Chiefs, changing trust relations and land use planning in Ghana

In Ghana, both statutes and customs designate chiefs as trustees of customary lands. Based on evidence from four case study areas, the study establishes that, some chiefs are redefining their roles as trustees and are increasingly becoming the principal beneficiaries of revenue that accrue from granting of community lands. This drives chiefs to alter land use plans or engage unqualified people to prepare defective ‘land use plans’, that become the basis for guiding the growth of human settlements. These practices contribute to the poor state of planning delivery. Based on the findings, the study recommends that strengthening the capacity of state planning institutions and empowering communities to demand accountability from chiefs are crucial in the quest to improve land use planning delivery in Ghana.Keywords: Accountability, customary land tenure, chiefs, trusteeship, land use plannin

A Quantitative Assessment of Relationship between Urban Green Parks and Self-Esteem of Urban Children and Adolescents (Teenage Group) in Ghana

The importance of urban green parks in sustainable urban design development has gained currency in recent times, not only because urban parks do enhance the visual image of the city, or ameliorate its harsh climatic conditions, or purify its air, but they help develop high self-esteem of children and adolescents.  The study examines the correlation between the presence of green parks and self-esteem development among urban adolescents in Kumasi, the second largest city and Accra, the largest and the capital city of Ghana as case studies. The Children and adolescents used as respondents had their ages ranging from 13 to 19 years (teenage group). Using the Rosenberg Self-Esteem Scale as a measure, the study revealed that the lack of green parks at Tafo (Kumasi) has significantly impacted the self-esteem of Tafo adolescents; {t (59) =13.178, P=0.000 (two-tailed)}. And, Respondents who socialize in green parks at Cantonments (Accra had high self-esteem levels, whereas respondents who have no access to green parks at Tafo (Kumasi) had low self-esteem. Keywords: Green parks, Socialization, Self-esteem, Urban, Tennage Group, Kumasi and Accra

Colour and Architecture: An Empirical Study of a New Paradigm of Painting of Residential Buildings and Ownership in Kumasi

Colours have been classically used to inspire taste in architecture from antiquity. Colours provide ‘joie de vivre’ (joy of life). However, a cursory observation reveals a noticeable trend in Ghana where residential buildings are receiving paints and colour notations of multinational companies. This paper presents empirical research on colour through multiple methodological approaches and tactics. The research findings presented in this paper used Kumasi, the Capital of the Ashanti Region of Ghana as main case study area. The data analysis of findings revealed that about seventy-five percent of the houses painted in multinational companies’ colours along major arterial roads in Kumasi were approached for advertisement purposes. In addition, the owners of the sampled houses chose to paint with a particular colour for a mark of distinction and monetary reasons. This paper concludes that the companies’ objectives were adhoc and were not guided by any planned scheme as required to enhance the sensibility and aesthetic appeals through the use of colour for buildings and their genus loci in an urban environment. The paper recommends revisions to the current Ghana National Building Regulations of 1996 – The Legislative Instruments 1630 to recognize the importance of colour aesthetics in city environments. Keywords: Company colour and paint, Architecture, Incentivization, Building regulations, Kumasi-Ashant

Shopping malls as catalyst for sub-urban development in Ghana

The concentration of population in major cities is usually the consequence of the concentration of employment opportunities, goods and services in such cities. These goods and services act as pull factors to the regional population, especially from the suburban or rural areas, to densely populated cities. The resulting migration creates congestion of all kinds in the cities. Suburban communities are, thus, rendered unattractive for living. This situation is prevalent in Ghana where 75% of migrants into major cities are from suburban areas and the rate of urbanization is 4.1%. Decentralizing amenities to suburban areas would initiate re-distribution of population and thus development. This study investigated the possibility of using the Shopping Mall concept as catalyst to both help develop the suburbia and decongest cities in Ghana. The West Hills Mall at Dunkonah, a suburb near Accra was selected for the study. A mixed research method including  questionnaires, interviews, and observations was used for data collection. Out of a total of 1,642 house owners 328 were sampled and interviewed with questionnaire that delved into their origins, whether they are migrants, and the reasons behind their movement. The study concluded that shopping malls could act as catalysts for development.Keywords: Shopping Malls, Catalyst, Decongestion, Suburbanization, Amenitie

