Greater-Accra Region

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Burden of malaria in mobile populations in the Greater Accra region, Ghana: a cross  sectional study

Burden of malaria in mobile populations in the Greater Accra region, Ghana: a cross sectional study

The study showed that asymptomatic malaria cases of 18.4% were higher than symptomatic cases of 13%. In malaria endemic area, adult populations develop immu- nity that protects against high parasitaemia and clinical disease after some years of continue exposition to mos- quito bites [14]. A study conducted on malaria parasitae- mia among long-distance truck drivers in the Niger delta of Nigeria reported a prevalence of 35%. The majority of the truck drivers studied were asymptomatic although some of them complained of regular fatigue, aches and weakness [13]. The reason for the high prevalence observed in the Nigeria study may be due to the fact that the study was carried out in an area of high incidence of malaria compare to Greater Accra region of Ghana. European visitors to the area described it as the “white
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DETERMINANTS OF DEMAND OF LOCALLY PROCESSED POULTRY MEAT IN GREATER ACCRA REGION OF GHANA

DETERMINANTS OF DEMAND OF LOCALLY PROCESSED POULTRY MEAT IN GREATER ACCRA REGION OF GHANA

The Greater Accra region is the study area. Greater Accra region was purposively selected based on the fact that according to Aning (2006), Greater had the highest number of poultry population in 2005 amongst the ten regions of Ghana as depicted by Table 2. Greater Accra region is the smallest region in terms of landmass covering a total surface area of 4,450km.sq. It is centrally located within the coastal belt of Ghana and shares boundaries with the Eastern Region to the north, Central region to the west and Volta Region to the east. To the south of the region lies the Gulf of Guinea which spans 220km coastline stretching from Langma near Kasoa in the west to Ada in the east.
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Does knowledge on socio cultural factors associated with maternal mortality affect maternal health decisions? A cross sectional study of the Greater Accra region of Ghana

Does knowledge on socio cultural factors associated with maternal mortality affect maternal health decisions? A cross sectional study of the Greater Accra region of Ghana

In 2013, the Greater Accra Region of Ghana recorded a sizeable number of maternal deaths of 201 out of the 1012 institutional maternal deaths countrywide accord- ing to the report released by the Ghana Health Service (GHS), in March 2014. This is quite strange because this region has one of the highest geographical access to quality maternal health care. What then prevents inhabi- tants from using these facilities? Perhaps the answers are found in related literature. Social and cultural factors have been highlighted by various scholars as indispens- able when dealing with maternal deaths holistically espe- cially in low and middle-income countries [4, 14]. Socio-cultural factors have therefore been identified as having significant influence on maternal health out- comes. Several women lose their lives due to factors such as poverty, ineffective health systems and gender inequalities which make them unable to take pragmatic measures and independent critical decisions concerning their health [15].
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Stakeholder perception on factors incluencing ngo collaboration with government in family health education in the tema metropolis of the greater accra region of Ghana

Stakeholder perception on factors incluencing ngo collaboration with government in family health education in the tema metropolis of the greater accra region of Ghana

The existence of a vibrant non-profit sector is increasingly being viewed not as a luxury, but as a necessity for people throughout the world. NGOs help to give expression to citizen concerns, hold governments accountable, promote community, address unmet needs, and generally help to improve the quality of life. Moreover, their resources are largely additional and they complement the development efforts of governments. They also act in response to failures within both the public and private sectors (Salamon and Anheier, 1998; Bratton 1990). Therefore, to address this gap, the study sought to determine stakeholder perception on factors influencing collaboration between NGOs and GOs in the provision of Family Health Education within the Tema Metropolis of the Greater Accra Region of Ghana.
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“I am anxious and desperate”: psychological experiences of women with infertility in The Greater Accra Region, Ghana

“I am anxious and desperate”: psychological experiences of women with infertility in The Greater Accra Region, Ghana

