المؤلفون: Silas Selorm Daniels-Donkor, Agani Afaya, Dennis Bomansang Daliri, Timothy Tienbia Laari, Solomon Mohammed Salia, Mabel Apaanye Avane, Richard Adongo Afaya, Vida Nyagre Yakong, Martin Amogre Ayanore, Robert Kaba Alhassan

المصدر: Archives of Public Health, Vol 82, Iss 1, Pp 1-11 (2024)

مصطلحات موضوعية: Antenatal care, Reproductive-age women, GDHS, The Gambia, Public aspects of medicine, RA1-1270

الوصف: Abstract Background A significant factor impacting the incidence of maternal and neonatal fatalities is the timely initiation of antenatal care (ANC) services in healthcare facilities. Despite the recommendations by the World Health Organization and the numerous benefits of timely initiation of ANC, studies have revealed that the overall prevalence of timely ANC initiation in 36 sub-Saharan African countries remains low and women in The Gambia also initiate ANC late. However, no known study in The Gambia has focused on assessing the factors associated with timely initiation of ANC at the time of writing this paper. Thus, this study aimed to assess the prevalence and factors associated with the timely initiation of ANC among reproductive-age women in The Gambia. Methods A cross-sectional survey design was used in this study and conducted among 5,734 reproductive-age women using data from the 2019–2020 Gambia Demographic and Health Survey (GDHS). Using STATA version 14.0, we conducted the analysis using descriptive and inferential statistics. Multilevel logistic regression models were fitted to determine the factors associated with timely ANC utilization and adjusted odds ratios were used to present the results with statistical significance set at p

وصف الملف: electronic resource

العلاقة: https://doaj.org/toc/2049-3258Test

الوصول الحر: https://doaj.org/article/3173399a21164462a6fa3c0054cab99dTest

المؤلفون: Obed Duah Kwaku Asumadu, Michael Boah, Dennis Chirawurah, Joyce Aputere Ndago, Vida Nyagre Yakong, David Abatanie Kanligi, Martin Nyaaba Adokiya

المصدر: PLoS ONE, Vol 19, Iss 4, p e0302589 (2024)

مصطلحات موضوعية: Medicine, Science

الوصف: BackgroundThe COVID-19 pandemic affected expectant mothers seeking maternal health services in most developing countries. Access and utilization of maternal health services including antenatal care (ANC) attendance and skilled delivery declined drastically resulting in adverse pregnancy outcomes. This study assessed pregnancy outcomes before and during COVID-19 pandemic in Tamale Metropolis, Ghana.Methods/designA retrospective cohort study design was employed. A random sampling technique was used to select 450 women who delivered before or during the COVID-19 pandemic in Tamale Metropolis, Ghana. The respondents were interviewed using structured questionnaire at their homes. In this study, the data collected were socio-demographics characteristics, ANC attendance, before or during pandemic delivery, place of delivery and birth outcomes. Chi-square test and bivariate logistic regression analyses were performed under significant level of 0.05 to determine factors associated with the outcome variables.ResultOf the 450 respondents, 51.8% were between 26 and 30 years of age. More than half (52.2%) of the respondents had no formal education and 93.3% were married. The majority (60.4%) of the respondents described their residence as urban setting. About 31.6% of the women delivered before the pandemic. The COVID-19 pandemic influenced place of delivery. The proportion of women who attended at least one ANC visit (84.5% before vs 70.5% during), and delivered at a hospital (76.8% before vs 72.4% during) were higher before the pandemic. More women were likely to deliver at home during COVID-19 (OR: 2.38, 95%CI: 1.52-3.74, pConclusionANC attendance and health facility delivery decreased while pregnancy complications increased during COVID-19. During disease outbreaks, outreach engagement strategies should be devised to increase access and utilization of maternal health services for marginalized and underserved populations. The capacity of health workers should be strengthened through skills training to manage adverse birth outcomes.

وصف الملف: electronic resource

العلاقة: https://journals.plos.org/plosone/article/file?id=10.1371/journal.pone.0302589&type=printableTest; https://doaj.org/toc/1932-6203Test

الوصول الحر: https://doaj.org/article/99976dab27ad449d9d4f1f681d897332Test

المؤلفون: Kwame Opare‐Asamoah, Samuel E. Acquah, Ezekial Kofi Vicar, Lawrence Quaye, Abdul‐Mumin Alhassan, Saeed F. Majeed, Vida Nyagre Yakong, Samuel Yankson

المصدر: Health Science Reports, Vol 6, Iss 11, Pp n/a-n/a (2023)

