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The conventional method of grain storage involving the use of polypropylene bags in conjunction with pesticides and hermetic bags are paramount in developing countries. However, there is limited information on grain quality and pesticide residue concentration of maize stored in such bags. This work determined grain quality and pesticide residue concentrations of maize stored in polypropylene and hermetic storage bags. Maize samples stored for a period of one year in polypropylene and hermetic bags were obtained from three major maize growing communities in the Ashanti region of Ghana and were analyzed for grain quality, aflatoxin content and pesticide residue concentration using standard methods. The amount of diseased, discolored, broken, insect-damaged, stained, germinated, shriveled, total defective, inorganic and organic matter of maize stored in hermetic bags was significantly lower than that of polypropylene. Levels of aflatoxin in maize stored in the polypropylene bags were significantly higher (13.9 ppb–20 ppb) than in maize stored in the hermetic bags (0.90 ppb–2.6 ppb). Out of 35 pesticides screened, only lambda-cyhalothrin was detected in polypropylene bags and deltamethrin in hermetic bags. The presence of these pesticide residues may be due to their long-lasting abilities. Levels of lambda-cyhalothrin residues were above the maximum residue limit (MRL) of 0.02 mg/kg, but have no significant effect on health. Deltamethrin residue concentrations in hermetically stored maize samples were below the MRL. In conclusion, maize grains stored in hermetic bags have higher grain quality and lower aflatoxin and pesticide residue concentrations than polypropylene bags. Education and promotion on the utilization of hermetic bags should be a priority in storing and supplying safe maize grains to consumers.

Mature distance education students in Ghana, like part-time students all over the world, need to be motivated in order to enjoy their studies and succeed in what they do. In order to come up with incentives for such learners to join and complete a course, universities have to be aware of the characteristics and the socio-economic background of this group of learners and use an approach that best suits their needs at any given time. Based on Richard M. Ryan and Edward L. Deci's self-determination theory, the authors of this article investigate the factors that motivate mature students to engage in distance education and how their motivation is sustained throughout their studies. Using a survey questionnaire, the authors collected data from 210 mature distance education students (106 males and 104 females; aged 30+) of the University of Ghana. Interestingly, some of the authors' findings depart from the norm in terms of adult learners' motivations and what extant literature holds as typified in the work of Ryan and Deci. Adult learners more generally are described in the literature as being mainly intrinsically motivated (e.g. by the desire to learn for its own sake, for the enjoyment it provides, or the feelings of accomplishment it evokes). Interestingly, this survey reveals that mature distance education students who were enrolled in a higher education programme offered by the University of Ghana were mainly extrinsically motivated, giving career development as their top reason for course selection. (HRK / Abstract übernommen).

Men have a critical role to play in reducing cervical cancer burden. Yet, there is little information on male involvement in the cervical cancer screening and treatment process in Ghana. In this study, we explore male knowledge and support during cervical cancer screening and treatment in a rural setting in Ghana. In-depth interviews and focus group discussions were conducted among a total of 41 respondents to collect qualitative data from cervical cancer patients, their male partners and other married men in the North Tongu District, Ghana. A thematic approach was used for data analysis and presentation of the results. The results show that male partners have little or no knowledge about cervical cancer. Some men provide various forms of support-financial, social, material and emotional-to their partners during the screening and treatment stages of the disease. Some men, however, abandoned their partners during the screening and treatment process of the disease. Men whose partners did not have cervical cancer said they were willing to provide financial, social, emotional and material support to their partners if they should contract the disease. Some men said they were willing to support their female partners but lacked education on the disease. This study underscores the need for cervical cancer education programmes to target Ghanaian men. The education should focus on the causes of the disease, screening and treatment methods of the disease, and, ultimately, promote spousal support during the screening and treatment processes.

