Community perceptions of a malaria vaccine in the Kintampo districts of Ghana.

BACKGROUND: Malaria remains the leading cause of morbidity and mortality in sub-Saharan Africa despite tools currently available for its control. Making malaria vaccine available for routine use will be a major hallmark, but its acceptance by community members and health professionals within the health system could pose considerable challenge as has been found with the introduction of polio vaccinations in parts of West Africa. Some of these challenges may not be expected since decisions people make are many a time driven by a complex myriad of perceptions. This paper reports knowledge and perceptions of community members in the Kintampo area of Ghana where malaria vaccine trials have been ongoing as part of the drive for the first-ever licensed malaria vaccine in the near future. METHODS: Both qualitative and quantitative methods were used in the data collection processes. Women and men whose children were or were not involved in the malaria vaccine trial were invited to participate in focus group discussions (FGDs). Respondents, made up of heads of religious groupings in the study area, health care providers, traditional healers and traditional birth attendants, were also invited to participate in in-depth interviews (IDIs). A cross-sectional survey was conducted in communities where the malaria vaccine trial (Mal 047RTS,S) was carried out. In total, 12 FGDs, 15 IDIs and 466 household head interviews were conducted. RESULTS: Knowledge about vaccines was widespread among participants. Respondents would like their children to be vaccinated against all childhood illnesses including malaria. Knowledge of the long existing routine vaccines was relatively high among respondents compared to hepatitis B and Haemophilus influenza type B vaccines that were introduced more recently in 2002. There was no clear religious belief or sociocultural practice that will serve as a possible barrier to the acceptance of a malaria vaccine. CONCLUSION: With the assumption that a malaria vaccine will be as efficacious as other EPI vaccines, community members in Central Ghana will accept and prefer malaria vaccine to malaria drugs as a malaria control tool. Beliefs and cultural practices as barriers to the acceptance of malaria vaccine were virtually unknown in the communities surveyed

Smoking in Ghana: a review of tobacco industry activity

BACKGROUND: African countries are a major potential market for the tobacco industry, and the smoking epidemic is at various stages of evolution across the continent. Ghana is an African country with a low prevalence of smoking despite an active tobacco industry presence for over 50 years. This study explores potential reasons for this apparent lack of industry success. OBJECTIVE: To explore the history of tobacco industry activity in Ghana and to identify potential reasons for the current low prevalence of smoking. METHODS: A search was made of tobacco industry archives and other local sources to obtain data relevant to marketing and consumption of tobacco in Ghana. FINDINGS: British American Tobacco, and latterly the International Tobacco Company and its successor the Meridian Tobacco Company, have been manufacturing cigarettes in Ghana since 1954. After an initial sales boom in the two decades after independence in 1957, the sustained further increases in consumption typical of the tobacco epidemic in most countries did not occur. Possible key reasons include the taking of tobacco companies into state ownership and a lack of foreign exchange to fund tobacco leaf importation in the 1970s, both of which may have inhibited growth at a key stage of development, and the introduction of an advertising ban in 1982. BAT ceased manufacturing cigarettes in Ghana in 2006. CONCLUSION: The tobacco industry has been active in Ghana for over 50 years but with variable success. The combination of an early advertising ban and periods of unfavourable economic conditions, which may have restricted industry growth, are likely to have contributed to the sustained low levels of tobacco consumption in Ghana to date

Thermoelectric prospects of nanomaterials with spin-orbit surface bands

Nanostructured composites and nanowire arrays of traditional thermoelectrics like Bi, Bi(1-x)Sb(x) and Bi(2)Te(3) have metallic Rashba surface spin-orbit bands featuring high mobilities rivaling that of the bulk for which topological insulator behavior has been proposed. Nearly pure surface electronic transport has been observed at low temperatures in Bi nanowires with diameter around the critical diameter, 50 nm, for the semimetal-to semiconductor transition. The surface contributes strongly to the thermopower, actually dominating for temperatures T < 100 K in these nanowires. The surface thermopower was found to be -1 T microvolt/(K^2), a value that is consistent with theory. We show that surface electronic transport together with boundary phonon scattering leads to enhanced thermoelectric performance at low temperatures of Bi nanowire arrays. We compare with bulk n-BiSb alloys, optimized CsBi(4)Te(6) and optimized Bi(2)Te(3). Surface dominated electronic transport can be expected in nanomaterials of the other traditional thermoelectrics.Comment: 18 pages, 3 figure

