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UGSpace is the institutional repository of the University of Ghana. UGSpace is an open access electronic archive for the collection, preservation and distribution of digital materials.

  • facilitate the deposit of digital content of a scholarly or heritage nature
  • and ultimately share, preserve and promote the intellectual output of the University in a managed environment.
 

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Development and Testing of Responsive Feeding Counseling Cards to Strengthen the UNICEF Infant and Young Child Feeding Counseling Package
(Current Developments In Nutrition, 2020) Hromi-Fiedler, A.J.; Aryeetey, R.; Carroll, G.J.; et al.
Background: The UNICEF Community-based Infant and Young Child Feeding Counseling Package (C-IYCFCP) currently has limited responsive feeding (RF) content, thus limiting the dissemination of RF messages within infant and young child feeding (IYCF) counseling. Objectives: This project 1) developed counseling cards based on existing evidence-based RF guidelines and 2) tested their feasibility in Ghana. Methods: Five RF counseling cards were developed focusing on eating with family; introducing new foods; hunger/satiety cues; food texture; and calming a child. Four focus group discussions (FGDs) were conducted with adult mothers and fathers of children younger than 3 years of age to assess the cultural appropriateness of the cards and accompanying key messages. The feasibility of including cards as part of IYCF counseling was tested via 1) systematic observation of 8 group education sessions utilizing the cards with the same target audience and 2) in-depth interviews with health care providers involved in IYCF training and/or counseling. Results: FGD findings guided changes to all cards to ensure comprehension and cultural appropriateness. The group education sessions suggested that the counseling cards provided important RF messages that are specific, clear, and feasible to implement. Healthcare providers strongly endorsed the need for and utility of the RF counseling cards and felt they were feasible and important to integrate into the C-IYCFCP currently being used to deliver IYCF training and counseling in Ghana. Conclusions: The counseling cards have a strong potential to add key RF dimensions to IYCF training and counseling in Ghana. Curr Dev Nutr 2020;4:nzaa117
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Basic school pupils’ food purchases during mid-morning break in urban Ghanaian schools
(PLoS ONE, 2020) Ogum-Alangea, D.; Aryeetey, R.N.O.; Gray, H.L.; et al.
Background Unhealthy food vending can expose children to malnutrition and other diet-related challenges such as obesity. This study sought to describe types and sources of food in basic schools in urban Accra, and to describe food purchases by pupils. Methods This was a cross-sectional study of five basic schools (3 public; and 2 private) and 644 pupils in the Ga-East Municipality in Ghana. Checklists were used to document available sources of food during school hours. Pupils were intercepted after making purchases during break time and the type, cost, and sources of foods purchased were documented. The energy content of foods was read from labels when available or estimated using the Ghana Food Composition database when unlabelled. Frequencies and crosstabs were used to compare food type by source and school type. Results Foods were purchased from the school canteen, school store, private stores, and ‘table-top’ vendors. Meals were most frequently purchased (38%) although single purchases were sweetened drinks, savory snacks, and confectioneries. About 53% of retailers located within the schools sold relatively healthier food options. Similar foods with comparable energy content were purchased within and outside of school. Conclusions Basic schools in urban Ghana provide ready access to energy-dense food options, which are purchased by pupils both within and outside of school premises. Timely interventions inclusive of school food policies can encourage healthier diets among pupils.
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Surface Functionalized MXenes for Wastewater Treatment-A Comprehensive Review
(Global Challenges, 2022) Damptey, L.; Dodoo-Arhin, D.; Jaato, B.N.; et al.
