Welcome to UGSpace
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 to:
- 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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- Review books or articles provide a critical and constructive analysis of existing published literature in a field, through summary, analysis, and comparison, often identifying specific gaps or problems and providing recommendations for future research. These are considered as secondary literature since they generally do not present new data from the author's experimental work. Review articles can be of three types, broadly speaking: literature reviews, systematic reviews, and meta-analyses. It also the researcher to stay abreast of new literature in the field.
- Grey literature consists of research and information produced outside conventional publishing channels, such as reports, policy briefs, working papers, and conference materials. It offers valuable insights and data that complement peer-reviewed sources, supporting research, policy, and practice.
- The J. H. Kwabena Nketia Archives preserve Ghanaian and African cultural heritage through music, oral traditions, photographs, and audiovisual collections. Guided by Professor Nketia’s vision that African traditional arts must be collected, preserved, practiced, and continually inspire creative expression, the Archives serve as a living resource for scholarship, teaching, and innovation
Recent Submissions
Item type:Item, Access status: Open Access , Does Sustainability Uncertainty Matter For Tourism Development?(Asia-Pacific Journal of Business Administration, 2026-06-15) Opuni-Frimpong, J.Purpose – The study examines the impact of the Sustainability Uncertainty Index on county tourism development. It also examines this relationship across countries with low and high levels of tourism development. Design/methodology/approach – Using a sample of 23 countries over an 18-year period (2003–2020), the study employs a two-way fixed-effects regression and conducts various robustness checks to validate its results. Findings – The study found that, for the sample countries, the Sustainability Uncertainty Index has a negative but statistically insignificant effect on tourism development, as measured by both receipts and arrivals. Analysis across tourism development levels also shows that, from the lower to the upper quartile, the Sustainability Uncertainty Index has no significant impact on tourism development receipts and arrivals. Additionally, in the sample countries, both low- and high-tourism-development countries showed a negative impact of Sustainability Uncertainty on their tourism development receipts and arrivals, but the effect was insignificant. Originality/value – This study contributes to the literature by helping to understand the impact of the sustainability uncertainty index on the countries’ tourism development.Item type:Item, Access status: Open Access , The Prevalence And Determinants Of Epilepsy In Ghana: A Population- Based Study In Two Districts Using A Three- Stage Approach(International League Against Epilepsy, 2026-04-13) Darkwa, E.K.; Asiamah, S.; Awini, E.; Sottie, C.; et al.Objective: Epilepsy imposes a disproportionate burden in Africa, yet there are no reliable epidemiological data from Ghana. This community- based cross- sectional survey addressed this gap in southeastern Ghana, incorporating an analytical comparison of confirmed cases and age- and sex- matched controls. Methods: We conducted a population- based cross- sectional study using a vali dated tool and a three- stage screening approach to estimate the prevalence of ac tive epilepsy in the two Ghanaian districts of Shai- Osudoku and Ningo- Prampram. The three- stage approach consisted of population screening, detailed individual assessment, and clinical confirmation by specialists. To identify factors associ ated with epilepsy, we conducted a cross- sectional analysis comparing confirmed cases with age- and sex- matched controls randomly selected from the same popu lation. Trained fieldworkers administered standardized questionnaires to capture sociodemographic data and historical risk exposures. Results: The attrition- adjusted prevalence of active epilepsy was 8.84 per 1000 people (95% confidence interval [CI]: 8.00–9.68), higher in Shai- Osudoku (12.30 per 1000) than in Ningo- Prampram, and greatest in remote rural areas. Prevalence was higher among males (10.53 per 1000) and peaked at ages 20–29 years (11.44 per 1000). The poorest quintile had a prevalence three times that of the wealthiest. In children (≤16 years), fever- related convulsions (adjusted odds ratio [aOR] = 94.75; 95% CI: 17.40–515.96; p < .001) and history of cerebral/severe malaria (1.03; 95% CI: 1.01–1.06; p = .003) were strongly associated with epilepsy; younger males had higher odds (2.78; 95% CI: 1.12–6.88). In adults, household members with epi lepsy (6.21; 95% CI: 2.56–15.11), family history (3.55; 95% CI: 1.13–11.19), head injury (24.45; 95% CI: 3.07–194.60), and household ownership of cats (1.76; 95% CI: 1.10–2.81) or pigs (2.26; 95% CI: 1.10–4.66) were significant risk factors. Significance: Our findings highlight a high burden of epilepsy