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A long essay or dissertation or thesis involving personal research, written by postgraduates of University of Ghana for a university degree.
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Item Hand hygiene compliance among healthcare workers in Ghana’s health care institutions: an observational study(Journal of Patient Safety and Risk Management, 2020) Abuosi, A.A.; Daniels, A.A.; Akoriyea, S.K.; et al.Objective To assess hand hygiene compliance in selected primary hospitals in Ghana. Design A cross-sectional health facility-based observational study. Setting Primary health care facilities in five regions in Ghana. Participants A total of 546 healthcare workers including doctors, nurses, midwives and laboratory personnel from 106 health facilities participated in the study. Main outcome measures The main outcome measures included the availability of hand hygiene materials and alcohol job aids; compliance with moments of hand hygiene; and compliance with steps in hygienic hand washing. These were assessed using descriptive statistics. Results The mean availability of hand hygiene material and alcohol job aids was 75% and 71% respectively. This was described as moderately high, but less desirable. The mean hand hygiene compliance with moments of hand hygiene was 51%, which was also described as moderately high, but less desirable. It was observed that, generally, hand hygiene was performed after procedures than before. However, the mean compliance with steps in hygienic hand washing was 86%, which was described as high and desirable. Conclusion Healthcare workers are generally competent in the performance of hygienic hand washing. However, this does not seem to influence compliance with moments of hand hygiene. Efforts must therefore be made to translate the competence of healthcare workers in hygienic hand washing into willingness to comply with moments of hand hygiene, especially contact with patients.Item Deliberation for Development: Ghana ’s First Deliberative Poll(Journal of Deliberative Democracy, 2019) Chirawurah, D.; Bawah, A.; Fishkin, J.; et al.This article poses the problem of public consultation in developing countries and applies a solution in Ghana as a test case. It describes the theoretical rationale for deliberative consultation with random samples, describes specific criteria for success, and then assesses an application under the challenging conditions of a developing country. It builds on notions of “deliberative democracy,” and shows how they can be practically realized in an African context through “Deliberative Polling” (DP). The challenge is that the context is one of the poorest parts of one of the poorest countries in Africa. Rather than consulting just stakeholders, or self-selected populations, or using conventional surveys, DP’s have the advantage of consulting random samples with deliberation in depth in confidential surveys so that the opinion changes can be evaluated at the individual level, free of social pressures for consensus. Is this practical in this context? A DP was conducted in Tamale, Ghana on issues of water, sanitation, hygiene, and food security. Criteria for success for DPs that have been applied in highly developed countries are discussed and then applied in Ghana under challenging conditions.Item Exploring The Knowledge And Awareness Of Diabetes Mellitus Among Inhabitants Of Ho Municipality In Ghana A Cross-Sectional Study(African Journal of Food, Agriculture, Nutrition and Development, 2021) Annan-Asare, J.; Koryo-Dabrah, A.; Berko Nartey, E.; et al.One of the fast-growing major non-communicable diseases (NCD) that poses a danger to global public health is Diabetes mellitus (DM). Trends in the incidence of DM indicate a disproportionate increase in developing countries due to the current rapid demographic transitions from traditional to more westernized and urbanized lifestyles. Knowledge of DM is vital for curbing or control. The objectives of this study were to evaluate the level of knowledge and awareness of DM among the Ho municipality general population, identify areas of deficiency for targeted health education efforts, and identify respondent characteristics that may be associated with knowledge of diabetes. A survey involving 132 respondents (aged over 18 years) was conducted in the Ho municipality of the Volta region of Ghana. A 42-item pre-tested questionnaire was administered to participants to evaluate general and specific knowledge and awareness of DM. The Pairwise Multiple Comparison and Fisher’s Exact tests were used to test the hypotheses and associations between the respondents’ knowledge level and groups respectively. Of the 132 respondents, 22% were in the age range of 40-46 years; 72.7% were female. The mean overall diabetes knowledge composite score was poor: 32.99% (CI; 27.5, 38.5). Respondents performed best in the symptoms section: the mean score was 36.247% (CI; 29.0, 43.4); and worst in the section on complications: the mean score was 30.909% (CI; 23.6, 38.2). In multiple linear regression analyses, education level, older age, own self having diabetes, and having a family member/relative/friend with diabetes were significantly associated with knowledge of diabetes. Knowledge of diabetes among the inhabitants of Ho municipality respondents was interpreted as being inadequate at 32.99% (CI; 27.5, 38.5). Some deficient portions and factors associated with knowledge of diabetes were identified. Relevant information for targeted health education programs in Ghana and beyond may be considered as one of such benefits of these findings.Item Plastic Fuel Conversion and Characterisation: A Waste Valorization Potential for Ghana(MRS Advances, 2020) Commeh, M.; Dodoo-Arhin, D.; Acquaye, E.; et al.Plastics generally play a very important role in a plethora of industries, fields, and our everyday lives. Despite their cheapness, availability, and important contributions to lives, they, however, pose a serious threat to the environment due to their mostly non-biodegradable nature. Recycling into