1
|
Dambayi E, Nakua E, Aborigo RA, Chatio ST, Dalaba MA, Sekwo E, Adoctor JK, Ofosu W, Oduro AR, Nonterah EA. Exploring infant and young child-feeding practices among mothers of well-nourished children in northern Ghana: An INPreP substudy. Food Sci Nutr 2024; 12:869-880. [PMID: 38370036 PMCID: PMC10867453 DOI: 10.1002/fsn3.3800] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Grants] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/21/2023] [Revised: 10/06/2023] [Accepted: 10/17/2023] [Indexed: 02/20/2024] Open
Abstract
This study investigated infant and young child-feeding (IYCF) practices among mothers of well-nourished children in northern Ghana. This was a qualitative study where in-depth individual interviews were conducted with participants. The interviews were audio recorded, transcribed, and QSR Nvivo software version 11 was used to organize the data before thematic analysis. It was observed that mothers of well-nourished children were likely to adhere to breastfeeding guidelines and also practice appropriate complementary feeding. Furthermore, these mothers mostly had some form of support from their husbands and mother-in-laws in feeding their infants. While adoption and adherence to appropriate IYCF practices contribute to improved nutrition outcomes in children, social support systems are needed to sustain the practice.
Collapse
Affiliation(s)
- Edith Dambayi
- Navrongo Health Research Centre, Social Science DepartmentGhana Health ServiceNavrongoGhana
- Department of Epidemiology and BiostatisticsKwame Nkrumah University of Science and TechnologyKumasiGhana
| | - Emmanuel Nakua
- Department of Epidemiology and BiostatisticsKwame Nkrumah University of Science and TechnologyKumasiGhana
| | - Raymond A. Aborigo
- Navrongo Health Research Centre, Social Science DepartmentGhana Health ServiceNavrongoGhana
| | - Samuel T. Chatio
- Navrongo Health Research Centre, Social Science DepartmentGhana Health ServiceNavrongoGhana
| | - Maxwell A. Dalaba
- Navrongo Health Research Centre, Social Science DepartmentGhana Health ServiceNavrongoGhana
- Institute of Health ResearchUniversity of Health and Allied SciencesHoGhana
| | - Enos Sekwo
- Navrongo Health Research Centre, Social Science DepartmentGhana Health ServiceNavrongoGhana
| | - James K. Adoctor
- Navrongo Health Research Centre, Social Science DepartmentGhana Health ServiceNavrongoGhana
| | - Winfred Ofosu
- Upper East Regional Health DirectorateGhana Health Service, PMBBolgatangaGhana
| | - Abraham R. Oduro
- Navrongo Health Research Centre, Social Science DepartmentGhana Health ServiceNavrongoGhana
- Research and Development DivisionGhana Health ServiceAccraGhana
| | - Engelbert A. Nonterah
- Navrongo Health Research Centre, Social Science DepartmentGhana Health ServiceNavrongoGhana
- Julius Global Health, Julius Center for Primary Care and Health SciencesUniversity Medical Center Utrecht, Utrecht UniversityUtrechtThe Netherlands
| | | |
Collapse
|
2
|
Ahenkorah B, Sakyi SA, Fondjo LA, Helegbe G, Owiredu EW, Der EM, Amoah LE, Kusi KA, Obiri D, Amoani B, Bimpong S, Ofosu W, Obirikorang C, Odame E, Larbie C, Arthur-Johnson P, Quaye I, Ametefe EM, Okai BK, Anormah R, Akorli E, Simono Charadan AM, Aboubacar RM, Amesewu E, Gyan B. Evaluating circulating soluble markers of endothelial dysfunction and risk factors associated with PE: A multicentre longitudinal case control study in northern Ghana. Heliyon 2023; 9:e19096. [PMID: 37662780 PMCID: PMC10472241 DOI: 10.1016/j.heliyon.2023.e19096] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/10/2022] [Revised: 07/28/2023] [Accepted: 08/10/2023] [Indexed: 09/05/2023] Open
Abstract
Serpin E1/PAI-1, N-terminal pro-brain natriuretic peptide (NTpro-BNP) and neuropilin-1 are markers which have been associated with endothelial dysfunction. However, data on the levels of these markers in PE is limited. The limited data on the pathophysiology of PE in relation to these markers necessitated the study. This was a multicentre case-control study conducted at the Obstetrics and Gynaecology Department of the Tamale Teaching Hospital, the Bawku Presbyterian Hospital and the Bolgatanga Regional Hospital. Out of 520 consenting pregnant women, 127 pregnant women met the inclusion criteria (53 with PE and 74 controls) and were included in this study. Venous, placental, cord and peripheral blood were collected for biomarker assay, haematological parameters and placental parasite determination. Placental tissue sections were obtained for placental malaria and histopathological lesions associated with hypoperfusion. Maternal heart rate and foetal umbilical artery Doppler impedance indices; resistance index (RI) and systolic diastolic (SD) ratio were determined to confirm utero-placental hypoperfusion. Significantly higher proportions of foeto-maternal complications; eclampsia, low birth weight (LBW), neonatal intensive care unit admissions (NICU), intrauterine growth restriction (IUGR), caesarian deliveries and early gestational age at delivery were associated with PE. Women with PE had lower concentrations of platelet (p = 0.02) whereas red cell distribution width (RDW) was markedly elevated (p = 0.01). NTPro-BNP concentration was markedly elevated (p = 0.01) in women with PE whereas neuropilin-1 concentration was lower (p = 0.03) compared to the non-PE group. Maternal heart rate was elevated in women with PE and Doppler resistance indices (RI and SD) were significantly elevated in foetuses of PE women than foetuses of the controls. Placental mal-perfusion lesions were higher in women with PE compared to the non-PE group. Women with PE had increased risk of adverse foeto-maternal complications, significantly associated with placental mal-perfusion lesions, had reduced platelet concentration and elevated RDW-CV levels. NTPro-BNP, RI and SD are elevated in women with PE whereas neuropilin-1 concentration is reduced. Significant changes in these pathological variables in PE women is indicative of significant derangement in endothelial function culminating in adverse maternal and perinatal outcomes of pregnancy.
