy product samples analysed. Milk samples were found to be the most contaminated with respect to the OCPs and the levels ranged between 0.0001µg/ml and 0.0407µg/ml. ß-HCH was the highest OCP with concentration of 0.0407µg/ml while cyfluthrin was the highest synthetic prethroids recorded in yoghurt sample (0.0318µg/ml). The highest PCB 18 (2,2,5-Trichlorobiphenyl) recorded (0.2668µg/ml) in yoghurt samples. (Data obtained from the field survey regarding safe use of pesticides, toxicity awareness and symptoms among farmers indicated that a very high proportion of animal farmers were at a high risk of pesticide poisoning from occupational exposure. More than 70% of farm workers did not practise safety precaution during pesticide mixing and application leading to considerable prevalence of pesticide related illness including nausea, vomiting, blurred vision, abdominal cramps, dizziness, diarrhoea and headaches in this agricultural community. The presence of pesticide residues in dairy products was of further concern because milk is the main protein diet for infants. The estimated dose for γ-chlordane(8.5x10 5 µ/ml), endrin(0.0114 µg/ml) p ' p ' -DDT(8.5x10 5 µg/ml), DDE(8.5x10 5 µg/ml),heptachlor(2.5x10 5 µg/ml), dieldrin(6.8x10 5 µg/ml) do not pose a direct hazard to human health, although present

  17. Assessment of the integrity of structural shielding of four computed tomography facilities in the greater Accra region of Ghana

    Nkansah, A.; Schandorf, C.; Boadu, M.; Fletcher, J. J.

    2013-01-01

    The structural shielding thicknesses of the walls of four computed tomography (CT) facilities in Ghana were re-evaluated to verify the shielding integrity using the new shielding design methods recommended by the National Council on Radiological Protection and Measurements (NCRP). The shielding thickness obtained ranged from 120 to 155 mm using default DLP values proposed by the European Commission and 110 to 168 mm using derived DLP values from the four CT manufacturers. These values are within the accepted standard concrete wall thickness ranging from 102 to 152 mm prescribed by the NCRP. The ultrasonic pulse testing of all walls indicated that these are of good quality and free of voids since pulse velocities estimated were within the range of 3.496±0.005 km s -1 . An average dose equivalent rate estimated for supervised areas is 3.4±0.27 μSv week -1 and that for the controlled area is 18.0±0.15 μSv week -1 , which are within acceptable values. (authors)

  18. Patient-specific radiation dose and cancer risk in computed tomography examinations in some selected CT facilities in the Greater Accra Region of Ghana

    Osei, R. K.

    2012-01-01

    The effective dose and cancer risk were determined for patients undergoing seven different types of CT examinations in two CT facilities in the Greater Accra region of Ghana. The two facilities, namely; the Diagnostic Centre Ltd and Cocoa Clinic were chosen because of their significant patient throughput. The effective dose was from patient data namely age, sex, height, weight and technique factors; namely scan length, KVp (Kilovolts peak), mAs (milliamperes per second) and CTDIv from the control console of the CT machines. The effective dose was also estimated using the dose length product (DLP) and k Coefficients which is the anatomic region specific conversion factors. The cancer risk for each patient for a particular examination was determined from the effective dose, age and sex of each patient with the help of BEIR VII. In all, a total number of 800 adult patients with 400 from each of the two CT facilities were compiled. From Diagnostic Centre Ltd, the average effective dose was 5.61mSv in the range of 1.41mSv to 13.34mSv with average BMI of 26.19kg/m 2 in the range of 16.90kg/m 2 to 48.28kg/m 2 for all types of examinations. The average cancer risk was 0.0458 Sv - 1 for 400 patients in the range of 0.0001 Sv - 1 to 0.3036 Sv -1 compared with a population of 900 patients undergoing CT examination per year. From Cocoa Clinic, the average effective dose was 3.91MSv in the range of 0.54mSv to 27.32mSv with an average BMI of 25.59 kg/m 2 in the range of 17.18kg/m 2 to 35.34kg/m 2 and the average cancer risk was 0.0371 Sv - 1 in the range of 0.0001 Sv - 1 and 0.7125 Sv -1 . Some of the values were within the range of values of typical for typical effective dose for CT examinations reported by the ICRP. It was evident from this study that the variations in scanning parameters had significant impact on the effective doses to patient for similar CT examinations among the two facilities.(au)

  19. Variation and distribution of metals and metalloids in soil/ash mixtures from Agbogbloshie e-waste recycling site in Accra, Ghana

    Itai, Takaaki; Otsuka, Masanari; Asante, Kwadwo Ansong; Muto, Mamoru; Opoku-Ankomah, Yaw; Ansa-Asare, Osmund Duodu; Tanabe, Shinsuke

    2014-01-01

    Illegal import and improper recycling of electronic waste (e-waste) are an environmental issue in developing countries around the world. African countries are no exception to this problem and the Agbogbloshie market in Accra, Ghana is a well-known e-waste recycling site. We have studied the levels of metal(loid)s in the mixtures of residual ash, formed by the burning of e-waste, and the cover soil, obtained using a portable X-ray fluorescence spectrometer (P-XRF) coupled with determination of the 1 M HCl-extractable fraction by an inductively coupled plasma mass spectrometer. The accuracy and precision of the P-XRF measurements were evaluated by measuring 18 standard reference materials; this indicated the acceptable but limited quality of this method as a screening tool. The HCl-extractable levels of Al, Co, Cu, Zn, Cd, In, Sb, Ba, and Pb in 10 soil/ash mixtures varied by more than one order of magnitude. The levels of these metal(loid)s were found to be correlated with the color (i.e., soil/ash ratio), suggesting that they are being released from disposed e-waste via open burning. The source of rare elements could be constrained using correlation to the predominant metals. Human hazard quotient values based on ingestion of soil/ash mixtures exceeded unity for Pb, As, Sb, and Cu in a high-exposure scenario. This study showed that along with common metals, rare metal(loid)s are also enriched in the e-waste burning site. We suggest that risk assessment considering exposure to multiple metal(loid)s should be addressed in studies of e-waste recycling sites. - Highlights: • Contamination on the largest e-waste recycling site in Africa was investigated. • Portable X-ray Fluorescence analyzer useful for first screening • High levels of Cu, Zn, Pb, and Al in soil/ash mixtures • Hazards for workers are significant

  20. Interplay of metals and bromine with dioxin-related compounds concentrated in e-waste open burning soil from Agbogbloshie in Accra, Ghana

    Fujimori, Takashi; Itai, Takaaki; Goto, Akitoshi; Asante, Kwadwo A.; Otsuka, Masanari; Takahashi, Shin; Tanabe, Shinsuke

    2016-01-01

    Open burning of electronic waste (e-waste) releases various metals and organohalogen compounds in the environment. Here we investigated the interplay of metals (Cu, Pb, Zn, Fe, Co, and Sr) and bromine (Br) in the formation of dioxin-related compounds (DRCs), including polychlorinated dibenzo-p-dioxins/furans (PCDD/Fs) and dioxin-like polychlorinated biphenyls (DL-PCBs), as well as non-regulated DRCs such as polybrominated dibenzo-p-dioxins/furans (PBDD/Fs) and their monobrominated PCDD/Fs in soils sampled from open burning e-waste sites at Agbogbloshie in Accra, Ghana. The predominant DRCs were PBDFs, PCDFs, PCDDs, and DL-PCBs. Statistical analyzes, X-ray absorption spectroscopy, and the PCDF/PCDD ratio suggested possible formation paths of PCDD/Fs and DL-PCBs by catalytic behaviors of copper chlorides (CuCl, CuCl_2, and Cu_2(OH)_3Cl) and thermal breakdown of polyvinyl chloride. Predominant formation of brominated furans may be derived from electron transfer from intermediates of PBDE to copper, Cu(II) → Cu(I). Lead chloride also contributed to generate DRCs and may become highly bioaccessible through the open burning of e-waste. The main zinc species (ZnCl_2 and ZnS) suggested a possible relationship to generate DRCs and specific zinc source such as tire burning. Cu, Pb, Zn, and Br contained in various e-wastes, wires/cables, plastics, and tires strongly influenced generation of many DRCs. - Highlights: • Extremely high DRCs were detected from an open burning soil of e-waste. • Predominant DRCs were PBDFs, PCDFs, PCDDs, and DL-PCBs. • Some metals shows good correlation to DRCs by PCA and cluster analysis. • Speciation of Cu, Pb, Zn in residual soil were successfully measured by XAFS. • Electron transfer via Cu(II) → Cu(I) can be important for DRCs formation. - Metals speciation in residual soil after open burning of e-waste may act as a catalyst for formation of dioxin-related compounds.

  1. Variation and distribution of metals and metalloids in soil/ash mixtures from Agbogbloshie e-waste recycling site in Accra, Ghana

    Itai, Takaaki, E-mail: itai@sci.ehime-u.ac.jp [Center for Marine Environmental Studies, Ehime University, Bunkyo-cho 2-5, Matsuyama, Ehime 790-8577 (Japan); Otsuka, Masanari [Center for Marine Environmental Studies, Ehime University, Bunkyo-cho 2-5, Matsuyama, Ehime 790-8577 (Japan); Asante, Kwadwo Ansong [Center for Marine Environmental Studies, Ehime University, Bunkyo-cho 2-5, Matsuyama, Ehime 790-8577 (Japan); CSIR Water Research Institute, P. O. Box AH 38, Achimota, Accra (Ghana); Muto, Mamoru [Center for Marine Environmental Studies, Ehime University, Bunkyo-cho 2-5, Matsuyama, Ehime 790-8577 (Japan); Opoku-Ankomah, Yaw; Ansa-Asare, Osmund Duodu [CSIR Water Research Institute, P. O. Box AH 38, Achimota, Accra (Ghana); Tanabe, Shinsuke [Center for Marine Environmental Studies, Ehime University, Bunkyo-cho 2-5, Matsuyama, Ehime 790-8577 (Japan)

    2014-02-01

    Illegal import and improper recycling of electronic waste (e-waste) are an environmental issue in developing countries around the world. African countries are no exception to this problem and the Agbogbloshie market in Accra, Ghana is a well-known e-waste recycling site. We have studied the levels of metal(loid)s in the mixtures of residual ash, formed by the burning of e-waste, and the cover soil, obtained using a portable X-ray fluorescence spectrometer (P-XRF) coupled with determination of the 1 M HCl-extractable fraction by an inductively coupled plasma mass spectrometer. The accuracy and precision of the P-XRF measurements were evaluated by measuring 18 standard reference materials; this indicated the acceptable but limited quality of this method as a screening tool. The HCl-extractable levels of Al, Co, Cu, Zn, Cd, In, Sb, Ba, and Pb in 10 soil/ash mixtures varied by more than one order of magnitude. The levels of these metal(loid)s were found to be correlated with the color (i.e., soil/ash ratio), suggesting that they are being released from disposed e-waste via open burning. The source of rare elements could be constrained using correlation to the predominant metals. Human hazard quotient values based on ingestion of soil/ash mixtures exceeded unity for Pb, As, Sb, and Cu in a high-exposure scenario. This study showed that along with common metals, rare metal(loid)s are also enriched in the e-waste burning site. We suggest that risk assessment considering exposure to multiple metal(loid)s should be addressed in studies of e-waste recycling sites. - Highlights: • Contamination on the largest e-waste recycling site in Africa was investigated. • Portable X-ray Fluorescence analyzer useful for first screening • High levels of Cu, Zn, Pb, and Al in soil/ash mixtures • Hazards for workers are significant.

  2. Assessment of radiation dose due to fluoroscopic procedures in patients at some selected facilities in the Greater Accra Region, Ghana

    Gyasi, E.

    2013-07-01

    the surface of the patients and other factors contribute to increased doses to patients. These KAP values suggest that the selected facilities in Ghana are adopting a procedure which ensures patients dose optimisation. Optimisation of patients dose during barium meal examination at Facility A is recommended. Inter institutional variations in patients doses require that effort be put in place to ensure standardisation of protocols for fluoroscopy examination in Ghana. (au)

  3. Ghana Journal of Development Studies: Submissions

    University for Development Studies P. O. Box 520 ... A Book by a Corporate Author University for Development Studies (2003). Strategic plan (2003-2008). Tamale, Ghana: ... Accra, Ghana: National Development Planning Commission.

  4. Risk Assessment of Heavy Metal Contamination on Vegetables Grown in Long-term Wastewater Irrigated Urban Farming Sites in Accra, Ghana

    Lente, I.; Keraita, Bernard; Drechsel, P.

    2012-01-01

    Assessment was done of heavy-metal contamination and its related health risks in urban vegetable farming in Accra. Samples of irrigation water (n = 120), soil (n = 144) and five different kinds of vegetable (n = 240) were collected and analyzed for copper, zinc, lead, cadmium, chromium, nickel an...

  5. Implementation of Fee-Free Maternal Health-Care Policy in Ghana: Perspectives of Users of Antenatal and Delivery Care Services From Public Health-Care Facilities in Accra.

    Anafi, Patricia; Mprah, Wisdom K; Jackson, Allen M; Jacobson, Janelle J; Torres, Christopher M; Crow, Brent M; O'Rourke, Kathleen M

    2018-01-01

    In 2008, the government of Ghana implemented a national user fee maternal care exemption policy through the National Health Insurance Scheme to improve financial access to maternal health services and reduce maternal as well as perinatal deaths. Although evidence shows that there has been some success with this initiative, there are still issues relating to cost of care to beneficiaries of the initiative. A qualitative study, comprising 12 focus group discussions and 6 interviews, was conducted with 90 women in six selected urban neighborhoods in Accra, Ghana, to examine users' perspectives regarding the implementation of this policy initiative. Findings showed that direct cost of delivery care services was entirely free, but costs related to antenatal care services and indirect costs related to delivery care still limit the use of hospital-based midwifery and obstetric care. There was also misunderstanding about the initiative due to misinformation created by the government through the media.We recommend that issues related to both direct and indirect costs of antenatal and delivery care provided in public health-care facilities must be addressed to eliminate some of the lingering barriers relating to cost hindering the smooth operation and sustainability of the maternal care fee exemption policy.

  6. Thyroid Disorders in Accra, Ghana

    User

    to enhance thyroid-targeted expression of sodium/iodide symporter. J Clin Endocrinol. Metab 89(5): 2344-2350. Mariotti, S, Cambuli, VM (2007) Cardiovascular risk in elderly hypothyroid patients. Thyroid 17. (11): 1067-1073. Mariotti, S, Franceschi, C, Cossarizza, A, Pinchera, A. (1995) The aging thyroid. Endocr Rev 16(6):.

  7. Museo Nacional, en Accra, Ghana

    Drake y Lasdun, Arquitectos

    1961-02-01

    Full Text Available El edificio, de indudable efecto plástico con su escueto diseño y esmerada realización, se adapta, fundamentalmente — y en esto consiste la utilidad y funcionalismo, base de la belleza—, a las condiciones topográficas y climáticas de la región, y a la finalidad para la que fue construido, expresando su fisonomía exterior el contenido y el uso a que se destina.

  8. Highly active antiretroviral therapy and employment status in Accra ...

    Demographic charac-teristics were tested as predictors of immunological response while on HAART using hierarchical linear models. Setting: Fevers Unit, Korle-Bu Teaching Hospital, Accra, Ghana Participants: Subjects comprised a convenience sam-ple of adult HAART patients receiving therapy for at least 9 months.

  9. Pattern of Breast Diseases in Accra: Review of Mammography Reports

    Setting: The radiology departments of Korle-Bu Teaching Hospital, the Trust Hospital and Medical Imaging Ghana, all located in Accra. Results: One hundred and eighty radiologic request forms for mammographic evaluations and their corresponding reports from the study period were reviewed. The mean age of the study ...

  10. Determination of levels of polychlorinated biphenyl in transformers oil from some selected transformers in parts of the Greater Accra Region of Ghana.

    Buah-Kwofie, Archibold; Yeboah, Philip O; Pwamang, John

    2011-01-01

    Although polychlorinated biphenyls have never been manufactured in Ghana, it has been used extensively as dielectric fluid in electric transformers and capacitors. However, very little is known of its health and environmental impacts by both managers of these transformers and capacitors and also the general public. This work therefore seeks to explore INAA as a possible alternative to screening transformer oils for PCBs by determining the total chlorine content. The total chlorine content of transformer oil samples from Ghana that tested positive and some randomly selected samples that tested negative from screening using CLOR-N-OIL test kits, have had their total chlorine estimated. INAA using the Research Reactor located at the Ghana Atomic Energy Commission was used to estimate the total chlorine content of the oil samples. Neutron Activation and gamma ray spectroscopy using HPGe detector coupled to MAESTRO 32 software was used to determine the total chlorine content by integrating the peak area of the spectrum into a simplified program that was developed from the activation equation. Instrumental Neutron Activation Analysis was able to validate the result obtained from the test kits screening with accuracy 7.5%. The minimum total chlorine content of the positive samples determined by NAA was 71.34 μg g⁻¹. Copyright © 2010 Elsevier Ltd. All rights reserved.

  11. Determination of heavy metals and human health risk assessment of road dust on the Tema motor way and Tetteh Quarshie interchange in Accra, Ghana

    Atiemo, S.M.; Ofosu, F.G.; Aboh, I.J.K.; Yeboah, P.O.

    2010-01-01

    Street dust samples were collected from Tema Motor way (near Ashiaman overhead) and Tetteh Quarshie interchange in Accra. The samples were segregated into two groups of grain sizes between 100 um - 250 um and the other being less than 100 um. Energy dispersive X-ray florescence technique was used to determine their elemental compositions. In all twenty (20) elements were identified: K, Ca, Ti, V, Cr, Mn, Fe, Ni, Cu, Zn, Ga, Ge, As, Se, Br, Rb, Sr, Y, Zr and Pb. The results show significant concentrations levels of K, Ca, Ti, Pb, Zn, Cu, Mn, Fe, Rb, Sr, Y, Zr and Cr in all the samples. Enrichment factors determined for the elements show high enrichment of V, Zn, Cu, Zr, Cr, Br and Pb from the sample sites. There was no indication of significant anthropogenic contribution of manganese (Mn) which gave average enrichment factor values of 0.60 and 0.78 in the road dust at the Tema motor way and Tetteh Quarshie Interchange respectively. Risk assessment of selected heavy metal contaminants from both sites indicate that Pb gave Hazard Index (HI) values of 0.56 and 0.62 which falls below the safe level of one (1). It was also observed that ingestion which gave HI values of 2.1 and 2.3 was the highest risk of exposure pathway. Tetteh Quarshie Interchange gave the highest cumulative risk of exposure. (author)

  12. The evaluation of the performance of the automatic exposure control system of some selected mammography facilities in the Greater Accra Region, Ghana

    Amesimenu, R.

    2013-07-01

    Mammography aids in the early detection of breast cancer. X-rays has an associated risk of inducing cancer though very useful and as such mammography procedures should be optimized through the appropriate processes such as the selection of exposure factors for an optimum image and minimal dose to patients. The automatic exposure control (AEC) aids in the selection of exposure factors thus controlling the amount of radiation to the breast and automatically compensates for differences in the breast thickness and density. The performance of the automatic exposure control system of mammography equipment and the status of quality management systems including quality assurance and quality controls of four (4) mammography facilities within the Greater Accra Region were assessed. In assessing the performance of the automatic exposure control system, the short term reproducibility test, thickness and voltage compensation test were carried out using breast equivalent phantom of various thicknesses. Half value layer test, film reject analysis and patient dose assessment were also performed. Analysis of the responses of the questionnaire administered to radiographers and supervisors of the selected facilities revealed that three (3) of the facilities have some aspect of quality management system programme in place but not effectively implemented. Measured optical densities from the various tests performed to evaluate the performance of the automatic exposure control systems revealed that the AEC compensates for the different phantom thickness and tube voltage (KV) by producing comparable optical densities for the various phantom thickness and tube voltages. Some of the measured optical densities were within the recommended optical density range of 1.5 OD - 1.9 OD. The highest optical density value was 0.13 OD above the highest limit of 1.9 OD. The film reject analysis showed that patient motion accounted for the large part (28%) of film rejects. Other factors such as too light

  13. Assessment of levels of occupational exposure to extremely low frequency electric and magnetic fields in data centres in Greater Accra Region-Ghana

    Kalognia, Joshua

    2016-07-01

    Data centres use a lot of power, consumed by two main usages: power required to run the actual equipment and power required to cool the equipment. Usage of electricity results in the production of electric and magnetic fields (EMF). Even though electricity is useful in human lives, there have been reported cases of adverse health effects from EMF generated from its use. Because the use of electricity is ubiquitous and plays a vital role in society’s economy, the possibility of harm from EMF to electric utility customers and workers deserves attention.The Electric and Magnetic fields for workers in data center in the Greater Accra Region have been assessed. The fundamental objective was to determine the levels of the electric and magnetic fields and to assess the extent of exposure of workers in the data centre to these fields. The results obtained for the electric field intensities in the data centre ranged from 6.03E-03 ± 7.54E-04 kVm"-"1 to 2.33E-04 ± 8.82E-05 kVm"-"1.The results obtained for the resultant field strength in the data centre ranged from 3.12E-01± 8.77E-03 μT to 6.57E-02 ± 7.38E-03 μT. The results obtained for the magnetic flux density ranged from 3.9E-07 ± 8.77E-03 μT to 7.27E-08 ± 7.31E-03 μT. The results obtained for the induced current density ranged from 2.37E-06 ± 1.50E-02 mA/m"2 to 2.46E-07 ± 9.99E-03 mA/m"2. Data obtained are below the basic restrictions for induced current density and reference levels for electric field and magnetic flux density set by the International. (au)

  14. Ghana

    McKay, Andy; Pirttilä, Jukka; Tarp, Finn

    Ghana is relatively rare among Sub-Saharan African countries in having had sustained positive growth every year since the mid-1980s. This paper analyses the nature of the growth and then presents an analysis of the evolution of both consumption poverty and non-monetary poverty outcomes over...... this period, showing improvements in almost all indicators over this period. At the same time, inequality has risen over the past 20 years and spatial inequality, in both monetary and non-monetary outcomes, remains an important concern. This increase in inequality is one reason why growth has not led...

  15. Cultural Understanding of Wounds, Buruli Ulcers and Their Management at the Obom Sub-district of the Ga South Municipality of the Greater Accra Region of Ghana.

    Eric Koka

    2016-07-01

    Full Text Available This study was conducted with the aim to understand some of the cultural belief systems in the management of wounds and patients practices that could contaminate wounds at the Obom sub-district of the Ga South Municipality of Ghana.This was an ethnographic study using in-depth interviews, Focus Group Discussions and participant observation techniques for data collection. Observations were done on Buruli ulcer patients to document how they integrate local and modern wound management practices in the day-to-day handling of their wounds. Content analysis was done after the data were subjected to thematic coding and representative narratives selected for presentation.It was usually believed that wounds were caused by charms or spirits and, therefore, required the attention of a native healer. In instances where some patients' wounds were dressed in the hospital by clinicians whose condition/age/sex contradict the belief of the patient, the affected often redress the wounds later at home. Some of the materials often used for such wound dressing include urine and concoctions made of charcoal and gunpowder with the belief of driving out evil spirits from the wounds.Clinicians must therefore be aware of these cultural beliefs and take them into consideration when managing Buruli ulcer wounds to prevent redressing at home after clinical treatment. This may go a long way to reduce secondary infections that have been observed in Buruli ulcer wounds.

  16. Evaluation of some varieties and breeding lines of tomato (Lycopersison sp) against tomato yellow leaf curl disease in the Greater Accra Region (Ghana)

    Kusi-Adjei, R.

    2011-01-01

    A series of experiments were conducted to evaluate ten (10) tomato varieties and breeding lines against tomato yellow leaf curl virus disease in Ghana. The research was undertaken at the research farm of the Biotechnology and Nuclear Agriculture Research Institute of the Ghana Atomic Energy Commission. Ten tomato varieties and breeding lines were evaluated in the field under natural whitefly inoculation in insect-proof cages. The field trial was done in the dry season from October, 2010 to February, 2011 and wet season from March, 2011 to July, 2011. Plants in the fields and in the cage exhibited varied symptoms such as leaf curling, leaf yellowing and reduced leaf sizes. Assessment of disease incidence and symptom severity using a four point scale (0-4) showed that, in the field there was higher disease incidence in the dry season as compared to the wet season. This was attributed to the higher number of whiteflies in the dry season as demonstrated through a whitefly population survey conducted in the field. Differences among means for disease incidence and whitefly surveys on the ten tomato varieties and breeding lines were statistically significant (p≤ 0.05). Wild Tomato (Solanum pimpinellifollium) and two hybrids, Wosowoso x Wild Tomato and Cherry Red x Wild Tomato exhibited signs of resistance in the field and did not show any symptoms of TYLCV disease symptoms. All the commercial varieties were highly susceptible and showed severe symptoms. Evaluation of fruit yield in the field revealed that the commercial variety Tomato Advanta had the heaviest fruit weight (42 g/ fruit) whilst Wosowoso had the highest total fruit yield (5.74 t/ha) in the wet season. Wild Tomato and the hybrids produced higher number of fruits compared to the commercial varieties. There were highly significant differences in the means of number of fruits, fruit weight (g) and total fruit yield (t/ha) among the ten tomato varieties and breeding lines in both the wet and dry seasons

  17. Release of chlorinated, brominated and mixed halogenated dioxin-related compounds to soils from open burning of e-waste in Agbogbloshie (Accra, Ghana).

    Tue, Nguyen Minh; Goto, Akitoshi; Takahashi, Shin; Itai, Takaaki; Asante, Kwadwo Ansong; Kunisue, Tatsuya; Tanabe, Shinsuke

    2016-01-25

    Although complex mixtures of dioxin-related compounds (DRCs) can be released from informal e-waste recycling, DRC contamination in African e-waste recycling sites has not been investigated. This study examined the concentrations of DRCs including chlorinated, brominated, mixed halogenated dibenzo-p-dioxins/dibenzofurans (PCDD/Fs, PBDD/Fs, PXDD/Fs) and dioxin-like polychlorinated biphenyls (DL-PCBs) in surface soil samples from the Agbogbloshie e-waste recycling site in Ghana. PCDD/F and PBDD/F concentrations in open burning areas (18-520 and 83-3800 ng/g dry, respectively) were among the highest reported in soils from informal e-waste sites. The concentrations of PCDFs and PBDFs were higher than those of the respective dibenzo-p-dioxins, suggesting combustion and PBDE-containing plastics as principal sources. PXDFs were found as more abundant than PCDFs, and higher brominated analogues occurred at higher concentrations. The median total WHO toxic equivalent (TEQ) concentration in open burning soils was 7 times higher than the U.S. action level (1000 pg/g), with TEQ contributors in the order of PBDFs>PCDD/Fs>PXDFs. DRC emission to soils over the e-waste site as of 2010 was estimated, from surface soil lightness based on the correlations between concentrations and lightness, at 200mg (95% confidence interval 93-540 mg) WHO-TEQ over three years. People living in Agbogbloshie are potentially exposed to high levels of not only chlorinated but also brominated DRCs, and human health implications need to be assessed in future studies. Copyright © 2015 Elsevier B.V. All rights reserved.

  18. Assessment of naturally occurring radioactive materials and trace elements in playgrounds of selected basic schools in the Ga-East municipal district, Accra, Ghana

    Taapopi, E.E.

    2015-07-01

    The 235 U, 232 Th series and natural 40 K are the main source of natural radioactivity in soil and have long half-lives up to 10 10 years. Therefore their presence in soils and rocks is simply considered as permanent. Also due to rapid urbanization, most of Basic School playgrounds in Accra are built close to major roads or industrial areas for which they are subject to many potential pollution sources, including vehicle exhaust and industrial emissions. A study has been carried out on playgrounds of basic schools in the Ga East municipal district in order to determine the exposure of the school children to naturally occurring radioactive materials ( 238 U, 232 Th and 40 K) and trace elements [aluminum (Al), cadmium (Cd), cobalt (Co), chromium (Cr), copper (Cu), mercury (Hg), potassium (K), lanthanum (La), manganese (Mn), sodium (Na), nickel (Ni), lead (Pb), titanium (Ti), vanadium (V), zinc (Zn)]. The activity concentrations were determined using high‐purity germanium (HPGe) detector. The average activity concentrations of 238 U, 232 Th and 40 K determined were 19.8 ± 8.7, 29.1 ± 16.3 and 119.4 ± 97.9 Bq.kg-1 respectively. The average annual effective dose was 0.039 ± 0.021 mSv and it is below the dose limit of 1 mSv/year recommended by International Commission on Radiological Protection (ICRP) for public exposure control. Radiological hazard assessments arising from the natural radionuclides were carried out. The average concentration of 222 Rn and exhalation rate were estimated to be 32.13 kBq.m -3 and 0.016 Bq.m -2 .s -1 respectively, which compared well with the world average values [78 kBq.m -3 and 0.033 Bq.m -2 .s -1 reported by (UNSCEAR, 2000)]. Soil samples were also analyzed for trace elements by Instrumental Neutron Activation Analysis and Atomic Absorption Spectrometry in order to assess the potential adverse health effects of the exposure of children to trace elements during their games at school. Doses incurred via ingestion and inhalation and

  19. The State of Human Faecal Matter Managemnt in Wa, Ghana

    Accordingly, the TPB contend that human behavioural intention or the behaviour is guided by ... from documented sources such as books and published articles from journals for purposes ...... Royal Beach Hotel, Accra, Ghana, April 2008, pp.

  20. Ghana Journal of Geography - Vol 7, No 2 (2015)

    The life struggles and successes of the migrant construction worker in Accra, Ghana · EMAIL FREE FULL TEXT EMAIL FREE FULL TEXT DOWNLOAD FULL TEXT DOWNLOAD FULL TEXT. Joseph A. Yaro, Mariama Awumbila, Joseph Kofi Teye, 113-131 ...

  1. Ghana.

    1981-09-01

    The government of Ghana sees the country's population as a valuable natural resource and emphasizes national population policy as an important part of overall socioeconomic planning and development. A formal system of development planning has been in effect since 1951. Decennial censuses are conducted relatively regularly but vital registration is thought to be incomplete. The current population size is 11,679,000 and the current rate of natural increase (3.1%) is considered too high, constraining the achievement of socioeconomic development. The high rate of growth is taxing on employment and public services. High fertility rates are influenced both by regional norms, such as early and universal marriage, and demographic factors, i.e., an increasingly higher proportion of the population in the 0-14 age group. The government sponsors family planning services which can be obtained free or at subsidized rates and seeks to upgrade the health and living standards of the population. Sterilization is permitted for medical reasons only, and abortions are restricted. Crude death rates have declined steadily and are currently estimated at 21-23/1000 population. The infant mortality rate is approximately 125.7/1000 live births. These rates are considered unacceptable and budget allocations for curative and preventive services have continuously risen. Uneven regional distribution of services continues to be problematic. Efforts to curb immigration in 1969 are thought to have resulted in the current satisfactory situation. Restrictive measures to prevent the emigration of skilled personnel are in effect. 60-65% of the population are urban dwellers and the proportion is expected to increase. The current spatial distribution of the population is considered inappropriate, rapid urbanization is causing rural depopulation, overburdening urban services and accentuating rural-urban disparaties. 2 approaches to the problem have been implemented: the urban increase is accomodated by

  2. Persistent organic pollutants in breast milk of primiparae and multiparae Mothers sampled from three health facilities in the Greater Accra and Central Regions of Ghana: Levels of Contamination, Influencing factors and infant risk assessment

    Blankson-Arthur, Sarah

    2016-07-01

    Human Breast milk is the optimal source of nutrition for babies and infants during the first six (6) months following birth. Breast milk protects the infants against diseases and infections. Interestingly, because breast milk is a lipid-rich tissue, it attracts, retains and accumulates lipophilic contaminants like persistent organic pollutants (POPs) from the ambient environment. The lipophilic contaminant load of the mother’s breast milk is subsequently, transferred to the breast-fed child. This makes breast milk an important biological matrix for the monitoring of the lactating mother’s body burden of persistent organic pollutants (POPs). The study, assessed the levels of persistent organic pollutants (POPs) [polychlorinated biphenyls (PCBs) and organochlorine pesticide (OCPs)] in the breast milk of lactating mothers (primiparae and multiparae) who reside within the catchment areas and attend child welfare clinic at one of three health facilities in Southern Ghana [Princess Marie Louis (PML) Children Hospital (Korle Wokon, Accra Central); GAEC Hospital (Kwabenya, Accra); and Gomoa Brofo Community based Health and Planning Services, (Gomoa Brofo, Gomoa West district, Central region)]. The study also evaluated the factors (age of lactating mothers, parity and area of residence) influencing the accumulation of the POPs; and, in addition, assessed the potential health risk associated with the ingestion of breast milk by the infants through estimation of the infant’s daily intakes and hazard quotient. A total of two hundred and eighty-eight (288) healthy lactating mothers between the ages of 17-38 years from the three sampling locations [PML (135), GAEC (112), CHPS (41)] were selected for the study based on questionnaires administered to obtain information on the mothers [personal characteristics, number of births (parity), age, weight, height and body mass index (BMI)]. The non-invasive sampling technique was used for the collection of breast milk samples. Gas

  3. Prevalence of Dental Fear and Anxiety amongst Patients in Selected Dental Clinics in Ghana

    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…

  4. Quality of Health Care in Ghana: Mapping of Interventions and the ...

    Quality of Health Care in Ghana: Mapping of Interventions and the Way Forward. ... Additional information was obtained during a NICE scoping visit to Accra followed by ... regulations; Technology Assessments/ biomedical; in-service training; ...

  5. Test of solar dryers in Ghana

    Oestergaard Jensen, S. [Teknologisk Institut. SolEnergiCentret, Taastrup (Denmark); Floejgaard Kristensen, E. [Danmarks JordbrugsForskning, Tjele (Denmark); Agyei, F. [FAGOD Ltd. (Ghana); Larsen, T. [Clipper Design Ltd. (Ghana); Nketiah, K.S. [FORIG (Ghana)

    2002-06-01

    The report describes the tests carried out in Ghana on three solar dryers as part of the project 'Test and Research Project into the Drying of Food and Wood Products with Solar Heat' financed by DANIDA. The main objective of the project was to develop and test solar dryers for crop, fish and wood in Ghana. Three dryers were erected: 1. Solar crop dryer: The solar crop dryer was erected at Silwood Farms at Pokuase about 30 km north of Accra. Silwood Farms grows primarily maize for seed and pineapples, 2. Solar fish dryer: The solar fish dryer was erected at Elite Enterprise Ltd. at Tema about 35 km east-north-east of Accra. Elite Enterprise Ltd. buys and dries fish, 3. Solar wood dryer: The solar wood dryers were erected at Clipper Design Ltd. at Mankoadze about 65 km west-south-west of Accra. Clipper Design Ltd. produces mainly doors. (BA)

  6. The 2nd Generation Street Children (SGSC) in Accra: Developing Teaching Strategies to Enhance Positive Learning Outcomes in Schools

    Kuyini, Alhassan Abdul-Razak; Abosi, Okechuwu

    2011-01-01

    Ghana is witnessing an increasing number of 2nd generation street children (SGSC) living in the street of Accra, the capital city as a result of many factors including teenage pregnancy among street girls, ethnic conflicts and rural-urban migration. Street presents enormous risks to street children; they are excluded from safe-family environment,…

  7. A content analysis of outdoor non-alcoholic beverage advertisements in Ghana

    Bragg, Marie A; Hardoby, Tamara; Pandit, Natasha G; Raji, Yemi R; Ogedegbe, Gbenga

    2017-01-01

    Objectives This was a two-part descriptive study designed to (1) assess the marketing themes and sugar content of beverages promoted in outdoor advertisements (ads) within a portion of Accra, Ghana and (2) quantify the types of ads that appeared along the Accra-Cape Coast Highway. Setting A 4.7 km2 area of Accra, Ghana and a 151 km region along the highway represented the target areas for collecting photos of outdoor beverage ads. Primary and secondary outcome measures Number and types of bev...

  8. Measuring accessibility and congestion in Accra

    Møller-Jensen, Lasse; Kofie, Richard Y.; Allotey, Albert N.M.

    2012-01-01

    Based on extensive gps-measurements, the paper addresses the level of intra-urban accessibility and provides indications of the level of congestion in Accra, Ghana. Traffic flows within the urban area are analyzed with respect to speed, time-of-day, direction, road type and land cover type. The s...... and less during off-peak hours. Delays are frequently found within the inner fringe areas. The paper discusses the methodological potentials and barriers for applying gps tracklog points for analysing traffic flows within an urban road network........ The speed information is extrapolated to cover the total mapped urban road net¬work with time- and direction-specific data. A series of time-distance maps are created using network analysis to illustrate the level of accessibility at different times of the day and at different directions relative...... to the city centre. Peak hour traffic speeds are compared with off-peak levels and theoretical free-flow estimations to provide an indica-tion of the level of congestion. It is found that the core areas are somewhat congested during the day period, while the fringe areas are more congested during peak hours...

  9. A survey of cabbage production and constraints in Ghana | Timbilla ...

    Ghana Journal of Agricultural Science ... Cabbage production was noted to be increasing; however, pests and diseases were forces to reckon with, particularly in the Greater Accra, Ashanti, and Central Regions. ... Twenty chemical insecticides were used in controlling cabbage pests, most of which were not recommended.

  10. Bacterial contaminations of informally marketed raw milk in Ghana ...

    Background: Milk has an outstanding nutritional quality but is also an excellent medium for bacterial growth and an important source of bacterial infection when consumed without pasteurization. Objective: To estimate the bacterial health risk of milk consumption in Accra and Kumasi, the twomajor cities in Ghana. Method: A ...

  11. Ghana - Transportation

    Millennium Challenge Corporation — The Ghana Millennium Development Authority's (MiDA) Agriculture Project within the Government of Ghana's Compact with the Millennium Challenge Corporation is design...

  12. Drinking Water in Transition: A Multilevel Cross-sectional Analysis of Sachet Water Consumption in Accra.

    Stoler, Justin; Weeks, John R; Appiah Otoo, Richard

    2013-01-01

    Rapid population growth in developing cities often outpaces improvements to drinking water supplies, and sub-Saharan Africa as a region has the highest percentage of urban population without piped water access, a figure that continues to grow. Accra, Ghana, implements a rationing system to distribute limited piped water resources within the city, and privately-vended sachet water-sealed single-use plastic sleeves-has filled an important gap in urban drinking water security. This study utilizes household survey data from 2,814 Ghanaian women to analyze the sociodemographic characteristics of those who resort to sachet water as their primary drinking water source. In multilevel analysis, sachet use is statistically significantly associated with lower overall self-reported health, younger age, and living in a lower-class enumeration area. Sachet use is marginally associated with more days of neighborhood water rationing, and significantly associated with the proportion of vegetated land cover. Cross-level interactions between rationing and proxies for poverty are not associated with sachet consumption after adjusting for individual-level sociodemographic, socioeconomic, health, and environmental factors. These findings are generally consistent with two other recent analyses of sachet water in Accra and may indicate a recent transition of sachet consumption from higher to lower socioeconomic classes. Overall, the allure of sachet water displays substantial heterogeneity in Accra and will be an important consideration in planning for future drinking water demand throughout West Africa.

  13. Drinking Water in Transition: A Multilevel Cross-sectional Analysis of Sachet Water Consumption in Accra.

    Justin Stoler

    Full Text Available Rapid population growth in developing cities often outpaces improvements to drinking water supplies, and sub-Saharan Africa as a region has the highest percentage of urban population without piped water access, a figure that continues to grow. Accra, Ghana, implements a rationing system to distribute limited piped water resources within the city, and privately-vended sachet water-sealed single-use plastic sleeves-has filled an important gap in urban drinking water security. This study utilizes household survey data from 2,814 Ghanaian women to analyze the sociodemographic characteristics of those who resort to sachet water as their primary drinking water source. In multilevel analysis, sachet use is statistically significantly associated with lower overall self-reported health, younger age, and living in a lower-class enumeration area. Sachet use is marginally associated with more days of neighborhood water rationing, and significantly associated with the proportion of vegetated land cover. Cross-level interactions between rationing and proxies for poverty are not associated with sachet consumption after adjusting for individual-level sociodemographic, socioeconomic, health, and environmental factors. These findings are generally consistent with two other recent analyses of sachet water in Accra and may indicate a recent transition of sachet consumption from higher to lower socioeconomic classes. Overall, the allure of sachet water displays substantial heterogeneity in Accra and will be an important consideration in planning for future drinking water demand throughout West Africa.

  14. Laryngeal cancer at the Korle Bu Teaching Hospital Accra Ghana

    Kitcher, E.D.; Cheyuo, C.; Yarney, J.; Gyasi, R. K.

    2006-01-01

    Laryngeal cancer is the commonest head and neck cancer seen at the Ear Nose and Throat (ENT) Unit Korle Bu Teaching Hospital. The aim of this study was to determine the number of cases of laryngeal cancer seen at the Korle Bu Teaching Hospital, establish epidemiological parameters of the disease and to outline preventive measures. One hundred and fifteen (115) patients who were managed for laryngeal cancer from 1st January 1998 to 31st December 2003 were studied retrospectively with respect to age, sex, duration of symptoms at presentation, risk factors, symptoms complex, histopathology, stage of tumor, details of treatment offered and follow up. The age range was 17-85 years with a mean of 55.5 years (SD10.7). Majority of the patients (90.4%) were above 40 years. The commonest symptom at presentation was dysphonia. A significant proportion of cases (37.3%) presented with locally advanced disease. The commonest histological type of laryngeal tumour seen was squamous cell carcinoma. The treatment offered consisted of radiotherapy for 83 (79.8%) patients and total laryngectomy with neck dissection when necessary for 17 (16.3%) patients who also had postoperative radiotherapy. Only 58 (69.9%) patients completed radiotherapy treatment and in all 32 (24.3 %) patients did not report for any treatment. Majority of patients failed to report for post treatment follow-up. We conclude that significant number of patients with laryngeal cancer presented with locally advanced disease and dysphonia was the commonest symptom. (au)

  15. Laryngeal cancer at the Korle Bu Teaching Hospital, Accra, Ghana ...

    Majority of the patients (90.4%) were above 40 years. The commonest symptom at presentation was dysphonia. A significant proportion of cases (37.3%) presented with locally advanced disease. The commonest histological type of laryngeal tumour seen was squamous cell carcinoma. The treatment offered consisted of ...

  16. Menstrual characteristics in some adolescent girls in Accra, Ghana ...

    Background: Menstruation has a variable pattern within a few years of menarche which may not be well understood by many adolescent girls. Providing accurate information on menstruation is necessary to reduce anxiety, menstrual morbidity and improve reproductive health of these adolescents. Objective: To determine ...

  17. an exposure and risk assessment in accra, ghana

    PUBLICATIONS1

    ples, and 501 raw produce and ready-to-eat salad samples were collected from ... The study recommends the promotion of interventions that would result in more direct benefits ... enforcement of food safety byelaws in order to protect health.

  18. Climate Change and Human Health in Accra, Ghana | IDRC ...

    Climate change constitutes a real threat to the livelihood and well-being of the Ghanaian population. Deterioration of the rural environment contributes noticeably to the influx of migrants that arrive in the cities every day. These new arrivals gather in slums lacking infrastructure, sanitation and jobs and are exposed to ...

  19. Integrated Climate Smart Flood Management for Accra, Ghana ...

    Home · What we do ... The research team will use evidence to develop an integrated climate smart flood management framework to support policymaking. ... The Ministry of Environment, Science, Technology, and Innovation will manage the ...

  20. Is the quality of cement a contributing factor for building collapse in Ghana?

    Danso, Humphrey; Boateng, Isaac

    2013-01-01

    Sub-standard (poor quality) materials have been mentioned as one of the major causes of building collapse worldwide. The main materials mostly identified as sub-standard are cement, reinforcement bars, timber and aggregate. This Paper assesses whether the quality of Type I Portland cement use in Ghana - contribute to the recent building collapse in Accra and Kumasi. This was achieved through experimental study by comparing the properties of Ghana cement with that of UK cement. The study found...