مصطلحات موضوعية: early‐onset sepsis, late‐onset sepsis, neonates, NICU, predictors, X teaching hospital, Medicine

الوصف: Abstract Background and Aim Neonatal sepsis is a systemic inflammatory response to infection during the first 4 weeks of an infant's life. It is a significant cause of neonatal morbidity and mortality in low‐ and middle‐income countries. This study aimed to determine the predictors of the onset of sepsis at the Neonatal Intensive Care Unit of the Tamale Teaching Hospital, Ghana. Methods A cross‐sectional study was conducted among 275 mothers and their singleton neonates diagnosed clinically with sepsis. A univariate and multivariate logistic regression analysis adjusted for maternal occupational status was performed to determine the maternal and neonatal predictors of early‐onset (EOS) and late‐onset sepsis (LOS), respectively. Results Single motherhood (AOR = 1.882, 95% CI = 0.926−3.822, p = .08) and home delivery (AOR = 3.667, 95% CI = 0.584−23.026, p = .17) were predictors of EOS, with single motherhood being the predictor for LOS (AOR = 2.906, 95% CI = 0.715−11.805, p = .14) in a univariate analysis. When maternal occupation was adjusted for in a multivariate analysis, single mother (AOR = 2.167, 95% CI = 1.010−4.648, p = .04) was the main predictor of EOS, with low neonatal birth weight being the main predictor of LOS (AOR = 0.193, 95% CI = 0.038−0.971, p = .04). Conclusion Maternal marital status is a significant predictor of both EOS and LOS, with predictors of EOS being lower gestational age and low birth weight, while for LOS, low birth weight is the main predictor. Findings from this study can serve as a commencement point for developing predictive models for the onset of sepsis in neonates in the study facility.

وصف الملف: electronic resource

العلاقة: https://doaj.org/toc/2398-8835Test

الوصول الحر: https://doaj.org/article/c076e91a2deb434ababab48b82b509ebTest

المؤلفون: Gilbert Ti-enkawol Nachinab, Vida Nyagre Yakong, Joshua Dindiok Dubik, Kokui Dziedzom Klutse, Mubarick Nungbaso Asumah, Beatrice Nyarko Bimpong, Cecilia Mensah, Cynthia Anane Sarpong

المصدر: SAGE Open, Vol 13 (2023)

مصطلحات موضوعية: History of scholarship and learning. The humanities, AZ20-999, Social Sciences

الوصف: Birth preparedness and complication readiness (BPCR) involves preparing for childbirth, bearing in mind the possible complications. The concept of BPCR has the potential to improve the awareness and utilization of suitable medical facilities to ensure safe delivery and minimize maternal and neonatal mortality. The purpose of the study was to explore pregnant women’s perspectives on the benefits and barriers of BPCR in the Northern Ghana. The study employed an exploratory descriptive design using a qualitative approach. Purposive sampling was used to recruit 13 participants. Data was collected through individual face-to-face interviews. The data was analyzed using qualitative content analysis. Out of the 13 participants, the age range for participants was 17 to 37 years; more than half were married, but less than half had no formal education. The participants indicated their understanding of BPCR by explaining the concept of BPCR, dangers signs, and prevention of danger signs. A varied source of information on BPCR was reported including the midwives or clinic, media, and family. The participants indicated that the benefits of BPCR include ensuring adequate preparation, delivery of a healthy child, and arranging for support. The barriers to BPCR were inadequate information, lack of finances, lack of transport, lack of support from the family, and lack of community support. The study findings indicate that the participants were generally informed about the concept of BPCR. However, to enable pregnant women prepare adequately for childbirth, there is a need to involve the husbands in the education on BPCR. The use of mass media to get families and communities educated on the importance of BPCR will enable them to support pregnant women.

وصف الملف: electronic resource

العلاقة: https://doaj.org/toc/2158-2440Test

الوصول الحر: https://doaj.org/article/86283ceefc2e4d49a1fe426a4e6ea24cTest

المؤلفون: Martin Ayanore, Agani Afaya, Maxwell Tii Kumbeni, Timothy Tienbia Laari, Bright Opoku Ahinkorah, Solomon Mohammed Salia, Victoria Bam, Vida Nyagre Yakong, Richard Adongo Afaya, Robert Kaba Alhassan, Abdul-Aziz Seidu

المصدر: Health Research Policy and Systems, Vol 21, Iss 1, Pp 1-11 (2023)

مصطلحات موضوعية: National health insurance scheme, Ghana, Women, MICS, Public aspects of medicine, RA1-1270