Collapse
Affiliation(s)
- Benjamin Ahenkorah
- Department of Molecular Medicine, School of Medicine and Dentistry, Kwame Nkrumah University of Science and Technology, Kumasi, Ghana
- Department of Medical Laboratory Science, Bolgatanga Technical University, Bolgatanga, Upper East Region, Ghana
| | - Samuel Asamoah Sakyi
- Department of Molecular Medicine, School of Medicine and Dentistry, Kwame Nkrumah University of Science and Technology, Kumasi, Ghana
| | - Linda Ahenkorah Fondjo
- Department of Molecular Medicine, School of Medicine and Dentistry, Kwame Nkrumah University of Science and Technology, Kumasi, Ghana
| | - Gideon Helegbe
- School of Medicine and Health Science, Tamale Teaching Hospital, University for Development Studies, Tamale, Ghana
| | - Eddie-Williams Owiredu
- Department of Molecular Medicine, School of Medicine and Dentistry, Kwame Nkrumah University of Science and Technology, Kumasi, Ghana
| | - Edmund Muonir Der
- School of Medicine and Health Science, Tamale Teaching Hospital, University for Development Studies, Tamale, Ghana
| | - Linda Eva Amoah
- Department of Immunology, Noguchi Memorial Institute for Medical Research, University of Ghana, Ghana
| | - Kwadwo Asamoah Kusi
- Department of Immunology, Noguchi Memorial Institute for Medical Research, University of Ghana, Ghana
| | - Dorotheah Obiri
- Department of Immunology, Noguchi Memorial Institute for Medical Research, University of Ghana, Ghana
| | - Benjamin Amoani
- Department of Biomedical Sciences, University of Cape Coast, Cape Coast, Ghana
| | - Samuel Bimpong
- School of Medicine and Health Science, Tamale Teaching Hospital, University for Development Studies, Tamale, Ghana
| | | | - Christian Obirikorang
- Department of Molecular Medicine, School of Medicine and Dentistry, Kwame Nkrumah University of Science and Technology, Kumasi, Ghana
| | - Enoch Odame
- Department of Medical Diagnostics, Kwame Nkrumah University of Science and Technology, Kumasi, Ghana
| | - Christopher Larbie
- Department of Biochemistry and Biotechnology, College of Science, Kwame Nkrumah University of Science and Technology, Kumasi, Ghana
| | | | - Isaac Quaye
- Department of Immunology, Noguchi Memorial Institute for Medical Research, University of Ghana, Ghana
| | | | | | - Rasheed Anormah
- School of Medicine and Health Science, Tamale Teaching Hospital, University for Development Studies, Tamale, Ghana
| | - Emmanuel Akorli
- School of Medicine and Health Science, Tamale Teaching Hospital, University for Development Studies, Tamale, Ghana
| | - Ana Maria Simono Charadan
- School of Medicine and Health Science, Tamale Teaching Hospital, University for Development Studies, Tamale, Ghana
| | - Robilu Mikdad Aboubacar
- School of Medicine and Health Science, Tamale Teaching Hospital, University for Development Studies, Tamale, Ghana
| | - Emmanuel Amesewu
- School of Medicine and Health Science, Tamale Teaching Hospital, University for Development Studies, Tamale, Ghana
| | - Ben Gyan
- Department of Immunology, Noguchi Memorial Institute for Medical Research, University of Ghana, Ghana
- Department of Pharmaceutics and Microbiology, School of Pharmacy, University of Ghana, Ghana
| |
Collapse
|
3
|
Ahenkorah B, Sakyi SA, Helegbe G, Owiredu EW, Fondjo LA, Ofosu W, Der EM, Amoani B, Larbi AA, Cheetham S, Arthur-Johnson P, Kwablah GJ, Gyan B. Foeto-maternal complications associated with low birth weight: A prospective multicenter study in northern Ghana. PLoS One 2022; 17:e0266796. [PMID: 35395061 PMCID: PMC8992983 DOI: 10.1371/journal.pone.0266796] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/17/2020] [Accepted: 03/11/2022] [Indexed: 11/18/2022] Open
Abstract
Objective
The study evaluated the socio-demographic characteristics, obstetric variables and foeto-maternal complications associated with low birth weight (LBW) in order to provide better treatment and management options.
Methods
The prospective study conducted from February, 2019 to June, 2020 recruited 312 primigravid pregnant women who reported for antenatal care in three tertiary referral hospitals in northern Ghana. Their socio-demographic, obstetric and adverse foeto-maternal outcome information were obtained with a well-structured questionnaire according to the World Health Organisation (WHO) guidelines. Participants’ blood samples were collected for haematological tests. Odds ratio [OR, 95% confidence interval (CI)] for the association between socio-demographic, obstetric characteristics, foeto-maternal complications and haematological tests in relation to LBW were assessed using logistic regression model.
Results
This study reported a LBW prevalence of 13.5%. Increasing maternal systolic blood pressure (SBP) and diastolic blood pressure (DBP) at 1st visit, before and after delivery significantly increased the odds of LBW. Preterm delivery (PTD<37 weeks) (COR = 9.92, 95% CI (4.87–2020), p<0.001), preeclampsia (PE) (COR = 5.94, 95% CI (2.96–11.94), p<0.001), blood transfusion (COR = 14.11, 95% CI (2.50–79.65), p = 0.003), caesarian delivery (COR = 3.86, 95% CI (1.96–7.58), p<0.001) and male sex neonates (COR = 2.25, 95%CI (1.14–4.47), P = 0.020) presented with increased odds of LBW. Increasing gestational age at delivery presented with 28% reduced odds of LBW (COR = 0.72, 95% CI (1.12–4.40), P = 0.023). Upon controlling for potential confounders in multivariate logistic regression, only gestational age at delivery (AOR = 0.67, 95% CI (0.47–0.96), P = 0.030) remained significantly associated with reduced odds of LBW.
Conclusion
This study found that high blood pressure at 1st visit, before and after delivery results in increased chances of delivering a baby with LBW. Furthermore, PTD<37 weeks, having PE in current pregnancy, and male sex potentiate the risk of LBW. On the other hand, increasing gestational age reduces the risk of LBW. Thus, we recommend that midwives should intensify education to pregnant women on the benefits of regular ANC visits to aid in the early detection of adverse foeto-maternal complications. We also recommend proper clinical management of pregnancies associated with an elevated blood pressure at registration. Also, maternal intrapartum blood pressure measurement could be used to predict LBW in low resourced settings.