  1. Vs30 mapping at selected sites within the Greater Accra Metropolitan Area

    Nortey, Grace; Armah, Thomas K.; Amponsah, Paulina

    2018-06-01

    A large part of Accra is underlain by a complex distribution of shallow soft soils. Within seismically active zones, these soils hold the most potential to significantly amplify seismic waves and cause severe damage, especially to structures sited on soils lacking sufficient stiffness. This paper presents preliminary site classification for the Greater Accra Metropolitan Area of Ghana (GAMA), using experimental data from two-dimensional (2-D) Multichannel Analysis of Surface Wave (MASW) technique. The dispersive characteristics of fundamental mode Rayleigh type surface waves were utilized for imaging the shallow subsurface layers (approx. up to 30 m depth) by estimating the 1D (depth) and 2D (depth and surface location) shear wave velocities at 5 selected sites. The average shear wave velocity for 30 m depth (Vs30), which is critical in evaluating the site response of the upper 30 m, was estimated and used for the preliminary site classification of the GAM area, as per NEHRP (National Earthquake Hazards Reduction Program). Based on the Vs30 values obtained in the study, two common site types C, and D corresponding to shallow (>6 m Lower velocity profiles are inferred for the residual soils (sandy to silty clays), derived from the Accraian Formation that lies mainly within Accra central. Stiffer soil sites lie to the north of Accra, and to the west near Nyanyano. The seismic response characteristics over the residual soils in the GAMA have become apparent using the MASW technique. An extensive site effect map and a more robust probabilistic seismic hazard analysis can now be efficiently built for the metropolis, by considering the site classes and design parameters obtained from this study.

  2. Seismological and geological investigation for earthquake hazard in the Greater Accra Metropolitan Area

    Doku, M. S.

    2013-07-01

    A seismological and geological investigation for earthquake hazard in the Greater Accra Metropolitan Area was undertaken. The research was aimed at employing a methematical model to estimate the seismic stress for the study area by generating a complete, unified and harmonized earthquake catalogue spanning 1615 to 2012. Seismic events were souced from Leydecker, G. and P. Amponsah, (1986), Ambraseys and Adams, (1986), Amponsah (2008), Geological Survey Department, Accra, Ghana, Amponsah (2002), National Earthquake Information Service, United States Geological Survey, Denver, Colorado 80225, USA, the International Seismological Centre and the National Data Centre of the Ghana Atomic Energy Commission. Events occurring in the study area were used to create and Epicentral Intensity Map and a seismicity map of the study area after interpolation of missing seismic magnitudes. The least square method and the maximum likelihood estimation method were employed to evaluate b-values of 0.6 and 0.9 respectively for the study area. A thematic map of epicentral intensity superimposed on the geology of the study area was also developed to help understand the relationship between the virtually fractured, jointed and sheared geology and the seismic events. The results obtained are indicative of the fact that the stress level of GAMA has a telling effect on its seismicity and also the events are prevalents at fractured, jointed and sheared zones. (au)

  3. Use of drugs and antibiotics in poultry production in Ghana | Turkson ...

    This study was designed to assess the extent of drug and antibiotic use in small and large commercial poultry producers in Ghana, and the extent of the knowledge, perceptions and practice of drug withdrawal period in poultry production. In all, 483 poultry farmers in Greater Accra, Ashanti and Central regions were ...

  4. Plasti põletusmatus - Ghanas tossab Euroopa e-romu / Helen Arusoo

    Arusoo, Helen, 1972-

    2012-01-01

    Intervjuu Austraalia režissööri David Fedelega filmi "E-prügila" valmimisest. Film kajastab eluolu Ghana pealinna Accra keskel asuvas Euroopa elektroonikaromu ladustavas prügilas. Film pälvis Matsalu 10. loodusfilmide festivalil eriauhinna

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

    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…

  6. Structural barriers to coping with Type 1 Diabetes Mellitus in Ghana ...

    Structural barriers to coping with Type 1 Diabetes Mellitus in Ghana: Experiences of diabetic youth and their families. ... Methods: Qualitative study conducted with families with a child with T1DM, receiving care in the greater Accra area. Total of 17 individuals ... Social support networks need to be explored and strengthened.

  7. AIDS: An ICT Model for Integrating Teaching, Learning and Research in Technical University Education in Ghana

    Asabere, Nana; Togo, Gilbert; Acakpovi, Amevi; Torby, Wisdom; Ampadu, Kwame

    2017-01-01

    Information and Communication Technologies (ICT) has changed the way we communicate and carry out certain daily activities. Globally, ICT has become an essential means for disseminating information. Using Accra Technical University in Ghana as a case study, this paper proposes an ICT model called Awareness Incentives Demand and Support (AIDS). Our…

  8. Soaking in tapes: the haptic voice of global Pentecostal pedagogy in Ghana

    Reinhardt, Bruno

    Can a voice touch? This possibility is indeed what underlies ‘soaking in tapes’, a devotional practice performed in Anagkazo Bible and Ministry Training Center, a Pentecostal seminary based in Accra, Ghana. Soaking in tapes is a form of impartation, or grace transmission, homologous to the biblical

  9. Challenges of hotel outsourcing in Ghana: A transaction cost perspective

    Stephen Edem Hiamey

    2012-01-01

    Full Text Available Outsourcing is one of the many business strategies adopted by hotels due to the many opportunities that it provides. These opportunities notwithstanding, there are teething challenges with outsourcing. This study sought to find out from hotel managers in the Accra Metropolis of Ghana some of the challenges they face with outsourcing from a transaction cost perspective. Eight in-depth interviews were conducted in six hotels that outsourced. After capturing and transcribing data, a three-tier coding system was employed to group responses under thematic networks. The global themes that emerged within and across cases were inductively analysed. It was realised that poor quality of outsourced staff, lack of product knowledge by hoteliers, monopolistic tendencies by a few outsourcers, lack of commitment on the part of outsourced staff and cost involved in outsourcing were some of the challenges faced by the hotels in the Accra Metropolis of Ghana.

  10. Aspirations and everyday life of single migrant women in Ghana

    Tufuor, T.

    2015-01-01

    Female labour migrants in West Africa including Ghana have been widely perceived as followers of male relatives. Since the late 1990s, the increasing movement of young women to cities in the region has drawn attention to this phenomenon and this study discovered females as actors in the migration process. Women have been moving from the rural North to the urban South, especially to Accra, to live in the city’s slums. Their migrations are not associational; these journeys are now independently...

  11. Challenges of hotel outsourcing in Ghana: A transaction cost perspective

    Stephen Edem Hiamey

    2012-01-01

    Outsourcing is one of the many business strategies adopted by hotels due to the many opportunities that it provides. These opportunities notwithstanding, there are teething challenges with outsourcing. This study sought to find out from hotel managers in the Accra Metropolis of Ghana some of the challenges they face with outsourcing from a transaction cost perspective. Eight in-depth interviews were conducted in six hotels that outsourced. After capturing and transcribing ...

  12. obesity and systemic hypertension in accra communities

    SUMMARY. Thc stildy was carried out to deterninine the preva-. Icncc of obesity associated with systemic hypcr- tcnsion in four comn~unities in Accra. A total of. 598 persons, of \\\\ll~om 257 were Inale and 341 fe- male agcd 15ycar and above werc examined. Their blood prcssurc, weight, and height were measuretl; and liom ...

  13. The Abongo Abroad: Military Internationalism, Travel, Training, and Peace in Ghana and the United States, 1960-1992

    2014-05-01

    Festus B. Aboagye, The Ghana Army: A Concise Contemporary Guide to Its Centennial Regimental History, 1897-1999 (Accra: Sedco, 1999), 119; S. Kojo...corruption in the military and the country’s depressed economy.” 132 Although the report noted that Rawlings’ AFRC had executed eight top leaders...v. 40. Rochester, NY: University of Rochester Press, 2009. Aboagye, Festus B. The Ghana Army: A Concise Contemporary Guide to Its Centennial

  14. Theological remarks on the Accra Confession

    Hans-Wilfried Haase

    2009-11-01

    Full Text Available This article provides a critical evaluation of the Accra Confession (WARC 2004. The misery in various regions of the southern hemisphere poses an extreme ethical challenge for the Christian faith; the outcry for justice should not be left unheeded. It is necessary that the causes of this misery should be clearly described before viable strategies for overcoming it can be developed. The Accra Confession seems to be rather one-dimensional in its evaluation of reality. The ethical charge implied by the term ‘confession’ is of little use when dealing with complex global fields of action that only rarely allow a simple equation of cause and reaction. It is not so much a ‘confession’ (or Bekenntnis that is needed but rather a renewed discussion among all concerned on the best ways to achieve more justice.

  15. Tourists' perceptions of the quality of public transportation services in the Accra metropolis: a Servqual approach

    R. Y. Nutsugbodo

    2013-01-01

    Full Text Available All over the world, commuters (tourists are entreating public transport service providers to ensure that they provide quality service to their clienteles and not to be interested in only the financial gains. This study sought to examine tourists’ perception of the quality of public transportation services within the Accra Metropolis, Ghana using a SERVQUAL approach. The SERVQUAL scale was modified to aid in evaluating how tourists perceive public transportation services within this jurisdiction. Accidental sampling procedure was used to collect samples from 200 tourists at selected transport terminals. The study concluded that the tourists had a negative perception of public transport services within the metropolis. The implication for this study is that it is intended to provide strong basis for more in-depth studies into this phenomenon.

  16. Measurement of air pollutant emissions from Lome, Cotonou and Accra

    Lee, James; Vaughan, Adam; Nelson, Bethany; Young, Stuart; Evans, Mathew; Morris, Eleanor; Ladkin, Russel

    2017-04-01

    High concentrations of airborne pollutants (e.g. the oxides of nitrogen, sulphur dioxide and carbon monoxide) in existing and evolving cities along the Guinea Coast cause respiratory diseases with potentially large costs to human health and the economic capacity of the local workforce. It is important to understand the rate of emission of such pollutants in order to model current and future air quality and provide guidance to the potential outcomes of air pollution abatement strategies. Often dated technologies and poor emission control strategies lead to substantial uncertainties in emission estimates calculated from vehicle and population number density statistics. The unreliable electrical supply in cities in the area has led to an increased reliance on small-scale diesel powered generators and these potentially present a significant source of emissions. The uncontrolled open incineration of waste adds a further very poorly constrained emission source within the cities. The DACCIWA (Dynamics-Aerosol-Chemistry-Cloud Interactions in West Africa) project involved a field campaign which used highly instrumented aircraft capable of in situ measurements of a range of air pollutants. Seven flights using the UK British Antarctic Survey's Twin Otter aircraft specifically targeted air pollution emissions from cities in West Africa (4 x Accra, Ghana; 2 x Lome, Togo and 1 x Cotonou, Benin). Measurements of NO, NO2, SO2, CO, CH4 and CO2 were made at multiple altitudes upwind and downwind of the cities, with the mass balance technique used to calculate emission rates. These are then compared to the Emissions Database for Global Atmospheric Research (EDGAR) estimates. Ultimately the data will be used to inform on and potentially improve the emission estimates, which in turn should lead to better forecasting of air pollution in West African cities and help guide future air pollution abatement strategy.

  17. Perception, experience, and indigenous knowledge of climate change and variability: the case of Accra, a sub-Saharan African city

    Codjoe, Samuel N.A.; Owusu, George; Burkett, Virginia

    2014-01-01

    Several recent international assessments have concluded that climate change has the potential to reverse the modest economic gains achieved in many developing countries over the past decade. The phenomenon of climate change threatens to worsen poverty or burden populations with additional hardships, especially in poor societies with weak infrastructure and economic well-being. The importance of the perceptions, experiences, and knowledge of indigenous peoples has gained prominence in discussions of climate change and adaptation in developing countries and among international development organizations. Efforts to evaluate the role of indigenous knowledge in adaptation planning, however, have largely focused on rural people and their agricultural livelihoods. This paper presents the results of a study that examines perceptions, experiences, and indigenous knowledge relating to climate change and variability in three communities of metropolitan Accra, which is the capital of Ghana. The study design is based on a three-part conceptual framework and interview process involving risk mapping, mental models, and individual stressor cognition. Most of the residents interviewed in the three communities of urban Accra attributed climate change to the combination of deforestation and the burning of firewood and rubbish. None of the residents associated climate change with fossil fuel emissions from developed countries. Numerous potential adaptation strategies were suggested by the residents, many of which have been used effectively during past drought and flood events. Results suggest that ethnic residential clustering as well as strong community bonds in metropolitan Accra have allowed various groups and long-settled communities to engage in the sharing and transmission of knowledge of weather patterns and trends. Understanding and building upon indigenous knowledge may enhance the design, acceptance, and implementation of climate change adaptation strategies in Accra and

  18. Seismic activity in Ghana: past, present and future

    P. E. Amponsah

    2004-06-01

    Full Text Available Though Ghana is far away from the major earthquake zones of the world, it is prone to earthquake disaster. Ghana has records of damaging earthquakes dating as far back as 1615. The last three major events occurred in 1862, 1906 and 1939. This paper presents the main historical and current instrumental recorded earthquakes of Ghana and the steps being taken to mitigate the negative effects of such disastrous occurrences in the country. The discussion is based on historical and current data obtained from the seismological observatories in Accra and Kukurantumi. Historical earthquakes of magnitude greater than 6.0 and current local tremors with magnitudes ranging from 1.0 to 4.8 on the Richter scale have been recorded since the establishment of the seismograph stations.

  19. Geophysical borehole logging in selected areas in the Greater Accra plains and the Densu river basin

    Amartey, E. A.

    2009-06-01

    Geophysical borehole logging was complemented by Vertical Electrical Sounding (VES) method to study fractured bedrock aquifer systems on the compounds of Ghana Atomic Energy Commission (GAEC), Water Research Institute (WRI) in the Accra Plains and the Hydrometric Station of the Department of Geology, University of Ghana at Buokrom in the Densu River Basin. Single-point resistance, resistivity and natural gamma logging in a total of nine boreholes were conducted to identify and characterize the various aquifers in the study areas. Results obtained from the single-point resistance and resistivity logs showed clearly the characteristics of water-bearing fracture zones in the various rock formations. The gamma logs obtained for each area were correlated to form hydrostratigraphic units to establish potential zones of high water-bearing fractures. VES modeled curves shows hydrogeological units of the geological formation which compares well with features obtained on the logs. The investigation identified fractured zone thicknesses of <1 m to 2 m at GAEC area, <1 m to 9 m at WRI area and <1 m to 10 m thicknesses at the Buokrom area. The fractured bedrock aquifers identified have been characterized based on their thicknesses as follows. Five minor (thickness < 5 m), two medium (thickness 5 m to 14 m) and three major (thickness ⩾15 m) fractures were identified at the GAEC area. At the WRI area three minor and five medium fractures were identified. Also four minor and five medium fractures were identified for the Buokrom area boreholes. (au)

  20. Resource Prospects of Municipal Solid Wastes Generatedin the Ga East Municipal Assembly of Ghana

    Benedicta Abiti; Susanne Hartard; Heike B. Bradl; Davar Pishva; John Kojo Ahiakpa

    2017-01-01

    Background. Municipal solid wastes management has recently become an important public health concern. Municipal solid wastes are a major source of raw materials that could be used for resource recovery for diverse applications. Objectives. The present study aimed to determine the composition of municipal solid waste and recoverable resources from the waste of the Ga East Municipal Assembly (GEMA) in the Greater Accra region of Ghana. Methods. An exploratory approach was used to collect ...

  1. Willingness to pay for excreta pellet fertilizer: Empirical evidence from Ghana

    JOHN K. M. Kuwornu

    2017-09-01

    Full Text Available This study examined farmers’ willingness to pay for excreta pellet fertilizer in Ghana. Primary data was obtained from 461 farmers in 10 districts in the Western and Greater Accra regions of Ghana through randomized questionnaire administration. The contingent valuation method was used in eliciting the farmers’ willingness to pay decisions (WTP and maximum amount they are willing to pay. The Tobit regression model results revealed that being a household head, unit cost of current fertilizer used, and farm size positively influenced the willingness to pay amount whereas previous use of organic fertilizer influenced the willingness to pay amount negatively.

  2. Better health care: Ghana uses radiation technology to sterilize medical items

    Dixit, Aabha

    2015-01-01

    Infections acquired from improperly sterilized equipment are recognized as a major impediment to safe health care delivery, with consequences that are often deadly for patients. Radiation technology plays a major role in many countries in making medical equipment safer. “The use of nuclear applications, such as exposing medical items to gamma radiation, helps Ghana protect its people from avoidable sicknesses that can occur if items like syringes are not properly sterilized,” said Abraham Adu-Gyamfi, Manager of the Radiation Technology Centre of the Ghana Atomic Energy Commission’s Biotechnology and Nuclear Agriculture Research Institute in Accra.

  3. A content analysis of outdoor non-alcoholic beverage advertisements in Ghana.

    Bragg, Marie A; Hardoby, Tamara; Pandit, Natasha G; Raji, Yemi R; Ogedegbe, Gbenga

    2017-06-06

    This was a two-part descriptive study designed to (1) assess the marketing themes and sugar content of beverages promoted in outdoor advertisements (ads) within a portion of Accra, Ghana and (2) quantify the types of ads that appeared along the Accra-Cape Coast Highway. A 4.7 km 2 area of Accra, Ghana and a 151 km region along the highway represented the target areas for collecting photos of outdoor beverage ads. Number and types of beverage ads, sugar content of beverage products featured in ads and marketing themes used in ads. Two researchers photographed outdoor beverage ads in a 4.7 km 2 area of Accra and used content analysis to assess marketing themes of ads, including the portrayal of children, local culture, music, sports and health. Researchers also recorded the number and type of ads along a 151 km stretch of the Accra-Cape Coast Highway. Researchers assessed the added sugar content to determine which beverages were sugar-sweetened beverages (SSBs). Seventy-seven photographed ads were analysed. Seventy-three per cent (72.7%) of ads featured SSBs, and Coca-Cola accounted for 59.7% of ads. Sixty-five per cent (64.9%) of all ads featured sodas, while 35.1% advertised energy drinks, bottled or canned juice drinks and coffee-based, milk-based and water-based beverages. Thirteen per cent (13%) of ads featured children and 5.2% were located near schools or playgrounds. Nine per cent (9.1%) of ads contained a reference to health and 7.8% contained a reference to fitness/strength/sport. Along the Accra-Cape Coast Highway, Coca-Cola accounted for 60% of branded ads. This study demonstrates the frequency of outdoor SSB ads within a 4.7 km 2 area of Accra, Ghana. Coca-Cola was featured in the majority of ads, and the child-targeted nature of some ads indicates a need to expand the Children's Food and Beverage Advertising Initiative pledge to reduce child-targeted marketing on a global scale. © Article author(s) (or their employer(s) unless otherwise stated in the

  4. Food beliefs and practices in urban poor communities in Accra: implications for health interventions.

    Boatemaa, Sandra; Badasu, Delali Margaret; de-Graft Aikins, Ama

    2018-04-02

    Poor communities in low and middle income countries are reported to experience a higher burden of chronic non-communicable diseases (NCDs) and nutrition-related NCDs. Interventions that build on lay perspectives of risk are recommended. The objective of this study was to examine lay understanding of healthy and unhealthy food practices, factors that influence food choices and the implications for developing population health interventions in three urban poor communities in Accra, Ghana. Thirty lay adults were recruited and interviewed in two poor urban communities in Accra. The interviews were audio-taped, transcribed and analysed thematically. The analysis was guided by the socio-ecological model which focuses on the intrapersonal, interpersonal, community, structural and policy levels of social organisation. Food was perceived as an edible natural resource, and healthy in its raw state. A food item retained its natural, healthy properties or became unhealthy depending on how it was prepared (e.g. frying vs boiling) and consumed (e.g. early or late in the day). These food beliefs reflected broader social food norms in the community and incorporated ideas aligned with standard expert dietary guidelines. Healthy cooking was perceived as the ability to select good ingredients, use appropriate cooking methods, and maintain food hygiene. Healthy eating was defined in three ways: 1) eating the right meals; 2) eating the right quantity; and 3) eating at the right time. Factors that influenced food choice included finances, physical and psychological state, significant others and community resources. The findings suggest that beliefs about healthy and unhealthy food practices are rooted in multi-level factors, including individual experience, family dynamics and community factors. The factors influencing food choices are also multilevel. The implications of the findings for the design and content of dietary and health interventions are discussed.

  5. Anti-malarial drug quality in Lagos and Accra - a comparison of various quality assessments

    Bate Roger

    2010-06-01

    Full Text Available Abstract Background Two major cities in West Africa, Accra, the capital of Ghana, and Lagos, the largest city of Nigeria, have significant problems with substandard pharmaceuticals. Both have actively combated the problem in recent years, particularly by screening products on the market using the Global Pharma Health Fund e.V. Minilab® protocol. Random sampling of medicines from the two cities at least twice over the past 30 months allows a tentative assessment of whether improvements in drug quality have occurred. Since intelligence provided by investigators indicates that some counterfeit producers may be adapting products to pass Minilab tests, the results are compared with those from a Raman spectrometer and discrepancies are discussed. Methods Between mid-2007 and early-2010, samples of anti-malarial drugs were bought covertly from pharmacies in Lagos on three different occasions (October 2007, December 2008, February 2010, and from pharmacies in Accra on two different occasions (October 2007, February 2010. All samples were tested using the Minilab® protocol, which includes disintegration and active ingredient assays as well as visual inspection, and most samples were also tested by Raman spectrometry. Results In Lagos, the failure rate in the 2010 sampling fell to 29% of the 2007 finding using the Minilab® protocol, 53% using Raman spectrometry, and 46% using visual inspection. In Accra, the failure rate in the 2010 sampling fell to 54% of the 2007 finding using the Minilab® protocol, 72% using Raman spectrometry, and 90% using visual inspection. Conclusions The evidence presented shows that drug quality is probably improving in both cities, especially Lagos, since major reductions of failure rates over time occur with all means of assessment. Many more samples failed when examined by Raman spectrometry than by Minilab® protocol. The discrepancy is most likely caused by the two techniques measuring different aspects of the medication

  6. Monitoring of organic micropollutants in Ghana by combination of pellet watch with sediment analysis: E-waste as a source of PCBs

    Hosoda, Junki; Ofosu-Anim, John; Sabi, Edward Benjamin; Akita, Lailah Gifty; Onwona-Agyeman, Siaw; Yamashita, Rei; Takada, Hideshige

    2014-01-01

    Highlights: • Pellet watch was conducted in Ghanaian coast, including capital city, Accra. • PCBs concentrations in pellets near Accra were higher than global background. • Sedimentary PCBs were higher at a location down e-waste scrapyard in Accra. • Triphenylbenzene, an indicator of plastic combustion, was abundant near the dump site. • The importance of e-waste as source of PCBs in Ghana was elucidated. - Abstract: Plastic resin pellets collected at 11 beaches covering the whole Ghanaian coastline were analyzed for polychlorinated biphenyls (PCBs). PCB concentrations (∑13 congeners) were higher in Accra, capital city, and Tema (39–69 ng/g-pellets) than those in rural coastal towns (1–15 ng/g-pellets) which are close to global background, indicating local inputs of PCBs. River sediments were also analyzed for PCBs together with molecular markers. Sedimentary PCBs concentrations were highest at a site (AR02) downstream of an electronic waste (e-waste) scrapyard. At the site (AR02), concentration of linear alkylbenzenes (LABs), a marker of municipal wastewater, was lower than another site (AR03) which is located at the downstream of downtown Accra. This result suggests that PCBs are introduced more to the river from the e-waste site than from activities in downtown Accra. PAHs concentrations were relatively higher in urban areas with strong petrogenic signature. Abundance of triphenylbenzenes suggested plastic combustion near e-waste scrapyard

  7. Ghana Journal of Science

    The GHANA JOURNAL OF SCIENCE is published jointly by the Council for Scientific and Industrial Research of Ghana and the Ghana Science Association. It is open to all ... the authors belong. The topics need not be related to West Africa.

  8. OF GHANA

    porting rural livelihoods in Ghana, especially in the severe food ... moded methods of manufacturing and organization” (Beeh- .... there are certain productive activities that are jointly undertaken by .... Type of food Apatanga Adaboya Bongo-Soc Total ..... fulfilment of household needs and maintenance and the critical issue of ...

  9. Probabilistic seismic hazard assessment of southern part of Ghana

    Ahulu, Sylvanus T.; Danuor, Sylvester Kojo; Asiedu, Daniel K.

    2018-05-01

    This paper presents a seismic hazard map for the southern part of Ghana prepared using the probabilistic approach, and seismic hazard assessment results for six cities. The seismic hazard map was prepared for 10% probability of exceedance for peak ground acceleration in 50 years. The input parameters used for the computations of hazard were obtained using data from a catalogue that was compiled and homogenised to moment magnitude (Mw). The catalogue covered a period of over a century (1615-2009). The hazard assessment is based on the Poisson model for earthquake occurrence, and hence, dependent events were identified and removed from the catalogue. The following attenuation relations were adopted and used in this study—Allen (for south and eastern Australia), Silva et al. (for Central and eastern North America), Campbell and Bozorgnia (for worldwide active-shallow-crust regions) and Chiou and Youngs (for worldwide active-shallow-crust regions). Logic-tree formalism was used to account for possible uncertainties associated with the attenuation relationships. OpenQuake software package was used for the hazard calculation. The highest level of seismic hazard is found in the Accra and Tema seismic zones, with estimated peak ground acceleration close to 0.2 g. The level of the seismic hazard in the southern part of Ghana diminishes with distance away from the Accra/Tema region to a value of 0.05 g at a distance of about 140 km.

  10. Probabilistic seismic hazard assessment of southern part of Ghana

    Ahulu, Sylvanus T.; Danuor, Sylvester Kojo; Asiedu, Daniel K.

    2017-12-01

    This paper presents a seismic hazard map for the southern part of Ghana prepared using the probabilistic approach, and seismic hazard assessment results for six cities. The seismic hazard map was prepared for 10% probability of exceedance for peak ground acceleration in 50 years. The input parameters used for the computations of hazard were obtained using data from a catalogue that was compiled and homogenised to moment magnitude (Mw). The catalogue covered a period of over a century (1615-2009). The hazard assessment is based on the Poisson model for earthquake occurrence, and hence, dependent events were identified and removed from the catalogue. The following attenuation relations were adopted and used in this study—Allen (for south and eastern Australia), Silva et al. (for Central and eastern North America), Campbell and Bozorgnia (for worldwide active-shallow-crust regions) and Chiou and Youngs (for worldwide active-shallow-crust regions). Logic-tree formalism was used to account for possible uncertainties associated with the attenuation relationships. OpenQuake software package was used for the hazard calculation. The highest level of seismic hazard is found in the Accra and Tema seismic zones, with estimated peak ground acceleration close to 0.2 g. The level of the seismic hazard in the southern part of Ghana diminishes with distance away from the Accra/Tema region to a value of 0.05 g at a distance of about 140 km.

  11. Ghana's Integrated Nuclear Security Support Plan

    Dahlstrom, Danielle

    2013-01-01

    At the Korle Bu Teaching Hospital outside Accra, Pearl Lovelyn Lawson checks the records of the next patient to undergo radiotherapy and adjusts the dose settings of the teletherapy machine. It is business as usual at the facility that treats over fifty patients each day. But Lawson's routine now includes additional procedures to ensure that the highly radioactive cobalt-60 source located inside the machine remains secure. Nuclear security devices and systems such as double locks, motion sensors, and cameras that transmit images to a central alarm system have been installed to ensure that the source cannot be stolen, the facility sabotaged, or unauthorized access gained. At Korle Bu physical protection measures were upgraded as part of Ghana's Integrated Nuclear Security Support Plan (INSSP). Preventing, detecting and responding to criminal acts like the theft or illegal transfer of a radioactive source, is an international priority that could be addressed through an INSSP. As one of its key nuclear security services, the IAEA assists Member States in drafting such plans. An INSSP is developed jointly with the Member State, using a holistic approach to nuclear security capacity building. It reinforces the primary objective of a State's nuclear security regime to protect people, society, and the environment from the harmful consequences of a nuclear security event. Addressing five components - the legal and regulatory framework, prevention, detection, and sustainability - the jointly developed plan identifies the needs, responsible entities and organizations within the State, as well as the timeframe for the implementation of agreed nuclear security related activities. Ghana's INSSP, tailored to its specific needs, is based on findings and recommendations from advisory service missions carried out in Ghana, including an International Nuclear Security Advisory Service mission and an International Physical Protection Advisory Service mission. Ghana's INSSP was

  12. Foodborne illness among school children in Ga east, Accra | Malm ...

    Background: A food borne illness was reported in Ga- East district of Greater Accra Region among school children in May, 2007 after eating food provided at school. The objective of the investigation was to determine the source, mode of contamination and the causative agent. Methods: A case-control study was conducted, ...

  13. The historical context of the Accra confession | Rust | HTS ...

    This article places the Accra Confession, accepted at the 24th General Assembly of the World Alliance of Reformed Churches (WARC) (2004), within the historical context of the WARC's struggle for economic justice in the face of globalisation. It moves beyond addressing such issues merely as ethical issues to rather ...

  14. Levels of Polychlorinated Bihpenyls (PCBs) in plastic resin pellets collected from selected beaches in Accra and Tema

    Agbo, I.A.

    2012-01-01

    This research seeks to investigate marine pollution along selected beaches in Accra and Tema in Ghana by measuring the levels of PCBs in plastic resin pellets. The PCB congeners identified included PCB numbers; 28, 52, 101, 105, 153, 156, 138 and 180. PCB numbers was deducted in all sample locations. The mean concentrations values were in the range of 0.4-3.23 μg/kg, 3.43-5.67 μg/kg, 0.33-2.73 μg/kg, 0.13-0.93 μg/kg and 0.13-0.2 μg/kg for PCB-28, 52, 101, 153, 180 respectively. The highest concentration of PCBs recorded in the study was that of PCB numbers 52 (5.67μg/kg), from the independence square beach. Generally, it was observed that the white pellets from most of the beaches absorbed higher levels of PCBs followed by the coloured and fouled pellets (white > coloured > discoloured). However, the coloured pellets from Tema Sakumono Beach retained higher levels of PCBs (10.3μg/kg) than the white pellets. The average concentration of PCB congeners detected ranges between 0.02 μg/kg and 2.25 μg/kg. The percentage distribution of the individual congeners are in the decreasing order of PCB 28 (43%) > PCB 52 (28%) > PCB 101 (11%), > PCB 156 (10%) > PCB 153 (5%), > PCB 180 (2%) > PCB 138 (1%) > PCB 105 (0%). The results also show that the sum total concentration of PCSs from the various sample locations ranged from 6.8 μg/kg to 47 μg/kg, with the highest concentration occurring at the Accra Independence Square Beach and the least concentration at Korle Gonno Beach. The pollution level is in the order of AISB> TSB> TMB> AACB> LB> KGB> (Accra Independence Square Beach > Tema Sakumono Beach > Tema Mighty Beach > Accra Art Center Beach Labadi Beach > Korle Gonno Beach). Results from the INAA for chlorine analysis revealed that coloured pellets had more extracted organochlorine than the fouled and the white pellets (Coloured> Fouled> White). The range of EOCI mean concentration in all samples ranged from 2.24mg/kg to 30.90 mg/kg. The range of EOCI mean

  15. Markov chain analysis of the rainfall patterns of five geographical locations in the south eastern coast of Ghana

    Meshach Tettey

    2017-08-01

    Full Text Available Abstract This study develops an objective rainfall pattern assessment through Markov chain analysis using daily rainfall data from 1980 to 2010, a period of 30 years, for five cities or towns along the south eastern coastal belt of Ghana; Cape Coast, Accra, Akuse, Akatsi and Keta. Transition matrices were computed for each town and each month using the conditional probability of rain or no rain on a particular day given that it rained or did not rain on the previous day. The steady state transition matrices and the steady state probability vectors were also computed for each town and each month. It was found that, the rainy or dry season pattern observed using the monthly steady state rainfall vectors tended to reflect the monthly rainfall time series trajectory. Overall, the probability of rain on any day was low to average: Keta 0.227, Akuse 0.382, Accra 0.467, Cape Coast, 0.50 and Akatsi 0.50. In particular, for Accra, the rainy season was observed to be in the months of May to June and September to October. We also determined that the probability of rainfall generally tended to increase from east to west along the south eastern coast of Ghana.

  16. Policy talk: incentives for rural service among nurses in Ghana.

    Kwansah, Janet; Dzodzomenyo, Mawuli; Mutumba, Massy; Asabir, Kwesi; Koomson, Elizabeth; Gyakobo, Mawuli; Agyei-Baffour, Peter; Kruk, Margaret E; Snow, Rachel C

    2012-12-01

    Like many countries in sub-Saharan Africa, Ghana is faced with the simultaneous challenges of increasing its health workforce, retaining them in country and promoting a rational distribution of staff in remote or deprived areas of the country. Recent increases in both public-sector doctor and nurse salaries have contributed to a decline in international out-migration, but problems of geographic mal-distribution remain. As part of a research project on human resources in the Ghanaian health sector, this study was conducted to elicit in-depth views from nursing leaders and practicing nurses in rural and urban Ghana on motivations for urban vs rural practice, job satisfaction and potential rural incentives. In-depth interviews were conducted with 115 nurses selected using a stratified sample of public, private and Christian Health Association of Ghana (CHAG) facilities in three regions of the country (Greater Accra, Brong Ahafo and Upper West), and among 13 nurse managers from across Ghana. Many respondents reported low satisfaction with rural practice. This was influenced by the high workload and difficult working conditions, perception of being 'forgotten' in rural areas by the Ministry of Health (MOH), lack of professional advancement and the lack of formal learning or structured mentoring. Older nurses without academic degrees who were posted to remote areas were especially frustrated, citing a lack of opportunities to upgrade their skills. Nursing leaders echoed these themes, emphasizing the need to bring learning and communication technologies to rural areas. Proposed solutions included clearer terms of contract detailing length of stay at a post, and transparent procedures for transfer and promotion; career opportunities for all cadres of nursing; and benefits such as better on-the-job housing, better mentoring and more recognition from leaders. An integrated set of recruitment and retention policies focusing on career development may improve job satisfaction

  17. Building integration photovoltaic module with reference to Ghana: using triple junction amorphous silicon

    Essah, Emmanuel Adu

    2010-01-01

    This paper assesses the potential for using building integrated photovoltaic (BIPV) \\ud roof shingles made from triple-junction amorphous silicon (3a-Si) for electrification \\ud and as a roofing material in tropical countries, such as Accra, Ghana. A model roof \\ud was constructed using triple-junction amorphous (3a-Si) PV on one section and \\ud conventional roofing tiles on the other. The performance of the PV module and tiles \\ud were measured, over a range of ambient temperatures and solar...

  18. Cause of death among Ghanaian adolescents in Accra using autopsy data

    Tettey Yao

    2011-09-01

    Full Text Available Abstract Background There is limited data on adolescent mortality particularly from developing countries with unreliable death registration systems. This calls for the use of other sources of data to ascertain cause of adolescent mortality. The objective of this study was to describe the causes of death among Ghanaian adolescents 10 to 19 years in Accra, Ghana utilizing data from autopsies conducted in Korle Bu Teaching Hospital (KBTH. Findings Out of the 14,034 autopsies carried out from 2001 to 2003 in KBTH, 7% were among adolescents. Of the 882 deaths among adolescents analyzed, 402 (45.6% were females. There were 365 (41.4% deaths from communicable disease, pregnancy related conditions and nutritional disorders. Non-communicable diseases accounted for 362 (41% cases and the rest were attributable to injuries and external causes of morbidity and mortality. Intestinal infectious diseases and lower respiratory tract infections were the most common communicable causes of death collectively accounting for 20.5% of total deaths. Death from blood diseases was the largest (8.5% among the non-communicable conditions followed by neoplasms (7%. Males were more susceptible to injuries than females (χ2 = 13.45, p = .000. At least five out of ten specific causes of death were as a result of infections with pneumonia and typhoid being the most common. Sickle cell disease was among the top three specific causes of death. Among the females, 27 deaths (6.7% were pregnancy related with most of them being as a result of abortion. Conclusions The autopsy data from the Korle-Bu Teaching Hospital can serve as a useful source of information on adolescent mortality. Both communicable and non-communicable diseases accounted for most deaths highlighting the need for health care providers to avoid complacency in their management of adolescents presenting with these diseases.

  19. Age of Menarche among basic level school girls in Madina, Accra ...

    The current study was designed to determine the age at which menarche occurs among school girls in Madina, Accra. A survey was conducted among 529 girls selected using multi-stage sampling from basic schools in Madina, Accra. Respondents completed a questionnaire that recorded age-at-first menstruation by recall, ...

  20. Human rotavirus subgroups and severity of associated diarrhoea in Ghana.

    Armah, George E.; Hori, Hiroki; Anyanful, Akwasi; Addo, Julius A.; Commey, Joseph O.; Kamiya, Hitoshi; Nkrumah, Francis K.

    1995-11-01

    In a 12 month study of children with acute diarrhoea seeking medical care in 2 hospitals in Accra, Ghana, 16.3% were found to be infected with human rotaviruses (HRV). Vomiting and diarrhoea were the main symptoms observed. HRV infection was frequently associated with severe diarrhoea. Vomiting was however less frequent in HRV associated diarrhoea than in non HRV diarrhoea. No significant association was observed between the severity of dehydration and HRV infection. Subgroup II HRV was the predominant subgroup identified with the dominant serotypes being HRV serotypes 1 and 4. Poly-acrylamide gel electrophoresis of HRV RNAs isolated from 40 positive stool samples revealed the existence of 7 distinct electrophoretic migration patterns in the study population.

  1. Market basket survey of essential elements in some core vegetables in Accra, Ghana

    Adotey, D.K.; Serfor-Armah, Y.; Yeboah, P.O.; Fianko, J.R.

    2005-01-01

    The concentrations of essential trace elements of nutritional and toxicological significance in 5 vegetables that constitute an essential part of Ghanaian diet have been studied, using Instrumental Neutron Activation Analysis (INAA). The results of the study revealed that the elements As, Ca, Co, K, Mg, Mn and Na were present in all 5 vegetables analyzed. Elements of nutritional importance detected in very high concentrations are K, Ca and Mg whilst only trace levels of Mn, Na and Co were detected. Onions were found to have adequate amounts of As, Br, Ca, Cl, Mg and Mn and therefore a good source of these trace elements. Garden eggs have high concentration of K whiles Carrot is a good source of Co, Na and V. The precision and accuracy of the methods were tested with standard reference material, IAEA-359 (cabbage). The results obtained were within 5% of the certified values in all cases. The precision of the methods were calculated as percentage relative standard deviation. (au)

  2. An overview of GTUC TV white space network in Accra, Ghana

    Louis, DK

    2016-05-01

    Full Text Available Trial: A Summary of the Technical Findings,” 2012. [8] Microsoft, “Crossing the Chasm and onto the Main Street: TV White Spaces Technology Spreads its Wings across Singapore with New Commercial Pilots,” 2013. [Online]. Available: http://news.microsoft... number of scenarios, such as city centre, rural, and machine-to-machine (M2M) connectivity. In 2013, a commercial pilot study started in Singapore [8] which considered a variety of commercial services that could be deployed using TVWS technology in a...

  3. Risk Perceptions of Wastewater Use for Urban Agriculture in Accra, Ghana.

    Antwi-Agyei, Prince; Peasey, Anne; Biran, Adam; Bruce, Jane; Ensink, Jeroen

    2016-01-01

    Poor food hygiene is a significant risk to public health globally, but especially in low and middle-income countries where access to sanitation, and general hygiene remain poor. Food hygiene becomes even more pertinent when untreated, or poorly treated wastewater is used in agriculture. In such circumstances the WHO recommends the adoption of a multiple-barrier approach that prescribes health protective measures at different entry points along the food chain. This study sought to assess the knowledge and awareness of wastewater use for crop production, its related health risks, and adoption of health protective measures by farmers, market salespersons and consumers using questionnaires and focus group discussions. In the period from September 2012 to August 2013, 490 respondents were interviewed during two cropping seasons. The study found that awareness of the source of irrigation water was low among consumers and street food vendors, though higher among market vendors. In contrast, health risk awareness was generally high among salespersons and consumers, but low among farmers. The study found that consumers did not prioritize health indicators when buying produce from vendors but were motivated to buy produce, or prepared food based on taste, friendship, cost, convenience and freshness of produce. Similarly, farmers' awareness of health risk did not influence their adoption of safer farm practices. The study recommends the promotion of interventions that would result in more direct benefits to both producers and vendors, together with hygiene education and enforcement of food safety byelaws in order to influence behaviour change, and increase the uptake of the multiple-barrier approach.

  4. A faecal exposure assessment of farm workers in Accra, Ghana: a cross sectional study

    Prince Antwi-Agyei

    2016-07-01

    Full Text Available Abstract Background Wastewater use in urban agriculture is common as a result of rapid urbanisation, and increasing competition for good quality water. In order to minimize risks to farmers and consumers of wastewater irrigated produce the World Health Organization (WHO has developed guidelines for the safe use of wastewater in agriculture. These guidelines are based on a Quantitative Microbial Risk Assessment (QMRA model, though the reliability of this model has been questioned due to a lack of primary data. This study aimed to assess the ability of the WHO guidelines to protect farmers’ health, by identifying and quantifying key exposures associated with the transmission of faecal pathogens in wastewater irrigated agriculture. Methods Eighty farmers were observed and interviewed during the dry and wet seasons, and water and soil samples were analysed for the presence of E. coli. STATA 12 was used for descriptive analyses of farmers’ exposure and risk practices, and also to determine risk factors for soil and irrigation water contamination, while the WHO QMRA model and @Risk 6 were used to model farmers’ infection risk to pathogens. Results The results showed that although irrigation water was highly contaminated (5.6 Log E. coli/100 ml, exposure to farm soil (2.3 Log E. coli/g was found to be the key risk pathway due to soil-to-mouth events. During the observations 93 % of farmers worked barefoot, 86 % experienced hand-to-soil contact, while 53 % experienced ‘soil’-to-mouth events, while no ‘water’ to mouth contacts were observed. On average, farmers were found to have 10 hand-to-mouth events per day. From the indicator based QMRA model the estimated norovirus infection risk to farmers was found to be higher than guidelines set by the WHO. Conclusions This study found exposure to soil as the critical pathway of pathogen risk in wastewater farmers, and that this risk exceeded recommended health targets. The study recommends the incorporation of hand-to-mouth events, the use of actual pathogen concentrations, and the use of direct exposure frequencies in order to improve the reliability of risk estimates from QMRA models.

  5. Upper gastrointestinal endoscopy at the korle bu teaching hospital, accra, ghana.

    Aduful, Hk; Naaeder, Sb; Darko, R; Baako, Bn; Clegg-Lamptey, Jna; Nkrumah, Kn; Adu-Aryee, Na; Kyere, M

    2007-03-01

    To study the indications for endoscopy, the endoscopic diagnosis and other lessons learnt. A retrospective and prospective audit of all upper gastrointestinal endoscopies performed in the Endoscopy Unit of the Korle-Bu Teaching Hospital from January 1995 to December 2002 was performed. A total of 6977 patients, 3777 males and 3200 females with age range 1 year 8 months to 93 years were endoscoped. The mean age of males was 43.5 +/- 0.5 and females 43.7 +/- 0.6 years. Epigastric pain (42.5%), dyspepsia (32.8%) and haematemesis and melaena (14.2%) were the commonest reasons for endoscopy. Chronic duodenal ulcer (19.6%), acute gastritis (12.7%), duodenitis (10.2%), oesophagitis (7.5%) were the commonest diagnoses. Normal endoscopy was reported in 41.1% patients, and was higher in the younger age group compared to the older (R = 0.973, P<0.001). Nine hundred and ninety (14.2%) patients were endoscoped for haematemesis and melaena of which chronic duodenal ulcer (32.1%), gastritis/gastric erosions (12.8%), oesophageal varices (9.8%), carcinoma of the stomach (6.4%), and duodenitis (4.2%), were the commonest causes. No lesion was found in 20.6% of these patients. Urease test was positive in 75% of all biopsy specimen and 85% in chronic duodenal ulcer, gastritis and duodenitis. The normal endoscopy rate is high and needs to be reduced in order to help prolong the lives of the endoscopes. Chronic duodenal ulcer is usually associated with H. pylori infection and is the commonest cause of upper gastrointestinal bleeding.

