Audit committee effectiveness in an Eastern Cape provincial department

The discussion on the extent to which audit committees perform the oversight function of financial governance is important. This is particularly so in the Eastern Cape where the implementation of the Public Finance Management Act (PFMA) of 1999 has not significantly improved financial management. The deteriorating financial management environment of provincial departments impacts negatively on service delivery and is therefore a matter of great concern to the political administrators at both national and provincial levels. The objective of this study is to determine how effective audit committees are in Eastern Cape provincial departments and how this translates into good financial governance and, ultimately, improved service delivery. To achieve this objective, a literature review of the link between audit committee effectiveness, accountability and corporate governance in the public sector was conducted. It was found that audit committees in the public sector have similar responsibilities to that of the private sector and lack of accountability in the public sector impacts negatively on service delivery. A second literature review was conducted to highlight the current state of public financial management in South Africa and how this has had an impact on financial management in Eastern Cape provincial departments. A qualitative research methodology was applied because the researcher is of the opinion that the research question asked is more interpretive than predictive. An interview survey was conducted in which senior management officials were selected from provincial departments and interviewed using semi-structured questions. The research study concluded, that provincial departments in the Eastern Cape have all established audit committees in line with the Public Finance Management Act (PFMA) National Treasury regulations. These committees are however ineffective. Ineffectiveness is as a result of, among other factors, lack of stability in accounting officer and chief financial officer positions. Secondly, senior management have not been made to account for the persistent negative audit outcomes in their departments. The research recommends that the political leadership of the province should ensure stability in leadership, particularly in the position of accounting officer and the chief financial officer

MEDICATION SAFETY ACTIVITIES OF HOSPITAL PHARMACISTS IN GHANA; EXPERIENCES AND EXPECTATIONS OF DOCTORS AND NURSES

Objective: This study explored the experiences and expectations of doctors and nurses with pharmacists' medication safety activities in the hospital to determine the barriers to effective collaboration and potential clinical roles that pharmacists need to undertake to promote patient safety Methods: This was a cross sectional descriptive survey. Questionnaires were administered to a conveniently selected 200 doctors and 120 nurses working in a 2000 bed teaching hospital in Ghana. Results: A total of 269 questionnaires were completed representing a response rate of 84.1%. The response rates for doctors and nurses were 86% and 80.8% respectively. Sixty percent of doctors and 59% of nurses were satisfied with the interactions they had with pharmacists. Only 39.9% and 31.4% of respondents agreed that pharmacists write refill prescriptions and treat common ailments respectively. Moreover just over half (53.8%) agreed that pharmacists reconstitute I. V preparations for administration. However 80% and 85.3% agreed that pharmacists provide drug information and report on medication errors respectively. Doctors were twice as much less likely to agree that pharmacists monitor effectiveness and side effects of medication (P=0.006). More than 90% of respondents expect pharmacists to provide medication education to patients whiles only 66.3% agreed that pharmacists use their knowledge and skills to alter drug regimes in the best interest of patients. Conclusion: The experiences of doctors and nurses with pharmacists were considered positive though they were more likely to accept and recognize traditional pharmacy services. Increasing awareness of these new pharmacists' clinical skills will be important for enhancing medication safety activities in the hospital

Monoamniotic twin pregnancy discordant for body stalk anomaly: a case report

Body stalk anomaly, also known as limb-body syndrome, is a rare and lethal congenital anomaly. It presents a major abdominal wall defect and severe kyphosis with either a rudimentary or absent umbilical cord. We present a case of monoamniotic twin discordant for body stalk anomaly diagnosed at 27 weeks. Ultrasound findings demonstrated a normal Twin A, but Twin B was abnormal with a large ventral wall defect and severe kyphoscoliosis. The pregnancy was managed conservatively and concluded with an emergency caesarean section at 31 weeks on account of preterm labour. The unaffected twin survived with no significant morbidity. This case highlights some of the challenges posed to the obstetrician in managing such a rare anomaly in twin pregnancy

Anthracnose Disease of Mango: Epidemiology, Impact and Management Options

Mango is one of the frequently cultivated seasonal fruit crops in several tropical and subtropical regions. It is consumed as whole fruits apart from serving as raw materials for most industries that are into mineral production. Mango production is, however, constrained by diseases, pests, and poor post-harvest handling of fruits. Anthracnose disease, caused by Colletotrichum gloeosporioides Penz and Sacc, is one of the most important yields limiting constraint in mango production across the globe. The disease occurs in both the field and post-harvesting. In the field, it affects aboveground parts, such as the stem, branches, leaves, flowers, and fruits. Anthracnose disease reduces the shelve life and marketability of mango fruit. In Ghana, anthracnose disease is responsible for about 30% yield/fruit loss. Most farmers do not control it, although some have resorted to the application of various fungicides not registered for mango anthracnose disease management in Ghana. This chapter will highlight on the importance of the disease on the mango industry in Ghana, control strategies currently employed thereby reducing the over-reliance on chemical control option and propose ways to minimize the effect of the disease in the country