Assessment of the resettlement compensation satisfaction of wood workers at Sokoban, Kumasi

Resettlement has been one of the strategies used to pave way for development and redevelopment of infrastructure in major cities of Ghana in the past few decades. Resettlement is usually characterized by displacement of people and their livelihoods. In Kumasi, resettlement has physicallydisplaced over 10,000 people mostly traders, in and around the Central Business District. Kumasi has undergone significant development in the past two decades in the areas of road and housing construction, resulting in the resettlement of some commercial neighborhoods including the wood merchants from Anloga to allow for the construction of the south-eastern section of the ring road from Oforikrom (Anloga) to Nhyiaeso. This study assessed the outcome of involuntary resettlement of wood merchants from Anloga to Sokoban Wood Village in terms of compensation, improvement in working space and the impact on the timber trade. The study used mixedmethods: it relied on the administration of questionnaires and interviews to gather data from respondents for analysis as well as the use of dependent sample T-test for hypothesis testing to evaluate the change in livelihood that resulted from the resettlement programme. The study revealeda significant improvement in the livelihood of the displaced workers after the resettlement.Keywords: Resettlement, Infrastructure, Compensation, Satisfaction, Livelihood

Preeclampsia knowledge among postpartum women treated for preeclampsia and eclampsia at Korle Bu Teaching Hospital in Accra, Ghana

BACKGROUND: Preeclampsia/eclampsia is a major cause of maternal morbidity and mortality worldwide, yet patients\u27 perspectives about their diagnosis are not well understood. Our study examines patient knowledge among women with preeclampsia/eclampsia in a large urban hospital in Ghana. METHODS: Postpartum women diagnosed with preeclampsia or eclampsia were asked to complete a survey 2-5 days after delivery that assessed demographic information, key obstetric factors, and questions regarding provider counseling. Provider counseling on diagnosis, causes, complications, and future health effects of preeclampsia/eclampsia was quantified on a 4-point scale (\u27Counseling Composite Score\u27). Participants also completed an objective knowledge assessment regarding preeclampsia/eclampsia, scored from 0 to 22 points (\u27Preeclampsia/Eclampsia Knowledge Score\u27 (PEKS)). Linear regression was used to identify predictors of knowledge score. RESULTS: A total of 150 participants were recruited, 88.7% (133) with preeclampsia and 11.3% (17) with eclampsia. Participants had a median age of 32 years, median parity of 2, and mean number of 5.4 antenatal visits. Approximately half of participants reported primary education as their highest level of education. While 74% of women reported having a complication during pregnancy, only 32% of participants with preeclampsia were able to correctly identify their diagnosis, and no participants diagnosed with eclampsia could correctly identify their diagnosis. Thirty-one percent of participants reported receiving no counseling from providers, and only 11% received counseling in all four categories. Even when counseled, 40-50% of participants reported incomplete understanding. Out of 22 possible points on a cumulative knowledge assessment scale, participants had a mean score of 12.9 +/- 0.38. Adjusting for age, parity, and the number of antenatal visits, higher scores on the knowledge assessment are associated with more provider counseling (beta 1.4, SE 0.3, p \u3c 0.001) and higher level of education (beta 1.3, SE 0.48, p = 0.008). CONCLUSIONS: Counseling by healthcare providers is associated with higher performance on a knowledge assessment about preeclampsia/eclampsia. Patient knowledge about preeclampsia/eclampsia is important for efforts to encourage informed healthcare decisions, promote early antenatal care, and improve self-recognition of warning signs-ultimately improving morbidity and reducing mortality