  6. Risk Perceptions of Wastewater Use for Urban Agriculture in Accra, Ghana.

    Prince Antwi-Agyei

    Full Text Available Poor food hygiene is a significant risk to public health globally, but especially in low and middle-income countries where access to sanitation, and general hygiene remain poor. Food hygiene becomes even more pertinent when untreated, or poorly treated wastewater is used in agriculture. In such circumstances the WHO recommends the adoption of a multiple-barrier approach that prescribes health protective measures at different entry points along the food chain. This study sought to assess the knowledge and awareness of wastewater use for crop production, its related health risks, and adoption of health protective measures by farmers, market salespersons and consumers using questionnaires and focus group discussions. In the period from September 2012 to August 2013, 490 respondents were interviewed during two cropping seasons. The study found that awareness of the source of irrigation water was low among consumers and street food vendors, though higher among market vendors. In contrast, health risk awareness was generally high among salespersons and consumers, but low among farmers. The study found that consumers did not prioritize health indicators when buying produce from vendors but were motivated to buy produce, or prepared food based on taste, friendship, cost, convenience and freshness of produce. Similarly, farmers' awareness of health risk did not influence their adoption of safer farm practices. The study recommends the promotion of interventions that would result in more direct benefits to both producers and vendors, together with hygiene education and enforcement of food safety byelaws in order to influence behaviour change, and increase the uptake of the multiple-barrier approach.

  7. Changements climatiques et santé humaine à Accra, Ghana | IDRC ...

    existence et le bien-être de la population ghanéenne. La détérioration du milieu rural contribue sensiblement au flux de migrants qui arrivent chaque jour dans les villes. Ces nouveaux arrivants regroupés dans des bidonvilles dépourvus ...

  8. Occupational hearing loss of market mill workers in the city of Accra, Ghana

    Emmanuel D Kitcher; Grace Ocansey; Benjamin Abaidoo; Alidu Atule

    2014-01-01

    Noise induced hearing loss (NIHL) is an irreversible sensorineural hearing loss associated with exposure to high levels of excessive noise. Prevention measures are not well established in developing countries. This comparative cross sectional study aims to determine the prevalence of hearing loss in both a group of high risk workers and a control group and to assess their knowledge of the effects of noise on hearing health. A total of 101 market mill workers and 103 controls employed within m...

  9. Characterizing Air Pollution in Two Low-Income Neighborhoods in Accra, Ghana

    Sub-Saharan Africa has the highest rate of urban population growth in the world, with a large number of urban residents living in low-income “slum” neighborhoods. We conducted a study for an initial assessment of the levels and spatial and/or temporal patterns of multiple polluta...

  10. Investigating the Small and Medium Enterprise Landscape of Accra, Ghana: Prospects and Barriers to Economic Development

    2012-02-01

    these challenges to accessing capital. Social entrepreneurship and corporate social responsibility consciousness (CSR) is embedded within the...the future, AHR hopes to provide services that cover areas including Employment Law, Social Marketing, Research and Development, Social ... Entrepreneurship and Public Sector Branding to its clients. AHR is fits the definition of a Small and Medium Enterprise as defined by USAID; they have 6

  11. Fast Food in the Greater Accra Region of Ghana: Characteristics, Availability and the Cuisine Concept

    Omari, R.; Jongerden, J.P.; Essegbey, G.; Frempong, G.; Ruivenkamp, G.T.P.

    2013-01-01

    Fast food has been extensively debated but most studies have focused on one or two of its characteristics. Using the cuisine concept, we propose a more comprehensive approach to the study of fast food characteristics and availability, while taking cultural context into account. The objectives of

  12. Cost-effectiveness of HIV screening of blood donations in Accra (Ghana)

    van Hulst, Marinus; Sagoe, Kwamena W. C.; Vermande, Jacobien E.; van der Schaaf, Ido P.; Adriani, Willem P. A. van der Tuuk; Torpey, Kwasi; Ansah, Justina; Mingle, Julius A. A.; Smit Sibinga, Cees Th.; Postma, Maarten J.

    2008-01-01

    Objectives: Areas with high HIV-incidence rates compared to the developed world may benefit from additional testing in blood banks and may show more favorable cost-effectiveness ratios. We evaluated the cost-effectiveness of adding p24 antigen, mini pool nucleic acid amplification testing (MP-NAT),

  13. Decision-Making for Induced Abortion in the Accra Metropolis, Ghana

    AJRH Managing Editor

    2015-03-09

    Mar 9, 2015 ... There are various dimensions to induced abortion decision-making among women who had an elective induced abortion in a .... clinics, 39 company clinics, 79 private maternity ... Ten trained nurses served as research.

  14. Cervical cancer prevention: safety, acceptability, and feasibility of a single-visit approach in Accra, Ghana.

    Blumenthal, Paul D; Gaffikin, Lynne; Deganus, Sylvia; Lewis, Robbyn; Emerson, Mark; Adadevoh, Sydney

    2007-04-01

    The purpose of this study was to assess the safety and acceptability of a single-visit approach to cervical cancer prevention combining visual inspection of the cervix with acetic acid wash (VIA) and cryotherapy. The study was observational. Nine clinicians were trained in VIA and cryotherapy. Over 18 months 3665 women were VIA-tested. If positive and eligible, cryotherapy was offered immediately. Treated women were followed-up at 3 months and 1 year. The test-positive rate was 13.2%. Of those eligible, 70.2% and 21% received immediate or delayed treatment, respectively. No major complications were recorded, and 5.6% presented for a perceived problem post-cryotherapy. Among those treated over 90% expressed satisfaction with their experience, and 96% had an indentifiable squamo-columnar junction. Only 2.6% (6/232) were test positive, 1-year posttreatment. A single-visit approach using VIA and cryotherapy proved to be safe, acceptable, and feasible in an urban African setting.

  15. The Significance of Variceal Haemorrhage in Ghana: A Retrospective Review.

    Archampong, T N A; Tachi, K; Agyei, A A; Nkrumah, K N

    2015-09-01

    This study describes the burden of bleeding oesophageal varices at the main tertiary referral centre in Accra. Retrospective design to describe the endoscopic spectrum and review mortality data following acute upper gastro-intestinal bleeding at the Korle-Bu Teaching Hospital. Endoscopic data was reviewed in the Endoscopy Unit between 2007 and 2010. Mortality data was collated from the Department of Medicine between 2010 and 2013. The study questionnaire compiled clinical and demographic characteristics, endoscopic diagnoses, length of hospital admission and treatment regimens. Aetiology and time-trend analysis of mortality rates following acute upper gastro-intestinal bleeding; variceal bleeding treatment modalities. On review of the endoscopic diagnoses, gastro-oesophageal varices were identified in 21.9% of cases followed by gastritis 21.7%, duodenal ulcer, 17.0%, and gastric ulcer, 13.2%. Gastro-oesophageal varices were the predominant cause of death from acute upper gastro-intestinal haemorrhage from 46% in 2010 to 76% in 2013. Outcomes following acute upper gastro-intestinal bleeding were dismal with some 38% of fatalities occurring within the first 24 hours. Injection sclerotherapy was the dominant endoscopic modality for secondary prevention of variceal bleeding in comparison with band ligation, mainly as a result of cost and availability. At the tertiary centre in Accra, variceal bleeding is an increasingly common cause of acute upper gastro-intestinal haemorrhage in comparison with previous reviews in Ghana. Its significantly high in-hospital mortality reflects inadequate facilities to deal with this medical emergency. A strategic approach to care with endoscopic services equipped with all the necessary therapeutic interventions will be vital in improving the outcomes of variceal bleeding in Ghana.

  16. Advancing obstetric and neonatal care in a regional hospital in Ghana via continuous quality improvement.

    Srofenyoh, Emmanuel; Ivester, Thomas; Engmann, Cyril; Olufolabi, Adeyemi; Bookman, Laurel; Owen, Medge

    2012-01-01

    To reduce maternal and neonatal death at a large regional hospital through the use of quality improvement methodologies. In 2007, Kybele and the Ghana Health Service formed a partnership to analyze systems and patient care processes at a regional hospital in Accra, Ghana. A model encompassing continuous assessment, implementation, advocacy, outputs, and outcomes was designed. Key areas for improvement were grouped into "bundles" based on personnel, systems management, and service quality. Primary outcomes included maternal and perinatal mortality, and case fatality rates for hemorrhage and hypertensive disorders. Implementation and outcomes were evaluated tri-annually between 2007 and 2009. During the study period, there was a 34% decrease in maternal mortality despite a 36% increase in patient admission. Case fatality rates for pre-eclampsia and hemorrhage decreased from 3.1% to 1.1% (Pcontinuous quality improvement were developed and employed. Copyright © 2011 International Federation of Gynecology and Obstetrics. Published by Elsevier Ireland Ltd. All rights reserved.

  17. Prostate brachytherapy in Ghana: our initial experience

    James Edward Mensah

    2016-10-01

    Full Text Available Purpose: This study presents the experience of a brachytherapy team in Ghana with a focus on technology transfer and outcome. The team was initially proctored by experienced physicians from Europe and South Africa. Material and methods : A total of 90 consecutive patients underwent either brachytherapy alone or brachytherapy in combination with external beam radiotherapy for prostate carcinoma between July 2008 and February 2014 at Korle Bu Teaching Hospital, Accra, Ghana. Patients were classified as low-risk, intermediate, and high-risk according to the National Comprehensive Cancer Network (NCCN criteria. All low-risk and some intermediate risk group patients were treated with seed implantation alone. Some intermediate and all high-risk group patients received brachytherapy combined with external beam radiotherapy. Results: The median patient age was 64.0 years (range 46-78 years. The median follow-up was 58 months (range 18-74 months. Twelve patients experienced biochemical failure including one patient who had evidence of metastatic disease and died of prostate cancer. Freedom from biochemical failure rates for low, intermediate, and high-risk cases were 95.4%, 90.9%, and 70.8%, respectively. Clinical parameters predictive of biochemical outcome included: clinical stage, Gleason score, and risk group. Pre-treatment prostate specific antigen (PSA was not a statistically significant predictor of biochemical failure. Sixty-nine patients (76.6% experienced grade 1 urinary symptoms in the form of frequency, urgency, and poor stream. These symptoms were mostly self-limiting. Four patients needed catheterization for urinary retention (grade 2. One patient developed a recto urethral fistula (grade 3 following banding for hemorrhoids. Conclusions : Our results compare favorably with those reported by other institutions with more extensive experience. We believe therefore that, interstitial permanent brachytherapy can be safely and effectively

  18. What are the characteristics of 'sexually ready' adolescents? Exploring the sexual readiness of youth in urban poor Accra.

    Biney, Adriana A E; Dodoo, F Nii-Amoo

    2016-01-05

    Adolescent sexual activity, especially among the urban poor, remains a challenge. Despite numerous interventions and programs to address the negative consequences arising from early and frequent sexual activity among youth in sub-Saharan Africa, including Ghana, only slight progress has been made. A plausible explanation is that our understanding of what adolescents think about sex and about their own sexuality is poor. In that sense, examining how adolescents in urban poor communities think about their sexual readiness, and identifying characteristics associated with that sexual self-concept dimension, should deepen our understanding of this topical issue. A total of 196 male and female adolescents, ages 12 to 19, were surveyed in the 2011 RIPS Urban Health and Poverty Project in Accra, Ghana. The youth responded to three statements which determined their levels of sexual readiness. Other background characteristics were also obtained enabling the assessment of the correlates of their preparedness to engage in sex. The data were analyzed using ordered logistic regression models. Overall, the majority of respondents did not consider themselves ready for sex. Multivariate analyses indicated that sexual experience, exposure to pornographic movies, gender, ethnicity and household wealth were significantly linked to their readiness for sex. Sexual readiness is related to sexual activity as well as other characteristics of the adolescents, suggesting the need to consider these factors in the design of programs and interventions to curb early sex. The subject of sexual readiness has to be investigated further to ensure adolescents do not identify with any negative effects of this sexual self-view.

  19. Multi-Disciplinary Stroke Care in Developing Countries – Lessons from the Wessex-Ghana Stroke Partnership

    Louise Johnson

    2017-11-01

    Full Text Available Stroke disease in Ghana has been of increasing concern since the mid to late 20th century, in association with the increasing westernisation of diet and lifestyle [1]. Two thirds of world-wide mortality cases from stroke occur in sub-Saharan Africa [2], and in the Ghanaian capital city region of Accra, stroke is now attributed as the second largest cause of death [1]. The burden of stroke in sub-Saharan Africa is significant [3]. Experts recommend a three-prong approach to dealing with the burden of non-communicable disease (NCD: epidemiological surveillance; primary prevention (preventing disease in healthy populations; and secondary prevention (preventing complications and improving quality of life in affected communities [4]. This paper outlines the development of a specialist stroke service in Accra, Ghana. This work therefore broadly relates to the secondary prevention aspect, achieved through the development of a dedicated and specialised stroke service. Whilst this project took place in Ghana, the learning could be applied to the development of a stroke service in any resource poor setting, such as South Sudan. Indeed, because the focus is on establishing the fundamentals of organised stroke care, the principles are also entirely relevant to more developed health care systems.

  20. Contamination status of arsenic and other trace elements in drinking water and residents from Tarkwa, a historic mining township in Ghana.

    Asante, Kwadwo Ansong; Agusa, Tetsuro; Subramanian, Annamalai; Ansa-Asare, Osmund D; Biney, Charles A; Tanabe, Shinsuke

    2007-01-01

    This study was conducted to assess the contamination status of 22 trace elements, especially As in water and residents in Tarkwa, a historic mining town in Ghana. Drinking water and human urine samples were collected from Tarkwa in addition to control samples taken from Accra, the capital of Ghana in March, 2004. Concentrations of As and Mn in some drinking water samples from Tarkwa were found above the WHO drinking water guidelines posing a potential health risk for the people. A potential health risk of As and Mn is a concern for the people consuming the contaminated water in this area. No significant difference of As concentrations in human urine between mining town (Tarkwa) and control site (Accra) was observed. Although As concentrations in drinking water in Tarkwa were low, urinary As levels were comparable to those reported in highly As-affected areas in the world. These results suggest the presence of other sources of As contamination in Ghana. This is the first study on multi-elemental contamination in drinking water and human from a mining town in Ghana.

  1. 'Chasing for Water': Everyday Practices of Water Access in Peri-Urban Ashaiman, Ghana

    Megan Peloso

    2014-02-01

    Full Text Available Despite recent reports suggesting that access to improved sources of drinking water is rising in Ghana, water access remains a daily concern for many of those living in the capital region. Throughout the Greater Accra Metropolitan Area (GAMA, the urban poor manage uncertainty and establish themselves in the city by leveraging a patchwork system of basic services that draws importantly from informal systems and supplies. This paper takes a case study approach, using evidence gathered from two-months of fieldwork in a peri-urban informal settlement on the fringe of Accra, to explore everyday practices involved in procuring water for daily needs that routinely lead residents outside of the official water supply system. Findings from this case study demonstrate that respondents make use of informal water services to supplement or 'patch up' gaps left by the sporadic water flow of the official service provider, currently Ghana Water Company Ltd. (GWCL. Basic water access is thus constructed through an assemblage of coping strategies and infrastructures. This analysis contributes to understandings of heterogeneity in water access by attending to the everyday practices by which informality is operationalised to meet the needs of the urban poor, in ways that may have previously been overshadowed. This research suggests, for example, that although water priced outside of the official service provider is generally higher per unit, greater security may be obtained from smaller repetitive transactions as well as having the flexibility to pursue multiple sources of water on a day-to-day basis.

  2. Facilitators and barriers to antiretroviral therapy adherence among adolescents in Ghana

    Ankrah DNA

    2016-03-01

    Full Text Available Daniel NA Ankrah,1,2 Ellen S Koster,2 Aukje K Mantel-Teeuwisse,2 Daniel K Arhinful,3 Irene A Agyepong,4 Margaret Lartey5,6 1Pharmacy Department, Korle-Bu Teaching Hospital, Accra, Ghana; 2Division of Pharmacoepidemiology and Clinical Pharmacology, Utrecht Institute for Pharmaceutical Sciences (UIPS, Utrecht, the Netherlands; 3Noguchi Memorial Institute for Medical Research, University of Ghana (Legon, 4Health Policy, Planning and Management, University of Ghana School of Public Health, 5Department of Medicine, University of Ghana Medical School, 6Department of Medicine and Therapeutics, Korle-Bu Teaching Hospital, Accra, Ghana Introduction: Adherence to antiretroviral therapy (ART is known to be challenging among adolescents living with HIV/AIDS, notwithstanding the life-saving importance of this therapy. Of the global total number of adolescents living with HIV in 2013, 83% reside in sub-Saharan Africa. The study aimed to identify facilitators of and barriers to antiretroviral treatment adherence among adolescents in Ghana. Methods: A cross-sectional qualitative study using semi-structured interviews for data collection was carried out among adolescents (aged 12–19 years at the adolescents HIV clinic at the Korle-Bu Teaching Hospital in Ghana. Predominantly open-ended questions relating to ART were used. Interviews were done until saturation. In total, 19 interviews were conducted. Analysis was done manually to maintain proximity with the text. Findings: The main facilitators were support from health care providers, parental support, patient’s knowledge of disease and self-motivation, patient’s perceived positive outcomes, and dispensed formulation. The identified barriers were patient’s forgetfulness to take medicines, perceived stigmatization due to disclosure, financial barriers, and adverse effects of ART. Support from health care workers was the most frequently mentioned facilitator, and patient’s forgetfulness and perceived

  3. Prevalence and antibiotic resistance of coagulase-negative Staphylococci isolated from poultry farms in three regions of Ghana

    Boamah, Vivian Etsiapa; Agyare, Christian; Odoi, Hayford

    2017-01-01

    The use of antibiotics in animal production has been associated with the development and spread of antibiotic-resistant organisms including commensals. Coagulase-negative Staphylococcus (CoNS) species, which were until recently considered non-pathogenic, have been associated with opportunistic...... usage in both animal production and in humans....... infections and high resistance to several antibiotics. This study sought to determine the prevalence, identity, and phenotypic resistance of coagulase-negative Staphylococcus spp. isolated from some selected poultry farms and farm workers in the Ashanti, Brong Ahafo, and Greater Accra regions of Ghana...

  4. Ghana : Accounting and Auditing

    World Bank

    2004-01-01

    This report provides an assessment of accounting and auditing practices within the context of the Ghana institutional framework to ensure the quality of corporate financial reporting. The accounting and auditing practices in Ghana suffer from institutional weaknesses in regulation, compliance, and enforcement of standards and rules. Various weaknesses were identified in the laws and regula...

  5. Ghana Medical Journal

    The Ghana Medical Journal is a peer-reviewed, open access journal published by the Ghana Medical Association. It was established in 1962 It publishes quality manuscripts in in all aspects of health, health care and the medical sciences. The full text of published articles are available online at this website and at African ...

  6. Ghana Mining Journal: Contact

    Principal Contact. Professor Daniel Mireku-Gyimah Editor-in-Chief University of Mines & Technology Ghana Mining Journal University of Mines & Technology P. O. BOX 237 Tarkwa Ghana Phone: +233 362 20280/20324. Fax: +233 362 20306. Email: dm.gyimah@umat.edu.gh ...

  7. HIV antiretroviral medication stock-outs in Ghana: contributors and consequences.

    Poku, Rebecca A; Owusu, Adobea Yaa; Mullen, Patricia Dolan; Markham, Christine; McCurdy, Sheryl A

    2017-09-01

    Drug stock-outs are an unfortunate yet common reality for patients living in low and middle income countries, particularly in sub-Saharan Africa where trouble with consistent stock of antiretroviral medications (ARVs) continues. Our study takes a snapshot of this problem in Ghana. Although the country launched its antiretroviral therapy (ART) programme in 2003, progress toward realising the full benefit of ART for treated individuals has been limited, in part, because of stock-outs. In Ghana's Greater Accra region, we conducted semi-structured interviews with 40 women living with HIV (WLHIV) and 15 individuals with a history of HIV-related work in government or non-governmental organisations, or healthcare facilities. We used repeated review with coding and mapping techniques to analyse the transcripts and identify common themes. Stock-outs of ARVs result in inconsistent administration of therapy, increased indirect medical costs for WLHIV, and negative labelling of patients. Inefficiencies in drug supply, poor coordination with port authorities, inadequate government funding and dependence on international aid contribute to the stock-outs experienced in Ghana. Although using ARVs produced in-country could reduce supply problems, the domestically-manufactured product currently does not meet World Health Organization (WHO) standards. We recommend focused efforts to produce WHO standard ARVs in Ghana, and a review of current supply chain management to identify and mend pitfalls in the system.

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

    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

  9. Inflammatory bowel disease in Accra: what new trends.

    Archampong, T N; Nkrumah, K N

    2013-01-01

    Inflammatory bowel disease (IBD) has been more common in Western Europe and North America. Initially IBD had been thought to be low in incidence among Sub-Saharan Africans. However, it is now being increasingly recognised in patients of African descent. A comparative assessment of the patterns of IBD in Accra from 1997 to 2011. This study used a retrospective design to access clinical details of follow-up patients attending the Gastroenterology Unit of the Korle-Bu Teaching Hospital, Accra between February, 1997 and May, 2011. It was a comparative seven-year review of clinical presentations of IBD between April, 2004 -August, 2011 (t2) and February, 1997 - March, 2004 (t1) for changing patterns of disease in tertiary care. Twenty-eight (28) new IBD patients were seen in the Gastroenterology Clinic, KBTH with IBD during 2004 - 2011 (t2) in comparison to 17 patients over 1997 - 2004 (t1). Presentations of severe diarrhoea were 70.4% and 55.6% in (t1) and (t2) respectively. Eighty-two percent (82%) of patients with IBD in (t2) had a severely inflamed colon on the index colonoscopy. Most patients (70-80%) responded to medical therapy (steroids, sulfasalazine) with no colon resections for steroid-refractory colitis. Although relatively uncommon, IBD recorded a 65% rise in incidence over the study periods with a male preponderance. Most patients with IBD were presenting late with severe clinical and endoscopic features of disease yet medically responsive. Non-specific (indeterminate) colitis gained prominence in (t2).

  10. The stigma of mental illness in Southern Ghana: attitudes of the urban population and patients' views.

    Barke, Antonia; Nyarko, Seth; Klecha, Dorothee

    2011-11-01

    Stigma is a frequent accompaniment of mental illness leading to a number of detrimental consequences. Most research into the stigma connected to mental illness was conducted in the developed world. So far, few data exist on countries in sub-Saharan Africa and no data have been published on population attitudes towards mental illness in Ghana. Even less is known about the stigma actually perceived by the mentally ill persons themselves. A convenience sample of 403 participants (210 men, mean age 32.4±12.3 years) from urban regions in Accra, Cape Coast and Pantang filled in the Community Attitudes towards the Mentally Ill (CAMI) questionnaire. In addition, 105 patients (75 men, mean age 35.9±11.0 years) of Ghana's three psychiatric hospitals (Accra Psychiatry Hospital, Ankaful Hospital, Pantang Hospital) answered the Perceived Stigma and Discrimination Scale. High levels of stigma prevailed in the population as shown by high proportions of assent to items expressing authoritarian and socially restrictive views, coexisting with agreement with more benevolent attitudes. A higher level of education was associated with more positive attitudes on all subscales (Authoritarianism, Social Restrictiveness, Benevolence and Acceptance of Community Based Mental Health Services). The patients reported a high degree of experienced stigma with secrecy concerning the illness as a widespread coping strategy. Perceived stigma was not associated with sex or age. The extent of stigmatising attitudes within the urban population of Southern Ghana is in line with the scant research in other countries in sub-Saharan Africa and mirrored by the experienced stigma reported by the patients. These results have to be seen in the context of the extreme scarcity of resources within the Ghanaian psychiatric system. Anti-stigma efforts should include interventions for mentally ill persons themselves and not exclusively focus on public attitudes.

  11. Collecting data from migrants in Ghana: Lessons learned using respondent-driven sampling

    Samantha R. Lattof

    2018-03-01

    Full Text Available Background: Policymakers and program implementers require high-quality data on migrants and migration in low- and middle-income countries (LMIC; however, a shortage of high-quality data exists in these settings. Sampling migrant populations requires better techniques. Respondent-driven sampling (RDS may be one such solution. Objective: Using Ghana as a case study, the objectives of this paper are to: 1 assess RDS recruitment productivity, network size, and ties of internal migrants; 2 test for homophily; and 3 detail the successes of and challenges to implementing RDS in Ghana and how these lessons can be applied to migrant populations in other LMIC settings. Methods: This study used RDS to sample 625 rural-urban female migrants working as market porters (kayayei in Accra, Ghana. Results: This study generated the most comprehensive data set on kayayei to date. Network size increases as participants become more educated and migrate more often to Accra. Ethnic group membership is an important determinant of recruitment, with certain groups preferring to recruit from within. Employing members of the kayayei population to collect data built crucial trust. Conclusions: Whilst RDS is not a one-size-fits-all solution for sampling hard-to-reach migrants in LMIC, it can be a powerful tool to uncover and to recruit hard-to-reach migrant populations. In countries with multiple ethnolinguistic groups, recruiting a migrant population with greater ethnolinguistic overlap may facilitate quicker equilibrium. Contribution: This study expands the evidence base on use of RDS among migrant populations in LMIC and provides lessons learned to assist other researchers implementing RDS in LMIC settings.

  12. Perceptions And Experiences Of Overweight Among Women In The Ga East District, Ghana

    Richmond Nii Okai Aryeetey

    2016-06-01

    Full Text Available Introduction: Overweight and obesity are a growing public health challenge among women of reproductive age. While cultural norms suggest preference for an overweight body image, limited evidence exists regarding women’s beliefs and experiences of overweight in Ghana. The current study explored beliefs, perceptions, experiences and practices concerning overweight among women living in suburban Accra, Ghana.Methods: Four focus group discussions, and 10 in-depth interviews (IDI were implemented among 42 adult women (>18y seeking preventive child health services in Dome, Accra. All the women in the IDI were overweight. In addition to notes, interviews and discussions were audio-recorded and transcribed for systematic content and narrative analysis. Results: Overweight was considered undesirable by most women. Overweight individuals were often stigmatized using uncomplimentary names like cargo, obolo, etc. However, some weight gain was admired and expected by women and their family and friends. Weight gain that was considered beautiful was believed to ‘evolve naturally’. Weight gain that is either medically-induced perceived as excessive, was not viewed positively. Weight gain by women was perceived as a sign of financial prosperity and good care by a spouse. Overweight was perceived to be linked with heredity, childbirth, gluttony, and contraception. Adverse experiences of overweight included poor self-image, declining social lifestyle, increased disease risk, and feeling tired always. Strategies which had been used in order to lose weight included skipping meals, avoiding carbohydrate-based foods, and drinking herbal teas. Conclusion: There is admiration for some weight gain among women but when it is excessive, overweight is stigmatized. Misperceptions regarding partner expectations, determinants of overweight, and weight reduction strategies requires effective behavior change interventions in Ghana.

  13. Health worker (internal customer) satisfaction and motivation in the public sector in Ghana.

    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.

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

    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. Copyright © 2015 Elsevier Ltd. All rights reserved.

  15. Ghana Medical Journal: Submissions

    Journal Home > About the Journal > Ghana Medical Journal: Submissions ... Works publishable under this section include original work of suitable standard. ... interest statement of all types of manuscript should be submitted as a separate file.

  16. Ghana Mining Journal

    ... in the Ghana mining journal: Geology and Mineral Exploration, Mining, Quarrying, Geomechanics, Groundwater Studies, Hydrocarbon Development, Mineral Processing, Metallurgy, Material Science, Mineral Management Policies, Mineral Economics, Environmental Aspects, Computer Applications and Mining Education.

  17. Ghana's nuclear programme

    Ahafia, Albert K.

    1988-01-01

    The Paper gives the purpose of Ghana's Nuclear Programme and describes some specific research activities and peaceful applications of atomic energy in agriculture, medicine and industry. A discussion of some of the problem facing the programme concludes the Paper. (author)

  18. African Journals Online: Ghana

    Items 1 - 27 of 27 ... African Journal of Educational Studies in Mathematics and Sciences .... The Ghana Medical Journal is a peer-reviewed, open access journal ... The Journal of Business Research (JBR) is an International journal published by ...

  19. IDRC in Ghana

    ting up the Canada-Ghana Research and. Science Council ... major reform in the country's national health insurance ... helped spread the use of insecticide- coated mosquito nets throughout Africa. These nets are a ... effects of climate change.

  20. Entrepreneurship training in Ghana

    Schmidt, Leila Kæmsgaard Pagh

    2017-01-01

    is that adding a focus on means, attitude and enterprising behaviour skills will increase the value of entrepreneurship training. The study is a design-based research undertaken in collaboration with the local NGO, Youth Empowerment for Life (YEfL). It builds on relevant theory and involves qualitative...... and quantitative research in Northern Ghana. The study reveals the five most crucial constraints for young entrepreneurs in Northern Ghana. Moreover, it proposes a new entrepreneurship model and training manual....

  1. Ghana's high forests

    Oduro, K.A.

    2016-01-01

    Deforestation and forest degradation in the tropics have been receiving both scientific and political attention in recent decades due to its impacts on the environment and on human livelihoods. In Ghana, the continuous decline of forest resources and the high demand for timber have raised stakeholders concerns about the future timber production prospects in the country. The principal drivers of deforestation and forest degradation in Ghana are agricultural expansion (50%), wood harvesting (35...

  2. Bank service management in Ghana

    Kuada, John; Narteh, Bedman

    2011-01-01

    This article reports a study of the determinants of effective management of of retail banking services in Ghana......This article reports a study of the determinants of effective management of of retail banking services in Ghana...

  3. Spatial assessment of potential ecological risk of heavy metals in soils from informal e-waste recycling in Ghana

    Vincent Nartey Kyere

    2017-10-01

    Full Text Available The rapidly increasing annual global volume of e-waste, and of its inherently valuable fraction, has created an opportunity for individuals in Agbogbloshie, Accra, Ghana to make a living by using unconventional, uncontrolled, primitive and crude procedures to recycle and recover valuable metals from this waste. The current form of recycling procedures releases hazardous fractions, such as heavy metals, into the soil, posing a significant risk to the environment and human health. Using a handheld global positioning system, 132 soil samples based on 100 m grid intervals were collected and analysed for cadmium (Cd, chromium (Cr, copper (Cu, mercury (Hg, lead (Pb and zinc (Zn. Using geostatistical techniques and sediment quality guidelines, this research seeks to assess the potential risk these heavy metals posed to the proposed Korle Ecological Restoration Zone by informal e-waste processing site in Agbogbloshie, Accra, Ghana. Analysis of heavy metals revealed concentrations exceeded the regulatory limits of both Dutch and Canadian soil quality and guidance values, and that the ecological risk posed by the heavy metals extended beyond the main burning and dismantling sites of the informal recyclers to the school, residential, recreational, clinic, farm and worship areas. The heavy metals Cr, Cu, Pb and Zn had normal distribution, spatial variability, and spatial autocorrelation. Further analysis revealed the decreasing order of toxicity, Hg>Cd>Pb> Cu>Zn>Cr, of contributing significantly to the potential ecological risk in the study area.

  4. Assessment of availability, accessibility, and affordability of magnetic resonance imaging services in Ghana

    Piersson, A.D.; Gorleku, P.N.

    2017-01-01

    Introduction: The aim of this study was to assess the availability, accessibility, and affordability of MRI services to patients in Ghana. Methods: A descriptive quantitative research method which involve the use of a structured email 3-page survey questionnaire was employed, and addressed to the MRI radiographer-in-charge for completion. Results: A response rate of 92% was achieved. Sixty-seven percent (8) of the facilities were located in the Greater Accra region of Ghana with most (6[75%]) being private health facilities. The Western, Eastern, Brong Ahafo, Upper East, and Upper West lacked MRI scanners. MRI scanners per million population was 0.5. The mean cost per MRI examination, was lower in the public (i.e. GHȻ 563–GHȻ 686, p < 0.05 for non-contrast MRI examinations) compared to the private (i.e. GHȻ 618–GHȻ 775, p < 0.05 also for non-contrast MRI examinations). Most facilities (9[75%]) accept card bearers of some private health insurance to access MRI services, but none accepts that of the public-funded health insurance. Conclusion: There is wide disparity in the distribution of MRI scanners nationwide, with most of them located in the Greater Accra region. With only 5 regions having MRI scanners, it does imply that close to 40% of the general population do not readily have access to MRI services. Government can achieve an increase in availability, accessibility, and affordability of MRI by providing more public health facilities with MRI scanners and reimbursing MRI services via the NHIS (National Health Insurance Scheme). - Highlights: • In Ghana, 67% of MRI centres were located in the Greater Accra region. • MRI scanners per million population was 0.5. • About 40% of the population do not readily have access to MRI. • Mean cost per MRI examination was lower in the public compared to private centres. • Payment for MRI services was either by cash or some private health insurance.

  5. Social capital and active membership in the Ghana National Health Insurance Scheme - a mixed method study.

    Fenenga, Christine J; Nketiah-Amponsah, Edward; Ogink, Alice; Arhinful, Daniel K; Poortinga, Wouter; Hutter, Inge

    2015-11-02

    People's decision to enroll in a health insurance scheme is determined by socio-cultural and socio-economic factors. On request of the National health Insurance Authority (NHIA) in Ghana, our study explores the influence of social relationships on people's perceptions, behavior and decision making to enroll in the National Health Insurance Scheme. This social scheme, initiated in 2003, aims to realize accessible quality healthcare services for the entire population of Ghana. We look at relationships of trust and reciprocity between individuals in the communities (so called horizontal social capital) and between individuals and formal health institutions (called vertical social capital) in order to determine whether these two forms of social capital inhibit or facilitate enrolment of clients in the scheme. Results can support the NHIA in exploiting social capital to reach their objective and strengthen their policy and practice. We conducted 20 individual- and seven key-informant interviews, 22 focus group discussions, two stakeholder meetings and a household survey, using a random sample of 1903 households from the catchment area of 64 primary healthcare facilities. The study took place in Greater Accra Region and Western Regions in Ghana between June 2011 and March 2012. While social developments and increased heterogeneity seem to reduce community solidarity in Ghana, social networks remain common in Ghana and are valued for their multiple benefits (i.e. reciprocal trust and support, information sharing, motivation, risk sharing). Trusting relations with healthcare and insurance providers are, according healthcare clients, based on providers' clear communication, attitude, devotion, encouragement and reliability of services. Active membership of the NHIS is positive associated with community trust, trust in healthcare providers and trust in the NHIS (p-values are .009, .000 and .000 respectively). Social capital can motivate clients to enroll in health insurance

  6. 'Zero is not good for me': implications of infertility in Ghana.

    Fledderjohann, J J

    2012-05-01

    Given the high value placed on children in sub-Saharan Africa, previous research suggests that infertility increases the risk of psychological distress and marital conflict, encourages risky sexual behavior and deprives infertile individuals and couples of an important source of economic and social capital. This paper explores the implications of infertility for women in Ghana, West Africa. Semi-structured interview data collected from 107 women (aged 21-48 years, mean 33 years) seeking treatment in gynecological and obstetric clinics in Accra, Ghana, are analyzed. Based on iterative open coding of the interviews, the focus of the analysis is on mental health, marital instability, social interaction and gendered experiences. Infertile women report facing severe social stigma, marital strain and a range of mental health difficulties. Many women feel that they shoulder a disproportionate share of the blame for infertility and, by extension, face greater social consequences than male partners for difficulties conceiving. Women who do not self-identify as infertile corroborate these findings, asserting that the social consequences of infertility are severe, particularly for women. Infertility in Ghana has important consequences for social interactions, marital stability and mental health. These consequences are not perceived to be shared equally by Ghanaian men.

  7. Comparative Analysis of Households Solid Waste Management in Rural and Urban Ghana

    Simon Boateng

    2016-01-01

    Full Text Available 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.

  8. Comparative Analysis of Households Solid Waste Management in Rural and Urban Ghana

    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

  9. Comparative Analysis of Households Solid Waste Management in Rural and Urban Ghana.

    Boateng, Simon; Amoako, Prince; 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.

  10. Consumer knowledge, preference, and perceived quality of dried tomato products in Ghana.

    Owureku-Asare, Mavis; Ambrose, R P Kingsly; Oduro, Ibok; Tortoe, Charles; Saalia, Firibu K

    2017-05-01

    Postharvest losses (PHL) are incurred in the tomato value chain in Ghana and solar drying of tomato is a promising technology for reducing the loss. However, there are concerns on the usage, functionality and sensory appeal of the dried products to consumers, compounded with the lack of information and research on dried tomato processing in Ghana. A survey was carried out by administering semistructured questionnaires to 395 randomly selected and willing respondents in the Accra Metropolis. Information was obtained on the socioeconomic profile, consumption pattern, knowledge, and acceptance of tomato processing technologies and assessment of quality attributes important to consumers. Most consumers (74%) preferred tomato powder that is conveniently packaged to retain the characteristic intense taste and the flavor using Friedman's rank mean procedure. The study indicated that consumers were more concerned about good manufacturing practices during the production of solar-dried tomato (48.8%) rather than the quality attributes (8.6%). These findings indicate the need for safe solar drying procedures in order to increase consumer acceptability of solar-dried tomato products in Ghana.

  11. Ghana Science Abstracts

    Entsua-Mensah, C.

    2004-01-01

    This issue of the Ghana Science Abstracts combines in one publication all the country's bibliographic output in science and technology. The objective is to provide a quick reference source to facilitate the work of information professionals, research scientists, lecturers and policy makers. It is meant to give users an idea of the depth and scope and results of the studies and projects carried out. The scope and coverage comprise research outputs, conference proceedings and periodical articles published in Ghana. It does not capture those that were published outside Ghana. Abstracts reported have been grouped under the following subject areas: Agriculture, Biochemistry, Biodiversity conservation, biological sciences, biotechnology, chemistry, dentistry, engineering, environmental management, forestry, information management, mathematics, medicine, physics, nuclear science, pharmacy, renewable energy and science education

  12. Entrepreneurship training in Ghana

    Schmidt, Leila Kæmsgaard Pagh

    2017-01-01

    Abstract Due to the very high youth unemployment in Northern Ghana, there is a huge need for enterprising skills among young people. A natural focus in recent years has therefore been entrepreneurship training, focusing on training young Ghanaians to start-up businesses. Unfortunately, the young...... is that adding a focus on the young entrepreneur’s means, attitude and enterprising behaviour skills to the existing focus on starting up businesses, will increase the value of the Entrepreneurship training and support the overcoming of constraints. The paper build on a design-based research project...... in collaboration with the local NGO YEfL. Based on relevant theory, a qualitative field research in Northern Ghana and a quantitative baseline survey a new Entrepreneurship Model has been designed. The new model was tested in autumn 2016 at three Entrepreneurship boot camps in Northern Ghana. The study has...

  13. "Ghana faces ecological disaster".

    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. full text

  14. Internal Branding and the Competitive Performance of Private Universities in Ghana

    Amegbe Hayford

    2016-09-01

    Full Text Available The objective of this paper is in three fold. First, to examine the inter-relationship between internal branding and performance of private universities. Second, to examine customer-based brand equity (CBBE antecedents in predicting the performance of private universities. Third, to examine the effect of internal branding on the performance of private universities when brand loyalty levels are high among students. The sample comprises 213 male and 234 female students studying at various private universities in the Greater Accra Region of Ghana. In order to have fair representation of students from all levels of classification from all the private universities in Accra, convenience sampling was purposefully used to collect data from undergraduate students in the private universities sampled. The result of the study indicated that the dimensions of brand equity and private universities’ performance are positively related. The regression analyses indicate that there is a positively related predictive power of private universities performance by brand association and brand loyalty. However, the study did not find brand awareness and perceived quality to be positively related. The conclusion of the study is that the performance of private universities’ and brand equity depends on the high loyalty among students.

  15. The hydrochemistry of groundwater in rural communities within the Tema District, Ghana.

    Fianko, Joseph Richmond; Nartey, Vincent K; Donkor, Augustine

    2010-09-01

    A detailed study has been carried out on groundwater in rural communities in the Tema District of the Greater Accra region of Ghana to establish the hydrochemistry and identify the various sources of contaminants as well assess the physical and chemical quality of the groundwater to ascertain their wholesomeness and the health impacts of the groundwater on the communities. The groundwater was found to vary considerably in terms of chemical and physical properties. Generally, the water was mildly acidic (pH 4.3-7.4), brackish to fresh, and undersaturated with respect to gypsum and halite. The majority of groundwater clustered toward Ca-Mg-SO(4) and Na-Cl facies. About 70% of boreholes sampled have elevated levels of NO(3)(-) -N, Cl(-), and SO(4)(2-) emanating from anthropogenic activities.

  16. Constructions of masculinity and femininity and sexual risk negotiation practices among women in urban Ghana.

    Fiaveh, Daniel Y; Izugbara, Chimaraoke O; Okyerefo, Michael P K; Reysoo, Fenneke; Fayorsey, Clara K

    2015-01-01

    Using qualitative data gathered through in-depth interviews with women in Accra, Ghana, this paper explores narratives of masculinity and femininity and sexual risk negotiation practices among women. While women framed 'proper' masculinity in terms of stereotypical reproductive norms, they also acknowledged the fluidity and multiplicity of masculinities. Femininity was more uniformly characterised in terms of physical attractiveness and beauty, responsibility and reproduction. These features, especially those related to adherence to morally and socially appropriate sexual norms (e.g., menstrual and bodily hygiene, unplanned pregnancy etc.), influenced women's approach to sexual negotiation. Work aiming to support women to negotiate sex safely needs to pay attention to their notions of gender and practices of sexual negotiation.

  17. Practices and Factors Influencing the Use of Antibiotics in Selected Poultry Farms in Ghana

    Boamah, VE; Odoi, H; Dalsgaard, Anders

    2016-01-01

    and to assess factors influencing farmers’ choice of antibiotics for use on their farms. A cross-sectional survey using questionnaires and semistructured interviews was conducted among 400 poultry farms in the Ashanti, Brong-Ahafo and Greater Accra regions of Ghana. Data was analysed using IBM SPSS...... and Microsoft Excel. Multivariate analyses were used to evaluate correlations between farm variables and the dependency of antibiotic use on internal and external farm characteristics. Farmers reported the use of 35 different antimicrobial agents for management of conditions such as Newcastle, fowl pox......, coccidiosis, and coryza. From these agents, 20 essential antibiotics belonging to 10 antibiotic classes were extracted. Frequently employed antibiotics were tetracyclines (24.17%), aminoglycosides (17.87%), penicillins (16.51%) and fluoroquinolones (10.55%). Only 63% of the farms completed recommended...

  18. Lasten tragen, Moderne befördern. Wanderarbeit, Jugend, Erwachsenwerden und ihre geschlechtsspezifischen Differenzierungen in Ghana

    Ungruhe, Christian

    2015-01-01

    or to support their families. Most of the youngsters move independently from their parents and do not have relatives in the cities. Load carrying at markets and bus stations is attractive since hometown fellows have been working as kayayei (female head porters) and truckpushers (boys and young men transporting......Every year hundreds of youths from all over northern Ghana leave their hometowns to go to Accra or Kumasi, Ghana’s biggest cities, to work there for a couple of months or years before going back home. They look for labour in order to pay their school fees, dowries, to buy clothes, mobile phones...... load on wooden pushcarts) for years and may introduce the newcomers to the work and provide shelter and ethnic identity in the alien south. On the one hand, enjoying youth (buying modern goods and appearing urban among peers) is a strong motive for going. On the other hand, appearing mature and caring...

