Volta Region Research Articles

Community beliefs and practices about diabetes and their implications for the prevention and management of diabetes in Southeast Ghana

BackgroundDiabetes is a major public health issue, and over half a billion people are estimated to be living with diabetes, with 6.7 million deaths reported in 2021. The global diabetes burden has been recognised and included in the United Nations Sustainable Development Goals to achieve a zero increase in diabetes cases and reduce one-third of premature diabetes deaths by 2030. However, local beliefs about the causes of diabetes have affected its prevention and management. This study examined community beliefs and practices about diabetes and how they affect the prevention and management of diabetes in the community.MethodsThis study was carried out in the Ho Municipality of the Volta Region of Ghana. We conducted 33 in-depth interviews with 18 patients with diabetes, 5 carers (caretakers of patients with diabetes), 3 traditional healers, 2 religious leaders, 3 community elders, and 2 assembly members who were purposefully selected from urban and rural areas across the municipality. The interviews were recorded digitally and transcribed verbatim. Thematic analysis was applied to analyse the data using QRS NVivo 20.ResultsDiabetes was described locally as sukli dɔ (sugar disease), which affects humans. Diabetes is believed to be caused by spiritual forces (juju, bewitchment, and punishment from gods) and physical factors (unhealthy diet, physical inactivity, eating fruits and vegetables sprayed with pesticides and insecticides, sugary and starchy foods, smoking, and abuse of alcohol). In terms of the management of diabetes, participants said traditional remedies are performed for spiritual interpretation, deliverance, fortification, and cleansing before biomedical and physical remedies are sought. Diabetes was likened to HIV/AIDS, and the sufferers were described as bringing the condition upon themselves as a result of their bad deeds. They were stigmatised, coupled with delays at the hospital, and poverty has also affected the prevention and management of diabetes.ConclusionThe local belief that diabetes is caused by spiritual forces, likened to HIV/AIDS, delays at hospitals, and poverty, has affected the prevention and management of diabetes. Incorporating local beliefs and practices into the intervention design using culturally sensitive health education programmes and improving social determinants of health may help improve the prevention and management of diabetes in communities.

International and internal migration and the subjective wellbeing of wives left behind in Ghana

AbstractHusbands' labour migration has ramifications for significant family members, particularly wives left behind. However, limited studies have been conducted to examine the impacts of husbands' migration on women left behind married to international and internal migrants. Drawing on a purposive sampling survey of 298 Ghanaian women (international = 129 and internal = 169) in the Volta Region, we assessed their subjective wellbeing using three dimensions: self‐reported health, self‐reported satisfaction with life, and self‐reported happiness. The results from t‐tests show that on average, international women left behind have higher perceived health (3.72), perceived happiness (3.82) and satisfaction with life (3.19). Results from the multivariable binary logistic regression analyses reveal that while no variables predict self‐reported health for international women left behind, high frequency of communication is statistically associated with internal women left behind self‐assessed health. International women left behind who lived in nuclear households and internal women left behind who reported high wealth quintiles were both statistically associated with satisfaction with life, respectively. While demographic factors (age and duration of marriage) were significant predictors of happiness for international women left behind, neighbourhood type and frequency of communication predicted happiness for internal women left behind. The differences in variables predicting each of the subjective wellbeing dimensions demonstrate the concept's multidimensionality. It also highlights factors influencing subjective wellbeing outcomes of women left behind are not solely due to their husbands' migration. The policy implications of this study are highlighted.

A local-level agricultural transformation in the making? The case of the cassava industry in the Ashanti and Volta regions of Ghana

ABSTRACT In sub-Saharan Africa, Ghana is recognized as one of the countries undergoing rapid economic transformation. Drawing on an agricultural transformation framework, this study sheds light on the current farm and nonfarm developments in the cassava subsector in five communities across four districts in Ghana. Using a qualitative exploratory research design based on field-work surveys, the study identifies several factors that together showcase manifestations of a transformation process in the studied areas. These include a combination of growing farm sizes, use of new technologies, higher productivity, expanding market opportunities, increased profitability, improved lives and livelihoods, and changing labour structures. These micro-level findings allow the study to offer a richer understanding of dynamics of change underway that could complement macro-oriented analyses of agricultural transformation in Africa.

