Effects of mining activities on access to potable water: households’ perception and practices at Konongo and Odumasi communities in Ghana.

This research work adds to the knowledge the academic community and policy makers have about mining activities as not only contributing to socioeconomic development but also capable of causing problems. Specifically, it looks at how mining activities affect water resources and hence water access in the mining communities of Konongo and Odumasi based on the perception, opinions and practices of selected households. Through the use of the fish bowl probability sampling, a total of 107 households were selected from the mining communities of Konongo and Odumasi to respond to interviews. Institutions such as the Environmental Protection Agency (EPA), Owere Mines Limited (OML) and Asante Akyem North Municipal Assembly (AANMA) were purposively sampled for relevant information for the study. The study revealed that people’s perception and opinion about the state of the Owere and Agogowa streams as being made dirty by mining activities has caused less utilisation of such streams. Households have coped with mining related problems by resorting to the use of pipe borne and hand dug well waters. With these mechanisms households have coped well with mining activities and mining related problems. It is recommended that the OML and AANMA provide alternative sources of drinking water in the form of bore holes and pipe borne water in abundance. These sources should be made accessible and affordable especially to the poor who cannot afford to dig their own wells and also buy pipe borne water. Keywords: Mining activities, households’ perceptions, practices, water access, and coping strategies

Challenges of Forest Reserve Management in Ghana: Evidence from Tain Tributary Block I Forest Reserve

In spite of their immeasurable benefits to life sustenance, the sustainable management of forest and forest resources in Ghana is flooded with innumerable challenges such as the conflicting roles of the various stakeholders involved in forest management. This study sought to lay bare the peculiar challenges bedevilling the management of the Tain Tributary Block I forest reserve in the Brong Ahafo region of Ghana from an institutional and communities’ perspective. Using the simple random sampling technique, Ninety-five (95) heads of households were selected from five (5) communities surrounding the Tain Tributary Block I forest reserve, whilst the purposive sampling was used in selecting the heads of institutions such as the Ministry of Food and Agriculture (MoFA), the Sunyani West District Assembly, the Fire Service Department and the Forest Service Division (FSD) which have been tasked with the management of forest resources in Ghana.  The study revealed that, though the communities around the forest reserve play an indispensable role in forest management, only a minority of the populations of such communities are actively involved or have knowledge in relation to the sustainable management of forest resources. It was also observed that, intentionally sparked bushfires, illegal farming and conflict between the major institutions in forest resource management are major challenges confronting forest management in the Tain Tributary Block I forest reserve. It is recommended that clear cut modalities on the roles of forest management institutions be put in place to avoid conflict and also facilitate collaboration. Keywords: forest management, stakeholders, challenges, sustainability

Analysing patterns of forest cover change and related land uses in the Tano-Offin forest reserve in Ghana:Implications for forest policy and land management

Forest cover change is a major contributing factor to global environmental change. Whereas several studies have focused on the general land use and land cover dynamics, we focus on analysing forest cover change patterns in a protected landscape taking into consideration how other land categories are increasing at the expense of the forest. In this study, we analyse forest cover change patterns and associated proximate land use factors between 1987 and 2017 using Landsat images from the Tano-Offin Forest Reserve (TOFR) in Ghana. Using the Random Forest machine learning algorithm, we classified the images into forest, developed land, and agricultural land. The study finds that forest cover losses are 1.9 and 1.4 times the amount of forest cover gains in 1987–2002 and 2002–2017, respectively. We find that even though the forest cover is more likely to recover from the agricultural land, land developers mostly targeted the agricultural land. The focus of Ghana's Forest and Wildlife Policy and the underlying process of forest cover change in the TOFR suggest that a country's forest policy should focus on a combination of diverse and spatially explicit proximate factors that are likely to threaten the integrity of forests

Cigarette smoking during breastfeeding in Papua New Guinea: Prevalence and demographic and socio-economic predictors

