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  • 1
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    Online Resource
    Factors associated with comorbidity of diarrhoea and acute respiratory infections among children under five years in Ghana
    Public Library of Science (PLoS) ; 2022
    In:  PLOS ONE Vol. 17, No. 7 ( 2022-7-21), p. e0271685-
    Details
    In: PLOS ONE, Public Library of Science (PLoS), Vol. 17, No. 7 ( 2022-7-21), p. e0271685-
    Abstract: Globally, childhood mortality is an important public health concern. In Ghana, both diarrhoea and acute respiratory infections (ARIs) are among the top five causes of morbidity and mortality among children under five years old (CU5). Yet, there is a paucity of studies on the comorbidity of diarrhoea and ARIs in CU5 in Ghana. Aim This study sought to examine factors associated with comorbidity of diarrhoea and ARIs among CU5 in Ghana. Methods The Ghana Demographic and Health Survey (GDHS) 2014 was used for this study. A total of 932 CU5 who had at least one morbidity were included in the study. Binary logistic regression was used to predict the factors associated with comorbidity among CU5. Results The prevalence of comorbidity of diarrhoea and ARI among CU5 was 11%. Factors including unimproved source of water, unimproved main floor material, age of child, and initiation of breastmilk were significantly associated with comorbidity of diarrhea and ARI. Improved source of water (AOR = 0.42; 95% CI = 0.22–0.78; p = 0.01) reduces the likelihood of having comorbidity than unimproved source of water. Children aged 36–47 months were less likely (AOR = 0.36; 95% CI = 0.14–0.93; p = 0.04) to have comorbidity than those aged 48–59 months. Also, improved floor materials (AOR = 0.45; 95% CI = 0.22–0.95; p = 0.03) reduces the likelihood of having comorbidity than unimproved floor materials. Children breastfed within the first day of birth were more likely (AOR = 1.66; 95% CI = 1.01–0.2.72; p = 0.04) to have comorbidity than those breastfed immediately after birth. Conclusion Policymakers and health practitioners should consider risk factors such as age of child, initiation of breastfeeding, unimproved floor material, and unimproved water supply in the design of interventions to reduce morbidity and mortality associated with comorbidity of diarrhoea and ARI among CU5.
    Type of Medium: Online Resource
    ISSN: 1932-6203
    URL: Article
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    DOI: 10.1371/journal.pone.0271685
    DOI: 10.1371/journal.pone.0271685.g001
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    DOI: 10.1371/journal.pone.0271685.s001
    Language: English
    Publisher: Public Library of Science (PLoS)
    Publication Date: 2022
    detail.hit.zdb_id: 2267670-3
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  • 2
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    Facilitators and barriers to COVID-19 vaccine uptake among women in two regions of Ghana: A qualitative study
    Public Library of Science (PLoS) ; 2022
    In:  PLOS ONE Vol. 17, No. 8 ( 2022-8-17), p. e0272876-
    Details
    In: PLOS ONE, Public Library of Science (PLoS), Vol. 17, No. 8 ( 2022-8-17), p. e0272876-
    Abstract: Although COVID-19 vaccines are available, evidence suggests that several factors hinder or facilitate their use. Several studies have found gender differences in COVID-19 vaccine uptake, with women less likely to vaccinate than men in many countries, including Ghana. These studies, however, have primarily been quantitative. This study used a qualitative approach to examine the facilitators and barriers to vaccine uptake among women in Ghana. Using a cross-sectional descriptive qualitative research design, 30 women in the Greater Accra and Ashanti regions of Ghana were conveniently sampled and interviewed using a semi-structured interview guide. Fifteen (15) interviews were conducted in each region. The data were transcribed verbatim and analysed thematically using QSR NVivo version 10 software. Among the key factors that facilitate COVID-19 vaccination are the desire to protect oneself and family against COVID-19, education about COVID-19 vaccines, seeing others receive the COVID-19 vaccine, and vaccine being cost-free. On the other hand, long queues at the vaccination centres, fear of side effects, misconceptions about the vaccines, and shortage of vaccines were the main barriers against COVID-19 vaccination. The study results show that individual, institutional, and vaccine-related factors facilitate or hinder COVID-19 vaccination among women. Addressing these factors need continuous comprehensive health education, and ensuring vaccine availability at vaccination sites will improve women’s uptake of the COVID-19 vaccines.
