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https://www.readbyqxmd.com/read/28523128/comparison-of-medicines-management-strategies-in-insurance-schemes-in-middle-income-countries-four-case-studies
#1
Warren A Kaplan, Paul G Ashigbie, Mohamad I Brooks, Veronika J Wirtz
BACKGROUND: Many middle-income countries are scaling up health insurance schemes to provide financial protection and access to affordable medicines to poor and uninsured populations. Although there is a wealth of evidence on how high income countries with mature insurance schemes manage cost-effective use of medicines, there is limited evidence on the strategies used in middle-income countries. This paper compares the medicines management strategies that four insurance schemes in middle-income countries use to improve access and cost-effective use of medicines among beneficiaries...
2017: Journal of Pharmaceutical Policy and Practice
https://www.readbyqxmd.com/read/28522255/sustainability-of-community-led-total-sanitation-outcomes-evidence-from-ethiopia-and-ghana
#2
Jonny Crocker, Darren Saywell, Jamie Bartram
We conducted a study to evaluate the sustainability of community-led total sanitation (CLTS) outcomes in Ethiopia and Ghana. Plan International, with local actors, implemented four CLTS interventions from 2012 to 2014: health extension worker-facilitated CLTS and teacher-facilitated CLTS in Ethiopia, and NGO-facilitated CLTS with and without training for natural leaders in Ghana. We previously evaluated these interventions using survey data collected immediately after implementation ended, and concluded that in Ethiopia health extension workers were more effective facilitators than teachers, and that in Ghana training natural leaders improved CLTS outcomes...
May 9, 2017: International Journal of Hygiene and Environmental Health
https://www.readbyqxmd.com/read/28522079/sleep-duration-is-associated-with-increased-risk-for-cardiovascular-outcomes-a-pilot-study-in-a-sample-of-community-dwelling-adults-in%C3%A2-ghana
#3
Helen V Cole, Ellis Owusu-Dabo, Juliet Iwelunmor, Valerie Newsome, Karlijn Meeks, Charles Agyemang, Girardin Jean-Louis
BACKGROUND: Associations between sleep duration and cardiovascular disease (CVD) risk factors have been demonstrated in past studies. However, previous studies have not investigated these relationships using objective sleep measures in sub-Saharan Africa. Our objective was to investigate the association between sleep duration and cardiovascular risk factors in a sample of community-dwelling Ghanaian adults. METHODS: We used wrist actigraphy along with a seven-day sleep diary to measure sleep duration, wake after sleep onset, sleep latency, and sleep quality...
June 2017: Sleep Medicine
https://www.readbyqxmd.com/read/28521776/solid-medical-waste-a-cross-sectional-study-of-household-disposal-practices-and-reported-harm-in-southern-ghana
#4
Emilia Asuquo Udofia, Gabriel Gulis, Julius Fobil
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...
May 18, 2017: BMC Public Health
https://www.readbyqxmd.com/read/28520715/geographical-distribution-of-complement-receptor-type-1-variants-and-their-associated-disease-risk
#5
Thaisa Lucas Sandri, Selorme Adukpo, Dao Phuong Giang, Christian N Nguetse, Fabiana Antunes Andrade, Hoang van Tong, Nguyen Linh Toan, Le Huu Song, Preetham Elumalai, Kumarasamy Thangaraj, Vijaya Lakshmi Valluri, Francine Ntoumi, Christian G Meyer, Iara Jose de Messias Reason, Peter G Kremsner, Thirumalaisamy P Velavan
BACKGROUND: Pathogens exert selective pressure which may lead to substantial changes in host immune responses. The human complement receptor type 1 (CR1) is an innate immune recognition glycoprotein that regulates the activation of the complement pathway and removes opsonized immune complexes. CR1 genetic variants in exon 29 have been associated with expression levels, C1q or C3b binding and increased susceptibility to several infectious diseases. Five distinct CR1 nucleotide substitutions determine the Knops blood group phenotypes, namely Kna/b, McCa/b, Sl1/Sl2, Sl4/Sl5 and KCAM+/-...