  19. Body Type, Self-Esteem and Assertiveness among High School Students in Ghana

    Daniel Bruce

    2016-08-01

    Full Text Available The aim of this study was to examine the relationship between body type, self-esteem and assertiveness among adolescents of ages between 13 and 19 years. To achieve this aim, the study sampled 56 male and 94 female adolescents of the Senior High School in Accra, Ghana. Results showed that, higher self-esteem leads to assertiveness. Results also showed that body type perception affects self-esteem. It is, therefore, recommended that Guidance and Counselling officers in our schools should educate adolescent students on the three body types and the advantages associated with being one of these body types. This may help prevent developing body dysmorphic disorder, low self-esteem and non-assertiveness among students with negative perceptions of their body types and the possible effects on their personal relationships with peers, general academic performance and in- school and out-of- school life.

  20. Inflammatory bowel disease at the korle bu teaching hospital, accra.

    Nkrumah, Kn

    2008-03-01

    SummaryCase files of patients with Inflammatory Bowel Disease (IBD) managed by the author in the Medical Department over the period 1997 - 2004 have been reviewed to identify some features of the disease that may aid improved diagnosis and management. The findings indicate that IBD may not be rare in the country and that there is usually a long delay in establishing the diagnosis. It appears that, in Ghana, more males than females are affected and that most are fifty years of age or below. Malignant colonic change is uncommon but there is a high default rate among the patients. Five patients (29%) died. Cases managed in an Arab country, between 1987 and 1996, have been compared. In that group more female than male patients were affected but the commonest age group affected was similar. The diagnosis was similarly delayed but no deaths were recorded as opposed to the Ghana patients. Since Inflammatory Bowel Disease (IBD) is a potentially treatable condition medical practitioners need increased awareness to avoid undue delay in diagnosis.

  1. Measuring regional and district variations in the incidence of pregnancy-induced hypertension in Ghana: challenges, opportunities and implications for maternal and newborn health policy and programmes.

    Antwi, Edward; Klipstein-Grobusch, Kerstin; Quansah Asare, Gloria; Koram, Kwadwo A; Grobbee, Diederick; Agyepong, Irene A

    2016-01-01

    The objectives were to assess the quality of health management information system (HMIS) data needed for assessment of local area variation in pregnancy-induced hypertension (PIH) incidence and to describe district and regional variations in PIH incidence. A retrospective review of antenatal and delivery records of 2682 pregnant women in 10 district hospitals in the Greater Accra and Upper West regions of Ghana was conducted in 2013. Quality of HMIS data was assessed by completeness of reporting. The incidence of PIH was estimated for each district. Key variables for routine assessment of PIH such as blood pressure (BP) at antenatal visits, weight and height were 95-100% complete. Fundal height, gestational age and BP at delivery were not consistently reported. The incidence of PIH differed significantly between Greater Accra region (6.1%) and Upper West region (3.2%). Prevalence of obesity among pregnant women in Greater Accra region (13.9%) was significantly higher than that of women in Upper West region (2.2%). More attention needs to be given to understanding local area variations in PIH and possible relationships with urbanisation and lifestyle changes that promote obesity, to inform maternal and newborn health policy. This can be done with good quality routine HMIS data. © 2015 The Authors. Tropical Medicine & International Health Published by John Wiley & Sons Ltd.

  2. Ghana - Land Tenure Facilitation Impact Evaluation

    Millennium Challenge Corporation — The MCC-supported Land Title Facilitation Activity (LTF) in Ghana was designed to increase investment and productivity by strengthening property rights. In Ghana,...

  3. Area Handbook for Ghana.

    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…

  4. Ghana Journal of Geography

    Effects of Spatial Location and Household Wealth on the Utilisation of Skilled Birth Attendants at Delivery Among Women in Rural Ghana · EMAIL FREE FULL TEXT EMAIL FREE FULL TEXT · DOWNLOAD FULL TEXT DOWNLOAD FULL TEXT. Hubert Amu, Dickson Kwamena Sekyi, 58-77 ...

  5. Ghana's high forests

    Oduro, K.A.

    2016-01-01

    Deforestation and forest degradation in the tropics have been receiving both scientific and political attention in recent decades due to its impacts on the environment and on human livelihoods. In Ghana, the continuous decline of forest resources and the high demand for timber have raised

  6. European descriptions of the art and architecture of early Accra ca ...

    European descriptions of the art and architecture of early Accra ca. ... The fifteenth to nineteenth centuries produced some interesting art works in the coastal ... art and craft production, and acquisition of new skills by Ga craftsmen and women. ... The history of the Ga has therefore not only been determined by their natural ...

  7. Improving drug delivery strategies for lymphatic filariasis elimination in urban areas in Ghana.

    Nana-Kwadwo Biritwum

    2017-05-01

    Full Text Available The Global Program to Eliminate Lymphatic Filariasis (GPELF advocates for the treatment of entire endemic communities, in order to achieve its elimination targets. LF is predominantly a rural disease, and achieving the required treatment coverage in these areas is much easier compared to urban areas that are more complex. In Ghana, parts of the Greater Accra Region with Accra as the capital city are also endemic for LF. Mass Drug Administration (MDA in Accra started in 2006. However, after four years of treatment, the coverage has always been far below the 65% epidemiologic coverage for interrupting transmission. As such, there was a need to identify the reasons for poor treatment coverage and design specific strategies to improve the delivery of MDA. This study therefore set out to identify the opportunities and barriers for implementing MDA in urban settings, and to develop appropriate strategies for MDA in these settings. An experimental, exploratory study was undertaken in three districts in the Greater Accra region. The study identified various types of non-rural settings, the social structures, stakeholders and resources that could be employed for MDA. Qualitative assessment such as in-depth interviews (IDIs and focus group discussions (FGDs with community leaders, community members, health providers, NGOs and other stakeholders in the community was undertaken. The study was carried out in three phases: pre-intervention, intervention and post-intervention phases, to assess the profile of the urban areas and identify reasons for poor treatment coverage using both qualitative and quantitative research methods. The outcomes from the study revealed that, knowledge, attitudes and practices of community members to MDA improved slightly from the pre-intervention phase to the post-intervention phase, in the districts where the interventions were readily implemented by health workers. Many factors such as adequate leadership, funding, planning and

  8. Mammography examination in Ghana: preliminary survey of patients' profiles

    Boadu, M.; Sosu, E.K.; Hasford, F.; Nani, E.K.; Addison, E.K.; Schandorf, C.

    2012-01-01

    Profiles of 1,671 patients undergoing diagnostic mammography examination at three Centres in Accra between May and December 2009 were analysed as preliminary survey to formulate a National Breast Screening Policy for Ghana. Employment category, age, body mass index, clinical history and diagnosis were indices used in the survey. The age profile of the patients ranged from 22 to 90 years, with an average of 51 years, and at 95 % confidence interval, the variance in age was 0.01. The dominant age groups of the patients surveyed were 46 - 50 years (23 %), 41 - 45 years (21 %) and 51 - 55 years (20 %). From the body mass indices, 34 % of the patients were overweight, 49 % were obese, 16 % were of normal weight and only 1 % was under weight. By the clinical history and diagnosis, about 25 % of the cases were attributed to mastalgia (pain in the breast), 4 % already diagnosed of breast cancer, while 45 % were undergoing assessment and evaluation. The probability of an obese individual to develop breast cancer out of the entire population was p = 0.004. The profiles indicated that breast screening awareness programmes should be targeted towards women between ages of 41 - 60 years. (au)

  9. X-ray Fluorescence in Member States: Ghana. The Use of XRF for Contaminated Site Assessment in Ghana. 2. Estimation of Heavy Metals Contamination at Agbogbloshie E-scrap Yard Using EDXRF Technique

    Atiemo, S.M.; Ofosu, F.G.; Aboh, I.J. Kwame

    2012-01-01

    The emergence of the digital age has underscored the important role that electrical and electronic equipment (EEE) plays in a nation's socioeconomic development, including education, health delivery and communications, as well as global connectivity. In 2003 Ghana formulated its policy on information and communications technology (ICT) for accelerated development, with the understanding for instance, that Ghana's accelerated development would not be possible without an ICT-driven development agenda. The demand for EEE in Ghana grows by the day with a corresponding high rate of waste electrical and electronic (WEEE) generation. The WEEE industry in Ghana is a very vibrant one, growing at an amazing rate year after year. Ghana currently imports about 215 000 tonnes of electrical and electronic equipment per annum out of which an estimated 70% are second hand products. About 60-70% of the second hand products arrive in good working condition, 20-30% can be repaired or refurbished to get them functioning and 10-20% are junk and sent directly for the informal recycling. The Agbogbloshie scrap market in Accra came into the limelight following the publication of the report entitled 'Poisoning the Poor' by Greenpeace International. The report gave a damning revelation about the activities of scrap dealers and recyclers at the market. It was noted from the report that surface dust samples contained high concentrations of both heavy metals and persistent organic pollutants due to the unsafe and crude means of retrieving metals and components from the WEEE. This project was therefore designed to determine the heavy metal concentration of surface dust using the EDXRF and estimate the degree of contamination of the dust samples. Surface dust samples were collected from various vicinities within the scrap yard using the methods described above.

  10. Ghana Mining Journal: Editorial Policies

    Focus and Scope. The Ghana Mining Journal (GMJ) is a publication which focuses on the exchange of ideas, dissemination of information and promotion of knowledge arising out of research pertinent to the effective and sustainable exploitation of mineral resources in Ghana and elsewhere. Original contributions in the ...

  11. Ghana Journal of Development Studies

    Ghana Journal of Development Studies (GJDS) is a multi-, trans- and an ... The Political Economy of Decentralisation and the Challenge of Improved Service Delivery ... Tax Collection in Northern Ghana during British Colonail Rule (1898 – 1950) ... District of South Africa · EMAIL FREE FULL TEXT EMAIL FREE FULL TEXT

  12. Changes in the presentation of Burkitt's lymphoma in Ghana over a 15-year period (1969-1982).

    Nkrumah, F K

    1984-01-01

    Over a 15-year period, 485 cases of Burkitt's lymphoma (BL) mainly from the southern half of Ghana, were referred to the Burkitt's Tumour Project in Accra, Ghana. From an analysis of the numbers of cases referred each year, the sites of tumour involvement, and the age and sex frequencies, it was concluded that: (i) the number of cases of BL diagnosed in Ghana has decreased progressively over the last 15 years; the number of newly diagnosed cases is now only about one half of what it was 10 years ago; (ii) the male/female ratio has remained practically unchanged over this period; (iii) there has been an overall increase in patients presenting with abdominal disease and a decrease in those presenting with facial disease. This change was particularly apparent in males, in whom the proportion of cases with abdominal disease has more than doubled; (iv) there has been a progressive increase in age at presentation for both males and females over the 15-year period. The possible implications of, and reasons for the above findings are discussed.

  13. TV white space usage in education: an overview of GTUC TV white space network in Accra, Ghana

    Louis, DK

    2016-05-01

    Full Text Available Trial: A Summary of the Technical Findings,” 2012. [8] Microsoft, “Crossing the Chasm and onto the Main Street: TV White Spaces Technology Spreads its Wings across Singapore with New Commercial Pilots,” 2013. [Online]. Available: http://news.microsoft... number of scenarios, such as city centre, rural, and machine-to-machine (M2M) connectivity. In 2013, a commercial pilot study started in Singapore [8] which considered a variety of commercial services that could be deployed using TVWS technology in a...

  14. Management of radiation dose to paediatric patients undergoing CT examination at Korle-bu Teaching Hospital, Accra-Ghana

    Gedel, A.M.

    2010-01-01

    In this work management of paediatric patients doses for Computed Tomography examinations have been studied at Korle-Bu Teaching Hospital. The assessment of the management system involved: evaluation of the frequency of examinations, comparison of techniques factors used for adult and children; estimation of CTDI w , CTDI vol , DLP and effective dose; evaluation of quality assurance and quality control programmes to optimise paediatric patient doses. The frequency of CT examinations for paediatric patients accounted for 1300 out 5200 examinations (25%) of the total examinations recorded for the year 2008 which is five times that of the East European countries, indicating an overuse of CT examinations for children not taking into account paediatric patient anatomy and the section of the body being scanned. Adult CT exposure parameters such as the KV, mAs, scan length, pitch, and collimation values were being used in paediatric CT examination. Effective dose estimated for children were higher than that for adults by factors 5.1, 1.8, 3.1 and 3.9 more for head, chest, abdomen and pelvis examinations respectively. From the questionnaire administered and dosimetry results there was no established justification policy, procedures and referral criteria for CT examination requests for children. There was no Quality Assurance Committee to see to the implementation of dose management system dedicated to paediatrics patients. There was the need for the Hospital Authorities to formulate policies in the training of CT equipment operators, radiographers and radiographers and radiologist in modern CT technology as well as in the selection of appropriate parameters tailored to individual patient size that can achieve desirable diagnostic image quality at low doses. (au)

  15. Computed Tomography (CT) radiation dose in children: A survey to propose regional diagnostic reference levels in Greater Accra-Ghana

    Addo, Patience

    2016-07-01

    The aim of this work was to assess the doses delivered to paediatric patients during computed tomography (CT) examinations of the head, chest and abdomen, and establishing regional diagnostic reference levels (RDRLs) for four age groups. The patient data, technique parameters and dose descriptors collected include: age, sex, tube voltage, tube current, rotation time, slice thickness, scan length, volume CT dose index (CTDI_v_o_l) and dose length product (DLP). Currently, paediatric CT examinations account for 11% of radiation exposure. For the paediatric age groups; < 1 year, (1-5 years), (6-10 years) and (11-15 years), the proposed RDRLs for head in terms of CTDI_v_o_l are (28, 38, 48 and 86 mGy) and in terms of DLP; (395, 487, 601, 1614 mGy cm) respectively. For Chest examinations, proposed RDRLs in terms of CTDI_v_o_l are (1 and 5 mGy) and in terms of DLP; (18 and 110 mGy cm) for age groups; < 1 year and (1-5 years) respectively. For Abdomino-pelvic examinations, proposed RDRLs in terms of CTDI_v_o_l are (3, 3 and 10 mGy) and in terms of DLP; (71, 120 and 494 mGy cm) for age groups; < 1 year, (1-5 years) and (6-10 years) respectively. For abdomen examinations, proposed RDRLs in terms of CTDI_v_o_l are (3, 5 and 5 mGy) and in terms of DLP; (83, 124 and 233 mGy cm) for age groups; < 1 year, (1-5 years) and (11-15 years) respectively. RDRLs have been proposed for CTDI_v_o_l and DLP for head, chest, abdomen and Abdomino-pelvic paediatric CT examinations in this study. An optimisation is required for 11-15 years age group for the DLP values which was higher than their corresponding international DRLs. For an effective optimization of patient protection a trade-off between image quality and patients doses studies should be investigated. (au)

  16. Report of the first session of the Working Party on Pollution and Fisheries: Accra, Ghana, 16-20 June 1986

    1987-01-01

    The Working Party reviewed reports on the state of pollution of African Inland waters and existing pollution monitoring and research programs, and made proposals for the preparation of study papers...

  17. The association of physical activity, body mass index and the blood pressure levels among urban poor youth in Accra, Ghana

    Afrifa-Anane, Ernest; Agyemang, Charles; Codjoe, Samuel Nii Ardey; Ogedegbe, Gbenga; de-Graft Aikins, Ama

    2015-01-01

    Globally, there is an increasing prevalence of high blood pressure (HBP) among adults and youth. However, the mechanisms of how the risk factors (physical inactivity and obesity) relate with blood pressure (BP) are not well known especially among the urban poor youth in low and middle income

  18. Key factors leading to reduced recruitment and retention of health professionals in remote areas of Ghana: a qualitative study and proposed policy solutions

    Dzodzomenyo Mawuli

    2011-05-01

    Full Text Available Abstract Background The ability of many countries to achieve national health goals such as the Millennium Development Goals remains hindered by inadequate and poorly distributed health personnel, including doctors. The distribution of doctors in Ghana is highly skewed, with a majority serving in two major metropolitan areas (Accra and Kumasi, and inadequate numbers in remote and rural districts. Recent policies increasing health worker salaries have reduced migration of doctors out of Ghana, but made little difference to distribution within the country. This qualitative study was undertaken to understand how practicing doctors and medical leaders in Ghana describe the key factors reducing recruitment and retention of health professionals into remote areas, and to document their proposed policy solutions. Methods In-depth interviews were carried out with 84 doctors and medical leaders, including 17 regional medical directors and deputy directors from across Ghana, and 67 doctors currently practicing in 3 regions (Greater Accra, Brong Ahafo, and Upper West; these 3 regions were chosen to represent progressively more remote distances from the capital of Accra. Results and discussion All participants felt that rural postings must have special career or monetary incentives given the loss of locum (i.e. moonlighting income, the higher workload, and professional isolation of remote assignments. Career 'death' and prolonged rural appointments were a common fear, and proposed policy solutions focused considerably on career incentives, such as guaranteed promotion or a study opportunity after some fixed term of service in a remote or hardship area. There was considerable stress placed on the need for rural doctors to have periodic contact with mentors through rural rotation of specialists, or remote learning centers, and reliable terms of appointment with fixed end-points. Also raised, but given less emphasis, were concerns about the adequacy of clinical

  19. The Potential of hybrid solar-wind electricity generation in Ghana

    Tibiru, Ayirewura Vitus

    2013-07-01

    In this work the potential of harnessing electricity from solar and wind sources in Ghana is evaluated both quantitatively and qualitatively. In this regard solar, wind and other relevant data were collected (over a period of one year) from various parts of Ghana. Detailed assessment of the capacity or potential of power production from hybrid solar-wind sources is done with the use of empirical mathematical formulae and the PRO VITUS model incorporated in the 'ENERGY X' software. The various characteristics of wind, solar and available energy resources for the five locations over a one year period have been studied too. The annual mean wind speed at a height of 10 m above ground level for five locations namely Accra, Kumasi, Takoradi, Sunyani and Tamale are 2.38 ms"-"1 ± 0.05, 2.39 ms"-"1 ± 0.05, 2.38 ms"-"1 ± 0.06, 2.18 ms"-"1 ± 0.05 and 2.47 ± ms"-"1 respectively and their corresponding annual mean solar radiations are 228.71 Wm"-"2 ± 9.81, 187.69 Wm"-"2 ± 9.60, 236.58 Wm"-"2 ± 10.39, 200.99 Wm"-"2 ± 9.88 and 231.63 Wm"-"2 . Thus, the five sites hold potential for hybrid solar-wind energy exploitation. (au)

  20. Understanding the knowledge and attitudes of commercial drivers in Ghana regarding alcohol impaired driving

    Asiamah, G; Mock, C; Blantari, J

    2002-01-01

    Objectives: The knowledge and attitudes of commercial drivers in Ghana as regards alcohol impaired driving were investigated. This was done in order to provide information that could subsequently be used to develop antidrunk driving social marketing messages built upon the intrinsic values and motivation of these drivers. Methods: Focus group discussions were held with 43 bus and minibus drivers in the capital city, Accra. A structured discussion guide was used to capture information related to values, risk perceptions, leisure time activities, and attitudes on alcohol impaired driving. Results: The majority of drivers expressed an understanding that drunk driving was a significant risk factor for crashes. There was a significant under-appreciation of the extent of the problem, however. Most believed that it was only rare, extremely intoxicated drivers who were the problem. The drivers also had a minimal understanding of the concept of blood alcohol concentration and related legal limits. Despite these factors, there was widespread support for increased enforcement of existing antidrunk driving laws. Conclusions: In Ghana, commercial drivers understand the basic danger of drunk driving and are motivated to assist in antidrunk driving measures. There are misconceptions and deficits in knowledge that need to be addressed in subsequent educational campaigns. PMID:11928975

  1. Some Important Observations on the Populations of Hooded Vultures Necrosyrtes monachus in Urban Ghana

    Francis Gbogbo

    2016-01-01

    Full Text Available Despite major declines in the population of vultures around the world, noticeable increases were reported in the populations of Hooded Vultures Necrosyrtes monachus over the past decade in Accra—an important vulture habitat in Ghana. In recent times, however, there is a growing concern that the vulture numbers are decreasing even though scientific data to support this is nonexisting. As a vital zoogeographical and conservation tool, it is important to keep an up-to-date knowledge about urban bird populations amidst rapid urbanization and associated changes. Using a combination of field data, literature review, and stakeholder consultations, it was indicative that severe decline might have indeed occurred in the populations of Hooded Vultures in Accra. Evidence suggests the killing of vultures for consumption, traditional medicine, and black magic in an undercover trade with possible transboundary connections as important underlying factor. Additional factors suspected to underlie the declines include changes in management of urban facilities and destruction of roosting and nesting trees. The implications of interspecific competition with Pied Crows Corvus albus on Hooded Vultures however remain unclear. There is an urgent need for conservation campaign and education to save the Hooded Vulture in Ghana.

  2. Medication Administration Errors in an Adult Emergency Department of a Tertiary Health Care Facility in Ghana.

    Acheampong, Franklin; Tetteh, Ashalley Raymond; Anto, Berko Panyin

    2016-12-01

    This study determined the incidence, types, clinical significance, and potential causes of medication administration errors (MAEs) at the emergency department (ED) of a tertiary health care facility in Ghana. This study used a cross-sectional nonparticipant observational technique. Study participants (nurses) were observed preparing and administering medication at the ED of a 2000-bed tertiary care hospital in Accra, Ghana. The observations were then compared with patients' medication charts, and identified errors were clarified with staff for possible causes. Of the 1332 observations made, involving 338 patients and 49 nurses, 362 had errors, representing 27.2%. However, the error rate excluding "lack of drug availability" fell to 12.8%. Without wrong time error, the error rate was 22.8%. The 2 most frequent error types were omission (n = 281, 77.6%) and wrong time (n = 58, 16%) errors. Omission error was mainly due to unavailability of medicine, 48.9% (n = 177). Although only one of the errors was potentially fatal, 26.7% were definitely clinically severe. The common themes that dominated the probable causes of MAEs were unavailability, staff factors, patient factors, prescription, and communication problems. This study gives credence to similar studies in different settings that MAEs occur frequently in the ED of hospitals. Most of the errors identified were not potentially fatal; however, preventive strategies need to be used to make life-saving processes such as drug administration in such specialized units error-free.

  3. Reforming health service delivery at district level in Ghana: the perspective of a district medical officer.

    Agyepong, I A

    1999-03-01

    Many countries in sub-Saharan Africa face the problem of organizing health service delivery in a manner that provides adequate quality and coverage of health care to their populations against a background of economic recession and limited resources. In response to these challenges, different governments, including that of Ghana, have been considering or are in the process of implementing varying degrees of reform in the health sector. This paper examines aspects of health services delivery, and trends in utilization and coverage, using routine data over time in the Dangme West district of the Greater Accra region of Ghana, from the perspective of a district health manager. Specific interventions through which health services delivery and utilization at district level could be improved are suggested. Suggestions include raising awareness among care providers and health managers that increased resource availability is only a success in so far as it leads to improvements in coverage, utilization and quality; and developing indicators of performance which assess and reward use of resources at the local level to improve coverage, utilization and quality. Also needed are more flexibility in Central Government regulations for resource allocation and use; integration of service delivery at district level with more decentralized planning to make services better responsive to local needs; changes in basic and inservice training strategies; and exploration of how the public and private sectors can effectively collaborate to achieve maximum coverage and quality of care within available resources.

  4. Ebola-related stigma in Ghana: Individual and community level determinants.

    Tenkorang, Eric Y

    2017-06-01

    Although Ebola-related stigmatization continues to undermine efforts to re-integrate survivors, few studies have examined what influences such stigmatizing attitudes. This paper explores the effects of both individual- and community-level factors on Ebola-related stigma in Ghana. Data were collected from a cross-section of 800 respondents, nested within 40 communities in the Greater Accra Region of Ghana. Multi-level modelling was employed for analysis. Both individual- and community-level factors were significant determinants of stigma. Respondents who endorsed myths about Ebola were significantly more likely to also endorse Ebola-related stigma. Similarly, those who were worried about a potential outbreak of Ebola in the future, had moderate risk perceptions of contracting Ebola, had primary and secondary education, and were not confident of the quality of health care in the event of an outbreak, were more likely to endorse Ebola-related stigma. Knowledge of Ebola was significant at the community level, but not at the individual level. Communities with more knowledge were less likely to endorse Ebola-related stigma. These findings underscore the need to increase the knowledge base while countering myths that undermine preventive behaviours to fight Ebola-related stigma. It is equally important to adopt multi-level interventions that emphasize community-based strategies. Copyright © 2017 Elsevier Ltd. All rights reserved.

  5. "I love my ECPs": challenges to bridging emergency contraceptive users to more effective contraceptive methods in Ghana.

    L'Engle, Kelly Ladin; Hinson, Laura; Chin-Quee, Dawn

    2011-07-01

    Emergency contraceptive pills (ECPs) are becoming more popular, yet little is known about the contraceptive preferences of women who take ECPs. Women purchasing ECPs were recruited from pharmacies in Accra, Ghana. A total of 24 semi-structured, qualitative interviews were conducted in May 2008. Nearly all participants preferred ECPs to other contraceptive methods. Although fear of side effects from oral contraceptive pills (OCPs), intrauterine devices and injectables were deterrents to use of those methods, side effects from ECPs were acceptable to this small and highly self-selected group of ECP users. Participants had little knowledge about how other contraceptive methods work and expressed a strong distrust and dislike of condoms. Study participants loved their ECPs, despite minor discomforts like bleeding, and most had no concerns about repeated use, though these findings may not apply to women outside Accra or women who obtain ECPs from non-pharmacy settings. Future interventions should work to dispel myths about OCPs, condoms and other modern methods, and focus on basic contraception education.

  6. Listeria abortions in sheep on the Accra plains: A case report | Osei ...

    Listeria abortions in sheep on the Accra plains: A case report. ... Fifteen (19.2 per cent) of the 78 ewes were affected. Serological tests ... L'organisme était également isolé des prélèvements vaginaux et préputiaux des moutons à Achimota et Kade, d'où les animaux de reproduction avaient transférés à Pokoase et Achimota.

  7. Counselling Needs of Pupils with Special Educational Needs and Disabilities in the Greater Accra Region of Ghana: Implications for Inclusive Education in Ghana

    Ocansey, S. K.; Gyimah, E. K.

    2016-01-01

    In this fast changing world, pupils all over the world have developed severe social and psychological needs that affect their interactions with others and subsequently, the achievement of their life goals. Essentially, the social and psychological needs of school pupils have manifested in diverse mal-adjusted behaviours that hinder their academic…

  8. Ghana energy abstracts

    Entsua-Mensah, Clement

    1994-01-01

    Ghana Energy Abstracts 1994 is the first issue of an annual publication of the Energy information Centre. The aim is to combine in one publication the country' s bibliographic output on energy so as to provide a valuable source of reference for policy makers, planners,and researchers. It covers the broad spectrum of energy including; energy conservation, energy resource management, petroleum and renewable energy resources.The documents listed comprise research reports, baseline studies,conference proceedings, periodical articles dissertations and theses. Keywords and author indexes have been provided to facilitate easy reference. (C.E.M)

  9. Inadequate housing in Ghana

    Franklin Obeng-Odoom

    2011-01-01

    Full Text Available Two themes are evident in housing research in Ghana. One involves the study of how to increase the number of dwellings to correct the overall housing deficit, and the other focuses on how to improve housing for slum dwellers. Between these two extremes, there is relatively little research on why the existing buildings are poorly maintained. This paper is based on a review of existing studies on inadequate housing. It synthesises the evidence on the possible reasons for this neglect, makes a case for better maintenance and analyses possible ways of reversing the problem of inadequate housing.

  10. The introduction of a midwife-led obstetric triage system into a regional referral hospital in Ghana.

    Floyd, Liz; Bryce, Fiona; Ramaswamy, Rohit; Olufolabi, Adeyemi; Srofenyoh, Emmanuel; Goodman, David; Pearson, Nancy; Morgan, Kerry; Tetteh, Cecilia; Ahwireng, Victoria; Owen, Medge

    2018-06-01

    to introduce and embed a midwife-led obstetric triage system in a busy labour ward in Accra, Ghana to improve the quality of care and to reduce delay. the study utilized a participatory action research design. Local staff participated in baseline data collection, the triage training course design and delivery, and post-training monitoring and evaluation. a regional referral hospital in Accra, Ghana undertaking 11,032 deliveries in 2012. all midwives and medical staff. measurements included maternal health outcomes, observations of labour ward activity, structured assessments of midwife actions during admission, waiting times, focus group discussions, and learning needs assessments which informed the course content. During training, two quality improvement tools were developed; coloured risk acuity wristbands and a one page triage assessment form. Participants measured compliance and accuracy in the use of these tools following course completion. initially, no formal triage system was in place. The environment was chaotic with poor compliance to existing protocols. Sixty-two midwives received triage training between 2013 and 2014. Two Triage Champions became responsible for triage implementation, monitoring and further training. Following training, the 'in-charge' midwives recorded a cumulative average of 83.4% of women wearing coloured wristbands. A separate audit by the Triage Champions found that 495/535 (93%) of the wristbands were correctly applied based on the diagnosis. Quarterly monitoring of the triage assessment forms by Kybele trainers, showed that 92% recorded the risk acuity colour, 85% a 'working diagnosis' and 82% a 'plan.' Median (interquartile range) waiting times were reduced from 40 (15-100) to 29 (11-60) minutes (p = 007). Twenty of 25 of the staff reported that the wristbands were helpful. an interactive triage training course led to the development of a triage assessment form and the use of coloured patient wristbands which resulted in delay

  11. Challenges in the use of the mental health information system in a resource-limited setting: lessons from Ghana.

    Kpobi, Lily; Swartz, Leslie; Ofori-Atta, Angela L

    2018-02-08

    One of the most successful modes of record-keeping and data collection is the use of health management information systems, where patient information and management plans are uniformly entered into a database to streamline the information and for ease of further patient management. For mental healthcare, a Mental Health Information System (MHIS) has been found most successful since a properly established and operational MHIS is helpful for developing equitable and appropriate mental health care systems. Until 2010, the system of keeping patient records and information in the Accra Psychiatric Hospital of Ghana was old and outdated. In light of this and other factors, a complete reforming of the mental health information systems in three psychiatric hospitals in Ghana was undertaken in 2010. Four years after its implementation, we explored user experiences with the new system, and report here the challenges that were identified with use of the new MHIS. Individual semi-structured interviews were conducted with nine clinical and administrative staff of the Accra Psychiatric Hospital to examine their experiences with the new MHIS. Participants in the study were in three categories: clinical staff, administrator, and records clerk. Participants' knowledge of the system and its use, as well as the challenges they had experienced in its use were explored using an interpretative phenomenological approach. The data suggest that optimal use of the current MHIS had faced significant implementation challenges in a number of areas. Central challenges reported by users included increased workload, poor staff involvement and training, and absence of logistic support to keep the system running. Setting up a new system does not guarantee its success. As important as it is to have a mental health information system, its usefulness is largely dependent on proper implementation and maintenance. Further, the system can facilitate policy transformation only when the place of mental

  12. Quality of Sachet Water Produced at Tarkwa, Ghana | Ndur | Ghana ...

    Ghana Mining Journal. Journal Home · ABOUT THIS JOURNAL · Advanced Search · Current Issue · Archives · Journal Home > Vol 15, No 1 (2015) >. Log in or Register to get access to full text downloads.

  13. The role of family size, employment and education of parents in the prevalence of intestinal parasitic infections in school children in Accra.

    Forson, Akua Obeng; Arthur, Isaac; Ayeh-Kumi, Patrick F

    2018-01-01

    Intestinal parasitic infections (IPIs) in school children are a public health problem in most developing countries. A cross sectional survey was conducted from May to July 2016 with school children living in overcrowded urban slums in Accra, Ghana. A simple random sample of 300 children aged 2-9 years was collected. The study used structured pre-tested questionnaire and stool tests to obtain information on epidemiological, sanitation habits, employment and education status of parents and children. Data were analysed using appropriate descriptive, univariate and multivariable logistic tools of analyses. The mean age of participants was 6.9 years and 49% were males and 51.3% were females. Giardia lamblia was found in males (10.95%) and females (7.79%). Very low prevalences for Schistosoma mansoni, Ascaris lumbricoides, Taenia species, and Entamoeba coli were detected. Whilst children from mothers (62.2%) and fathers (55.6%) with no education were often infected, a few children from fathers (22.2%) and mothers (6.7%) with no jobs were infected. Most of the infected children's (93.7%) parents did not have any knowledge of IPIs. The educational and employment status of the mothers [p = 1.0 and p = 0.422] was not significant, however, the family size was a predisposing factor (p = 0.031) for parasitic infections. Intestinal parasites were prevalent in children from overcrowded families and with no knowledge of IPIs. Educative programmes on IPIs, improving hygiene, and application of supportive programmes to elevate socioeconomic conditions may help reduce the burden of intestinal parasite carriage in children.

  14. Nankana West District of Ghana

    Agribotix GCS 077

    Local governments in Ghana play very important roles with actors in the ... Metropolitan, Municipal and District Chief Executives (MMDCEs), the .... District Budget Officer, District Finance Officer, Presiding Member, members of the Works Sub-.

  15. Rainfall erosivity map for Ghana

    Oduro Afriyie, K.

    1995-10-01

    Monthly rainfall data, spanning over a period of more than thirty years, were used to compute rainfall erosivity indices for various stations in Ghana, using the Fournier index, c, defined as p 2 /P, where p is the rainfall amount in the wettest month and P is the annual rainfall amount. Values of the rainfall erosivity indices ranged from 24.5 mm at Sunyani in the mid-portion of Ghana to 180.9 mm at Axim in the south western coastal portion. The indices were used to construct a rainfall erosivity map for the country. The map revealed that Ghana may be broadly divided into five major erosion risk zones. The middle sector of Ghana is generally in the low erosion risk zone; the northern sector is in the moderate to severe erosion risk zone, while the coastal sector is in the severe to extreme severe erosion risk zone. (author). 11 refs, 1 fig., 1 tab

  16. Adopting Internet Banking in Ghana

    G.O. Ofori-Dwumfuo; Betty A. Dankwah

    2013-01-01

    This study looks at the benefits, challenges and barriers in adopting Internet banking at a major bank in Ghana. The development of the Internet is changing the way financial services are provided in Ghana. The Internet banking facility has resulted in new ways of delivering banking services. The research is a case study based on the staffs that has worked with the bank for more than three years. In evaluating benefits, challenges and barriers to the bank in adopting Internet banking, intervi...

  17. Impact Of anthropogenic activities on the water quality of Songor Lagoon, Ada, Greater Accra Region

    Sackey, Justice

    2014-06-01

    Wetlands are vital ecosystems with important social, economic and environmental functions. The Ada Songor lagoon (located in the Dangbe East district, Greater Accra Region), is an internationally designated wetland (Ramsar site). Intense anthropogenic activities have impacted negatively on the quality of water and sediment in the lagoon. The study assessed the extent of heavy metal, pesticide residues and nutrients contamination of surface water and sediment in the Ada Songor Lagoon. The objective of the study was achieved through the determination of physico-chemical parameters [pH, temperature, electrical conductivity (EC), salinity, total dissolved solids (TDS), alkalinity, turbidity, biological oxygen demand (BOD), total hardness)]; the nutrients load (SO_4"2"- , PO_4"3"- , NO_3"- ) using UV-Visible Spectrophotometry; major ions (Na"+, K"+, Ca"2"+, HCO_3 "-); trace metals (Cd, Cr, Ni, Pb, Co, Zn, Cu, As and Hg) using Atomic Absorption Spectrometry (AAS); and pesticides residues [organochlorines (OC’s), and synthetic pyrethroids by gas chromatography-electron capture detection (GC-ECD) and organophosphorus (OP’s) by gas chromatography-pulse flame photometric detection (G C-PFPD)]. Na and K contents were determined by Flame Emission Photometry. The water temperature (25.7 to 26.6 "oC), fall in the range of 25 to 30 "oC suitable for sustainability fish and aquatic organisms. The pH range (8.18 to 9.70) which is typical of coastal waters in Ghana is ideal for aquatic organisms. The TDS range (591 to 1,046 mg/L) is not ideal for water birds spawning since it makes it harder for them to find food. BOD ranges from 1.19 to 5.35 mg/L. The pattern of ionic dominance in the lagoon during the present study was K"+ > Na"+ > Ca"2"+ > Mg"2"+. The cationic dominance pattern was similar to that of seawater as observed by other works. Nitrate levels ranges from 0.83 to 0.92 mg/L. PO_4"3"- in this study varied from 0.05 to 2.92 mg/L which exceeds the levels in most natural

  18. Measuring coverage in MNCH: validating women's self-report of emergency cesarean sections in Ghana and the Dominican Republic.

    Ozge Tunçalp

    Full Text Available BACKGROUND: Cesarean section is the only surgery for which we have nearly global population-based data. However, few surveys provide additional data related to cesarean sections. Given weaknesses in many health information systems, health planners in developing countries will likely rely on nationally representative surveys for the foreseeable future. The objective is to validate self-reported data on the emergency status of cesarean sections among women delivering in teaching hospitals in the capitals of two contrasting countries: Accra, Ghana and Santo Domingo, Dominican Republic (DR. METHODS AND FINDINGS: This study compares hospital-based data, considered the reference standard, against women's self-report for two definitions of emergency cesarean section based on the timing of the decision to operate and the timing of the cesarean section relative to onset of labor. Hospital data were abstracted from individual medical records, and hospital discharge interviews were conducted with women who had undergone cesarean section in two hospitals. The study assessed sensitivity, specificity, and positive predictive value of responses to questions regarding emergency versus non-emergency cesarean section and estimated the percent of emergency cesarean sections that would be obtained from a survey, given the observed prevalence, sensitivity, and specificity from this study. Hospital data were matched with exit interviews for 659 women delivered via cesarean section for Ghana and 1,531 for the Dominican Republic. In Ghana and the Dominican Republic, sensitivity and specificity for emergency cesarean section defined by decision time were 79% and 82%, and 50% and 80%, respectively. The validity of emergency cesarean defined by operation time showed less favorable results than decision time in Ghana and slightly more favorable results in the Dominican Republic. CONCLUSIONS: Questions used in this study to identify emergency cesarean section are promising

  19. Archives: Journal of Science and Technology (Ghana)

    Items 1 - 38 of 38 ... Archives: Journal of Science and Technology (Ghana). Journal Home > Archives: Journal of Science and Technology (Ghana). Log in or Register to get access to full text downloads.

  20. Profiling of some amoxicillin drugs in Ghana using Nuclear Magnetic Resonance Spectroscopy

    Aboagye, Mary Esi

    2016-07-01

    The prevalence of counterfeit drugs is seen as a problem faced in both developed and developing countries where Ghana is not an exception. Antibiotics are amongst the most counterfeit drugs in developing countries. What is less understood is that there are inadequate and ineffective quality control procedures in monitoring of drugs manufactured and imported into the country. This research work is aimed at contributing towards the development of routine analytical procedures that will facilitate distinguishing between fake and genuine amoxicillin drugs. This was accomplished by elaborating operating procedures for the analysis of specific antibiotic drug using nuclear magnetic resonance (NMR) spectroscopy and establishing the NMR profile of active principal ingredient (API) of amoxicillin drug and assessing the API in samples of amoxicillin drug purchased in Accra. Three brands of amoxicillin samples consisting of imported amoxicillin, National Health Insurance Scheme (NHIS) amoxicillin were purchased from a licensed pharmacy shop in Accra and amoxicillin purchased from Okaishie market were used for analysis. Standard amoxicillin known as amoxicillin trihydrate obtained from Ernest Chemist in Accra was also used analysed. The authenticity of the drugs was analysed using 1H and C-13 nuclear magnetic resonance spectroscopy. Upon analysis H-NMR and C-13 NMR profiles were obtained for the API (Amoxicillin Trihydrate) in amoxicillin. H NMR showed relatively higher sensitivities for the drug than C-13 NMR therefore analysis for the antibiotics was focused on H-NMR. After analysis amoxicillin trihydrate was identified as the API. A procedure suitable for NMR sample preparation of amoxicillin for NMR analysis was elaborated. Dimethyl sulfoxide was identified as a suitable solvent for the experiments. The samples were prepared by dissolving suitable quantities (10mg) of the drug in (1ml) of the chosen solvent. H-NMR technique was used to provide an NMR profile for the Active

  1. Ghana | IDRC - International Development Research Centre

    Our funds sponsored Ghana Health Service research to improve the country's ... Major reforms extended health care to the aged, the poor, and children under 18. ... Researchers in Ghana found innovative ways to use information technology to ... enhance the quality of climate change science at the University of Ghana ...

  2. Journal of the Ghana Science Association

    The Journal of the Ghana Science Association publishes scholarly articles in all disciplines of science and technology and will normally be published three times in a year. Articles are accepted from Ghana and elsewhere and the topic need not be related to Ghana or West Africa. The contents of the issues focus primarily on ...

  3. Multilingualism and language attitudes in Ghana: a preliminary survey

    Federica Guerini

    2008-12-01

    Full Text Available Il presente contributo illustra i risultati di un’indagine preliminare volta ad indagare gli atteggiamenti linguistici degli studenti che frequentano la University of Ghana di Accra, in relazione alle lingue utilizzate (o potenzialmente utilizzabili all’interno del locale sistema scolastico. Una particolare attenzione sarà riservata alla rilevazione degli atteggiamenti nei confronti dell’akan, la lingua più importante (per numero di parlanti e grado di elaborazione raggiunto tra quelle parlate in territorio ghanese. Attraverso l’osservazione dei dati contenuti in un campione di 90 questionari somministrati agli studenti in forma anonima, si cercherà di descrivere gli atteggiamenti degli studenti stessi nei riguardi dell’introduzione dell’akan come lingua di insegnamento nei diversi gradi del locale sistema scolastico, nonché gli atteggiamenti in relazione alla possibilità di discutere, servendosi dell’akan, una serie di argomenti tecnici e specialistici. L’analisi dei dati raccolti rivelerà che l’eventuale impiego dell’akan come lingua di insegnamento nell’ambito del locale sistema scolastico sarebbe avversato non soltanto dagli studenti in possesso di un certo grado di competenza dell’akan come lingua seconda o come lingua veicolare, ma anche dagli stessi studenti che riconoscono nell’akan la propria lingua materna. La capacità di discutere in lingua inglese un ampio ventaglio di discipline tecniche e specialistiche può dunque essere considerata la competenza in generale più ambita ed apprezzata tra quelle offerte dal locale sistema educativo.

