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Full-Text Articles in Social and Behavioral Sciences
Introduction Of Dmpa-Sc Self-Injection In Ghana: A Feasibility And Acceptability Study Using Sayana® Press, Dela Nai, Patrick Aboagye, Kamil Fuseini, Elizabeth Tobey, Aparna Jain, Nora Maresh, Rebecca Fertziger
Introduction Of Dmpa-Sc Self-Injection In Ghana: A Feasibility And Acceptability Study Using Sayana® Press, Dela Nai, Patrick Aboagye, Kamil Fuseini, Elizabeth Tobey, Aparna Jain, Nora Maresh, Rebecca Fertziger
Reproductive Health
This research report describes results from an implementation science study that explored the feasibility and acceptability of administering depot medroxyprogesterone acetate-subcutaneous (DMPA-SC) among health-care providers and family planning (FP) clients in Ghana. DMPA-SC is an injectable contraceptive method that can be self-administered. The study, conducted by the Population Council through the USAID-funded Evidence Project in collaboration with the Ghana Health Service, was implemented in rural, peri-urban, and urban areas of the Ashanti and Volta regions. A total of 150 health-care providers were trained to administer DMPA-SC and to train clients on self-injection. Clients assessed as being competent self-injected under the …
Towards Active Ageing: A Comparative Study Of Experiences Of Older Ghanaians In Australia And Ghana, Daniel Doh
Towards Active Ageing: A Comparative Study Of Experiences Of Older Ghanaians In Australia And Ghana, Daniel Doh
Theses: Doctorates and Masters
Population ageing has become a central feature of the 21st century, as most countries search for economically viable strategies to support and manage their ageing populations to live in a dignified way. In 2002, the World Health Organisation (WHO) proposed the active ageing policy framework to guide countries to develop policies that promote the quality of life for their older people. However, the interpretation and application of the active ageing model in the literature and policy discussions are inconclusive on the most important elements that promote the quality of life of older people. The discussions have largely focused on health …
Situation Analysis Of Programs To Meet The Hiv Prevention, Care, And Treatment Needs Of Persons With Disabilities In Ghana, Uganda, And Zambia, Waimar Tun, Jerry Okal, Katie D. Schenk, Meredith Sheehy, Emmanuel Kuffour, Selina F. Esantsi, Hilary Asiah, Grimond Moono, Felix Mutale, Rita Kyeremaa, Edson Ngirabakunzi, Atwijukire Justus
Situation Analysis Of Programs To Meet The Hiv Prevention, Care, And Treatment Needs Of Persons With Disabilities In Ghana, Uganda, And Zambia, Waimar Tun, Jerry Okal, Katie D. Schenk, Meredith Sheehy, Emmanuel Kuffour, Selina F. Esantsi, Hilary Asiah, Grimond Moono, Felix Mutale, Rita Kyeremaa, Edson Ngirabakunzi, Atwijukire Justus
HIV and AIDS
National HIV strategic plans, HIV-related services, and HIV outreach efforts have tended to overlook persons with disabilities, and persons with disabilities are not reached by general HIV prevention, care, support, and treatment campaigns and services. To increase our understanding of how to make HIV programming more inclusive for persons with disabilities, HIVCore and partners conducted a three-country situation analysis (Uganda, Zambia, and Ghana). The study explored existing HIV services for persons with disabilities and determined the factors affecting their access to and use of HIV/sexual and reproductive health (SRH) services. Key findings: Persons with disabilities experience greater sexual vulnerability to …
Les Coûts Du Mariage—Les Transactions Matrimoniales Dans Le Monde En Développement, Sajeda Amin, Ashish Bajracharya
Les Coûts Du Mariage—Les Transactions Matrimoniales Dans Le Monde En Développement, Sajeda Amin, Ashish Bajracharya
Poverty, Gender, and Youth
Au cours des deux dernières décennies, le Population Council a receuilli une multitude d'informations sur les causes et les corrélats du mariage des enfants et documenté ses effets néfastes sur le bien-être des femmes et des filles. Dans de nombreuses régions du monde en développement, la compréhension du mariage des enfants est au coeur de la conception de programmes qui favorisent des transitions saines vers l'âge adulte. Les travaux de recherche du Population Council soulignent également l'importance des rituels et des pratiques d'échange matrimoniales dans le monde et éclairent les différences considérables entre ces pratiques. Promouvoir des transitions vers l'âge …
Costos Del Matrimonio—Negociaciones Maritales En Países En Vías De Desarrollo, Sajeda Amin, Ashish Bajracharya
Costos Del Matrimonio—Negociaciones Maritales En Países En Vías De Desarrollo, Sajeda Amin, Ashish Bajracharya
Poverty, Gender, and Youth