Over 80% of wastewater worldwide is released into the environment without proper treatment. Whilst environmental pollution continues to intensify due to the increase in the number of polluting industries, conventional techniques employed to clean the environment are poorly effective and expensive. MXenes are a new class of 2D materials that have received a lot of attention for an extensive range of applications due to their tuneable interlayer spacing and tailorable surface chemistry. Several MXene-based nanomaterials with remarkable properties have been proposed, synthesized, and used in environmental remediation applications. This work, a comprehensive review of the state-of-the-art research progress on the promising potential of surface-functionalized MXenes as photocatalysts, adsorbents, and membranes for wastewater treatment are presented. The sources, composition, and effects of wastewater on human health and the environment are displayed. Furthermore, the synthesis, surface functionalization, and characterization techniques of merit used in the study of MXenes are discussed, detailing the effects of a range of factors (e.g., PH, temperature, precursor, etc.) on the synthesis, surface functionalization, and performance of the resulting MXenes. Finally, the limits of MXenes and MXene-based materials as well as their potential future research directions, especially for wastewater treatment applications are highlighted.
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Global Perspective on Marital Satisfaction
(Sustainability, 2020) Dobrowolska, M.; Aryeetey, R.; Groyecka-Bernard, A.; et al.
Across the world, millions of couples get married each year. One of the strongest predictors of whether partners will remain in their relationship is their reported satisfaction. Marital satisfaction is commonly found to be a key predictor of both individual and relational well-being. Despite its importance in predicting relationship longevity, there are relatively few empirical research studies examining predictors of marital satisfaction outside of a Western context. To address this gap in the literature and complete the existing knowledge about global predictors of marital satisfaction, we used an open-access database of self-reported assessments of self-reported marital satisfaction with data from 7178 participants representing 33 different countries. The results showed that sex, age, religiosity, economic status, education, and cultural values were related, to various extents, to marital satisfaction across cultures. However, marriage duration, number of children, and gross domestic product (GDP) were not found to be predictors of marital satisfaction for countries represented in this sample. While 96% of the variance of marital satisfaction was attributed to individual factors, only 4% was associated with countries. Together, the results show that individual differences have a larger influence on marital satisfaction compared to the country of origin. Findings are discussed in terms of the advantages of conducting studies on large cross-cultural samples.
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Implementing Nutrition Interventions In Ghana At District Level: Gaps And Opportunities
(African Journal of Food, Agriculture, Nutrition and Development, 2014) Gongwer, C.R.; Aryeetey, R.
Malnutrition among women and children is an underlying cause of high morbidity and mortality in the developing world. Ghana is one of 36 countries with a high prevalence (> 20%) of chronic stunting in childhood. Although proven and inexpensive technologies and interventions exist to address maternal and child malnutrition, their implementation remains at a low scale in many developing countries, including Ghana. In Ghana, barriers to scaling up nutrition actions have been identified at the national level, yet little is known about the situation at the district and sub-district levels where nutrition interventions are directly delivered. The current study assessed district-level capacity and commitment to accelerating the implementation of effective nutrition interventions to address the high burden of maternal and child malnutrition. In June 2010, key informant interviews involving technical officers, clinicians, nurses, and administrative staff, and a desk review of program and administrative reports were conducted in the Omanye District (pseudonym). Using the framework from the WHO landscape analysis of readiness to scale up nutrition actions, interviews explored questions of commitment (financial, planning, collaborations) and capacity (human resources, job aids, skills) to implement nutrition actions in the district. Most key nutrition interventions were being implemented in the Omanye District including growth promotion, micronutrient supplementation, behavior change communication on infant and young child feeding, and a pilot project for community management of severe acute malnutrition. Interventions are challenged, however, by barriers including inadequate financial commitment, low prioritization of nutrition, inadequate personnel, and insufficient job aids. Because nutrition was relatively underfunded in the district, nutrition technical officers had been shifted to perform other or additional tasks. Insufficient investment and inadequate capacity prevent the delivery of quality nutrition services in the Omanye District. Interventions that prioritize and improve investment in nutrition actions are needed to optimize nutrition services at the district level in Ghana.
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Small-scale egg and orange-fleshed sweet potato production and utilisation in selected communities in Ghana: A mixed-methods study
(World Nutrition, 2024) Habib, H.H.; Donkor, W.E.S.; Agordoh, S.W.; et al.