    Type of Medium: Online Resource
    ISSN: 1932-6203
    URL: Article
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    DOI: 10.1371/journal.pone.0272876
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    DOI: 10.1371/journal.pone.0272876.s003
    Language: English
    Publisher: Public Library of Science (PLoS)
    Publication Date: 2022
    detail.hit.zdb_id: 2267670-3
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  • 3
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    Parents’ and guardians’ acceptability of COVID-19 vaccination for children in Ghana: An online survey
    Public Library of Science (PLoS) ; 2022
    In:  PLOS ONE Vol. 17, No. 8 ( 2022-8-29), p. e0272801-
    Details
    In: PLOS ONE, Public Library of Science (PLoS), Vol. 17, No. 8 ( 2022-8-29), p. e0272801-
    Abstract: Few studies have examined the intentions of parents and guardians to vaccinate their children younger than 18 years against COVID-19 in Ghana. Parents are the decision makers for children younger than 18 years; therefore, we examined parents’ and guardians’ intentions to accept the COVID-19 vaccines for their children. An online survey was conducted among 415 parents and guardians in Ghana. The Statistical Package for Social Sciences version 25 was used to analyse the data. We found that 73.3% of parents/guardians would allow their children to be vaccinated against COVID-19. The binary logistic regression analysis shows that parents/guardians with Senior High School education, those who believed COVID-19 could not be cured, and those who agreed and those who neither agreed nor disagreed with the statement “once the vaccine is available and approved, it would be safe” were less likely to accept COVID-19 vaccine for their children. Also, parents/guardians who neither agreed nor disagreed that “the best way to avoid the complications of COVID-19 is by being vaccinated”, those who agreed that “I am of the notion that physiological/natural community is better compared to vaccine-induced immunity” and “I believe the vaccine programming may be likened to the new world order” were less likely to accept COVID-19 vaccine for their children. There is a need for public health practitioners to intensify education on the benefits and side effects of COVID-19 vaccines, as well as provide regular and up-to-date information about vaccines’ safety to parents and guardians.
    Type of Medium: Online Resource
    ISSN: 1932-6203
    URL: Article
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    DOI: 10.1371/journal.pone.0272801
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    DOI: 10.1371/journal.pone.0272801.s001
    DOI: 10.1371/journal.pone.0272801.s002
    Language: English
    Publisher: Public Library of Science (PLoS)
    Publication Date: 2022
    detail.hit.zdb_id: 2267670-3
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  • 4
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    Covert Contraceptive Use amongst the urban poor in Accra, Ghana: experiences of health providers
    Springer Science and Business Media LLC ; 2022
    In:  Reproductive Health Vol. 19, No. 1 ( 2022-11-04)
    Details
    In: Reproductive Health, Springer Science and Business Media LLC, Vol. 19, No. 1 ( 2022-11-04)
    Abstract: An estimated one-third of women in Ghana use contraceptives without the knowledge of their partners, a phenomenon known as Covert Contraceptive Use (CCU). Most research on CCU to date has focused on individual women to the neglect of the role of health system. This study explores CCU in urban poor communities of Accra, Ghana, from the experiences and perspectives of health providers. Methods Qualitative in-depth interviews were conducted with health care providers in both the public and private sectors at multiple levels, from the community clinic to the tertiary hospital, to gain insights into the strategies women use and the ways in which the health system supports the practice of CCU. Results Five major thematic areas emerged: use of easily concealed-methods, discrete-access-and-information-keeping, time-of-day, non-verbal-communication and use of relationships. The study further revealed that fear, mistrust, shyness, myths, and misperceptions regarding contraceptives explain CCU among women in the communities that the providers serve. Conclusion Importantly, disclosure of methods used by providers without women’s consent could potentially lead to violent outcomes for both women and the providers. Our results highlight the pivotal role that providers play in confidentially supporting women’s choices regarding the use of contraceptives.