Optimism/pessimism and health-related quality of life during pregnancy across three continents: a matched cohort study in China, Ghana, and the United States

<p>Abstract</p> <p>Background</p> <p>Little is known about how optimism/pessimism and health-related quality of life compare across cultures.</p> <p>Methods</p> <p>Three samples of pregnant women in their final trimester were recruited from China, Ghana, and the United States (U.S.). Participants completed a survey that included the Life Orientation Test - Revised (LOT-R, an optimism/pessimism measure), the Short Form 12 (SF-12, a quality of life measure), and questions addressing health and demographic factors. A three-country set was created for analysis by matching women on age, gestational age at enrollment, and number of previous pregnancies. Anovas with post-hoc pairwise comparisons were used to compare results across the cohorts. Multivariate regression analysis was used to create a model to identify those variables most strongly associated with optimism/pessimism.</p> <p>Results</p> <p>LOT-R scores varied significantly across cultures in these samples, with Ghanaian pregnant women being the most optimistic and least pessimistic and Chinese pregnant women being the least optimistic overall and the least pessimistic in subscale analysis. Four key variables predicted approximately 20% of the variance in overall optimism scores: country of origin (p = .006), working for money (p = .05); level of education (p = .002), and ever being treated for emotional issues with medication (p < .001). Quality of life scores also varied by country in these samples, with the most pronounced difference occurring in the vitality measure. U.S. pregnant women reported far lower vitality scores than both Chinese and Ghanaian pregnant women in our sample.</p> <p>Conclusion</p> <p>This research raises important questions regarding what it is about country of origin that so strongly influences optimism/pessimism among pregnant women. Further research is warranted exploring underlying conceptualization of optimism/pessimism and health related quality of life across countries.</p

Investigating User Perceptions of Persuasive Design Elements that Influence Perceived Credibility

Given the prevalent use of technology for human activities, the determinants of user perceptions of the credibility of technological systems must be understood. This study investigated how user perceptions of persuasive elements that are incorporated in Academic Social Networking Sites (ASNSs) influence the Perceived Credibility of these sites. Specifically, the effects of Personalization, Reduction, Tailoring, Self-Monitoring, Rehearsal, Simulation and Tunneling on Perceived Credibility are examined. An online survey was adopted to examine the research model. Partial Least Square techniques were used to assess the significance of the determinants on Perceived Credibility. Results indicate that Tailoring positively influences Perceived Credibility whereas Personalization has a negative significant effect. Implications for theoretical insights into Perceived Credibility and its determinants and design implication are discussed.</p

Drivers of land use change and carbon mapping in the savannah area of Ghana

Land-use and land-cover change in both forest reserves and off-reserves is a critical issue in sub Saharan Africa. Deforestation and conversion of forest land to agricultural land continue to be one of the major environmental problems in Africa, and for that matter, Ghana cannot be exceptional; and its resultant effect is the loss in the ecological integrity and the quality of forests, resulting in carbon loss and the resultant climate change effects (FAO 2016). The study area covers the Community Resource Management Areas (CREMA) of the Mole National Park in Ghana, and this study reveals that the area is well endowed with a diverse composition and structure of woodland including dense, open and riverine stretches, which – under the national definition of forest – qualifies as forest. The results reveal that there had been an annual deforestation rate of 0.11% over the period of review. It was concluded from the study that woodland had high carbon stocks with an average carbon of 80 tC/ha, the highest being 194 tC/ha and the lowest being 7 tC/ha, which was recorded in the dense woodland and grassland respectively. The fluxes within the land sector in the study area are moderate and the potential of the area to qualify for as REDD+ is very high. However, the drivers of deforestation, especially bush fires and illegal timber harvesting, are challenges that need to be addressed

Landuse and land cover dynamics in the Volta River Basin surrounding APSD forest plantation, Ghana

Forest plantation is reckoned to accounts for 7% of total global forest cover and has the potential to provide 75% of the global industrial round wood supply. The study analyzed forest resource use trend, mapped out areas of high biodiversity conservation, and made recommendations to promote and sustain large-scale plantation development against the background of anthropogenic pressure on vulnerable ecosystems and biodiversity management

Landuse and land cover dynamics in the Volta River Basin surrounding APSD forest plantation, Ghana

Forest plantation is reckoned to accounts for 7% of total global forest cover and has the potential to provide 75% of the global industrial round wood supply. The study analyzed forest resource use trend, mapped out areas of high biodiversity conservation, and made recommendations to promote and sustain large-scale plantation development against the background of anthropogenic pressure on vulnerable ecosystems and biodiversity management