2017: PloS One
https://www.readbyqxmd.com/read/28512918/postpartum-contraceptive-choices-among-women-attending-a-well-baby-clinic-in-ghana
#6
Emmanuel S K Morhe, Frank Ankobea, Gerald O Asubonteng, Baafuor Opoku, Cornelius A Turpin, Vanessa K Dalton
OBJECTIVE: To assess postpartum contraceptive choices among women attending a well-baby clinic in Ghana. METHODS: From April 1 to May 31, 2011, a descriptive cross-sectional survey was conducted among women who attended the well-baby clinic of Komfo Anokye Teaching Hospital, Kumasi, at 6-24 months after delivery. Participants were consecutively recruited and interviewed using semi-structured questionnaires. Data were collected on demographics, exposure to family planning counseling, message content, and postpartum contraceptive choices...
May 17, 2017: International Journal of Gynaecology and Obstetrics
https://www.readbyqxmd.com/read/28512745/implementation-of-multi-disciplinary-care-reduces-maternal-mortality-in-women-with-sickle-cell-disease-living-in-low-resource-setting
#7
Eugenia Vicky Asare, Edeghonghon Olayemi, Theodore Boafor, Yvonne Dei-Adomakoh, Enoch Mensah, Harriet Ghansah, Yvonne Osei-Bonsu, Selina Crabbe, Latif Musah, Charles Hayfron-Benjamin, Brittany Covert, Adetola A Kassim, Andra James, Mark Rodeghier, Michael R DeBaun, Samuel A Oppong
Sickle cell disease (SCD) is associated with adverse pregnancy outcome. In women with SCD living in low-resource settings, pregnancy is associated with significantly increased maternal and perinatal mortality rates. We tested the hypothesis that implementing a multidisciplinary obstetric and hematology care team in a low-resource setting would significantly reduce maternal and perinatal mortality rates. We conducted a before-and-after study, at the Korle-Bu Teaching Hospital in Accra, Ghana, to evaluate the effect of a multidisciplinary obstetric-hematology care team for women with SCD in a combined SCD-Obstetric Clinic...
May 16, 2017: American Journal of Hematology
https://www.readbyqxmd.com/read/28510291/associations-between-rna-splicing-regulatory-variants-of-stemness-related-genes-and-racial-disparities-in-susceptibility-to-prostate-cancer
#8
Yanru Wang, Jennifer A Freedman, Hongliang Liu, Patricia G Moorman, Terry Hyslop, Daniel J George, Norman H Lee, Steven R Patierno, Qingyi Wei
Evidence suggests that cells with a stemness phenotype play a pivotal role in oncogenesis, and prostate cells exhibiting this phenotype have been identified. We used two genome-wide association study (GWAS) datasets of African descendants, from the Multiethnic/Minority Cohort Study of Diet and Cancer (MEC) and the Ghana Prostate Study, as well as two GWAS datasets of non-Hispanic whites, from the Prostate, Lung, Colorectal and Ovarian (PLCO) Cancer Screening Trial and the Breast and Prostate Cancer Cohort Consortium (BPC3), to analyze the associations between genetic variants of stemness-related genes and racial disparities in susceptibility to prostate cancer...
May 16, 2017: International Journal of Cancer. Journal International du Cancer
https://www.readbyqxmd.com/read/28506233/measurement-and-decomposition-of-socioeconomic-inequality-in-single-and-multimorbidity-in-older-adults-in-china-and-ghana-results-from-the-who-study-on-global-ageing-and-adult-health-sage
#9
Rasha Kunna, Miguel San Sebastian, Jennifer Stewart Williams
BACKGROUND: Globally people are living longer and enduring non-communicable diseases (NCDs) many of which co-occur as multimorbidity. Demographic and socioeconomic factors are determinants of inequalities and inequities in health. There is a need for country-specific evidence of NCD inequalities in developing countries where populations are ageing rapidly amid economic and social change. The study measures and decomposes socioeconomic inequality in single and multiple NCD morbidity in adults aged 50 and over in China and Ghana...
