Browsing by Author "Ashinyo, A."
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Item Age at Menarche among School Girls in Madina -Ga East District of Accra(University of Ghana, 2010-03) Ashinyo, A.; Aryeetey, R.; University of Ghana, College of Health Sciences, School of Public HealthAge at menarche is an important indicator of sexual maturity in females. It is known to be modified by both genetic and environmental factors. Downward trends in menarche have been recorded in many countries.. In Ghana, a cross-sectional study has been done about two decades ago that determined the age at menarche among school girls in Kumasi. The determinants of age at menarche onset in the Ghanaian population are unknown. This study was done to determine the mean age at menarche and its determinants among school girls in Madina, Ga East District of the Greater Accra Region. A cross-sectional study was conducted. Data for the study was obtained through questionnaires administered to 600 school girls in class 5, 6, JHS 1& 2 in four schools chosen at random through balloting. The heights and weights of the girls were also measured. The mean age at menarche was estimated by the recall method and linear regression used to determine the association between ages at menarche and the predictor variables. Mean age at menarche (±SD) was 12.7±1.2 years. In a multivariate regression model, age at menarche was positively associated with birth order and inversely associated with nutritional status (BMI) and socio-economic status. There was an association between the girl‘s age at menarche and that of their mothers. In conclusion, the mean age at menarche estimated for girls was 12.7 ± 1.2 years, a decline from the age of 13.98 years reported two decades ago by Adadevoh and colleagues (Adadevoh et al., 1989). Socioeconomic status was the strongest predictor of age at menarche. Health and sex education targeted at teenage youth needs revision to take into account the lower age at which girls are reaching menarche.Item Age of menarche among basic level school girls in medina, accra.(2011) Aryeetey, R.; Ashinyo, A.; Adjuik, M.The current study was designed to determine the age at which menarche occurs among school girls in Madina, Accra. A survey was conducted among 529 girls selected using multi-stage sampling from basic schools in Madina, Accra. Respondents completed a questionnaire that recorded age-at-first menstruation by recall, household characteristics, and anthropometry. Mean age at menarche was 12.74 +/- 1.15 years; probit analysis yielded a median age of 12.09 years. Menarcheal age was significantly correlated with current age (r = 0.48; p < 0.01). Most girls (90%) had first menstruation before age 13. Their mothers' mean age at menarche was 13.6 +/- 1.08 years. In a multivariate linear regression model, household wealth (p < 0.01) and body mass index (p < 0.01) were the main modifiable independent predictors of age at onset of menarche. School girls in Madina attained menarche earlier than previously estimated. Our study suggests an influence of household level improvement in socio-economic status on menarcheal age.Item Evaluation of water, sanitation and hygiene status of COVID-19 healthcare facilities in Ghana using the WASH FIT approach(Creative Commons, 2021) Ashinyo, M.E.; Amegah, K.E.; Dubik, S.D.; Ntow-Kummi, G.; Adjei, M.K.; Amponsah, J.; Ayivase, J.T.; Amoah, S.; Ashinyo, A.; Sodzi-Tettey, S.; Awekeya, H.; Codjoe, A.; Tegbey, I.E.; Kwakye, A.T.O.; Akoriyea, S.K.Access to improved water, sanitation and hygiene (WASH) is essential for the delivery of high-quality care in healthcare facilities and the prevention of hospital-acquired infections such as the transmission of the SARS-CoV-2. In addition, unimpeded access to WASH facilities in coronavirus disease 2019 (COVID-19) treatment centres (TCs) is central in facilitating compliance with infection prevention and control protocols. However, data for the WASH status of COVID-19 TCs in Ghana are limited. We evaluated the WASH status of seven COVID-19 TCs in Ghana using the WHO/UNICEF water and sanitation for health facility improvement tool (WASH FIT). The water domain had the highest number of indicators meeting standards with an average percentage score of 90.5% (range: 66.7–100%) across the seven TCs, followed by management (66.9%) and hygiene (58.7%). The TCs performed poorly in the sanitation and healthcare waste domain, with an average percentage score of 44.6% (range: 22.2–75%). These findings highlight the challenges being faced by COVID-19 TCs in implementing WASH services. Specific WASH interventions are urgently required to strengthen WASH services in the COVID-19 TCs. This should precede the prioritisation of resources to WASH infrastructure in the treatment facilities coupled with actions that involve all stakeholders.