Background Nutrition-related exposures during the first 1,000 days of life are a predictor of health outcomes later in life. World Vision Ghana’s ‘Improved Feeding Practices for the 1,000 days’ (IFP) project aimed to improve the dietary practices of women and children by utilising an integrated intervention approach including nutrition, health, and agriculture strategies. Objective This paper reports on the production and utilization of orange-fleshed sweet potatoes (OFSP) and eggs for improving the diets of women of reproductive age and young children during the first 1,000 days of life. Methods Primary data from Kassena-Nankana West (KNW), Sekyere East (SE) and Kintampo South (KS) districts were triangulated with project routine data for this analysis. Univariate analyses of quantitative data from baseline and implementation monitoring data were conducted to describe the sociodemographic characteristics of beneficiaries, inputs disbursed, outputs produced, and utilization of the food commodities. Qualitative interviews from 61 participants were transcribed, coded, and thematically analyzed; these were triangulated with quantitative data to capture the main themes and findings. Results OFSP and egg production and consumption increased annually across beneficiary communities. In 2021, 100% of OFSP produced was consumed in KS; in SE, 95.0% was consumed and 5.0% lost to post-harvest losses. In 2022, 90% of OFSP produced in KNW was consumed and 9.0% was sold. In KS, 90.3% was consumed and 9.0% sold. In SE, 82.3% was consumed and 17.1% sold. Egg production at the end of the first production year (2022) was 18,720 crates in KNW, 19,680 crates in KS, and 40,128 crates in SE. Egg consumption in sample households was less than 10% in 2022 and showed a decreased trend in the first half of 2023. In SE and KS, egg and OFSP production, respectively, increased, exponentially; sale for income was the most common mode of utilization in eggs but OFSP was consumed in these districts. In KNW, climate, irrigation, and socio-cultural barriers hindered the maximal production and utility of the produce, which was not observed in SE and KS, which did not have any of these identified barriers. Reported unintended benefits of production and utilization included increased household income, food security, and availability of organic manure as a side-product of poultry. Conclusions The IFP project resulted in increased household-level production, use, and distribution of Eggs and OFSP across the three focal districts. Similar settings may benefit from this intervention by adapting the strategies to make it easier for beneficiaries to better cope with likely potential barriers such as poultry mortality and water scarcity.
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High energy milling of Cu2O powders
(2011) Dodoo-Arhin, D.; Vettori, G.; D’Incau, M.; et al.
Whole Powder Pattern Modelling was employed to investigate the microstructure changes in Cu2O powders milled in a vibrating cup mill. The reduction in the average size of coherently scattering domains - and simultaneous narrowing of the size distribution - occurs in the first minutes. An asymptotic limit of ca. 10 nm is obtained. The size reduction is obtained at the expense of introducing a massive quantity of dislocations in the system, reaching a limit of ca. 4×10-16 m-2. A proper nanocrystalline microstructure can be obtained with an effective milling time of ca. 20 min.
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Implementation of healthy food environment policies to prevent nutrition related non-communicable diseases in Ghana: National experts’ assessment of government action
(Food Policy, 2020) Laar, A.; Aryeetey, R.; Barnes, A.; et al.
Nutrition-related non-communicable diseases (NR-NCDs) are a global health problem, increasingly recognized as driven by unhealthy food environments. Yet little is known about government action to implement food en environment-relevant policies, particularly in low- and lower-middle-income countries. This study assessed government action, implementation gaps, and priorities to improve the food environment in Ghana. Using the Healthy Food-Environment Policy Index (Food-EPI), a panel comprising government and independent experts (n = 19) rated government action to improve the healthiness of the food environment in Ghana against international best practices and according to steps within a policy cycle. Forty-three good practice indicators of food environment policy and infrastructure support were used, with ratings informed by systematically collected evidence of action validated by government officials. Following the rating exercise, the expert panel proposed and prioritized actions for government implementation. Three-quarters of all good practice indicators were rated at ‘low’/‘very little’ implementation. Restricting the marketing of breast milk substitutes was the only indicator rated “very high”. Of ten policy actions prioritized for implementation, restricting unhealthy food marketing in children’s settings and the media was ranked the highest priority. Providing sufficient funds for nationally relevant research on nutrition and NCDs was the highest priority infrastructure-support action. Other priority infrastructure-support actions related to leadership, monitoring, and evaluation. This study identified gaps in Ghana’s implementation of internationally-recommended policies to promote healthy food environments. National stakeholders recommended actions, which will require legislation and leadership. The findings provide a baseline for measuring government progress towards implementing effective policies to prevent NR-NCDs.