Background: Research has shown that infertility affects millions of couples worldwide. Infertility is considered one of the most difficult life experiences and can result in psychological consequences for couples, especially for women. The purpose of this study was to explore the psychological experiences of women with infertility. Methods: A qualitative exploratory descriptive approach was used to conduct in-depth interviews. The psychological component of the bio-psychosocial model was used as a guiding framework to understand the experiences of women with infertility. Fourteen women were selected based on the purpose of the study and provided their informed consent, and were interviewed between November 2015 and January 2016. All the women were recruited from the Greater Accra Region of Ghana. Each interview lasted for 30 to 40 min. All interviews were audio taped, transcribed verbatim and analyzed using thematic content analysis.
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Extent of inappropriate prescription of artemisinin and anti malarial injections to febrile outpatients, a cross sectional analytic survey in the Greater Accra region, Ghana

Extent of inappropriate prescription of artemisinin and anti malarial injections to febrile outpatients, a cross sectional analytic survey in the Greater Accra region, Ghana

A number of observational studies conducted in Ghana, which were studying prescriber prescription practices for malaria treatment have focused on malaria meso- or hyper-endemic settings in the country. The few studies that have focused on hypo-endemic settings in the country have excluded the Greater Accra region in particular, or described anti-malarial prescribing trends, leaving some key indicators of adherence to malaria treatment guidelines [9, 26–29]. However, at commu- nity level, febrile children seen in hypo-endemic settings, such as the Greater Accra region (where the prevalence of malaria is below 5%), are more likely to be suffering from a non-malarial febrile illness compared to febrile children seen in hyper-endemic settings [30]. Findings from a hospital-based study indicates that the relative contribution of malaria (11.2%) to febrile illnesses is sig- nificantly lower than reported in routine health facility data [31]. The need for prescribers to request for malaria tests and rely on test results to aid treatment practices in hypo-endemic malaria settings is even greater. To satisfy this need, this study was designed to assess prescribers’ treatment practices for febrile patients attending public health delivery facilities in the Greater Accra Region, and to investigate the factors associated with observed inap- propriate prescription of ACT.
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Assessment of Foreign Material Load in the Management of Faecal Sludge in the Greater Accra Region of Ghana

Assessment of Foreign Material Load in the Management of Faecal Sludge in the Greater Accra Region of Ghana

waste stabilization ponds at Teshie, a suburb of Accra, but these ponds were deemed not to be working efficiently [10- 12]. Technologies like the oxidation ponds, facultative ponds and storage pond systems have existed in the country for decades. In a related study conducted in Ghana and published in 2013 [13], it was established that the Kumasi Metropolitan Assembly employed the utility of faecal sludge treatment technologies such as the maturation ponds, facultative ponds and anaerobic ponds. The introduction of new treatment technology such as the Upflow Anaerobic Sludge Blanket (UASB) system which is currently used at the new Lavender hill faecal treatment plant, the Mudor and the Kotoku waste water treatment plants among others in the Greater Accra Region requires that the solid waste (foreign materials) load be assessed. The UASB plant was designed to treat sewage and some industrial wastewater. It has no design criteria for the treatment of faecal sludge [7]. Its loading rate is also restricted to either organic or hydraulic load depending on the nature of wastewater to be treated. This could mean that the application of the UASB system in the management of faecal sludge in our region would be very difficult if the foreign material load is not well studied and characterized to inform the screening process of the faecal sludge prior to the UASB utilization.
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A cross-sectional study of determinants of birth weight of neonates in the Greater Accra region of Ghana

A cross-sectional study of determinants of birth weight of neonates in the Greater Accra region of Ghana

Women with singleton pregnancies comprised the study population. Nine-hundred and sixty-six singleton pregnant women were randomly sampled in two health facilities (Ridge Hospital, the Greater Accra Regional Hospital, and Korle-Bu Teaching Hospital, a referral facility) in the Greater Accra Region with singleton pregnancies above 28 weeks at delivery and at attend- ance of antenatal clinics were studied. Systematic Random Sampling, specifically, was employed in this regard. Knowing, on average, the number of women within our inclusion criteria who visited each facility per day, on a daily basis, we picked a random start and thereafter, we picked successive participants, based on the sampling interval till they were all been sampled for the day. Mothers with twin or multiple births, as well as those seriously sick or had physical incapacitation, were excluded from the study.
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Healthcare Waste Management; Its Impact: A Case Study Of The Greater Accra Region, Ghana.