الوصف: Abstract Background Globally, health insurance has been identified as a key component of healthcare financing. The implementation of health insurance policies in low and middle-income countries has led to a significant increase in access to healthcare services in these countries. This study assessed health insurance coverage and its associated factors among women of reproductive age living in rural Ghana. Methods This study used a nationally representative data from the 2017/2018 Ghana Multiple Indicator Cluster Survey (GMICS) and included 7340 rural women aged 15–49 years. Bivariate and multivariable logistic regression models were developed to assess the association between the explanatory and the outcome variable. Statistical significance was considered at p = 0.05. Results The overall prevalence of health insurance coverage among rural women in Ghana was 51.9%. Women with secondary (aOR = 1.72, 95% CI: 1.38–2.14) and higher education (aOR = 4.57, 95% CI: 2.66–7.84) were more likely to have health insurance coverage than those who had no formal education. Women who frequently listened to radio (aOR = 1.146, 95% CI: 1.01–1.30) were more likely to have health insurance coverage than those who did not. Women who had a child (aOR = 1.81, 95% CI: 1.50–2.17), two children (aOR = 1.59, 95% CI: 1.27–1.98), three children (aOR = 1.41, 95% CI: 1.10–1.80), and five children (aOR = 1.36, 95% CI: 1.03–1.79) were more likely to have health insurance coverage than those who had not given birth. Women who were pregnant (aOR = 3.52, 95% CI: 2.83–4.38) at the time of the survey, and women within the richest households (aOR = 3.89, 95% CI: 2.97–5.10) were more likely to have health insurance coverage compared to their other counterparts. Women in the Volta region (aOR = 1.36, 95% CI: 1.02–1.81), Brong Ahafo region (aOR = 2.82, 95% CI: 2.20–3.60), Northern region (aOR = 1.32, 95% CI: 1.02–1.70), Upper East region (aOR = 2.13, 95% CI: 1.63–2.80) and Upper West region (aOR = 1.56, 95% CI: 1.20–2.03) were more likely to have health insurance coverage than those in the Western region. Conclusion Although more than half of women were covered by health insurance, a significant percentage of them were uninsured, highlighting the need for prompt policy actions to improve coverage levels for insurance. It was found that educational level, listening to radio, parity, pregnancy status, wealth quintile, and region of residence were factors associated with health insurance coverage. We recommend better targeting and prioritization of vulnerability in rural areas and initiate policies that improve literacy and community participation for insurance programs. Further studies to establish health policy measures and context specific barriers using experimental designs for health insurance enrolments are required.

وصف الملف: electronic resource

العلاقة: https://doaj.org/toc/1478-4505Test

الوصول الحر: https://doaj.org/article/7ab276e1981e4070a2ac68040d14a858Test

المؤلفون: Agani Afaya, Timothy Tienbia Laari, Abdul Aziz Seidu, Richard Adongo Afaya, Silas Selorm Daniels-Donkor, Vida Nyagre Yakong, Bright Opoku Ahinkorah

المصدر: BMC Cancer, Vol 23, Iss 1, Pp 1-10 (2023)

مصطلحات موضوعية: Breast cancer, Clinical breast examination, Reproductive women, Lesotho, Neoplasms. Tumors. Oncology. Including cancer and carcinogens, RC254-282

الوصف: Abstract Background In low-resource settings with weak health systems, the WHO recommends clinical breast examination (CBE) as the most cost-effective breast screening modality for women. Evidence shows that biennial CBE leads to significant downstaging of breast cancer in all women. Breast cancer is the second most common cancer among women in Lesotho with a weaker healthcare system and a low breast cancer screening rate. This study investigated the prevalence and factors associated with the uptake of CBE among women of reproductive age in Lesotho. Methods This study used cross-sectional data from the 2014 Lesotho Demographic and Health Survey. A sample of 6584 reproductive-age women was included in this study. We conducted both descriptive and multivariable logistic regression analyses. The study results were presented in frequencies, percentages, and adjusted odds ratios (aOR) with their corresponding confidence intervals (CIs). Results The prevalence of CBE uptake was 9.73% (95% CI: 8.91, 10.61). Women who were covered by health insurance (aOR = 2.31, 95% CI [1.37, 3.88]), those who were pregnant (aOR = 2.34, 95% CI [1.64, 3.35]), those who had one to three children (aOR = 1.81, 95% CI [1.29,2.52]), and women who frequently read newspapers or magazines (aOR = 1.33, 95% CI [1.02,1.72]) were more likely to undergo CBE than their counterparts. Women who were aware of breast cancer (aOR = 2.54, 95% CI [1.63,3.97]), those who have ever had breast self-examination (BSE) within the last 12 months prior to the study (aOR = 5.30, 95% CI [4.35,6.46]), and those who visited the health facility in the last 12 months prior to the study (aOR = 1.57, 95% CI [1.27,1.95]) were also more likely to undergo CBE than their counterparts. Women residing in the Qacha’s-nek region (aOR = 0.42, 95% CI [0.26,0.67]) were less likely to undergo CBE than those in the Botha-bothe region. Conclusion The study found a low prevalence of CBE uptake among reproductive-age women in Lesotho. Factors associated with CBE uptake include health insurance coverage, being pregnant, those who had one to three children, exposure to media, breast cancer awareness, ever had BSE, and those who visited a health facility. To increase CBE uptake, these factors should be considered when designing cancer screening interventions and policies in order to help reduce the burden of breast cancer in Lesotho.

