Introduction: Diabetes remains an emerging public health challenge in Ghana. The control of cardio‑metabolic risk factors among type 2 diabetes patients in the country is suboptimal, leading to massive healthcare costs. This systematic review examined the extent of adherence to self-care behaviours and associated factors among type 2 diabetes patients in Ghana.Methods: PubMed, PsycINFO, Scopus, and Google scholar were used to identify quantitative observational studies published between 1990 and June 2022. Studies exclusive to type 2 diabetes patients ≥18 years of age in a Ghanaian setting were included in this review. Findings of primary studies were analysed using narrative synthesis.Results: Eleven (11) studies, presenting data on a total of 2,503 type 2 diabetes patients, were included. All the studies were published in the last decade (2015-2021) and a majority (45.5%) of them were from the Greater Accra Region. The mean number of days (per week) participants adhered to a self‐care behaviour were in the ranges of 3.9–4.4 for diet, 4.2–4.8 for physical activity, 0.5–2.2 for self-monitoring of blood glucose (SMBG), and 2.9–5.0 for foot care. Adherence rates for medication were in the range of 33.5–84.5%. Patient-related factors, sociodemographic/economic-related factors, condition-related factors, and healthcare system-related factors were associated with the practice of self-care behaviours.Conclusion: Adherence to self-care behaviours among type 2 diabetes patients in Ghana remains an ongoing challenge, with significant variations in adherence among patients with different characteristics. Public health interventions are needed to address the variations in adherence to self-care behaviours among type 2 diabetes patients.
Background Generally, recurrent teenage pregnancies are public health menaces that impede the quality of life of teenage mothers, their offspring, and society as a whole. However, there is paucity of information regarding factors influencing this social issue especially, in developing countries where Ghana is no exception. Moreover, this menace has been least investigated from the perspective of the teenager with multiple pregnancies. Hence, this study aimed at identifying the factors influencing recurrent teenage pregnancies and the challenges confronted by these teenage mothers. Method This study is a phenomenological qualitative study that was conducted in the Effutu Municipality in the Central Region of Ghana. Employing convenience and snowball sampling, 40 participants who were residents of the study area, had a child each, and were pregnant at the time of the study were included. Other participants included teenage mothers who had at least two (2) children. A face-to-face in-depth interview with the help of an interview guide was conducted. Proceedings were recorded, transcribed, and analysed using thematic analysis. Quotations were used in the result presentation. Results The results of the study revealed that factors influencing recurrent teenage pregnancies are multifactorial. It includes peer pressure, parental neglect, poverty, living with a partner, and inadequate knowledge of family planning. The teenager with recurrent pregnancy is confronted with financial difficulties and is faced with stigmatisation in the society where she finds herself. Conclusion To this effect, it is important to intensify education on family planning and good parental practices among parents with teenage mothers while providing a similar form of sensitization for members of the society about the harmful effects of stigmatisation on the teenage mother and her children. Again, a social support network for teenagers with recurrent pregnancies could be formed to help curb this public health menace.
Background: Provision of quality and accessible health services comes with its challenges. Therefore, the need to highlight how motivation and job satisfaction can impact nurses’ performances at the Korle-Bu teaching hospital. Objectives: The research aimed to practically highlight nurses’ motivation and job satisfaction by identifying what constituted motivation packages of nurses and how the work they did could give them satisfaction at the Korle-Bu teaching hospital. Methods: The research employed a qualitative method with a case study design. In-depth interviews and focus group discussions (data triangulation) were used for primary data collection. A total of 40 respondents, including ten key informants, were selected using the purposive and convenience sampling techniques. Results: The research found that the recognition of needs of nurses, improved remunerations, enhanced conditions of service of the nurses’, regular payment of nurses’ salaries’, the institution of study leave with pay policy, among others, were considered as factors that could contribute to nurses’ motivation and job satisfaction. These findings are consistent with the findings of other studies. Again, the study found that professional allowances paid to nurses, reduced rent, and the like are current motivation packages directed at nurses at the Korle-Bu teaching hospital. Conclusion: It is important to state that for motivation to accomplish its intended purpose, there is the need for the hospital to identify the individual needs to satisfy to enhance job satisfaction.
Background: Despite the use of computerized health records systems, its application is fraught with several obstacles, which slow down the pace of operations in Pentecost Hospital in Accra in Ghana. Aim: This study was designed to identify the challenges confronting the Computerized Health Records System performance of the Pentecost Hospital in Accra in Ghana. Methodology: The study espoused a qualitative method with a case study design through a well-structured interview guide and focus group discussions. In all, forty-five (45) respondents including ten (10) principal informers who were purposely selected due to their interest in the performance of the Computerized Health Records System at the Pentecost Hospital in the La Nkwantanang Madina Municipality took part in the study. Results and discussion: The study found that the introduction of the computerized health records system was faced with several challenges and they included inadequate knowledge about computerized health records systems, the breaks in internet connections of the systems, and the like. Recommendation: Effective monitoring mechanisms, provision of adequate financial and economic resources and the involvement of all the stakeholders in providing quality and efficient computerized health record systems as well as the provision of adequate training are key recommendations for improving the performance of the system. Conclusion: It is good to mention that efficient application of a computerized health record system which is geared towards efficient quality healthcare would flourish when parity, effectiveness, efficiency, and responsiveness of resource utilization for quality healthcare are considered as the building blocks.
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