May 15, 2017: International Journal for Equity in Health
https://www.readbyqxmd.com/read/28503669/dietary-diversity-and-child-malnutrition-in-ghana
#10
Raymond Boadi Frempong, Samuel Kobina Annim
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...
May 2017: Heliyon
https://www.readbyqxmd.com/read/28501018/geographic-mobility-and-potential-bridging-for-sexually-transmitted-infections-in-agbogbloshie-ghana
#11
Susan Cassels, Samuel M Jenness, Adriana A E Biney, F Nii-Amoo Dodoo
Short-term mobility can significantly influence the spread of infectious disease. In order for mobile individuals to geographically spread sexually transmitted infections (STIs), individuals must engage in sexual acts with different partners in two places within a short time. In this study, we considered the potential of mobile individuals as bridge populations - individuals who link otherwise disconnected sexual networks and contributed to ongoing STI transmission. Using monthly retrospective panel data, we examined associations between short-term mobility and sexual partner concurrency in Agbogbloshie, Ghana...
May 5, 2017: Social Science & Medicine
https://www.readbyqxmd.com/read/28500810/environmental-and-behavioral-drivers-of-buruli-ulcer-disease-in-selected-communities-along-the-densu-river-basin-of-ghana-a-case-control-study
#12
Samuel Yaw Aboagye, Prince Asare, Isaac Darko Otchere, Eric Koka, George Ekow Mensah, Dzidzo Yirenya-Tawiah, Dorothy Yeboah-Manu
AbstractThe exact route of transmission of Mycobacterium ulcerans (MU) (causative agent of Buruli ulcer [BU]), risk factors, and reservoir hosts are not clearly known, although it has been identified as an environmental pathogen. This study assessed potential environmental and behavioral risk factors that influence BU infections. We conducted a case-control study where cases were matched by their demographic characteristics and place of residence. A structured questionnaire was administered to solicit information on the environmental and behavioral factors of participants that may expose them to infection...
May 2017: American Journal of Tropical Medicine and Hygiene
https://www.readbyqxmd.com/read/28499375/cardiovascular-risk-status-of-afro-origin-populations-across-the-spectrum-of-economic-development-findings-from-the-modeling-the-epidemiologic-transition-study
#13
Lara R Dugas, Terrence E Forrester, Jacob Plange-Rhule, Pascal Bovet, Estelle V Lambert, Ramon A Durazo-Arvizu, Guichan Cao, Richard S Cooper, Rasha Khatib, Laura Tonino, Walter Riesen, Wolfgang Korte, Stephanie Kliethermes, Amy Luke
BACKGROUND: Cardiovascular risk factors are increasing in most developing countries. To date, however, very little standardized data has been collected on the primary risk factors across the spectrum of economic development. Data are particularly sparse from Africa. METHODS: In the Modeling the Epidemiologic Transition Study (METS) we examined population-based samples of men and women, ages 25-45 of African ancestry in metropolitan Chicago, Kingston, Jamaica, rural Ghana, Cape Town, South Africa, and the Seychelles...
May 12, 2017: BMC Public Health
https://www.readbyqxmd.com/read/28495265/continuous-positive-airway-pressure-for-children-with-undifferentiated-respiratory-distress-in-ghana-an-open-label-cluster-crossover-trial
#14
Patrick T Wilson, Frank Baiden, Joshua C Brooks, Marilyn C Morris, Katie Giessler, Damien Punguyire, Gavin Apio, Akua Agyeman-Ampromfi, Sara Lopez-Pintado, Justice Sylverken, Kwadwo Nyarko-Jectey, Harry Tagbor, Rachel T Moresky
BACKGROUND: In low-income and middle-income countries, invasive mechanical ventilation is often not available for children at risk of death from respiratory failure. We aimed to determine if continuous positive airway pressure (CPAP), a form of non-invasive ventilation, decreases all-cause mortality in children with undifferentiated respiratory distress in Ghana. METHODS: This open-label, cluster, crossover trial was done in two Ghanaian non-tertiary hospitals where invasive mechanical ventilation is not routinely available...
