Decentralized Solid Waste Management in Rural Ghana: A Case Study of Assin Kushea Community in Assin North Municipality

Management of solid waste continues to be a major developmental challenge for developing countries like Ghana. The current focus and attention have been on the collection and dumping of waste in urban communities where generation rate is high to the detriment of rural communities. In this study, a pilot waste management scheme was undertaken in Assin Kushea, a rural community in the Assin North Municipality, to determine the willingness of the community to sort their waste at source, the quantity of waste generated by the community, and the characteristics of the waste to inform the treatment or disposal options suitable for the community. The results of the study showed that the community generates approximately 20 to 40 kg waste per day which comprises about 77% biological municipal waste (BMW) and 23% of residual waste. Laboratory analysis of the waste showed that the moisture content of the waste was about 68%. The percentage volatile solid was about 85.45%, leaving an ash content of approximately 14.55% all by weight of the waste materials. More than 50% of the sampled population achieved 100% source separation efficiency. Given the composition and characteristics of the waste, and the willingness of the community to sort their waste at source, composting or anaerobic fermentation of the organic waste fraction is recommended as the best waste treatment option for the organic component of the waste for the community

Enhancing crop productivity through community-based seed multiplication system

Improved quality seeds out-yield farmers' saved seeds significantly. However, the limited availability of such seeds through the conventional seed supply system is due to socio-economic factors and inadequacy of skilled personnel and infrastructure. A community-based seed multiplication system was, therefore, adopted and small seed stocks of soybean, cowpea and yam were distributed to farmer groups in the rural communities in northern Ghana, northern Nigeria and central Togo, respectively, between 1996 and 1999 for further multiplication. An impact assessment after 4 years showed a significant ease of farmers' access to improved seeds and development of linkages with pesticide dealers, credit sources, and extension services as a result of opting for this system. Quality of farmers' saved seeds had improved and farmers' yield had increased over 90 per cent. Extra incomes earned were used to purchase household items, and part invested in transport businesses and rearing of small ruminants as well as in human capital such as paying children's school fees and family hospital bills and meeting other social responsibilities. This system was, therefore, effective in diffusing improved seeds and associated technologies and services to many more farmers and communities within a very short time to improve their socio-economic status.Les graines de qualité améliorée dépassaient considérablement en rendement les graines gardées par les agriculteurs. Cependant, la disponibilité de telles graines par le système conventionnel de provision de graine est limitée en raison de facteurs socio-économiques, l'insuffisance de personnel qualifié et l'infrastructure. Un système de multiplication de graine basé à la communauté était donc adopté et une petite quantité de stocks de graine de soja, de dolique et d'igname étaient distribués aux groupes d'agriculteurs dans les communautés rurales dans le nord du Ghana, le nord du Nigéria et le centre du Togo respectivement entre les années 1996 et 1999 pour de multiplication davantage. L'évaluation d'impact entreprise après quatre années montrait une aisance considérable avec laquelle les agriculteurs avaient accès aux graines améliorées et aux liens de développement avec les marchands de pesticide, les lignes de crédit et les services de vulgarisation agricole à la suite d' opter pour ce système. La qualité de graines gardées par les agriculteurs avait amélioré et les rendements d'agriculteurs avaient augmenté plus de 90%. Les suppléments de revenus gagnés étaient dépensés pour les articles ménagers, et une partie du revenun était investie en entreprises de transport et en élévage de petits ruminants ainsi qu'en ressources humaines telles que le paiement de frais de scolarité de la jeunesse, les factures hospitalières et pour régler d'autres responsabilités sociales. Ce système était donc efficace pour la distribution de graines améliorées et la vulgarisation de services et de technologies liées à l'agriculture à beaucoup plus d'agriculteurs et aux communautés dans très peu de temps pour améliorer leur situation socio-économique. Ghana Journal of Agricultural Science Vol. 39 (2) 2006: pp. 181-18

Using the CROPGRO-peanut model to quantify yield gaps of peanut in the Guinean Savanna Zone of Ghana