Assessment of Obesity Among Pregnant Women in the Volta Region of Ghana

Background: Obesity remains a rising challenge in both developed and developing countries, and maternal obesity has become one of the most occurring risk factors, which can lead to gestational diabetes, pre-eclampsia and prematurity in obstetric practice for both the mother and the child. Pregnancy is a timeline where obesity cannot be effectively worked on as the mother is more likely to live unhealthy lifestyle such as unhealthy diet, binge eating and less physical activity, which would most likely affect foetal health. This is an issue as most pregnant women in Volta Region are either overweight or obese. This research assessed the prevalence of obesity among pregnant women in the Volta Region of Ghana. Material and Method: A full structured questionnaire was administered to 220 participants based on their knowledge of obesity and its effect on pregnancy, food choices, mealtimes and portion sizes, as well as physical activity during pregnancy. Body weight and height were measured using standardized procedures and body mass index (BMI) was calculated. Overweight and obesity were defined based on WHO criteria. Data analysis was performed using SPSS version 20.0. Results: Based on excessive gestational weight gain, prevalence of obesity among the pregnant women was 54% (119). Majority of respondents had poor knowledge of obesity and its effect on the mother and the foetus, which represented a significant correlation (p< 0.0001) between their caloric intake and high gestational weight gain. Physical activity showed no significant effect (p = 0.2) on gestational weight gain. However, pre-pregnancy BMI of the expectant mothers was directly linked to high gestational weight gain with age being the significant risk factor (p<0.02) for obesity before pregnancy. Conclusion: This research found limited awareness of excessive gestational weight gain and its health consequences among pregnant women and the unborn baby. Therefore, monitoring gestational weight gain using diverse approaches to integrate and manage the condition in routine antenatal care needs consideration.

Assessment Beliefs, Practices and Competence Vis-À-Vis Demographic Characteristics of Senior High School Social Studies Teachers in Ghana

This study examined the impact of demographic factors on the assessment beliefs, practices and competence of Social Studies teachers in selected Senior High / Technical Schools in the Volta and Oti Regions of Ghana. The study was guided by the Human Capital Theory (HCT). It utilized a quantitative research approach and a cross-sectional research design. Employing a two-stage simple random sampling method, 196 Social Studies teachers were randomly selected from 80 Senior High Schools (SHS) and Senior High Technical Schools (SHTS) in the Regions. Data was collected through a questionnaire, covering the participants’ demographic information and assessment beliefs, practices and competence. Statistical data treatment was done through frequency distributions. It was displayed using a contingency table and Cramer's V analysis. Findings indicated no significant correlation between the teachers’ gender, educational background, teaching experience, assessment beliefs, practices and competence. The study concludes that the demographic did not influence the teachers’ assessment beliefs. Based on the conclusions, it is recommended that professional development should focus on individualized training that targets specific needs of teachers in assessment literacy rather than generalizing based on demographic factors. This could help foster more robust and consistent assessment beliefs across the teaching population. In addition, teacher education programs should prioritize skills-based training on contemporary assessment methodologies and address competency gaps regardless of demographic factors.

Prevalence and factors associated with COVID-19 vaccine hesitancy among adults in Ghana: a population-based cross-sectional study in the Volta Region