Collapse
Affiliation(s)
- Benjamin Ahenkorah
- Department of Molecular Medicine, School of Medicine and Dentistry, Kwame Nkrumah University of Science and Technology, Kumasi, Ghana
- Department of Medical Laboratory Science, Bolgatanga Technical University, Bolgatanga-Upper East Region, Ghana
- * E-mail:
| | - Samuel Asamoah Sakyi
- Department of Molecular Medicine, School of Medicine and Dentistry, Kwame Nkrumah University of Science and Technology, Kumasi, Ghana
| | - Gideon Helegbe
- School of Medicine and Health Science, University for Development Studies, Tamale, Ghana
| | - Eddie-Williams Owiredu
- Department of Molecular Medicine, School of Medicine and Dentistry, Kwame Nkrumah University of Science and Technology, Kumasi, Ghana
| | - Linda Ahenkorah Fondjo
- Department of Molecular Medicine, School of Medicine and Dentistry, Kwame Nkrumah University of Science and Technology, Kumasi, Ghana
| | | | - Edmund Muonir Der
- School of Medicine and Health Science, University for Development Studies, Tamale, Ghana
| | - Benjamin Amoani
- Department of Biomedical Sciences, University of Cape Coast, Cape Coast, Ghana
| | - Amma Aboagyewa Larbi
- Department of Biochemistry and Biotechnology, College of Science, Kwame Nkrumah University of Science and Technology, Kumasi, Ghana
| | - Susanna Cheetham
- School of Public Health, Kwame Nkrumah University of Science and Technology, Kumasi, Ghana
| | | | | | - Ben Gyan
- Department of Immunology, Noguchi Memorial Institute for Medical Research, Accra, Ghana
| |
Collapse
|
4
|
Nonterah EA, Welaga P, Chatio ST, Kehoe SH, Ofosu W, Ward KA, Godfrey KM, Oduro AR, Newell ML. Children born during the hunger season are at a higher risk of severe acute malnutrition: Findings from a Guinea Sahelian ecological zone in Northern Ghana. Matern Child Nutr 2022; 18:e13313. [PMID: 35008126 PMCID: PMC8932825 DOI: 10.1111/mcn.13313] [Citation(s) in RCA: 6] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 06/17/2021] [Revised: 11/28/2021] [Accepted: 12/10/2021] [Indexed: 12/13/2022]
Abstract
Heightened food insecurity in the hunger season increases the risk of severe acute malnutrition (SAM) in childhood. This study examined the association of season of birth with SAM in a Guinean Sahelian ecological zone. We analyzed routine health and sociodemographic surveillance data from the Navrongo Health and Socio-demographic Surveillance System collected between 2011 and 2018. January-June, the period of highest food insecurity, was defined as the hunger season. We defined moderate acute malnutrition as child mid-upper arm circumference (MUAC) between 115 mm and 135 mm and SAM as MAUC ≤ 115 mm. We used adjusted logistic regression to quantify the association between the season of birth and SAM in children aged 6-35 months. From the 29,452 children studied, 24% had moderate acute malnutrition. Overall, 1.4% had SAM, with a higher prevalence (1.8%) in the hunger season of birth. Compared with those born October-December, adjusted odds ratios (aOR) and 95% confidence interval (95% CI) for SAM were increased for children born in the hunger season: January-March (1.77 [1.31-2.39]) and April-June (1.92 [1.44-2.56]). Low birth weight, age at an assessment of nutritional status, and ethno-linguistic group were also significantly associated with SAM in adjusted analyses. Our study established that being born in the hunger season is associated with a higher risk of severe acute malnutrition. The result implies improvement in the food supply to pregnant and lactating mothers through sustainable agriculture or food system change targeting the hunger season may reduce the burden of severe acute malnutrition.
Collapse
Affiliation(s)
- Engelbert A Nonterah
- Navrongo Health Research Centre, Ghana Health Service, Navrongo, Ghana
- Julius Global Health, Julius Center for Health Sciences and Primary Care, University Medical Center Utrecht, Utrecht University, Utrecht, The Netherlands
| | - Paul Welaga
- Navrongo Health Research Centre, Ghana Health Service, Navrongo, Ghana
- School of Medicine and Dentistry, C K Tedam University of Technology and Applied Sciences, Navrongo, Upper East Region, Ghana
| | - Samuel T Chatio
- Navrongo Health Research Centre, Ghana Health Service, Navrongo, Ghana
| | - Sarah H Kehoe
- MRC Lifecourse Epidemiology Unit and NIHR Southampton Biomedical Research Centre, University Hospital Southampton NHS Foundation Trust, University of Southampton, Southampton, UK
| | - Winfred Ofosu
- Upper East Regional Health Directorate, PMB, Bolgatanga, Ghana
| | - Kate A Ward
- MRC Lifecourse Epidemiology Unit and NIHR Southampton Biomedical Research Centre, University Hospital Southampton NHS Foundation Trust, University of Southampton, Southampton, UK
- Global Health Research Institute, School of Health and Human Development, University of Southampton, Southampton, UK
- School of Public Health, Faculty of Health Sciences, University of the Witwatersrand, Johannesburg, South Africa
| | - Keith M Godfrey
- MRC Lifecourse Epidemiology Unit and NIHR Southampton Biomedical Research Centre, University Hospital Southampton NHS Foundation Trust, University of Southampton, Southampton, UK
| | - Abraham R Oduro
- Navrongo Health Research Centre, Ghana Health Service, Navrongo, Ghana
| | - Marie-Louise Newell
- Department of Human Development, University of Southampton, Southampton, UK
- School of Public Health, Faculty of Health Sciences, University of the Witwatersrand, Johannesburg, South Africa
| |
Collapse
|
5
|
Dalaba MA, Nonterah EA, Chatio ST, Adoctor JK, Dambayi E, Nonterah EW, Azalia S, Ayi-Bisah D, Erzse A, Watson D, Hardy-Johnson P, Kehoe SH, Tugendhaft A, Ward K, Debpuur C, Oduro A, Ofosu W, Danis M, Barker M. Engaging community members in setting priorities for nutrition interventions in rural northern Ghana. PLOS Glob Public Health 2022; 2:e0000447. [PMID: 36962493 PMCID: PMC10022374 DOI: 10.1371/journal.pgph.0000447] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Received: 10/18/2021] [Accepted: 04/13/2022] [Indexed: 11/18/2022]
Abstract
This study used "Choosing All Together" (CHAT), a deliberative engagement tool to prioritise nutrition interventions and to understand reasons for intervention choices of a rural community in northern Ghana. The study took an exploratory cross-sectional design and used a mixed method approach to collect data between December 2020 and February 2021. Eleven nutrition interventions were identified through policy reviews, interaction with different stakeholders and focus group discussions with community members. These interventions were costed for a modified CHAT tool-a board-like game with interventions represented by colour coded pies and the cost of the interventions represented by sticker holes. Supported by trained facilitators, six community groups used the tool to prioritise interventions. Discussions were audio-recoded, transcribed and thematically analysed. The participants prioritised both nutrition-sensitive and nutrition-specific interventions, reflecting the extent of poverty in the study districts and the direct and immediate benefits derived from nutrition-specific interventions. The prioritised interventions involved livelihood empowerment, because they would create an enabling environment for all-year-round agricultural output, leading to improved food security and income for farmers. Another nutrition-sensitive, education-related priority intervention was male involvement in food and nutrition practices; as heads of household and main decision makers, men were believed to be in a position to optimise maternal and child nutrition. The prioritised nutrition-specific intervention was micronutrient supplementation. Despite low literacy, participants were able to use CHAT materials and work collectively to prioritize interventions. In conclusion, it is feasible to modify and use the CHAT tool in public deliberations to prioritize nutrition interventions in rural settings with low levels of literacy. These communities prioritised both nutrition-sensitive and nutrition-specific interventions. Attending to community derived nutrition priorities may improve the relevance and effectiveness of nutrition health policy, since these priorities reflect the context in which such policy is implemented.