Background. This study sought to explore the barriers to the uptake of cervical cancer screening and treatment in the North Tongu district of Ghana. Methods. Twenty-five in-depth interviews were conducted, while three focus group discussions were held among respondents. The data were analysed with the R package for qualitative data analysis using a thematic analytical approach. Results. Low level of knowledge about the disease and screening services, personal or psychological convictions, and cost of screening and treatment coupled with a low level of income were the barriers at the individual level. Perceived health personnel attitude, perceived lack of privacy, and misdiagnosis were the barriers at the institutional level while the sociocultural belief system of the communities about the etiology of the disease was the barrier at the community level. Inadequate education about the disease, lack of funding and access to screening facilities also constrained screening and treatment at the policy level. Conclusions. Cervical cancer screening and treatment are constrained at multiple levels in rural Ghana. This study underscores the need to address the low uptake of cervical cancer screening and treatment at the individual, community, institutional, and policy levels simultaneously.

Background Globally, prematurity is a major determinant of morbidity and mortality contributing 30–40% of neonatal mortality. The consequences of preterm deliveries are enormous with developmental and childhood complications as well as high economic and psycho-social burden on the parents (family) and society. Some risk factors include ever having preterm delivery, multiple births and some medical conditions like sexually transmitted infection and urinary tract infections but these have not been ascertained in our study area. Much research into these risk factors is needed in Ghana. We assessed the obstetric determinants of preterm delivery. Methods We conducted a 1:2 unmatched case-control study in Greater Accra Regional Hospital (GARH) -Ridge, a secondary referral facility in Accra, Ghana (from October, 2015 -May, 2016). A case was a mother who delivered between 28 and 36 weeks of gestation (preterm) and a control was a mother who delivered after 37 to 42 completed weeks (term). We used structured questionnaire to collect data, reviewed maternal and foetal records using a checklist. Categorical variables were analysed and expressed as frequencies and proportions. We determined the association between obstetric factors and preterm delivery with multiple logistic regression. Significance level of the strength of association was determined at 95% CI and p -value < 0.05. Results We recruited 390 mothers, 130 had preterm deliveries (cases) and 260 had term deliveries (controls). Experiencing premature rupture of membrane (aOR: 2.3; 95% CI:1.0–5.5), pre-eclampsia/eclampsia (aOR: 3.4; 95% CI: 1.0–11.9) were found to be associated with preterm delivery. However, four or more ANC visit was protective factor for preterm delivery (aOR: 0.2; 95% CI: 0.1–0.4). Conclusion Premature rupture of membrane, hypertensive complications and antepartum haemorrhage were found to be risk factors associated with preterm delivery in Ridge Hospital. Health workforce providing ANC services need to identify risk factors and refer these mothers to the doctor for early management and improved outcome decreasing preterm delivery.

Background and Aims In Ghana, the term ‘galamsey’ refers to illicit small‐scale gold mining. It is a primary factor in water pollution, land degradation and other environmental harm. It has also been connected to health risks like displacement and mercury poisoning. The rates of infertility among humans are rising, according to a recent study. While there are several theories explaining the rise in infertility rates, environmental contaminants may be a significant contributing role in this phenomenon. Fertility in both men and women can be impacted by a variety of environmental factors. The possible impacts of environmental contaminants on reproduction are especially concerning. We systematically reviewed the published literature on the effects of chemicals used in ‘galamsey’ on reproductive function. Methods A comprehensive search of major databases including Medical and Allied Healthcare databases was systematically searched to identify studies published within the last period of 2010–2022. The modern SPIDER template for eligibility criteria was adopted as a guide in study selection after a literature search. Two reviewers independently screened studies for eligibility, extracted data, and assessed study quality. Results Out of the 500 database, 20 documents were processed for their eligibility while 15 were included in the current study. The findings revealed that there is an association between the use of metals and reduced fertility in both males and females. ‘Galamsey’ exposure was also linked to decreased sperm count, motility and morphology in males as well as hormonal imbalance and increased chances of miscarriage and still birth among conceived mothers and females. Children born in these areas may have various forms of defects and malformations. Conclusion This systematic review provides evidence that illegal mining activities have a deleterious effect on human fertility. These findings highlight the need for environmental and health reforms to address future public health threats.

