Browsing by Author "Nsowah-Nuamah, N.N.N."
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Item Constraints of Maternity Health Care Delivery in Government Hospitals: The Case of Korle-Bu Teaching Hospital(University of Ghana, 2003-07) Bentsil-Quaye, R.; Ahiadeke, C.; Nsowah-Nuamah, N.N.N.; University of Ghana, College of Humanities, Institute of Statistical, Social and Economic ResearchA study was conducted at the Korle-bu Teaching Hospital to determine the constraints of maternity healthcare delivery. Sixty-two patients as well as professional and non-professional staff were interviewed. The results indicate that 90.3% of patients who access maternity care at the hospital come from within Accra while 9.7% come from the immediate suburbs. An average of 167 patients attend antenatal clinic daily and most prefer KBTH to other hospitals because of the presence of expert medical personnel, 24 hours emergency service and lower charges. The majority of 53.0% of patients first attend antenatal clinic in the second trimester. An average of 40 admissions and 33 deliveries are made daily. Out of this. 33.2% are referred cases from other government and private health institutions. Referred and emergency cases often have to be treated on credit as patients come to the hospital with no money or luggage. The maternity department has 254 beds which are constantly occupied with extra patients lying on the floor. The length of stay at the hospital has been shortened to make bed space available to incoming patients. Some patients are not able to settle their bills after discharge. Some of these patients run away while others have their bills paid for them by Non-Governmental Organizations or individuals through the Social Welfare. The major constraints identified are shortage of nurses and doctors, lack of equipment and non-drug consumables, lack of storage space for files and a lack of bed space. The hospital has these limitations because it mainly depends on government funds which are not sufficient and are released late. To assist itself, the hospital generates funds internally through drugs and service charges.Item Determinants of antenatal care use in Ghana(Journal of African Economies, 2004-06) Overbosch, G.B.; Nsowah-Nuamah, N.N.N.; Van den Boom, G.J.M.; Damnyag, L.The paper investigates the determinants of antenatal care use in Ghana. In particular, we study how economic factors affect the demand for antenatal care and the probability that the number of visits falls below the recommended number of four. Estimation results from a nested three-level multinomial logit model (care or no care; doctor or nurse or midwife; sufficient or insufficient visits) show that indeed living standard, cost of consultation and in particular travel distance to the provider have a significant impact on the demand and sufficiency of antenatal care. In addition, pregnant women with more schooling have a higher propensity to seek sufficient antenatal care from all providers, while women of higher parity tend to use less antenatal carefrom less expensive providers. These results suggest that adequate antenatal care use in Ghana can be promoted effectively by extending the supply of antenatal care services in the rural area, by general education policies and by specific policies that increase reproductive health knowledge. Furthermore, contrary to findings elsewhere, our estimates provide little support for a special targeting of antenatal care according to religious background. © Centre for the Study of African Economics 2004; all rights reserved.Item Impact of socioeconomic status and medical conditions on health and healthcare utilization among aging Ghanaians(BioMed Central Ltd., 2015) Saeed, B.I.; Xicang, Z.; YawsonA, A.E.; Nguah, S.B.; Nsowah-Nuamah, N.N.N.Background: This study attempts to examine the impact of socioeconomic and medical conditions in health and healthcare utilization among older adults in Ghana. Five separate models with varying input variables were estimated for each response variable. Methods: Data (Wave 1 data) were drawn from the World Health Organization Global Ageing and Adult Health (SAGE) conducted during 2007-2008 and included a total of 4770 respondents aged 50+ and 803 aged 18-49 in Ghana. Ordered logits was estimated for self-rated health, and binary logits for functional limitation and healthcare utilization. Results: Our results show that the study provides enough grounds for further research on the interplay between socioeconomic and medical conditions on one hand and the health of the aged on the other. Controlling for socioeconomic status substantially contributes significantly to utilization. Also, aged women experience worse health than men, as shown by functioning assessment, self-rated health, chronic conditions and functional limitations. Women have higher rates of healthcare utilization, as shown by significantly higher rates of hospitalization and outpatient encounters. Conclusion: Expansion of the national health insurance scheme to cover the entire older population- for those in both formal and informal employments- is likely to garner increased access and improved health states for the older population. © 2015 Saeed et al.; licensee BioMed Central.Item Predicting the timing of second praziquantel treatment and its effect on reduction of egg counts in southern Ghana. Nsowah-(Acta Tropica, 2004) Nsowah-Nuamah, N.N.N.; Aryeetey, M.E.; Jolayemi, E.T.; Wagatsuma, Y.; Mensah, G.; Dontwi, I.K.; Nkrumah, F.K.; Kojima, S.Schistosoma haematobium infection could be associated with morbidity. Generally, the cost of schistosomiasis control is high and it becomes a burden for governments or non-governmental organisations to repeat control programs so as to reduce morbidity. There is therefore, the need to optimise the available meagre resources for its control. From 1993 to 1997 the Noguchi Memorial Institute for Medical Research of the University of Ghana carried out a schistosomiasis control program in southern Ghana. Using the generated data, an attempt is made to determine the timing of the second praziquantel treatment and the period needed after the second chemotherapy to have egg counts reduced to low levels in southern Ghana. It was revealed that the second praziquantel treatment in areas 1, 2, and 3 should be administered latest at 13.8, 11.8 and 13.2 months, respectively after the first one. Most importantly, it takes 24.4 months to bring egg counts to zero in area 3 while in area 1, it takes about 29 months after the second praziquantel treatment. Egg counts were not reduced to zero in area 2 after the second chemotherapy. At least passive health education and continuous safe water supply should support the chemotherapy in addition to weed removal at the water contact sites.Item Urinary schistosomiasis in southern Ghana: A logistic regression approach to data from a community-based integrated control program(American Journal of Tropical Medicine and Hygiene, 2001-11) Nsowah-Nuamah, N.N.N.; Mensah, G.; Aryeetey, M.E.; Wagatsuma, Y.; Bentil, G.The data for this analysis are based on the schistosomiasis control project of the Noguchi Memorial Institute for Medical Research, University of Ghana, Legon, Ghana, designed to study the feasibility and effectiveness of an integrated schistosomiasis control program. It embraced chemotherapy and health education for community motivation. The study was carried out from 1993 to 1997. This paper presents observations made 24 months after intervention. Eight communities in southern Ghana were grouped into three areas. Individuals in all the areas received praziquantel after the baseline data collection in 1992-1993. Area 1 had passive while Area 3 received active health education. Area 2 received no education. Prevalence of schistosomiasis was the response variable of interest while age, sex, and area were considered as possible influencing variables. The model for the baseline data indicated no significant difference in prevalence among the three areas. The model 24 months after intervention indicated a significant difference among the three areas, suggesting a possible influence of the health education that motivated community participation in the provision of facilities for the control of schistosomiasis.