Browsing by Author "Osei-Tutu, B."
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Item An Asanteman–World Bank Heritage Development Initiative in Promoting Partnership with Ghanaian Traditional Leaders(2009) Asiedu, A.B.; Labi, K.A.; Osei-Tutu, B.This paper discusses the identification and documentation of Asante heritage assets in an initiative between the World Bank and the Asanteman Council, the traditional governing authority of the Asante people of Ghana. The paper develops a documentation model based on recommended international standards for safeguarding this patrimony. The authors make proposals for engaging and strengthening traditional authorities and other stakeholders in the documentation, valuation, and preservation of Asante heritage. In addition, they make recommendations for the creation of appropriate institutions and strategies to use these assets for wealth creation and development and its replication elsewhere.Item Evaluation of Food Services Establishment inspections surveillance system in Greater Accra Region of Ghana, 2020(Elsevier, 2022) Asante, R.A.; Odikro, M.A.; Frimpong, J.; Ocansey, D.; Osei-Tutu, B.; Kenu, E.Background In Ghana, 77% of traceable foodborne diseases results from improper handling in Food Service Establishments (FSE). The FSE Inspection surveillance system instituted by the Food and Drugs Authority (FDA) in 2010 inspects and license FSEs to ensure compliance to Good Hygienic Practices (GHP). We evaluated the FSE Inspection surveillance system to assess if the systems objectives were being met and to assess attributes and usefulness of the system. Method We evaluated the FSE surveillance system by interviewing 20 stakeholders in the Greater Accra Region (GAR) using a semi-structured questionnaire adapted from the Centre for Disease Control and Prevention updated guidelines for evaluating health surveillance systems. We reviewed systems records from 2017 to 2019 and made observations of surveillance activities. Microsoft excel was used for collation and analysis of data into frequencies and proportions and results were presented in tables and graphs. Result From 2017 to 2019, 36.5% (876/2400) FSE applications were received with 1206 inspections carried out within the evaluation period. About 14.8% (355/2400) FSE's accepted the system with 12 out of 16 Metropolitan, Municipal and District Assemblies (MMDA's) represented in the surveillance system. Overall, sensitivity was at 60.5% with (530/876) of FSEs issued with a food hygiene permit (FHP). System restructuring or modifications barely affected the operational procedures. Timeliness was 54.3% (38/70) with almost half of FSEs inspected after the 40 days benchmark. Data completeness was 93.8% (333/355) for stored data. Conclusion The FSE inspection surveillance system was found to be useful in meeting its set objective of ensuring FSE compliance to GHP. The system was flexible, stable and sensitive but was not acceptable, fairly timely and had a poor representation in GAR. Introduction of an electronic application or web-based inspections and strengthening of collaboration among stakeholders are key to improving the systems timeliness and representativeness respectively.Item Promoting Partnership with Traditional Authorities in the Identification and Development of Cultural Heritage: An Asanteman-World Bank Initiative(Indiana University Press, 2009) Asiedu, A.B.; Labi, K.A.; Osei-Tutu, B.This paper discusses the identification and documentation of Asante heritage assets in an initiative between the World Bank and the Asanteman Council, the traditional governing authority of the Asante people of Ghana. The paper develops a documentation model based on recommended international standards for safeguarding this patrimony. The authors make proposals for engaging and strengthening traditional authorities and other stakeholders in the documentation, valuation, and preservation of Asante heritage. In addition, they make recommendations for the creation of appropriate institutions and strategies to use these assets for wealth creation and development and its replication elsewhere.Item Trends of reported foodborne diseases at the Ridge Hospital, Accra, Ghana: a retrospective review of routine data from 2009-2013(2016-03-24) Osei-Tutu, B.; Anto, F.Abstract Background There are over 250 foodborne diseases and are of growing public health concern worldwide. The distribution of these diseases varies from one locality to the other. Foodborne diseases come about as a result of ingestion of food contaminated with microorganisms or chemicals. The most common clinical presentation of foodborne