Demographic patterns and trends in Central Ghana: baseline indicators from the Kintampo Health and Demographic Surveillance System

Owusu‐Agyei, Seth; Nettey, Obed Ernest A.; Zandoh, Charles; Abubakari, Sulemana Watara; Adda, Robert; Amenga‐Etego, Seeba; Mbacké, C

doi:10.3402/gha.v5i0.19033

Cited by 101 publications

(129 citation statements)

References 6 publications

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“…The program began in Navrongo and spread throughout the Upper East Region. For Kintampo, a surveillance population of approximately 200,000 was reported in 2011 [32]. Kintampo is located in the middle belt of the country, 429 km from Accra, and contains 24 CHPS compounds.…”

Section: Methodsmentioning

confidence: 99%

Determinants of attending antenatal care at least four times in rural Ghana: analysis of a cross-sectional survey

Sakeah

Okawa

Oduro

et al. 2017

Global Health Action

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Background: Improving maternal health is a global challenge. In Ghana, maternal morbidity and mortality rates remain high, particularly in rural areas. Antenatal care (ANC) attendance is known to improve maternal health. However, few studies have updated current knowledge regarding determinants of ANC attendance. Objective: This study examined factors associated with ANC attendance in predominantly rural Ghana. Methods: We conducted a cross-sectional study at three sites (i.e. Navrongo, Kintampo, and Dodowa) in Ghana between August and September 2013. We selected 1500 women who had delivered within the two years preceding the survey (500 from each site) using two-stage random sampling. Data concerning 1497 women’s sociodemographic characteristics and antenatal care attendance were collected and analyzed, and factors associated with attending ANC at least four times were identified using logistic regression analysis. Results: Of the 1497 participants, 86% reported attending ANC at least four times, which was positively associated with possession of national health insurance (AOR 1.64, 95% CI: 1.14–2.38) and having a partner with a high educational level (AOR 1.64, 95% CI: 1.02–2.64) and negatively associated with being single (AOR 0.39, 95% CI: 0.22–0.69) and cohabiting (AOR 0.57, 95% CI: 0.34–0.97). In site-specific analyses, factors associated with ANC attendance included marital status in Navrongo; marital status, possession of national health insurance, partners’ educational level, and wealth in Kintampo; and preferred pregnancy timing in Dodowa. In the youngest, least educated, and poorest women and women whose partners were uneducated, those with health insurance were more likely to report at least four ANC attendances relative to those who did not have insurance. Conclusions: Ghanaian women with low socioeconomic status were less likely to report at least four ANC attendances during pregnancy if they did not possess health insurance. The national health insurance scheme should include a higher number of deprived women in predominantly rural communities.

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Section: Methodsmentioning

confidence: 99%

Determinants of attending antenatal care at least four times in rural Ghana: analysis of a cross-sectional survey

Sakeah

Okawa

Oduro

et al. 2017

Global Health Action

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“…The Kintampo Health Research Center maintains a Health and Demographic Surveillance System (HDSS) that records detailed demographics of all residents, including pregnancies, births, deaths, and migrations (in and out) at four-month intervals. 18 The HDSS is made up of a resident population of approximately 140,000 persons. All houses have been digitized to make selection and tracing of persons to their homes easy.…”

Section: Methodsmentioning

confidence: 99%

Biochemical and Hematologic Parameters for Children in the Middle Belt of Ghana

Dosoo

Asante

Kayan³

et al. 2014

The American Society of Tropical Medicine and Hygiene

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Abstract. Reference values derived from developed countries are used in many countries in Africa for interpretation of laboratory results obtained during routine healthcare and clinical trials. Use of locally derived reference values has been recommended. The purpose of the study was to establish age-and sex-specific reference values for children in the middle belt of Ghana. Reference values were determined for 21 biochemical and 18 hematologic parameters by using Clinical and Laboratory Standards Institute C28-A3 guidelines in a sample of 1,442 healthy children. Hemoglobin, hematocrit, mean cell volume, erythrocytes, urea, and creatinine were lower when compared with values from northern countries but alanine aminotransferase, aspartate aminotransferase, and total bilirubin were higher. A panel of locally relevant age-and sex-specific reference values was established for commonly used biochemical and hematologic tests in children in the middle part of Ghana. This will help in interpretation of laboratory results for clinical management of patients, screening, and safety monitoring during clinical trials.

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“…[12–16] However, in both forest and coastal ecological areas, malaria parasite prevalence peaks twice in a year. [12,13,17]…”

Section: A Brief Malaria Profile Of Ghanamentioning

confidence: 99%

Towards malaria control and elimination in Ghana: challenges and decision making tools to guide planning

Awine

Malm

Bart-Plange

et al. 2017

Global Health Action

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Ghana is classified as being in the malaria control phase, according to the global malaria elimination program. With many years of policy development and control interventions, malaria specific mortality among children less than 5 years old has declined from 14.4% in 2000 to 0.6% in 2012. However, the same level of success has not been achieved with malaria morbidity. The recently adopted 2015–2020 Ghana strategic action plan aims to reduce the burden of malaria by 75.0%. Planning and policy development has always been guided by evidence from field studies, and mathematical models that are able to investigate malaria transmission dynamics have not played a significant role in supporting policy development. The objectives of this study are to describe the malaria situation in Ghana and give a brief account of how mathematical modelling techniques could support a more informed malaria control effort in the Ghanaian context. A review is carried out of some mathematical models investigating the dynamics of malaria transmission in sub-Saharan African countries, including Ghana. The applications of these models are then discussed, considering the gaps that still remain in Ghana for which further mathematical model development could be supportive. Because of the collaborative approach adopted in their development, some model examples Ghana could benefit from are also discussed. Collaboration between malaria control experts and modellers will allow for more appropriate mathematical models to be developed. Packaging these models with user-friendly interfaces and making them available at various levels of malaria control management could help provide the decision making tools needed for planning and a platform for monitoring and evaluation of interventions in Ghana.

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Demographic patterns and trends in Central Ghana: baseline indicators from the Kintampo Health and Demographic Surveillance System

Cited by 101 publications

References 6 publications

Determinants of attending antenatal care at least four times in rural Ghana: analysis of a cross-sectional survey

Determinants of attending antenatal care at least four times in rural Ghana: analysis of a cross-sectional survey

Biochemical and Hematologic Parameters for Children in the Middle Belt of Ghana

Towards malaria control and elimination in Ghana: challenges and decision making tools to guide planning

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