Peanut (Arachis hypogaea L.) yield in Ghana is limited by variable rainfall, low soil fertility, pests and diseases, and poor crop management. Field experiments were conducted during the 1997 and 1998 seasons at the Savanna Agricultural Research Station in Ghana to evaluate the CROPGRO-peanut model for its ability to simulate growth, yield, and soil water balance of a peanut crop and to quantify yield losses caused by biotic and abiotic factors. Two peanut cultivars, Chinese which matures in 90 d, and F-Mix which matures in 120 d, were grown rainfed on an Alfisol soil at three sowing dates between May and August in 1997 and at four dates in 1998. Soil water and crop growth were measured during the season and compared with crop model simulations to determine yield-limiting factors relative to potential yield. Growth and yield were highest for the early sowing dates and decreased progressively with later sowing, a trend attributed to leaf diseases. After incorporating functions for percentage leaf defoliation and percentage diseased leaf area, the model accurately simulated soil water content fluctuations, crop growth, and yield of cultivars for the sowing dates and seasons. Simulated yield losses caused by water deficits were small (averaging 5–10%) for early sowing dates (late May to mid-July) and increased with later sowing dates (20 and 70% for third and fourth sowings). Yield losses due to diseases and pests were simulated as a percentage of potential yield under water-limited environments and averaged 40%, also increasing with later sowing dates. Using 13 yr of weather data, simulated yields were reduced 10 to 20% by water deficit for the two earlier (normal) sowing dates, but more for the later sowing dates, while additional yield reductions were attributed to biotic stresses. We conclude that the CROPGRO-peanut model can be successfully used to quantify the yield potential and yield gaps associated with yield-reducing stresses and crop management for this region

Elimination of trachoma as a public health problem in Ghana: Providing evidence through a pre-validation survey.

BACKGROUND: In order to achieve elimination of trachoma, a country needs to demonstrate that the elimination prevalence thresholds have been achieved and then sustained for at least a two-year period. Ghana achieved the thresholds in 2008, and since 2011 has been implementing its trachoma surveillance strategy, which includes community and school screening for signs of follicular trachoma and trichiasis, in trachoma-endemic districts. In 2015-2016, the country conducted a district level population-based survey to validate elimination of trachoma as a public health problem. METHODS: As per WHO recommendations, a cross-sectional survey, employing a two-stage cluster random sampling methodology, was used across 18 previously trachoma endemic districts (evaluation units (EUs) in the Upper West and Northern Regions of Ghana. In each EU 24 villages were selected based on probability proportional to estimated size. A minimum of 40 households were targeted per village and all eligible residents were examined for clinical signs of trachoma, using the WHO simplified grading system. The number of trichiasis cases unknown to the health system was determined. Household environmental risk factors for trachoma were also assessed. RESULTS: Data from 45,660 individuals were examined from 11,099 households across 18 EUs, with 27,398 (60.0%) children aged 1-9 years and 16,610 (36.4%) individuals 15 years and above All EUs had shown to have maintained the WHO elimination threshold for Trachomatous inflammation-Follicular (TF) (<5.0% prevalence) in children aged 1-9 years old. The EU TF prevalence in children aged 1-9 years old ranged from between 0.09% to 1.20%. Only one EU (Yendi 0.36%; 95% CI: 0.0-1.01) failed to meet the WHO TT elimination threshold (< 0.2% prevalence in adults aged 15 and above). The EU prevalence of trichiasis (TT) unknown to the health system in adults aged ≥15 years, ranged from 0.00% to 0.36%. In this EU, the estimated TT backlog is 417 All TT patients identified in the study, as well as through on-going surveillance efforts will require further management. A total of 75.9% (95% CI 72.1-79.3, EU range 29.1-92.6) of households defecated in the open but many households had access to an improved water source 75.9% (95%CI: 71.5-79.8, EU range 47.4-90.1%), with 45.5% (95% CI 41.5-49.7%, EU range 28.4-61.8%) making a round trip of water collection < 30 minutes. CONCLUSION: The findings from this survey indicate elimination thresholds have been maintained in Ghana in 17 of the 18 surveyed EUs. Only one EU, Yendi, did not achieve the TT elimination threshold. A scheduled house-by-house TT case search in this EU coupled with surgery to clear the backlog of cases is necessary in order for Ghana to request validation of elimination of trachoma as a public health problem

Seed systems smallholder farmers use

Seed can be an important entry point for promoting productivity, nutrition and resilience among smallholder farmers. While investments have primarily focused on strengthening the formal sector, this article documents the degree to which the informal sector remains the core for seed acquisition, especially in Africa. Conclusions drawn from a uniquely comprehensive data set, 9660 observations across six countries and covering 40 crops, show that farmers access 90.2 % of their seed from informal systems with 50.9 % of that deriving from local markets. Further, 55 % of seed is paid for by cash, indicating that smallholders are already making important investments in this arena. Targeted interventions are proposed for rendering formal and informal seed sector more smallholder-responsive and for scaling up positive impacts

Progress towards lymphatic filariasis elimination in Ghana from 2000-2016: Analysis of microfilaria prevalence data from 430 communities