  4. Medicinal plants used to treat TB in Ghana.

    Nguta, Joseph Mwanzia; Appiah-Opong, Regina; Nyarko, Alexander K; Yeboah-Manu, Dorothy; Addo, Phyllis G A

    2015-06-01

    The current study was designed to document medicinal plant species that are traditionally used to treat tuberculosis (TB) by Ghanaian communities. The medicinal plants used against TB or its signs and symptoms were selected using library and online published data searches. A guided questionnaire interview was also conducted with a botanist involved in plant collection at the Centre for Scientific Research into Plant Medicine (CSRPM) at Mampong. Data obtained were entered in Excel and summarized into means and frequencies using SPSS 12.0.1 for windows, and expressed as tables and bar graphs. A total of 15 medicinal plant species distributed between 13 genera and 13 families were documented. The following medicinal plant species were found to be used against TB in Greater Accra and Eastern parts of Ghana: Azadirachta indica A. Juss. Stem bark (Meliaceae), Hygrophila auriculata Heine, whole plant (Acanthaceae), Chenopodium ambrosioides L. leaves (Amaranthaceae), Coix lacryma-jobi L. glumes (Poaceae), Solanum torvum Sw. unripe fruits (Solanaceae), Solanum torvum Sw. leaves (Solanaceae), Bidens pilosa L. whole plant (Asteraceae), Phyllanthus fraternus G.L. Webster leaves (Phyllanthaceae), Dissotis rotundifolia (Sm.) Triana, leaves (Melastomataceae), Cymbopogon giganteus Chiov. Leaves (Poaceae), Cyperus articulatus L. roots (Cyperaceae), Allium sativum L. bulb (Amaryllidaceae), Zingiber officinale Roscoe, rhizomes (Zingiberaceae), Allium cepa L. bulbs (Amaryllidaceae), Allium cepa L. leaves (Amaryllidaceae), Aloe vera var. barbadensis aqueous extract from leaves (Xanthorrhoeaceae), Aloe vera var. barbadensis organic extract from leaves (Xanthorrhoeaceae), Cocos nucifera Linn, water (Arecaceae) and Cocos nucifera Linn. Husk (Arecaceae). The collected plant species could be a source of a new class of drugs against TB. Bioactivity guided fractionation is recommended to identify lead compounds for antimycobacterial activity. The current paper documents for the first time

  5. Coastal erosion management in Accra: Combining local knowledge and empirical research

    Kwasi Appeaning Addo

    2016-11-01

    Full Text Available Coastal erosion along the Accra coast has become a chronic phenomenon that threatens both life and property. The issue has assumed a centre stage of national debate in recent times because of its impact on the coastal communities. Lack of reliable geospatial data hinders effective scientific investigations into the changing trends in the shoreline position. However, knowledge about coastal erosion, by the local people, and how far the shoreline has migrated inland over time is high in the coastal communities in Accra. This opens a new chapter in coastal erosion research to include local knowledge of the local settlers in developing sustainable coastal management. This article adopted a scientific approach to estimate rate of erosion and tested the results against perceived erosion trend by the local settlers. The study used a 1974 digital topographic map and 1996 aerial photographs. The end point rate statistical method in DSAS was used to compute the rates of change. The short-term rate of change for the 22-year period under study was estimated as -0.91 m/annum ± 0.49 m/annum. It was revealed that about 79% of the shoreline is eroding, while the remaining 21% is either stabilised or accreting. It emerged, from semi-structured interviews with inhabitants in the Accra coastal communities, that an average of about 30 m of coastal lands are perceived to have been lost to erosion for a period of about 20 years. This translates to a historic rate of change of about 1.5 m/year, which corroborates the results of the scientific study. Again this study has established that the local knowledge of the inhabitants, about coastal erosion, can serve as reliable information under scarcity of scientific data for coastal erosion analyses in developing countries.

  6. Urban development, and emerging relations of informal property and land based authority in Accra

    Stacey, Paul Austin

    2018-01-01

    Rural–urban migration leads to ever increasing numbers of Africans living in informal settlements. In Accra's largest informal settlement, Old Fadama, residents by definition have no statutory rights to the land and their building activities undermine formal state law and state-recognized customary......, building and development in the settlement that involve a variety of local, national and global actors. Their actions show the contemporaneous making and unmaking of different relations of property and land-based control and authority in the densely populated urban site. Important features of urban...

  7. Table of Contents | Editor | Ghana Journal of Linguistics

    2016. Editorial Committee: Ọbádélé Kambon (Editor-in-Chief; University of Ghana). E. Kweku Osam (Consulting Editor; University of Ghana). Gordon S. Adika (University of Ghana). Nana Aba A. Amfo (University of Ghana). Jemima A. Anderson (University of Ghana). Charles O. Marfo (Kwame Nkrumah University of Science ...

  8. Culture and the environment in Ghana

    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.

  9. Cardiothoracic surgical experience in Ghana.

    Tettey, Mark; Tamatey, Martin; Edwin, Frank

    2016-10-01

    Ghana is one of the few low-to-middle-income countries in sub-Saharan Africa able to consistently sustain a cardiothoracic program with locally trained staff for more than two decades. Cardiothoracic surgery practice in Ghana started in 1964 but faltered from a combination of political and the economic problems. In 1989, Dr. Kwabena Frimpong-Boateng, a Ghanaian cardiothoracic surgeon trained in Hannover, rekindled interest in cardiothoracic surgery and in establishing a National Cardiothoracic Centre. His vision and leadership has brought cardiothoracic surgery practice in Ghana to its current high level. As a result, the medical landscape of what is achievable locally in both pediatric and adult patients has changed substantially: outbound medical travel that used to be common among Ghanaian cardiovascular patients has been reduced drastically. Ghana's National Cardiothoracic Center (NCTC), the only tertiary center in the country for cardiothoracic surgical pathology manages all such patients that were previously referred abroad. The NCTC has become a medical/surgical hub in the West African sub-region providing service, training, and research opportunities to neighboring countries. The Centre is accredited by the West African College of Surgeons as a center of excellence for training specialists in cardiothoracic surgery. Expectedly, practicing cardiothoracic surgery in such a resource-poor setting has peculiar challenges. This review focuses on the history, practice, successes, and challenges of cardiovascular and thoracic surgery in Ghana.

  10. Serum magnesium and calcium in preeclampsia: a comparative study at the Korle-Bu Teaching Hospital, Ghana

    Owusu Darkwa E

    2017-08-01

    Full Text Available Ebenezer Owusu Darkwa,1 Charles Antwi-Boasiako,2 Robert Djagbletey,1 Christian Owoo,1 Samuel Obed,3,† Daniel Sottie4 1Department of Anaesthesia, University of Ghana School of Medicine and Dentistry, 2Department of Physiology, University of Ghana School of Biomedical and Allied Health Sciences, 3Department of Obstetrics and Gynaecology, University of Ghana School of Medicine and Dentistry, College of Health Sciences, 4Department of Anaesthesia, Korle-Bu Teaching Hospital, Accra, Ghana †Samuel Obed passed away on May 12, 2017 Background: A large percentage (16% of maternal mortality in developed countries, compared to 9% in developing countries, is due to hypertensive disorders in pregnancy. The etiology of preeclampsia remains unknown, with poorly understood pathophysiology. Magnesium and calcium play an important role in vascular smooth muscle function and therefore a possible role in the development of preeclampsia.Aim: We aimed to compare serum magnesium and total calcium levels of preeclamptic and normal pregnant women at the Korle-Bu Teaching Hospital in Ghana.Patients and methods: A comparative cross-sectional study involving 30 normal pregnant and 30 preeclamptic women with >30 weeks gestation and aged 18–35 years, was conducted at the Korle-Bu Teaching Hospital. Magnesium and calcium were determined using a flame atomic absorption spectrometer.Results: Mean serum magnesium and total calcium levels in preeclamptic women were 0.70±0.15 and 2.13±0.30 mmol/L, respectively. Mean serum magnesium and total calcium levels in normal pregnant women were 0.76±0.14 and 2.13±0.35 mmol/L, respectively. There was a statistically nonsignificant difference in serum magnesium and total calcium in preeclamptic women compared to normal pregnant women, with p-values of 0.092 and 0.972, respectively.Conclusion: Serum magnesium and total calcium, therefore, seem not to differ in preeclamptic women compared to normal pregnant women in Ghana

  11. Informal processing of electronic waste at Agbogbloshie, Ghana: workers' knowledge about associated health hazards and alternative livelihoods.

    Yu, Emily A; Akormedi, Matthew; Asampong, Emmanuel; Meyer, Christian G; Fobil, Julius N

    2017-12-01

    This study was conducted to investigate the electronic waste workers' knowledge about the potential health hazards associated with their work as well as the livelihood alternatives that they would prefer if they were given the opportunity. A qualitative cross-sectional study was conducted to gather empirical information on e-waste workers' knowledge about the potential hazards associated with their work and the livelihood alternatives to e-waste recycling with a sample consisting of twenty all-male electronic waste workers at the Agbogbloshie scrap metal yard in Accra, Ghana. Electronic waste workers at Agbogbloshie were found to be exposed to a variety of injuries and illnesses. The workers' knowledge of the association between their health status and their work was generally poor. Apart from the physical injuries, they did not believe their work played any negative role in their health conditions. They preferred occupations such as farming or professional driving located in the northern region of Ghana to be closer to their families. The study concludes that the low knowledge level of the workers on the hazards that are associated with their work has implications for them accepting technologies to protect them and the natural environment from contamination. It is therefore imperative for any intervention to consider the current low level of knowledge and actively educate the workers to raise their awareness level, taking into account the provision of opportunities for workers to acquire applicable skills for future employment in other fields.

  12. Outcomes of a Postexposure Prophylaxis Program at the Korle-Bu Teaching Hospital in Ghana: A Retrospective Cohort Study.

    Tetteh, Raymond A; Nartey, Edmund T; Lartey, Margaret; Mantel-Teeuwisse, Aukje K; Leufkens, Hubert G M; Nortey, Priscilla A; Dodoo, Alexander N O

    2015-01-01

    The risk for occupational exposure to HIV is a serious public health problem that is well characterized in the developed world, but less so in the developing countries such as Ghana. This study was undertaken to examine the characteristics of occupational exposure to HIV and the utilization of a risk assessment system (RAS)-based postexposure prophylaxis (PEP) among health care workers (HCWs) and health care students (HCSs) in the Korle-Bu Teaching Hospital (KBTH). During the study period (January 2005-December 2010), a total of 260 and 35 exposures were reported by HCWs and HCSs, respectively. Ward attendants reported the highest incidence rate of 6.46 of 100 person-years (P-Y). The incidence of high-risk exposures was 0.33 of 100 P-Y (n = 65); 60.0% occurred during a procedure of disposing of a needle and 24.6% during a cannula insertion. A total of 289 of the 295 individuals were administered PEP, of which 181 (62.6%) completed the 6-month follow-up testing schedule and none sero-converted. This shows that with a good RAS in place, it is possible to deploy an effective PEP program in a typical African teaching hospital like the KBTH in Accra, Ghana. © The Author(s) 2013.

  13. IAEA Mission Sees High Commitment to Safety at Ghana's Research Reactor After HEU to LEU Fuel Conversion

    2018-01-01

    An International Atomic Energy Agency (IAEA) team of experts said the operator of Ghana’s research reactor has demonstrated a high commitment to safety following the conversion of the reactor core to use low enriched uranium (LEU) as fuel instead of high enriched uranium (HEU). The team also made recommendations for further safety enhancements. The Integrated Safety Assessment for Research Reactors (INSARR) team concluded a five-day mission today to assess the safety of the GHARR-1 research reactor, originally commissioned in 1994. The 30 kW reactor, operated by the Ghana Atomic Energy Commission (GAEC) at the National Nuclear Research Institute in the capital Accra, is used primarily for trace element analysis for industrial or agricultural purposes, research, education and training. In 2017, the reactor core was converted in a joint effort by Ghana, the United States and China, with assistance from the IAEA. The IAEA supported the operation to eliminate proliferation risks associated with HEU, while maintaining important scientific research. The team made recommendations for improvements to the GAEC, including: • Completing the revision of reactor safety and operating documents to reflect the results of the commissioning of the reactor after the core fuel conversion. • Enhancing the training and qualification programme for operating personnel. • Improving the capability for monitoring operational safety parameters under all conditions. • Strengthening radiation protection by establishing an effective radiation monitoring of workplace. The GAEC said it will request a follow-up INSARR mission by 2020.

  14. The Creation of Districts and Constituencies in Ghana: Some ...

    The Regions of Ghana. Ghana is presently divided into ten political regions which are subdivided ..... errors to which attention was drawn (Ghana 1972b:) ... national interest has been the driving force behind the creation of districts some of ...

  15. Predictors of Contraceptive use Among Female Adolescents in Ghana

    Predictors of Contraceptive use Among Female Adolescents in Ghana. ... contraceptive use amongst adolescent girls in Ghana using the 2008 Ghana Demographic and Health Survey (GDHS). ... (Afr J Reprod Health 2014; 18[1]: 102-109).

  16. Nuclear medicine in Ghana

    Affram, R.K.; Kyere, K.; Amuasi, J.

    1991-01-01

    The background to the introduction and application of radioisotopes in medicine culminating in the establishment of the nuclear Medicine Unit at the Korle Bu Teaching Hospital, Ghana, has been examined. The Unit has been involved in important clinical researches since early 1970s but routine application in patient management has not always been possible because of cost per test and lack of continuous availability of convertible currency for the purchase of radioisotopes which are not presently produced by the National Nuclear Research Institute at Kwabenya. The capabilities and potentials of the Unit are highlighted and a comparison of Nuclear Medicine techniques to other medical diagnostic and imaging methods have been made. There is no organised instruction in the principles of medical imaging and diagnostic methods at both undergraduate and postgraduate levels in Korle Bu Teaching Hospital which has not promoted the use of Nuclear Medicine techniques. The development of a comprehensive medical diagnostic and imaging services is urgently needed. (author). 18 refs., 3 tabs

  17. Problems of Frafra potato production in Ghana | Tetteh | Ghana ...

    A survey of the production of Frafra potato (Solenostemum rotundifolius Poir) in Ghana was conducted to collect baseline data on the crop and to identify constraints to production. In all, 100 farmers who were randomly selected from 16 villages and towns in five districts in the Upper East Region and Upper West Region ...

  18. Mental health research in Ghana: A literature review | Read | Ghana ...

    Context/Background: Mental health is a neglected area in health care in Ghana. With few clinicians and trained researchers in the field, research has been limited both in quantity and quality. Method: A search of the available literature revealed 98 articles published between 1955 and 2009. Sixty-six are reviewed in this ...

  19. Quality of Sachet Water Produced at Tarkwa, Ghana | Ndur | Ghana ...

    Cholera outbreak in some cities and towns in Ghana in early 2011 necessitated a sachet water quality study in Tarkwa to determine their wholesomeness. The study was conducted in four phases in August 2011, December 2011, August 2012 and December, 2013. Most of the physico-chemical parameters analysed were ...

  20. Breast cancer in Kumasi, Ghana | Adjei | Ghana Medical Journal

    Background: Breast cancer is the leading cause of cancer deaths in Ghanaian women. Objective: To describes the characteristics of breast cancer patients attending the Komfo Anokye Teaching Hospital in Kumasi, Ghana. Method: The study was conducted at the Komfo Anokye Teaching Hospital. Between July 1st 2004 ...

  1. Towards a culture of maps appreciation in Ghana | Kofie | Ghana ...

    Ghana Journal of Geography. Journal Home · ABOUT THIS JOURNAL · Advanced Search · Current Issue · Archives · Journal Home > Vol 5 (2013) >. Log in or Register to get access to full text downloads. Username, Password, Remember me, or Register · Download this PDF file. The PDF file you selected should load here ...

  2. Insect succession on three coffee types in Ghana | Padi | Ghana ...

    Insect succession on three coffee types in Ghana. B Padi, E Ampomah. Abstract. No Abstract. Full Text: EMAIL FULL TEXT EMAIL FULL TEXT · DOWNLOAD FULL TEXT DOWNLOAD FULL TEXT · AJOL African Journals Online. HOW TO USE AJOL... for Researchers · for Librarians · for Authors · FAQ's · More about AJOL ...

  3. Radiation Preservation of fresh pork from semi-intensive and intensive pig production systems. A case study in the Greater Accra Region

    Amoakoaa, T. L

    2011-07-01

    The Ministry of Food and Agriculture estimates that about 40,000 Ghanaians suffer from several food borne diseases yearly and this poses a great drain on the economy. Meat contains 75% water and is a good substrate for organisms to grow. There are many food microorganisms and parasites associated with pigs, making it practically impossible to be used by many as a main source of protein even though it contains a lot of nutrients and less harmful fat. There is also the problem of recontamination of pork after packaging. Irradiation of food is one method of food preservation that can reduce microbial and parasitic load, prevent recontamination of food and increase its shelf life. The main objective of this study was to use radiation to make pork from semi-intensive and intensive pig production systems safe for human consumption and extend its shelf life. Questionnaires were administrate to 20 farmers and 10 pork samples were collected from 10 different locations within the Greater Accra Region, for both pig production systems. One location in each pig production systems with the least microbial count was selected for pork sampling for irradiation and shelf life studies. The pork samples were irradiated with irradiation doses of 0, 1.5 and 3kGy and stored at 4°C for 28 days. Statistical tools used were Microsoft Excel and Stat Graphics. Means were separated using tukey test and Duncan's Multiple Range Test. The study observed that most farmers did not have any measures in place to control microbial contamination. However the total mean count of total aerobic mesophillic bacteria and the coliform for pork samples from differentiated locations within Greater Accra in both pig production systems were 4.958 ± 0.90 log 10 cfu/g and ranged from 2.9 to 6.0 and 3.277 ± 1.066 log 10 cfu/g which ranged from 2.0 to 5.67 respectively. Results from the pooled means of total aerobic mesophilic bacteria and total coliform count indicated that a combination treatment of irradiation

  4. Ghana integrated to the world economy : focus on Ghana-UK-Germany trade linkage model

    Sarpong, Daniel Bruce

    1998-01-01

    In this study of Ghana integrated to the world economy, we focus primarily on Ghana-UK-Germany trade axis partly because of Ghana?s relative dependence on the EU for her international trade. The study employs ?representative? country macroeconometric models of these economies, using data over 1970-1991, including bilateral trade links among them and with the USA and Japan, to quantitatively analyze and draw policy inference of the international transmission mechanism of macroeconomic disturba...

  5. Toward universal electrification in Ghana

    Kemausuor, Francis; Ackom, Emmanuel

    2017-01-01

    sector in Ghana, negatively impacting all sectors of the economy and leading to economic losses. The low generation capacity is partly due to poor fuel supply to existing thermal power plants, meaning that installed capacity is often not available for use. This is coupled with low investment...

  6. Time and Change in Ghana

    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.…

  7. Exploring factors influencing health-seeking decisions and retention in childhood cancer treatment programmes: perspectives of parents in Ghana.

    Renner, Lorna Awo; McGill, Deborah

    2016-09-01

    Developing countries such as Ghana have very poor childhood cancer survival rates. There is a need to determine reasons for late presentation and treatment abandonment which are major causes of poor survival. Understanding these issues could inform effective strategies for childhood cancer control in resource-constrained settings. To explore factors influencing parental decision-making for children with cancer in Ghana with regard to health seeking and retention in treatment, in order to provide information that will guide Public Health interventions for childhood cancer control. This exploratory qualitative study was conducted based on an interpretative epistemology using a social constructionist approach. Purposive sampling of parents attending the Paediatric Oncology Unit, Korle Bu Teaching Hospital in Accra, Ghana was undertaken. Twelve semi-structured moderate interviews and two small focus group discussions with a total of seven participants were undertaken. Data analysis was through thematic content analysis. Five major themes emerged. Knowledge and perceptions revealed a total lack of appropriate knowledge prior to diagnosis. Health-seeking behaviour was determined by interplay of individual and environmental factors. Orthodox medical treatment was largely perceived favourably. The impact of cancer on parents and children included psychological, physical and socioeconomic effects. Financial, spiritual and psychosocial support helped in coping. Parents recommended public education and health financing to address the major barriers. Broad social determinants and experiences influence parental decision making for children with cancer. This implies Health Promotion strategies with multi-sectorial involvement will be required for effective implementation of the National Strategy for Cancer Control. Funded by authors.

  8. Women's health status in urban Ghana: dimensions and differentials using short form 36.

    Frempong-Ainguah, Faustina; Bailey, Claire E; Hill, Allan G

    2018-04-24

    Global discourse on population, health and development have placed women's health issues at the top of development agenda. Women's reproductive health has received some attention in Ghana since the mid-1990s. However, studies on women's general health status, dimensions and the differentials in a rapidly growing urban setting is poorly understood and under-researched. This study sought to examine the various pathways in which individual socio-demographic factors, economic characteristics and endowment influence self-assessed health status among women living in the city of Accra, Ghana. The paper draws on a cross-sectional study carried out in 2008 and 2009 using a representative sample of urban women 20 years and older (n = 2814). Multivariate stepwise linear regression models were performed to investigate the influence of socio-demographic, economic and health indicators on health-related quality of life, measured by eight sub-scales of the Short Form-36 (SF-36). Interaction effects between some demographic and socio-economic variables were also performed. The analyses show diverse relationships between demographic, socio-economic and health indicators and health outcomes assessed using eight SF-36 sub-scales. Education, disease symptoms and age of the respondent were the most significant factors influencing good overall health status. Interestingly, age has no significant effect on mental health after controlling for all other explanatory variables. The findings show that health issues are multi-faceted requiring socio-cultural, health and economic policy interventions. Investing in women's education is important to improve health status. There is also the need for more effective collaboration across various sectors to improve the health and well-being of women in general. Ageing has increasing relationship with poor physical health status and the elderly should be given needed attention and support.

  9. Antibodies reactive to Plasmodium falciparum serine repeat antigen in children with Burkitt lymphoma from Ghana.

    Guech-Ongey, Mercy; Yagi, Masanori; Palacpac, Nirianne Marie Q; Emmanuel, Benjamin; Talisuna, Ambrose O; Bhatia, Kishor; Stefan, D Cristina; Biggar, Robert J; Nkrumah, Francis; Neequaye, Janet; Tougan, Takahiro; Horii, Toshihiro; Mbulaiteye, Sam M

    2012-04-15

    The role of protective immunity to Plasmodium falciparum (Pf) malaria in Burkitt lymphoma (BL) is unknown. We investigated the association between BL and antibodies reactive to SE36 antigen, a recombinant protein based on P. falciparum serine repeat antigen 5 gene, targeted by protective malaria immune responses. Cases were children (0-14 years) enrolled at the Korle-Bu Teaching Hospital, Accra, Ghana, during 1965-1994 with BL confirmed by histology or cytology (92% of cases). Controls were apparently healthy children enrolled contemporaneous to the cases from the nearest neighbor house to the case house and were age,- sex-frequency-matched to the cases. Anti-SE36 IgG antibodies were measured using enzyme-linked absorbent immunoassays (ELISAs). SE36 titers were estimated by extrapolating ELISA optical density readings to a standard fitting curve. Anti-SE36 titers were log-transformed for analysis. Odds ratios (ORs) and two-sided 95% confidence intervals (95% CIs) were estimated using unconditional logistic regression. The mean log endpoint dilution titers were 0.63 logs lower in cases than in controls (8.26 [SD 1.68] vs. 8.89 [SD 1.75], Student's t-test, p = 0.019). Lower titers were observed in cases than controls aged 0-4 years (p = 0.05) and in those aged 5-14 years (p = 0.06). Low and medium tertiles of anti-SE36 IgG antibodies were associated with increased OR for BL ([OR 1.67, 95% CI 1.21-2.31] and [OR 1.33, 95% CI 0.96-1.86], respectively, p(trend) = 0.002) in analyses adjusting for age, sex, calendar period and test plate. Our findings suggest that compared to similarly aged children enrolled from the same community, children with BL in Ghana have lower antibodies to SE36 antigen. Copyright © 2011 UICC.

  10. Educational status and beliefs regarding non-communicable diseases among children in Ghana.

    Badasu, Delali M; Abuosi, Aaron A; Adzei, Francis A; Anarfi, John K; Yawson, Alfred E; Atobrah, Deborah A

    2018-03-05

    Increasing prevalence of non-communicable diseases (NCDs) has been observed in Ghana as in other developing countries. Past research focused on NCDs among adults. Recent researches, however, provide evidence on NCDs among children in many countries, including Ghana. Beliefs about the cause of NCDs among children may be determined by the socioeconomic status of parents and care givers. This paper examines the relationship between educational status of parents and/or care givers of children with NCDs on admission and their beliefs regarding NCDs among children. A total of 225 parents and/or care givers of children with NCDS hospitalized in seven hospitals in three regions (Greater Accra, Ashanti and Volta) were selected for the study. Statistical techniques, including the chi-square and multinomial logistic regression, were used for the data analysis. Educational status is a predictor of care giver's belief about whether enemies can cause NCDs among children or not. This is the only belief with which all the educational categories have significant relationship. Also, post-secondary/polytechnic (p-value =0.029) and university (p-value = 0.009) levels of education are both predictors of care givers being undecided about the belief that NCDs among children can be caused by enemies, when background characteristics are controlled for. Significant relationship is found between only some educational categories regarding the other types of beliefs and NCDs among children. For example, those with Middle/Juniour Secondary School (JSS)/Juniour High School (JHS) education are significantly undecided about the belief that the sin of parents can cause NCDs among children. Education is more of a predictor of the belief that enemies can cause NCDs among children than the other types of beliefs. Some categories of ethnicity, residential status and age have significant relationship with the beliefs when background characteristics of the parents and/or care givers were controlled

  11. Evaluation of Landfill Cover Design Options for Waste Disposal Sites in the Coastal Regions of Ghana

    Kodwo Beedu Keelson

    2015-01-01

    Full Text Available Uncontrolled leachate generation from operational and closed waste disposal sites is a major environmental concern in the coastal regions of Ghana which have abundant surface water and groundwater resources. The Ghana Landfill Guidelines requires the provision of a final cover or capping system as part of a final closure plan for waste disposal sites in the country as a means of minimizing the harmful environmental effects of these emissions. However, this technical manual does not provide explicit guidance on the material types or configuration for landfill covers that would be suitable for the different climatic conditions in the country. Four landfill cover options which are based on the USEPA RCRA-type and evapotranspirative landfill cover design specifications were evaluated with the aid of the HELP computer program to determine their suitability for waste disposal sites located in the Western, Central and Greater Accra regions. The RCRA Subtitle C cover which yielded flux rates of less than 0.001 mm/yr was found to be suitable for the specific climatic conditions. The RCRA Subtitle D cover was determined to be unsuitable due to the production of very large flux rates in excess of 200 mm/yr. The results for the anisotropic barrier and capillary barrier covers were inconclusive. Recommendations for further study include a longer simulation period as well the study of the combined effects of different topsoil vegetative conditions and evaporative zone depths on the landfill water balance. The use of other water balance models such as EPIC, HYDRUS-2D and UNSAT-H for the evaluation of the evapotranspirative landfill cover design options should also be considered.

  12. Dysmenorrhea Management and Coping among Students in Ghana: A Qualitative Exploration.

    Aziato, Lydia; Dedey, Florence; Clegg-Lamptey, Joe Nat A

    2015-06-01

    The study sought to gain an in-depth understanding of primary dysmenorrhea management and coping strategies for dysmenorrhea among adolescents and young adults who were in school. The study adopted a qualitative exploratory approach using a descriptive phenomenology to explore the phenomenon of interest. The study was conducted in two educational institutions in Accra, Ghana: a Senior High School (SHS) and a University. Sixteen participants were purposively recruited (8 SHS and 8 University students) through snowball sampling. Individual interviews were conducted in English, audio-taped, transcribed and analysed using content analysis procedures. Informed consent was obtained from all participants and rigor was ensured through prolonged engagement and member checking. Participants employed both pharmacologic (orthodox and herbal) and nonpharmacologic approaches such as warm compress, exercise, and water and diet therapy for their dysmenorrhea. Students' dysmenorrhea was managed at the school clinic and the hospital. Health professionals demonstrated negative attitudes towards dysmenorrhea management. Students coped with dysmenorrhea by planning activities before the onset of pain, receiving social and spiritual support, and developing a mind-set to bear pain. Individualized approaches should be employed to enhance dysmenorrhea management. Health professionals should be educated on dysmenorrhea to improve their attitude and skills for dysmenorrhea management. Copyright © 2015 North American Society for Pediatric and Adolescent Gynecology. Published by Elsevier Inc. All rights reserved.

  13. DETERMINATION OF SPATIAL INTEGRATION AND SUBSTITUTION OF FOREIGN RICE FOR LOCAL RICE IN GHANA

    Philip Kofi ADOM

    2014-11-01

    Full Text Available This study tested for spatial integration in the rice market and the substitution of imported rice for local rice in Ghana. It is established that the markets for domestic imported rice are well-integrated, but not complete. The imperfect spatial integration of domestic foreign rice markets implies that the market provides opportunities for arbitrage. Price leadership roles are found to be determined by the kind of sub-inter-regional-trade network defined. However, in all, the Accra market emerged as a dominant market leader in the domestic foreign rice market. There is evidence of significant regional substitution of foreign rice for local rice in the long run, but the result is mixed in the short run. The result that local rice is not a perfect substitute for imported rice implies that price disincentive measures such as increasing the import tariffs on foreign rice will only produce a mild effect on increasing the producer price faced by local rice farmers, but aggravate the burden on households’ budget.

  14. Relative Susceptibilities of ABO Blood Groups to Plasmodium falciparum Malaria in Ghana.

    Afoakwah, Richmond; Aubyn, Edmond; Prah, James; Nwaefuna, Ekene Kwabena; Boampong, Johnson N

    2016-01-01

    The clinical outcome of falciparum malaria in endemic areas is influenced by erythrocyte polymorphisms including the ABO blood groups. Studies have reported association of ABO blood group to resistance, susceptibility, and severity of P. falciparum malaria infection. Individuals with blood group "A" have been found to be highly susceptible to falciparum malaria whereas blood group "O" is said to confer protection against complicated cases. We analyzed samples from 293 young children less than six years old with malaria in the Korle-Bu Teaching Hospital in Accra, Ghana. It was observed that group O was present in about 16.1% of complicated cases weighed against 40.9% of uncomplicated controls. Individuals with complicated malaria were about twice likely to be of blood groups A and B compared to group O (A versus O, OR = 1.90, 95% CI = 1.59-2.26, P Blood group O participants with complicated diseases had low parasitaemia compared to the other blood groups (P blood group O individuals a survival advantage over the other groups in complicated malaria as suggested. Participants with complicated falciparum malaria were generally anaemic and younger than those with uncomplicated disease.

  15. Patterns of health service utilization at a medical school clinic in Ghana.

    Yawson, A E; Malm, K L; Adu, A A; Wontumi, G-M; Biritwum, R B

    2012-09-01

    The University of Ghana Medical School (UGMS) Clinic provides healthcare service which is free at point of service to students, staff, retired staff and dependents of staff of the College of Health Sciences. However, since 1983, no in-depth review of health service provision or utilization has been undertaken. This study reviewed client characteristics, utilization and disease patterns at the clinic and also compared the disease patterns to that of other primary health facilities nationwide. This was an analytical cross-sectional study undertaken at the UGMS clinic in Korle-Bu. It was a retrospective review of records of all clients attending the facility from January 2002 to December, 2004. More males than females attended the clinic and majority (63.9%) of clients were between 15-44 years (median age was 26 years). Dependents of staff constituted the highest attendants (41%) to the clinic. Among staff, junior staffs were in the majority. Malaria, respiratory tract infection and musculoskeletal pain were the most common conditions seen. Overall, 83% of clients were treated and discharged per visit without the need for review visits. Dependents of staff used the facility the most and they live in many different part of the city of Accra, and to ask them to attend the clinic for care is not efficient. It will be better to provide or supplement their securing of insurance so that they could access health care close to their homes and save time and attention to students and staff.

  16. Relative Susceptibilities of ABO Blood Groups to Plasmodium falciparum Malaria in Ghana

    Richmond Afoakwah

    2016-01-01

    Full Text Available The clinical outcome of falciparum malaria in endemic areas is influenced by erythrocyte polymorphisms including the ABO blood groups. Studies have reported association of ABO blood group to resistance, susceptibility, and severity of P. falciparum malaria infection. Individuals with blood group “A” have been found to be highly susceptible to falciparum malaria whereas blood group “O” is said to confer protection against complicated cases. We analyzed samples from 293 young children less than six years old with malaria in the Korle-Bu Teaching Hospital in Accra, Ghana. It was observed that group O was present in about 16.1% of complicated cases weighed against 40.9% of uncomplicated controls. Individuals with complicated malaria were about twice likely to be of blood groups A and B compared to group O (A versus O, OR = 1.90, 95% CI = 1.59–2.26, P<0.0001; B versus O, OR = 1.82. 95% CI = 1.57–2.23, P<0.0001. Blood group O participants with complicated diseases had low parasitaemia compared to the other blood groups (P<0.0001. This may give blood group O individuals a survival advantage over the other groups in complicated malaria as suggested. Participants with complicated falciparum malaria were generally anaemic and younger than those with uncomplicated disease.

  17. Economic burden of malaria on businesses in Ghana: a case for private sector investment in malaria control.

    Nonvignon, Justice; Aryeetey, Genevieve Cecilia; Malm, Keziah L; Agyemang, Samuel Agyei; Aubyn, Vivian N A; Peprah, Nana Yaw; Bart-Plange, Constance N; Aikins, Moses

    2016-09-06

    Despite the significant gains made globally in reducing the burden of malaria, the disease remains a major public health challenge, especially in sub-Saharan Africa (SSA) including Ghana. There is a significant gap in financing malaria control globally. The private sector could become a significant source of financing malaria control. To get the private sector to appreciate the need to invest in malaria control, it is important to provide evidence of the economic burden of malaria on businesses. The objective of this study, therefore, was to estimate the economic burden on malaria on businesses in Ghana, so as to stimulate the sector's investment in malaria control. Data covering 2012-2014 were collected from 62 businesses sampled from Greater Accra, Ashanti and Western Regions of Ghana, which have the highest concentration of businesses in the country. Data on the cost of businesses' spending on treatment and prevention of malaria in staff and their dependants as well as staff absenteeism due to malaria and expenditure on other health-related activities were collected. Views of business leaders on the effect of malaria on their businesses were also compiled. The analysis was extrapolated to cover 5828 businesses across the country. The results show that businesses in Ghana lost about US$6.58 million to malaria in 2014, 90 % of which were direct costs. A total of 3913 workdays were lost due to malaria in firms in the study sample during the period 2012-2014. Businesses in the study sample spent an average of 0.5 % of the annual corporate returns on treatment of malaria in employees and their dependants, 0.3 % on malaria prevention, and 0.5 % on other health-related corporate social responsibilities. Again business leaders affirmed that malaria affects their businesses' efficiency, employee attendance and productivity and expenses. Finally, about 93 % of business leaders expressed the need private sector investment in malaria control. The economic burden of

  18. Perceived needs of health tutors in rural and urban health training institutions in Ghana: Implications for health sector staff internal migration control.

    Alhassan, Robert Kaba; Beyere, Christopher B; Nketiah-Amponsah, Edward; Mwini-Nyaledzigbor, Prudence P

    2017-01-01

    The population of Ghana is increasingly becoming urbanized with about 70% of the estimated 27 million people living in urban and peri-urban areas. Nonetheless, eight out of the ten regions in Ghana remain predominantly rural where only 32% of the national health sector workforce works. Moreover, the rural-urban disparities in the density of health tutors (staff responsible for pre-service training of health professionals) are enormous. This paper explores perceived needs of health tutors in rural and urban health training institutions in Ghana. This is a descriptive qualitative study conducted in the Greater Accra and Northern regions of Ghana. The Study used the deductive thematic and sub-thematic analysis approaches. Five health training institutions were randomly sampled, and 72 tutors engaged in separate focus group discussions with an average size of 14 participants per group in each training institution. Perceived rural-urban disparities among health tutors were found in the payment of extra duty allowances; school infrastructure including libraries and internet connectivity; staff accommodation; and opportunities for scholarships and higher education. Health tutors in rural areas generally expressed more frustration with these work conditions than those in urban areas. There is the need to initiate and sustain work incentives that promote motivation of rural health tutors to control ongoing rural-urban migration of qualified staff. It is recommended the following incentives be prioritized to promote retention of qualified health tutors in rural health training schools: payment of research, book and rural allowances; early promotion of rural staff; prioritizing rural tutors for scholarships, and introduction of national best health tutor awards.

  19. Measuring Coverage in MNCH: Validating Women’s Self-Report of Emergency Cesarean Sections in Ghana and the Dominican Republic

    Tunçalp, Özge; Stanton, Cynthia; Castro, Arachu; Adanu, Richard; Heymann, Marilyn; Adu-Bonsaffoh, Kwame; Lattof, Samantha R.; Blanc, Ann; Langer, Ana

    2013-01-01

    Background Cesarean section is the only surgery for which we have nearly global population-based data. However, few surveys provide additional data related to cesarean sections. Given weaknesses in many health information systems, health planners in developing countries will likely rely on nationally representative surveys for the foreseeable future. The objective is to validate self-reported data on the emergency status of cesarean sections among women delivering in teaching hospitals in the capitals of two contrasting countries: Accra, Ghana and Santo Domingo, Dominican Republic (DR). Methods and Findings This study compares hospital-based data, considered the reference standard, against women’s self-report for two definitions of emergency cesarean section based on the timing of the decision to operate and the timing of the cesarean section relative to onset of labor. Hospital data were abstracted from individual medical records, and hospital discharge interviews were conducted with women who had undergone cesarean section in two hospitals. The study assessed sensitivity, specificity, and positive predictive value of responses to questions regarding emergency versus non-emergency cesarean section and estimated the percent of emergency cesarean sections that would be obtained from a survey, given the observed prevalence, sensitivity, and specificity from this study. Hospital data were matched with exit interviews for 659 women delivered via cesarean section for Ghana and 1,531 for the Dominican Republic. In Ghana and the Dominican Republic, sensitivity and specificity for emergency cesarean section defined by decision time were 79% and 82%, and 50% and 80%, respectively. The validity of emergency cesarean defined by operation time showed less favorable results than decision time in Ghana and slightly more favorable results in the Dominican Republic. Conclusions Questions used in this study to identify emergency cesarean section are promising but insufficient to

  20. Sachet drinking water in Ghana’s Accra-Tema metropolitan area: past, present, and future

    Weeks, John R.; Fink, Günther

    2013-01-01

    Population growth in West Africa has outpaced local efforts to expand potable water services, and private sector sale of packaged drinking water has filled an important gap in household water security. Consumption of drinking water packaged in plastic sachets has soared in West Africa over the last decade, but the long-term implications of these changing consumption patterns remain unclear and unstudied. This paper reviews recent shifts in drinking water, drawing upon data from the 2003 and 2008 Demographic and Health Surveys, and provides an overview of the history, economics, quality, and regulation of sachet water in Ghana’s Accra-Tema Metropolitan Area. Given the pros and cons of sachet water, we suggest that a more holistic understanding of the drinking water landscape is necessary for municipal planning and sustainable drinking water provision. PMID:24294481

  1. low level of transmitted hiv drug resistance at two hiv care centres in ...

    David Ofori-Adjei

    2013-06-01

    Jun 1, 2013 ... 1Virology Dept, Noguchi Memorial Institute for Medical Research, University of Ghana, Legon Accra. 2National AIDS/STI Control Program, Ghana Health Service, Accra 3World Health Organization, Ghana. Office, Accra, Ghana ... analyzed for HIV drug resistance mutations using Stan- ford University HIV ...

  2. Care Services in Periurban Ghana

    Paa Kobina Turkson

    2011-01-01

    Full Text Available The study used logistic regression modelling to determine predictors of satisfaction with delivery of animal health care services for 889 clients (livestock and poultry keepers in periurban Ghana. Of the 15 indicators tested as predictors of satisfaction in this study, 8 were included in the best fit model. These were accessibility, availability of services, service charge, effectiveness, efficiency, quality of services, meeting client needs, and getting help. Efficiency and effectiveness were perceived by the respondents to be synonymous, as were service quality and effectiveness, as suggested by ORs>10 when cross tabulated. Therefore, one or the other could be used in future studies but not both to avoid collinearity. The identified predictors could be targeted for improvement in quality of service delivery to livestock and poultry keepers in Ghana.

  3. Ghana's cocoa frontier in transition

    Knudsen, Michael Helt; Agergaard, Jytte

    2015-01-01

    Since the first commercial planting of cocoa in Ghana more than a century ago, the production of cocoa has been a key factor in the redistribution of migrants and has played a pivotal role in the development of both sending and receiving communities. This process has been acknowledged...... Region, this article aims to examine how immigration and frontier dynamics in the Western region are contributing to livelihood transitions and small town development, and how this process is gradually becoming delinked from the production of cocoa. The article focuses on how migration dynamics interlink...... in the literature for decades. However, how migration flows have changed in response to changing livelihoods dynamics of the frontier and how this has impacted on the development of the frontier has only attracted limited attention. Based on a study of immigration to Ghana's current cocoa frontier in the Western...

  4. Estimating solar radiation in Ghana

    Anane-Fenin, K.

    1986-04-01

    The estimates of global radiation on a horizontal surface for 9 towns in Ghana, West Africa, are deduced from their sunshine data using two methods developed by Angstrom and Sabbagh. An appropriate regional parameter is determined with the first method and used to predict solar irradiation in all the 9 stations with an accuracy better than 15%. Estimation of diffuse solar irradiation by Page, Lin and Jordan and three other authors' correlation are performed and the results examined. (author)

  5. mics in Modern Day Ghana 1

    Studies in Gender and Development in Afiica, I (200 7): September. THE WOMBAS TARGET: .... countries. The purpose of this historical contextualization of HIV/AIDS policy cur- rently in Ghana is to ..... product development from a distance. ..... environmental disintegration and poverty in Nordiem Ghana.” In response to the.

  6. Constructivism and mathematics education in Ghana | Fletcher ...

    Mathematics is a subject found in every school Curriculum in almost every country. Here in Ghana, mathematics is a compulsory subject in both the basic education (i.e. primary and junior secondary) and senior secondary curricula. This paper argues that in spite of the desire of mathematics educators in Ghana to pursue a ...

  7. Challenges of decentralisation in Ghana: district assembly's ...

    The 1992 Constitution of the Republic of Ghana and the various legislations on decentralisation articulate the explicit objectives of the policy which includes responsiveness to community needs. The rationale behind Ghana's decentralisation programme and the functions of the District Assemblies (DAs) therefore provide a ...

  8. Ghana Journal of Linguistics: Editorial Policies

    Focus and Scope. The Ghana Journal of Linguistics is a peer-reviewed scholarly journal appearing twice a year, published by the Linguistics Association of Ghana. Beginning with Volume 2 (2013) it is published in electronic format only, open access, at www.ajol.info. However print-on-demand copies can be made ...

  9. Management of mutual health organizations in Ghana.

    Baltussen, R.M.P.M.; Bruce, E.; Rhodes, G.; Narh-Bana, S.A.; Agyepong, I.

    2006-01-01

    OBJECTIVE: Mutual Health Organizations (MHO) emerged in Ghana in the mid-1990s. The organizational structure and financial management of private and public MHO hold important lessons for the development of national health insurance in Ghana, but there is little evidence to date on their features.

  10. Nosocomial infections: knowledge and source of information among clinical health care students in Ghana

    Bello AI

    2011-08-01

    Full Text Available Ajediran I Bello1, Eunice N Asiedu1, Babatunde OA Adegoke2, Jonathan NA Quartey1, Kwadwo O Appiah-Kubi1, Bertha Owusu-Ansah11Department of Physiotherapy, School of Allied Health Sciences, College of Health Sciences, University of Ghana, Accra, Ghana; 2Department of Physiotherapy, College of Medicine, University of Ibadan, Ibadan, NigeriaBackground: This study determined and compared the knowledge of nosocomial infections among clinical health care students at the College of Health Sciences, University of Ghana.Methods: Two hundred undergraduate health care students from four academic programs participated in the study. The study sample was drawn from each academic program by a simple random sampling technique using the class directory from each course. The Infection Control Standardized Questionnaire (ICSQ was used to assess the knowledge of students about three main domains, ie, hand hygiene, nosocomial infections, and standard precautions. A maximum score of 50 was obtainable, and respondents with scores ≥70% were classified as having a satisfactory knowledge. The response on each item was coded numerically to generate data for statistical analysis. Comparison of knowledge on the domains among categories of students was assessed using the Kruskal–Wallis test, while associations between courses of study and knowledge about nosocomial infections were determined using the Chi-square test. All statistical tests had a significant level of 5% (P < 0.05Results: Overall mean percentage score of the participants on ICSQ was 65.4 ± 2.58, with medical, physiotherapy, radiography, and nursing students recording mean percentage scores of 70.58 ± 0.62, 65.02 ± 2.00, 64.74 ± 1.19, and 61.31 ± 2.35, respectively. The main source of information about the prevention of nosocomial infections as cited by participants was their routine formal training in class. There was no significant association (P > 0.05 between course of study and knowledge of

  11. Microbiological quality and antimicrobial resistance characterization of Salmonella spp. in fresh milk value chains in Ghana.

