This paper is a follow-up to a cross-sectional study which employed mix-methods for data collection and analysis to investigate a relationship between mobility and HIV risks amongst 385 fishers in Elmina. It discusses the roles of men and women in fish-for-sex (FFS), reasons for such transactional sexual activity and its implications for HIV risk infection. The theory of gender and power has been utilized to explain gender dynamics in power inequalities, and their effects on interpersonal sexual relationships between males and females within the fishing community. The paper concludes sex-division of labour exists in the study area and thrives on socio-cultural norms and power inequalities, which mainly favours men, as it gives them the power to exploit women through the supply of fish. Another observation from the paper is that as long as the female fishers require capital for their fish trade and the male fishers have greater control over the supply of the fish, the women will have very little basis to negotiate for. The paper therefore establishes linkage between fish-for-sex relationship and risk of HIV exposure among fishers in Elmina. The paper recommends empowerment of female fishers by granting them trading capital to limit their overdependence on male fishers for capital, and prevent them from exchanging sex for fish. The paper also calls for the intensification of education by relevant agencies involved in HIV education on safe sex practices through the use of condoms in fishing communities.
Few studies have examined the intentions of parents and guardians to vaccinate their children younger than 18 years against COVID-19 in Ghana. Parents are the decision makers for children younger than 18 years; therefore, we examined parents’ and guardians’ intentions to accept the COVID-19 vaccines for their children. An online survey was conducted among 415 parents and guardians in Ghana. The Statistical Package for Social Sciences version 25 was used to analyse the data. We found that 73.3% of parents/guardians would allow their children to be vaccinated against COVID-19. The binary logistic regression analysis shows that parents/guardians with Senior High School education, those who believed COVID-19 could not be cured, and those who agreed and those who neither agreed nor disagreed with the statement “once the vaccine is available and approved, it would be safe” were less likely to accept COVID-19 vaccine for their children. Also, parents/guardians who neither agreed nor disagreed that “the best way to avoid the complications of COVID-19 is by being vaccinated”, those who agreed that “I am of the notion that physiological/natural community is better compared to vaccine-induced immunity” and “I believe the vaccine programming may be likened to the new world order” were less likely to accept COVID-19 vaccine for their children. There is a need for public health practitioners to intensify education on the benefits and side effects of COVID-19 vaccines, as well as provide regular and up-to-date information about vaccines’ safety to parents and guardians.
Background Gambling is illegal for children in Ghana. However, young people, including children, are increasingly engaged in gambling across the country. Gambling is harmful and poses developmental implications for the youth, including children. There are limited studies on child gambling in Ghana and other sub-Saharan African countries. This study examined the prevalence of gambling participation, predictors of gambling participation, and perceived harm of gambling on children. Methods A cross-sectional convergent parallel mixed methodology was used to study 5024 children aged 8 to 17 in the three ecological zones of Ghana. Binary logistic regression was used to examine the predictors of gambling participation while the qualitative data was analysed thematically. Results Overall, 3.1% of children aged 8 to 17 had ever engaged in gambling activities. Also, being a female (AOR = 0.210, Wald test = 34.413, 95% CI: 0.125–0.354), having attained primary education (AOR = 4.089, Wald test = 18.643, 95% CI: 2.158–7.749), doing paid work (AOR = 2.536, Wald test = 10.687, 95% CI: 1.452–4.430), having a friend who gambles (AOR = 1.587, Wald test = 4.343; 95% CI: 1.028–2.451), having access to radio (AOR = 1.658, Wald test = 6.694, 95% CI: 1.130–2.431) and having access to mobile phone (AOR = 0.590, Wald test = 6.737, 95% CI: 0.396–0.879) were predictors of gambling participation. Gambling is perceived as harmful by children since it is addictive, affects learning and class attendance, and makes them steal from their families to gamble. Conclusions This study demonstrated that socio-demographic characteristics (sex, age, educational attainment, ecological zone, persons taking care of children, living arrangement, engagement in paid work, radio access, mobile phone access) and gambling-related information (having friends who gamble) make children more susceptible to gambling. Researchers and policymakers should consider these socio-demographic characteristics and gambling-related information when designing interventions to curb gambling among children aged 8 to 17 in Ghana.
One of the most important steps in HIV prevention is the provision of education to raise awareness to ensure individuals have a sufficient understanding of HIV and AIDS and encourage them to apply that knowledge. The study is based on an earlier descriptive cross-sectional study that sought a link between fishers’ mobility and their risk of HIV exposure in the Elmina fishing community in Ghana. The current paper focuses on initiatives taken within the study area to inform fishers about HIV and AIDS. Additionally, it analyzes the successes and challenges of these programs and offers suggestions for improvement. Public and community durbars, town hall meetings, radio and television transmission, film creation, and the distribution of IE&C materials are the main strategies utilized to carry out HIV and AIDS education. The results suggest that few fishers in the study area take part in programs, whiles projects on HIV and AIDS cannot be implemented consistently and effectively due to a lack of funding and delays in the delivery of government funds. To enable organizations whose mandates, relate to HIV and AIDS interventions to carry out the programs timely and fully, it is advised that government enhances its financing and ensures the timely and full release of program funds.
Although evidence abounds about low condom use among fisherfolks, leading to high human immunodeficiency virus (HIV) prevalence in fishing communities, there is dearth of information about the beliefs, attitudes, and behaviors of fishers regarding the use of condom. This article is a follow-up to a cross-sectional study that used a mix-method design for data collection and analysis to examine the connection between mobility and the risk of contracting HIV among 385 fishers in the Elmina fishing community of Ghana. The Health Belief Model is utilized in the discussions to analyze attitudes and actions toward condom use among the fishers in Elmina. There is a general low perception of HIV susceptibility and severity resulting in the low condom usage among the fisherfolks according to the results. The paper urges civil society organizations in the study area to investigate ways to incorporate the provision of free condoms to fishers and at the numerous fishing destination sites along the coast of Elmina. The regular use of condoms in Elmina and the nearby fishing areas should also be emphasized through this outreach or mobile HIV service outlets.
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