BackgroundVaccines have been instrumental in preventing up to three million deaths globally, according to the WHO. Despite this, COVID-19 vaccine uptake has faced challenges due to vaccine issues, production difficulties, and various socio-demographic, economic, structural, and cultural factors.Objective/aimThis study examined the factors influencing vaccine hesitancy among adults aged 18 and older in the Volta Region of Ghana.MethodsA population-based cross-sectional study was conducted among 590 adults from three districts using multistage sampling. Respondents aged 18 years and above were recruited using a structured questionnaire and an interviewer-administered approach. Data analysis was conducted using STATA version 16. The relationship between the dependent and independent variables was assessed through logistic regression analysis, with statistical significance determined at a p-value of less than 0.05.ResultsA 42.5% rate of vaccine hesitancy was found. Key predictors included being an artisan (aOR = 1.99), a trader (aOR = 3.64), lacking nearby healthcare centres (aOR = 1.52), residing in rural areas (aOR = 0.41), earning less than 500 cedis (aOR = 0.57), and having a larger household size (aOR = 0.37). Not receiving information on vaccine side effects from health personnel (aOR = 5.6) was also a significant factor (p < 0.05).ConclusionTo enhance COVID-19 vaccine uptake and advance towards ensuring healthy lives and promoting well-being for all at all ages (SDG 3), healthcare interventions designed by health professionals should address these major predictors.

Microbial and Heavy Metal Evaluation of Sachet Drinking Water in the Hohoe Municipality, Ghana

Aim: To study microbial and heavy metal composition in sachet drinking water in the Hohoe municipality in the Volta Region of Ghana. Place and Duration of Study: The study was conducted in the Hohoe Municipality in the Volta region of Ghana and laboratory analyses were carried out at the Microbiology laboratory of the Department of Biochemistry and Biotechnology, Kwame Nkrumah University of Science and Technology between June 2018 and May 2019. Study Design: Cross-sectional study. Methodology: The study was conducted on three samples each of eight different brands of sachet water randomly selected across various towns from street vendors in the Hohoe Municipality for microbial and chemical analyses. 10ml of each sample was aliquoted under sterile conditions and cultured overnight in nutrient media. Enumeration and qualitative analyses of bacteria were performed using the pour plate method. For heavy metal analysis, 5 ml of concentrated HNO3 was added to 40 ml of each sample and heated at 100 °C for 20–30 minutes to reduce the volume to 20 ml. 30ml of distilled water was subsequently added and the mixture was analyzed using flame atomic absorption Spectroscopy. Results: Out of total twenty-four samples analyzed, 50% of the sachet water was contaminated with total and fecal coliforms with the highest average coliform forming unit (cfu/ml) being 16.2 x 105 cfu/ml and the least 0.01 x 105 cfu/ml. There were Klebsiella spp, and Pseudomonas aeruginosa contamination in 50% of the sachet drinking water but Salmonella spp and E. coli were absent in all brands. Chromium was detected to be within the range of 0.40mg/L - 0.56mg/L in the sachet water while zinc was in the range of 0.03mg/L– 0.94mg/L. Chromium concentration in all sachet brands were above the WHO standard while zinc was within the acceptable range. Cadmium and lead were below detectable limits (BDL). Conclusion: This study indicated that some of the sachet drinking water sold in the Hohoe Municipality is impure for human consumption. Inappropriate water purification procedures and improper handling of sachet water play a significant role in determining the overall quality of sachet drinking water.

Assessing the impact of telephone call intervention on medication adherence in individuals with mental health disorders: A longitudinal study in a tertiary facility in Volta Region

Medication adherence strategies that are successful, suitable and economical are vital to the treatment outcome of persons living with mental illness. Mobile-phone-based intervention is one such strategy and is particularly critical to reducing medication non-adherence, especially in mental health disorders. This study aimed to assess the impact of telephone adherence counselling on medication adherence in persons with mental health disorders. A longitudinal study was conducted on study participants who were randomly assigned to control and intervention groups over three months. Both groups received standard medication adherence counselling for the first month and then baseline adherence levels were determined using the medication adherence rating scale (MARS). The control group received standard medication adherence counselling at the psychiatric clinic whilst the intervention group received additional telephone calls made to each member of the intervention group once a week for a total of 8 times over 2 months. Of the patients who were screened for potential participation, 149 participants passed and 87 participants participated making a response rate of 58.40 %. The t-test conducted on the participants after the first (Month 2) and second (Month 3) on those with Telephone Call Intervention inferred significant statistical differences (p < 0.001). MARS Scores appreciated in the intervention group compared to the control group in Month 2 (1.64) and Month 3 (1.79). A positive impact of Telephone Call Interventions on medication adherence was achieved. This intervention can be a medication adherence strategy to supplement the standard medication adherence counselling which could improve treatment outcomes.