    Parry-Hanson Kunadu, Angela; Holmes, Mark; Miller, Eric L; Grant, Andrew J

    2018-07-20

    Consumer perception of poor hygiene of fresh milk products is a major barrier to promotion of milk consumption as an intervention to alleviate the burden of malnutrition in Ghana. Fresh milk is retailed raw, boiled, or processed into unfermented cheese and spontaneously fermented products in unlicensed outlets. In this study, we have determined microbiological quality of informally retailed fresh milk products and characterized the genomic diversity and antimicrobial resistance (AMR) patterns of non-typhoidal Salmonella (NTS) in implicated products. A total of 159 common dairy products were purchased from five traditional milk markets in Accra. Samples were analysed for concentrations of aerobic bacteria, total and fecal coliforms, Escherichia coli, staphylococci, lactic acid bacteria and yeast and moulds. The presence of Salmonella, E. coli O157:H7, Listeria monocytogenes and Staphylococcus aureus were determined. AMR of Salmonella against 18 antibiotics was experimentally determined. Genome sequencing of 19 Salmonella isolates allowed determination of serovars, antigenic profiles, prediction of AMR genes in silico and inference of phylogenetic relatedness between strains. Raw and heat-treated milk did not differ significantly in overall bacterial quality (P = 0.851). E. coli O157:H7 and Staphylococcus aureus were present in 34.3% and 12.9% of dairy products respectively. Multidrug resistant (MDR) Salmonella enterica serovars Muenster and Legon were identified in 11.8% and 5.9% of unfermented cheese samples respectively. Pan genome analysis revealed a total of 3712 core genes. All Salmonella strains were resistant to Trimethoprim/Sulfamethoxazole, Cefoxitin, Cefuroxime Axetil and Cefuroxime. Resistance to Chloramphenicol (18%) and Ciprofloxacin (100%), which are first line antibiotics used in treatment of NTS bacteremia in Ghana, was evident. AMR was attributed to presence and/or mutations in the following genes: golS, sdiA for cephalosporins, aac(6')-Iy, ant

  12. Map Coordinate Referencing and the use of GPS Datasets in Ghana ...

    Map Coordinate Referencing and the use of GPS Datasets in Ghana. ... Journal of Science and Technology (Ghana) ... systems used in Ghana (the Ghana war office system and also the Clarke1880 system) using the Bursa-Wolf model.

  13. Prevalence and antibiotic resistance of coagulase-negative Staphylococci isolated from poultry farms in three regions of Ghana

    Boamah VE

    2017-06-01

    Full Text Available Vivian Etsiapa Boamah,1 Christian Agyare,1 Hayford Odoi,1 Francis Adu,1 Stephen Yao Gbedema,1 Anders Dalsgaard2 1Microbiology Section, Department of Pharmaceutics, Faculty of Pharmacy and Pharmaceutical Sciences, Kwame Nkrumah University of Science and Technology, Kumasi, Ghana; 2Section of Food Safety and Zoonoses, Department of Veterinary and Animal Sciences, Faculty of Health and Medical Sciences, University of Copenhagen, Frederisksberg, Denmark Abstract: The use of antibiotics in animal production has been associated with the development and spread of antibiotic-resistant organisms including commensals. Coagulase-negative Staphylococcus (CoNS species, which were until recently considered non-pathogenic, have been associated with opportunistic infections and high resistance to several antibiotics. This study sought to determine the prevalence, identity, and phenotypic resistance of coagulase-negative Staphylococcus spp. isolated from some selected poultry farms and farm workers in the Ashanti, Brong Ahafo, and Greater Accra regions of Ghana. Poultry litter samples and oral swabs of poultry farm workers were collected, from which bacterial species were isolated, identified, and analyzed. Various selective media were used for the presumptive identification of the different species. Confirmation of bacterial identity was done using matrix-assisted laser desorption/ionization time of flight (MALDI-TOF mass spectrometry. Antibiotic susceptibility testing of the isolates was performed using the Kirby-Bauer disk diffusion method. Zones of growth inhibition were interpreted based on the European Committee on Antimicrobial Susceptibility Testing (EUCAST guidelines. Two hundred and fifty-six coagulase-negative Staphylococcus spp., comprising S. sciuri (42.97%, S. lentus (35.94%, S. gallinarum (6.64%, S. xylosus (4.30%, S. haemolyticus (3.91%, S. saprophyticus (1.95%, and S. cohnii (0.39% were confirmed by MALDI-TOF. CoNS were isolated from samples

  14. Implications of healing power and positioning for collaboration between formal mental health services and traditional/alternative medicine: the case of Ghana.

    Kpobi, Lily; Swartz, Leslie

    2018-01-01

    Many current debates about global mental health have increasingly called for collaboration between biomedical and traditional medical health systems. Despite these calls, not much has been written about the variables that would influence such collaboration. To a large extent, collaboration dialogues have considered biomedicine on the one hand, and a wide range of traditional and faith-based treatments on the other hand. However, this dualistic bifurcation does not reflect the plurality of healing systems in operation in many contexts, and the diverse investments that different non-biomedical healing approaches may have in their own power to heal. We set out to explore the diversity of different healers' perceptions of power, and the relationship between that power and the perceived power of biomedical approaches. Through a qualitative design, and using the case of medical pluralism in urban Ghana as an example, we conducted interviews among different categories of traditional and alternative medicine (TAM) practitioners living and/or working in the Greater Accra Region of Ghana. Through thematic analyses, differences in the notions about collaboration between the different categories of healers were identified. Their perceptions of whether collaboration would be beneficial seemed, from this study, to co-occur with their perceptions of their own power. We suggest that an important way to move debates forward about collaboration amongst different sectors is to examine the notions of power and positioning of different categories of TAM healers in relation to biomedicine, and the attendant implications of those notions for integrative mental healthcare.

  15. Studies on organochlorine pesticide residues in human breast milk of primparae mothers from selected areas in the Greater Accra Region

    Osei Tutu, A.

    2009-06-01

    A study was conducted to determine the types and levels of organochlorine pesticide residuals in the human milk samples of 42 nursing mothers from Ada and Accra. The milk samples were analyzed for 14 different organochlorine pesticides residue (Aldrin, Dieldrin, p,p'-DDT, p,p'-DDE, Endrin, Endrin Aldehyde, Endrin Ketone, Endosulphan sulfate,' Alpha Endosulphan, Gamma-HCH, Delta-HCH, Gamma Chlordane, Heptachlor and Methoxychlor) using Gas chromatography with electron capture detector. The mean concentrations for the organochlorine pesticide residues detected in the human milk samples from Accra are; Gamma-HCH (4.207µg/kg fat), Delta-HCH (13.855µg/kg fat), Heptachlor (11.791µg/kg fat), Aldrin (2.962µg/kg fat), Gamma- Chlordane (1.839µg/kg fat), Alpha-Endosulfan (4.740µg/kg fat), p,p'-DDE (23.367µg/kg fat), Dieldrin (2.407µg/kg fat), p,p'-DDT (3.085µg/kg fat), Endrin (7.669µg/kg fat), Endrin Aldehyde (7.769µg/kg fat), Endosulfan-Sulphate (99.052µg/kg fat), Endrin Ketone (63.846µg/kg fat), and Methoxychlor (20.116µg/kg fat). The mean concentrations of the various organochlorine pesticide residues detected in the human milk samples from Ada are; Gamma-HCH (5.438µg/kg fat), DeIta-HCH (6.728µg/kg fat), Heptachlor (0.682µg/kg fat), Aldrin (2.38µg/kg fat), Gamma- Chlordane (1.304µg/kg fat), Alpha-Endosulfan (2.588µg/kg fat), p,p'-DDE (24.165µg/kg fat), Dieldrin (2.222µg/kg fat), p,p'-DDT (3.468µg/kg fat), Endrin (6.339 µg/kg fat), Endosulfan-Sulphate (63.803)µg/kg fat), Endrin Ketone (11.167)µg/kg fat), and Methoxychlor (0.703µg/kg fat). The mean concentration of Endosulfan Sulfate was (99.052Iµ g/kg fat) was highest for the milk samples from Accra. Gamma chlordane recorded the least mean concentration (1.839 µg/kg fat) in the milk samples from Accra. The mean concentration of Endosulfan sulfate (63.803 µg/kg fat) was still the highest as compared to the other organochlorines analyzed for in the milk samples from Ada. Endrin Aldehyde was not

  16. Attitudes towards English in Ghana

    Kari Dako

    2017-05-01

    Full Text Available The paper considers official and individual attitudes towards bilingualism in English and a Ghanaian language. We ask whether bilingualism in English and Ghanaian languages is a social handicap, without merit, or an important indicator of ethnic identity. Ghana has about 50 non-mutually intelligible languages, yet there are no statistics on who speaks what language(s where in the country. We consider attitudes to English against the current Ghanaian language policy in education as practised in the school system. Our data reveal that parents believe early exposure to English enhances academic performance; English is therefore becoming the language of the home.

  17. Urban-rural difference in satisfaction with primary healthcare services in Ghana

    Sanni Yaya

    2017-11-01

    Full Text Available Abstract Background Understanding regional variation in patient satisfaction about healthcare systems (PHCs on the quality of services provided is instrumental to improving quality and developing a patient-centered healthcare system by making it more responsive especially to the cultural aspects of health demands of a population. Reaching to the innovative National Health Insurance Scheme (NHIS in Ghana, surpassing several reforms in healthcare financing has been a milestone. However, the focus of NHIS is on the demand side of healthcare delivery. Studies focusing on the supply side of healthcare delivery, particularly the quality of service as perceived by the consumers are required. A growing number of studies have focused on regional differences of patient satisfaction in developed countries, however little research has been conducted concerning patient satisfaction in resource-poor settings like in Ghana. This study was therefore dedicated to examining the variation in satisfaction across rural and urban women in Ghana. Methods Data for the present study were obtained from the latest demographic and health survey in Ghana (GDHS 2014. Participants were 3576 women aged between 15 and 49 years living in non-institutional settings in Ghana. Summary statistics in percentages was used to present respondents’ demographic, socioeconomic characteristics. Chi-square test was used to find association between urban-rural differentials with socio-economic variables. Multiple logistic regression was performed to measure the association of being satisfied with primary healthcare services with study variables. Model fitness was tested by pseudo R 2. Statistical significance was set at p < 0.05. Results The findings in this study revealed that about 57.1% were satisfied with primary health care services. The urban and rural areas reported 57.6 and 56.6% respectively which showed no statistically significant difference (z = 0.64; p = 0.523; 95

  18. Self-help and help-seeking for communication disability in Ghana: implications for the development of communication disability rehabilitation services.

    Wylie, Karen; McAllister, Lindy; Davidson, Bronwyn; Marshall, Julie; Amponsah, Clement; Bampoe, Josephine Ohenewa

    2017-12-29

    In low and middle-income countries, such as Ghana, communication disability is poorly recognised and rehabilitation services for people with communication disability are limited. As rehabilitation services for communication disability develop, and the profession of speech-language pathology grows, it is important to consider how services can most appropriately respond to the needs and preferences of the community. Understanding the ways in which people currently self-help and seek help for communication disability is central to developing services that build on existing local practices and are relevant to the community. A qualitative descriptive survey was used to explore likely self-help and help-seeking behaviours for communication disability, in Accra, Ghana. The survey required participants to describe responses to hypothetical scenarios related to communication disability. A mix of theoretical sampling and convenience sampling was used. Qualitative content analysis was used to analyse data and develop categories and subcategories of reported self-help behaviours and sources of help and advice for communication disability. One hundred and thirty-six participants completed the survey. Results indicated that community members would be likely to engage in a variety self-help strategies in response to communication disability. These included working directly with a person with a communication disability to attempt to remediate a communication impairment, altering physical and communication environments, changing attitudes or care practices, educating themselves about the communication disability, providing resources, and responding in spiritual ways. Participants indicated that they would seek help for communication disability across a range of sectors - including the Western healthcare, religious, and traditional sectors. Understanding existing community actions to self-help and help-seek may allow emerging communication rehabilitation services, including the

  19. Advancing the application of systems thinking in health: realist evaluation of the Leadership Development Programme for district manager decision-making in Ghana.

    Kwamie, Aku; van Dijk, Han; Agyepong, Irene Akua

    2014-06-16

    Although there is widespread agreement that strong district manager decision-making improves health systems, understanding about how the design and implementation of capacity-strengthening interventions work is limited. The Ghana Health Service has adopted the Leadership Development Programme (LDP) as one intervention to support the development of management and leadership within district teams. This paper seeks to address how and why the LDP 'works' when it is introduced into a district health system in Ghana, and whether or not it supports systems thinking in district teams. We undertook a realist evaluation to investigate the outcomes, contexts, and mechanisms of the intervention. Building on two working hypotheses developed from our earlier work, we developed an explanatory case study of one rural district in the Greater Accra Region of Ghana. Data collection included participant observation, document review, and semi-structured interviews with district managers prior to, during, and after the intervention. Working backwards from an in-depth analysis of the context and observed short- and medium-term outcomes, we drew a causal loop diagram to explain interactions between contexts, outcomes, and mechanisms. The LDP was a valuable experience for district managers and teams were able to attain short-term outcomes because the novel approach supported teamwork, initiative-building, and improved prioritisation. However, the LDP was not institutionalised in district teams and did not lead to increased systems thinking. This was related to the context of high uncertainty within the district, and hierarchical authority of the system, which triggered the LDP's underlying goal of organisational control. Consideration of organisational context is important when trying to sustain complex interventions, as it seems to influence the gap between short- and medium-term outcomes. More explicit focus on systems thinking principles that enable district managers to better cope with

  20. Solid medical waste: a cross sectional study of household disposal practices and reported harm in Southern Ghana.

    Udofia, Emilia Asuquo; Gulis, Gabriel; Fobil, Julius

    2017-05-18

    Solid medical waste (SMW) in households is perceived to pose minimal risks to the public compared to SMW generated from healthcare facilities. While waste from healthcare facilities is subject to recommended safety measures to minimize risks to human health and the environment, similar waste in households is often untreated and co-mingled with household waste which ends up in landfills and open dumps in many African countries. In Ghana, the management of this potentially hazardous waste stream at household and community level has not been widely reported. The objective of this study was to investigate household disposal practices and harm resulting from SMW generated in households and the community. A cross-sectional questionnaire survey of 600 households was undertaken in Ga South Municipal Assembly in Accra, Ghana from mid-April to June, 2014. Factors investigated included socio-demographic characteristics, medication related practices, the belief that one is at risk of diseases associated with SMW, SMW disposal practices and reported harm associated with SMW at home and in the community. Eighty percent and 89% of respondents discarded unwanted medicines and sharps in household refuse bins respectively. A corresponding 23% and 35% of respondents discarded these items without a container. Harm from SMW in the household and in the community was reported by 5% and 3% of respondents respectively. Persons who believed they were at risk of diseases associated with SMW were nearly three times more likely to report harm in the household (OR 2.75, 95%CI 1.15-6.54). The belief that one can be harmed by diseases associated with SMW influenced reporting rates in the study area. Disposal practices suggest the presence of unwanted medicines and sharps in the household waste stream conferring on it hazardous properties. Given the low rates of harm reported, elimination of preventable harm might justify community intervention.

  1. COORDINATE TRANSFORMATION USING FEATHERSTONE AND VANÍČEK PROPOSED APPROACH - A CASE STUDY OF GHANA GEODETIC REFERENCE NETWORK

    Yao Yevenyo Ziggah

    2017-03-01

    Full Text Available Most developing countries like Ghana are yet to adopt the geocentric datum for its surveying and mapping purposes. It is well known and documented that non-geocentric datums based on its establishment have more distortions in height compared with satellite datums. Most authors have argued that combining such height with horizontal positions (latitude and longitude in the transformation process could introduce unwanted distortions to the network. This is because the local geodetic height in most cases is assumed to be determined to a lower accuracy compared with the horizontal positions. In the light of this, a transformation model was proposed by Featherstone and Vaníček (1999 which avoids the use of height in both global and local datums in coordinate transformation. It was confirmed that adopting such a method reduces the effect of distortions caused by geodetic height on the transformation parameters estimated. Therefore, this paper applied Featherstone and Vaníček (FV model for the first time to a set of common points coordinates in Ghana geodetic reference network. The FV model was used to transform coordinates from global datum (WGS84 to local datum (Accra datum. The results obtained based on the Root Mean Square Error (RMSE and Mean Absolute Error (MAE in both Eastings and Northings were satisfactory. Thus, a RMSE value of 0.66 m and 0.96 m were obtained for the Eastings and Northings while 0.76 m and 0.73 m were the MAE values achieved. Also, the FV model attained a transformation accuracy of 0.49 m. Hence, this study will serve as a preliminary investigation in avoiding the use of height in coordinate transformation within Ghana’s geodetic reference network.

  2. Prevalence of psychological symptoms among adults with sickle cell disease in Korle-Bu Teaching Hospital, Ghana

    Michael Tetteh Anim

    2016-11-01

    Full Text Available Abstract Background Previous research revealed high prevalence of psychological symptoms among sickle cell disease (SCD patients in the West and Europe. In some Black SCD populations such as Nigeria and Jamaica, anxiety and depression had low prevalence rates compared to Europe. With difficulty locating research data on the prevalence of psychological symptoms in Ghana, this study aimed at exploring psychological symptoms among adults with SCD in a Teaching Hospital in Accra, Ghana. Methods Two hundred and one participants (males 102 and females 99 who were HbSS (n = 131 and HbSC (n = 70, aged 18 years and above were purposively recruited. Using the Brief Symptom Inventory (BSI in a cross-sectional survey, the research answered questions about the prevalence of psychological symptoms. It also examined gender and genotype differences in psychological symptoms scores. Results Results indicated that adults with SCD had non-distress psychological symptoms scores. Although paranoid ideation as a psychological symptom indicated “a little bit” score, its prevalence was only 1 %. The prevalence of psychological symptoms as indexed by the Positive Symptom Total (PST was 10 %. Anxiety, hostility, and depression were psychological symptoms with low scores. Furthermore, except psychoticism scores, males did not differ significantly from females in other psychological symptoms. On the contrary, HbSS participants differed significantly, reporting more psychological symptoms than their HbSC counterparts. Conclusions The study concluded that there was low prevalence of psychological symptoms among adults with SCD in this Ghanaian study. Although psychological symptoms distress scores were not observed among study participants at this time, females differed significantly by experiencing more psychoticism symptoms than males. HbSS participants also differed significantly by experiencing more depression, phobic anxiety, paranoid ideation

  3. Solid medical waste: a cross sectional study of household disposal practices and reported harm in Southern Ghana

    Emilia Asuquo Udofia

    2017-05-01

    Full Text Available Abstract Background Solid medical waste (SMW in households is perceived to pose minimal risks to the public compared to SMW generated from healthcare facilities. While waste from healthcare facilities is subject to recommended safety measures to minimize risks to human health and the environment, similar waste in households is often untreated and co-mingled with household waste which ends up in landfills and open dumps in many African countries. In Ghana, the management of this potentially hazardous waste stream at household and community level has not been widely reported. The objective of this study was to investigate household disposal practices and harm resulting from SMW generated in households and the community. Methods A cross-sectional questionnaire survey of 600 households was undertaken in Ga South Municipal Assembly in Accra, Ghana from mid-April to June, 2014. Factors investigated included socio-demographic characteristics, medication related practices, the belief that one is at risk of diseases associated with SMW, SMW disposal practices and reported harm associated with SMW at home and in the community. Results Eighty percent and 89% of respondents discarded unwanted medicines and sharps in household refuse bins respectively. A corresponding 23% and 35% of respondents discarded these items without a container. Harm from SMW in the household and in the community was reported by 5% and 3% of respondents respectively. Persons who believed they were at risk of diseases associated with SMW were nearly three times more likely to report harm in the household (OR 2.75, 95%CI 1.15–6.54. Conclusion The belief that one can be harmed by diseases associated with SMW influenced reporting rates in the study area. Disposal practices suggest the presence of unwanted medicines and sharps in the household waste stream conferring on it hazardous properties. Given the low rates of harm reported, elimination of preventable harm might justify community

  4. CERN servers donated to Ghana

    CERN Bulletin

    2012-01-01

    Cutting-edge research requires a constantly high performance of the computing equipment. At the CERN Computing Centre, computers typically need to be replaced after about four years of use. However, while servers may be withdrawn from cutting-edge use, they are still good for other uses elsewhere. This week, 220 servers and 30 routers were donated to the Kwame Nkrumah University of Science and Technology (KNUST) in Ghana.   “KNUST will provide a good home for these computers. The university has also developed a plan for using them to develop scientific collaboration with CERN,” said John Ellis, a professor at King’s College London and a visiting professor in CERN’s Theory Group.  John Ellis was heavily involved in building the relationship with Ghana, which started in 2006 when a Ghanaian participated in the CERN openlab student programme. Since 2007 CERN has hosted Ghanaians especially from KNUST in the framework of the CERN Summer Student Progr...

  5. Breast cancer in Kumasi, Ghana

    Ohene-Yeboah, M.; Adjei, E.

    2012-01-01

    Breast cancer is the leading cause of cancer deaths in Ghanaian women.To describes the characteristics of breast cancer patients attending the Komfo Anokye Teaching Hospital in Kumasi, Ghana.The study was conducted at the Komfo Anokye Teaching Hospital. Between July 1st 2004 and June 30th 2009 patients presenting with breast lumps were assessed by clinical examination, imaging studies and pathological examination. Relevant clinical and pathological were recorded prospectively data on all patients with microscopically proven breast cancer. The cancers were graded according to the modified Bloom-Richardson system. Tissue immunoperoxidase stains for oestrogen, progesterone receptors and c-erb2 oncogene were performed with commercially prepared antigens and reagents.Nineteen thousand four hundred and twenty – three (19,423) patients were seen during the study period. There were 330 (1.7%) patients with histologically proven breast cancer. The mean age was 49.1 years. A palpable breast lump was detected in 248 patients (75.2%). Two hundred and eighty –one patients (85.2%) presented with Stages III and IV , 271 (82.1%) invasive and 230 ( 85.2%) high grade carcinomas. Oestrogen and progesterone receptors were positive in 32 and 9 cases respectively. Her2 protein was positive in 11 cases. In Kumasi, as in other parts of Ghana, breast cancer affects mostly young pre-menopausal who present with advanced disease. The cancers have unfavourable prognostic features and are unlikely to respond to hormonal therapy. (au)

  6. Science for Development: Failure in Ghana

    kofimereku

    Next to follow was the Ghana Atomic Energy Commission, established at .... notion of science education and the predictions made by the model of science ..... banks, production and consumption armies, serve as a god for those who have.

  7. Gender, Migration and Remittances in Ghana

    to strengthen social ties and networks of responsibility and affection. Indeed .... undocumented evidence in Ghana of the construction of second cycle schools, health .... business/financial operations, administration/secretarial and elementary ...

  8. EXPERIENCES OF FEMALE ACADEMICS IN GHANA ...

    The implications of the research for social work practice are discussed. .... to female academics' rise to the top of their careers in Ghana. ... Saleebey (1996) identifies resilience, empowerment and membership as the key principles of the ...

  9. Journal of the Ghana Institution of Engineers

    ... of topical issues on all aspects of engineering practice in Ghana and abroad ... Computer Aided Synthesis of a Four-Bar Mechanism For Soil Tilling ... Development Of An Agricultural Land Drainage And Reclamation Design Software.

  10. Experience on domestic waste segregation in Ghana

    Osei Bonsu Patterson

    2013-01-01

    Pollution from domestic wastes is a major environmental challenge in Ghana and many developing countries. Most of these countries depend almost entirely on landfills for waste management, which has proved to be expensive, inefficient and unsustainable. A sustainable solution to this problem is productive use of waste such as recycling. The main challenge that may limit recycling in Ghana and some of these countries is that a chunk of the wastes are littered on the environment, and the rest is...

  11. The potential of using organic side-streams produced in Ghana for generation of bio-fuel

    Laryea, G. N; Abdul-Samii, R.; Tottimeh, G.

    2014-01-01

    Bio-fuel can be generated from organic side-streams of maize, rice, millet, sorghum and groundnut by using fast pyrolysis technology. Data on side-streams of these crops were obtained from the Ministry of Food and Agriculture (MoFA) in 2010 for the study. The study shows that the estimated total crop side-streams generated was 3,475,413 t of which 2,345,903.5 of bio-fuel can be produced, given a potential energy equivalent of 42,226 PJ/y. The result shows a growth rate of 12.9 per cent in energy equivalent potential for synthetic fuel production as compared to the estimated production in 2009. Northern Region had the highest energy potential of 9,676 PJ/y (22.91%) of the total energy equivalent of bio-fuel, whereas, Greater Accra Region had the lowest with 183 PJ/y (0.43%). It is recommended that the available energy potential at the three northern regions of Ghana be utilised effectively when renewable energy policy is improved for a wider applications of side-streams from crops.(au)

  12. Modern contraceptive use among women living with HIV/AIDS at the Korle Bu Teaching Hospital in Ghana.

    Samba, Ali; Mumuni, Kareem; Adu, Joseph A; Sefogah, Promise E; Kudzi, William; Nartey, Edmund T

    2018-04-01

    To examine factors influencing contraceptive use among women living with HIV/AIDS. The present cross-sectional study included a randomly selected sample of sexually active females aged 15-60 years who were living with HIV/AIDS and receiving care at the HIV Clinic, Korle Bu Teaching Hospital, Accra, Ghana, between September 1 and November 31, 2016. Data were collected via a structured interviewer-administered questionnaire. Among 202 women who completed the survey, 50 (24.7%) were using contraceptives. Of the women using contraception, 39 (78%) were married and 6 (12%) were cohabiting. Twenty-eight (56%) reported that their primary sexual partners were HIV-positive, 14 (28%) had HIV-negative partners, and 8 (16%) did not know their partner's HIV status. Condoms were used by 42 (84%) women and the majority (41 [82%]) wanted to have more children; almost all (47 [94%]) had received counseling on contraceptive use. Overall, 133 (65.8%) and 45 (22.3%) women reported that they would prefer to share their family planning concerns with a doctor and nurse, respectively, at the HIV clinic. Women living with HIV/AIDS desired more children but preferred to share their family planning concerns with their clinician at the HIV clinic. Integrating HIV care and reproductive health services could help these women achieve childbearing goals safely. © 2018 International Federation of Gynecology and Obstetrics.

  13. Transformational leadership as a moderator of the relationship between psychological safety and learning behaviour in work teams in Ghana

    Stephen K. Kumako

    2013-07-01

    Research purpose: The study was aimed at investigating the relationship between psychological safety and learning behaviour in teams, as well as the moderating role of transformational team leadership in this relationship. Motivation for the study: For a team to be effective, adaptive and innovative and engage in learning behaviours, the transformational team leader must set the right climate in the team, where he or she welcomes the team members’ opinions, questions and feedback at no risk to their image. An understanding of this will be important in team leader selection and training. Research design, approach and method: Using a cross-sectional survey design, 57 work teams comprising 456 respondents in teams of 7–9 members were purposively sampled from five financial institutions in Accra, Ghana. Hierarchical regression and moderation analyses were run on the data at the team level. Main findings: Results indicated a positive relationship between team psychological safety and team learning behaviour, with transformational team leadership moderating this relationship. Practical/managerial implication: Transformational team leadership is important in creating a climate of psychological safety that will enable team members to engage in learning behaviours. Contribution/value-add: The study provided theoretical and empirical evidence that, in organisational contexts, transformational team leadership is an important variable that can facilitate psychological safety and learning behaviour in teams.

  14. Factors influencing the decision to drop out of health insurance enrolment among urban slum dwellers in Ghana.

    Atinga, Roger A; Abiiro, Gilbert Abotisem; Kuganab-Lem, Robert Bella

    2015-03-01

    To identify the factors influencing dropout from Ghana's health insurance scheme among populations living in slum communities. Cross-sectional data were collected from residents of 22 slums in the Accra Metropolitan Assembly. Cluster and systematic random sampling techniques were used to select and interview 600 individuals who had dropped out from the scheme 6 months prior to the study. Descriptive statistics and multivariate logistic regression models were computed to account for sample characteristics and reasons associated with the decision to dropout. The proportion of dropouts in the sample increased from the range of 6.8% in 2008 to 34.8% in 2012. Non-affordability of premium was the predominant reason followed by rare illness episodes, limited benefits of the scheme and poor service quality. Low-income earners and those with low education were significantly more likely to report premium non-affordability. Rare illness was a common reason among younger respondents, informal sector workers and respondents with higher education. All subgroups of age, education, occupation and income reported nominal benefits of the scheme as a reason for dropout. Interventions targeted at removing bottlenecks to health insurance enrolment are salient to maximising the size of the insurance pool. Strengthening service quality and extending the premium exemption to cover low-income families in slum communities is a valuable strategy to achieve universal health coverage. © 2014 John Wiley & Sons Ltd.

  15. Multiple levels of social influence on adolescent sexual and reproductive health decision-making and behaviors in Ghana.

    Challa, Sneha; Manu, Abubakar; Morhe, Emmanuel; Dalton, Vanessa K; Loll, Dana; Dozier, Jessica; Zochowski, Melissa K; Boakye, Andrew; Adanu, Richard; Hall, Kelli Stidham

    2018-04-01

    Little is known about the multilevel social determinants of adolescent sexual and reproductive health (SRH) that shape the use of family planning (FP) among young women in Africa. We conducted in-depth, semi-structured, qualitative interviews with 63 women aged 15-24 years in Accra and Kumasi, Ghana. We used purposive, stratified sampling to recruit women from community-based sites. Interviews were conducted in English or local languages, recorded, and transcribed verbatim. Grounded theory-guided thematic analysis identified salient themes. Three primary levels of influence emerged as shaping young women's SRH experiences, decision-making, and behaviors. Interpersonal influences (peers, partners, and parents) were both supportive and unsupportive influences on sexual debut, contraceptive (non) use, and pregnancy resolution. Community influences included perceived norms about acceptability/unacceptability of adolescent sexual activity and its consequences (pregnancy, childbearing, abortion). Macro-social influences involved religion and abstinence and teachings about premarital sex, lack of comprehensive sex education, and limited access to confidential, quality SRH care. The willingness and ability of young women in our study to use FP methods and services were affected, often negatively, by factors operating within and across each level. These findings have implications for research, programs, and policies to address social determinants of adolescent SRH.

  16. Medical physics practice and training in Ghana.

    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. Copyright © 2016 Associazione Italiana di Fisica Medica. Published by Elsevier Ltd. All rights reserved.

  17. Nature of mango anthracnose in Ghana: Implications for the control ...

    Nature of mango anthracnose in Ghana: Implications for the control of the disease. ... Mango anthracnose is a major disease hampering the production of quality fruits for export in Ghana. The nature of the disease and ... HOW TO USE AJOL.

  18. Non-communicable diseases among children in Ghana: health and ...

    the health and social concerns of parents/caregivers on in-patient care for children with NCDs in Ghana. Methods: This ..... givers influence health seeking behaviours and medical .... among older adults in China, Ghana, Mexico, India, Rus-.

  19. Globalization and male sex trade in Ghana: Modernity or Immorality ...

    Globalization and male sex trade in Ghana: Modernity or Immorality? ... apolitical and less hypocritical way of discussing the issue devoid of criminalization, in the ... Key words: Globalization, homosexuality, male sex trade, sex culture, Ghana.

  20. Exposure levels, environmental fate modelling and human health risk assessment of lindane in Ghana

    Adu-Kumi, S.

    2011-01-01

    This thesis discusses an innovative approach of combining chemical trace analysis including the use of 13 C-labelled isotopes as internal and recovery standards) with multi-media modelling for assessing health risks of Lindane which is a persistent organic pollutant (POP) and a commercial formulated insecticide also known as Gamma-hexachlorocyclohexane (γ-HCH). Samples studied were background air, human breast milk, and edible fish (tilapia and catfish). The investigations focused on the exposure of the general population. For the first time levels and seasonal variation of Lindane, α-HCH and β-HCH in background air of Lake Bosumtwi, Kwabenya and East Legon in Ghana were studied with polyurethane foam based passive air samplers. Lindane (average concentration 53 pg m -3 ) was measured in all samples with (i) gas chromatography-mass spectrometer (GC-MS) and (ii) gas chromatography-mass spectrometer operated in electron ionization mode (GC-EI-MS). Agricultural application and revolatilisation from soils were main primary and secondary sources of HCH releases. Levels and variation of Lindane, α-HCH and β-HCH in pooled and individual human breast milk samples collected from lactating mothers countrywide were determined using a high-resolution gas chromatography interfaced with a high-resolution gas chromatography interfaced with a high-resolution mass spectrometer (HRGC-HRMS). This constitutes the first comprehensive nationwide human breast milk study of assessing risks of HCHs for the general population of Ghana. Mothers were selected from three major cities (Accra, Kumasi and Tamale) and three rural communities (Ada, Jachie/Pramso and Tolon) representing the Southern, Middle and Northern sectors respectively. The results of the study showed that the general population of Ghana is widely exposed to HCHs although the current levels are generally low; and also suggest that the usage pattern and exposure levels of Lindane vary among the various regions in Ghana.

  1. Criteria-based audit of quality of care to women with severe pre-eclampsia and eclampsia in a referral hospital in Accra, Ghana

    Browne, Joyce L.; Van Nievelt, Sabine W.; Srofenyoh, Emmanuel K.; Grobbee, Diederick E.; Klipstein-Grobusch, Kerstin

    2015-01-01

    Objectives Severe pre-eclampsia and eclampsia are one of the major causes of maternal mortality globally. Reducing maternal morbidity and mortality demands optimizing quality of care. Criteria-based audits are a tool to define, assess and improve quality of care. The aim of this study was to

  2. Multipathway Quantitative Assessment of Exposure to Fecal Contamination for Young Children in Low-Income Urban Environments in Accra, Ghana: The SaniPath Analytical Approach.

    Wang, Yuke; Moe, Christine L; Null, Clair; Raj, Suraja J; Baker, Kelly K; Robb, Katharine A; Yakubu, Habib; Ampofo, Joseph A; Wellington, Nii; Freeman, Matthew C; Armah, George; Reese, Heather E; Peprah, Dorothy; Teunis, Peter F M

    2017-01-01

    Lack of adequate sanitation results in fecal contamination of the environment and poses a risk of disease transmission via multiple exposure pathways. To better understand how eight different sources contribute to overall exposure to fecal contamination, we quantified exposure through multiple

  3. Determination of the physico-chemical and bacteriological quality of water from hand dug wells in the Ga-West Municipality, Accra, Ghana

    Fatawu, B.

    2015-01-01

    The Ga-West Municipality is noted for high reported cases of Buruli Ulcer and other water-borne diseases. A large section of the population of the municipality depends on boreholes and hand-dug wells to meet their basic daily water requirement. The hand-dug wells and boreholes, unlike treated piped water and Water Kiosk Programmes in the communities of the study area are not frequently monitored for their bacteriological, physic-chemical parameters and trace elements content; to ascertain their suitability for drinking and other important domestic chores. The study assessed the quality (bacteriological, physico-chemical and trace elements) of water from hand-dug wells and boreholes in communities within the Ga West Municipality. Groundwater samples were collected in November and December 2014 from hand-dug wells and boreholes in twenty-three (19) communities within the Ga-West Municipality for the study. pH, Total Dissolved Solids, Electric Conductivity and Temperature were determined onsite with the portable Multifunctional HACH-Conductivity meter. HCO 3 - Alkalinity, Calcium and Total Hardness were determined by Titrimetry. Trace metals (Mn, Fe, Co, Ni, Cu, Pb, Cd, Zn) and Mg were determined by Atomic Absorption Spectrometry. For bacterial indicators, Aerobic Colony Count Technique was employed. Fecal Coliform and E-coli were determined using Violet Red Bile-salt Agar Media, and Indole Test used to confirm Ecoli. Plate Count Agar Media was used in the determination of Total Coliform. pH was acidic to weakly alkaline (4.5 - 8.5) for hand-dug wells and weakly acidic to near-neutral (6.4 - 7.5) in the boreholes. Total Dissolved Solids were generally high with about 35.7 % of the samples exceeding WHO recommended Guideline of 1000 mg/L in both hand-dug wells and boreholes. According to TDS classification by Freeze and Cherry, 74.3 % of the groundwater samples were classified as fresh, (TDS ‹100 mg/L) and 35.7 % as brackish (TDS › 100 mg/L). Total Hardness values were generally low with 88 % of the samples below the WHO recommended Guideline value of 500 mg/L for drinking water. However, according to classification of water due to hardness by Langmuir (1997) 83.3 % of the total samples can be classified as ‘very hard’ and 11 % as ‘hard’. One hand-dug well from Nkutunse representing (2.85 %) can be described as moderately hard and another from Amanfrom representing (2.85 %) classified as soft. The concentrations of the major cations were found to be high in general with sodium dominating with 69 % followed by calcium with 21 %. The relative abundances of the cations in the study area were in the order of Na + › Ca 2+ › Mg 2+ › K + . For the major anions, Cl - was the dominant anion followed by HCO 3 - , NO 3 - and SO 4 2- . Copper and Nickel were generally below the detection limit of 0.003 mg/L and 0.001 mg/L respectively for the instrument. The trace elements with the highest concentration determined was Iron with 69 % of the samples above the WHO Guideline value of 0.3 mg/L. Cobalt, Zinc, Manganese, Cadmium and lead occurred in a few samples at low concentrations. However Cd levels for 59.5 % of the samples exceeded the WHO recommended Guideline value of 0.004 mg/L. There were presence of Total Coliforms in all the boreholes and hand-dug wells with values ranging from 7.3×10 to 8.1×10 6 CFU/100 mL. Fecal Coliforms levels ranged between 0.0 and 7.9×10 4 CFU/100 mL in the hand-dug wells; and 0.0 to 8.6×10 3 CFU/100 mL in boreholes. E-coli were present in few hand-dug wells with mean value of 6.7×10 3 CFU/100 mL whiles out of the four boreholes, only one showed E-coli levels of 1.6×10 3 CFU/100 mL. (au)

  4. Adverse events and adherence to HIV post-exposure prophylaxis: a cohort study at the Korle-Bu Teaching Hospital in Accra, Ghana.

    Tetteh, Raymond A; Nartey, Edmund T; Lartey, Margaret; Mantel-Teeuwisse, Aukje K; Leufkens, Hubert G M; Nortey, Priscilla A; Dodoo, Alexander N O

    2015-06-20

    There is strong evidence that post-exposure prophylaxis (PEP) with antiretroviral drugs in the timely management of occupational exposures sustained by healthcare workers decreases the risk of HIV infection and PEP is now widely used. Antiretroviral drugs have well documented toxicities and produce adverse events in patients living with HIV/AIDS. In the era of "highly active antiretroviral therapy", non-adherence to treatment has been closely linked to the occurrence of adverse events in HIV patients and this ultimately influences treatment success but the influence of adverse events on adherence during PEP is less well studied. Following the introduction of a HIV post-exposure prophylaxis program in the Korle-Bu Teaching Hospital in January 2005, the incidence of adverse events and adherence were documented in occupationally-exposed healthcare workers (HCWs) and healthcare students (HCSs). Cohort event monitoring was used in following-up on exposed HCWs/HCSs for the two study outcomes; adverse events and adherence. All adverse events reported were grouped by MedDRA system organ classification and then by preferred term according to prophylaxis regimen. Adherence was determined by the completion of prophylaxis schedule. Cox proportional regression analysis was applied to determine the factors associated with the cohort study outcomes. Differences in frequencies were tested using the Chi square test and p < 0.05 was considered statistically significant. A total of 228 exposed HCWs/HCSs were followed up during the study, made up of 101 exposed HCWs/HCSs administered lamivudine/zidovudine (3TC/AZT) for 3 days; 75 exposed HCWs/HCSs administered lamivudine/zidovudine (3TC/AZT) for 28 days; and 52 exposed HCWs/HCSs administered lamivudine/zidovudine/lopinavir-ritonavir (3TC/AZT/LPV-RTV) for 28 days. The frequency of adverse events was 28% (n = 28) in exposed HCWs/HCSs administered 3TC/AZT for 3 days, 91% (n = 68) in exposed HCWs/HCSs administered 3TC/AZT for 28 days and 96% (n = 50) in exposed HCWs/HCSs administered 3TC/AZT/LPV-RTV for 28 days. Nausea was the most commonly reported adverse events in all three regimens. Adherence was complete in all exposed HCWs/HCSs administered 3TC/AZT for 3days, 56% (n = 42) in exposed HCWs/HCSs administered 3TC/AZT for 28 days and 62% (n = 32) in exposed HCWs/HCSs administered 3TC/AZT/LPV-RTV for 28 days. In the Cox regression multi-variate analysis, exposed HCWs/HCSs administered 3TC/AZT for 3 days were 70% less likely to report adverse events compared with exposed HCWs/HCSs administered 3TC/AZT for 28 days (Adjusted HR = 0.30 [95% CI, 0.18-0.48], p < 0.001). Exposed HCWs/HCSs administered 3TC/AZT for 3 days were 75% more likely to adhere to the schedule compared with exposed HCWs/HCSs administered 3TC/AZT for 28 days (Adjusted HR = 1.75 [95% CI, 1.16-2.66], p = 0.008). The intolerance to adverse events was cited as the sole reason for truncating PEP, thereby indicating the need for adequate, appropriate and effective counselling, education, active follow-up (possibly through mobile /phone contact) and management of adverse events. Education on the need to complete PEP schedule (especially for exposed HCWs/HCSs on 28-day schedule) can lead to increased adherence, which is very critical in minimizing the risk of HIV sero-conversion. The present results also indicate that cohort event monitoring could be an effective pharmacovigilance tool in monitoring adverse events in exposed HCWs/HCSs on HIV post-exposure prophylaxis.

  5. Assessment of heavy metal contamination of dust at some selected fuel filling stations in Accra

    Afrifa, C. G.

    2011-07-01

    Heavy metal contaminated dust particles of fuel filling stations can be re-suspended into the ambient air and serve as a source of atmospheric pollution since the fine particles are aerodynamic and have longer life time in ambient air. This can cause ill-health effect on the fuel attendants and residents within the neighbourhood especially infants and the aged who are more vulnerable. In spite of this, not much research has been done on heavy metal contamination of dust at fuel filling stations. In this study, 55 dust samples were collected from six fuel filling stations in the Ga-East district and Accra Metropolitan assembly, both in Accra, in order to assess the levels of contamination of heavy metals; their possible sources and the human health risk associated with them. The dust samples were divided into two parts with one part sieved into four fractions using metric mesh sizes 500 µm, 200µm, 100µm and 45 µm, and pulverised. Total concentrations of heavy metals (Si, K, Ca, Ti, V, Cr, Mn, Fe, Ni, Cu, Zn, Ga, Br, Rb, Sr, Y, Zr and Pb) were determined in the dust samples using energy dispersive X-ray fluorescence analysis. The pollution indices; enrichment factors (EF), index of geoaccumulation (Igeo), contamination factor (CF) and pollution load index (PLI) were used to identify possible levels of pollution from anthropogenic sources. The possible sources of metals were also identified with principal component analysis. Noncancer effect of children and adults due to exposure to dust from these fuel filling stations were also estimated. For the three fuelling areas, the average concentrations of V, Cr, Ni and Cu exceeded the acceptable values in common soil in the <45 µm fraction. The average concentration of Zn however exceeded the acceptable value only at the mixed-fuel fuelling area whereas the average concentration of Pb was within the acceptable value for all three fuelling areas. The dust samples showed moderate to significant enrichments for V, Cu, Br

  6. Fee-based solid waste collection in economically developing countries: The case of Accra metropolis

    Oduro-Appiah, K.