    Type of Medium: Online Resource
    ISSN: 1742-4755
    URL: Article
    DOI: 10.1186/s12978-022-01516-5
    Language: English
    Publisher: Springer Science and Business Media LLC
    Publication Date: 2022
    detail.hit.zdb_id: 2149029-6
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  • 5
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    Local‐level water conservation and management practices in rural communities: A case study in Dormaa Municipality, Bono Region, Ghana
    Wiley ; 2023
    In:  Irrigation and Drainage
    Details
    In: Irrigation and Drainage, Wiley
    Abstract: Les études menées sur les stratégies de conservation de l'eau et les approches locales de gestion des ressources en eau parmi les populations rurales au Ghana et en Afrique subsaharienne sont rares. Cette étude portait sur les pratiques de conservation et de gestion de l'eau dans les communautés rurales de la municipalité de Dormaa. Nous avons adopté une méthode mixte simultanée utilisant des méthodes quantitatives et qualitatives. Les données quantitatives et qualitatives ont été analysées à l'aide de SPSS et Atlas.TI. respectivement. La Ghana water Company Limited (GWCL) a utilisé la régression logistique binaire pour prédire les facteurs associés à la conservation de sources améliorées d'eau et à la fiabilité de la gestion de l'eau. Les résultats montrent que 84.4% des personnes interrogées conservent des sources d'eau améliorées et 83.6% ne comptent pas sur la gestion de l'eau par la GWCL. La régression logistique binaire montre que l'éducation, la taille du ménage et le revenu étaient associés de manière significative à la conservation de meilleures sources d'eau, tandis que l'âge, l'état matrimonial et la propriété d'une maison étaient associés à la fiabilité de la gestion de l'eau par la GWCL. Certains des défis rencontrés dans la gestion de l'eau sont la disponibilité rare de personnes engagées dans la gestion et le non‐paiement des factures d'électricité. L'étude recommande une intervention politique en matière d'appui technique et matériel pour une conservation et une gestion efficaces de l'eau dans les communautés rurales.
    Type of Medium: Online Resource
    ISSN: 1531-0353 , 1531-0361
    URL: Article
    DOI: 10.1002/ird.2849
    Language: English
    Publisher: Wiley
    Publication Date: 2023
    detail.hit.zdb_id: 2045607-4
    SSG: 21
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  • 6
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    Acceptability of COVID-19 Vaccination among Health Care Workers in Ghana
    Hindawi Limited ; 2021
    In:  Advances in Public Health Vol. 2021 ( 2021-4-16), p. 1-8
    Details
    In: Advances in Public Health, Hindawi Limited, Vol. 2021 ( 2021-4-16), p. 1-8
    Abstract: Because health care workers are a reliable source of health information, their acceptance or rejection of COVID-19 vaccines can influence the general population's uptake of COVID-19 vaccines. In this study, we sought to determine the acceptability of COVID-19 vaccines among health care workers in Ghana. Using a cross-sectional design, we collected data from 234 health care workers through a self-administered online survey from 16 January to 15 February 2021. Descriptive, bivariate, and multivariate analyses were performed using STATA version 15. The findings revealed that 39.3% (n = 92) of health care workers intended to receive the COVID-19 vaccines. Factors such as sex (AOR = 0.451; CI 95% 0.240–0.845; p = 0.013 ), category of health care workers (AOR = 2.851; 95 CI%: 1.097–7.405; p = 0.031 ), relative being diagnosed with COVID-19 (AOR = 0.369; CI 95% 0.145–0.941; p = 0.037 ), and trust in the accuracy of the measures taken by the government in the fight against COVID-19 (AOR = 2.768; CI 95%: 1.365–5.616; p = 0.005 ) proved to be significant predictors of the acceptability of the COVID-19 vaccine. Concerns about the safety of vaccines (n = 93, 65.5%) and the adverse side effects of the vaccines (n = 23, 14.8%) were identified as the main reasons why health care workers would decline uptake of COVID-19 vaccines in Ghana. The self-reported low intention of health care workers in Ghana to accept COVID-19 vaccines necessitates an urgent call from the Government of Ghana and other stakeholders to address health care workers' concerns about the safety and adverse side effects of COVID-19 vaccines, as this would increase vaccine uptake. Interventions must also take into consideration sex and the category of health care workers to achieve the desired results.