The costs of implementing anaemia reduction interventions among women fish processors in Ghana

BackgroundAnaemia among women of reproductive age (WRA) remains persistently high in Ghana, affecting 41% in 2022. Women in low-income communities in Ghana engaged in fish processing activities are at increased risk of anaemia due to inadequate diets, exposure to infectious pathogens, and pollutants. The Invisible Fishers (IFs) project was implemented among women fish processors in their reproductive age in Central and Volta regions of Ghana to mitigate anaemia. Despite the efficacy, feasibility and scalability of the intervention, the cost of implementing the intervention is unknown. The objective of this study was to estimate the costs of implementing the IFs project in Ghana.MethodsWe used micro-costing approach to analyse the costs of implementing the IFs project. Data were collected as part of a pilot randomized control trial with three interventions: Behaviour Change Communication (BCC), Strengthening Market Engagement of fish processors plus Behaviour Change Communication (SME + BCC), and Fish Smoking Technology and Practices plus Behaviour Change Communication (FST + BCC). The interventions were delivered to 60 women fish processors in the Central region and 60 in Volta region. The cost of the intervention was estimated from the societal perspective. Economic costs were categorized as direct costs (i.e. personnel, transportation, meetings, training, and monitoring) and indirect cost (i.e. value of productive time lost due to women and community volunteers’ participation in the activities of the IFs project).ResultsThe FST + BCC had the highest average cost per beneficiary (US$11898.62), followed by the SME + BCC (US8962.93). The least expensive was the BCC (US$4651.93) over the intervention period of 18 months. Recurrent costs constituted the largest component of economic costs (98%). Key drivers of direct costs were personnel (58%), administrative expenses (14%), and transportation (7%).ConclusionThere is a high cost for implementing interventions included in the IFs project. Planning and scaling -up of the interventions across larger populations could bring about economies of scale to reduce the average cost of the interventions.

Understanding and resolving student conflicts: Perspectives and strategies in senior high schools across the Volta Region of Ghana

AbstractThis study investigates the dynamics, sources, and resolution strategies of student conflicts in senior high schools across the Volta Region of Ghana. Despite the implementation of various conflict resolution and peer mediation programs, challenges in effectively managing student disputes remain prevalent. These conflicts often stem from interpersonal and academic tensions, exacerbated by a complex mix of socio‐cultural backgrounds, economic disparities, and personal beliefs. Our analysis reveals significant gender differences in conflict experiences and resolutions, highlighting the need for gender‐sensitive and culturally informed approaches. The study employed a quantitative research design, utilizing a structured questionnaire to gather data from a representative sample of 661 students. The findings indicate that interpersonal conflicts with peers and academic‐related issues are the most common, with conflicts involving violence and guns being comparatively rare. Gender‐specific differences were notable in responses to conflicts involving school administration and cultural or ethnic disparities. The research underscores the importance of adopting comprehensive, culturally sensitive conflict resolution programs that are tailored to the unique socio‐cultural and educational context of the Volta Region. By addressing these nuanced needs, the study aims to enhance the educational landscape and foster an atmosphere conducive to effective dispute resolution. The findings contribute to the discourse on implementing effective, culturally responsive conflict resolution mechanisms in Ghanaian senior high schools, advocating for strategies that support the holistic development of students.