Durante las dos últimas décadas, el Population Council ha acumulado una cantidad de información sobre las causas y correlaciones del matrimonio infantil y documentó sus efectos adversos sobre el bienestar de las mujeres y niñas. En muchas partes de los países en vías de desarrollo, el hecho de comprender el matrimonio infantil es central a la hora de diseñar programas que promuevan transiciones saludables para la edad adulta. La investigación del Council subraya la importancia de los rituales y las prácticas de intercambio matrimonial en todo el mundo y documenta la variación considerable en estas prácticas. Promoción de transiciones a …
Piloting A Safe Spaces, Asset-Building Program For Adolescent Girls In Urban Ghana, Sarah Engebretsen, Selina F. Esantsi
Piloting A Safe Spaces, Asset-Building Program For Adolescent Girls In Urban Ghana, Sarah Engebretsen, Selina F. Esantsi
Poverty, Gender, and Youth
Ghana’s population of 24 million is projected to reach 31.8 million in 2025. This population growth is coupled with rapid urbanization. Urban adolescent females experience a rapid decline in school enrollment, often because they need to provide economic support to families. Girls living apart from families and out of school often lack social networks and have few opportunities to build the critical skills needed for adulthood. The Population Council has a global portfolio of work reaching vulnerable adolescent girls with programs that provide a safe, girl-specific platform where girls can develop core skills, form friendships, receive and give peer support, …
Pilotage D'Un Programme Visant À Sécuriser L'Espace Et À Renforcer Les Ressources Des Adolescentes Vivant Dans Les Zones Urbaines Du Ghana, Sarah Engebretsen, Selina F. Esantsi
Pilotage D'Un Programme Visant À Sécuriser L'Espace Et À Renforcer Les Ressources Des Adolescentes Vivant Dans Les Zones Urbaines Du Ghana, Sarah Engebretsen, Selina F. Esantsi
Poverty, Gender, and Youth
La population du Ghana compte 24 millions d’habitants et devrait atteindre 31,8 millions d’habitants en 2025. Cette croissance démographique va de pair avec l’urbanisation rapide. Les adolescentes qui vivent en milieu urbain connaissent rapidement une diminution du taux de scolarisation, souvent parce qu'elles doivent apporter un soutien économique à leur familles. Les filles qui vivent à l’écart de leur famille et qui ne sont pas scolarisées sont souvent dépourvues de réseaux sociaux et ont peu d'occasions d’adquérir des compétences nécessaires à la vie adulte. Le Population Council dispose d’un portefeuille mondial d’activités consacrées aux adolescentes vulnérables avec des programmes qui …
Costs Of Marriage—Marriage Transactions In The Developing World, Sajeda Amin, Ashish Bajracharya
Costs Of Marriage—Marriage Transactions In The Developing World, Sajeda Amin, Ashish Bajracharya
Poverty, Gender, and Youth
Over the past two decades the Population Council has amassed a wealth of information on the causes and correlates of child marriage and documented its adverse effects on the well-being of women and girls. In many parts of the developing world, understanding child marriage is central to designing programs that promote healthy transitions to adulthood. Council research also underscores the importance of rituals and practices of marriage exchange around the globe and documents the considerable variation in these practices. Promoting Healthy, Safe, and Productive Transitions to Adulthood Brief No. 35 synthesizes some broad themes that have emerged from research on …
Life Skills: Psychosocial And Interpersonal Skills For Adolescent Girls In Urban Ghana—Mentor's Guide, Population Council
Life Skills: Psychosocial And Interpersonal Skills For Adolescent Girls In Urban Ghana—Mentor's Guide, Population Council
Poverty, Gender, and Youth
School dropout is common among urban adolescent girls in Ghana, leading to increased social isolation and high rates of teenage pregnancy. The curriculum described in this mentor’s guide is one component of the Population Council’s “Safe Spaces” asset-building program for vulnerable adolescent girls in urban Ghana. The curriculum consists of 20 Life Skills sessions, which each take 90 minutes to complete. The program approach used is based on giving girls a safe, girls-only space where they can meet friends and learn about important topics under the guidance of a female mentor. The number of sessions completed per week or per …
Acceptability And Promotion Strategies For Lng-Ius In Ghana: A Public Health Assessment, Philomena Nyarko, Cletus Adohinzin, Placide Tapsoba, Selina F. Esantsi, John Townsend, Nicholas Kanlisi, Ekua Ed-Nighpense, Gloria Quansah Asare