Exploring the role of traditional authorities in managing the public as stakeholders on PPP projects: a case study

Previous research indicates that involving representatives of the public in stakeholder management increases the likelihood of obtaining successful outcomes when managing the public as stakeholders on PPP projects. Relatively little is however known about the exact roles played by traditional authorities, who are powerful public representatives and significantly influence the public and the stakeholder management process on PPP projects worldwide. A case study of a PPP was conducted to explore this question. Through a thematic analysis of data collected from multiple sources, four main roles of traditional authorities were identified: mediation; project monitoring; community representation; and custody management of community culture and physical resources. These roles and their associated outcomes make traditional authorities a crucial link between project executors and the public during stakeholder management. This study provides a step towards developing strategies for collaborating with traditional authorities for better stakeholder management of the public on PPP projects

Decreasing referrals to transient ischemic attack clinics during the COVID-19 outbreak: results from a multi-centre cross-sectional survey

Objective. The COVID-19 pandemic is having major implications for stroke care with a documented significant fall in hospital acute stroke admissions. We investigated whether COVID-19 has resulted in a decreased number of referrals to the Transient Ischemic Attack (TIA) clinics across the North West London region. Setting and Design. All the TIA clinical leads of the North West London region received an invitation by email to participate in an online survey in May 2020. The survey questionnaire aimed to assess the number of patients with suspected TIA consecutively referred to each of the TIA clinics of the North West London region between 1st March to 30th April 2020, the COVID-19 period, and between 1st March to 30th April 2019. Results. We had a response rate of 100%. During the COVID-19 period, the TIA clinics of the North West London region received 440 referrals compared to 616 referrals received between 1st March to 30th April 2019 with a fall in the number of the referrals by 28.6%. In April 2020 compared with April 2019, the number of the referrals declined by 40.1%. Conclusions. This multicentre analysis documented a significant reduction in the number of patients referred with suspected TIA to the specialised rapid access outpatient clinics in the North West London region during the COVID-19 pandemic. Future studies are needed to confirm our findings and to better characterise the incidence of cerebrovascular disease during the COVID-19 pandemic

Starting a Laparoscopic Surgery Programme in the Second Largest Teaching Hospital in Ghana

Background: Komfo Anokye Teaching Hospital (KATH) is the second  largest hospital in Ghana. Two years have elapsed after performance of the first laparoscopic cholecystectomy.Objectives: To examine our experience and lessons learned.Design: Retrospective review.Setting: Komfo Anokye Teaching Hospital (KATH). Subjects: We reviewed leadership support, the role of a surgeon champion, training of physician and OR staff, influence of surgeons from outside Ghana and equipment status. The results of laparoscopic cholecystectomies performed from 2010-2012 were compared with information available from open cholecystectomies over the same period.Results: Evidence of leadership support included equipment purchase and invitation of outside experts yearly from 2008. A KATH surgeon champion was identified in 2010. A dedicated OR team received training and exhibited excellent ownership of equipment preparation. Since 2010, 25 laparoscopic cholecystectomies have been performed, 17 independently by a single surgeon. Average operative time was 1.41 hours and length of stay (LOS) 1.5 days. Conversion rate was 4.0%(1/25). Complication rate was 20.0%(5/25), none involving haemorrhage or injuries to bile ducts or bowel. Median patient satisfaction score was 5 on a scale of 1-5 where 5 is most satisfied. Complication rates and hospital stay were lower than for open cholecystectomy (20.0%vs34.5%, p>0.05 and 1.5days vs 6.6days, p<0.001 respectively). Operative times were on average 27min onger for laparoscopic cholecystectomy (p<0.01).Conclusion: Laparoscopic cholecystectomy at KATH has become a reality with less complications rates, shorter LOS, and trends towards improved patient satisfaction. Expanding laparoscopic surgery in Ghana requires its inclusion into residency training programmes and public education about its benefits for both patients and physicians