Ashanti

Patient and Public Participation (PPP) is key to improving health systems. Yet, studies have shown that PPP implementations across many countries have been largely tokenistic. Particularly, in Ghana, whilst PPP is prioritised in national health policies and legislation, there appears to be little research focused on understanding PPP's role in health system improvement. The aim of this study, therefore, is to examine how PPP is working across the Ghanaian health system levels, as well as to understand the perspectives and experiences of participants on how PPP contributes to health system improvement...

INTRODUCTION: Considering the usefulness of mobile health (mHealth) technologies in healthcare delivery in low- and middle-income countries, including Ghana; there is a need to explore healthcare professionals' perspectives on the availability and use of mHealth for disease screening and treatment of patients' conditions. The study's main aim is to explore healthcare professionals' perspectives regarding the availability and use of mHealth applications for disease screening and management at point-of-care in Ghana's Ashanti Region...

Fuel station run-off (FSR) and carwash wastewater (CWW) are potential sources of heavy metals contamination in surface waters. High levels of heavy metals can have dire consequences on the ecosystem in receiving waterbodies. Ghanaians demand (and supply) of fuel and vehicle cleaning services has increased sharply with population and economic growth and the trend will continue. In this study, a microwave plasma atomic emission spectrometer was used to analyze the levels of Cr, Cu, Ni, Pb, and Zn in CWW and FSR from ten fuel stations and ten carwash facilities in the Oforikrom and Ejisu Municipalities in the Ashanti Region of Ghana...

BACKGROUND: Dementia is often associated with functional impairments that limit the independence of persons living with dementia (PwD). As such, many PwD often require a higher level of support provided by persons referred to as caregivers. Such caregiving activities tend to strain and stress the caregiver. Nonetheless, Ghana lacks empirical evidence and understanding of the effects of caring for PwD on the lives of primary caregivers. To help narrow this knowledge gap, we explored the perspectives of primary caregivers about the impacts of caring for PwD in Ghana...

The ecosystem and economy's reliance on clean water is influenced by various factors such as geology, topography, soil types, activities, and the presence of plants and animals. The Ghana Water Company is encountering difficulties in delivering water to consumers in the Ashanti Region due to the shortage of surface water resources, leading to water rationing in the area. Furthermore, poor waste disposal practices, illegal mining, use of fertilizers, and industrial activities have resulted in surface and groundwater source damage...

INTRODUCTION: Skin diseases such as impetigo pose a significant public health challenge in low resource settings. Despite this, there is a dearth of epidemiological data on the prevalence of this condition in Ghana. METHODS: We conducted a cross sectional study in three settings in Ghana: community members in East Mamprusi district in the North East region, a secondary school in Sekyere East district, and inmates of the Kumasi central prisons both in the Ashanti region...

BACKGROUND: While COVID-19 has had a wide-ranging impact on individuals and societies, persons with disabilities are uniquely affected largely due to secondary health conditions and challenges in adhering to protective measures. However, research on COVID-19 and vaccine acceptance has primarily focused on the general population and healthcare workers but has specifically not targeted PwDs, who are more vulnerable within societies. Hence, this study assessed PwDs knowledge of COVID-19 and factors associated with COVID-19 vaccine acceptance...

There is still limited information on the genomic structure and genetic diversity of African pigs. Genetic diversity studies can contribute significantly to the genetic improvement and conservation of African pigs. This study presents a genetic diversity analysis and population structure of pig breeds in Ghana, with a focus on the Ashanti Dwarf pig (ADP), an indigenous pig breed of Ghana. A total of 167 pigs sampled in Ghana and populations consisting of Ashanti Dwarf pigs ( n = 106), exotics (mostly European pigs) ( n = 11), crosses (between indigenous and exotic breeds) ( n = 44), and unknown breeds (nondescript) ( n = 6) were genotyped using Porcine SNP60K BeadChip...

Diabetes remains one of the four major causes of morbidity and mortality globally among non-communicable diseases (NCDs. It is predicted to increase in sub-Saharan Africa by over 50% by 2045. The aim of this study is to identify, map and estimate the burden of diabetes in Ghana, which is essential for optimising NCD country policy and understanding existing knowledge gaps to guide future research in this area. We followed the Arksey and O'Malley framework for scoping reviews. We searched electronic databases including Medline, Embase, Web of Science, Scopus, Cochrane and African Index Medicus following a systematic search strategy...

Economic abuse is a significant gender-based problem in Ghana and sub-Saharan Africa, but few studies explore the consequences of this type of abuse on women's lives and their coping strategies. This study examined the narratives of 16 Ghanaian women in intimate relationships who experienced economic abuse in the Greater Accra, Ashanti, and Upper East regions of Ghana. Results indicate economic abuse negatively affected female survivors' jobs, businesses, and food security and led to physical violence and adverse health implications...