Acceptability And Promotion Strategies For Lng-Ius In Ghana: A Public Health Assessment, Philomena Nyarko, Cletus Adohinzin, Placide Tapsoba, Selina F. Esantsi, John Townsend, Nicholas Kanlisi, Ekua Ed-Nighpense, Gloria Quansah Asare
Reproductive Health
In response to concerns about the side effects of the IUD, the commonly known reversible, long-term method in Ghana, and to curb the shift from long-term to short-term methods, the Ghana Health Service decided to expand women’s contraceptive method choices by introducing the Levonorgestrel-releasing Intrauterine System (LNG-IUS), a hormonal IUD, into the contraceptive method mix. The LNG-IUS is a uterine contraceptive that provides effective long-term protection up to five years. Even though the product has been certified as safe and effective, it was necessary to ensure that it satisfies client’s needs and meets provider expectations. The Population Council, in collaboration …
Demographic Data For Development: Ghana, Kofi Awusabo-Asare, Wendy Baldwin, Sarah Engebretsen
Demographic Data For Development: Ghana, Kofi Awusabo-Asare, Wendy Baldwin, Sarah Engebretsen
Poverty, Gender, and Youth
The attempts of African countries to develop their economies and to democratize their political systems have led to a renewed interest in the use of demographic and socioeconomic data for decision-making and planning. This new direction calls for clear, timely, reliable, and relevant data. At the international level, initiatives such as the African Charter on Statistics, PARIS 21, and the Health Metrics Network have emerged to provide direction and technical support for strengthening initiatives and activities that harmonize measures and improve data collection processes. This report on Ghana is part of a four-country study involving Ethiopia, Ghana, Senegal, and Uganda. …
Day Of Dialogue: Sharing Insights And Evidence On The Female Condom In Ghana, Population Council
Day Of Dialogue: Sharing Insights And Evidence On The Female Condom In Ghana, Population Council
Poverty, Gender, and Youth
This report details a female condom meeting hosted by the Population Council in Ghana on November 24, 2008. Twenty-eight participants representing 17 organizations were in attendance. Meeting presentations included: Female Condom for Programs: Historical Overview; Considerations for Female Condom Strategic Planning; FC-2 Female Condoms; The Female Condom in Ghana: Current State of Affairs; Strategic Planning for FC: What Makes Success? A question-and-answer session was included, as was an analysis exercise, in which participants discussed and outlined the strengths, weaknesses, opportunities, and threats that should be considered as we move forward with the development of a strategic plan to promote the …
Profile Of Abortion Seekers In Ghana And Their Decision-Making Processes, Philomena Nyarko, Cletus Adohinzin, Saumya Ramarao, Placide Tapsoba, Ayorinde Ajayi
Profile Of Abortion Seekers In Ghana And Their Decision-Making Processes, Philomena Nyarko, Cletus Adohinzin, Saumya Ramarao, Placide Tapsoba, Ayorinde Ajayi
Reproductive Health
In 2006, a consortium of agencies, including the Population Council, came together to provide technical and financial support to the Government of Ghana in the rollout of comprehensive abortion care (CAC) services. The consortium collaborated with the government in expanding women’s access to modern family planning and CAC. The consortium’s program, Reducing Maternal Mortality and Morbidity (R3M), aims to reduce unwanted pregnancy and severe complications and deaths caused by unsafe abortion. The formative research in this report was undertaken to provide a profile of beneficiaries, their needs for information and services, their decision-making process in seeking care, and the quality …
Adapting Focused Antenatal Care: Lessons From Three African Countries, Harriet Birungi
Adapting Focused Antenatal Care: Lessons From Three African Countries, Harriet Birungi
Reproductive Health
In 2001, the World Health Organization issued guidance on a new model of antenatal care (ANC) called goal-oriented or focused antenatal care (FANC), for implementation in developing countries. The new model reduces the number of required antenatal visits to four, and provides focused services shown to improve maternal outcomes. FANC emphasizes helping women maintain normal pregnancies by identifying existing health conditions, detecting emerging complications, promoting health, preparing for a healthy birth, and educating clients on postpartum care including nutrition, breastfeeding, and family planning. Trials conducted in Argentina, Cuba, Saudi Arabia, and Thailand proved that FANC was safe and was a …
The Female Condom In Ghana: Exploring The Current State Of Affairs And Gauging Potential For Enhanced Promotion, Reshma Naik, Martha Brady