Healthcare Waste Management; Its Impact: A Case Study Of The Greater Accra Region, Ghana.

ABSTRACT: Hospital waste management is an imperative environmental and public safety issue, due to the waste’s infectious and hazardous character. In recent years, hospital waste management has become a growing issue of concern with the increasing evidence suggesting health hazards related to health care waste (HCW) inflicted upon the service providers, patients and the community as a whole. Ghana, a developing country, has little information on the healthcare waste generate, how it is handle, and its disposal. The study analysed the healthcare waste management practices in the Greater Accra Region, Ghana. The study involved 120 healthcare centers in the region. A total of 150 healthcare estate officers and waste management workers. Site visits, interviews, and survey questionnaires were implemented to collect information regarding different medical waste management aspects, including medical waste generation, separation, collection, storage, transportation, and disposal. Results from the study shows 8221.2kg waste per bed per day {1.2kg bed-1 day-1 *6,851 beds} are generated. An analysis per the population size of Ghana (25million) as against a projection estimate by 2025 shows that, healthcare waste will increase greatly, hence the need for strategic focus on it management as accepted internationally. Comparing the finding of the waste generation rate to other studies Greater Region of Ghana has a much higher generation rate of healthcare waste. In conclusion, healthcare centres in the Greater Accra Region do not abide to the accepted healthcare waste management policy of Ghana. It is recommended that laws of best standard of healthcare waste management should be passed and enforced by the Ministry of Local Government, to improve the current situation and to protect the environment and human health.
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ASSESSMENT OF GROSS ALPHA AND GROSS BETA ACTIVITY CONCENTRATIONS IN SOME SELECT BRANDED OF NATURAL MINERAL WATER PRODUCED IN THE GREATER ACCRA REGION OF GHANA

ASSESSMENT OF GROSS ALPHA AND GROSS BETA ACTIVITY CONCENTRATIONS IN SOME SELECT BRANDED OF NATURAL MINERAL WATER PRODUCED IN THE GREATER ACCRA REGION OF GHANA

of activity concentrations for gross alpha / gross beta. It ranged from 1.32±0.03 mBq/L – 5.62±0.04 mBq/L and 23.65±0.01 mBq/L – 45.96±0.03 mBq/L with an average values of 3.36±2.05 mBq/L and 33.69±12.23 mBq/L. Gross beta concentrations were higher in all the natural mineral water samples .Gross alpha and gross beta activity concentrations for the samples investigated were below the permissible guideline limits set by Ghana Standard Authority and World Health Organization which are 0.1 Bq/L, 1.0 Bq/L, 0.5 Bq/L and 1.0 Bq/L respectively. It was concluded natural mineral water produced in Greater Accra region of Ghana is radiologically safe and have no significant hazard to the public.
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Prevalence of Hypertension and Obesity among Women in Reproductive Age in the Ashaiman Municipality in the Greater Accra Region of Ghana

Prevalence of Hypertension and Obesity among Women in Reproductive Age in the Ashaiman Municipality in the Greater Accra Region of Ghana

The study revealed that the prevalence rate of hypertension and obesity in Ashaiman, a municipality in the Greater Accra region of Ghana was 20.1% and 9.8% respectively. It was also evident from the study that most of the women who participated in this study did not enjoy a balanced diet as supported by the high level consumption of carbohydrate/fats & oil rich foods than fruits and vegetables which are healthier. These patterns of unhealthy dietary habits may be explained by the process of urbanisation, modernisation, and changing lifestyles which many developing countries are experiencing. The study also showed that demographic factors such as age, parity and educational level may be influential in the development of hypertension and overweight/obesity. However, because this study is descriptive cross-sectional in nature, any seemingly observed influence should be interpreted with caution. The results indicate that effective health education and behaviour change interventions that target this segment of the population needs to be developed and implemented urgently to improve their health-related knowledge and practices particularly in relation to dietary choices.
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Determination of Radionuclides in Borehole Water in the Adenta Municipality of Greater Accra Region

Determination of Radionuclides in Borehole Water in the Adenta Municipality of Greater Accra Region

Basically the main study area was conducted in the Adenta Municipality in the Accra Metropolis of Greater Accra Region, in Ghana as shown in Figure 4. Adenta has two main rainfall patterns and it is found within the wet-semi equa- torial climate region. The primary rainfall pattern begins in May to June and the secondary rainfall part hen starts from September to October. Most at times, the recorded temperature is 26˚C.