Collapse
Affiliation(s)
- Maxwell Ayindenaba Dalaba
- Navrongo Health Research Centre, Ghana Health Service, Navrongo, Ghana
- Institute of Health Research, University of Health and Allied Sciences, Ho, Volta Region, Ghana
| | - Engelbert A Nonterah
- Navrongo Health Research Centre, Ghana Health Service, Navrongo, Ghana
- Julius Global Health, Julius Centre for Health Science and Primary Care, University Medical Centre Utrecht, Utrecht University, Utrecht, The Netherlands
| | - Samuel T Chatio
- Navrongo Health Research Centre, Ghana Health Service, Navrongo, Ghana
| | - James K Adoctor
- Navrongo Health Research Centre, Ghana Health Service, Navrongo, Ghana
| | - Edith Dambayi
- Navrongo Health Research Centre, Ghana Health Service, Navrongo, Ghana
| | - Esmond W Nonterah
- Navrongo Health Research Centre, Ghana Health Service, Navrongo, Ghana
| | - Stephen Azalia
- Navrongo Health Research Centre, Ghana Health Service, Navrongo, Ghana
| | - Doreen Ayi-Bisah
- Navrongo Health Research Centre, Ghana Health Service, Navrongo, Ghana
| | - Agnes Erzse
- SAMRC/ Wits Centre for Health Economics and Decision Science, PRICELESS SA, University of Witwatersrand School of Public Health, Faculty of Health Sciences, Johannesburg, South Africa
| | - Daniella Watson
- Global Health Research Institute, School of Human Development and Health, Faculty of Medicine, University of Southampton, Southampton, United Kingdom
| | - Polly Hardy-Johnson
- Medical Research Council Lifecourse Epidemiology Centre, University of Southampton, Southampton, United Kingdom
- AECC University College, Bournemouth, United Kingdom
| | - Sarah H Kehoe
- Global Health Research Institute, School of Human Development and Health, Faculty of Medicine, University of Southampton, Southampton, United Kingdom
- Medical Research Council Lifecourse Epidemiology Centre, University of Southampton, Southampton, United Kingdom
| | - Aviva Tugendhaft
- SAMRC/ Wits Centre for Health Economics and Decision Science, PRICELESS SA, University of Witwatersrand School of Public Health, Faculty of Health Sciences, Johannesburg, South Africa
| | - Kate Ward
- Global Health Research Institute, School of Human Development and Health, Faculty of Medicine, University of Southampton, Southampton, United Kingdom
- Medical Research Council Lifecourse Epidemiology Centre, University of Southampton, Southampton, United Kingdom
| | - Cornelius Debpuur
- Navrongo Health Research Centre, Ghana Health Service, Navrongo, Ghana
- Research and Development Division, Ghana Health Service, Accra, Ghana
| | - Abraham Oduro
- Navrongo Health Research Centre, Ghana Health Service, Navrongo, Ghana
- Research and Development Division, Ghana Health Service, Accra, Ghana
| | - Winfred Ofosu
- Upper East Regional Health Directorate, Ghana Health Service, Bolgatanga, Ghana
| | - Marion Danis
- Department of Bioethics, National Institutes of Health, Bethesda, MD, United States of America
| | - Mary Barker
- Global Health Research Institute, School of Human Development and Health, Faculty of Medicine, University of Southampton, Southampton, United Kingdom
- Medical Research Council Lifecourse Epidemiology Centre, University of Southampton, Southampton, United Kingdom
- NIHR Southampton Biomedical Research Centre, University Hospitals Southampton Foundation Trust, Southampton General Hospital, Southampton, United Kingdom
- School of Health Sciences, University of Southampton, Highfield, Southampton, United Kingdom
| | | |
Collapse
|
6
|
Nonterah EA, Kanmiki EW, Agorinya IA, Sakeah E, Tamimu M, Kagura J, Kaburise MB, Ayamba EY, Nonterah EW, Awuni DA, Al-Hassan M, Ofosu W, Awoonor-Williams JK, Oduro AR. Prevalence and adverse obstetric outcomes of female genital mutilation among women in rural Northern Ghana. Eur J Public Health 2021; 30:561-567. [PMID: 31637426 DOI: 10.1093/eurpub/ckz195] [Citation(s) in RCA: 10] [Impact Index Per Article: 3.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/14/2022] Open
Abstract
BACKGROUND Female genital mutilation (FGM) is commonly practiced in sub-Saharan Africa and results in adverse pregnancy outcomes among affected women. This paper assessed the prevalence and effects of FGM on pregnancy outcomes in a rural Ghanaian setting. METHODS We analyzed 9306 delivery records between 2003 and 2013 from the Navrongo War Memorial Hospital. Multivariable logistic regression analyses were used to determine the effects of FGM on pregnancy outcomes such as stillbirth, birth weight, postpartum haemorrhage, caesarean and instrumental delivery. We also assessed differences in the duration of stay in the hospital by FGM status. RESULTS A greater proportion of mothers with FGM (24.7%) were older than 35 years compared with those without FGM (7.6%). FGM declined progressively from 28.4% in 2003 to 0.6% in 2013. Mothers with FGM were nearly twice as likely to have caesarean delivery (adjusted odds ratios = 1.85 with 95%CI [1.72, 1.99]) and stillbirths (1.60 [1.21, 2.11]) compared with those without. Similarly, they had a 4-fold increased risk of post-partum haemorrhage (4.69 [3.74, 5.88]) and more than 2-fold risk lacerations/episiotomy (2.57 [1.86, 3.21]) during delivery. Average duration of stay in the hospital was higher for mothers with FGM from 2003 to 2007. CONCLUSIONS Despite significant decline in prevalence of FGM, adverse obstetric outcomes are still high among affected women. Increased public health education of circumcised women on these outcomes would help improve institutional deliveries and heighten awareness and prompt clinical decisions among healthcare workers. Further scale-up of community level interventions are required to completely eliminate FGM.