Many Delta residents are dependent on climate-sensitive resources for their survival. Nonetheless, these resources are susceptible to climatic change and variability. The Volta delta of Ghana is severely impacted by sea-level rise resulting in flooding, salinisation and permanent loss of lands, with relentless social and economic consequences. However, vulnerability assessments in the Volta Delta have primarily focused on sea level rise, with limited attention to communities' susceptibility to adverse socio-environmental impacts. This study maps socio-environmentally vulnerable hotspots in the Volta Delta, employing methods incorporating residents, stakeholders and experts' opinions. Vulnerability is conceptualised based on the Intergovernmental Panel on Climate Change (IPCC) climate risk and socioeconomic vulnerability framework. The framework defines vulnerability as a function of sensitivity and adaptive capacity. Through stakeholder engagements, community support systems sensitive to climate-driven stressors, referred to as sensitivity dimensions, were identified. Those that enhance local communities' ability to adjust and mitigate the impacts of climate stressors, termed adaptive capacity dimensions, were also identified. Indicators for quantifying the dimensions were also identified through stakeholder engagements. Data for the analysis were extracted from multiple sources including Census, Landsat imagery, national land surveillance and Google Earth. Geospatial statistical techniques were used to analyse and map socio-environmental vulnerability hotspots. The findings show that vulnerable communities were predominantly agrarian communities clustered along the intersections of the South Tongu, North Tongu, and Akatsi districts as well as the Dangbe West and North Tongu districts. Communities along the eastern coastline of Keta and Ketu South Municipalities and the Dangbe West District were the least vulnerable. The results also show, that although communities along the coastal lines of the Keta, Ada East and Ada West districts were highly vulnerable to sea-level rise, access to vibrant cross-country economic and industrial activities at the Ghana-Togo border and the capital city of Accra and the port city of Tema contribute to their low socio-environmental vulnerability. Socioeconomic ability, particularly access to alternative economic activities has the potential to mitigate vulnerability to environmental stressors. The findings direct the need for area-specific targeted and concerted interventions for strengthening the socioeconomic ability and adaptation capacity of the Volta Delta residents.

Dengue, Zika and chikungunya are Aedes -borne viral diseases that have become great global health concerns in the past years. Several countries in Africa have reported outbreaks of these diseases and despite Ghana sharing borders with some of these countries, such outbreaks are yet to be detected. Viral RNA and antibodies against dengue serotype-2 have recently been reported among individuals in some localities in the regional capital of Ghana. This is an indication of a possible silent transmission ongoing in the population. This study, therefore, investigated the entomological transmission risk of dengue, Zika and chikungunya viruses in a forest and domestic population in the Greater Accra Region, Ghana. All stages of the Aedes mosquito (egg, larvae, pupae and adults) were collected around homes and in the forest area for estimation of risk indices. All eggs were hatched and reared to larvae or adults for morphological identification together with larvae and adults collected from the field. The forest population had higher species richness with 7 Aedes species. The predominant species of Aedes mosquitoes identified from both sites was Aedes aegypti (98%). Aedes albopictus , an important arbovirus vector, was identified only in the peri-domestic population at a prevalence of 1.5%, significantly higher than previously reported. All risk indices were above the WHO threshold except the House Index for the domestic site which was moderate (19.8). The forest population recorded higher Positive Ovitrap (34.2% vs 26.6%) and Container (67.9% vs 36.8%) Indices than the peri-domestic population. Although none of the mosquito pools showed the presence of dengue, chikungunya or Zika viruses, all entomological risk indicators showed that both sites had a high potential arboviral disease transmission risk should any of these viruses be introduced. Continuous surveillance is recommended in these and other sites in the Metropolis to properly map transmission risk areas to inform outbreak preparedness strategies.

