Browsing by Author "Ohene, S.-A."
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Item Capacity assessment of selected health care facilities for the pilot implementation of Package for Essential Non-communicable Diseases (PEN) intervention in Ghana(2016) Nyarko, K.M.; Ameme, D.K.; Ocansey, D.; Commeh, E.; Markwei, M.T.; Ohene, S.-A.INTRODUCTION: Non-communicable diseases (NCDs) continue to pose threats to human health and development worldwide. Though preventable, NCDs kill more people annually than all other diseases combined. The four major NCDs namely cardiovascular diseases, chronic respiratory diseases, diabetes and cancers share common modifiable risk factors. In order to prevent and control NCDs, Ghana has adopted the World Health Organisation Package for Essential NCD (WHO-PEN) intervention, to be piloted in selected districts before a nationwide scale-up. We assessed the capacity of these facilities for the implementation of the WHO-PEN pilot.METHODS: We conducted a cross-sectional health facility-based survey using a multistage sampling technique. We collected data on human resource, equipment, service utilization, medicines availability and health financing through interviews and observation. Descriptive data analysis was performed and expressed in frequencies and relative frequencies.RESULTS: In all, 23 health facilities comprising two regional hospitals, three district hospitals, nine health centres and nine Community-based Health Planning and Services (CHPS) compounds from three regions were surveyed. All the hospitals had medical officers whilst 4 (44.4%) of the health centres had physician assistants. Health financing is mainly by the National Health Insurance Scheme (NHIS). None of the health facilities had spacers and only one health centre had oxygen cylinder, glucometer and nebulizer.CONCLUSION: Gaps exist in the human resource capacity and service delivery at the primary care levels, the focus of WHO-PEN intervention. Adequately equipping the primary health care level with trained health workers, basic equipment, medications and diagnostics will optimize the performance of WHO-PEN intervention when implemented.Item Imported Lassa fever: A report of 2 cases in Ghana(BioMed Central Ltd., 2015) Kyei, N.N.A.; Abilba, M.M.; Kwawu, F.K.; Agbenohevi, P.G.; Bonney, J.H.K.; Agbemaple, T.K.; Nimo-Paintsil, S.C.; Ampofo, W.; Ohene, S.-A.; Nyarko, E.O.Background: Lassa fever is a potentially fatal acute viral illness caused by Lassa virus which is carried by rodents and is endemic in some West African countries. Importation of emerging infections such as Lassa fever, Ebola Virus Disease and other viral hemorrhagic fevers into non endemic regions is a growing threat particularly as international travel and commitments in resolving conflicts in endemic countries in the West Africa sub-region continue. Case presentation: We report the first two recorded imported cases of Lassa fever among Ghanaian Peace keepers in rural Liberia, who became ill while on Peace keeping mission. They were subsequently evacuated to the UN level IV hospital in Accra, where their illnesses were laboratory confirmed. One of the patients recovered with ribavirin treatment and supportive therapy. No secondary clinical cases occurred in Ghana. Conclusions: Healthcare providers at all levels of care should thus have a high index of suspicion for these infectious diseases and adopt standard infection control measures when treating patients in endemic regions or returning travelers from an endemic region with a febrile illness even of a known etiology.Item Knowledge, attitudes and practices towards yaws and yaws-like skin disease in Ghana(PLoS Neglected Tropical Diseases, 2017-08) Marks, M.; Kwakye-Maclean, C.; Doherty, R.; Adwere, P.; Aziz Abdulai, A.; Duah, F.; Ohene, S.-A.; Mitja, O.; Oguti, B.; Solomon, A.W.; Mabey, D.C.W.; Adu-Sarkodie, Y.; Asiedu, K.; Ackumey, M.M.Introduction: Yaws is endemic in Ghana. The World Health Organization (WHO) has launched a new global eradication campaign based on total community mass treatment with azithromycin. Achieving high coverage of mass treatment will be fundamental to the success of this new strategy; coverage is dependent, in part, on appropriate community mobilisation. An understanding of community knowledge, attitudes and practices related to yaws in Ghana and other endemic countries will be vital in designing effective community engagement strategies. Methods: A verbally administered questionnaire was administered to residents in 3 districts in the Eastern region of Ghana where a randomised trial on the treatment of yaws was being conducted. The questionnaire combined both quantitative and qualitative questions covering perceptions of the cause and mechanisms of transmission of yaws-like lesions, the providers from which individuals would seek healthcare for yaws-like lesions, and what factors were important in reaching decisions on where to seek care. Chi-square tests and logistic regression were used to assess relationships between reported knowledge, attitudes and practices, and demographic variables. Thematic analysis of qualitative data was used to identify common themes. Results: A total of 1,162 individuals participated. The majority of individuals (n = 895, 77%) reported that “germs” were the cause of yaws lesions. Overall 13% (n = 161) of respondents believed that the disease was caused by supernatural forces. Participants frequently mentioned