    Type of Medium: Online Resource
    ISSN: 2314-7784 , 2356-6868
    URL: Article
    DOI: 10.1155/2021/9998176
    Language: English
    Publisher: Hindawi Limited
    Publication Date: 2021
    detail.hit.zdb_id: 2798104-6
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  • 7
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    Postpartum contraceptive initiation and use: Evidence from Accra, Ghana
    SAGE Publications ; 2022
    In:  Women's Health Vol. 18 ( 2022-01), p. 174550572211412-
    Details
    In: Women's Health, SAGE Publications, Vol. 18 ( 2022-01), p. 174550572211412-
    Abstract: Postpartum contraceptive use reduces unintended pregnancies and results in better health outcomes for children and women. However, there is a dearth of knowledge on postpartum contraceptive use in Ghana, particularly among women in low-income urban settings. To shed light on strategies that might enhance access to postpartum family planning services in low-income urban settings, we examined contraceptive use among postpartum women in Accra, Ghana, at 1, 3, 6, and 12 months following the birth and the methods used. The predictors of modern contraceptive use in the 12-month postpartum period were also examined. Methods: Data come from a cross-sectional survey conducted in 2018 among 624 women aged 16–44 years who reported giving birth in the past 13–31 months prior to the interview. We generated descriptive statistics to examine the prevalence of contraceptive use among postpartum women at 1, 3, 6, and 12 months after birth. We further estimated a binary logistic regression to examine the predictors of modern contraceptive use at 12 months postpartum. Results: Forty percent of postpartum women never used any contraceptive method during 1 year after birth and of those who used a method, 40% relied on traditional methods. Moreover, 29% of women started using a method the immediate 1 month post-birth. Results further show that postpartum modern contraceptive uptake was positively associated with higher education, having more live births, and being currently in a union. Conclusions: Findings highlight that there may be opportunities to improve the quality of counseling during antenatal and postnatal care visits by clients to ensure fully informed choices regarding postpartum contraception. Community outreach by health providers/promoters or similar models should be promoted in low-income population settings to educate postpartum women on modern contraceptive use. Women who plan to use traditional methods should be provided with information on the consistent and correct use of these methods.
    Type of Medium: Online Resource
    ISSN: 1745-5057 , 1745-5065
    URL: Article
    DOI: 10.1177/17455057221141290
    Language: English
    Publisher: SAGE Publications
    Publication Date: 2022
    detail.hit.zdb_id: 2254618-2
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  • 8
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    Enablers and inhibitors of exclusive breastfeeding: perspectives from mothers and health workers in Accra, Ghana
    Springer Science and Business Media LLC ; 2022
    In:  International Breastfeeding Journal Vol. 17, No. 1 ( 2022-12)
    Details
    In: International Breastfeeding Journal, Springer Science and Business Media LLC, Vol. 17, No. 1 ( 2022-12)
    Abstract: Despite the health and economic benefits of exclusive breastfeeding, there is evidence of a decline globally and in Ghana. Previous studies addressing this problem are mostly quantitative with only a few of such studies using qualitative or mixed methods to examine the predictors, benefits, ways of improving and managing exclusive breastfeeding, and the challenges associated with exclusive breastfeeding from the perspective of exclusive and nonexclusive breastfeeding mothers, and health workers. This study employs the health belief model to examine the experiences of mothers and health workers regarding exclusive breastfeeding to fill this gap in the literature. Methods A cross-sectional qualitative study involving in-depth interviews was conducted among health workers and mothers attending child welfare clinic at two polyclinics in Madina, Accra-Ghana in 2019. Purposive sampling was used to select health facilities and participants for the study. Twenty participants comprising ten exclusive breastfeeding mothers, six non-exclusive breastfeeding mothers and four health workers were interviewed for the study. The data were analyzed based on emerging themes from inductive and deductive coding. Results The decision to practice exclusive breastfeeding was based on mothers’ work, advertisement on exclusive breastfeeding and education on breastfeeding provided by health workers. Insufficient flow of breast milk, pressure from family and friends, and insufficient breast milk for infants were among the reasons for discontinuing exclusive breastfeeding. The factors that help improve exclusive breastfeeding include eating healthy food and breastfeeding on demand, while counselling and monitoring, restricting advertisement on infant formula and granting maternity leave for breastfeeding mothers were identified as factors that can  facilitate the practice of exclusive breastfeeding. Conclusion Different levels of experience affect and shape exclusive breastfeeding practice in Ghana. The decision to practice exclusive breastfeeding, as well as the challenges and strategies employed in managing exclusive breastfeeding, emanates from mothers’ personal experiences and interactions with institutional factors. In view of this, there should be counselling on the management of challenges associated with exclusive breastfeeding and provision of accurate information on exclusive breastfeeding to enable mothers practice exclusive breastfeeding.
