Browsing by Author "Nyarko, E.A."
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Item Archaeology of Prince's Town (Ghana)(University of Ghana, 2013-07) Nyarko, E.A.; Apoh, W.; Apaak, C.A.This Archaeological research was undertaken at the town of Kpokeso now called Prince’s Town on the coast of Ghana, West Africa. Prince’s Town grew to fame in the seventeenth and eighteenth centuries as a trading post and a port of great importance in the trans-Atlantic slave trade. Traders of many European nations including the Brandenburg, Holland, Denmark, France, Portugal and England once maintained permanent trading establishments on the Gold coast and traded with the Africans at Kpokeso as well as traders from other parts of the Gold Coast. These historical circumstances place Prince’s Town in a unique situation thus shedding light on the transformations and continuities experienced by an African society in the early period of extensive European trade contacts. This thesis discusses a research that is focused on understanding the nature of contacts and interactions that existed between Africans and Europeans at Prince’s Town during the Trans-Atlantic trading era. It also seeks to assess the contribution of the fort to the understanding of contacts and interactions between Africans and Europeans as well as gather data that inform on how the presence of the Brandenburg and other Europeans affected the people of Prince’s Town and their culture. The research seeks to establish a chronology for the site of Prince’s Town through the use of the artifacts from the excavation. The Archaeological research has demonstrated that materials from excavations combined with documentary evidence and oral histories provide insights into interactions between Africans and Europeans through trade contact. The research also indicates that there is no clear stratigraphic distribution between the Brandenburg period, the Dutch period and the English. This may be due to the choice of sites. The presence of European materials in African contexts provides insights into the African and European interaction. It has also revealed that the people of Prince’s Town are Nzima and not Ahanta and that the encounters with the Europeans did not largely influence their indigenous religion as the people go to church and still practise indigenous religion.Item Assessing the efficiency of hospitals in Botswana: An application of the pabón lasso technique(Health Insurance: Issues, Challenges and Perspectives, 2012-01) Nonvignon, J.; Tlotlego, N.; Asbu, E.Z.; Nyarko, E.A.; Kirigia, J.M.; Sambo, L.G.The health system in sub-Saharan Africa faces a number of challenges, including weak health systems structures. The ramifications of inefficiencies in the management of resources could jeopardise the development of health infrastructure and the coverage of health care, especially among the poor and underprevillaged. Consequently, efficient allocation and management of scarce resources could improve the health systems in the region. The 2010 World Health Report places much emphasis on the invaluable role that efficiency palys in achieving universal coverage. The aim of this chapter was to conduct an exploratory assessment of the performance of non-referral hospitals in Botswana for the period 2006 to 2008 using the Pabón Lasso technique. The results show that during each year in the study period, less than half of the hospitals operated efficiently while more than half operated with excess bed capacity. The findings of the study imply that rather than expanding hospital sizes by increasing the number of beds, there could be an expansion in the health services provided by hospitals. This provides an opportunity to improve maternal and child health services and accelerate progress towards the health-related Millennium Development Goal targets while moving the country towards universal coverage of health services. © 2012 Nova Science Publishers, Inc. All rights reserved.Item Prevalence of Hearing Impairment at the Korle-Bu Teaching Hospital(University of Ghana, 2013-07) Nyarko, E.A.; Amedofu, G.; Ribera, J.E.BACKGROUND: Hearing loss makes a large contribution to the global burden of disease, which substantially adversely affect social and economic development in communities and countries. Due to this, WHO therefore promotes surveys and gathers data for measuring the burden of deafness and hearing impairment. At KBTH, data on the prevalence of hearing impairment is lacking. There is therefore the need for accurate prevalence studies to be carried out in Ghana to enable health organizations and the medical profession to economically analyze the burden of hearing impairment. AIM: To determine the prevalence of hearing impairment at KBTH. METHODS: A retrospective review of the records of 715 patients who visited the Hearing Assessment Centre of KBTH during the periods of January - December 2013 was conducted. RESULTS: Four hundred and seventy four (66.3%) had a significant hearing loss. The highest prevalence of hearing loss was recorded for the age group 60 and above. The overall data gathered suggested that, sensorineural hearing loss was the most prevalent for both the left and right ears, with prevalence rates of 36.7% and 40.5% in the right and left ears respectively. In addition, mild hearing loss was the most prevalent.