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Contribution of Village Chickens to Animal Protein Consumption and Income of Rural Households in the Greater Accra Region, Ghana

Contribution of Village Chickens to Animal Protein Consumption and Income of Rural Households in the Greater Accra Region, Ghana

A cross-sectional study was carried out to assess the contribution of village chickens to rural households’ animal protein intake and income in three districts in the Greater Accra region. A total of 110 households were interviewed using a structured questionnaire. Village chicken products (eggs and meat) accounted for 2.71 percent and 5.1 percent of households' animal protein intake and income respectively. There was no significant correlation between flock size and protein security and flock size and net annual income of sample households. The relatively low contribution of village chickens to household protein security and income could be attributed to the small average flock size of about 13 birds per household and the low average egg production per hen per year of about 37 per household resulting from poor husbandry practices. Improvement of the husbandry system of village chickens will be required to increase production in order to enhance their contribution to rural households’ food security and cash income.
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Smartphone Usage in the Greater Accra Region of Ghana: What are the Critical Drivers?

Smartphone Usage in the Greater Accra Region of Ghana: What are the Critical Drivers?

This study has analysed the factors that influence smartphone usage in the Greater Accra Region of Ghana using a sample of 305 households collected from rural, urban and peri-urban locations. Smartphone use is on a growth trajectory and there is the need to understand the underlying factors that drive the increasing trends. By applying the probit model, various interesting results emerged which have implications for users, regulators and cell phone marketing companies. The results show convincingly that location matters in the use of smartphones. While the demand for smartphones appears to be growing more in peri-urban locations, there is contraction in urban locations, with insignificant effects in rural areas. The implication is that cell phone marketing companies need to adjust their marketing strategies and take advantage of the growing demand in peri-urban areas. This also has management implications for the companies in terms of minimizing their costs of outreach to rural areas. The probability of using smartphones is higher among urban and peri-urban dwellers. Furthermore, age, education, number of SIM cards used, affordability (income), access to mobile applications, and access to mobile money services are the main factors that significantly influence smartphone use.
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Microbiological Quality of a Locally Brewed Alcoholic Beverage (Pito) Sold in a Community within the Greater Accra Region, Ghana

Microbiological Quality of a Locally Brewed Alcoholic Beverage (Pito) Sold in a Community within the Greater Accra Region, Ghana

Pito is a traditionally brewed alcoholic beverage in some African countries. It is gaining much prominence, and the patronage among the youth is noteworthy. Therefore, samples of the drink were collected every week for six weeks from three different popular brewing sites at Lower Prampram in the Ningo-Prampram District of Accra, Ghana. The samples were processed and examined for bacteria and fungi using the Standard Plate Count (SPC) technique. A total of six different bacteria and a fungus were isolated. The bacteria were Escherichia coli, Klesiella pneumoniae, Shigella spp, Enterobacter aerogenes, Staphylococcus aureus and Pseudomonas aeroginosa, whiles the fungus was Saccharomyces cerevisiae. Total viable counts as well as individual isolates counts in all the pito samples were found to be less than 10 4 cfu/ml. It is noteworthy that, Saccharomyces cerevisiae, the
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Use and discontinuation of intrauterine contraceptive device in the Greater Accra Region of Ghana

Use and discontinuation of intrauterine contraceptive device in the Greater Accra Region of Ghana

This study therefore aimed to explore women ’ s knowledge and perception about IUD, reasons for IUD use, barriers facing IUD uptake and provider character- istics influencing IUD using a[r]

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Qualitative exploration of psychological reactions and coping strategies of breastfeeding mothers living with HIV in the Greater Accra Region of Ghana

