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Good menstrual hygiene practice is critical to the health of adolescent girls and women. In Ghanaian public schools, the School Health Education Program which includes menstrual health education has been instituted to equip adolescents with knowledge on menstruation and its related good hygiene practices. However, in most communities, menstruation is scarcely discussed openly due to mostly negative social and religious beliefs about menstruation. In this study, we examined socio-cultural factors associated with knowledge, attitudes and menstrual hygiene practices among Junior High School adolescent girls in the Kpando Municipality of Ghana. A mixed method approach was employed with 480 respondents. A survey was conducted among 390 adolescent girls using interviewer-administered questionnaires to collect data on knowledge of menstruation and menstrual hygiene practices. Focus Group Discussions (FGDs) using a discussion guide were conducted among 90 respondents in groups of 9 members. The FGD was used to collect data on socio-cultural beliefs and practices regarding menstruation. Descriptive and inferential statistics and content analysis were used to analyze the quantitative and qualitative data respectively. Most (80%) of the study participants had good knowledge of menstruation. Also, most (82%) of the participants practiced good menstrual hygiene. Attending a public (AOR = 0.24, 95% CI = 0.12-0.48, p<0.001) and rural (AOR = 0.40, 95% CI = 0.21-0.75, p<0.01) school was significantly associated with reduced odds of practicing good menstrual hygiene. Good knowledge of menstruation was associated with increased odds of good hygiene practices (AOR = 4.31, 95% CI = 2.39-7.90, p<0.001). Qualitative results showed that teachers provided adolescents with more detailed biological information on menstruation than key informants (family members) did at menarche. However, both teachers and family members spoke positively of menstruation to adolescent girls. Social and religious beliefs indicate that menstruation is evil and unclean. Such beliefs influenced community members' attitudes towards adolescent girls and led to practices such as isolating menstruating girls and limiting their ability to interact and participate in certain community and religious activities. Despite the prominence of negative social and religious beliefs about menstruation, good menstrual hygiene practice was high among study participants. Knowledge of menstruation; place of residents; and type of school were the major factors associated with good menstrual hygiene practice. It is therefore, necessary to intensify the School Health Education Program in both rural and urban public and intensively involve private schools as well to ensure equal access to accurate information on menstruation and good menstrual hygiene practices among adolescent girls.

The novel coronavirus (COVID-19) is characterised by loads of fake news and misinformation, which can influence vaccine acceptance. Implementing a harmonized public health strategy during an outbreak necessitates effective community engagement and communication, which facilitates public trust and decision-making. This study explored the role of community engagement in the acceptance of COVID-19 vaccine amid fake news and misinformation in two municipalities in Ghana. A case study design was employed using in-depth interviews with government officials from the Ghana Health Service, Municipal Assembly, Information Services Department and the National Commission on Civic Education and community gatekeepers. Additionally, focus group discussions were conducted with a cross-section of women, men and migrants' community members to understand the role of community engagement in vaccine acceptance. Qualitative analysis software Nvivo 12 was used to support thematic coding and analysis. All ethical procedures and COVID-19 preventive protocols were observed. Study participants reported the sources of fake news and misinformation about the COVID-19 vaccines from interpersonal communication, the radio, and a popular anti-vaccine song. Some of the factors contributing to vaccine hesitancy were community members believed in the fake news and misinformation, low trust in the government and public institutions, and the lack of extensive education on COVID-19 vaccines. The Ghana Health Service was the most successful in engaging communities to promote vaccine acceptance amid fake news and misinformation. It leveraged on its existing community-based health planning and services (CHPS) programme, which engaged the communities frequently through routine programmes such as durbars, antenatal clinics, child welfare clinics, and other community programmes to carry out engagement. Misinformation and fake news about COVID-19 vaccines were widespread in the study communities, with significant implications for vaccine hesitancy. The sources of misinformation ranged from social media platforms and radio broadcasts to personal interactions within communities. While government efforts at community engagement were noted, these efforts were often inadequate to counteract the deeply ingrained fears and misconceptions.