Motivation, responsibilities, and experiences of HIV/AIDS counselors in the Volta Region of Ghana: a descriptive phenomenological study

BackgroundThe provision of professional counseling services for persons living with human immunodeficiency virus (PLHIV) is crucial in the prevention and treatment continuum of the disease. However, for counselors of people infected with the human immunodeficiency virus (HIV) leading to acquired immune deficiency syndrome (AIDS) to give their best, their motivations to become counselors and the challenges they face in their line of duty need to be contextually understood and addressed. We ascertained the roles, motivations, and experiences of HIV/AIDS counselors in the Volta Region of Ghana to inform HIV/AIDS counseling decision-making in the region and the country.MethodsA phenomenological study conducted among sixteen (16) HIV/AIDS counselors from five HIV/AIDS sentinel sites in the Volta region of Ghana, recruited through a purposive sampling approach and interviewed to ascertain their HIV/AIDS counseling-related experiences. The data were thematically analyzed using the Atlas. ti software, and sub-themes supported with verbatim quotes.ResultsFive motives for becoming an HIV/AIDS counselor were found. These include being randomly assigned to the unit, developing interest in the job, because of the status of a relative, witnessing bad attitudes of healthcare providers, and seeing HIV- clients lacking knowledge of the condition. The study found that these counselors performed six core roles: providing nutritional counseling, educating clients on HIV, treatment, and medication provision, conducting testing and comprehensive counseling of clients, providing social support to clients, and offering financial support to clients. The experiences these counselors had were boosting clients’ health status, counseling clients back to a normal mental state, cooperation from clients, participants gaining knowledge on HIV through counseling, counseling clients to accept their status, and when a client delivered an HIV-negative baby. Their negative experiences included clients denying their HIV status, clients defaulting on their treatment, uncooperative clients, death of clients due to fear of breach of confidentiality, self-stigmatization among clients, and the myths some people hold towards HIV/AIDS.ConclusionBy organizing capacity-building training programs for HIV/AIDS counselors in the Volta region and addressing the negative experiences they encounter, they could be empowered to provide effective counseling, curative, and social services to people living with HIV in the region, leading to improved health outcomes.

Physicochemical Properties of Water Samples in the Volta Region of Ghana: Implications for Public Health

Physicochemical Properties of Water Samples in the Volta Region of Ghana: Implications for Public Health

Aesthetic elements in Tagbayiyi ritual performance of the Fiasidi tradition in the Klikor traditional area of Ghana

The chiefs and people of the Klikor Traditional Area in the Volta Region of Ghana celebrate the Fiasidi tradition, an annual religious and cultural festival. A yearly ritual performance known as Tagbayiyi (pilgrimage to the sacred grove) is a part of the Fiasidi tradition. Despite the abundance of research relative to the human and cultural rights aspects of the Fiasidi tradition, there is a glaring lack of research on the aesthetic elements reflected in the Tagbayiyi ritual performance. The study investigated the aesthetic aspects of the Tagbayiyi ritual by highlighting its visual and performing arts to gain a deeper understanding of the Anlo-Ewe cultural identity. The study employed a qualitative ethnographic design to interact and access the viewpoints of the participants. A total of fifteen (15) participants, comprising high priests, tradition keepers, ritual functionaries, and supplicants in the Klikor Traditional Area were sampled using a homogenous type of the purposive sampling approach. The study found that the Tagbayiyi exhibits aesthetic elements such as indigenous costume regalia, sacred stools, local beads, priestly emblems, rhythmic and graceful musical dances among others, which symbolically represent the sociocultural identity of the Klikor people. The study, therefore, recommends that the leadership of Klikor (high priests, council of elders &amp; ritual functionaries) should liaise with the Ghana Museums and Monuments Board, Ghana Tourism Authority, National Commission on Culture, and other cultural institutions to preserve and promote the rich aesthetic elements showcased during Tagbayiyi rite for the benefit of the current and future generations of Klikor.

Work-related stress among nurses: a comparative cross-sectional study of two government hospitals in Ghana