OBJECTIVES: To assess the impact of the learning curve (LC) on perioperative and long-term functional outcomes of a consecutive single-centre series of robot-assisted radical cystectomy with Padua intracorporeal orthotopic neobladder. PATIENTS AND METHODS: Patients treated between 2013 and 2022 were included, with ≥1 year of follow-up. The entire cohort was divided in tertiles. Categorical and continuous variables were compared. Joinpoint regression analysis was used to identify significant changes over the decade in linear slope of the 1-year day- and night-time continence...

BACKGROUND: MDR pathogens including ESBL- and/or carbapenemase-producing Enterobacterales (ESBL-PE and CPE) increasingly occur worldwide in the One Health context. OBJECTIVES: This proof-of-principle study investigated the occurrence of ESBL-PE in surface water in the Ashanti Region in Ghana, sub-Saharan Africa (SSA), and investigated their additional genotypic and phenotypic antimicrobial resistance features as part of the Surveillance Outbreak Response Management and Analysis System (SORMAS)...

BACKGROUND:  Best practice in optometry and ophthalmology recommends regular visits to eye care professionals, as routine eye examinations support early detection of ocular defects and associated systemic, sometimes potentially life-threatening, conditions. AIM:  The study sought to determine the utilisation of ophthalmic services and its associated factors in the Ashanti region of Ghana. SETTING:  Fifty electoral areas in 10 of the 43 districts in the Ashanti region of Ghana...

OBJECTIVE: Physical and mental health concerns and symptoms, including sleep problems, low mood, extreme tiredness, and appetite loss are prevalent among people living near waste sites. This research examines differences in health symptoms among residents living near municipal solid waste sites in the Ashanti Region, Ghana. METHODS: The study used cross-sectional data from 827 residents living near three municipal waste sites, including Besease, Asokore, and Dompoase sites in the Ashanti Region, Ghana...

This study examined the impact of spiritual leadership style on frontline health workers' safety performance through safety climate. Also, leader-member exchange was examined as a moderator on safety climate and safety performance relationship. Survey data from 582 frontline health workers in Ghana's Greater Accra and Ashanti regions were analyzed in AMOS version 23. The findings show that spiritual leadership dimensions significantly influenced health workers' safety performance. Again, altruistic love, and vision significantly influenced safety climate...

BACKGROUND: Similar to many developing countries, caregiver burden remains high in Ghana which may affect informal caregivers of older adults' health-related quality of life (HRQoL). However, no study has examined the association between caregiver burden and HRQoL among informal caregivers of older adults in Ghana to date. Understanding this association may well help to inform health and social policy measures to improve HRQoL among  informal caregivers of older adults in Ghana...

Ghana exemplifies the contribution of road crashes to mortality and morbidity in Africa, partly due to a growing population and increasing car ownership, where fatalities have increased by 12 to 15 % annually since 2008 (National Road Safety Authority (NRSA), 2017). The study described in this paper focused on understanding driver behavior at unsignalized junctions in the Ashanti Region of Ghana. Understanding driver behavior at unsignalized junctions is particularly important since failure to stop or yield can seriously affect vulnerable road users...

BACKGROUND: Despite global efforts to reduce maternal and neonatal mortality, stillbirths remain a significant public health challenge in many low- and middle-income countries. District health systems, largely seen as the backbone of health systems, are pivotal in addressing the data gaps reported for stillbirths. Available, accurate and complete data is essential for District Health Management Teams (DHMTs) to understand the burden of stillbirths, evaluate interventions and tailor health facility support to address the complex challenges that contribute to stillbirths...

Integrated strategies are recommended to tackle neglected tropical diseases of the skin (skin NTDs), which pose a substantial health and economic burden in many countries, including Ghana. We describe the development of an integrated and decentralised skin health strategy designed to improve experiences of skin NTDs in Atwima Mponua district in Ashanti Region. A multidisciplinary research team led an iterative process to develop an overall strategy and specific interventions, based on a theory of change informed by formative research conducted in Atwima Mponua district...

This study sought to investigate the determinants of participating in charcoal production and trade as well as explore the marketing strategies used by charcoal value chain actors and the challenges confronting the charcoal business. A multistage sampling approach was employed to sample 120 respondents in five communities in Ahafo Ano South District. Descriptive statistics, binary probit regression and qualitative approaches were used to analyze the data. The results revealed that education, household size, marital status, ethnicity, farm size, proximity to the production site and regulations on charcoal production are the significant determinant of charcoal production with diverse effects...