Background Cigarette smoking during breastfeeding is reported to contribute to significant changes in the composition of breast milk not only by reducing its protective features but also affecting infants' response to breastfeeding and breast milk. However, studies on the prevalence of cigarette smoking and associated factors during breastfeeding are limited in Papua New Guinea (PNG). This study estimates the prevalence of cigarette smoking and its association with demographic and economic factors among breastfeeding women in PNG. Methods We used weighted survey data from the 2016-2018 PNG Demographic and Health Survey (PNGDHS). A weighted sample of 3, 822 women who were breastfeeding during the survey were included in the study. The outcome variable in the present study is current cigarette smoking. A multiple logistic regression analysis was used to estimate the association between current cigarette smoking status and socio-demographic and economic variables of breastfeeding women. The regression analysis results were reported using adjusted odds ratios (aOR) with their respective 95% confidence intervals (CIs). Results From the weighted sample, the prevalence of cigarette smoking among breastfeeding women was 21.9%; of which 60.8% smoked daily. The mean number of cigarettes smoked in the last 24 hours preceding the survey was 6.05(SD = 5.99). Multiple logistic regression analysis revealed that breastfeeding women who were from the Momase (aOR: 2.337, CI: 1.786-3.058, p<0.001) and Highlands (AOR: 1.589, CI: 1.213-2.082, p = 0.001), had no religious affiliation (aOR: 3.665, CI: 1.235-10.877, p = 0.019), and households with daughters as household heads (aOR: 1.901, CI: 1.231-2.935, p = 0.004) and being in more than one union (aOR: 2.374, CI: 1.805-3.123, p<0.001) were significantly more likely to smoke cigarette compared to women from southern region, those affiliated to Anglican church, those with husband as household heads, and being in one union respectively. Conclusion Cigarette smoking among breastfeeding women in PNG is relatively high, and region of residence, religion, relationship to household head, and the number of unions remain independent predictors. Interventions should target the individual socio-economic and cultural contexts within which breastfeeding occurs

Maternal and child factors associated with timely initiation of breastfeeding in sub-Saharan Africa

Background: The probability of not breastfeeding within the first hour after delivery (timely initiation of breastfeeding) is particularly pronounced in sub-Saharan Africa. In this study, we examined the maternal and child factors associated with timely initiation of breastfeeding in sub-Saharan Africa. Methods: We pooled data from 29 sub-Saharan African countries’ Demographic and Health Surveys conducted from 2010 to 2018. A total of 60,038 childbearing women were included. Frequencies, percentages, and binary logistic regression analyses were carried out. Binary logistic regression was used to examine the maternal and child factors associated with timely initiation of breastfeeding and the results were presented as adjusted odds ratios (aOR) at 95% confidence interval (CI). Results: We found a prevalence of 55.81% of timely initiation of breastfeeding in the sub-region. The country with the highest prevalence of timely initiation of breastfeeding was Burundi (86.19%), whereas Guinea had the lowest prevalence (15.17%). The likelihood of timely initiation of breastfeeding was lower among married women, compared to never married women (aOR 0.91; 95% CI 0.85, 0.98); working women compared to non-working women (aOR 0.90; 95% CI 0.87, 0.93); women who watched television at least once a week, compared to those who never watched television (aOR 0.74; 95% CI 0.70, 0.78); women who delivered through caesarean section, compared to vaginal birth (aOR 0.30; 95% CI 0.27, 0.32); and those with multiple births, compared to those with single births (aOR 0.67; 95% CI 0.59, 0.76). Women who lived in Central Africa were less likely to initiate breastfeeding timely compared to those who lived in West Africa (aOR 0.80; 95% CI 0.75, 0.84). Conclusions: The findings call for the need for a behavioural change communication programmes, targeted at timely initiation of breastfeeding, to reverse and close the timely initiation of breastfeeding gaps stratified by the maternal and child factors. Prioritising policies to enhance timely initiation of breastfeeding is needed, particularly among Cental African countries where timely initiation of breastfeeding remains a challenge. Sufficient supportive care, especially for mothers with multiple births and those who undergo caesarean section, is needed to resolve timely initiation of breastfeeding inequalities

