BackgroundThe reliability of counts for estimating population dynamics and disease burdens in communities depends on the availability of a common unique identifier for matching general population data with health facility data. Biometric data has been explored as a feasible common identifier between the health data and sociocultural data of resident members in rural communities within the Kintampo Health and Demographic Surveillance System located in the central part of Ghana.ObjectiveOur goal was to assess the feasibility of using fingerprint identification to link community data and hospital data in a rural African setting.DesignA combination of biometrics and other personal identification techniques were used to identify individual's resident within a surveillance population seeking care in two district hospitals. Visits from resident individuals were successfully recorded and categorized by the success of the techniques applied during identification. The successes of visits that involved identification by fingerprint were further examined by age.ResultsA total of 27,662 hospital visits were linked to resident individuals. Over 85% of those visits were successfully identified using at least one identification method. Over 65% were successfully identified and linked using their fingerprints. Supervisory support from the hospital administration was critical in integrating this identification system into its routine activities. No concerns were expressed by community members about the fingerprint registration and identification processes.ConclusionsFingerprint identification should be combined with other methods to be feasible in identifying community members in African rural settings. This can be enhanced in communities with some basic Demographic Surveillance System or census information.
Water and substances from the surface infiltrate the unsaturated zone before reaching groundwater. Yet, little study has been done on the unsaturated zone due to the difficulty of sampling. A lot of studies have been carried out on the top soil down to a depth of one metre and on shallow aquifers because they are easily accessible for sampling. The unsaturated zone of the Kumamotoregion recharge areas is important due to concerns about groundwater pollution from agriculture. The aim of this study was to estimate the downward velocity of soil water movement through the unsaturated zone and the recharge rate using δ18O as a tracer. Five sampling sites were selected and a core was taken from each site. The cores were cut into 0.1 m pieces and soil water was extracted from each to analyze for δD and the δ18O content. Average δD and δ18O compositions of soil water were similar to the isotopic compositions of summer precipitation. Annual average recharge rate and the downward velocity of soil water in each site were estimated by fitting a vertical δ18O profile pattern to a precipitation δ18O time series as a theoretical water displacement flow model for recharge. An estimated annual average recharge rate in the recharge area ranged from 745 to 1058 mm/yr with the annual average downward velocity of 1.37 to 2.34 m/yr. Based on the estimated downward velocity, the infiltration time for soilwater to reach the aquifer was determined as ranging from 9 to 24 years, which corresponds with previous groundwater age estimations presented in an earlier published study on the same area. It was assumed that contaminants will reach aquifers in 9 to 25 years if the effects of diffusion and microbiological reaction are not taken into account.
Reference evapotranspiration, ETo (mm d -1 ) is estimated by the FAO Penman-Monteith equation (Allen et al. 1998) as:
ObjectiveThe government of Ghana has targeted universal access to safe drinking water by 2025 and elimination of open defecation by year 2030. This study explored the use of unimproved drinking water and unimproved sanitation and assessed their association with demographic factors.DesignThis was a secondary data analysis of the 2017 Ghana Maternal Health Survey, a nationally representative cross-sectional survey. Open defecation households were mapped to show regional differences. Weighted logistic regression was used to assess the association of demographic variables with use of unimproved drinking water and unimproved toilet facilities.SettingGhana.ParticipantsA total of 26 324 households were included in the analysis.Primary and secondary outcome measuresUse of unimproved drinking water and unimproved toilet facilities.ResultsOut of the 26 324 households, 8.9% used unimproved drinking water while 81.6% used unimproved sanitation. Open defecation was practised by 15.2% of Ghanaian households, with a prevalence of 58.8%, 6.7% and 12.5% in the Northern, Middle and Coastal zones, respectively. In the multivariate analysis, rural households (p<0.001), households with more than five members (p<0.001), households with heads less than 25 years (p=0.018), male-headed households (p<0.001) and household heads with no/low level of education (p<0.001) were significantly associated with drinking unimproved water. Also, rural households (p=0.002), households in the Northern zone (p<0.001), single-member households (p<0.001), households with heads less than 25 years (p<0.001) and household heads with no/low level of education (p<0.001) were significantly associated with using unimproved toilet facilities.ConclusionThe target of universal access to safe drinking water by 2025 and elimination of open defecation by 2030 seems impossible to be achieved if appropriate measures are not implemented. We recommend that state authorities, health partners and non-governmental organisations support local-level sanitation plans and strategies.
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