Access to Maternal Healthcare Services under the National Health Insurance Policy in the Upper West Region, Ghana

Health insurance coverage provides the spring board for pregnant women to access and utilise maternal healthcare services. Yet, studies on health insurance coverage, access and utilisation of maternal healthcare are a handful. Consequently, this study examines women’s access and utilisation of maternal healthcare services under the free maternal health policy in two districts in northern Ghana. The study adopted the mixed research approach with the aid of the cross-sectional design involving 212 respondents. An interview schedule was utilised in the collection of data. Percentages, Chi-square test for independence and Mann-Whitney U test as well as thematic analysis were used to analyse the data. The study revealed that 93.9% of the respondents had enrolled unto the national health insurance scheme and 98.6% of them went for antennal care. Majority (66.5%) of them had facility-based delivery. However, 79.7% of them incur cost in seeking delivery care. In brief, health insurance coverage appears to contribute to improved access and utilisation of maternal healthcare services in the two districts. Nonetheless, the government should provide the basic items that are needed for delivery to lessen the cost burden associated with facility-based delivery

Alternative Green and Novel Postharvest Treatments for Minimally Processed Fruits and Vegetables

Minimally processed fresh produce is ready to eat and subjected to minimal technology before consumption. Fresh fruits and vegetables (FFVs) are minimally processed commodities that are metabolically active and undergo physiological processes such as ripening and senescence, reducing their quality and shelf life. Postharvest technologies maintain the quality and prolong the shelf life of harvested produce, without which the quality deteriorates such that significant economic loss ensues due to water and nutrients loss, physiological deterioration, biochemical changes, and microbial degeneration. Conventional postharvest treatments such as temperature management, and chemical and gaseous treatments are widely known for controlling postharvest issues in FFVs. However, there are novel and green alternative safe methods that are employed to maintain the postharvest quality and prolong the shelf life of FFVs. This chapter focuses on seven common alternative novel and green postharvest treatments: nitric oxide, ozone, methyl jasmonate, salicylic acid, oxalic acid, calcium, and heat treatments. These treatments are explained and some of their current application on FFVs are discussed and tabularized indicating the optimum treatment conditions reported in the latest scientific publications

Growth and Yield Performance of Roselle Accessions as Influenced by Intercropping with Maize in the Guinea Savannah Ecology of Ghana

Growing roselle with maize is common in Ghana. However, there is little information on whether the choice of accession affects maize/roselle intercrops. Also, there is little information on whether intercropping roselle with maize is beneficial or detrimental to the yields of the crops. A field experiment was conducted for two seasons to assess the growth and yield performance of three roselle accessions as influenced by intercropping with maize and to assess whether maize growth and yield would be influenced upon intercropping with roselle. The roselle accessions were Bissap, Local, and Samadah. Intercropped roselle accessions, their soles, and sole maize were arranged in a randomized complete block design with three replications. Intercrop performance was determined using area × time equivalence ratio (ATER) and competitive ratio (CR). The results showed significant differences in roselle accessions for growth and yield performance. Local outperformed the other accessions in both growth and yield attributes. Roselle calyx and shoot yields were significantly higher in intercrops than in soles. Maize growth and yield were not significantly affected by intercropping with roselle, but maize yield attributes differed between seasons. The ATERs were 1.99, 2.18, and 2.49 for Samadah, Bissap, and Local, respectively, indicating that there was productive use of space and time for intercropping. The CR ranged from 1.03 to 1.17, 0.96 to 1.09, and 1.12 to 1.25 for stem diameter, number of leaves per plant, and plant height, respectively. The study showed that the choice of accession did not affect the intercrop performance. It also showed that intercropping roselle with maize is beneficial to roselle without compromising the yield of maize