Collapse
Affiliation(s)
- Engelbert A Nonterah
- Navrongo Health Research Centre, Ghana Health Service, Navrongo, Ghana.,Navrongo War Memorial Hospital, Ghana Health Service, Navrongo, Ghana.,Julius Global Health, Julius Centre for Health Sciences and Primary Care, University Medical Centre Utrecht, Utrecht University, Utrecht, The Netherlands
| | - Edmund W Kanmiki
- Regional Institute for Population Studies, University of Ghana, Legon, Accra, Ghana
| | - Isaiah A Agorinya
- Navrongo Health Research Centre, Ghana Health Service, Navrongo, Ghana.,Swiss Tropical and Public Health Institute, Basel, Switzerland.,University of Basel, Basel, Switzerland
| | - Evelyn Sakeah
- Navrongo Health Research Centre, Ghana Health Service, Navrongo, Ghana
| | - Mariatu Tamimu
- Department of Obstetrics and Gynecology, University of Nairobi, Nairobi, Kenya
| | - Juliana Kagura
- Department of Epidemiology and Biostatistics, School of Public Health, Faculty of Health Sciences, University of the Witwatersrand, Johannesburg, South Africa
| | - Michael B Kaburise
- Navrongo Health Research Centre, Ghana Health Service, Navrongo, Ghana.,Navrongo War Memorial Hospital, Ghana Health Service, Navrongo, Ghana
| | - Emmanuel Y Ayamba
- Navrongo Health Research Centre, Ghana Health Service, Navrongo, Ghana
| | - Esmond W Nonterah
- Navrongo Health Research Centre, Ghana Health Service, Navrongo, Ghana
| | - Denis A Awuni
- Navrongo Health Research Centre, Ghana Health Service, Navrongo, Ghana
| | | | - Winfred Ofosu
- Upper East Regional Health Directorate, Ghana Health Service, PMB, Bolgatanga, Ghana
| | | | - Abraham R Oduro
- Navrongo Health Research Centre, Ghana Health Service, Navrongo, Ghana
| |
Collapse
|
7
|
Galaurchi A, Chatio ST, Beeri P, Oduro AR, Ofosu W, Hanson M, Newell ML, Norris SA, Ward KA, Nonterah EA, Biesma R. Stakeholder Perspectives on Barriers and Facilitators on the Implementation of the 1000 Days Plus Nutrition Policy Activities in Ghana. Int J Environ Res Public Health 2021; 18:ijerph18105317. [PMID: 34067735 PMCID: PMC8156632 DOI: 10.3390/ijerph18105317] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Grants] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 04/14/2021] [Revised: 05/08/2021] [Accepted: 05/08/2021] [Indexed: 11/16/2022]
Abstract
Optimizing nutrition in the preconception and 1000 days periods have long-term benefits such as higher economic productivity, reduced risk of related non-communicable diseases and increased health and well-being. Despite Ghana's recent progress in reducing malnutrition, the situation is far from optimal. This qualitative study analyzed the maternal and child health nutrition policy framework in Ghana to identify the current barriers and facilitators to the implementation of nutrition policies and programs relating to the first 1000 days plus. Data analyzed included in-depth interviews and focus group discussions conducted in Ghana between March and April 2019. Participants were composed of experts from government agencies, civil society organizations, community-based organizations and international partners at national and subnational levels. Seven critical areas were identified: planning policy implementation, resources, leadership and stakeholders' engagement, implementation guidance and ongoing communication, organizational culture, accountability and governance and coverage. The study showed that, to eradicate malnutrition in Ghana, priorities of individual stakeholders have to be merged and aligned into a single 1000 days plus nutrition policy framework. Furthermore, this study may support stakeholders in implementing successfully the 1000 days plus nutrition policy activities in Ghana.
Collapse
Affiliation(s)
- Anne Galaurchi
- Global Health Unit, Department of Health Sciences, University Medical Center Groningen (UMCG), 9700 RB Groningen, The Netherlands;
- Correspondence:
| | - Samuel T. Chatio
- Navrongo Health Research Centre, Ghana Health Service, Navrongo 00233, Ghana; (S.T.C.); (P.B.); (A.R.O.); (E.A.N.)
| | - Paula Beeri
- Navrongo Health Research Centre, Ghana Health Service, Navrongo 00233, Ghana; (S.T.C.); (P.B.); (A.R.O.); (E.A.N.)
| | - Abraham R. Oduro
- Navrongo Health Research Centre, Ghana Health Service, Navrongo 00233, Ghana; (S.T.C.); (P.B.); (A.R.O.); (E.A.N.)
| | - Winfred Ofosu
- Upper East Regional Health Directorate, Ghana Health Service, PMB, Bolgatanga 00233, Ghana;
| | - Mark Hanson
- Institute of Developmental Sciences and NIHR Biomedical Research Centre, University of Southampton and University Hospital Southampton, Southampton SO17 1 BJ, UK;
| | - Marie-Louise Newell
- Department of Human Development and Health, Faculty of Medicine, University of Southampton, Southampton SO17 1 BJ, UK;
| | - Shane A. Norris
- SAMRC Developmental Pathways for Health Research Unit (DPHRU), Department of Paediatrics, Faculty of Health Sciences, University of the Witwatersrand, Johannesburg 2193, South Africa; (S.A.N.); (K.A.W.)
- Global Health Research Institute, School of Health and Human Development, University of Southampton, Southampton SO17 1 BJ, UK
| | - Kate A. Ward
- SAMRC Developmental Pathways for Health Research Unit (DPHRU), Department of Paediatrics, Faculty of Health Sciences, University of the Witwatersrand, Johannesburg 2193, South Africa; (S.A.N.); (K.A.W.)