Women's healthcare decision-making capacity and HIV testing in sub-Saharan Africa: a multi-country analysis of demographic and health surveys

Background: Global commitment to stop Human Immunodeficiency Virus (HIV) and ensure access to HIV treatment calls for women empowerment, as these efforts play major roles in mother-to-child transmission. We examined the association between women’s healthcare decision-making capacity and uptake of HIV testing in sub-Saharan Africa. Methods: We used data from the current Demographic and Health Surveys (DHS) of 28 countries in sub-Saharan Africa, conducted between January 1, 2010 and December 31, 2018. At the descriptive level, we calculated the prevalence of HIV testing in each of the countries. This was followed by the distribution of HIV testing across the socio-demographic characteristics of women. Finally, we used binary logistic regression assess the likelihood of HIV testing uptake by women’s health care decision-making capacity and socio-demographic characteristics. The results were presented as Crude Odds Ratios (COR) and Adjusted Odds Ratios (AOR) with their corresponding 95% confidence intervals signifying precision. Statistical significance was set at p-value < 0.05. Results: We found that prevalence of HIV testing uptake in the 28 sub-Saharan African countries was 64.4%, with Congo DR having the least (20.2%) and the highest occurred in Rwanda (97.4%). Women who took healthcare decisions alone [COR = 3.183, CI = 2.880–3.519] or with their partners [COR = 2.577, CI = 2.335–2.844] were more likely to test for HIV, compared to those whose healthcare decisions were taken by others, and this persisted after controlling for significant covariates: [AOR = 1.507, CI = 1.321–1.720] and [AOR = 1.518, CI = 1.334–1.728] respectively. Conclusion: Sub-Saharan African countries intending to improve HIV testing need to incorporate women's healthcare decision-making capacity strategies. These strategies can include education and counselling. This is essential because our study indicates that the capacity of women to make healthcare decisions has an association with decision to test for their HIV status

Rural-urban variation in hypertension among women in Ghana: insights from a national survey

Background: Hypertension is one of the leading causes of cardiovascular morbidities in Ghana and represents a major public health concern. There is dearth of information on the rural-urban disparity in hypertension among women in Ghana. Therefore, this study aimed at examining the rural-urban variation in hypertension among women in Ghana. Methods: We extracted data from the women’s file of the 2014 Ghana Demographic and Health Survey. The sample included 9333 women aged 15–49 with complete data on hypertension. The analysis was done using Pearson Chi-square and binary logistic regression at 95% confidence interval. The results of the binary logistic regression were presented as Odds Ratios (ORs) and Adjusted Odds Ratios (AORs). Statistical significance was set at p < 0.05. Results: Hypertension prevalence among urban and rural residents were 9.5% and 5.1% respectively. Rural women had lower odds of hypertension [OR = 0.59; 95% CI = 0.52, 0.67] compared to urban women, however, this was insignificant in the adjusted model [aOR = 0.84; 95% CI = 0.70, 1.00]. The propensity to be hypertensive was lower for women aged 15–19 [aOR = 0.07; 95% CI = 0.05, 0.11]. The poorest were less likely to be hypertensive [aOR = 0.63; 95% CI = 0.45, 0.89]. Single women were also less probable to have hypertension [aOR = 0.66; 95% CI = 0.46, 0.97]. Conclusions: Women from urban and rural areas shed similar chance to be hypertensive in Ghana. Therefore, the health sector needs to target women from both areas of residence (rural/urban) when designing their programmes that are intended to modify women’s lifestyle in order to reduce their risks of hypertension. Other categories of women that need to be prioritised to avert hypertension are those who are heading towards the end of their reproductive age, richest women and the divorced

Type of occupation and early antenatal care visit among women in sub-Saharan Africa