Qualitative exploration of psychological reactions and coping strategies of breastfeeding mothers living with HIV in the Greater Accra Region of Ghana

People living with HIV in Ghana are stigmatized [9–11]. In a Ghanaian study, it was found that, stigmatization of people living with HIV occurred not only in the commu- nity but also at the hospital [12]. Although stigmatization in Ghana is experienced by the majority of the people liv- ing with HIV, it is much more intense towards women and men who have sex with men [9, 11]. The stigma is extended to some pediatric caregivers in Ghana [13]. In a study in Cameroon, half of the people living with HIV felt ashamed of themselves [14]. Stigma among women living with HIV generally increases from pregnancy to the post- partum period [15]. Individuals living with the virus are depressed due to gross discrimination [16]. This is due to the fact that, the mode of transmission of the virus is deemed unclean and evil by most Africans, and therefore, most of them are discriminated against [17]. Psychologic- ally, the depression and anxiety levels of people living with the virus are higher than those in the normal population [8]. Women who report greater stigma are more likely to have increased symptoms of anxiety [15] and that may ag- gravate concerns about vertical transmission through breastfeeding. Prenatal depression among women living with HIV has a negative impact on exclusive breastfeeding [18]. Mothers with postpartum depression have more than six times probability of not practicing exclusive breast- feeding and four times increased chance of having chil- dren who are underweight [19]. Levy and colleagues (2010) showed through their analysis that psychological disturbances led to physiological consequences and the disease progression from HIV infection to AIDS was rapid, when the people living with the virus suffer psycho- logical distress [20].
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Causes And Effects Of Conflict On Academic Staff In Ghanaian Universities: The Case Of A Private University College In The Greater Accra Region

Causes And Effects Of Conflict On Academic Staff In Ghanaian Universities: The Case Of A Private University College In The Greater Accra Region

Although it appears conflict occurs among the staff of the university college in Ghana, little is empirically known about the rate of conflict, the causes of such con[r]

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Large cholera outbreak in Brong Ahafo Region, Ghana

Large cholera outbreak in Brong Ahafo Region, Ghana

The Brong Ahafo Reginal Health Directorate were alerted of an outbreak of Cholera in the Greater Accra Region of Ghana, However, on 30th of July 2014, a case of cholera was reported at the St Theresa’s Hospital in Nkoranza South District of the Brong Ahafo Region (BAR), even- tually an outbreak of cholera occurred with more than 1000 cases reported. The affected population ranged in age from 1 to 95 years with a mean age of 28.2 years and standard deviation of 19.6  years. The age group 20–29  years was reported the highest number of cases with 243/1005 (23.5%). The least (3.5%) affected was the 60–69  years old group (Fig.  2). The highest number of cases was in young male adults, 20–29 year group (Fig. 2). The index case reported was a 26 year old male with a his- tory of travel from Accra (the national capital where an outbreak of cholera had been reported early in 2014). On 30th of July, 2014 he presented to the Nkoranza District hospital (located in the central part of the Brong Ahafo Region) with a history of diarrhoea and vomiting of 24 h duration which started prior to his setting off from Accra. He was admitted at the Nkoranza District Hospital and managed with intravenous infusions, oral rehydration salt (ORS) and tetracycline antibiotics. Rectal sample collected for Laboratory investigation tested positive for Vibrio cholerae O1 Ogawa sub type. Two days later, two young adult males said to be living in the same vicinity in Accra with the index case also travelled from Accra with similar symptoms (the reason for leaving Accra was to seek health care in Nkoranza where relatives were more likely to settle the bills accruing from their treatment. The two did not have any form of health insurance).
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THE PERCEPTION OF YOUTH ON THE EFFECTS OF SUBSTANCE ABUSE IN SOKOTO, SOKOTO STATE, NIGERIA

THE PERCEPTION OF YOUTH ON THE EFFECTS OF SUBSTANCE ABUSE IN SOKOTO, SOKOTO STATE, NIGERIA

Also, a study on drug abuse and its mental health and health consequences among addicts in Greater Accra region, shows that, the entire twenty six participants [r]

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