BackgroundOccupational stress is increasing globally and affecting all workplaces and countries’ health professionals. Despite its significant impact on healthcare delivery, limited studies have actually compared the prevalence, causes, effects, and coping strategies of stress among nurses working in hospitals with variation in capacity and function in Ghana. We, therefore, examined and compared the prevalence, causes, effects and coping strategies of occupational stress among nurses working in a secondary care and tertiary hospital in Ghana.MethodsWe conducted a health facility-based cross-sectional study among 248 nurses from two hospitals (Volta Regional Hospital [VRH] and Ho Teaching Hospital [HTH]). The Perceived Stress Scale (PSS) and Weiman Occupational Stress Scale (WOSS) were used to measure the nurses’ stress levels and causes of occupational stress respectively. A self-reported checklist was used to measure both the effects of stress and strategies. Descriptive analyses and t-tests were performed, and statistical significance was measured at the 0.05 level.ResultsThe majority of nurses 77.8% experienced a moderate level of perceived stress. The total individual mean scores of the nurses from the two hospitals (VRH = 3.02 and HTH = 3.09) were 34% and 37% respectively higher than the established WOSS individual average of 2.25. Nursing difficult patients (t=-1.1196, p = 0.037), Unfriendly relationships with superiors, colleagues, and subordinates (t=-2.3333, p = 0.020), working with incompetent staff (t=-1.3129, p = 0.037) were the statistically significant stressors among nurses in the HTH. Whereas, long work hours (t = 2.0841, p = 0.038) and needle-stick injuries (t = 2.6669, p = 0.008) were the statistically significant stressors among nurses from the VRH. Headache (VRH = 73.8% and HTH = 97.9%), Fatigue (VRH = 68.9% and HTH = 83.5%), Frustration VRH = 50.5% and HTH = 68.3%) and Lack of Concentration (VRH = 81.6% and HTH = 80.0%) were most common effects of occupational stress reported.ConclusionThe majority of nurses reported moderate levels of stress, with the two institutions’ stressors differing. Key causes of stress were needle stick injuries, long hours, dealing with challenging patients and strained interpersonal relationships. Common side effects were headaches, exhaustion, irritability, and trouble focusing. To accelerate progress towards achieving the sustainable development goal (SDG) 3.4 of promoting mental health and well-being by 2030, the 2012 Mental Health Act of Ghana and the Occupational Health and Safety Regulations, should fully and effectively be implemented in health facilities across the country.

Epidemiological Model of the Regional Distribution and Analysis of Hepatitis B in Ghana: A Sub-Saharan African Country

Hepatitis B (HB) is a global public health burden which has impacted economies of many countries, particularly in sub-Saharan Africa. The effect is worse where there is lack of definite information regarding policy direction and capacity towards implementing interventions to control the transmission and spread of the infection. In this study, a SEIR deterministic compartmental model and a hybrid optimisation method for parameter estimation, similar to that of Awuah-Mensah et al. (2022), were used to analyse the regional distribution of HB in Ghana, a sub-Saharan African country. The regional epidemiological threshold parameters [Formula: see text] and herd immunity threshold parameters [Formula: see text] computed based on the estimated parameters for each of the regions ranged from a minimum of [Formula: see text] for Volta region in the southeast to a maximum of [Formula: see text] for Upper West region in the northwest of Ghana. These values of [Formula: see text] and [Formula: see text] indicated that HB persists in Ghana and the transmission and spread and the associated burden were found to generally increase from south to north of the country. Based on the estimated parameters, only Western region recorded a recovery rate of [Formula: see text]. The remaining nine regions recorded zero recovery rates. The trend of transmission and spread of the infection was also found to be positively related to poverty and health sector inequalities across the regions of the country.

Betting high, feeling low: a cross-sectional examination of gambling severity and psychological distress among Ghanaian youth