Background: Type of occupation has been linked to early antenatal care visits whereby women in different occupation categories tend to have different timing for antenatal care visits. Different occupations require varying levels of commitment, remuneration and energy requirements. This study, therefore, sought to investigate the association between the type of occupation and early antenatal care visits in sub-Saharan Africa. Methods: This is a secondary analysis of Demographic and Health Survey data from 29 countries in sub-Saharan Africa conducted between 2010 and 2018. The study included 131,912 working women. We employed binary logistic regression models to assess the association between type of occupation and timely initiation of antenatal care visits. Results: The overall prevalence of early initiation of antenatal care visits was 39.9%. Early antenatal care visit was high in Liberia (70.1%) but low in DR Congo (18.6%). We noted that compared to managerial workers, women in all other work categories had lower odds of early antenatal care visit and this was prominent among agricultural workers [aOR = 0.74, CI = 0.69, 0.79]. Women from Liberia [aOR = 3.14, CI = 2.84, 3.48] and Senegal [aOR = 2.55, CI = 2.31, 2.81] had higher tendency of early antenatal care visits compared with those from Angola. Conclusion: The findings bring to bear some essential elements worth considering to enhance early antenatal care visits within sub-Saharan Africa irrespective of the type of occupation. Women in the agricultural industry need much attention in order to bridge the early antenatal care visit gap between them and workers of other sectors. A critical review of the maternal health service delivery in DR Congo is needed considering the low rate of early antenatal care visits

Integrating RADAR and optical imagery improve the modelling of carbon stocks in a mopane-dominated African savannah dry forest

This study examined the integration of two satellite data sets, that is Landsat 7 ETM+ and ALOS PALSAR (Advanced Land Observing Satellite Phased Array type L-band Synthetic Aperture RADAR) in estimating carbon stocks in mopane woodlands of north-western Zimbabwe. Mopane woodlands cover large spatial extents and provide ecosystem benefits to the rural economies and grazing resources for both livestock and wildlife. In this study, artificial neural networks (ANN) were used to estimate carbon stocks based on spectral metrics derived from Landsat 7 ETM+ and ALOS PALSAR. To determine the utility of the two satellite-derived metrics, a two-pronged modelling framework was adopted. Firstly, we used spectral bands and vegetation indices from the two satellite data sets independently, and subsequently, we integrated the metrics from the two satellite data sets into the final model. Results showed that the ALOS PALSAR (R2 = 0.75 and nRMSE = 0.16) and Landsat ETM+ (R2 = 0.78 and nRMSE = 0.14) derived spectral bands and vegetation indices comparatively yielded accurate estimations of carbon stocks. Integrating spectral bands and vegetation indices from both sensors significantly improved the estimation of carbon stocks (R2 = 0.84 and nRMSE = 0.12). These findings underscore the importance of integrating satellite data in vegetation biophysical assessment and monitoring in poorly documented ecosystems such as the mopane woodlands

Land Use and Landscape Characteristics Are Associated with Core Forest Patches in Ghana

Land uses and terrain characteristics would likely influence the types and spatial arrangements of forest patches, and generally, forest fragmentation. Whereas prior research has focused mainly on direct land use-induced forest fragmentation, this study models the relationship between the spatial distribution of core forest patches, land uses, and terrain variables. Relying on Landsat images from the Atewa Range Forest Reserve (ARFR) in Ghana, we use machine learning geospatial techniques and statistical methods to process satellite images and model the relationship between core forest patches and associated variables. The study finds that a unit reduction in elevation would significantly likely reduce by 0.995 times the possibility of forest patches being core forests, implying that on lower slopes, core forests are less likely to occur. Additionally, we find that a unit increase in slope gradient significantly increases the odds of a forest patch being among the core forest category by 1.35 times. Moreover, our results show that the odds of forest patches being core forests significantly increase by 1.60 and 2.14 times if patches are found beyond 1 km from logging sites and access roads, respectively. This implies that intact forest patches would likely be found on higher slopes, higher elevations, and areas far away from land uses. Based on the results, we suggest that the protection of forest patches should target higher elevations and slopes and most importantly areas far from land uses whereas forest restoration programs should target areas close to land uses and on lower elevations and lower slopes. With this study demonstrating a significant relationship between core forests, land uses and terrain variables, we present important information to land managers for land monitoring and conservation in the ARFR and other tropical forest regions of the world