Background Good menstrual hygiene practice is critical to the health of adolescent girls and women. In Ghanaian public schools, the School Health Education Program which includes menstrual health education has been instituted to equip adolescents with knowledge on menstruation and its related good hygiene practices. However, in most communities, menstruation is scarcely discussed openly due to mostly negative social and religious beliefs about menstruation. In this study, we examined socio-cultural factors associated with knowledge, attitudes and menstrual hygiene practices among Junior High School adolescent girls in the Kpando Municipality of Ghana. Materials and methods A mixed method approach was employed with 480 respondents. A survey was conducted among 390 adolescent girls using interviewer-administered questionnaires to collect data on knowledge of menstruation and menstrual hygiene practices. Focus Group Discussions (FGDs) using a discussion guide were conducted among 90 respondents in groups of 9 members. The FGD was used to collect data on socio-cultural beliefs and practices regarding menstruation. Descriptive and inferential statistics and content analysis were used to analyze the quantitative and qualitative data respectively. Results Most (80%) of the study participants had good knowledge of menstruation. Also, most (82%) of the participants practiced good menstrual hygiene. Attending a public (AOR = 0.24, 95% CI = 0.12–0.48, p<0.001) and rural (AOR = 0.40, 95% CI = 0.21–0.75, p<0.01) school was significantly associated with reduced odds of practicing good menstrual hygiene. Good knowledge of menstruation was associated with increased odds of good hygiene practices (AOR = 4.31, 95% CI = 2.39–7.90, p<0.001). Qualitative results showed that teachers provided adolescents with more detailed biological information on menstruation than key informants (family members) did at menarche. However, both teachers and family members spoke positively of menstruation to adolescent girls. Social and religious beliefs indicate that menstruation is evil and unclean. Such beliefs influenced community members’ attitudes towards adolescent girls and led to practices such as isolating menstruating girls and limiting their ability to interact and participate in certain community and religious activities. Conclusion Despite the prominence of negative social and religious beliefs about menstruation, good menstrual hygiene practice was high among study participants. Knowledge of menstruation; place of residents; and type of school were the major factors associated with good menstrual hygiene practice. It is therefore, necessary to intensify the School Health Education Program in both rural and urban public and intensively involve private schools as well to ensure equal access to accurate information on menstruation and good menstrual hygiene practices among adolescent girls.

Background Adolescent suicide is a serious global public health concern. In nations with limited resources like Ghana, an understanding of the risk factors for attempted suicide is crucial to the effectiveness of public health treatments. Relevant Ghanaian research has documented the prevalence of suicidal behaviour, particularly among in-school adolescents. However, the causes of adolescents’ suicide attempts have not received enough in-depth investigation. In two Ghanaian municipalities, this study examined the family and social factors linked to suicide attempts in adolescents between the ages of 15 and 19 years. Methods Twenty (20) adolescents with a history of attempted suicide were identified, information about their experiences was gathered through in-depth interviews and analysed using thematic analysis. Results Two main themes emerged: meaning ascribed to suicide attempts and factors influencing suicide attempts. It was observed that adolescents viewed suicide as a means to alleviate their pains (physical, social, emotional and economic). Adolescents’ suicide attempts were primarily sparked by social variables including broken relationships, fear of stigma associated with sickness, rejection by the community and familial concerns such as financial hardships, rejection, trust issues and unfulfilled family expectations. Conclusion This study shows the social and familial factors influencing adolescent suicide attempts in Ghana. The findings emphasize the need for comprehensive mental health support, community-based interventions and strategies to address these specific risk factors.

Adolescent suicide is a serious global public health concern. In nations with limited resources like Ghana, an understanding of the risk factors for attempted suicide is crucial to the effectiveness of public health treatments. Relevant Ghanaian research has documented the prevalence of suicidal behaviour, particularly among in-school adolescents. However, the causes of adolescents' suicide attempts have not received enough in-depth investigation. In two Ghanaian municipalities, this study examined the family and social factors linked to suicide attempts in adolescents between the ages of 15 and 19 years. Twenty (20) adolescents with a history of attempted suicide were identified, information about their experiences was gathered through in-depth interviews and analysed using thematic analysis. Three main themes emerged: meaning ascribed to suicide attempts, methods used for attempting suicide and factors influencing suicide attempts. It was observed that adolescents viewed suicide as a means to alleviate their pains (physical, social, emotional and economic). The key methods used in their suicidal attempts included ingestion of poisonous substances, hanging, suffocation, body cutting and jumping from tall buildings. Adolescents' suicide attempts were primarily sparked by social variables including broken relationships, fear of stigma associated with sickness, rejection by the community and familial concerns such as financial hardships, rejection, trust issues and unfulfilled family expectations. This study shows the social and familial factors influencing adolescent suicide attempts in Ghana. The findings emphasize the need for comprehensive mental health support, community-based interventions and strategies to address these specific risk factors.