BackgroundLittle is known about the nexus between online gambling and psychological distress among youth, especially in Ghana. This study aimed to investigate the effects of online sports betting on psychological distress, focusing on depression, anxiety, and stress among young individuals in the Volta region of Ghana.MethodsA cross-sectional study was carried out at various betting centers in the Volta region of Ghana. Four hundred and three (403) participants were selected using a multi-stage sampling method. The study used a standardized questionnaire to assess psychological distress with the Depression, Anxiety, and Stress Scale (DASS 21) and problematic gambling with the Problem Gambling Severity Index (PGSI). The analysis included both descriptive and inferential methods. These include the implementation of the bootstrap technique within multiple regression models using the current versions of Jeffreys’s Amazing Statistics Program (JASP) [0.18.2], Statistical Package for the Social Sciences (SPSS) [29.0.2], and Microsoft Excel (2019).ResultsThe study found a prevalence of 40% for problematic gambling and 44% for moderate gambling problems among participants, resulting in an overall gambling prevalence of 84%. Regarding psychological distress, the estimated prevalence of depression among participants was 43.6%, with stress reported at 31.1% and anxiety at 68.8%. The overall prevalence of psychological distress was 48%. When analyzing the link between gambling and psychological distress, the study noted that males were more prone to gambling-related psychological distress than females (β = 2.036, p = 0.025). Furthermore, individuals with problem gambling showed the highest probability of experiencing more significant psychological distress compared to other groups (β = 9.228, p = 0.002), followed by those with moderate gambling levels (β = 3.283, p = 0.002).ConclusionWe recommend that the mental health unit of the Ghana Health Service, in collaboration with the Gaming Commission of Ghana, should develop youth-friendly interventions to address the prevalence and onset of problematic gambling among the youth, especially males. This could, in turn, reduce the prevalence of psychological distress among youth engaged in online gambling in Ghana.

From Tradition to Innovation: The Incorporation of Trumpet in Bɔbɔɔbɔ (Borborbor) Dance of The Ewe People

This article explores the emergence and evolution of bɔbɔɔbɔ (borborbor), a distinctive Ewe dance that originated in mid 20th century British Togoland (now the Volta Region of Ghana) and French Togoland (now Togo). Initially rooted in traditional kokomba dance forms, particularly tuidzi and akpese, bɔbɔɔbɔ rapidly integrated European military brass band instruments, notably the bugle and later the trumpet, influenced by the burgeoning popular music genre of highlife in Ghana. Drawing on ethnographic research conducted in Ewe communities in Ghana, this paper examines the transformative role of the trumpet within bɔbɔɔbɔ ensembles. It investigates how the trumpet’s adoption led to its unique interpretative functions, including improvised obbligatos, sampling of familiar tunes, and enhancing the rhythmic and percussive dynamics of performances. Ultimately, this study illuminates the process of indigenization of the trumpet within bɔbɔɔbɔ, highlighting themes of adoption, assimilation, and reinterpretation in the evolution of this vibrant musical tradition

Spatial distribution and factors associated with high completed fertility among women aged 40–49 years in Ghana: evidence from the 2022 Ghana Demographic Health Survey

BackgroundHigh completed fertility among married and cohabiting women has profound consequences, including straining resources, increasing healthcare challenges, and contributing to educational and gender inequalities. This study examined the factors associated with high completed fertility among married and cohabiting women aged 40–49 years in Ghana.MethodsData for the study was sourced from the 2022 Ghana Demographic and Health Survey (GDHS). A spatial map was used to present the women's geographic variations in high completed fertility. A mixed-effect multilevel binary logistic regression analysis was performed to identify the factors associated with high completed fertility. The findings were presented as adjusted odds ratios (aOR) with a 95% confidence interval (CI).ResultsThe national proportion of high completed fertility among married and cohabiting women aged 40–49 years in Ghana was 52.0% [48.8, 55.2]. Women who were Ga/Dangme/Ewe by tribe [aOR = 2.32, 95% CI = 1.06, 5.08] had higher odds of high completed fertility than Akans. Women who indicated 6 + as their ideal number of children had a higher [aOR = 5.60, 95% CI = 2.90, 10.82] likelihood of high completed fertility compared to those whose ideal number of children was 0–3. Those who were using contraceptives at the time of the survey had a higher [aOR = 2.31, 95% CI = 1.17, 4.55] likelihood of high completed fertility compared to those who were not using contraceptives. Women with secondary/higher education [aOR = 0.32, 95% CI = 0.17, 0.58] had lower odds of high completed fertility than those without no formal education. Women with females as household heads [aOR = 0.56, 95% CI = 0.33, 0.95] had lower odds of high completed fertility than males. Women in Volta, Western North, Ahafo, and Bono regions had lower odds of high completed fertility compared to those living in the Northeast region, with the lowest odds among those living in the Volta region [aOR = 0.08, 95% CI = 0.02, 0.40].ConclusionHigh completed fertility is prevalent in Ghana, with more than half of married and cohabiting women having at least five or more children. The government and policymakers in Ghana should promote education for women, increase culturally sensitive family planning programs, increase access to family planning resources, address ideal family size preferences, and improve understanding of contraceptive use.