Background Ghana started its national programme to eliminate lymphatic filariasis (LF) in 2000, with mass drug administration (MDA) with ivermectin and albendazole as main strategy. We review the progress towards elimination that was made by 2016 for all endemic districts of Ghana and analyze microfilaria (mf) prevalence from sentinel and spot-check sites in endemic districts. Methods We reviewed district level data on the history of MDA and outcomes of transmission assessment surveys (TAS). We further collated and analyzed mf prevalence data from sentinel and spot-check sites. Results MDA was initiated in 2001–2006 in all 98 endemic districts; by the end of 2016, 81 had stopped MDA after passing TAS and after an average of 11 rounds of treatment (range 8–14 rounds). The median reported coverage for the communities was 77–80%. Mf prevalence survey data were available for 430 communities from 78/98 endemic districts. Baseline mf prevalence data were available for 53 communities, with an average mf prevalence of 8.7% (0–45.7%). Repeated measurements were available for 78 communities, showing a steep decrease in mean mf prevalence in the first few years of MDA, followed by a gradual further decline. In the 2013 and 2014 surveys, 7 and 10 communities respectively were identified with mf prevalence still above 1% (maximum 5.6%). Fifteen of the communities above threshold are all within districts where MDA was still ongoing by 2016. Conclusions The MDA programme of the Ghana Health Services has reduced mf prevalence in sentinel sites below the 1% threshold in 81/98 endemic districts in Ghana, yet 15 communities within 13 districts (MDA ongoing by 2016) had higher prevalence than this threshold during the surveys in 2013 and 2014. These districts may need to intensify interventions t

Serological and PCR-based markers of ocular Chlamydia trachomatis transmission in northern Ghana after elimination of trachoma as a public health problem

Background Validation of elimination of trachoma as a public health problem is based on clinical indicators, using the WHO simplified grading system. Chlamydia trachomatis (Ct) infection and anti-Ct antibody responses (anti-Pgp3) have both been evaluated as alternative indicators in settings with varying levels of trachoma. There is a need to evaluate the feasibility of using tests for Ct infection and anti-Pgp3 antibodies at scale in a trachoma-endemic country and to establish the added value of the data generated for understanding transmission dynamics in the peri-elimination setting. Methodology/Principal findings Dried blood spots for serological testing and ocular swabs for Ct infection testing (taken from children aged 1–9 years) were integrated into the pre-validation trachoma surveys conducted in the Northern and Upper West regions of Ghana in 2015 and 2016. Ct infection was detected using the GeneXpert PCR platform and the presence of anti-Pgp3 antibodies was detected using both the ELISA assay and multiplex bead array (MBA). The overall mean cluster-summarised TF prevalence (the clinical indicator) was 0.8% (95% CI: 0.6–1.0) and Ct infection prevalence was 0.04% (95%CI: 0.00–0.12). Anti-Pgp3 seroprevalence using the ELISA was 5.5% (95% CI: 4.8–6.3) compared to 4.3% (95%CI: 3.7–4.9) using the MBA. There was strong evidence from both assays that seropositivity increased with age (p<0.001), although the seroconversion rate was estimated to be very low (between 1.2 to 1.3 yearly events per 100 children). Conclusions/Significance Infection and serological data provide useful information to aid in understanding Ct transmission dynamics. Elimination of trachoma as a public health problem does not equate to the absence of ocular Ct infection nor cessation in acquisition of anti-Ct antibodies

Molecular Imaging of Pulmonary Tuberculosis in an Ex-Vivo Mouse Model Using Spectral Photon-Counting Computed Tomography and Micro-CT

Assessment of disease burden and drug efficacy is achieved preclinically using high resolution micro computed tomography (CT). However, micro-CT is not applicable to clinical human imaging due to operating at high dose. In addition, the technology differences between micro-CT and standard clinical CT prevent direct translation of preclinical applications. The current proof-of-concept study presents spectral photon-counting CT as a clinically translatable, molecular imaging tool by assessing contrast uptake in an ex-vivo mouse model of pulmonary tuberculosis (TB). Iodine, a common contrast used in clinical CT imaging, was introduced into a murine model of TB. The excised mouse lungs were imaged using a standard micro-CT subsystem (SuperArgus) and the contrast enhanced TB lesions quantified. The same lungs were imaged using a spectral photoncounting CT system (MARS small-bore scanner). Iodine and soft tissues (water and lipid) were materially separated, and iodine uptake quantified. The volume of the TB infection quantified by spectral CT and micro-CT was found to be 2.96 mm(3) and 2.83 mm(3), respectively. This proof-of-concept study showed that spectral photon-counting CT could be used as a predictive preclinical imaging tool for the purpose of facilitating drug discovery and development. Also, as this imaging modality is available for human trials, all applications are translatable to human imaging. In conclusion, spectral photon-counting CT could accelerate a deeper understanding of infectious lung diseases using targeted pharmaceuticals and intrinsic markers, and ultimately improve the efficacy of therapies by measuring drug delivery and response to treatment in animal models and later in humans