lack of personal hygiene, irregular and inefficient bathing, and washing with dirty water as fundamental to both the cause and the prevention of yaws. A majority of individuals reported that they would want to take an antibiotic to prevent the development of yaws if they were asymptomatic (n = 689, 61.2%), but a substantial minority reported they would not want to do so. A majority of individuals (n = 839, 72.7%) reported that if they had a yaws-like skin lesion they would seek care from a doctor or nurse. Both direct and indirect costs of treatment were reported as key factors affecting where participants reported they would seek care. Discussion: This is the first study that has explored community knowledge, attitudes and practices in relation to yaws in any endemic population. The belief that ‘germs’ are in some way related to disease through a variety of transmission routes including both contact and dirty water are similar to those reported for other skin diseases in Ghana. The prominent role of private healthcare providers is an important finding of this study and suggests engagement with this sector will be important in yaws eradication efforts. Strategies to address the substantial minority of individuals who reported they would not take treatment for yaws if they were currently asymptomatic will be needed to ensure the success of yaws eradication efforts. The data collected will be of value to the Ghana Health Service and also to WHO and other partners, who are currently developing community mobilisation tools to support yaws eradication efforts worldwide. © 2017 Marks et al.Item Meningitis outbreak caused by vaccine-preventable bacterial pathogens — Northern Ghana, 2016(Morbidity and Mortality Weekly Report, 2017) Aku, F.Y.; Lessa, F.C.; Asiedu-Bekoe, F.; Balagumyetime, P.; Ofosu, W.; Farrar, J.; Ouattara, M.; Vuong, J.T.; Issah, K.; Opare, J.; Ohene, S.-A.; Okot, C.; Kenu, E.; Ameme, D.K.; Opare, D.What is already known about this topic? The introduction of serogroup A meningococcal conjugate vaccine (MenAfriVac) in Ghana in 2012 had a substantial impact on the periodic outbreaks of meningitis in the Northern Ghana. However, seasonal increases in bacterial meningitis continue to occur; the most prevalent etiologies are Neisseria meningitidis, Streptococcus pneumoniae, and Haemophilus influenzae. What is added by this report? During December 9, 2015-February 16, 2016, a total of 432 suspected meningitis cases were reported from three regions in northern Ghana. Among 286 cerebrospinal fluid specimens tested, 133 (46.5%) were positive, including 83 (62.4%) for N. meningitidis and 44 (33.1%) for S. pneumoniae. The predominant N. meningitidis serogroup was serogroup W (99%). Based on laboratory and epidemiologic data, 135,679 doses of meningococcal polysaccharide ACW vaccine were administered to the age groups most affected, resulting in substantial reduction in the number of meningitis cases. What are the implications for public health practice? Rapid identification of the etiologic agent in meningitis outbreaks is important for informing targeted public health interventions. Building and sustaining laboratory capacity in countries where meningitis outbreaks are common will be critical in ensuring rapid and effective response to these outbreaks. © 2017, Department of Health and Human Services. All rights reserved.Item Molecular confirmation of Lassa fever imported into Ghana(AOSIS OpenJournals Publishing AOSIS (Pty) Ltd, 2016) Bonney, J.H.K.; Nyarko, E.O.; Ohene, S.-A.; Amankwa, J.; Ametepi, R.K.; Nimo-Paintsil, S.C.; Sarkodie, B.; Agbenohevi, P.; Adjabeng, M.; Kyei, N.N.A; Bel-Nono, S.; Ampofo, W.K.Background: Recent reports have shown an expansion of Lassa virus from the area where it was first isolated in Nigeria to other areas of West Africa. Two Ghanaian soldiers on a United Nations peacekeeping mission in Liberia were taken ill with viral haemorrhagic fever syndrome following the death of a sick colleague and were referred to a military hospital in Accra, Ghana, in May 2013. Blood samples from the soldiers and five asymptomatic close contacts were subjected to laboratory investigations. Objective: We report the results of these investigations to highlight the importance of molecular diagnostic applications and the need for heightened awareness about Lassa fever in West Africa. Methods: We used molecular assays on sera from the two patients to identify the causative organism. Upon detection of positive signals for Lassa virus ribonucleic material by two different polymerase chain reaction assays, sequencing and phylogenetic analyses were performed. Results: The presence of Lassa virus in the soldiers' blood samples was shown by L-gene segment homology to be the Macenta and las803792 strains previously isolated in Liberia, with close relationships then confirmed by phylogenetic tree construction. The five asymptomatic close contacts were negative for Lassa virus. Conclusions: The Lassa virus strains identified in the two Ghanaian soldiers had molecular epidemiological links to strains from Liberia. Lassa virus was probably responsible for the outbreak of viral haemorrhagic fever in the military camp. These data confirm Lassa fever endemicity in West Africa. � 2016.Item Preparing for Ebola, the experiences of a national training team (Ghana)(The Pan African medical journal, 2015-10) Lartey, M.; Puplampu, P.; Seneadza, N.A.; Oliver-Commey, J.; Amoah, S.; Ohene, S.-A.