disease takes the form of gastrointestinal symptoms; although other systems of the body can also be affected and represents a considerable burden of disability as well as mortality. The current study was carried out with the aim of describing the trends and patterns of foodborne diseases reported at the Ridge Hospital in Accra, Ghana to serve as the first step towards understanding the profile of foodborne diseases in Accra. The study could then serve as a guide in the establishment of a sentinel site or surveillance system for foodborne diseases. Methods A retrospective review of routine data kept on patients who visited the Ridge Hospital from January 2009 to December 2013 was conducted to describe the trends and patterns of foodborne diseases reported at the facility. All available health records were reviewed and data on foodborne diseases extracted and analysed by age group, sex, season and geographical location within the catchment area of the hospital. Results The review showed significant variation in the annual reported cases of foodborne diseases [2009 = 11.5 % (118/1058); 2010 = 2.30 % (22/956); 2011 = 17.45 % (608/3485); 2012 = 7.98 % (498/6315) and 2013 = 2.56 % (345/13458)] p < 0.05. Significant seasonal variations were also observed [early dry season = 10.2 % (322/3142); late dry season = 24.4 % (909/3728); early wet season = 4.3 % (107/2494); late wet season = 6.3 % (256/4094). There were monthly variations also during the period (p < 0.001) except for the year 2010 (p = 0.428). The highest prevalence was reported during the late dry season (February–April). The most affected age group was those aged between 15 and 34 years who had significantly more infections in 2012 and 2013 than the other age groups (p < 0.001). Overall many more males than females reported of food borne diseases (p < 0.001). Conclusion The commonly reported foodborne diseases at the Ridge Hospital were: typhoid fever, dysentery, cholera and viral hepatitis. These diseases were found to be very seasonal with peaks at the onset of the rainy season.Item Trends of reported foodborne diseases at the Ridge Hospital, Accra, Ghana: A retrospective review of routine data from 2009-2013(BioMed Central Ltd., 2016) Osei-Tutu, B.; Anto, F.Background: There are over 250 foodborne diseases and are of growing public health concern worldwide. The distribution of these diseases varies from one locality to the other. Foodborne diseases come about as a result of ingestion of food contaminated with microorganisms or chemicals. The most common clinical presentation of foodborne disease takes the form of gastrointestinal symptoms; although other systems of the body can also be affected and represents a considerable burden of disability as well as mortality. The current study was carried out with the aim of describing the trends and patterns of foodborne diseases reported at the Ridge Hospital in Accra, Ghana to serve as the first step towards understanding the profile of foodborne diseases in Accra. The study could then serve as a guide in the establishment of a sentinel site or surveillance system for foodborne diseases. Methods: A retrospective review of routine data kept on patients who visited the Ridge Hospital from January 2009 to December 2013 was conducted to describe the trends and patterns of foodborne diseases reported at the facility. All available health records were reviewed and data on foodborne diseases extracted and analysed by age group, sex, season and geographical location within the catchment area of the hospital. Results: The review showed significant variation in the annual reported cases of foodborne diseases [2009 = 11.5 % (118/1058); 2010 = 2.30 % (22/956); 2011 = 17.45 % (608/3485); 2012 = 7.98 % (498/6315) and 2013 = 2.56 % (345/13458)] p < 0.05. Significant seasonal variations were also observed [early dry season = 10.2 % (322/3142); late dry season = 24.4 % (909/3728); early wet season = 4.3 % (107/2494); late wet season = 6.3 % (256/4094). There were monthly variations also during the period (p < 0.001) except for the year 2010 (p = 0.428). The highest prevalence was reported during the late dry season (February-April). The most affected age group was those aged between 15 and 34 years who had significantly more infections in 2012 and 2013 than the other age groups (p < 0.001). Overall many more males than females reported of food borne diseases (p < 0.001). Conclusion: The commonly reported foodborne diseases at the Ridge Hospital were: typhoid fever, dysentery, cholera and viral hepatitis. These diseases were found to be very seasonal with peaks at the onset of the rainy season.