- Global Health Research Institute, School of Health and Human Development, University of Southampton, Southampton SO17 1 BJ, UK
- Medical Research Council Lifecourse Epidemiology Unit, University of Southampton, Southampton SO17 1 BJ, UK
| | - Engelbert A. Nonterah
- Navrongo Health Research Centre, Ghana Health Service, Navrongo 00233, Ghana; (S.T.C.); (P.B.); (A.R.O.); (E.A.N.)
- Julius Global Health, Julius Center for Health Sciences and Primary Care, University Medical Center Utrecht, Utrecht University, 3508 GA Utrecht, The Netherlands
| | - Regien Biesma
- Global Health Unit, Department of Health Sciences, University Medical Center Groningen (UMCG), 9700 RB Groningen, The Netherlands;
| | | |
Collapse
|
8
|
Awekeya H, Dubik SD, Amegah K, Ashinyo A, Wuobar F, Kaitoo E, Ofosu W, Ashinyo ME. An evaluation of COVID-19 surveillance system in New Juaben South Municipality of Ghana: a cross-sectional study. Pan Afr Med J 2021; 40:206. [PMID: 35136469 PMCID: PMC8783301 DOI: 10.11604/pamj.2021.40.206.30715] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/08/2021] [Accepted: 11/25/2021] [Indexed: 11/11/2022] Open
Abstract
Introduction Methods Results Conclusion
Collapse
Affiliation(s)
- Hectoria Awekeya
- Ghana College of Physicians and Surgeons, Faculty of Public Health, Accra, Ghana
- Department of Quality Assurance, Eastern Regional Health Directorate, Ghana Health Service, Koforidua, Ghana
| | - Stephen Dajaan Dubik
- School of Allied Health Sciences, University of Development Studies, Tamale, Ghana
| | - Kingsley Amegah
- Department of Health Information, Hohoe Municipal Hospital, Hohoe, Ghana
| | | | | | - Ekow Kaitoo
- New Juaben South Municipality, Koforidua, Ghana
| | - Winfred Ofosu
- Office of the Regional Director of Health Service, Eastern Regional Health Directorate, Koforidua, Ghana
| | - Mary Eyram Ashinyo
- Ghana College of Physicians and Surgeons, Faculty of Public Health, Accra, Ghana
- Department of Quality Assurance, Ghana Health Service Headquarters, Accra, Ghana
- Corresponding author: Mary Eyram Ashinyo, Department of Quality Assurance, Ghana Health Service Headquarters, Accra, Ghana.
| |
Collapse
|
9
|
Nonterah EA, Agorinya IA, Kanmiki EW, Kagura J, Tamimu M, Ayamba EY, Nonterah EW, Kaburise MB, Al-Hassan M, Ofosu W, Oduro AR, Awonoor-Williams JK. Trends and risk factors associated with stillbirths: A case study of the Navrongo War Memorial Hospital in Northern Ghana. PLoS One 2020; 15:e0229013. [PMID: 32084170 PMCID: PMC7034822 DOI: 10.1371/journal.pone.0229013] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/02/2019] [Accepted: 01/28/2020] [Indexed: 11/17/2022] Open
Abstract
BACKGROUND Maternal and Child health remains at the core of global health priorities transcending the Millennium Development Goals into the current era of Sustainable Development Goals. Most low and middle-income countries including Ghana are yet to achieve the required levels of reduction in child and maternal mortality. This paper analysed the trends and the associated risk factors of stillbirths in a district hospital located in an impoverished and remote region of Ghana. METHODS Retrospective hospital maternal records on all deliveries conducted in the Navrongo War Memorial hospital from 2003-2013 were retrieved and analysed. Descriptive and inferential statistics were used to summarise trends in stillbirths while the generalized linear estimation logistic regression is used to determine socio-demographic, maternal and neonatal factors associated with stillbirths. RESULTS A total of 16,670 deliveries were analysed over the study period. Stillbirth rate was 3.4% of all births. There was an overall decline in stillbirth rate over the study period as stillbirths declined from 4.2% in 2003 to 2.1% in 2013. Female neonates were less likely to be stillborn (Adjusted Odds ratio = 0.62 and 95%CI [0.46, 0.84]; p = 0.002) compared to male neonates; neonates with low birth weight (4.02 [2.92, 5.53]) and extreme low birth weight (18.9 [10.9, 32.4]) were at a higher risk of still birth (p<0.001). Mothers who had undergone Female Genital Mutilation had 47% (1.47 [1.04, 2.09]) increase odds of having a stillbirth compared to non FGM mothers (p = 0.031). Mothers giving birth for the first time also had a 40% increase odds of having a stillbirth compared to those who had more than one previous births (p = 0.037). CONCLUSION Despite the modest reduction in stillbirth rates over the study period, it is evident from the results that stillbirth rate is still relatively high. Primiparous women and preterm deliveries leading to low birth weight are identified factors that result in increased stillbirths. Efforts aimed at impacting on stillbirths should include the elimination of outmoded cultural practices such as FGM.