The Female Condom In Ghana: Exploring The Current State Of Affairs And Gauging Potential For Enhanced Promotion, Reshma Naik, Martha Brady
Poverty, Gender, and Youth
The female condom (FC) is the only safe and effective female-initiated method that provides simultaneous protection against unintended pregnancy as well as sexually transmitted infections, including HIV. An exploratory exercise was conducted by the Population Council to gain an understanding of the current and historical landscape of FC procurement, distribution, and programming in Ghana and to explore the viability of enhancing national FC promotion. The exercise revealed that a large-scale launch of the FC occurred in Ghana in 2000 and was largely successful in raising product awareness; however, uptake remained low. Momentum has waned since the initial launch and financial …
The Resolution Of Unintended Pregnancy Among Female Students At The University Of Ghana, Legon, Angela El-Adas
The Resolution Of Unintended Pregnancy Among Female Students At The University Of Ghana, Legon, Angela El-Adas
Reproductive Health
Little has been done to investigate the knowledge, attitudes, and practices of university students regarding unintended pregnancy likely because their middle-class status precludes their being considered a “deprived population.” Female students in tertiary institutions of higher learning are at an age and in a social context that makes them extremely susceptible to unintended pregnancy and the consequences of unsafe abortions. It is necessary to take steps to reduce the incidence of unwanted pregnancy and unsafe abortions among this group of “high risk” women. This study sought to investigate the extent of knowledge that female students at the University of Ghana, …
Negotiating Change: An Analysis Of The Origins Of Ghana's National Health Insurance Act, Jennifer L. Singleton
Negotiating Change: An Analysis Of The Origins Of Ghana's National Health Insurance Act, Jennifer L. Singleton
Sociology Honors Projects
Given the neo-liberal ideologies of the majority party and global trends toward market-based approaches to social services, the passage of Ghana’s National Health Insurance Scheme, which provides coverage for all, seems anomalous. To answer the questions raised by this legislation, I analyze evidence from the government and consulting agencies. I find that a shift in international focus to allow social service reform combined with domestic electoral political influences. The scheme’s foundation of district mutual health organizations evolved from a USAID-funded consulting agency’s work, and may additionally reflect creative borrowing from the United States’ failed healthcare reforms of 1993.
The Impact Of Immunization On The Association Between Poverty And Child Survival: Evidence From Kassena-Nankana District Of Northern Ghana, Ayaga A. Bawah, James F. Phillips, Martin Adjuik, Maya Vaughan-Smith, Bruce Macleod, Fred N. Binka
The Impact Of Immunization On The Association Between Poverty And Child Survival: Evidence From Kassena-Nankana District Of Northern Ghana, Ayaga A. Bawah, James F. Phillips, Martin Adjuik, Maya Vaughan-Smith, Bruce Macleod, Fred N. Binka
Poverty, Gender, and Youth
Research conducted in Africa has demonstrated consistently that parental poverty and low educational attainment adversely affect child survival. Relative poverty has a pronounced effect on the survival of children, even in a setting where nearly all families are poor. Results from the research presented in the working paper lend strong support to the United Nations’ goal of reducing excess childhood mortality among the poor by directing a particular focus on immunization. Findings in this working paper show that the adverse effects of poverty disappear and that the effects of educational attainment are reduced in survival models that control for immunization …
How Many Years Of Life Could Be Saved If Malaria Were Eliminated From A Hyperendemic Area Of Northern Ghana?, Ayaga A. Bawah, Fred N. Binka
How Many Years Of Life Could Be Saved If Malaria Were Eliminated From A Hyperendemic Area Of Northern Ghana?, Ayaga A. Bawah, Fred N. Binka
Poverty, Gender, and Youth
For some time, Chinese government policies have treated rural and urban areas very differently, and a by-product of China’s rapid development seems to be an even greater differentiation between urban and rural social and economic life. Over the next several decades, in part because of rapid fertility declines and in part as a result of mortality declines at older ages, China and other developing countries will experience enormous increases in the proportion of older adults and the proportion of the “oldest-old.” It is reasonable to expect that these age structure changes will alter the provision of health care, making an …