Clustering of childhood mortality in the Kintampo Health and Demographic Surveillance System in Ghana

Background: Childhood mortality in Ghana has generally declined in the last four decades. However, estimates tend to conceal substantial variability among regions and districts. The lack of population-based data in Ghana, as in other less developed countries, has hindered the development of effective programmes targeted specifically at clusters where mortality levels are significantly higher. Objective: This paper seeks to test for the existence of statistically significant clusters of childhood mortality within the Kintampo Health and Demographic Surveillance System (KHDSS) between 2005 and 2007. Design: In this study, mortality rates were generated using mortality data extracted from the health and demographic surveillance database of the KHDSS and exported into STATA. The spatial and spatio-temporal scan statistic by Kulldorff was used to identify significant clusters of childhood mortality within the KHDSS. Results: A significant cluster of villages with high under-five mortality in the south-eastern part of the KHDSS in 2006 was identified. This is a remote location where poverty levels are relatively higher, health facilities are more sparse and these are compounded by poor transport services in case of emergencies. Conclusion: This study highlights the potential of the surveillance platform to demonstrate the spatial dimensions of childhood mortality clustering. It is apparent, though, that further studies need to be carried out in order to explore the underlying risk factors for potential mortality clusters that could emerge later

Effects of Harvest Time and Storage Form on Insect Population and Damage of Maize

The aim of this study was to determine the effects of harvest time and storage form on population levels of insect pests and their damage on stored maize. Maize was cultivated on a total land area of 19 x 23m2 during the major season (April to August 2020) and minor season (September to December 2020). Maize was harvested at three stages; early harvest, mid harvest and late harvest. Harvested maize was stored in three ways; husked, de-husked and shelled. Analysis of variance (ANOVA) was applied to the data through Sisvar version 5.6. Insect pests that were sampled during the study were Sitophilus zeamais, Cathartus quadricollis, Carpophilus dimidiatus and Tribolium castaneum. Carpophilus dimidiatus were sampled from treatments during the major season whereas Tribolium castaneum was sampled during the minor season. Sitophilus zeamais and Cathartus quadricollis were sampled in both seasons.  In the major season, late harvest shelled maize (LHS) recorded 689% more S. zeamais numbers as compared to early harvest husked maize (EHH). Mid-harvest husked maize (MHH) had 307% less number of S. zeamais compared to LHS in the minor season. Late-harvest shelled maize (LHS) had the highest percentage insect damaged kernels (86.94%) in the major season

Sustainability of Mahogany Production in Plantations: Does Resource Availability Influence Susceptibility of Young Mahogany Plantation Stands to Hypsipyla robusta Infestation?

Hypsipyla robusta Moore (Lepidoptera: Pyralidae), like many other moth species, shows selectivity when choosing host plants for its eggs. Four Meliaceae species (Khaya grandifoliola, K. ivorensis, Swietenia macrophyla, and Entandrophragma cylindricum) were established in a moist semideciduous forest in Ghana to study this selectivity at 12 and 21 months after planting. The analysis of variance (ANOVA) at a P-value of 0.05 was used to test the significance of differences in infestation by H. robusta between the species. H. robusta attacks were recorded by month 12 after planting in the field, and only Khaya spp. was attacked, with attacks evident on 15.5% of K grandifoliola and 6.6% K. ivorensis. Saplings in blocks closer to an older H. robusta infested K. grandifoliola stand had more infestation compared to saplings further away. The mean percentage of K. grandifoliola attacked was 38.9%, 38.9%, 13.3%, and 7.4% in 4 different plots located increasingly further away from the older infested plantation. A similar trend was found in K. ivorensis with 28.4%, 7.1%, 0.0%, and 0.0% in the plots located increasingly further away from the infested stand. These results indicate a higher number of shoot borer attacks at the edge of the plantation and in proximity to other infested plantations. After 21 months, the fastest-growing species and the fastest-growing individuals within the species were the most infested. K. grandifoliola recorded the fastest growth and most attacks followed by K. ivorensis and S. macrophylla. E. cylindricum recorded the least growth and no H. robusta infestation. After 21 months, the mean percentages of trees attacked were 59.1%, 23.7%, 5.6%, and 0.0% for K. grandifoliola, K. ivorensis, S. macrophylla, and E. cylindricum, respectively. Within species, the fastest-growing saplings experienced the most attacks. A positive correlation was observed between the plant size and H. robusta attacks (R2 = 0.76). Attacks resulted in the death of the apical shoot and the proliferation of multiple shoots in only the Khaya spp., with K. ivorensis recording a lower number of shoots than K. grandifoliola. These proliferated shoots were also attacked, and a positive correlation was observed between the number of proliferated shoots and H. robusta attacks (R2 = 0.84). These findings will assist plantation developers, forest managers, and investors in mahogany plantations to devise integrated pest management strategies to reduce the impact of Hypsipyla attacks on their plantations