وصف الملف: electronic resource

العلاقة: https://doaj.org/toc/1471-2407Test

الوصول الحر: https://doaj.org/article/edc6c8929b9248e4aa94e01d38b79f44Test

المؤلفون: Agani Afaya, Sheena Ramazanu, Obasanjo Afolabi Bolarinwa, Vida Nyagre Yakong, Richard Adongo Afaya, Richard Gyan Aboagye, Silas Selorm Daniels-Donkor, Ahmed-Rufai Yahaya, Jinhee Shin, Veronica Millicent Dzomeku, Martin Amogre Ayanore, Robert Kaba Alhassan

المصدر: BMC Health Services Research, Vol 22, Iss 1, Pp 1-17 (2022)

مصطلحات موضوعية: Breast cancer, Health systems, Barriers, Asia, Public aspects of medicine, RA1-1270

الوصف: Abstract Background Globally, breast cancer is the most common cancer type and the leading cause of cancer mortality among women in developing countries. A high prevalence of late breast cancer diagnosis and treatment has been reported predominantly in Low- and Middle-Income Countries (LMICs), including those in Asia. Thus, this study utilized a mixed-methods systematic review to synthesize the health system barriers influencing timely breast cancer diagnosis and treatment among women in Asian countries. Methods We systematically searched five electronic databases for studies published in English from 2012 to 2022 on health system barriers that influence timely breast cancer diagnosis and treatment among women in Asian countries. The review was conducted per the methodology for systematic reviews and reported following the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines, while health system barriers were extracted and classified based on the World Health Organization (WHO)‘s Health Systems Framework. The mixed-methods appraisal tool was used to assess the methodological quality of the included studies. Results Twenty-six studies were included in this review. Fifteen studies were quantitative, nine studies were qualitative, and two studies used a mixed-methods approach. These studies were conducted across ten countries in Asia. This review identified health systems barriers that influence timely breast cancer diagnosis and treatment. The factors were categorized under the following: (1) delivery of health services (2) health workforce (3) financing for health (4) health information system and (5) essential medicines and technology. Delivery of health care (low quality of health care) was the most occurring barrier followed by the health workforce (unavailability of physicians), whilst health information systems were identified as the least barrier. Conclusion This study concluded that health system factors such as geographical accessibility to treatment, misdiagnosis, and long waiting times at health facilities were major barriers to early breast cancer diagnosis and treatment among Asian women in LMICs. Eliminating these barriers will require deliberate health system strengthening, such as improving training for the health workforce and establishing more healthcare facilities.

وصف الملف: electronic resource

العلاقة: https://doaj.org/toc/1472-6963Test

الوصول الحر: https://doaj.org/article/683bedd4a11b4ba18ef2ee2921fdd6e0Test

المؤلفون: Agani Afaya, Abdul-Aziz Seidu, Somin Sang, Vida Nyagre Yakong, Richard Adongo Afaya, Jinhee Shin, Bright Opoku Ahinkorah

المصدر: BMC Health Services Research, Vol 22, Iss 1, Pp 1-17 (2022)

مصطلحات موضوعية: Breast cancer, screening, Ghana, Scoping review, Public aspects of medicine, RA1-1270