in southeastern Ghana, with variations observed across geographic, demographic, and socioeco nomic groups. Modifiable risks such as head injury and cerebral or severe malaria highlight urgent needs for targeted prevention, improved health care access, and poverty alleviation strategies.Item type:Item, Access status: Open Access , Midwives’ experiences and perceptions of midwife-led continuity of care models in low-and middle-income countries: A qualitative evidence synthesis(Midwifery, 2025-08-08) Naab, F.; Myrhaug, H.T.; Mortensen, B.; Kaasen, A.; et al.Background: There is a need to scale-up midwife-led continuity of care (MLCC) in low- and middle-income countries (LMICs), where midwives are the key to successful implementation. There is limited knowledge about their experiences and perceptions of MLCC models. Aim: To explore midwives’ experiences and perceptions of working with MLCC models in LMICs, their views of barriers to and facilitators of MLCC models, including to assess our confidence in the evidence. Methods: Two information specialists conducted systematic searches in eight databases from year 2000 until June 2024. The methodological quality of the included studies was assessed using a modified version of the Critical appraisal tool (CASP). We conducted a thematic analysis and used Grading of Recommendations Assessment, Development and Evaluation Confidence in the Evidence from Reviews of Qualitative Research (GRADE CERQual) approach to assess our confidence in each review finding. Results: This synthesis included five studies exploring midwives’ experiences and perceptions of MLCC in LMICs. Three analytic themes were generated: Equity and access; professional development and recognition; and enhancing midwifery practices and policies. In addition, we identified ten associated sub-themes that were assessed by GRADE CERQual. These findings varied from moderate to very low confidence. Conclusion: While midwives highlighted the benefits of continuity of care, they identified essential components for successful implementation of MLCC in LMICs including reducing structural and geographical barriers, the continuous need for sustained capacity building and learning, and optimal resource allocation and availability. Findings assessed as low or very low confidence need to be explored further.Item type:Item, Access status: Open Access , Advancing Climate Mitigation, Adaptation, and Equity Simultaneously: The Transformative Potential of Investments in Gender Equality(Public Health Reviews, 2026-03-20) Heymann, J.; Sprague, A.; Oduro, A.D.; Grzesik-Mourad, L.Background:Climate change negotiations often stall because of debates about equity. The SDGs affirm all countries’ responsibilities to act on climate and high-income countries’ initial $100 billion annual financing commitment; the SDGs also affirm fundamental human rights that are foundational to both equality and a strong economy. Nevertheless, climate investments historically have neglected people-centered climate solutions that would powerfully advance these interconnected goals. Analysis: Realizing girls’ equal rights in education, women’s equal rights at work, and freedom from gender-based violence would fulfill fundamental human rights while markedly accelerating climate mitigation and adaptation. Mechanisms include increased reproductive autonomy, higher adoption of sustainable fuels and regenerative agriculture, increased resilience to climate disasters, and greater gender parity in leadership. Policy Options: A variety of options are available for countries to invest in gender equality simultaneously with nature- and energy-based solutions. These include carbon markets, debt-for-equity swaps, and existing UNFCCC financing mechanisms. The climate impacts of people-centered solutions are estimable. Conclusion: Successfully addressing climate will require investments in gender equality. Bilateral and multilateral bodies can build on existing data to achieve this through a variety of climate mechanisms.Item type:Item, Access status: Open Access , TMEM175, SCARB2 and CTSB Associations With Parkinson’s Disease Risk Across Populations(npj Parkinson’s Disease, 2025-12-02) Akpalu, A.; Sun, W.; Schulte, C.; Gasser, T.; et al.Genome-wide association study of Parkinson’s disease (PD) identified common variants associated with lysosomal mechanism, including TMEM175, SCARB2, and CTSB. We investigated the association between common and rare variants across populations using cohorts from the Global Parkinson’s Genetics Program (GP2) (33,733 cases and 18,703 controls from ten ancestries). In the Europeancohort,weconfirmedsignificantassociationswithPDriskforallknowngeneticriskvariants across the three genes and TMEM175 p. Met393Thr as an independent genome-wide significant signal. Additionally, a novel independent signal, SCARB2 rs11547135, was detected. The burden analysis linked PD to SCARB2 in African American, Ashkenazi Jewish and East Asian cohorts. Single variants-based tests identified rare missense variants in SCARB2 in several populations. Our study reinforces the association of lysosomal genetic variants with PD risk, revealing genetic heterogeneity across populations.
