Research Articles
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A research article reports the results of original research, assesses its contribution to the body of knowledge in a given area, and is published in a peer-reviewed scholarly journal. The faculty publications through published and on-going articles/researches are captured in this community
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Item The Africa Food Environment Research Network (FERN): from concept to practice(Global Health Promotion, 2022) Tandoh, A.; Aryeetey, R.; Agyemang, C.; et al.Background: Africa is contending with unhealthy food environments that are, in part, driving increasing rates of overweight, obesity, and diet-related non-communicable diseases, alongside persistent undernutrition. This current paradigm requires expanded efforts – both in the volume and nature of empirical research, as well as the tools and capacity of those who conduct it. High-quality and context-relevant research supports the development and implementation of policies that create healthy food environments. Aim and approach: This paper sets out the concept of the Africa Food Environment Research Network (FERN) initiative recently established by the Measurement, Evaluation, Accountability, and Leadership Support for non-communicable diseases (NCDs) (MEALS4NCDs) prevention project. Central to the Africa FERN initiatives are: 1) building research capacity for innovative food environment research in Africa; 2) improving South-South, and South-North partnerships to stimulate a robust food environment research and monitoring in Africa and 3) sustaining dialogue and focusing priorities on current and future needs for enhanced food environment research and monitoring in Africa. Conclusion: The FERN initiative presents an opportune platform for researchers in Africa and the global North to weave the threads of experience and expertise for research capacity building, collaboration and advocacy, to advance food environment research.Item Prevalence and management of ectopic and molar pregnancies in 17 countries in Africa and Latin America and the Caribbean: a secondary analysis of the WHO multi-country cross-sectional survey on abortion(BMJ Open, 2024) Cavalar, C. A.A.; Mehrtash, H.; Govule, P.; et al.Introduction There are limited global data on ectopic pregnancy (EP) and molar pregnancy (MP), making it important to understand their epidemiology and management across different regions. Our study aimed to describe their prevalence for both conditions, severity of their complications and management among women in selected health facilities across 17 countries in Africa and Latin America and the Caribbean (LAC). Methods This is a secondary analysis of the WHO multi country survey on abortion. Data were collected from 280 healthcare facilities across 11 countries in Africa and 6 in LAC. Sociodemographic information, signs and symptoms, management and clinical outcomes were extracted from medical records. Facility-level data on post-abortion care (PAC) capabilities were also collected, and facilities were classified accordingly. χ2 or Fisher’s exact tests were used to compare categorical data. Results The total number of women with EP and MP across both regions was 9.9% (2 415/24 424) where EP accounted for 7.8% (1 904/24 424) and MP for 2.1% (511/24 424). EP presented a higher severity of complications than MP. At admission, 49.8% of EP had signs of peritoneal irritation. The most common surgical management for EP was laparotomy (87.2%) and for MP, uterine evacuation (89.8%). Facilities with higher scores in infrastructure and capability to provide PAC more frequently provided minimal invasive management using methotrexate/other medical treatment (34.9%) and laparoscopy (5.1%). Conclusion In Africa and LAC, EP and MP cause significant maternal morbidity and mortality. The disparity in the provision of good quality care highlights the need to strengthen the implementation of evidence-based recommendations in the clinical and surgical management of EP and MPItem Optimism for the UN Proclamation of the Decade of Action on Nutrition: An African Perspective(Global Health: Science and Practice, 2016) Aryeetey, R.On Friday, April 1, 2016, the United Nations (UN) General Assembly proclaimed 2016 to 2025 as a decade of action on nutrition.1 Writing as an African living and working in sub-Saharan Africa, where up to 11% of gross domestic product (GDP) is lost to malnutrition2 and where malnutrition is declining rather too slowly for anyone’s liking, this proclamation captured my attention. Another reason this is significant for me and, I reckon, for many others is that this year also marks the beginning of the Sustainable Development Goals (SDGs),3 which articulate achieving zero hunger and the even more aspirational dream of ending all forms of malnutrition by the year 2030. Later this year in August in Rio de Janeiro, Brazil, the Nutrition for Growth Summit will also bring more attention to efforts to eliminate malnutrition around the world. Considering these and other events con aggregating around such a short duration, it would appear to an outside observer that the world is set for a momentous delivery of something really big for nutrition.Item Community perceptions on the factors in the social food environment that influence dietary behaviour in cities of Kenya and Ghana: A Photovoice study(Public Health Nutrition, 2022) Wanjohi, M.N.; Laar, A.; Aryeteey, R.; et al.Objective To explore communities’ perspectives on the factors in the social food environment