Mobility, education and livelihood trajectories for young people in rural Ghana: a gender perspective

This paper examines the gendered implications of Africa's transport gap (the lack of cheap, regular and reliable transport) for young people in rural Ghana, with particular reference to the linkages between restricted mobility, household work demands, access to education and livelihood potential. Our aim is to show how mobility constraints, especially as these interact with household labour demands, restrict young people's access to education and livelihood opportunities. Firstly, the paper considers the implications of the direct constraints on young people's mobility potential as they travel to school. Then it examines young people's (mostly unpaid) labour contributions, which are commonly crucial to family household production and reproduction, including those associated with the transport gap. This has especially important implications for girls, on whom the principal onus lies to help adult women carry the heavy burden of water, firewood, and agricultural products required for household use. Such work can impact significantly on their educational attendance and performance in school and thus has potential knock-on impacts for livelihoods. Distance from school, when coupled with a heavy workload at home will affect attendance, punctuality and performance at school: it may ultimately represent the tipping point resulting in a decision to withdraw from formal education. Moreover, the heavy burden of work and restricted mobility contributes to young people's negative attitudes to agriculture and rural life and encourages urban migration. Drawing on research from rural case study sites in two regions of Ghana, we discuss ethnographic material from recent interviews with children and young people, their parents, teachers and other key informants, supported by information from an associated survey with children ca. 9–18 years

Prediction of elastic modulus for fibre-reinforced soil-cement mixtures: a machine learning approach

Soil-cement mixtures reinforced with fibres are an alternative method of chemical soil stabilisation in which the inherent disadvantage of low or no tensile or flexural strength is overcome by incorporating fibres. These mixtures require a significant amount of time and resources for comprehensive laboratory characterisation, because a considerable number of parameters are involved. Therefore, the implementation of a Machine Learning (ML) approach provides an alternative way to predict the mechanical properties of soil-cement mixtures reinforced with fibres. In this study, Artificial Neural Networks (ANNs), Support Vector Machines (SVMs), Random Forest (RF), and Multiple Regression (MR) algorithms were trained for predicting the elastic modulus of soil-cement mixtures reinforced with fibres. For ML algorithms training, a dataset of 121 records was used, comprising 16 properties of the composite material (soil, binder, and fibres). ANN and RF showed a promising determination coefficient (R2 ≥ 0.93) on elastic modulus prediction. Moreover, the results of the proposed models are consistent with the findings that the fibre and binder content have a significant effect on the elastic modulus.This research was partly financed by FCT/MCTES through national funds (PIDDAC) under the R&D Unit Institute for Sustainability and Innovation in Engineering Structures (ISISE), under reference UIDB/04029/2020, the R&D Unit Chemical Process Engineering and Forest Products Research Centre (CIEPQPF) under reference UIDB/00102/2020, and under the project PTDC/ECICON/28382/2017

Nutrition intakes and nutritional status of school age children in Ghana

This paper compares nutrition intakes and nutritional status of school children from two public schools in neighbouring communities of Ghana with different school feeding programmes. One hundred and eighty-two caregiver and school-age child pairs were interviewed concerning socio-demographics, dietary practices, and food security in a cross-sectional design. The independent t-test was used to compare the contribution of the publicly funded Ghana School Feeding Programme and private School Feeding Programme meals to total daily nutrient intakes of the children. Predictors of nutritional status of the children were assessed using logistic regression models. The private school feeding programme contributed more energy, protein, and micronutrients as compared to the government school feeding programme. About two-thirds (67.0%) of the children were stunted, underweight, or anaemic. Child’s age was a significant predictor of stunting. Undernutrition was prevalent among children from both programmes. Improved quality of diet from the feeding programmes may contribute to addressing malnutrition in these children