    2013-06-01

    Full Text Available Fee-based solid waste collection, a system that holds great promise to reducing the financial burden of solid waste management on the municipalities of developing countries is reviewed in this research study. It is to promote financial sustainability through partial or full cost sharing of solid waste collection services and intended to serve as a guide to policy makers and waste management authorities in Ghana and other countries with developing economies. Information through survey and questionnaires from residents across the socio-economic divide was collected to determine willingness and ability to pay for solid waste collection services. A critical assessment of the various capital and operational cost components that come into play in the collection process were considered and computed to determine the economic and social tariff that will be enough to offset the cost of collection, transportation and disposal of solid waste unto landfills. Residents of the metropolis have the ability and are willing to pay an economically affordable user charge of US$1.10 per household per month to offset and remove the financial burden of solid waste collection off the metropolitan assembly. Consistent and efficient collection service is recommended to ensure residents cooperation towards implementation of the system in Ghana.

  7. Plant genetic resources management in Ghana: Some challenges in ...

    Plant genetic resources management in Ghana: Some challenges in legumes. ... Ghana Journal of Agricultural Science ... The Plant Genetic Resources Research Institute, serving as the national gene bank of Ghana, together with other stakeholders, had made strenuous efforts in managing the legume genetic resources in ...

  8. Revising The Standards For Financial Reporting In Ghana | Appiah ...

    The need to strengthen financial reporting through standard setting in Ghana has been examined. The roles of the Institute of Chartered Accountants (Ghana) and Ghana National Accounting Standards Board were found not to be addressing the revision and updating of the standards, and bringing the procedures and ...

  9. Institutional Support : Institute of Economic Affairs (IEA-Ghana ...

    The Institute of Economic Affairs in Ghana (IEA-Ghana) was founded in 1989 during the twilight of the military dictatorship. At that time there were no independent policy centres in the country and hence little public policy dialogue. Still, IEA-Ghana succeeded in creating a platform for debate and made a strong case for major ...

  10. Addressing the third delay: implementing a novel obstetric triage system in Ghana.

    Goodman, David M; Srofenyoh, Emmanuel K; Ramaswamy, Rohit; Bryce, Fiona; Floyd, Liz; Olufolabi, Adeyemi; Tetteh, Cecilia; Owen, Medge D

    2018-01-01

    Institutional delivery has been proposed as a method for reducing maternal morbidity and mortality, but little is known about how referral hospitals in low-resource settings can best manage the expected influx of patients. In this study, we assess the impact of an obstetric triage improvement programme on reducing hospital-based delay in a referral hospital in Accra, Ghana. An Active Implementation Framework is used to describe a 5-year intervention to introduce and monitor obstetric triage capabilities. Baseline data, collected from September to November 2012, revealed significant delays in patient assessment on arrival. A triage training course and monitoring of quality improvement tools occurred in 2013 and 2014. Implementation barriers led to the construction of a free-standing obstetric triage pavilion, opened January 2015, with dedicated midwives. Data were collected at three time intervals following the triage pavilion opening and compared with baseline including: referral indications, patient and labour characteristics, waiting time from arrival to assessment and the documentation of a care plan. An obstetric triage improvement programme reduced the median (IQR) patient waiting time from facility arrival to first assessment by a midwife from 40 min (15-100) to 5 min (2-6) (p<0.001) over the 5-year intervention. The triage pavilion enhanced performance resulting in the elimination of previous delays associated with the time of admission and disease acuity. Care plan documentation increased from 51% to 96%. Obstetric triage, when properly implemented, reduced delay in a busy, low-resource hospital. The implementation process was sustained under local leadership during transition to a new hospital.

  11. Ex-Post Analysis of Land Title Registration in Ghana Since 2008 Merger

    Richmond J. Ehwi

    2016-04-01

    Full Text Available Land ownership and security of title have continued to dominate land management discourses in many developing economies, leading to a proliferation of studies that explore, among other things, the nexus between land title registration and land security, women’s access to land, innovation in agriculture, access to finance, and economic development. For many years, Ghana experienced minimal success in formalizing land ownership and title registration. However, public confidence and expectations were raised once more in 2008 with the merger of four disparate land agencies into the New Lands Commission (NLC under the overarching ambit of the Land Administration Project (LAP. This article contributes to existing studies by evaluating the impact of the 2008 merger. This is accomplished by matching the project’s stated objectives with actual outcomes and situating the findings in the broader theoretical debate about land title registration and economic development. Using data gathered through interviews with officials of the Greater Accra Lands Commission and with prospective land title holders, the study concludes that there have not been any great gains in achieving the complete digitization of the title registration process and follow-up procedures. However, there has been a reduction in the turn-around time for processing land documents, from more than 36 months to about 3 months, as well as increased public awareness about the process of title registration. The study recommends further training of staff members of the NLC in handling the digitization process, institutionalization of anti-corruption and anti-bribery practices, and the introduction of a well-functioning customer feedback system.

  12. Factors associated with sexual and reproductive health stigma among adolescent girls in Ghana.

    Hall, Kelli Stidham; Morhe, Emmanuel; Manu, Abubakar; Harris, Lisa H; Ela, Elizabeth; Loll, Dana; Kolenic, Giselle; Dozier, Jessica L; Challa, Sneha; Zochowski, Melissa K; Boakye, Andrew; Adanu, Richard; Dalton, Vanessa K

    2018-01-01

    Using our previously developed and tested Adolescent Sexual and Reproductive Health (SRH) Stigma Scale, we investigated factors associated with perceived SRH stigma among adolescent girls in Ghana. We drew upon data from our survey study of 1,063 females 15-24yrs recruited from community- and clinic-based sites in two Ghanaian cities. Our Adolescent SRH Stigma Scale comprised 20 items and 3 sub-scales (Internalized, Enacted, Lay Attitudes) to measure stigma occurring with sexual activity, contraceptive use, pregnancy, abortion and family planning service use. We assessed relationships between a comprehensive set of demographic, health and social factors and SRH Stigma with multi-level multivariable linear regression models. In unadjusted bivariate analyses, compared to their counterparts, SRH stigma scores were higher among girls who were younger, Accra residents, Muslim, still in/dropped out of secondary school, unemployed, reporting excellent/very good health, not in a relationship, not sexually experienced, never received family planning services, never used contraception, but had been pregnant (all p-values <0.05). In multivariable models, higher SRH stigma scores were associated with history of pregnancy (β = 1.53, CI = 0.51,2.56) and excellent/very good self-rated health (β = 0.89, CI = 0.20,1.58), while lower stigma scores were associated with older age (β = -0.17, 95%CI = -0.24,-0.09), higher educational attainment (β = -1.22, CI = -1.82,-0.63), and sexual intercourse experience (β = -1.32, CI = -2.10,-0.55). Findings provide insight into factors contributing to SRH stigma among this young Ghanaian female sample. Further research disentangling the complex interrelationships between SRH stigma, health, and social context is needed to guide multi-level interventions to address SRH stigma and its causes and consequences for adolescents worldwide.

  13. Cyanobacteria and microcystin contamination in untreated and treated drinking water in Ghana

    Gloria Naa Dzama Addico

    2017-06-01

    Full Text Available Although cyanobacterial blooms and cyanotoxins represent a worldwide-occurring phenomenon, there are large differences among different countries in cyanotoxin-related human health risk assessment, management practices and policies. While national standards, guideline values and detailed regulatory frameworks for effective management of cyanotoxin risks have been implemented in many industrialized countries, the extent of cyanobacteria occurrence and cyanotoxin contamination in certain geographical regions is under-reported and not very well understood. Such regions include major parts of tropical West and Central Africa, a region constisting of more than 25 countries occupying an area of 12 million km2, with a total population of 500 milion people. Only few studies focusing on cyanotoxin occurrence in this region have been published so far, and reports dealing specifically with cyanotoxin contamination in drinking water are extremely scarce. In this study, we report seasonal data on cyanobacteria and microcystin (MC contamination in drinking water reservoirs and adjacent treatment plants located in Ghana, West Africa. During January-June 2005, concentrations of MCs were monitored in four treatment plants supplying drinking water to major metropolitan areas in Ghana: the treatment plants Barekese and Owabi, which serve Kumasi Metropolitan Area, and the plants Kpong and Weija, providing water for Accra-Tema Metropolitan Area. HPLC analyses showed that 65% samples of raw water at the intake of the treatment plants contained intracellular MCs (maximal detected concentration was 8.73 µg L-1, whereas dissolved toxins were detected in 33% of the samples. Significant reduction of cyanobacterial cell counts and MC concentrations was achieved during the entire monitoring period by the applied conventional water treatment methods (alum flocculation, sedimentation, rapid sand filtration and chlorination, and MC concentration in the final treated water

  14. Demographic patterns and sustainable development in Ghana.

    Tawiah, E O

    1995-01-01

    There is a growing recognition that the present demographic patterns in sub-Saharan Africa, including Ghana, do not augur well for the achievement of sustainable development. Ghana is characterized by a youthful population, rapid population growth, uneven population distribution, high fertility, and rural-urban migration which has brought human numbers into collision with resources to sustain them. It is submitted that the issues discussed are equally applicable to the subregion as well. The estimated population in 1993 was about 16.4 million. The population of Ghana increased from 1970 to 1984 at a rate of growth of 2.6% per annum. The proliferation of small settlements has serious implications for sustainable development. Urban centers comprised about 12.9% of the total population in 1948, 23% in 1960, 28.3% in 1970, and 31.3% in 1984. The average woman in Ghana still has more than six children. The 1988 Ghana Demographic and Health Survey (GDHS) indicated that the median age at first marriage for women was 16.5 years. Contraceptive use is low in sub-Sahara Africa. Currently married women (15-49) currently using any modern method ranged from 1% in Burundi (1987) and Mali (1987) to 36% in Zimbabwe (1988/89). The rapid population growth in Ghana, coupled with the concentration of infrastructural facilities and job opportunities in the urban centers, has resulted in a massive rural-urban migration. Basic social facilities like health, water, housing, and electricity have been stretched to their breakpoints. The Government of Ghana initiated a major effort to put environmental issues on the priority agenda in March 1988. This led to the preparation of an Environmental Action Plan (EAP) in 1991 to address issues relating to the protection of the environment, but the need is still urgent to adopt relevant population policies as a basic strategy in sustainable development.

  15. Introduction of Nuclear Power in Ghana

    Aboh, K.; Dzobo, M

    2010-01-01

    Ghana depends mainly on hydro-systems for electricity generation. In 1984, 1998, 2003 and 2007, there was drastic shortfalls in hydro-generation due to severe droughts. In 2007, the shortfall in generation was compounded by high prices of light crude oil. In May 2007, the government set-up a 7-man Presidential Committee on feasibility of a Nuclear Power Programme. Ghana’s electricity demand was projected to increase at 7.7% p.a. between 2004 and 2030. Per capita electricity demand is expected to increase from 253 kWh in 2004 to 1120 kWh in 2030. Peak electricity demand was expected to increase from 1095 MW in 2004 to 6700 MW in 2030. Ghana received IAEA assistance to undertake a national TCP GHA/0/011: “Evaluating the role of Nuclear Power in Future Generation Mix”. Under the national TCP GHA/0/011, a proposal for establishing NEPIO – (an Inter-ministerial Steering Committee to be chaired by the Minister of Energy) based on IAEA recommendations was submitted to the Minister of Energy. Ghana Atomic Energy Commission in partnership with other stakeholders and support from the IAEA did prepared a draft nuclear bill. The draft Ghana Nuclear Bill also proposed the establishment of an independent Ghana Nuclear Regulatory Authority. The Authority is mandated to license and regulate all nuclear installations including power plants. No potential sites for nuclear power plant and waste disposal had been identified yet for evaluation. Potential sites for nuclear power plants and waste disposal were identified and assessed under the IAEA national TCP GHA/0/011. Ghana Atomic Energy Commission (i.e. GAEC) and the University of Ghana with support from the IAEA have established the Graduate School of Nuclear and Allied Sciences (i.e. SNAS) for training nuclear expert

  16. Factors associated with induced abortion at selected hospitals in the Volta Region, Ghana

    Klutsey EE

    2014-08-01

    Full Text Available Ellen Eyi Klutsey,1 Augustine Ankomah2 1School of Nursing and Midwifery, University of Health and Allied Sciences, Ho, Volta Region, 2Department of Population, Family and Reproductive Health School of Public Health, University of Ghana, Legon, Accra, Ghana Background: Induced abortion rates remained persistently high in the Volta Region of Ghana in the 5 years from 2006 to 2011. Some hospitals, both rural and urban, report induced abortion-related complications as one of the top ten conditions in hospital admissions. This study explored demographic and other factors associated with induced abortion, and also assessed awareness of abortion-related complications among women of reproductive age in the Volta Region. Methods: A quantitative, hospital-based, unmatched case-control study was performed. The Volta Region was stratified into two health administration zones, ie, north and south. For each zone, hospitals were stratified into government and private hospitals. Employing simple random sampling, one private and three government hospitals were selected from each zone. This study is therefore based on eight hospitals, ie, six government hospitals and two private hospitals. Results: Marital status, employment status, number of total pregnancies, and knowledge about contraception were found to be associated with induced abortion. Multiple logistic regression showed a 4% reduction in the odds of induced abortion in married women compared with women who were single (odds ratio [OR] 0.11, 95% confidence interval [CI] 0.07–0.22. Unemployed women of reproductive age were found to be 0.35 times less likely to seek induced abortion compared with their employed counterparts (OR 0.35, CI 0.19–0.65. It was also observed that women with their second pregnancies were 3.8 times more likely to seek induced abortion and women with more than two pregnancies were 6.6 times more likely to do so (OR 3.81, CI 1.94–7.49 and OR 6.58, CI 2.58–16.79, respectively

  17. Shaping legal abortion provision in Ghana: using policy theory to understand provider-related obstacles to policy implementation

    2013-01-01

    Background Unsafe abortion is a major public health problem in Ghana; despite its liberal abortion law, access to safe, legal abortion in public health facilities is limited. Theory is often neglected as a tool for providing evidence to inform better practice; in this study we investigated the reasons for poor implementation of the policy in Ghana using Lipsky’s theory of street-level bureaucracy to better understand how providers shape and implement policy and how provider-level barriers might be overcome. Methods In-depth interviews were conducted with 43 health professionals of different levels (managers, obstetricians, midwives) at three hospitals in Accra, as well as staff from smaller and private sector facilities. Relevant policy and related documents were also analysed. Results Findings confirm that health providers’ views shape provision of safe-abortion services. Most prominently, providers experience conflicts between their religious and moral beliefs about the sanctity of (foetal) life and their duty to provide safe-abortion care. Obstetricians were more exposed to international debates, treaties, and safe-abortion practices and had better awareness of national research on the public health implications of unsafe abortions; these factors tempered their religious views. Midwives were more driven by fundamental religious values condemning abortion as sinful. In addition to personal views and dilemmas, ‘social pressures’ (perceived views of others concerning abortion) and the actions of facility managers affected providers’ decision to (openly) provide abortion services. In order to achieve a workable balance between these pressures and duties, providers use their ‘discretion’ in deciding if and when to provide abortion services, and develop ‘coping mechanisms’ which impede implementation of abortion policy. Conclusions The application of theory confirmed its utility in a lower-middle income setting and expanded its scope by showing that

  18. Examining domains of community health nurse satisfaction and motivation: results from a mixed-methods baseline evaluation in rural Ghana.

    Sacks, Emma; Alva, Soumya; Magalona, Sophia; Vesel, Linda

    2015-10-08

    A strong health system requires a competent and caring workforce. A more satisfied and motivated health workforce should be more willing to serve in difficult areas, have lower turnover, and theoretically provide better care to patients. This paper examines the motivation, satisfaction, and correlation with clinical knowledge, of community health nurses (CHNs), a cadre of provider focused on maternal, newborn and child health in rural Ghana. This study employed three methods of evaluation. Two quantitative measurements were used: (1) a survey of health worker satisfaction and motivation and (2) a clinical knowledge assessment focusing on maternal, newborn and child health. Both were administered to all rostered CHNs working in the five sampled districts in the Greater Accra and Volta regions in Eastern Ghana (N = 205). Qualitative interviews (N = 29) and focus group discussions (N = 4) were held with selected CHNs in the same districts. These data were analysed using NVivo (Version 10) and Stata (Version 13.0) based on domains of extrinsic and intrinsic motivation including general satisfaction, work environment and access to resources, respect and recognition received and opportunities for advancement. CHNs desired more training, especially those who were posted at the community level (a Community-based Health Planning and Services post or "CHPS") versus at a health facility. CHNs working at CHPS believed their work to be more difficult than those posted at health facilities, due to challenges associated with foot travel to visit patients at home, and they were more likely to report having insufficient resources to do their jobs (48% vs 36%). However, CHNs posted at health facilities were more likely to report insufficient opportunities for career advancement than the CHPS nurses (49% vs 33%). CHNs generally reported good relationships with colleagues and being respected by patients but desired more respect from supervisors. The median score on the

  19. Effect of Community Engagement Interventions on Patient Safety and Risk Reduction Efforts in Primary Health Facilities: Evidence from Ghana.

    Robert Kaba Alhassan

    Full Text Available Patient safety and quality care remain major challenges to Ghana's healthcare system. Like many health systems in Africa, this is largely because demand for healthcare is outstripping available human and material resource capacity of healthcare facilities and new investment is insufficient. In the light of these demand and supply constraints, systematic community engagement (SCE in healthcare quality assessment can be a feasible and cost effective option to augment existing quality improvement interventions. SCE entails structured use of existing community groups to assess healthcare quality in health facilities. Identified quality gaps are discussed with healthcare providers, improvements identified and rewards provided if the quality gaps are closed.This paper evaluates whether or not SCE, through the assessment of health service quality, improves patient safety and risk reduction efforts by staff in healthcare facilities.A randomized control trail was conducted in 64 primary healthcare facilities in the Greater Accra and Western regions of Ghana. Patient risk assessments were conducted in 32 randomly assigned intervention and control facilities. Multivariate multiple regression test was used to determine effect of the SCE interventions on staff efforts towards reducing patient risk. Spearman correlation test was used to ascertain associations between types of community groups engaged and risk assessment scores of healthcare facilities.Clinic staff efforts towards increasing patient safety and reducing risk improved significantly in intervention facilities especially in the areas of leadership/accountability (Coef. = 10.4, p<0.05 and staff competencies (Coef. = 7.1, p<0.05. Improvement in service utilization and health resources could not be attributed to the interventions because these were outside the control of the study and might have been influenced by institutional or national level developments between the baseline and follow-up period

  20. Sanitation investments in Ghana: An ethnographic investigation of the role of tenure security, land ownership and livelihoods.

    Awunyo-Akaba, Y; Awunyo-Akaba, J; Gyapong, M; Senah, K; Konradsen, F; Rheinländer, T

    2016-07-18

    Ghana's low investment in household sanitation is evident from the low rates of improved sanitation. This study analysed how land ownership, tenancy security and livelihood patterns are related to sanitation investments in three adjacent rural and peri-urban communities in a district close to Accra, Ghana's capital. Qualitative data was gathered for this comparative ethnographic study over seven months, (June, 2011-January, 2012) using an average of 43 (bi-weekly) participant observation per community and 56 in-depth interviews. Detailed observational data from study communities were triangulated with multiple interview material and contextual knowledge on social structures, history of settlement, land use, livelihoods, and access to and perceptions about sanitation. This study shows that the history of settlement and land ownership issues are highly correlated with people's willingness and ability to invest in household sanitation across all communities. The status of being a stranger i.e. migrant in the area left some populations without rights over the land they occupied and with low incentives to invest in sanitation, while indigenous communities were challenged by the increasing appropriation of their land for commercial enterprises and for governmental development projects. Interview responses suggest that increasing migrant population and the high demand for housing in the face of limited available space has resulted in general unwillingness and inability to establish private sanitation facilities in the communities. The increasing population has also created high demand for cheap accommodation, pushing tenants to accept informal tenancy agreements that provided for poor sanitation facilities. In addition, poor knowledge of tenancy rights leaves tenants in no position to demand sanitation improvements and therefore landlords feel no obligation or motivation to provide and maintain domestic sanitation facilities. The study states that poor land rights, the

  1. Ghana and the nuclear power option

    Fletcher, J.J.; Ennison, I.

    2000-01-01

    For every country, dependable and continuous supply of electricity is a prerequisite for ensuring sustainable development. In Ghana, Ghanaians have currently known the consequences of disrupted and inadequate supply of electricity. Globally too the call of ''Agenda 21'' of the Rio de Janeiro Conference (Earth Summit) to engage in the development and supply of electricity in a sustainable manner imposes on us certain limitations in our choice of energy option to utilise. Taking into account the high economic and population growths with the subsequent increase in demand for electricity in the 21st century, the fact that Ghana has no coal and imports oil which will be in dwindling supply in the 21st century and that the total hydro supply in Ghana will not be sufficient for our electricity demand in the next century, this paper proposes that Ghana starts now to plan for the introduction of the nuclear option so that in the long term we may have in place an environmentally friendly, dependable and reliable supply of energy. The paper also highlights the economic competitiveness of nuclear power over the other energy options in Ghana and addresses the apprehension and misunderstanding surrounding the nuclear power option. (author)

  2. National waste management infrastructure in Ghana

    Darko, E.O.; Fletcher, J.J.

    1998-01-01

    Radioactive materials have been used in Ghana for more than four decades. Radioactive waste generated from their applications in various fields has been managed without adequate infrastructure and any legal framework to control and regulate them. The expanded use of nuclear facilities and radiation sources in Ghana with the concomitant exposure to human population necessitates effective infrastructure to deal with the increasing problems of waste. The Ghana Atomic Energy Act 204 (1963) and the Radiation Protection Instrument LI 1559 (1993) made inadequate provision for the management of waste. With the amendment of the Atomic Energy Act, PNDCL 308, a radioactive waste management centre has been established to take care of all waste in the country. To achieve the set objectives for an effective waste management regime, a waste management regulation has been drafted and relevant codes of practice are being developed to guide generators of waste, operators of waste management facilities and the regulatory authority. (author)

  3. Analysis of the Proposed Ghana Broadband Strategy

    Williams, Idongesit; Botwe, Yvonne

    This project studied the Ghana Broadband Strategy with the aim of evaluating the recommendations in the strategy side by side the broadband development in Ghana. The researchers conducted interviews both officially and unofficially with ICT stakeholders, made observations, studied Government...... intervention policies recommended in the Ghana broadband policy is used to evaluate the broadband market to find out whether the strategy consolidates with the Strengths and opportunities of the market and whether it corrects the anomalies that necessitate the weaknesses and threats to the market....... The strategy did address some threats and weaknesses of the broadband market. It also consolidated on some strengths and opportunities of the broadband market. The researchers also discovered that a market can actually grow without a policy. But a market will grow faster if a well implemented policy is guiding...

  4. Safe management of radioactive waste in Ghana

    Glover, E.T.; Fletcher, J.J.

    2000-01-01

    The Ghana Atomic Energy Commission was established in 1963 by an Act of Parliament, Act 204 for the Promotion, Development and Peaceful Application of Nuclear Techniques for the Benefit of Ghana. As in many developing countries the use of nuclear application is growing considerably in importance within the national economy. The Radiation Protection Board was established as the national regulatory authority and empowered by the Radiation Protection Instrument LI 1559 (1993). The above regulations, Act 204 and LI 1559 provided a minimum legal basis for regulatory control of radioactive waste management as it deals with waste management issues in a very general way and is of limited practical use to the waste producer. Hence the National Radioactive Waste Management Centre was established in July 1995 to carry out waste safety operations in Ghana. This paper highlights steps that have been taken to develop a systemic approach for the safe management of radioactive waste in the future and those already in existence. (author)

  5. Education and Health Care Policies in Ghana

    Ziblim Abukari

    2015-10-01

    Full Text Available Education and health care policies in Ghana since independence have been universalist in approach providing free universal health care and free basic and tertiary education until the early 1980s. Precipitated primarily by a severe drought, stagnant economic growth, mismanagement, and political instability, Ghana undertook major economic reforms with prodding from the World Bank and International Monetary Fund in a bid to salvage the economy. These economic measures included cost recovery and cutback spending in education and health sectors. However, in recent years, purposive targeted interventions have been pursued to address inequalities in education and health care. These new programs include the Education Capitation Grant, school feeding program, and the National Health Insurance Scheme (NHIS, which are propelling Ghana toward the achievement of the Millennium Development Goals. The prospects of these programs in addressing disparities in access to education and health care in the country and recommendations for improved delivery are discussed.

  6. Dietary diversity and child malnutrition in Ghana

    Raymond Boadi Frempong

    2017-05-01

    Full Text Available The health of children in Ghana has improved in recent years. However, the current prevalence rates of malnutrition remain above internationally acceptable levels. This study, therefore, revisits the determinants of child health by using Ghana’s Multiple Indicator Cluster Survey to investigate the effect of infant feeding practices on child health. We used the World Health Organization’s Infant and Young Children Feeding guidelines to measure dietary quality. The econometric analyses show that dietary diversity may cause improvement in children’s health in Ghana. This suggests that educational campaigns on proper infant feeding and complementary dieting could be an effective means of improving the health of children in Ghana.

  7. Ghana Chemical Society eleventh national annual conference

    NONE

    1998-12-01

    The publication contains the programme and abstracts of the eleventh annual conference of the Ghana Chemical Society. The aim of the conference was to examine the role of chemistry and the strategic role of chemistry practitioners in the overall development of Ghana in the twenty first century. Abstracts presented have been grouped in the following order: welcome address, professional lecture on the future direction of the Ghana Chemical Society, conference programme, plenary lectures on the role of chemistry in the critical areas of the economy such as energy, environment, education, health, agriculture, special seminar on chemistry and society highlighting the role of chemistry in fire prevention, crime detection, water quality, customs operations, scientific papers and selected industrial processes. A total of twenty five abstracts have been presented. (E.A.A)

  8. Ghana Chemical Society eleventh national annual conference

    1998-01-01

    The publication contains the programme and abstracts of the eleventh annual conference of the Ghana Chemical Society. The aim of the conference was to examine the role of chemistry and the strategic role of chemistry practitioners in the overall development of Ghana in the twenty first century. Abstracts presented have been grouped in the following order: welcome address, professional lecture on the future direction of the Ghana Chemical Society, conference programme, plenary lectures on the role of chemistry in the critical areas of the economy such as energy, environment, education, health, agriculture, special seminar on chemistry and society highlighting the role of chemistry in fire prevention, crime detection, water quality, customs operations, scientific papers and selected industrial processes. A total of twenty five abstracts have been presented. (E.A.A)

  9. Radiation preservation of cut cabbage (Brassica oleracea): a case study in the Greater Accra Region

    Frimpong, K.G.

    2011-01-01

    Low fruit and vegetable intake is estimated to cause about 31% of ischaemic heart disease and 11% of stroke worldwide. It is estimated that up to 2.7 million lives could potentially be saved each year if fresh fruits and vegetables such as cabbage consumption was sufficiently increased. However, fresh or ready-to-eat vegetables have been found to be a potential cause of foodborne diseases due to their association with human pathogens. More so, some of these pathogens are resident in the vegetables. The application of ionizing irradiation has been identified as a promising technology that may be used to control spoilage or pathogenic microorganisms in order to increase shelf life, improve the safety of ready-to-eat fruits and vegetables and as a substitute for the use of chemical sterilants. The main objective of this research was to assess impact of gamma radiation in reducing microbial load on cut cabbage and how it helps to extend shelf life. Standard plate count method was used in the determination of total viable and coliform counts (TVC and TCC). Redox titration with iodine method was used in determining the total ascorbic acid content while antioxidant activity, total flavonoid and phenolic content were determined by DPPH, Folin-Ciocalteu and Aluminium chloride colorimetric method respectively. Nine-point Hedonic scale was also used for the sensory evaluation. The studies revealed that microbial numbers of E.coli, total viable and coliform counts on 'ready-to-eat' cut cabbage in most supermarkets in the Accra metropolitan area were beyond the acceptable national food legislations. Total viable and coliform counts record showed a combination treatment of irradiation doses (1 to 3kGy) and refrigeration temperature (8 ± 2degrees Celcius) reduced microbial growth by 3 to 5 log cycles. Fungal species like Mucor spp, Penicillium digitatum, and Rhizopus spp. Which are spoilage organisms were isolated from all unirradiated control samples but not irradiated (1-3k

  10. Prevalence and antibiotic resistance of coagulase-negative Staphylococci isolated from poultry farms in three regions of Ghana.

    Boamah, Vivian Etsiapa; Agyare, Christian; Odoi, Hayford; Adu, Francis; Gbedema, Stephen Yao; Dalsgaard, Anders

    2017-01-01

    The use of antibiotics in animal production has been associated with the development and spread of antibiotic-resistant organisms including commensals. Coagulase-negative Staphylococcus (CoNS) species, which were until recently considered non-pathogenic, have been associated with opportunistic infections and high resistance to several antibiotics. This study sought to determine the prevalence, identity, and phenotypic resistance of coagulase-negative Staphylococcus spp. isolated from some selected poultry farms and farm workers in the Ashanti, Brong Ahafo, and Greater Accra regions of Ghana. Poultry litter samples and oral swabs of poultry farm workers were collected, from which bacterial species were isolated, identified, and analyzed. Various selective media were used for the presumptive identification of the different species. Confirmation of bacterial identity was done using matrix-assisted laser desorption/ionization time of flight (MALDI-TOF) mass spectrometry. Antibiotic susceptibility testing of the isolates was performed using the Kirby-Bauer disk diffusion method. Zones of growth inhibition were interpreted based on the European Committee on Antimicrobial Susceptibility Testing (EUCAST) guidelines. Two hundred and fifty-six coagulase-negative Staphylococcus spp., comprising S. sciuri (42.97%), S. lentus (35.94%), S. gallinarum (6.64%), S. xylosus (4.30%), S. haemolyticus (3.91%), S. saprophyticus (1.95%), and S. cohnii (0.39%) were confirmed by MALDI-TOF. CoNS were isolated from samples from the Brong Ahafo (48.83%), Ashanti (33.59%), and Greater Accra (17.78%) regions. Isolates from poultry litter constituted 55.47%, and farm workers 44.53%. All the isolates were susceptible to amoxicillin/clavulanic acid and amikacin. The isolates exhibited high resistance toward tetracycline (57.03%), doxycycline (43.75%), and oxacillin (43.36%). Multi-drug resistance (MDR) was observed in 19.14% of the isolates. MDR was higher in isolates obtained from poultry farm

  11. Experiences of frontline nursing staff on workplace safety and occupational health hazards in two psychiatric hospitals in Ghana.

    Alhassan, Robert Kaba; Poku, Kwabena Adu

    2018-06-06

    Psychiatric hospitals need safe working environments to promote productivity at the workplace. Even though occupational health and safety is not completely new to the corporate society, its scope is largely limited to the manufacturing/processing industries which are perceived to pose greater dangers to workers than the health sector. This paper sought to explore the experiences of frontline nursing personnel on the occupational health and safety conditions in two psychiatric hospitals in Ghana. This is an exploratory cross-sectional study among 296 nurses and nurse-assistants in Accra (n = 164) and Pantang (n = 132) psychiatric hospitals using the proportional stratified random sampling technique. Multivariate Ordinary Least Squares (OLS) regression test was conducted to ascertain the determinants of staff exposure to occupational health hazards and the frequency of exposure to these occupational health hazards on daily basis. Knowledge levels on occupational health hazards was high in Accra and Pantang psychiatric hospitals (i.e. 92 and 81% respectively), but barely 44% of the 296 interviewed staff in the two hospitals said they reported their most recent exposure to an occupational health hazard to hospital management. It was found that staff who worked for more years on the ward had higher likelihood of exposure to occupational health hazards than those who worked for lesser years (p = 0.002). The category of occupational health hazards reported most were the physical health hazards. Psychosocial hazards were the least reported health hazards. Frequency of exposure to occupational health hazards on daily basis was positively associated with work schedules of staff particularly, staff on routine day schedule (Coef = 4.49, p = 0.011) and those who alternated between day and night schedules (Coef = 4.48, p = 0.010). Occupational health and safety conditions in the two hospitals were found to be generally poor. Even though majority of

  12. Fostering repeat donations in Ghana.

    Owusu-Ofori, S; Asenso-Mensah, K; Boateng, P; Sarkodie, F; Allain, J-P

    2010-01-01

    Most African countries are challenged in recruiting and retaining voluntary blood donors by cost and other complexities and in establishing and implementing national blood policies. The availability of replacement donors who are a cheaper source of blood has not enhanced repeat voluntary donor initiatives. An overview of activities for recruiting and retaining voluntary blood donors was carried out. Donor records from mobile sessions were reviewed from 2002 to 2008. A total of 71,701 blood donations; 45,515 (63.5%) being voluntary donations with 11,680 (25%) repeat donations were collected during the study period. Donations from schools and colleges contributed a steady 60% of total voluntary whilst radio station blood drives increased contribution from 10 to 27%. Though Muslim population is less than 20%, blood collection was above the 30-donation cost-effectiveness threshold with a repeat donation trend reaching 60%. In contrast Christian worshippers provided donations. Repeat donation trends amongst school donors and radio blood drives were 20% and 70% respectively. Repeat donations rates have been variable amongst different blood donor groups in Kumasi, Ghana. The impact of community leaders in propagating altruism cannot be overemphasized. Programs aiming at motivating replacement donors to be repeat donors should be developed and assessed. Copyright 2009 The International Association for Biologicals. All rights reserved.

  13. Journal of the Ghana Science Association: Submissions

    Unless otherwise stated, the first named author of a joint publication will be taken as ... be sent to The Editor, Journal of Ghana Science Association, P.O. Box 7, Legon. ... Copyright for articles published in this journal is retained by the journal.

  14. Ghana Mining Journal - Vol 9 (2007)

    Evaluating the Acid Mine Drainage Potential at Abosso Goldfields Limited (AGL), Ghana. JS Kuma, DN Asamoah. http://dx.doi.org/10.4314/gm.v9i1.42604 ... Application of Virtual Reality for Visual Presentation in the Mineral Industry. AA Mensah, PA Eshun. http://dx.doi.org/10.4314/gm.v9i1.42611 ...

  15. Assessing the Implementation of Ghana's Patient Charter

    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.…

  16. Small Scale Foundries in Ghana: The challenges

    Anthony ANDREWS

    2012-08-01

    Full Text Available Small Scale Foundries (SSFs have been in existence for several years in Ghana. The industry has created several jobs for the people of Ghana and has minimized the burden on government to find ways of disposing scrap metals generated within the country. While scrap metals are still being exported, the quantity exported has decreased as a result of recycling by foundrymen in producing various parts. The government of Ghana has not paid special attention to this industry. Nevertheless, individuals and private investors are heavily involved in producing several thousands of tonnes of castings annually generating revenue for the government through taxation as well as helping with metal waste disposal. Metal cast products are sold both locally and internationally to neighbouring countries. The industry is however faced with numerous challenges. These include quality issues due to lack of technical know-how, access to funding from both government and private financial institutions and foundry waste management. To promote this industry, government and private financial institutions must be encouraged to come on board. Policies must be established and proper training programme developed to improve and promote this technology. This could go a long way in reducing the high unemployment rate in Ghana.

  17. Ghana Atomic Energy Commission: Annual Report 2001

    NONE

    2002-07-01

    This report covers the activities and research progams of the Ghana Atomic Energy Commission for the year 2001. The research programs and associated publications have been grouped under the three main institutes of the Commission namely National Nuclear Research Institute, Radiation Protection Institute and Biotechnology and Nuclear Agricultre Research Institute.

  18. Ghana Library Journal - Vol 14 (2002)

    Services, resources and benefits of the Internet available to academics in Ghana · EMAIL FULL TEXT EMAIL FULL TEXT DOWNLOAD FULL TEXT DOWNLOAD FULL TEXT. Evelyn D Markwei, 21-30. http://dx.doi.org/10.4314/glj.v14i1.33946 ...

  19. Ghana Atomic Energy Commission: Annual Report 2001

    2002-01-01

    This report covers the activities and research progams of the Ghana Atomic Energy Commission for the year 2001. The research programs and associated publications have been grouped under the three main institutes of the Commission namely National Nuclear Research Institute, Radiation Protection Institute and Biotechnology and Nuclear Agricultre Research Institute

  20. Determinants of Antenatal Care Use in Ghana

    Overbosch, G.B.; Nsowah-Nuamah, N.N.N.; van den Boom, G.J.M.; Damnyag, L.

    2004-01-01

    The paper investigates the determinants of antenatal care use in Ghana. In particular, we study how economic factors affect the demand for antenatal care and the probability that the number of visits falls below the recommended number of four. Estimation results from a nested three-level multinomial

  1. Agricultural and Food Science Journal of Ghana

    The Agricultural and Food Science Journal of Ghana publishes papers describing research, observational or experimental and critical reviews in Agriculture and Food Science. Vol 10, No 1 (2017). DOWNLOAD FULL TEXT Open Access DOWNLOAD FULL TEXT Subscription or Fee Access. Table of Contents. Articles ...

  2. Mobile rural youth in northern Ghana

    Gough, Katherine; Birch-Thomsen, Torben

    2016-01-01

    , followed by structural adjustment programmes and neoliberalism, have all contributed to increasing the inequality between the north and the south. Although Ghana has now joined the ranks of lower middle-income countries, its northern part lags behind, with 22.2% of the population living below the poverty...

  3. Internationalisation of SMEs in Ghana in Retrospect

    Sørensen, Olav Jull; Kuada, John

    2006-01-01

    The aim of the conference paper is to collide the research on internationalisation of companies from a developing country, Ghana. The paper is based on more than 30 research projects conducted over the period 1996-2006. It is found that Ghanaian companies are poorly integrated into the global eco...

  4. ANALYSING INBOUND TOURISTS' PERCEPTIONS OF GHANA

    be created (either by official sources or by a marketing agency). and secondly ... that revenue from I Iotcls and Restaurants Customers' tax grew from GI I. 24 million in ..... market-driven specific tourism products in tandem with the various market ... strategy for Ghana· s tourism industry: A focus on the African-American market ...

  5. Intersectoral labor mobility and deforestation in Ghana

    Owusu, V.; Yerfi Fosu, K.; Burger, C.P.J.

    2012-01-01

    This paper quantifies the effects of the determinants of intersectoral labor mobility and the effect of intersectoral labor mobility on deforestation in Ghana over the period 1970–2008. A cointegration and error correction modeling approach is employed. The empirical results show that labor mobility

  6. Mothers education and childhood mortality in Ghana.

    Buor, D.

    2003-01-01

    The significant extent to which maternal education affects child health has been advanced in several sociodemographic-medical literature, but not much has been done in analysing the spatial dimension of the problem; and also using graphic and linear regression models of representation. In Ghana,

  7. Controlling human oesophagostomiasis in northern Ghana

    Ziem, Juventus Benogle

    2006-01-01

    This thesis describes aspects of the epidemiology and attempts to control infection and pathology due to the nematode parasite Oesophagostomum bifurcum . In northern Ghana and Togo O. bifurcum is an important parasite of humans; elsewhere it is predominantly seen as a parasite of non-human primates.

  8. Universal financial protection through National Health Insurance: a stakeholder analysis of the proposed one-time premium payment policy in Ghana.

    Abiiro, Gilbert Abotisem; McIntyre, Di

    2013-05-01

    Extending coverage to the informal sector is a key challenge to achieving universal coverage through contributory health insurance schemes. Ghana introduced a mandatory National Health Insurance system in 2004 to provide financial protection for both the formal and informal sectors through a combination of taxes and annual premium payments. As part of its election promise in 2008, the current government (then in opposition) promised to make the payment of premiums 'one-time'. This has been a very controversial policy issue in Ghana. This study sought to contribute to assessing the feasibility of the proposed policy by exploring the understandings of various stakeholders on the policy, their interests or concerns, potential positions, power and influences on it, as well as the general prospects and challenges for its implementation. Data were gathered from a review of relevant documents in the public domain, 28 key informant interviews and six focus group discussions with key stakeholders in Accra and two other districts. The results show that there is a lot of confusion in stakeholders' understanding of the policy issue, and, because of the uncertainties surrounding it, most powerful stakeholders are yet to take clear positions on it. However, stakeholders raised concerns that revolved around issues such as: the meaning of a one-time premium within an insurance scheme context, the affordability of the one-time premium, financing sources and sustainability of the policy, as well as the likely impact of the policy on equity in access to health care. Policy-makers need to clearly explain the meaning of the one-time premium policy and how it will be funded, and critically consider the concerns raised by stakeholders before proceeding with further attempts to implement it. For other countries planning universal coverage reforms, it is important that the terminology of their reforms clearly reflects policy objectives.

  9. Levels of polychlorinated dibenzo-p-dioxins, dibenzofurans (PCDD/Fs) and biphenyls (PCBs) in blood of informal e-waste recycling workers from Agbogbloshie, Ghana, and controls.

    Wittsiepe, Jürgen; Fobil, Julius N; Till, Holger; Burchard, Gerd-Dieter; Wilhelm, Michael; Feldt, Torsten

    2015-06-01

    The formation and environmental release of highly toxic organohalogen compounds associated with informal recycling of waste electric and electronic equipment (e-waste) is a growing problem at e-waste dumps/recycling sites (EWRSs) in many developing countries worldwide. We chose a cross-sectional study design to measure the internal exposure to polychlorinated dibenzo-p-dioxins and dibenzofurans (PCDD/Fs) as well as polychlorinated biphenyls (PCBs) of individuals working on one of the largest EWRSs of Africa, located at Agbogbloshie, Accra, Ghana, and in controls from a suburb of Accra without direct exposure to EWRS activities. In whole blood samples of 21 age matched male exposed individuals (mean age: 24.7 years, SD 6.0) and 21 male controls (mean age: 24.4 years, SD 5.7) 17 PCDD/F congeners were determined. Moreover three indicator PCB congeners (#138, #153 and #180) were measured in blood of 39 exposed (mean age: 27.5 years, SD 11.7) and 19 non-exposed (mean age: 26.8 years, SD 9.7) patients. Besides a health examination, biometric and demographic data, residential and occupational history, occupational exposures and working conditions were recorded using a standardized questionnaire. In the exposed group, median PCDD/F-concentrations were 6.18 pg/g lipid base WHO2005-TEq (range: 2.1-42.7) and significantly higher compared to the control group with 4.60 pg/g lipid base WHO2005-TEq (range: 1.6-11.6). Concentrations were different for 2,3,7,8-TetraCDD, three HexaCDD and all 10 PCDF congeners, indicating a combustion pattern. Using a multivariate regression analysis exposure to EWRS activities was the most important determinant for PCDD/F exposure. Median PCB levels for the indicator congeners #138, #153 and #180 were 0.011, 0.019 and 0.008 μg/l whole blood (ranges: 0.002-0.18, 0.003-0.16, 0.002-0.078) in the exposed group and, surprisingly, significantly higher in the controls (0.037, 0.062 and 0.022; ranges: 0.005-0.46, 0.010-0.46, 0.004-0.21). In a

  10. Problems and Prospects of Millennium Development Goals in Ghana

    Olusola Olasupo

    2016-12-01

    Full Text Available Ghana, like other developing nations, was not left behind in embracing the eight time-bound Millennium Development Goals (MDGs in September 2000. The millennium development goals aimed towards peace and good standards of living have been faced with series of problems in its attainment in Ghana. These problems have undermined the extent to which Ghana could achieve the MDGs. The study adopting qualitative research method shows that Ghana is faced with difficulty in achieving these eight millennium development goals in certain portions of the nation most especially in the rural communities due to lack of infrastructure. The study therefore recommends that Ghana should focus more on improving the standard of living of the rural dwellers by increasing the public services in the area.  The need for Ghana to focus more on solving these problems is strategic for a better result in this new era of Sustainable Development Goals.