that influence dietary behaviours in African cities. Design A qualitative study using participatory photography (Photovoice). Participants took and discussed photographs representing factors in the social food environment that influence their dietary behaviours. Follow-up in-depth interviews allowed participants to tell the ‘stories’ of their photographs. Thematic analysis was conducted, using data-driven and theory-driven (based on the socio-ecological model) approaches. Setting Three low-income areas of Nairobi (n=48) in Kenya, and Accra (n=62) and Ho (n=32) in Ghana. Participants Adolescents and adults, male and female aged ≥13 years. Results The ‘people’ who were the most commonly reported as influencers of dietary behaviours within the social food environment included family members, friends, health workers and food vendors. They mainly influenced food purchase, preparation and consumption, through 1) considerations for family members’ food preferences, 2) considerations for family members’ health and nutrition needs, 3) social support by family and friends, 4) provision of nutritional advice and modelling food behaviour by parents and health professionals, 5) food vendors’ services and social qualities. Conclusions The family presents an opportunity for promoting healthy dietary behaviours between family members. Peer groups could be harnessed to promote healthy dietary behaviours among adolescents and youth. Empowering food vendors to provide healthier and safer food options could enhance healthier food sourcing, purchasing and consumption in African low-income urban communities.Item Assessing Project Management Maturity in Africa: A Ghanaian Perspective(International Journal of Business Administration, 2013) Ofori, D.; Deffor, E.W.The level of project management awareness and recognition of the standards and knowledge sharing among professionals is on the rise. Despite this many projects continue to fail. Ameliorating project failure requires project management maturity among practitioners. Project management maturity is the progressive development of an enterprise-wide project management approach, methodology, strategy, and decision-making process. To ascertain the level of maturity among project-oriented organizations in Ghana the following research questions were raised: Is the concept of PM maturity understood in Ghana? What are Project Management Maturity levels in Ghana? What maturity models are in use? Are there differences in project management maturity levels in industries in Ghana? The study was exploratory and utilized a questionnaire survey method to collect data on project management Maturity in Ghanaian organizations. Purposive sampling was used to select a sample of 200 managers from different economic sectors. The findings showed that differences exist in the current project management maturity levels across each phase of the project life cycle for all organizations. The study also showed that most of the practitioners expect their respective organizations to attain higher levels of project management maturity (PMM) albeit at various levels. Organizations operating in the non-profit (NGO) category exhibited relatively higher levels of maturity compared to the other categories of organizations in all five phases of the project management life cycle. Firms in the public sector of Ghana recorded low levels of maturity in most of the phases of the project management life cycle. This may be attributed to the low level of project management expertise in the sector, with possible dire consequence to the country’s development since the public sector accounts for a large percentage of projects executed in Ghana. Overall, the findings seem to indicate that project management maturity occurs in phases; PM maturity does not occur as an event but is an ongoing process that is interlinked. The implication therefore is that organisations cannot claim to be mature in one area and neglect the other; it becomes imperative for project-implementing organizations in Ghana to strive to attain maturity in all five phases of the project management life cycle to attain the full benefits of the projects they implement.Item Conference on ‘Nutrition dynamics in Africa opportunities and challenges for meeting the sustainable development goals’(Proceedings of the Nutrition Society, 2017) Aryeetey, R.; Colecraft, E.; Holdsworth, M.; et al.Although a substantial amount of nutrition research is conducted in Africa, the research agenda is mainly donor-driven. There is a clear need for a revised research agenda in Africa which is both driven by and responding to local priorities. The present paper summarises the proceedings of a symposium on how evidence can guide decision-makers towards context-appropriate priorities and decisions in nutrition. The paper focuses on lessons learned from case studies by the Evidence Informed Decision Making in Nutrition and Health Network implemented between 2015 and 2016 in Benin, Ghana, and South Africa. Activities within these countries were organised around problem-oriented evidence-informed decision-making (EIDM), capacity strengthening and leadership, and horizontal collaboration. Using a combination of desk-reviews, stakeholder influence-mapping, semi-structured interviews and convening platforms, these country-level studies demonstrated a strong interest in partnership between researchers and decision-makers, and the use of research evidence for prioritization and decision-making in nutrition. Identified capacity gaps were addressed through training workshops on EIDM, systematic