Evaluation of immunophenotypic alterations of peripheral blood lymphocytes and their sub-sets in uncomplicated P. Falciparum infection

BackgroundMalaria is a life-threatening parasitic disease typically transmitted through the bite of an infected Anopheles mosquito. There is ample evidence showing the potential of malaria infection to affect the counts of lymphocyte subpopulations in the peripheral blood, but the extent of alteration might not be consistent in all geographical locations, due to several local factors. Although Ghana is among the malaria-endemic countries, there is currently no available data on the level of alterations that occur in the counts of lymphocyte subpopulations during P. falciparum malaria infection among adults.AimThe study was to determine the immunophenotypic alterations in the level of peripheral blood lymphocytes and their subsets in adults with uncomplicated P. falciparum malaria infection and apparently healthy participants.MethodsThe study was a cross-sectional comparative study conducted in two municipalities of the Volta region of Ghana. Blood samples were collected from study participants and taken through serology (P. falciparum/Pan Rapid Diagnostic Kits), microscopy (Thick and thin blood films) and Haematological (Flow cytometric and Full blood count) analysis.ResultsA total of 414 participants, comprising 214 patients with malaria and 200 apparently healthy individuals (controls) were recruited into this study. Parasite density of the malaria patients ranged from 75/µL to 84,364/µL, with a mean of 3,520/µL. It was also observed that the total lymphocytes slightly decreased in the P. falciparum-infected individuals (Mean ± SD: 2.08 ± 4.93 × 109/L) compared to the control group (Mean ± SD: 2.47 ± 0.80 × 109/L). Again, there was a significant moderate positive correlation between parasite density and haematocrit levels (r = 0.321, p < 0.001). Apart from CD45 + T-cells, more people in the control group had normal values for the lymphocyte subsets measured compared to the malaria patients.ConclusionsFrom the results obtained, there was high parasite density among the malaria patients suggestive of high intensity of infection in the case group. The malaria patients again showed considerable haematological alterations in lymphocyte sub-sets and the parasite density appeared to be strongly associated with CD4 + T-cell reduction. Also, the parasite density significantly associated with decreasing haematocrit levels. This indicates that lymphocyte subset enumeration can be used to effectively support malaria diagnosis.

Language barriers and healthcare access: a qualitative study in the Volta Region of Ghana

ABSTRACT Background The study explores the language barriers between two language minority populations and healthcare professionals in the Volta Region of Ghana. Methods An interpretive description with a qualitative approach to data collection and analysis was used. This study was carried out in the Tafi-Atome and Avatime-Vane communities, the Hohoe Municipal Hospital and the Margaret Marquart Catholic Hospital in the Kpando Municipality. In all, 46 respondents comprising 19 purposively sampled community members (patients) from the two selected communities and 27 conveniently sampled healthcare professionals from the two health facilities were interviewed. The face-to-face in-depth interviews were audio-recorded, transcribed and thematically analysed. Results The study revealed a barrier in language use between healthcare professionals and patients from the two language minority communities. While healthcare professionals preferred to use English, Akan and Ewe, the patients, on the other hand, preferred their native languages, which are Sideme and Tegbor. The services of unqualified interpreters were utilised by both healthcare professionals and patients. Study participants were aware of these challenges, which prevented the patients from receiving optimum healthcare services, and the healthcare workers from delivering client-centred healthcare services. Conclusions The presence of communication challenges emanating from language barriers between healthcare professionals and patients should be considered as a key hindrance to the attainment of the Sustainable Development Goal Three (SDG3), which aims to promote health and well-being at all ages. Therefore, stakeholders in the healthcare delivery system in Ghana need to prioritize stronger communication and translation practices and policies.