Collapse
Affiliation(s)
- Engelbert A. Nonterah
- Navrongo Health Research Centre, Ghana Health Service, Navrongo, Ghana
- Navrongo War Memorial Hospital, Ghana Health Service, Navrongo, Ghana
- Julius Global Health, Julius Centre for Health Sciences and Primary Care, University Medical Centre Utrecht, Utrecht University, Utrecht, the Netherlands
| | - Isaiah A. Agorinya
- Navrongo Health Research Centre, Ghana Health Service, Navrongo, Ghana
- Swiss Tropical and Public Health Institute, Socinstrasse, Basel, Switzerland, University of Basel, Peterplatz, Basel, Switzerland
| | - Edmund W. Kanmiki
- Regional Institute for Population Studies (RIPS), University of Ghana, Legon, Accra, Ghana
| | - Juliana Kagura
- Department of Epidemiology and Biostatistics, School of Public Health, University of the Witwatersrand, Faculty of Health Sciences, Johannesburg, South Africa
| | - Mariatu Tamimu
- Obstetrics and Gynaecology Department, University of Nairobi, Nairobi, Kenya
| | | | | | - Michael B. Kaburise
- Navrongo Health Research Centre, Ghana Health Service, Navrongo, Ghana
- Navrongo War Memorial Hospital, Ghana Health Service, Navrongo, Ghana
| | | | - Winfred Ofosu
- Upper East Regional Health Directorate, Ghana Health Service, PMB, Bolgatanga, Ghana
| | - Abraham R. Oduro
- Navrongo Health Research Centre, Ghana Health Service, Navrongo, Ghana
| | | |
Collapse
|
10
|
Bozio CH, Abdul-Karim A, Abenyeri J, Abubakari B, Ofosu W, Zoya J, Ouattara M, Srinivasan V, Vuong JT, Opare D, Asiedu-Bekoe F, Lessa FC. Continued occurrence of serotype 1 pneumococcal meningitis in two regions located in the meningitis belt in Ghana five years after introduction of 13-valent pneumococcal conjugate vaccine. PLoS One 2018; 13:e0203205. [PMID: 30192772 PMCID: PMC6128537 DOI: 10.1371/journal.pone.0203205] [Citation(s) in RCA: 24] [Impact Index Per Article: 4.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/23/2018] [Accepted: 08/16/2018] [Indexed: 01/07/2023] Open
Abstract
Background Increases in pneumococcal meningitis were reported from Ghanaian regions that lie in the meningitis belt in 2016–2017, despite introduction of 13-valent pneumococcal conjugate vaccine (PCV13) in 2012 using a 3-dose schedule (6, 10, and 14 weeks). We describe pneumococcal meningitis epidemiology in the Ghanaian Northern and Upper West regions across two meningitis seasons. Methods Suspected meningitis cases were identified using World Health Organization standard definitions. Pneumococcal meningitis was confirmed if pneumococcus was the sole pathogen detected by polymerase chain reaction, culture, or latex agglutination in cerebrospinal fluid collected from a person with suspected meningitis during December 2015-March 2017. Pneumococcal serotyping was done using PCR. Annual age-specific pneumococcal meningitis incidence (cases per 100,000 population) was calculated, adjusting for suspected meningitis cases lacking confirmatory testing. Findings Among 153 pneumococcal meningitis cases, 137 (89.5%) were serotyped; 100 (73.0%) were PCV13-type, including 85 (62.0%) that were serotype 1, a PCV13-targeted serotype. Persons aged ≥5 years accounted for 96.7% (148/153) of cases. Comparing 2015–2016 and 2016–2017 seasons, the proportion of non-serotype 1 PCV13-type cases decreased from 20.0% (9/45) to 4.1% (3/74) (p = 0.008), whereas the proportion that was serotype 1 was stable (71.1% (32/45) vs. 58.1% (43/74); p = 0.16). Estimated adjusted pneumococcal meningitis incidence was 1.8 in children aged <5 years and ranged from 6.8–10.5 in older children and adults. Conclusions High pneumococcal meningitis incidence with a large proportion of serotype 1 disease in older children and adults suggests infant PCV13 vaccination has not induced herd protection with this schedule in this high-transmission setting.
Collapse
Affiliation(s)
- Catherine H. Bozio
- Division of Bacterial Diseases, National Center for Immunization and Respiratory Diseases, Centers for Disease Control and Prevention, Atlanta, GA, United States of America
- Epidemic Intelligence Service, Centers for Disease Control and Prevention, Atlanta, GA, United States of America
- * E-mail:
| | | | | | | | | | | | - Mahamoudou Ouattara
- Division of Bacterial Diseases, National Center for Immunization and Respiratory Diseases, Centers for Disease Control and Prevention, Atlanta, GA, United States of America
| | - Velusamy Srinivasan
- Division of Bacterial Diseases, National Center for Immunization and Respiratory Diseases, Centers for Disease Control and Prevention, Atlanta, GA, United States of America
| | - Jeni T. Vuong
- Division of Bacterial Diseases, National Center for Immunization and Respiratory Diseases, Centers for Disease Control and Prevention, Atlanta, GA, United States of America
| | - David Opare
- National Public Health Reference Laboratory, Ghana Health Service, Accra, Ghana
| | | | - Fernanda C. Lessa
- Division of Bacterial Diseases, National Center for Immunization and Respiratory Diseases, Centers for Disease Control and Prevention, Atlanta, GA, United States of America
| |
Collapse
|
11
|
Aku FY, Lessa FC, Asiedu-Bekoe F, Balagumyetime P, Ofosu W, Farrar J, Ouattara M, Vuong JT, Issah K, Opare J, Ohene SA, Okot C, Kenu E, Ameme DK, Opare D, Abdul-Karim A. Meningitis Outbreak Caused by Vaccine-Preventable Bacterial Pathogens - Northern Ghana, 2016. MMWR Morb Mortal Wkly Rep 2017; 66:806-810. [PMID: 28771457 PMCID: PMC5720875 DOI: 10.15585/mmwr.mm6630a2] [Citation(s) in RCA: 22] [Impact Index Per Article: 3.1] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Indexed: 11/06/2022]
|
12
|
Akaateba D, Andan M, Hadfield K, Elmusharaf K, Leddin D, Murphy F, Ofosu W, Sheehan C, Finucane P. Ghana health services and the Irish health system - bridging the gap. Ir Med J 2017; 110:518. [PMID: 28657263] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 06/07/2023]
Affiliation(s)
- D Akaateba
- Ghana Medical Help
- Upper West Region Health Service,Ghana
| | | | - K Hadfield
- Ghana Medical Help
- University of Limerick
| | | | - D Leddin
- University of Limerick
- Dalhousie University, Canada
| | - F Murphy
- University of Limerick
- University of Limerick Hospitals Group
| | - W Ofosu
- Upper West Region Health Service,Ghana
| | - C Sheehan
- Upper West Region Health Service,Ghana
| | - P Finucane
- University of Limerick
- University of Limerick Hospitals Group
| |
Collapse
|
13
|
Nonvignon J, Aryeetey GC, Issah S, Ansah P, Malm KL, Ofosu W, Tagoe T, Agyemang SA, Aikins M. Cost-effectiveness of seasonal malaria chemoprevention in upper west region of Ghana. Malar J 2016; 15:367. [PMID: 27423900 PMCID: PMC4947302 DOI: 10.1186/s12936-016-1418-z] [Citation(s) in RCA: 31] [Impact Index Per Article: 3.9] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/22/2016] [Accepted: 07/04/2016] [Indexed: 11/29/2022] Open
Abstract
Background In Ghana, malaria is endemic and perennial (with significant seasonal variations in the three Northern Regions), accounting for 33 % of all deaths among children under 5 years old, with prevalence rates in children under-five ranging from 11 % in Greater Accra to 40 % in Northern Region. Ghana adopted the WHO-recommended Seasonal Malaria Chemoprevention (SMC) strategy with a trial in the Upper West Region in 2015. The objective of this study was to estimate the cost-effectiveness of seasonal malaria chemoprevention. Methods Costs were analysed from provider and societal perspectives and are reported in 2015 US$. Data on resource use (direct and indirect costs) of the SMC intervention were collected from intervention records and a survey in all districts and at regional level. Additional numbers of malaria cases and deaths averted by the intervention were estimated based on prevalence data obtained from an SMC effectiveness study in the region. Incremental cost-effectiveness ratios (ICERs) were estimated for the districts and region. Sensitivity analyses were conducted to test the robustness of the ICERs. Results The total financial cost of the intervention was US$1,142,040.80. The total economic cost was estimated to be US$7.96 million and US$2.66 million from the societal and provider perspectives, respectively. The additional numbers of cases estimated to be averted by the intervention were 24,881 and 808, respectively. The economic cost per child dosed was US$67.35 from societal perspective and US$22.53 from the provider perspective. The economic cost per additional case averted was US$107.06 from the provider perspective and US$319.96 from the societal perspective. The economic cost per additional child death averted by the intervention was US$3298.36 from the provider perspective and US$9858.02 from the societal perspective. The financial cost per the SMC intervention delivered to a child under-five was US$9.66. The ICERs were sensitive to mortality rate used. Conclusions The SMC intervention is economically beneficial in reducing morbidity in children under-5 years and presents a viable approach to improving under-five health in Ghana.