reviews, cost-benefit evaluations, and evidence contextualization. Investing in knowledge partnerships and the development of capacity and leadership are key to driving the appropriate use of evidence in nutrition policy and programming in Africa.Item African Women in Neurosurgery: An Exploration of Historical Perspectives, Current Realities, and Future Prospects(Women in Neurosurgery, 2024-11-10) Boi-Dsan,A.A.N.; Venkatesh,P.; Tenkorang,P.; Omoba,O.; Limann,B.; Opara,A.; Osunjimi,A.A.; Barrie,U.; Totimeh,T.; Ibironke,E.; Banson,M.BACKGROUND: Gender disparities remain significant issue, particularly impacting African women in the field of neurosurgery. METHODS: Databases, articles, and perspectives were reviewed to identify challenges faced by African Women in Neurosurgery (AWIN), and explore solutions for recruitment, retention, and career advancement of AWIN. RESULTS: In 1982, Africa saw its first female neurosurgeon, with the first female president of the World Federation of Neurosurgical Societies appointed 4 null decades later. Presently, the continent hosts 245 female neurosurgeons, with North Africa comprising the majority at 76.3%, with Algeria notably contributing 72.2% of this total. Southern Africa contributes 7.8%, while West Africa, East Africa, and Central Africa contributed 6.5%, 6.1%, and 3.3%, respectively. Thirteen countries lack neurosurgeons entirely and 30 out of the 54 African nations face shortages of female neurosurgeons, with distributions as follows: North Africa (1-country), Southern Africa (6-countries), West Africa (8-countries), East Africa (9-countries), and Central Africa (6 countries). Our analysis mapped the distribution of 245 AWIN across the African regions and examined the professional trajectories and achievements of 17 pioneering AWIN. Additionally, we compiled registries for: 1) 76 neurosurgical training programs across 26 African countries, 2) organizations tackling gender disparities in neurosurgery, and 3) recommendations to promote AWIN across governmental, community, and academic spheres. CONCLUSIONS: To boost AWIN representation in neurosurgery, concerted and comprehensive efforts are vital. Collaboration among medical schools, training programs, and governments are key to fostering diversity and inclusivity in African neurosurgical settings.Item Policy Responses to fight COVID-19; the case of Ghana(Brazilian Journal Of Public Administration, 2020) Antwi-Boasiako, J.; Abbey, C.O.A.; Ofori, R.A.; Ogbey, P.This paper focuses on the policy responses of Ghana’s government with a focus on three areas: health, economic, and social. Ghana has made several policy interventions in these three areas. The study highlighted the adoption of the 3T approach in health, CAP-20 in economics, and free water and subsidized electricity for citizens as social interventions. The study concludes that the measures undertaken by the Government of Ghana have yielded significant results even though some challenges with delivery mechanisms are identified. The available statistics as of October 25, 2020, on the COVID-19 situation in Ghana further affirm the gains.Item Digital Platforms in Climate Information Service Delivery for Farming in Ghana(African Handbook of Climate Change Adaptation, 2021) Sarku, R.; Adiku, P.; Appiah, D.O.; et al.Phone-based applications, Internet connectivity, and big data are enabling climate change adaptations. From ICT for development and agriculture perspectives, great interest exists in how digital platforms support climate information provision for smallholder farmers in Africa. The vast majority of these platforms both private and public are for delivering climate information services and for data collection. The sheer number of digital platforms in the climate information sector has created a complex information landscape for potential information users, with platforms differing in information type, technology, geographic coverage, financing structures, and infrastructure. This chapter mapped the existing climate information services and examined their impact on policy and practices in smallholder farming development in Africa, with a focus on Ghana. Specifically, the chapter provides highlights of digital platforms available to smallholder farmers and agricultural extension agents, analyzes the public and/or private governance arrangements that underpin the implementation of digital climate information delivery, and assesses the potential of these platforms in scaling up the use of climate information. The chapter contributes to understanding the dynamics of climate information delivery with digital tools in Africa and suggests a future research agenda.Item Women, Gender, and Development in Africa(The Palgrave Handbook of African Women's Studies, 2020) Anyidoho, N.A.Gender denotes the social prescriptions associated with biological sex in regard to roles, behavior, appearance, cognition, emotions, and so on. Social relations of gender or gender relations encompass all relationships in which gender sub jectivities play a role, including those among people, and between people and the institutions, systems, and processes of development. The chapter describes three features of gender relations that are generally consistent across societies – gender ideologies and myths; gendered division of labor; and unequal power relation ships – and discusses their implications for development. The chapter further explains the centrality of gender to the development enterprise and discusses various approaches to integrating gender analysis in development processes.