    Type of Medium: Online Resource
    ISSN: 1746-4358
    URL: Article
    DOI: 10.1186/s13006-022-00462-z
    Language: English
    Publisher: Springer Science and Business Media LLC
    Publication Date: 2022
    detail.hit.zdb_id: 2227239-2
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  • 9
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    The association between paternal characteristics and exclusive breastfeeding in Ghana
    Public Library of Science (PLoS) ; 2021
    In:  PLOS ONE Vol. 16, No. 6 ( 2021-6-3), p. e0252517-
    Details
    In: PLOS ONE, Public Library of Science (PLoS), Vol. 16, No. 6 ( 2021-6-3), p. e0252517-
    Abstract: Studies have shown that partners play an influential role in exclusive breastfeeding practice and that they can act as either deterrents or supporters to breastfeeding. However, there are limited studies on the influence of partners’ characteristics on exclusive breastfeeding in Ghana. This study examined the association between partners’ characteristics and exclusive breastfeeding in Ghana. Methods This cross-sectional study used data from the 2014 Ghana Demographic and Health Survey. Infants less than 6 months old (exclusively breastfed or not) with maternal and paternal characteristics were included in the study. A total of 180 participants were used for the study. A binary logistic regression was used to examine the influence of partners’ characteristics on exclusive breastfeeding. Results Partners’ characteristics such as education, desire for children, religion, and children ever born were associated with exclusive breastfeeding. Mothers whose partners had primary education (AOR = 0.12; CI 95%: 0.02–0.93; p = 0.04) were less likely to practice exclusive breastfeeding compared to those whose partners had no formal education. Also, mothers whose partners desired more children (AOR = 0.20; CI 95%: 0.06–0.70; p = 0.01) were less likely to practice exclusive breastfeeding compared to those whose partners desire fewer children. Conclusion Improving EBF requires the involvement of partners in exclusive breastfeeding campaigns/programmes. A more couple-oriented approach is required by health practitioners to educate and counsel both mothers and partners on the importance of exclusive breastfeeding in Ghana.
    Type of Medium: Online Resource
    ISSN: 1932-6203
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    DOI: 10.1371/journal.pone.0252517
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    Language: English
    Publisher: Public Library of Science (PLoS)
    Publication Date: 2021
    detail.hit.zdb_id: 2267670-3
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  • 10
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    Use of any contraceptive method among women in rural communities in the eastern region of Ghana: a cross-sectional study
    Springer Science and Business Media LLC ; 2023
    In:  BMC Public Health Vol. 23, No. 1 ( 2023-10-05)
    Details
    In: BMC Public Health, Springer Science and Business Media LLC, Vol. 23, No. 1 ( 2023-10-05)
    Abstract: In Ghana, there is an increase in contraceptive use for traditional and modern methods in rural areas. This study seeks to examine the prevalence and determinants of current use of any contraceptive method among women of reproductive age in the rural Eastern Region of Ghana. Methods A community-based cross-sectional study was conducted among women of reproductive age in the rural Eastern region of Ghana. A structured questionnaire was used to interview women in rural Lower Manya and Upper Manya Krobo districts of Eastern region who were selected using a simple random sampling technique. The data were analysed using Stata version 16. A Binary logistic regression was used to examine the determinants of current use of any contraceptive use (traditional and modern methods). Results The prevalence of contraceptive use was 27.8%. In the adjusted analysis of binary logistic regression, contraceptive use was significantly lower (aOR = 0.24; 95%CI = 0.10–0.56; p = 0.001) among respondents aged 41–49 years compared to those aged 18–35 years. Contraceptive use was significantly lower among migrants (aOR:0.53; 95%CI:0.28–0.99; p = 0.048) compared with non-migrant. Conclusion The prevalence of any contraceptive use among rural women was low. Government and other stakeholders need to create awareness about contraception in the rural areas of Eastern region of Ghana and that would help increase contraceptive methods utilization. In addition, family planning programs should target migrants to design an intervention to increase contraceptive use in rural areas.
    Type of Medium: Online Resource
    ISSN: 1471-2458
    URL: Article
    DOI: 10.1186/s12889-023-16795-1
    Language: English
    Publisher: Springer Science and Business Media LLC
    Publication Date: 2023
    detail.hit.zdb_id: 2041338-5
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