useful products can reduce the amount of plastic waste. Thermal degradation (Pyrolysis) of plastics is becoming an increasingly important recycling method for the conversion of plastic materials into valuable chemicals and oil products. In this work, waste Polyethylene terephthalate (PET) water bottles were thermally converted into useful gaseous and liquid products. A simple pyrolysis reactor system has been used for the conversions with a liquid product yield of 65 % at a temperature range of 400°C to 550°C. The chemical analysis of the pyrolytic oil showed the presence of functional groups such as alkanes, alkenes, alcohols, ethers, carboxylic acids, esters, and phenyl ring substitution bands. The main constituents were 1-Tetradecene, 1- Pentadecene, Cetene, Hexadecane, 1-Heptadecene, Heptadecane, Octadecane, Nonadecane, Eicosane, Tetratetracontane, 1-Undecene, 1-Decene). The results are promising and can be maximized by additional techniques such as hydrogenation and hydrodeoxygenation to obtain value-added products.Item Nutrition intakes and nutritional status of school age children in Ghana(Journal of Food Research, 2017) Owusu, J.S.; Colecraft, E.K.; Aryeetey, R.; et al.This paper compares the nutrition intake and nutritional status of school children from two public schools in neighbouring communities of Ghana with different school feeding programmes. One hundred and eighty-two caregiver and school-age child pairs were interviewed concerning socio-demographics, dietary practices, and food security in a cross-sectional design. The independent t-test was used to compare the contribution of the publicly funded Ghana School Feeding Programme and Private School Feeding Programme meals to the total daily nutrient intakes of the children. Predictors of the nutritional status of the children were assessed using logistic regression models. The private school feeding programme contributed more energy, protein, and micronutrients as compared to the government school feeding programme. About two-thirds (67.0%) of the children were stunted, underweight, or anaemic. The child’s age was a significant predictor of stunting. Undernutrition was prevalent among children from both programmes. Improved quality of diet from the feeding programmes may contribute to addressing malnutrition in these children.Item Comparison of Two School Feeding Programmes in Ghana, West Africa(International Journal of Child Health and Nutrition, 2016) Owusu, J.S.; Colecraft, E.K.; Aryeetey, R.N.O.; et al.Background: Malnutrition of children in Ghana continues during school years. There is limited information on how school meals meet nutrient recommendations in Ghana. Objectives: This study aimed to compare the energy and nutrient content of meals served by Ghana School Feeding Programme (GSFP) and Non-Governmental School Feeding Programme (NGSFP) and adherence to nutrient recommendations. Methods: This was a cross-sectional study design involving the observation of school meals at two sites: GSFP and NGSFP. The average weights of a week’s meal were converted to energy and nutrient equivalence and compared with international recommendations. Differences were assessed with t-tests. Results: NGSFP provided significantly higher portion size (416 ± 96 g vs. 243 ± 50 g; p=0.007), energy (776 ± 427 kcal vs. 315 ± 24 kcal; p=0.042) and fats (17± 8 vs. 6 ± 2; p=0.019) but similar micronutrient contributions to GSFP. NGSFP met energy and macronutrient recommendations set by the World Food Programme; whereas, GSFP did not meet the recommendations. Conclusion and Recommendations: The NGSFP had more energy and macronutrients per serving size than the GSFP. Regulation of meals served by GSFP should be reviewed to ensure they contribute to the adequacy of children’s diets as well as meet recommendations set by the World Food Programme.Item Limiting spread of COVID-19 in Ghana: Compliance audit of selected transportation stations in the Greater Accra region of Ghana(PLOS ONE, 2021) Bonful, H.A.; Addo-Lartey, A.; Aheto, J.M.K.; et al.Globally, little evidence exists on transmission patterns of COVID-19. Recommendations to prevent infection include appropriate and frequent handwashing plus physical and social distancing. We conducted an exploratory observational study to assess compliance with these recommendations in selected transportation stations in Ghana. A one-hour audit of 45 public transport stations in the Greater Accra region was carried out between 27th and 29th March 2020. Using an adapted World Health Organization (WHO) hand hygiene assessment scale, the availability and use of handwashing facilities, social distancing, and ongoing public education on COVID-19 prevention measures were assessed, weighted, and scored to determine the level of compliance of stations. Compliance with recommendations was categorized as “inadequate” “basic”, “intermediate” and “advanced”, based on the overall score. The majority (80%) of stations in Accra have at least one Veronica Bucket with flowing water and soap, but the number of washing places at each station is not adequate. Only a small minority (18%) of stations were communicating the need to wash hands frequently and appropriately and to practice social/physical distancing while at the station. In most stations (95%), hand washing practice was either not observed, or only infrequently. Almost all stations (93%) did not have alcohol-based hand sanitizers available for public use, while social distancing was rarely practiced (only 2%). In over 90% of the stations, face masks were either not worn or only worn by a few passengers. Compliance with COVID-19 prevention measures was inadequate in 13 stations, basic in 16 stations, intermediate in 7 stations, and advanced in 9 stations. Compliance with COVID-19 prevention measures in public transportation stations in the Greater Accra region remains a challenge. Awareness creation should aim to elevate the COVID-19 risk perception of transportation operators and clients. Transport operators and stations need support and guidance to enforce hand washing and social distancing.