Browsing by Author "Mohammed, A.G."

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Comparative Analysis Of Clinical Characteristics Of COVID-19 Among Vaccinated And Unvaccinated Patients In A Major Treatment Facility In Ghana
(Ghana Medical Journal, 2023) Calys-Tagoe, B.N.L.; Ghartey, G.N.K.; Mohammed, A.G.; et al.
Objectives: To compare clinical characteristics of COVID-19 among vaccinated and unvaccinated patients in a major treatment facility in Ghana. Design: A retrospective study drawing on data from COVID-19 patients’ records visiting the facility from March 2021 to December 2021. Setting: Ghana Infectious Disease Centre, Ga East Municipality, Greater Accra Region, Ghana. Participants: In-patients and outpatients who reported to the facility from March 1 to December 2021 were included in the study, and patients with missing data on vaccination were excluded. Outcome measures: underlying conditions, symptoms, case management information, hospital service rendered (OPD, HDU or ICU), length of hospital stay, treatment outcome Results: The study included 775 patient records, comprising 615 OPD and 160 hospitalised cases. Less than one-third (26.25%; 42) of the patients hospitalised were vaccinated, compared to almost 40.0% (39.02%; 240) of the patients seen at the OPD. Vaccinated individuals were nearly three times (aOR = 2.72, 95%CI: 1.74–4.25) more likely to be managed on an outpatient basis as compared to the unvaccinated. The death rate among the vaccinated group and the unvaccinated were (0.71%; 2) and (3.45%; 17), respectively, with a significant reduction in the risk of dying among the vaccinated compared to the unvaccinated (aOR = 0.13, 95%CI: 0.028–0.554). Conclusions: Less than half of the in-patient and OPD patients were vaccinated. Mild infections, fewer days of hospitalization, outpatient treatment, and higher chances of survival were associated with being vaccinated against SARS-CoV-2. Prudent measures should be implemented to encourage the general public to take up SARS-CoV-2 vaccines
Effect of one-to-one versus group counseling on uptake of postpartum contraception in selected hospitals in Ghana: A prospective cohort study
(International Journal of Gynecology and Obstetrics, 2023) Asah-Opoku, K.; Mumuni, K.; Ameme, D.K.; Mohammed, A.G.; Samba, A.; Nkyekyer, K.
Objective: To compare the effect of one provider to one client counseling and one provider to a group client counseling on the uptake of postpartum contraception. Methods: This was a hospital-based prospective cohort study among women attending a postpartum clinic at Korle-Bu Teaching Hospital and Greater Accra Regional Hospital. Postpartum mothers were recruited daily from April 1, 2017 to November 28, 2017. Mothers from this cohort that used a contraceptive method within a year postpartum were determined at 3, 6, 9, and 12 months after recruitment. A P value of less than 0.05 was considered statistically significant for all analyses. Results: Of 982 women surveyed, contraceptive uptake among women who received one-to-one counseling was 306/600 (51.0%) and that for women who received group counseling was 48/382 (12.6%) (P < 0.001). Factors associated with contraceptive uptake during postpartum period were: one-to-one counseling (adjusted odds ratio [aOR] 7.05, 95% confidence interval [CI] 4.94–10.07), mothers' age (aOR 0.95, 95% CI 0.91–0.98), being single (aOR 0.54, 95% CI 0.35–0.85), cohabiting (aOR 0.39, 95% CI 0.22–0.69), and previous use of contraception (aOR 1.55, 95% CI 1.12–2.15). Conclusion: One-to-one counseling was associated with a significantly greater uptake of contraception during the postpartum period compared with group counseling. Other factors associated with uptake were age, marital status, and history of contraceptive use.
Factors infuencing health workers’ compliance with the WHO intermittent preventive treatment for malaria in pregnancy recommendations in the Northern Region, Ghana
(Malaria Journal, 2022) Mohammed, A.G.; Duah, D.; Kenu, E.; Nonvignon, J.; Manu, A.; Bonful, H.A.
Background: Although IPTp-SP is a lifesaving World Health Organization (WHO) recommended preventive interven tion for pregnant women in malaria-endemic regions, IPTp-SP uptake in the Northern region of Ghana is much lower than the sub-optimal national coverage level. Assessing the extent of health workers’ compliance and its associated factors will generate valuable pointers to be targeted at the program level. The study examined the factors infuenc ing health workers’ compliance with the WHO recommended guidelines for IPTp-SP in the Northern Region. Methods: A cross-sectional study among 315 health workers in the Northern region was conducted. Semi-structured questionnaires were used to collect data on health workers’ sociodemographic characteristics, facility-based factors and knowledge level. Data were collected on health workers’ compliance with the recommended practices through covert observations using a checklist. Facility observations were carried out using a checklist. Crude and adjusted logistic regression were used to determine predictors of health workers’ compliance, at a 5% signifcance level adjust ing for clustering. Results: Of the 315 health workers studied, the median age was 29 years (26–34 years). Females constituted (80.5%; 252) of the 313 workers. The majority (47.4%;148) of the 312 health workers were midwives. Overall, 56.2% (CI 51.0 – 62.0) were adequately complying with the recommended guidelines. Lower levels of compliance were recorded in health centres 15.6% (5.0 – 33.0) and CHPS compounds 21.2% (11.0 – 35.0). The factors associated with compliance included health workers’ knowledge (aOR=7.64, 95% CI 4.21 – 13.87, p<0.001), job satisfaction (aOR 10.87, 95% CI 7.04 – 16.79, p<0.001), in-service training (aOR 10.11, 95% CI 4.53 – 22.56, p<0.001), supervision (aOR 4.01, 95% CI 2.09 – 7.68, p<0.001), availability of job aids (aOR 3.61, 95% CI 2.44 – 5.35, p<0.001), health workers expe rience (aOR=10.64, 95% CI 5.99 – 18.91, p<0.001) and facility type (aOR 0.03, 95% CI 0.01–0.07, p<0.001). Conclusion: Compliance with the recommended IPTp-SP guidelines is suboptimal in the region, with lower-level health facilities recording the least compliance levels. Health centres and CHPS facilities should be prioritized in dis tributing limited resources to improve health worker quality of care for antenatal care clients