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Conference on ‘Nutrition dynamics in Africa: opportunities and challenges for meeting the sustainable development goals’
(Proceedings of the Nutrition Society, 2017) Laar, A.K.; Aryeetey, R.N.O.; Mpereh, M.; Zotor, F.B.
Social protection (SP) has been demonstrated as an effective tool against poverty and severe hunger. In Ghana, SP interventions have been employed to address vulnerability to poverty since 1965. Nevertheless, its potential for enhancing nutrition has hardly been explored. To harness the cross-sectoral benefits of scaling up nutrition-sensitive actions in Ghana, the The National Development Planning Commission requested an assessment of nutrition linkages across existing SP policies and programmes. The present paper presents gaps and opportunities for improving the nutrition-sensitivity of existing SP programming in Ghana. The evidence draws heavily on desk review of available published and grey literature. The data show that SP provides an entry point for mainstreaming nutrition into other programmes. However, designing and coupling SP programmes with nutrition programmes remains a challenge in Ghana. Local SP interventions are predominantly designed as standalone services and therefore are implemented independently of each other. To increase synergy between SP and nutrition, including nutrition as an explicit objective of SP policies/strategies is recommended
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Factors associated with concurrent wasting and stunting among children 6–59 months in Karamoja, Uganda
(Maternal and Child Nutrition, 2020) Obeng-Amoako, G.A.O.; Aryeetey, R.; Mupere, E.; et al.
Children with concurrent wasting and stunting (WaSt) and children with severe wasting have a similar risk of death. Existing evidence shows that wasting and stu noting share similar causal pathways, but evidence on correlates of WaSt remains limited. Research on correlates of WaSt is needed to inform prevention strategies. We investigated the factors associated with WaSt in children 6–59 months in Karamoja Region, Uganda. We examined data for 33,054 children aged 6–59 months using June 2015 to July 2018 Food Security and Nutrition Assessment in Karamoja. We defined WaSt as being concurrently wasted (weight-for-height z-scores <−2.0) and stunted (height-for-age z-score <−2.0). We conducted multivariate mixed-effect logistic regression to assess factors associated with WaSt. Statistical significance was set at p < 0.05. In multivariate analysis, being male (adjusted odds ratio [aOR] = 1.79; 95% confidence interval [CI] [1.60–2.00]), aged 12–23 months (aOR = 2.25; 95% CI [1.85–2.74]), 36–47 months (aOR = 0.65; 95% CI [0.50–0.84]) and 48–59 months (aOR = 0.71; 95% CI [0.54–0.93]) were associated with WaSt. In addition, acute respiratory infection (aOR = 1.30; 95% CI [1.15–1.48]), diarrhea (aOR = 1.25; 95% CI [1.06–1.48]) and malaria/fever (aOR = 0.83; 95% CI [0.73–0.96]) episodes were associated with WaSt. WaSt was significantly associated with maternal underweight (body mass index <18.5 kg/m2 ), short stature (height <160 cm), low mid-upper arm circumference (MUAC <23 cm), and having ≥4 live births. WaSt was prevalent in households without livestock (aOR = 1.30; 95% CI [1.13–1.59]). Preventing the occurrence of WaSt through pragmatic and joint approaches is recommended. Future prospective studies on risk factors of WaSt to inform effective prevention strategies are recommended.