الوصف: Abstract Introduction Female breast cancer is currently the most commonly diagnosed cancer globally with an estimated 2.3 million new cases in 2020. Due to its rising frequency and high mortality rate in both high- and low-income countries, breast cancer has become a global public health issue. This review sought to map literature to present evidence on knowledge of breast cancer screening and its uptake among women in Ghana. Methods Five databases (PubMed, CINAHL, PsycINFO, Web of Science, and EMBASE) were searched to identify relevant published studies between January 2012 and August 2021 on knowledge of breast cancer screening and its uptake among women. The Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) extension for scoping reviews and the six-stage model by Arksey and O’Malley were used to select and report findings. Results Of the 65 articles retrieved, 14 records were included for synthesis. The review revealed varied knowledge levels and practices of breast cancer screening among women across a few regions in Ghana. The knowledge level of women on breast cancer screening was high, especially in breast cancer screening practice. Breast cancer screening practice among women was observed to be low and the most identified barriers were lack of technique to practice breast self-examination, having no breast problem, lack of awareness of breast cancer screening, and not having breast cancer risk. The results further showed that good knowledge of breast cancer screening, higher educational level, increasing age, physician recommendation, and household monthly income were enabling factors for breast cancer screening uptake. Conclusion This review showed varied discrepancies in breast cancer screening uptake across the regions in Ghana. Despite the benefits of breast cancer screening, the utilization of the screening methods across the regions is very low due to some varied barriers from the different regions. To increase the uptake of breast cancer screening, health workers could employ various strategies such as community education and sensitization on the importance of breast cancer screening.

وصف الملف: electronic resource

العلاقة: https://doaj.org/toc/1472-6963Test

الوصول الحر: https://doaj.org/article/e720ff68861440ea9d85af827eb47112Test

المؤلفون: Florence Assibi Ziba, Vida Nyagre Yakong, Zakari Ali

المصدر: BMC Nursing, Vol 20, Iss 1, Pp 1-7 (2021)

مصطلحات موضوعية: CLES+T, Clinical placement, Learning environment, Nursing and midwifery, Ghana, Nursing, RT1-120

الوصف: Abstract Background Data on student experience of the clinical learning environment in Ghana are scarce. We therefore aimed to assess students’ evaluation of the clinical learning environment and the factors that influence their learning experience. Methods This was a cross-sectional survey of 225 undergraduate nursing and midwifery students. We used the Clinical Learning Environment and Supervision + Nurse Teacher (CLES +T) evaluation scale to assess students’ experience of their clinical placement. The association between student demographic characteristics and clinical placement experience was determined using t-test or ANOVA. Results Most of the sampled students were Nurses (67%) and in the third year of training (81%). More students received supervision from a nurse (57%) during clinical placement and team supervision (67%) was the most common during clinical placement. Nursing students were more likely to rate their clinical experience better than midwifery students (p=0.002). Students who had increased contact with private supervisors were also more likely to rate their experience higher (p=0.002). Clinical experience was also rated higher by students who received successful supervision compared to those who had unsuccessful or team supervision (p=0.001). Conclusion Team supervision is high in health facilities where students undertake clinical placement in Ghana. Frequent contact with private supervisor and successful supervision are associated with better rating of clinical experience among Ghanaian undergraduate nursing and midwifery students.

وصف الملف: electronic resource

العلاقة: https://doaj.org/toc/1472-6955Test

الوصول الحر: https://doaj.org/article/44d985a0375a45f9b2fd35761ff70e60Test

المؤلفون: Agani Afaya, Victoria Bam, Thomas Bavo Azongo, Richard Adongo Afaya, Vida Nyagre Yakong, George Kwame Kpodo, Robert Alhassan Kaba, Denis Albanus Nangsire Zinle, Daniel Kofi Tayuu, Stella Asantewaa, Peter Adatara

المصدر: PLoS ONE, Vol 16, Iss 2, p e0247062 (2021)

مصطلحات موضوعية: Medicine, Science

الوصف: IntroductionIn recent times, there has been an increasing burden in traumatic, medical, and surgical emergency conditions, placing more emphasis on the need for quality emergency care. This study aimed to explore the challenges experienced by nurses working in the emergency unit of a secondary referral hospital.MethodsThe study used an exploratory qualitative research design with a constructivist approach and a grounded theory method. Data were collected through in-depth interviews lasting between 30 to 45 minutes using a semi-structured interview guide. Inductive content analysis was used to analyse data.ResultsEleven (11) participants were interviewed. The majority were female (9), aged between 31-40 years. From the inductive content analysis, four themes emerged. These were; 1) overcrowding in the emergency unit, 2) understaffing at the emergency unit, 3) lack of emergency equipment, 4) inadequate managerial support.ConclusionThe study identified several major challenges confronting nurses working in the emergency unit which are linked with managerial processes and inadequate managerial support. These challenges need to be addressed to promote quality emergency nursing care. To foster a positive working environment, hospital management should validate and address the aforementioned concerns of the Emergency Department nurses.

وصف الملف: electronic resource

العلاقة: https://doaj.org/toc/1932-6203Test

الوصول الحر: https://doaj.org/article/8a854be5e8ff42f489161c680db25009Test