Knowledge, practice, and barriers toward cervical cancer screening in Elmina, Southern Ghana

Aims: The aims of this study were: 1) to assess the level of knowledge of women about Pap smear tests, 2) to determine the practices of women regarding Pap smear tests, and 3) to determine the barriers to Pap smear tests in Elmina, Ghana. Methods: A cross-sectional study was conducted with 392 randomly selected sexually active females aged 10–74 years using structured interview questions. The Institutional Review Board of the University of Cape Coast gave ethical approval for the study and informed consent was obtained from participants. Data were analyzed with SPSS software (v19.0) using frequencies, chi-square test, and exploratory factor analysis. Results: The results revealed that 68.4% had never heard about cervical cancer, 93.6% had no knowledge on the risk factors, nine (2.3%) reported multiple sexual partners and being sexually active as risk factors, and 92% did not know about the prevention and treatment of cervical cancer. The majority (97.7%) had never heard of the Pap smear test. Only three (0.8%) women out of 392 had had a Pap smear test. Reasons for seeking a Pap smear test included referral, fear of cervical cancer, and radio campaigns. A significant association was found between institutional and personal barriers and having a Pap smear test. Conclusion: Comprehensive education on cervical cancer screening and removal of access barriers are critical in reducing risk associated with the disease and promoting women\u27s health

HIV diagnosis disclosure to infected children and adolescents; challenges of family caregivers in the Central Region of Ghana

Background Disclosure of Human Immunodeficiency Virus (HIV) to infected older children and adolescents is essential for both personal health maintenance and HIV prevention within the larger population. Non-disclosure of HIV status has been identified as one of the potential barriers to optimum adherence especially in children and adolescents. Like many other countries in the SSA region, Ghana has significant number of children and adolescents infected by HIV, who have increased survival times, due to increased access to ART. However, both family caregivers and healthcare workers face an array of challenges with the disclosure process, including the timing, what information about the child’s HIV status should be shared with him/her and how to go about it. The aim of the study was to identify family caregiver factors associated with non-disclosure of HIV status to infected children and adolescents accessing Antiretroviral Therapy (ART) at the three main ART sites within the Central Region of Ghana. Methods A quantitative analytical survey was conducted among 103 family caregivers of HIV infected children (aged 6–17 years) assessing ART services in the Central Region of Ghana. Data were analyzed using SSPS version 21. Results The age range of caregivers was 20–69 years. The study found a low disclosure rate (23.3%) among caregivers. Majority of the caregivers (80.6%) lacked knowledge on the process of disclosure (how and what to tell child), and majority (64%) also had never received guidance about the disclosure process from their healthcare providers. The main barriers to disclosure were caregiver lack of knowledge regarding the disclosure process and when to disclose, the fear of child’s reaction, and fear of stigmatization and associated negative social consequences. Conclusion These findings suggest a lesser involvement of health care providers in preparing caregivers for the disclosure process. This therefore highlight the need for the National HIV/AIDS/STI Control Program to strengthen the involvement and training of healthcare providers in HIV diagnosis disclosure to infected children, based on context-specific policy guidelines informed by the WHO recommendations

Asymptomatic urinary tract infections in pregnant women attending antenatal clinic in Cape Coast, Ghana

Urinary tract infections culminating from poor diagnosis during pregnancy puts pregnant women at high risk of serious complications. This study investigated the incidence of urinary tract infections among pregnant women attending antenatal clinics in the Cape Coast Metropolis of the Central Region of Ghana. Physical, chemical, microscopic, and microbial analysis were performed on urine samples obtained from 200 pregnant women aged 15 -45 years attending the University of Cape Coast Hospital, Cape Coast Metropolitan Hospital and Ewim Urban Health Centre. The prevalence of urinary tract infections in the three trimesters was determined together with sensitivity testing of the bacteria isolates to antimicrobial drugs. Overall prevalence stood at 56.5 %, although comparatively high in pregnant women in the second trimester (50.4 %). Escherichia coli were the most implicated organism (48.7 %). Pregnant women aged between 15 -32 years were the most affected and gentamycin was the most effective antimicrobial against the bacteria isolates. Results indicated that the incidence of urinary tract infections was high among pregnant women in the study area; therefore, urine microbial screening should be included in the routine antenatal checkups for pregnant women to detect the asymptomatic infections to reduce its risk to pregnancies