Background Certain professions are associated with low physical activity. Workers in such professions spend the most part of their adult working lives less engaged in physical activity if they don’t consciously exercise outside of working hours. This increases their risk of obesity and its associated diseases. This study determined the prevalence of obesity and overweight and associated factors among workers of a financial institution in Accra Metropolis, Ghana. Methods A cross-sectional study was conducted among 180 workers of a financial institution in Accra using the World Health Organization’s STEPS (STEPwise approach) instrument for non-communicable disease risk factor surveillance. Relevant sociodemographic information were recorded and BMI was computed for each respondent. Results The overall prevalence of obesity and overweight among the bank workers was 55.6 % (17.8 % obese and 37.8 % overweight). After adjusting for other variables, physical activity (OR = 0.34, 95 % CI = 0.13–0.89, p = 0.03), alcohol consumption (OR = 3.00, 95 % CI = 1.35, 6.68, p = 0.007), marital status (OR = 2.74, 95 % CI = 0.96–7.85, p = 0.04), sex (OR = 2.78, 95 % CI = 1.23–6.33, p = 0.01), and age (OR = 1.10, 95 % CI = 1.01–1.20, p = 0.036) were significantly associated with obesity and overweight. Conclusion Being physically inactive, consumption of alcohol, being married and a female, in addition to old age, increase the risk of obesity and overweight significantly. These factors should inform policy makers in developing strategies to reduce the burden of obesity and overweight among this category of workers.

Aedes -borne viral diseases mainly Yellow Fever (YF), Dengue (DEN), Zika (ZIK) and Chikungunya (CHK) have contributed to many deaths’ in the world especially in Africa. There have been major outbreaks of these diseases in West Africa. Although, YF outbreaks have occurred in Ghana over the years, no outbreak of DEN, ZIK and CHK has been recorded. However, the risk of outbreak is high due to its proximity to West African countries where outbreaks have been recently been recorded. This study surveyed the mosquito fauna to assess the risk of transmission of Yellow fever (YFV), Dengue (DENV), Chikungunya (CHKV) and Zika (ZIKV) viruses in Larabanga and Mole Game Reserve areas in Northern Ghana. The immature and adult stages of Aedes mosquitoes were collected from Larabanga and Mole Game Reserve area. There was a significant (P>0.001) number of mosquitoes collected during the rainy season than the dry season. A total of 1,930 Aedes mosquitoes were collected during the rainy season and morphologically identified. Of these, 1,915 (99.22%) were Aedes aegypti and 15 (0.22%) were Aedes vittatus . During the dry season, 27 Ae . aegypti mosquitoes were collected. A total of 415 Ae . aegypti mosquitoes were molecularly identified to subspecies level of which Ae . (Ae) aegypti aegypti was the predominant subspecies. Both Ae . aegypti aegypti and Ae aegypti formosus exist in sympatry in the area. All Aedes pools (75) were negative for DENV, ZIKV and CHKV when examined by RT- PCR. Three Larval indices namely House Index, HI (percentage of houses positive for Aedes larvae or pupae), Container Index, CI (the percentage of containers positive for Aedes larvae or pupae) and Breteau Index, BI (number of positive containers per 100 houses inspected) were assessed as a measure for risk of transmission in the study area. The HI, CI and BI for both sites were as follows; Mole Game Reserve (HI, 42.1%, CI, 23.5% and BI, 100 for rainy season and 0 for all indices for dry season) and Larabanga (39%, 15.5% and 61 for rainy season and 2.3%, 1.3% and 2.3 for dry season). The spatial distribution of Aedes breeding sites in both areas indicated that Aedes larvae were breeding in areas with close proximity to humans. Lorry tires were the main source of Aedes larvae in all the study areas. Information about the species composition and the potential role of Aedes mosquitoes in future outbreaks of the diseases that they transmit is needed to design efficient surveillance and vector control tools.