June 2017: Lancet Global Health
https://www.readbyqxmd.com/read/28494024/household-food-security-and-adequacy-of-child-diet-in-the-food-insecure-region-north-in-ghana
#15
Pascal Agbadi, Helga Bjørnøy Urke, Maurice B Mittelmark
BACKGROUND AND OBJECTIVES: Adequate diet is of crucial importance for healthy child development. In food insecure areas of the world, the provision of adequate child diet is threatened in the many households that sometimes experience having no food at all to eat (household food insecurity). In the context of food insecure northern Ghana, this study investigated the relationship between level of household food security and achievement of recommended child diet as measured by WHO Infant and Young Child Feeding Indicators...
2017: PloS One
https://www.readbyqxmd.com/read/28493966/improving-drug-delivery-strategies-for-lymphatic-filariasis-elimination-in-urban-areas-in-ghana
#16
Nana-Kwadwo Biritwum, Bertha Garshong, Bright Alomatu, Dziedzom K de Souza, Margaret Gyapong, Dominique Kyelem
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...
May 11, 2017: PLoS Neglected Tropical Diseases
https://www.readbyqxmd.com/read/28492267/ghana-telescope-heralds-first-pan-african-array
#17
Sarah Wild
No abstract text is available yet for this article.
May 9, 2017: Nature
https://www.readbyqxmd.com/read/28492210/predictors-of-quality-of-life-in-patients-with-diabetes-mellitus-in-two-tertiary-health-institutions-in-ghana-and-nigeria
#18
Grace K Ababio, Samuel Bosomprah, Adesola Olumide, Nicholas Aperkor, Chris Aimakhu, Audrey Oteng-Yeboah, Joan Agama, William F Chaplin, Kola S Okuyemi, Albert G B Amoah, Gbenga Ogedegbe
BACKGROUND: Patients with chronic diseases such as Type 2 diabetes mellitus (DM) usually have a relatively poor quality of life (QoL), because the cost of care (living expenses and health) or diet restrictions are heavily felt by these patients, and this is of a public health concern. However, limited data on DM QoL exist in Ghana and Nigeria. This makes it imperative for data to be collated in that regard. MATERIALS AND METHODS: We adopted the Strengthening The reporting of observational studies in epidemiology (STROBE) consensus checklist to survey the patients with DM seen at the diabetic clinic at the Department of Medicine of the Korle-Bu Teaching Hospital and University College Hospital, Ibadan, Nigeria...
January 2017: Nigerian Postgraduate Medical Journal
https://www.readbyqxmd.com/read/28491294/prevalence-and-pattern-of-antibiotic-resistance-of-staphylococcus-aureus-isolated-from-door-handles-and-other-points-of-contact-in-public-hospitals-in-ghana
#19
Courage Kosi Setsoafia Saba, Jean Kwadwo Amenyona, Stephen Wilson Kpordze
BACKGROUND: Studies have implicated Staphylococcus aureus as the leading cause of septicemia in the Tamale metropolis of Ghana. The aim of this study was to determine the prevalence and antibiotic susceptibility of S. aureus and Methicillin Resistant S. aureus (MRSA) in the environments of three hospitals in Ghana. METHODS: A total of 120 swab samples were taken from door handles, stair railings and other points of contact at Tamale Teaching Hospital, Tamale Central Hospital and Tamale West Hospital...
2017: Antimicrobial Resistance and Infection Control
https://www.readbyqxmd.com/read/28490324/the-experiences-of-attempt-survivor-families-and-how-they-cope-after-a-suicide-attempt-in-ghana-a-qualitative-study
#20
Winifred Asare-Doku, Joseph Osafo, Charity S Akotia
BACKGROUND: Ghana's socio-cultural landscape proscribes suicidal behaviour, and this has serious ramifications for attempt survivors and their families. The objective of this qualitative study was to understand the experiences of the families of attempt survivors and how they cope with the aftermath of the attempt. METHODS: Ten families with attempted suicides agreed to participate in the study, hence they were interviewed. The information gathered was manually analyzed according to Interpretative Phenomenological Analysis (IPA) resulting in three major thematic areas...
May 11, 2017: BMC Psychiatry
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