Browsing by Author "Kyei, J.M."

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Beliefs about children and the psychosocial implications of infertility on individuals seeking assisted fertilization in Ghana
(Reproductive BioMedicine and Society Online, 2021) Kyei, J.M.; Manu, A.; Kotoh, A.M.; Adjei, C.A.; Ankomah, A.
Infertility presents challenges to individuals and couples, particularly in Sub-Saharan Africa. This study aimed to docu ment beliefs about childbearing/children and the psychosocial implications of infertility in individuals seeking assisted fertilization in the Ghanaian context. The study had an exploratory descriptive qualitative design. Six males and 12 females were recruited pur posefully from five private fertility centres in the Greater Accra Region. Face-to-face interviews were performed. In Ghanaian soci ety, couples and individuals with infertility who are seeking assisted fertilization consider having biological children to be important. The quest to have children was broadly centred on the associated benefits of being a parent, including societal recognition, the role of family inheritance, and support. The inability of participants to have biological children was found to have a negative effect on their psychological and social well-being. Anxiety, worry, hopelessness, stigma and suicidal ideations were some of the effects iden tified. It is recommended that those seeking assisted fertilization should be supported through counselling to minimize the potential negative effects of childlessness
Challenges experienced by clients undergoing assisted reproductive technology in Ghana: An exploratory descriptive study
(International Federation of Gynecology and Obstetrics, 2020-04-17) Kyei, J.M.; Manu, A.; Kotoh, A.M.; Meherali, S.; Ankomah, A.
Objective: To explore the experiences of clients accessing assisted reproductive technology (ART) services in selected health facilities in Greater Accra, Ghana. Methods: An exploratory, descriptive, qualitative design using a purposive sampling technique was employed. Overall, 12 women and six men participated in the study. In-depth interviews were conducted using a semi-structured interview guide. The Braun and Clarke (2006) procedure for data analysis was followed. Data collection spanned 9 months (January to October 2017). Results: Five major challenges were identified that were commonly experienced by our participants at every phase of the ART treatment, including the high cost of ART treatment, the long distance to treatment centers, drug treatment challenges, disturbances in daily routine and work, and anxiety about pregnancy outcome. Conclusion: Given the emotional and psychological challenges reported by the participants in the present study, an integration of counseling units in the ART centers is recommended, manned by qualified personnel such as clinical psychologists and counselors to support clients at every stage of the treatment. Also, given the high cost of ART services, as reflected in the participants’ views, it is recommended that private health insurance companies fund some aspect of ART services, such as laboratory investigations and medications.
Coping with Assisted Reproductive Technology: Evidence from Clients Seeking Infertility Interventions in Selected Private Health Facilities in Ghana
(University Of Ghana, 2018-10) Kyei, J.M.
BACKGROUND: Infertility remains a challenge for some couples globally. Recent evidence shows that one in every six couples will face fertility problem in their reproductive age. For the past four decades, Assisted Reproductive Technology (ART) has been an effective intervention for infertility. The complexities associated with the ART presents many challenges to couples including psychological, social, and emotional difficulties. These challenges underscore the relevance of coping particularly during the process of the ART. Objectives: This study therefore sought to understand the challenges associated with ART and the various coping strategies infertile couples adopt when seeking ART. Methods: The study employed convergent parallel mixed method design. Exploratory phenomenological approach and cross-sectional survey were used for the qualitative and the quantitative studies respectively. Overall, 12 women and 6 men participated in the qualitative study, whereas 211 women participated in the quantitative study. The qualitative study employed purposive sampling technique and the quantitative used convenience sampling technique to recruit the respondents. The qualitative data was collected using in-depth interviews and the Ways of Coping questionnaire was used to collect the quantitative data. Analysis of the quantitative data was done using content analysis technique whereas the quantitative data was analysed using the Stata version 14.0. Descriptive statistics such as the mean, frequencies were determined from the quantitative data. Inferential statistics such as Chi-square test of independence, Fishers exact test, one-way analysis of variance and Kruskal Wallis were used to determine association between each of the predictors of coping and levels of coping strategy. Results: The study revealed couples with infertility problems highly value biological children due to social stigmatization about childlessness. Some respondents indicated that