Collapse
Affiliation(s)
- Justice Nonvignon
- Department of Health Policy, Planning and Management, School of Public Health, College of Health Sciences, University of Ghana, P. O. Box LG13, Legon, Ghana
| | - Genevieve Cecilia Aryeetey
- Department of Health Policy, Planning and Management, School of Public Health, College of Health Sciences, University of Ghana, P. O. Box LG13, Legon, Ghana
| | - Shamwill Issah
- UK Department for International Development, Accra, Ghana
| | - Patrick Ansah
- Navrongo Health Research Centre, Ghana Health Service, Navrongo, Ghana
| | - Keziah L Malm
- National Malaria Control Programme, Ghana Health Service, Accra, Ghana
| | - Winfred Ofosu
- Upper West Regional Health Directorate, Ghana Health Service, Wa, Ghana
| | - Titus Tagoe
- Upper West Regional Health Directorate, Ghana Health Service, Wa, Ghana
| | - Samuel Agyei Agyemang
- Department of Health Policy, Planning and Management, School of Public Health, College of Health Sciences, University of Ghana, P. O. Box LG13, Legon, Ghana
| | - Moses Aikins
- Department of Health Policy, Planning and Management, School of Public Health, College of Health Sciences, University of Ghana, P. O. Box LG13, Legon, Ghana.
| |
Collapse
|
14
|
Egbi G, Steiner-Asiedu M, Kwesi FS, Ayi I, Ofosu W, Setorglo J, Klobodu SS, Armar-Klemesu M. Anaemia among school children older than five years in the Volta Region of Ghana. Pan Afr Med J 2014; 17 Suppl 1:10. [PMID: 24644526 PMCID: PMC3948363 DOI: 10.11694/pamj.supp.2014.17.1.3205] [Citation(s) in RCA: 14] [Impact Index Per Article: 1.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/09/2013] [Accepted: 11/26/2013] [Indexed: 11/17/2022] Open
Abstract
INTRODUCTION Anaemia among children is a public health issue in Ghana. The Ghana School Feeding Programme (GSFP) was instituted on pilot basis in an effort to provide nutritious lunch to school children. Evidence on the nutritional status of pupils is needed to inform the expansion of GSFP. This study sought to assess anaemia among Ghanaian pupils. METHODS This cross-sectional study involved a random sample of 143 pupils aged 6 to 12 years. Blood samples were collected and analysed for serum-ferritin (SF), C-reactive protein (CRP), haemoglobin and malaria-parasitaemia (MP). Stool samples were examined for soil-transmitted helminths. Dietary data were collected using the 24 hour-recall method on three non-consecutive days and a food frequency questionnaire. The Student's t-test was used to compare mean values between sexes. Binary logistic regression was performed to identify factors associated with anaemia. Statistical significance was set at p < 0.05. RESULTS SF and haemoglobin concentrations were 23.9 ± 15 ng/ml and 120 ± 11 g/L respectively. The prevalence of anaemia was 30.8%. More females (41.5%) than males (21.8%) had anaemia (p < 0.005). Seventy-one percent of pupils had low SF levels. MP prevalence was 67.8%. Hookworm infestation was only observed in males (18.0%). Dietary iron and vitamin C intakes were 18.98 ± 8.8 mg and 23.7 ± 6.7 mg, respectively. Child's sex, SF and MP were associated with anaemia. Males had a lower likelihood of being anaemic (OR = 0.2, CI 0.1-0.5, p = 0.002). CONCLUSION The study findings underscore the need for multi-pronged approaches that address both malaria control and nutrition in order to reduce anaemia among pupils.
Collapse
Affiliation(s)
- Godfred Egbi
- Nutrition Department, Noguchi Memorial Institute for Medical Research, College of Health Sciences, University of Ghana, P. O. Box LG581, Legon, Ghana
| | - Matilda Steiner-Asiedu
- Department of Nutrition and Food Science, University of Ghana, P. O. Box LG 134, Legon, Ghana
| | - Faribu Saalia Kwesi
- Department of Nutrition and Food Science, University of Ghana, P. O. Box LG 134, Legon, Ghana
| | - Irene Ayi
- Parasitology Department, Noguchi Memorial Institute for Medical Research, College of Health Sciences, University of Ghana, P. O. Box LG581, Legon, Ghana
| | - Winfred Ofosu
- Regional Health Directorate, Public Health Division, Ghana Health Services, P. O. Box 72 Ho, Volta Region, Ghana
| | - Jacob Setorglo
- School of Medical Sciences, University of Cape Coast, PMB, Cape Coast, Ghana
| | - Seth Selorm Klobodu
- Department of Nutrition and Food Science, University of Ghana, P. O. Box LG 134, Legon, Ghana
| | - Margaret Armar-Klemesu
- Nutrition Department, Noguchi Memorial Institute for Medical Research, College of Health Sciences, University of Ghana, P. O. Box LG581, Legon, Ghana
| |
Collapse
|
15
|
Egbi G, Steiner-Asiedu M, Kwesi FS, Ayi I, Ofosu W, Setorglo J, Klobodu SS, Armar-Klemesu M. Anaemia among school children older than five years in the Volta Region of Ghana. Pan Afr Med J 2014. [DOI: 10.11604/pamjs.supp.2014.17.1.3205] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/11/2022] Open
|