Browsing by Author "Sanuade, O."
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Item Building cardiovascular disease competence in an urban poor Ghanaian community: A social psychology of participation approach(Journal of Community & Applied Social Psychology, 2020-01-08) Aikins, A.D-G.; Kushitor, M.; Kushitor, S.B.; Sanuade, O.; Asante, P.Y.; Sakyi, L.This paper describes conceptual, methodological, and practical insights from a longitudinal social psychological project that aims to build cardiovascular disease (CVD) competence in a poor community in Accra, Ghana's capital. Informed by a social psychology of participation approach, mixed method data included qualitative interviews and household surveys from over 500 community members, including people living with diabetes, hypertension, and stroke, their caregivers, health care providers, and GIS mapping of pluralistic health systems, food vending sites, bars, and physical activity spaces. Data analysis was informed by the diagnosis-psychosocial intervention-reflexivity framework proposed by Guareschi and Jovchelovitch. The community had a high prevalence of CVD and risk factors, and CVD knowledge was cognitive polyphasic. The environment was obesogenic, alcohol promoting, and medically pluralistic. These factors shaped CVD experiences and eclectic treatment seeking behaviours. Psychosocial interventions included establishing a self-help group and community screening and education. Applying the “AIDS-competent communities” model proposed by Campbell and colleagues we outline the psychosocial features of CVD competence that are relatively easy to implement, albeit with funds and labour, and those that are difficult. We offer a reflexive analysis of four challenges that future activities will address: social protection, increasing men's participation, connecting national health policy to community needs, and sustaining the project.Item Community perceptions on sexual activity and stroke(University of Ghana, 2019-09-19) Sanuade, O.Stroke is a major cause of morbidity and mortality in Ghana and sometimes comes with multifaceted complications including sexual dysfunction. While evidence is clear that living with stroke can result in sexual dysfunction, there are contradictory views regarding the causal association between sexual activity and stroke. This study explores perceptions of Ghanaian local communities on the role of sexual activity on stroke causation. This was a cross-sectional qualitative study. Thirty (30) focus group discussions (FGDs) were conducted in five communities across Ghana (Ga Mashie, Tafo, Gyegyeano, Chanshegu and Agorve) between October and November 2017. Data were analysed through a thematic approach. Participants generally believed that sexual activity can cause a stroke. They mentioned that the dynamics through which sex can trigger a stroke include sex positions (i.e. having sex while standing and on the floor), high frequency of sex, having sex when older and engaging in indiscriminate sex. This study shows the need to pay critical attention to these community perceptions when developing intervention strategies for stroke in Ghana. This study also highlights that discussion about sexual activity in Ghana is more complex than the current health education programme allows, and so demands a ‘comprehensive sex education approach’ rather than a ‘disease-centered approach’.Item How chronic conditions are understood, experienced and managed within African communities in Europe, North America and Australia: A synthesis of qualitative studies(PLOS ONE, 2023) Aikins, A.d-G.; Sanuade, O.; Baatiema, L.; Adjaye-Gbewonyo, K.; Addo, J.; Agyemang, C.This review focuses on the lived experiences of chronic conditions among African communities in the Global North, focusing on established immigrant communities as well as recent immigrant, refugee, and asylum-seeking communities. We conducted a systematic and narrative synthesis of qualitative studies published from inception to 2022, following a search from nine databases—MEDLINE, EMBASE, PsycINFO, Web of Science, Social Science Citation Index, Academic Search Complete, CINAHL, SCOPUS and AMED. 39 articles reporting 32 qualitative studies were included in the synthesis. The studies were conducted in 10 countries (Australia, Canada, Denmark, France, Netherlands, Norway, Sweden, Switzerland, United Kingdom, and the United States) and focused on 748 participants from 27 African countries living with eight conditions: type 2 diabetes, hypertension, prostate cancer, sickle cell disease, chronic hepatitis, chronic pain, musculoskeletal orders and mental health conditions. The majority of participants believed chronic conditions to be lifelong, requiring complex interventions. Chronic illness impacted several domains of everyday life—physical, sexual, psycho-emotional, social, and economic. Participants managed their illness using biomedical management, traditional medical treatment and faith-based coping, in isolation or combination. In a number of studies, participants took ‘therapeutic journeys’–which involved navigating illness action at home and abroad, with the support of transnational therapy networks. Multi-level barriers to healthcare were reported across the majority of studies: these included individual (changing food habits), social (stigma) and structural (healthcare disparities). We outline methodological and interpretive limitations, such as limited engagement with multi-ethnic and intergenerational differences. However, the studies provide an important insights on a much-ignored area that intersects healthcare for African communities in the Global North and medical pluralism on the continent; they also raise important conceptual, methodological and policy challenges for national health programmes on healthcare disparities.Item Research on Ageing in Ghana from the 1950s to 2016: A bibliography and commentary(University of Wisconsin Press, 2016) de-Graft Aikins, A.; Kushitor, M.; Sanuade, O.; Dakey, S.; Dovie, D.; Kwabena-Adade, J.This bibliography tracks research conducted on aging in Ghana from the 1950s to the present and aims to document the state of knowledge on aging research to inform future research, policies, and interventions. The bibliography has been developed as a companion to the Ghana Studies special section themed “Aging in Ghana: Addressing the Multifaceted Needs of Older Ghanaians.” We searched eight databases for research on aging and the elderly on Ghana, as well as three local journals, citation lists of authoritative texts, and the University of Ghana graduate theses database. We identified 115 eligible publications from nine disciplines: anthropology, demography/population studies, economics, medicine/medical sciences (physiology, psychiatry), psychology, public health/epidemiology, sociology, social policy and social work. Research focused on six empirical areas: demographic profiles and patterns of aging; the health status of older Ghanaians; care and support for older Ghanaians; roles and responsibilities of older Ghanaians; social representations of aging and social responses to older Ghanaians; and socio-economic status, social and financial protection, and other forms of support for older people. We present preliminary thematic notes on the empirical studies and discuss future trends in research on aging in Ghana.Item Stroke Burden in Ghana: A Review of Research(2013-12-09) Agyemang, C.; Sanuade, O.Stroke is becoming an increasing cause of morbidity, mortality and disability in Ghana due to change in lifestyles and an emerging ageing population. Yet, there is paucity of data on the epidemiology of stroke in the country. The aim of this paper is to provide a review of the published literature on the burden of stroke in Ghana and provide implications for future research. We undertook a literature search on stroke burden in Ghana from MEDLINE and Google Scholar for papers published between 1st January 1900 and 31st May 2013. The data indicate that stroke is currently one of the top five causes of deaths in Ghana and is also a frequent cause of admission to hospitals. Stroke is associated with severe disability which poses many challenges to patients and their families, healthcare staffs, and the entire nation. Increasing rate of high blood pressure, diabetes and obesity are major determinants of stroke in Ghana. Also, female admissions and deaths are greater than that of males and most of the stroke cases in the country are haemorrhagic. With the projected rise in stroke burden in Ghana, there is need for more population-based data which would help to trigger effective primary, secondary and tertiary prevention strategies.