  11. Ghana Space Science and Technology Institute (GSSTI) - Annual Report 2015

    2015-01-01

    The Ghana Space Science and Technology Institute (GSSTI) of the Ghana Atomic Energy Commission was established to exploit space science and technology for socio-economic development of Ghana. The report gives the structure of GSSTI and the detailed activities of the year. Various activities include: training and seminars, projects and workshops. Publications and their abstracts are also listed. The report also highlights some of the challenges, provides some recommendations and points to some expectation for the following year.

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

    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.

  13. Controlled transmission of African cassava mosaic virus (ACMV) by ...

    Sarkodie

    2013-07-10

    Jul 10, 2013 ... 1School of Nuclear and Allied Sciences, University of Ghana, Legon, P. O. Box LG 80, Legon, Accra, Ghana. 2Biotechnology and Nuclear Agriculture Research Institute, Ghana Atomic Energy Commission, P. O.. Box LG 80 Legon, Accra, Ghana. Accepted 1 July, 2013. Jatropha curcas, a plant with great ...

  14. An Analysis of Emergency Healthcare Delivery in Ghana: Lessons ...

    Ghana medical emergencies usually result from road traffic accidents, during which ..... electrocardiography, intravenous therapy, administration of medications, drugs and solutions, use of adjunctive medical devices and trauma care.

  15. Environmental impacts of wastewater from urban slums: case study - Old Fadama, Accra

    Monney, I.

    2013-06-01

    Full Text Available The burgeoning of slums in the developing world poses an urgent environmental threat due to insanitary conditions and rampant disposal of wastewater. To assess the potential environmental impacts, domestic wastewater from Ghana's biggest urban slum - Old Fadama was characterised throughout the dry and wet seasons. The study drew on a comprehensive assessment of the general sanitary conditions in the community to determine the sources of pollution and water quality monitoring. BOD5 levels of wastewater from the study area were 545.63±99.88mg/L and 645.94±331.43mg/L in the dry and wet seasons respectively whereas COD levels were 1100.45±167.16mg/L and 1415.12±722.83mg/L in the dry and wet seasons respectively. E-coli levels were 4±1x106CFU/100mL and 4200±2400 x106CFU/100mL in the dry and wet seasons respectively whereas total coliform levels also showed the same trend with 9±2106CFU/100mL and 16800±5100106CFU/100mL in the dry and wet seasons respectively. The study identifies that wastewater from this community has potential deleterious environmental implications due to high levels of nutrients, oxygen-demanding substances and faecal coliforms. Pollutants were identified to be emanating predominantly from open defecation and indiscriminate waste disposal. Efforts should thus be directed towards improving sanitary conditions viz. access to toilet facilities, waste disposal mechanisms and best management practices for wastewater.

  16. Assessing the reach and effectiveness of mHealth: evidence from a reproductive health program for adolescent girls in Ghana.

    Rokicki, Slawa; Fink, Günther

    2017-12-20

    While mobile health (mHealth) programs are increasingly used to provide health information and deliver interventions, little is known regarding the relative reach and effectiveness of these programs across sociodemographic characteristics. We use data from a recent trial of a text-messaging intervention on adolescent sexual and reproductive health (SRH) to assess the degree to which mHealth programs reach target adolescent subpopulations who may be at higher risk of poor SRH outcomes. The study was conducted among girls aged 14-24 in 22 secondary schools in Accra, Ghana. The mHealth intervention was an interactive mobile phone quiz in which participants could win phone credit for texting correct answers to SRH questions. We use detailed data on individuals' level of engagement with the program, SRH knowledge scores, and self-reported pregnancy collected as part of the original trial to assess the extent to which engagement and program impact vary across parental education, sexual experience, SRH knowledge deficit, and parental support. Eighty-one percent of participants engaged with the mHealth program, with no evidence that the program disproportionally reached better-off groups. The program was effective at increasing knowledge of SRH across all strata. Higher levels of engagement were associated with higher knowledge scores up to year later. There was no significant impact of the program on self-reported pregnancy within subgroups. mHealth programs for adolescents have the potential to engage and increase SRH knowledge of adolescent girls across sociodemographic strata, including those who may be at higher risk of poor SRH outcomes. ClinicalTrials.gov NCT02031575 . Registered 07 Jan 2014.

  17. Please understand when I cry out in pain: women's accounts of maternity services during labour and delivery in Ghana

    Abbey Mercy

    2005-12-01

    Full Text Available Abstract Background This study was undertaken to investigate women's accounts of interactions with health care providers during labour and delivery and to assess the implications for acceptability and utilisation of maternity services in Ghana. Methods Twenty-one individual in-depth interviews and two focus group discussions were conducted with women of reproductive age who had delivered in the past five years in the Greater Accra Region. The study investigated women's perceptions and experiences of care in terms of factors that influenced place of delivery, satisfaction with services, expectations of care and whether they would recommend services. Results One component of care which appeared to be of great importance to women was staff attitudes. This factor had considerable influence on acceptability and utilisation of services. Otherwise, a successful labour outcome and non-medical factors such as cost, perceived quality of care and proximity of services were important. Our findings indicate that women expect humane, professional and courteous treatment from health professionals and a reasonable standard of physical environment. Women will consciously change their place of delivery and recommendations to others if they experience degrading and unacceptable behaviour. Conclusion The findings suggest that inter-personal aspects of care are key to women's expectations, which in turn govern satisfaction. Service improvements which address this aspect of care are likely to have an impact on health seeking behaviour and utilisation. Our findings suggest that user-views are important and warrant further investigation. The views of providers should also be investigated to identify channels by which service improvements, taking into account women's views, could be operationalised. We also recommend that interventions to improve delivery care should not only be directed to the health professional, but also to general health system improvements.

  18. The Journey Towards Africanising Psychology in Ghana

    Seth Oppong

    2016-04-01

    Full Text Available Psychology has come a long way since its origin in Africa and Ghana in particular. In this paper, an attempt is made to explore the current state of psychological knowledge in Ghana as well as the associated problems in the application of such knowledge. It was concluded that the approach to the study and application of psychological knowledge and tests has been too Eurocentric and westernized. As a result, it limits the applicability of the approach to the African setting, and yet, Western theorists may expect African psychologists to apply the theories to Africans. On the basis of this criticism, the scope of Pan-African psychology is defined and suggestions for pursuing an Africanisation project are presented. It is expected that the strategies that this paper advocates for indigenizing psychology in Africa can equally be useful to psychologists in other developing regions of the world.

  19. Two worlds apart: experiential learning in Ghana.

    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.

  20. Ghana: an emerging oil-rich democracy

    Pellerin, Mathieu

    2011-12-01

    After an indication of the main economic and social indicators of Ghana, and an overview of the historical evolution of Ghana towards democracy since its independence in 1960, a discussion of its advances and limitations in this respect as this country is starting oil production (support of investors, obstacles and difficulties related to institutional limits, decentralisation process, land tenure regime and tradition), the author discusses the possible consequences of this oil wind fall on the democratic dynamics, notably regarding the legal framework (issues of fragility of the institutional and legal systems). In a third part, the author discusses the capacity of the Ghanaian system to face the oil challenge while exorcising the generally occurring curse associated with oil resources

  1. Management Strategies and Economic Development in Ghana

    Kuada, John

    2014-01-01

    as number 2 on the World Bank’s world economic growth list. It has also scored high on measures of civil liberty, political rights and political stability among other nations on the West African sub-continent. But Ghana still faces serious economic and social challenges and is, therefore, in search of new......Ghana has experienced a tumultuous political and economic history since its independence in 1957. But today it is among the handful of African nations that showcase the dreams and aspirations of Sub-Sahara Africa. In 2011 it achieved an impressive economic growth rate of 14.6 per cent and ranked...... to provides illustrations of the usefulness of the human capability development framework presented in volume one as a foundation for sustainable and inclusive economic development in SSA. It also highlights the challenges that the country continues to grapple with and provides some directions for further...

  2. Bioenergy from agricultural residues in Ghana

    Thomsen, Sune Tjalfe

    and biomethane under Ghanaian conditions. Detailed characterisations of thirteen of the most common agricultural residues in Ghana are presented, enabling estimations of theoretical bioenergy potentials and identifying specific residues for future biorefinery applications. When aiming at residue-based ethanol...... to pursue increased implementation of anaerobic digestion in Ghana, as the first bioenergy option, since anaerobic digestion is more flexible than ethanol production with regard to both feedstock and scale of production. If possible, the available manure and municipal liquid waste should be utilised first....... A novel model for estimating BMP from compositional data of lignocellulosic biomasses is derived. The model is based on a statistical method not previously used in this area of research and the best prediction of BMP is: BMP = 347 xC+H+R – 438 xL + 63 DA , where xC+H+R is the combined content of cellulose...

  3. Challenges of medicines management in the public and private sector under Ghana's National Health Insurance Scheme - A qualitative study.

    Ashigbie, Paul G; Azameti, Devine; Wirtz, Veronika J

    2016-01-01

    Ghana established its National Health Insurance Scheme (NHIS) in 2003 with the goal of ensuring more equitable financing of health care to improve access to health services. This qualitative study examines the challenges and consequences of medicines management policies and practices under the NHIS as perceived by public and private service providers. This study was conducted in health facilities in the Eastern, Greater Accra and Volta regions of Ghana between July and August 2014. We interviewed 26 Key Informants (KIs) from a purposively selected sample of public and private sector providers (government and mission hospitals, private hospitals and private standalone pharmacies), pharmaceutical suppliers and NHIS district offices. Data was collected using semi-structured interview guides which covered facility accreditation, reimbursement practices, medicines selection, purchasing and pricing of medicines, and utilization of medicines. Codes for data analysis were developed based on the study questions and also in response to themes that emerged from the transcripts and notes. Most KIs agreed that the introduction of the NHIS has increased access to and utilization of medicines by removing cost barriers for patients; however, some pointed out the increased utilization could also be corollary to moral hazard. Common concerns across all facilities were the delays in receiving NHIS reimbursements, and low reimbursement rates for medicines which result in providers asking patients to pay supplementary fees. KIs reported important differences between private and public sectors including weak separation of prescribing and dispensing and limited use of drugs and therapeutic committees in the private sector, the disproportionate effects of unfavorable reimbursement prices for medicines, and inadequate participation of the private sector providers (especially pharmacies and licensed chemical sellers) in the NHIS. Health providers generally perceive the NHIS to have had a

  4. Evaluation of wind potential for an optimum choice of wind turbine generator on the sites of Lomé, Accra, and Cotonou located in the gulf of Guinea

    Akim Adekunlé SALAMI

    2016-11-01

    Full Text Available This work presents the characterization and assessment of wind energy potential in annual and monthly levels of the sites of Lomé, Accra and Cotonou located in the Gulf of Guinea, and the optimal characteristics of wind turbines to be installed on these sites. Studies of characterization and the wind potential of these sites from the wind speed data collected over a period of thirteen years at a height of 10 meters above the ground, show an annual average speed of 3.52 m/s for Lomé, 3.99 m/s for Cotonou and 4.16 m/s for Accra. These studies also showed that a monthly average speed exceeding 4 m/s was observed on the sites of Cotonou and Accra during the months of February, March, April, July, August and September and during the months of July, August and September on the site of Lomé. After a series of simulation conducted using the software named PotEol that we have developed in Scilab, we have retained that the wind turbines rated speeds of ~8 to 9 m/s at the sites of Lomé and Cotonou and ~ 9 to 10 m/s on the site of Accra would be the most appropriate speeds for optimal exploitation of electric energy from wind farms at a height of 50 m above the ground. Article History: Received May 26th 2016; Received in revised form August 24th 2016; Accepted August 30th 2016; Available online How to Cite This Article: Salami, A.A., Ajavon, A.S.A , Kodjo, M.K. and Bédja, K. (2016 Evaluation of Wind Potential for an Optimum Choice of Wind Turbine Generator on the Sites of Lomé, Accra, and Cotonou Located in the Gulf of Guinea. Int. Journal of Renewable Energy Development, 5(3, 211-223. http://dx.doi.org/10.14710/ijred.5.3.211-223

  5. Beyond dualism: Multisegmented labor markets in Ghana

    James Heintz; Fabian Slonimczyk

    2007-01-01

    Using estimates of earnings functions in Ghana, this paper examines patterns of labor market segmentation with regard to formal and informal employment. Persistent earnings differentials are used as indicators of limited mobility across segments of the employed labor force. We find evidence of labor market segmentation between formal and informal employment and between different categories of informal employment which cannot be fully explained by human capital, physical asset, or credit marke...

  6. PRIVATE SECTOR DEVELOPMENT AND COMPETITIVENESS IN GHANA

    Wolf, Susanna

    2003-01-01

    Ghana has a relatively good international reputation with respect to political stability and macroeconomic reforms. However, its success with developing the private sector and attracting investment has at best been mixed. Therefore the new government that came into power in 2001 proclaimed a "Golden Age of Business". Competitiveness and private sector development are closely interlinked. On the one hand the factors that influence the competitiveness of a country are a precondition for private...

  7. MINING RELATED ARSENIC PROBLEMS IN GHANA

    Kofi Bempah, Crentsil

    2015-01-01

    Ghana is Africa's second-largest gold producing country after South Africa. Most mining areas particularly in Ashanti Region (Obuasi) and Western Region (Tarkwa), until the introduction of the bio-oxidation (BIOX) technology of extracting gold, the processing of the ore for gold involved the crushing and grinding of ore to fine powder followed by dissolution and precipitation of free gold. During the ore preparation by roasting, sulphur dioxide and As trioxide were released into terrestrial a...

  8. Social Factors Influencing Child Health in Ghana.

    Emmanuel Quansah

    Full Text Available 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.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.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.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.

  9. Ethics, culture and nursing practice in Ghana.

    Donkor, N T; Andrews, L D

    2011-03-01

    This paper describes how nurses in Ghana approach ethical problems. The International Council of Nurses' (ICN) Code for Nurses (2006) that serves as the model for professional code of ethics worldwide also acknowledges respect for healthy cultural values. Using the ICN's Code and universal ethical principles as a benchmark, a survey was conducted in 2009 to ascertain how nurses in Ghana respond to ethical and cultural issues in their practice. The study was qualitative with 200 participant nurses. Data were obtained through anonymous self-administered questionnaires. Descriptive statistics were used to analyze the data. Nurses' approaches to ethical problems in Ghana do not always meet expectations of the ICN Code for Nurses. They are also informed by local ethical practices related to the institutional setting and cultural environment in the country. While some cultural values complemented the ICN's Code and universal ethical principles, others conflicted with them. These data can assist nurses to provide culturally competent solutions to ethical dilemmas in their practice. Dynamic communication between nurses and patients/clients, intentional study of local cultural beliefs, and the development of ethics education will improve the conformity between universal ethical standards and local cultural values. © 2011 The Authors. International Nursing Review © 2011 International Council of Nurses.

  10. Financing public healthcare institutions in Ghana.

    Akortsu, Mercy Akosua; Abor, Patience Aseweh

    2011-01-01

    The financing of healthcare services has been of a major concern to all governments in the face of increasing healthcare costs. For developing countries, where good health is considered a poverty reduction strategy, it is imperative that the hospitals used in the delivery of healthcare services are well financed to accomplish their tasks. The purpose of this paper is to examine how public hospitals in Ghana are financed, and the challenges facing the financing modes adopted. To achieve the objectives of the study, one major public healthcare institution in Ghana became the main focus. The findings of the study revealed that the main sources of financing the public healthcare institution are government subvention, internally-generated funds and donor-pooled funds. Of these sources, the internally generated fund was regarded as the most reliable, and the least reliable was the donor-pooled funds. Several challenges associated with the various financing sources were identified. These include delay in receipt of government subvention, delay in the reimbursement of services provided to subscribers of health insurance schemes, influence of government in setting user fees, and the specifications to which donor funds are put. The findings of this study have important implications for improving the financing of public healthcare institutions in Ghana. A number of recommendations are provided in this regard.

  11. E-waste interventions in Ghana.

    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.

  12. Conflicts in Northern Ghana: Search for Solutions, Stakeholders and ...

    in Northern Ghana that have drawn national attention, most of which were/are violent. It ... analysis of four case studies on the northern Ghana conflicts. ...... It will also be necessary to consider sponsorship of research and studies in ... more important to keep communications flows and avoid the creation of suspicion and.

  13. Utilisation of rice residues for decentralised electricity generation in Ghana

    Ramamurthi, Pooja Vijay; Fernandes, Maria Cristina; Nielsen, Per Sieverts

    2016-01-01

    Developing countries, especially in Sub-Saharan Africa, face large challenges to achieve universal electrification. Using the case of Ghana, this study explores the role that rice residues can play to help developing countries meet their electrification needs. In Ghana, Levelised Electricity Costs...

  14. All projects related to Ghana | Page 4 | IDRC - International ...

    Climate change constitutes a real threat to the livelihood and well-being of the Ghanaian population. ... HEALTH STATISTICS, STATISTICAL DATA, STATISTICAL ANALYSIS ... Impact of Foreign Direct Investment Flows on Poverty in Ghana. Project. Ghana will need considerable external assistance to achieve its Poverty ...

  15. Determinants of propensity of tertiary agricultural students in Ghana ...

    The study aimed to identify factors that affect the decision of tertiary agricultural students in Ghana to enter agribusiness as a self-employment venture after graduation. The results showed that tertiary agricultural students in Ghana were predominantly males with little or no farming background. They had a rather moderate ...

  16. Ghana Medical Journal - Vol 51, No 1 (2017)

    Ghana Medical Journal. ... Breast cancer screening in a resource poor country: Ultrasound versus mammography · EMAIL FREE FULL TEXT EMAIL FREE FULL TEXT ... Review of errors in the issue of medical certificates of cause of death in a tertiary hospital in Ghana · EMAIL FREE FULL TEXT EMAIL FREE FULL TEXT

  17. Diagnosis of tuberculosis in Ghana: The role of laboratory training ...

    Objectives: The laboratory is considered the cornerstone of tuberculosis (TB) control programme. International review of Ghana's programme in the late nineties identified the laboratory services as the weakest component. Sputum smear microscopy (SSM) being the main method of diagnosing pulmonary TB in Ghana, the ...

  18. Trade Policy and Pro Poor Growth in Ghana | IDRC - International ...

    As in other sub-Saharan countries, small-scale subsistence farming constitutes the predominant source of livelihood in Ghana. This grant will allow the Institute of Statistical, Social and Economic Research (ISSER) at the University of Ghana to assess the linkages between international trade and poverty with special ...

  19. Barriers to Sustainable MVA Supply in Ghana: Challenges for the ...

    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.

  20. Understanding the health and nutritional status of children in Ghana

    Asenso-Okyere, W.K.; Asante, F.A.; Nube, M.

    1997-01-01

    The data set of the Ghana Living Standards Survey (GLSS, round 1, 1987/1988) was utilized to analyse the principal determinants (publicly and privately) of health and nutrition of children under five in Ghana. While in most health and nutrition studies the emphasis is either on health-related

  1. Innovation platform: A tool for sustainable rice production in Ghana ...

    Agriculture plays a key role in Ghana's economy and that of sub Saharan Africa. Transforming agriculture in Ghana is key to increasing farm output, reducing poverty, ensuring environmental sustainability and reducing food insecurity. Linear transfer of technology addressing productivity, marketing and policy underlies the ...

  2. Prostate cancer screening in Ghana - a clinical benefit? | Arthur ...

    In Ghana and most African countries, prostate cancer is the most common cancer in males after hepatocellular carcinoma. Whereas in the advanced countries, screening for prostate specific antigen (PSA) has led to early detection and management of the disease, screening has been very low in Ghana, thus leading to low ...

  3. Syphilis screening practices in blood transfusion facilities in Ghana

    Sarkodie, Francis; Hassall, Oliver; Owusu-Dabo, Ellis

    2016-01-01

    OBJECTIVES: The primary objective of this study was to compare laboratory practices for screening blood donors for syphilis at blood transfusion facilities in Ghana with the recommendations of the World Health Organization and the National Blood Service, Ghana (NBSG). The prevalence of syphilis a...

  4. The appraisal of mathematics teachers in Ghana | Fletcher | African ...

    This study examined the nature and existing methods of teacher appraisal in Ghana. 441 secondary mathematics teachers participated, of whom 193 teach the subject at the junior secondary level and 248 teach it at the senior secondary level. In addition, 44 Ghana Education Service Officials and 6 Heads of secondary ...

  5. The Management of Chieftaincy Records in Ghana: An Overview ...

    In many developing countries like Ghana, the chieftaincy institution serves both administrative and advisory role to the government in community affairs. Using data obtained through a survey, the study examined the management of chieftaincy records in Ghana. The study revealed that chieftaincy records serve as source ...

  6. Disaster Management in Academic Libraries in Ghana | Akussah ...

    The article presents the findings of a survey of the management of disasters in academic libraries in Ghana. In the 12 academic libraries surveyed, the findings revealed varying levels of unpreparedness of most academic libraries for disasters in Ghana. The absence of purpose of recovery after disasters, the lack of disaster ...

  7. Abortion Care in Ghana: A Critical Review of the Literature ...

    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.

  8. Ghana Journal of Development Studies - Vol 6, No 2 (2009)

    Community-based Tourism and Rural Development: The Case of the Wechiau Hippo Sanctuary in the Wa West District of Ghana · EMAIL FREE FULL TEXT EMAIL FREE FULL ... Teacher Migration and the Quality of Basic Education in the Upper West Region of Ghana · EMAIL FREE FULL TEXT EMAIL FREE FULL TEXT

  9. Artisanal Mining of Gold with Mercury in Ghana

    USER

    ³Department of Chemistry, Ghana Atomic Energy Commission, P.O. Box LG 80, Legon, Ghana ... The paper examines the environmental impact of artisanal mining of gold ... numerous deaths resulting from the eating of Hg-contaminated fish or .... The improper use and handling of mercury can also lead to potential health.

  10. Utilisation of rice residues for decentralised electricity generation in Ghana

    Ramamurthi, Pooja Vijay; Fernandes, Maria Cristina; Nielsen, Per Sieverts

    2016-01-01

    the average LEC of grid extension diesel mini-grids and off-grid solar systems for remote communities in Ghana. Electricity produced from husk gasification has the potential to cater to 7% of the needs of un-electrified communities in Ghana. The methodology and analysis of this study can support policymakers...

  11. Antibiotic use in a tertiary healthcare facility in Ghana: a point prevalence survey

    Appiah-Korang Labi

    2018-01-01

    Full Text Available Abstract Background The global rise and spread of antibiotic resistance is limiting the usefulness of antibiotics in the prevention and treatment of infectious diseases. The use of antibiotic stewardship programs guided by local data on prescribing practices is a useful strategy to control and reduce antibiotic resistance. Our objective in this study was to determine the prevalence and indications for use of antibiotics at the Korle-Bu Teaching Hospital Accra, Ghana. Methods An antibiotic point prevalence survey was conducted among inpatients of the Korle-Bu Teaching Hospital between February and March 2016. Folders and treatment charts of patients on admission at participating departments were reviewed for antibiotics administered or scheduled to be administered on the day of the survey. Data on indication for use were also collected. Prevalence of antibiotic use was determined by dividing the number of inpatients on antibiotics at the time of survey by the total number of patients on admission. Results Of the 677 inpatients surveyed, 348 (51.4%, 95% CI, 47.6–55.2 were on treatment with antibiotics. Prevalence was highest among Paediatric surgery where 20/22 patients (90.9%, 95% CI, 70.8–98.9 were administered antibiotics and lowest among Obstetrics patients with 77/214 (36%, 95% CI, 29.5–42.8. The indications for antibiotic use were 245/611 (40.1% for community-acquired infections, 205/611 (33.6% for surgical prophylaxis, 129/611 (21.1% for healthcare associated infections and 33/611 (5.4% for medical prophylaxis. The top five antibiotics prescribed in the hospital were metronidazole 107 (17.5%, amoxicillin-clavulinic acid 82 (13.4%, ceftriaxone 17(12.1%, cefuroxime 61 (10.0%, and cloxacillin 52 (8.5% respectively. Prevalence of meropenem and vancomycin use was 12(2% and 1 (.2% respectively. The majority of patients 181 (52% were being treated with two antibiotics. Conclusion This study indicated a high prevalence of antibiotic use among

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

    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…

  13. Ghana Space Science and Technology Institute (GSSTI),Ghana Atomic Energy Commission: Annual Report 2013/2014

    2014-01-01

    The report presents the structure as well as the research projects of the newly established Ghana Space Science and Technology Institute of the Ghana Atomic Energy Commission from January to December 2014. Research projects listed are in the areas of Astronomy and Astrophysics; Remote Sensing; Electronics and Instrumentation; and Satellite Communication.

  14. Human Resource Local Content in Ghana's Upstream Petroleum Industry

    Benin, Papa

    Enactment of Ghana's Petroleum (Local Content and Local Participation) Regulations, 2013 (L.I. 2204) was intended to regulate the percentage of local products, personnel, financing, and goods and services rendered within Ghana's upstream petroleum industry value chain. Five years after the inception of Ghana's upstream oil and gas industry, a gap is evident between the requirements of L.I. 2204 and professional practice. Drawing on Lewin's change theory, a cross-sectional study was conducted to examine the extent of differences between the prevailing human resource local content and the requirements of L.I. 2204 in Ghana's upstream petroleum industry. The extent to which training acquired by indigenous Ghanaians seeking jobs in Ghana's oil fields affects the prevalent local content in its upstream petroleum industry was also examined. Survey data were collected from 97 management, technical, and other staff in 2 multinational petroleum companies whose oil and gas development plans have been approved by the Petroleum Commission of Ghana. To answer the research questions and test their hypotheses, one-way ANOVA was performed with staff category (management, technical, and other) as the independent variable and prevalent local content as the dependent variable. Results indicated that prevailing local content in Ghana's upstream petroleum industry meets the requirements of L.I. 2204. Further, training acquired by indigenous Ghanaians seeking jobs in Ghana's oil fields affects the prevalent local content in its offshore petroleum industry. Findings may encourage leaders within multinational oil companies and the Petroleum Commission of Ghana to organize educational seminars that equip indigenous Ghanaians with specialized skills for working in Ghana's upstream petroleum industry.

  15. Activity of medicinal plants from Ghana against the parasitic gut protist Blastocystis.

    Bremer Christensen, Charlotte; Soelberg, Jens; Stensvold, Christen R; Jäger, Anna K

    2015-11-04

    The plants tested in this study were examples of plants historically used to treat or alleviate several types of stomach disorders manifested by e.g. stomachache, diarrhoea or dysentery. These plants have been consumed typically as a decoction, sometimes mixed with other flavourings. The aim of this study was to evaluate the anti-Blastocystis activity of 24 plant parts from 21 medicinal plants from Ghana. The medicinal plants were collected in the Greater Accra region of Ghana. Every plant part was tested in three different extracts; an ethanolic, a warm, and a cold water extract, at a final concentration of 1 mg/mL for the initial screening, and in a range from 0.0156 to 1mg/mL for determination of inhibitory concentrations. The obligate anaerobic parasitic gut protist Blastocystis (subtype 4) was used as a 48 h old subcultivated isolate in the final concentration of 10(6) cells/mL. Plant extracts inoculated with Blastocystis were incubated at 37 °C for 24 h and 48 h. Both MIC minimum inhibitory concentration (MIC90) assays and minimal lethal concentration (MLC) assays were performed after 24 h and 48 h. The half maximal inhibitory concentration (IC50) was derived after 24 h and 48 h. Antimicrobial activity was tested against two Gram-positive and two Gram-negative bacteria for all 24 plant parts at a final concentration of 1mg/mL. Screening of the 24 different plant parts showed significant anti-Blastocystis activity of six of the ethanolic extracts: Mallotus oppositifolius, IC50, 24 h 27.8 µg/mL; Vemonia colorata, IC50, 24 h 117.9 µg/mL; Zanthoxylum zanthoxyloides, cortex IC50, 24 h 255.6 µg/mL; Clausena anisata, IC50, 24 h 314.0 µg/mL; Z. zanthoxyloides, radix IC50, 24 h 335.7 µg/mL and Eythrina senegalensis, IC50, 24 h 527.6 µg/mL. The reference anti-protozoal agent metronidazole (MTZ) had an IC50, 24 h of 7.6 µg/mL. Only C. anisata showed antimicrobial activity at a concentration of 800 µg/mL. Six ethanolic plant extracts showed significant anti

  16. Characterization of yellow -, red-, and purple- kernel maize (zea mays L.) accessions in Ghana

    Ansah, G.

    2013-07-01

    Twenty yellow-, red-, and purple-kernel maize accessions were collected from three regions in Ghana for the study. The objectives were to characterize the yellow-, red- and purple-kernel maize accessions in Ghana using phenotypic traits in order to determine their identity, using molecular traits for confirmation of their identity and to determine the presence of the opaque-2 gene and β-carotene content of the grains as a way of assessing nutritional quality. A replicated field experiment was conducted to evaluate and characterize the accessions based on 16 quantitative and eleven qualitative traits. The same accessions were characterized based on 16 SSR markers. Variability in β-carotene content was determined by HPLC while presence of opaque 2-gene was determined by a light box. The results revealed that accessions GH4055 and GH4863 are extra early maturing and therefore can be very useful for urban farmers producing fresh maize and for cultivation in the coastal savanna ecological zone. However, they produce smaller cobs (Cob weight = 58.24g) as compared to other accessions. Significant variability in morphological traits was observed among the accessions with cob weight, number of kernels per row, plant height and 1000 seed weight having coefficient of variation of 42.7544, 20.5828, 11.4634, 13.0634 and 26.76 respectively. Few traits contributed to the variations observed as revealed by the principal components analysis and these include days to 50% anthesis, days to 50% of leaf senescence, plant height and cob weight. A dendrogram generated from morphological traits clustered the accessions based on kernel colour, physical structure of the plant and geographical location. Two duplicates were identified among the accessions and widest genetic distance was observe between NYRI and GH4055. Strong correlation exist between most of the morphological traits measured (r= 0.9193) but negative correlation was observed between most important yield parameters and

  17. Who pays for health care in Ghana?

    McIntyre Diane

    2011-06-01

    Full Text Available Abstract 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

  18. Who pays for health care in Ghana?

    Akazili, James; Gyapong, John; McIntyre, Diane

    2011-06-27

    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. 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. 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. 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 affecting the expansion of the National

  19. Cardiovascular diseases in Ghana within the context of globalization

    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

  20. Climate Change and Variability in Ghana: Stocktaking

    Felix A. Asante

    2014-12-01

    Full Text Available This paper provides a holistic literature review of climate change and variability in Ghana by examining the impact and projections of climate change and variability in various sectors (agricultural, health and energy and its implication on ecology, land use, poverty and welfare. The findings suggest that there is a projected high temperature and low rainfall in the years 2020, 2050 and 2080, and desertification is estimated to be proceeding at a rate of 20,000 hectares per annum. Sea-surface temperatures will increase in Ghana’s waters and this will have drastic effects on fishery. There will be a reduction in the suitability of weather within the current cocoa-growing areas in Ghana by 2050 and an increase evapotranspiration of the cocoa trees. Furthermore, rice and rooted crops (especially cassava production are expected to be low. Hydropower generation is also at risk and there will be an increase in the incidence rate of measles, diarrheal cases, guinea worm infestation, malaria, cholera, cerebro-spinal meningitis and other water related diseases due to the current climate projections and variability. These negative impacts of climate change and variability worsens the plight of the poor, who are mostly women and children.

  1. Domestic violence in Ghana: an initial step.

    Ofei-aboagye, R O

    1994-01-01

    This article aims to expose the anxiety of abused women in Ghana by defining domestic violence within their culture. A survey conducted among 50 women clients of the Legal Aid Clinic of the International Federation of Women Lawyers in Ghana revealed that wife beating, to some extent, is an acceptable norm of the society. These battered women are more likely to define their experiences as a form of discipline at the hands of their husbands rather than domestic violence or wife battering. An examination of their social practices demonstrates that tradition is the most important reason why Ghanaian women accept the obvious disparity between their lifestyles and that of their male counterparts. Their traditional folk tales narrates stories about a man beating his wife to maintain law and order; while Ghanaian folk and highlife songs revolve around themes that encourage this mastery of wives and male superiority. The existence of domestic violence in all Ghanaian communities highlights the need for social reforms and substantive equality for Ghanaian women. Initial solutions include emphasis on public education, which fosters awareness and social change through women's organizations that work within communities. Once educational efforts have been established, long-term solutions such as adopting legislation to help battered women, as well as educating the police and the judiciary about domestic violence can then be integrated into Ghanaian society.

  2. Induced mutations of winged bean in Ghana

    Klu, G Y.P.; Quaynor-Addy, M; Dinku, E; Dikumwin, E [National Nuclear Research Institute, Ghana Atomic Energy Commission, Legon (Ghana)

    1989-07-01

    Winged bean (Psophocarpus tetragonolobus (L.) D.C.) was introduced into Ghana about two decades ago and not long after a high quality baby food was compounded from it. Germplasm collections are established at the Kade Agricultural Research Station of the University of Ghana and the University of Cape Coast. In 1980 a mutation breeding project was initiated at the University of Cape Coast under FAO/IAEA research contract and among various mutants a single erect stem mutant, a multiple branched bush type and a mutant with extra long pods were obtained. A similar programme was started at the National Nuclear Research Centre Kwabenya in 1982. Seeds of accessions UPS 122 and Kade 6/16 were gamma irradiated (100-400 Gy). In M{sub 2} a mutant was obtained that did not flower throughout a growing period of five months. This mutant had very few leaves but developed an underground tuber weighing ca. 100 g. The parent, UPS 122, although normally tuber producing did not form tubers at Kwabenya within the period studied. In M{sub 3}, mutants with variations in seed size and seed coat colour have been detected.

  3. Delays in Building Construction Projects in Ghana

    Adwoa B Agyakwah-Baah

    2010-07-01

    Full Text Available This study investigates the causes of delay of building construction projects in Ghana to determine the most important according to the key project participants; clients, consultants, and contractors. Thirty-two possible causes of delay were identified from the literature and semi-structured interviews of 15 key players in the implementation process. These delay factors were further categorised into nine major groups. The list of delay causes was subjected to a questionnaire survey for the identification of the most important causes of delay. The field survey included 130 respondents made up of 39 contractors, 37 clients and 54 consultants. The relative importance of the individual causes and the groups were calculated and ranked by their relative importance index. The overall results of the study indicate that the respondents generally agree that financial group factors ranked highest among the major factors causing delay in construction projects in Ghana. The financial group factors were delay in honouring payment certificates, difficulty in accessing credit and fluctuation in prices. Materials group factors are second followed by scheduling and controlling factors.

  4. Neurogenomics: Challenges and opportunities for Ghana

    Thomas K. Karikari

    2015-06-01

    Full Text Available The application of genomic tools and technologies has shown the potential to help improve healthcare and our understanding of disease mechanisms. While genomic tools are increasingly being applied to research on infectious diseases, malaria and neglected tropical diseases in Africa, an area that has seen little application of genomic approaches on this continent is neuroscience. In this article, we examined the prospects of developing neurogenomics research and its clinical use in Ghana, one of the African countries actively involved in genomics research. We noted that established international research funding sources and foundations in genomic research such as H3ABioNet nodes established at a couple of research centres in Ghana provide excellent platforms for extending the usage of genomic tools and techniques to neuroscience-related research areas. However, existing challenges such as the (i lack of degree programmes in neuroscience, genomics and bioinformatics; (ii low availability of infrastructure and appropriately-trained scientists; and (iii lack of local research funding opportunities, need to be addressed. To promote and safeguard the long-term sustainability of neurogenomics research in the country, the impact of the existing challenges and possible ways of addressing them have been discussed.

  5. Dietary intake and the dynamics of stress, hypertension and obesity in a peri-urban community in Accra.

    Mohammed, Husein; Ghosh, Shibani; Vuvor, Fred; Mensah-Armah, Seth; Steiner-Asiedu, Matilda

    2016-03-01

    This study intends to investigate the association between dietary intake, stress and prevalence of chronic diseases. The study was a cross-sectional design conducted in two poor peri-urban communities in Accra. A total of 90 households each with a male and female between the ages of 18 and 45 years were sampled, and their socio-demographic status, anthropometric measurement and fasting blood sugar were assessed. Blood pressure was measured and chronic stress/anxiety was determined using the trait and state inventory (T-stai) questionnaire. Three days repeated 24-hour dietary recall was also done. Analysis of variance and linear regression analysis were used in data analysis. About 28% of the subjects were hypertensive and 55.5% had high chronic stress. Hypertension was higher in males (32.2%) than females (24.4%) (p=.023) whiles stress was higher in females (60.9%) than males (50.0%) (p=.017). Hypertensive subjects recorded higher stress (51.02%) and hypertension was more prevalent in subjects with high stress (32.89%) especially in females (57.14%, p=.036). Hypertension increased with mean age whiles stress decreased with mean age. Hypertensive subjects recorded a significantly higher BMI and sodium intake whiles high stress individuals recorded a lower animal protein but a higher cereal protein intake (pstress was associated with intake of low animal protein and high cereal protein. Increased dietary diversity score was associated with decreased obesity prevalence (pstress, and obesity were linked, and affected by dietary sodium, animal protein, and dietary diversity of subjects respectively.

  6. Monitoring of elemental composition of honey from selected regions of Ghana using Instrumental Neutron Activation Analysis and Atomic Absorption Spectroscopy

    Boateng, R.

    2015-01-01

    Honey is a sweet, thick and viscid fluid collected from beehives and usually found in cells of the honey comb. It is produced from nectar collected from various flowers by honeybees and processed. Among the important uses, pure and undiluted honey serves as natural sweetener and contains a broad variety of vitamins for human consumption. Due to its global demand, monitoring of the quality of honey is of great significance. In this study, honey samples were collected systematically from farmers and retailers in the Brong Ahafo, Ashanti and Greater Accra regions of Ghana. The sampling was done along the farmer-to-trader channels, to assess the quality of honey produced from various regions and to trace the sources of elemental contamination. Physicochemical studies; pH, electrical conductivity and specific gravity were done. The levels of selected toxic heavy metals (Hg, Pb, Cd, V, Cr, As) and essential metals (K, Na, Ca, Mg, Mn, Cu, Fe, Co) in the honey samples were analysed using instrumental neutron activation analysis (INAA). Flame atomic absorption spectrophotometry (FAAS) was also employed to determine elements such as Pb, Co, Cr and Fe. All the honey samples were found to be acidic, with pH ranging from 3.60 to 6.10. The acidity of honey is significant as it inhibits the growth of microorganisms. The values agrees favourably with the permitted pH limits of 3.40 to 3.60 for good quality honey, set by the National Honey Board of United States. The electrical conductivities measured ranged from 11.9 μS/cm to 44.4 μS/cm. The values were within the acceptable limits set by Ghana Standards Authority and other organizations (<800 μS/cm). The specific gravity of the honey samples analysed ranged from 1.297 to 2.031. These values were higher than the values (1.2081 to 1.2270) reported in Libyan Honey. However, these values were closer to the average specific gravity (1.425) value reported in other studies. These variations in the specific gravity may be related to

  7. Beliefs and attitudes toward Buruli ulcer in Ghana

    Stienstra, Y; van der Graaf, WTA; Asamoa, K; van der Werf, TS

    Buruli ulcer is a devastating emerging disease in tropical countries. Quantitative and qualitative data were obtained by interviewing patients with this disease and control subjects in Ghana. Common perceived causes were witchcraft and curses. Other reported causes were personal hygiene,

  8. Filial factors of kwashiorkor survival in urban Ghana: Rediscovering ...

    Data was collected from qualitative interviews with family groups that included ... human subjects informed consent protocol and oversight of the University of Ghana, ... community health education regarding the irony of this form of malnutrition ...

  9. Housing Affordability in Ghana: A focus on Kumasi and Tamale ...

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    Department of Real ... affordable housing delivery system in Ghana. It found that ... markets; and hence has a significant impact on .... housing projects during this era were the ...... Table 4: Construction Materials in Kumasi and Tamale, 2010.

  10. Utilization of HIV Testing and Counseling in Ghana: Implications for ...

    Utilization of HIV Testing and Counseling in Ghana: Implications for Universal Coverage. ... HIV testing and counselling (HTC) is a gateway to all systems of AIDS-related care. This study examined ... AJOL African Journals Online. HOW TO ...

  11. Quality of Artesunate Tablets Sold in Pharmacies in Kumasi, Ghana

    Erah

    rate of disintegration in aqueous medium. Colorimetric ... countries. In Ghana, artesunate-amodiaquine is the ACT of choice2. The cure rate ... authenticity of artemisinin products in the market and ... and the development of drug resistance. The.

  12. The Impact of Globalization on The Arts in Contemporary Ghana

    mcbee

    in the cultural life of the average Ghanaian is excep- tionally high ... Ghana has experienced tremendous growth in education, health ..... The advantages of English as the country's offi- cial language .... (ICT), the internet and global trading.

  13. Tourists' motivations for visiting Kakum National Park, Ghana ...

    Tourists' motivations for visiting Kakum National Park, Ghana. ... four main motivations of tourists who visited the park, namely adventure, education, ... Park were influenced by varied combinations of intrinsic and extrinsic motivational factors.

  14. Pesticide registration, distribution and use practices in Ghana

    Onwona Kwakye, Michael; Mengistie, Belay; Ofosu-Anim, John; Nuer, Alexander Tetteh K.; Den Brink, van Paul J.

    2018-01-01

    Ghana has implemented regulation on the registration, distribution and usage of pesticides in order to evaluate their environmental and human health effects. However, environmental monitoring and certified laboratories for pesticide analysis are lacking. Pesticide misuse, misapplication,

  15. Ghana Atomic Energy Commission : at a glance. 3. ed.

    1998-07-01

    The brochure provides a brief history of the establishment and functions of the Ghana Atomic Energy Commission. It also provides information on the structure, facilities and activities of existing research institutes and centres

  16. The changing face of women in physics in Ghana

    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.

  17. Sexual Harassment in Public Medical Schools in Ghana | Norman ...

    Sexual Harassment in Public Medical Schools in Ghana. ... of power harasses a subordinate) and contra power sexual harassment, (where a subordinate is the ... Results: Women were 61% more likely to be sexually harassed than men 39%.

  18. Entrapment of victims of spousal abuse in Ghana

    Adjei, Stephen Baffour

    2017-01-01

    Drawing on discursive psychology and positioning theory, this study explores the influence of cultural and familial value orientations on battered women’s identity, agency and decision to leave or stay in abusive conjugal relationship in Ghana. Two semi-structured focus group discussions and four...... in-depth personal interviews were conducted with 16 victims of husband-to-wife abuse from rural and urban Ghana. The findings indicate that entrapment of victims of spousal abuse in Ghana reflects their social embeddedness and that battered women’s identities and agency are expressed in the context...... of familial and cultural value orientations. The primacy of family identity and victims’ apparent implicit moral obligation to preserve the social image of their extended family influence their entrapment. Participants’ discursive accounts further suggest that stay/leave decisions of battered women in Ghana...

  19. All projects related to Ghana | Page 3 | IDRC - International ...

    Topic: TOBACCO, HEALTH EXPENDITURE, GOVERNMENT POLICY, GHANA, WEST AFRICA, ... with climate change, yet has limited scientific capacity to manage their adverse effects. ... Cell Phones in support of Community Health Workers.

  20. Unpacking the Barriers to Reproductive Health Services in Ghana ...

    AJRH Managing Editor

    abortion and contraception compared with HIV/STI testing (p<0.001). Efforts to develop ... A recent study in Ghana among urban adolescents found that ..... Young people's perception of sexual and .... experimental intervention study. J Adolesc ...