they have suffered various forms of psychological, emotional, and social afflictions because of their inability to have their own children. Respondents utilised ART the best alternative solution to infertility problem. Factors such as advanced age of the woman, pressure from families, particularly mothers-in-law, and friends influenced respondents’ uptake of ART. Furthermore, various ART uptake challenges, identified included anxiety about treatment outcome, high cost of ART, and long distance to ART centres. The study respondents used different coping strategies to cope with ART. These included confrontational, distance, self-control, social support, acceptance responsibility, escape-avoidance, problem solving and positive reappraisal coping strategy. The most highly used coping strategy was positive-reappraisal (n = 104, 49.3%). Fertility centre and cause of infertility were the two covariates that were significantly related to overall coping strategy. None of the covariates were associated with the positive reappraisal coping strategy. Conclusions: Having children in marriage in the Ghanaian society is very crucial. Even though ART offers a better solution to infertility, it has its own associated challenges necessitating the adoption of various forms of coping strategies. Given the importance couples attach to biological children, evidence of infertility prevalence in Ghana, Government should consider integrating ART services into the existing obstetric and gynecological facilities to serve as an alternate solution to the challenges of infertility in Ghana. Again, the reproductive health unit of the Ghana Health Service should sensitise the general public about the availability of ART, its effectiveness as well as the associated benefits. This will reduce the negative consequences of childlessness in the Ghanaian society. Given the emotional and psychological challenges reported by the clients in this study, it is recommended that counseling units should be established in these centres to offer services to clients at every stage of the treatment.
Multiple bladder calculi after radical prostatectomy due to bladder neck stenosis in a patient with hypertrophic scar: A case report
(International Journal of Surgery Case Reports, 2023) Kyei, M.Y.; Nyinah, M.A.; Ayamba, A.; Kyei, J.M.; Mensah, J.E.
Introduction and importance: Bladder calculi after radical prostatectomy is rare and usually associated with migrated clips into the bladder forming a nidus. We present a patient with multiple bladder calculi resulting from bladder neck stenosis after radical prostatectomy causing bothersome lower urinary tract symptoms. He had an associated hypertrophic scar. Case presentation: A 60-year-old man of African ancestry presented with recent onset of irritative urinary symptoms three years after radical prostatectomy. Abdomen pelvic ultrasound and pelvic X-ray revealed a uri nary bladder calculus. Examination of the previous radical prostatectomy scar found him to have a hypertrophic scar. He had urethroscopy with bladder neck incision for bladder neck stenosis and cystolithotomy with resolution of the symptoms. Clinical discussion: The presentation was that of dysuria and frequency three years after radical prostatectomy. The cause of the symptoms was diagnosed after an abdomen pelvic ultrasound and pelvic X-ray as multiple bladder calculi. This is a rare finding with the few reported cases associated with clips that migrated to the urinary bladder forming a nidus for the calculi. This was of consideration in the case presented, however, the findings at urethroscopy revealed bladder neck stenosis suggesting stasis as possible cause of the bladder calculi. The symptoms resolved after bladder neck incision and cystolithotomy. Conclusion: In addition to clips forming a nidus for calculi in the urinary bladder after radical prostatectomy, bladder neck stenosis being the cause of urinary bladder calculi should be considered in a patient with hyper trophic scar.
Perceived Supportive Care Needs of Adolescents With Chronic Hepatitis B in a Resource-limited Setting
(Journal of Patient Experience, 2022) Kolbila, L.; Adjei, C.A.; Kyei, J.M.; et al.
In Ghana, adolescents are disproportionately affected by hepatitis B. However, studies into adolescents’ supportive care needs are lacking. The purpose of this exploratory qualitative study was to explore the supportive care needs of 18 adolescents with chronic hepatitis B who were receiving care at a tertiary hospital in Ghana. The data were processed using QSR Nvivo version 11.0 and analyzed using the Braun and Clarke procedure for thematic data analysis. According to the findings, adolescents with chronic hepatitis B have unmet supportive care needs ranging from information to financial need, psychological support, and social support. Explicitly, participants reportedly had a dilemma as to whether to keep or terminate their pregnancy to prevent transmission of the virus to their newborns. Physicians and nurses were perceived to be preoccupied with medication prescription and laboratory request writing rather than giving pretest and posttest counseling following diagnosis. This study highlights the need to have tailor-made liver care for adolescents. Pretest and posttest counseling for adolescents with hepatitis B is also required.