A psychrometric analysis of thermal comfort In low-rise office buildings in Ghana

A research project on the thermal performance of office buildings in Ghana was conducted and in the process, data loggers were used to record indoor environmental conditions over a period of 12 months in five office buildings. The temperature and relative humidity values recorded were analysed and plotted on psychrometric charts. The results of the study in 15 offices wereplaced in psychrometric charts which showed uncomfortable indoor environmental conditions. The reasons were high relative humidity values, although the temperatures in most of the cases were below 29°C. The impression gained during the observation period was that occupants hadadapted to high humidity levels and therefore found maximum humidity levels of 80% comfortable, provided temperature values did not exceed 29°C. This significant clue calls for further study and the adjustment of the comfort scale for the climatic context of Kumasi, Ghana

Gender, education, and cohort differences in healthy working life expectancy at age 50 years in Australia: a longitudinal analysis

Background: We aimed to estimate healthy working life expectancy (HWLE) at age 50 years by gender, cohort, and level of education in Australia. Methods: We analysed data from two nationally representative cohorts in the Household Income and Labour Dynamics in Australia survey. Each cohort was followed up annually from 2001 to 2010 and from 2011 to 2020. Poor health was defined by a self-reported, limiting, long-term health condition. Work was defined by current employment status. HWLEs were estimated with Interpolated Markov Chain multi-state modelling. Findings: We included data from 4951 participants in the cohort from 2001 to 2010 (2605 [53%] women and 2346 [47%] men; age range 50–100 years) and 6589 participants in the cohort from 2011 to 2020 (3518 [53%] women and 3071 [47%] men; age range 50–100 years). Baseline characteristics were similar between groups. Working life expectancy increased over time for all groups, regardless of gender or educational attainment. However, health expectancies only increased for men and people of either gender with higher education. Years working in good health at age 50 years for men were 9·9 years in 2001 (95% CI 9·3–10·4) and 10·8 years (10·4–11·3) in 2011. The corresponding HWLEs for women were 7·9 years (7·3–8·5) and 9·0 years (8·5–9·6). For people with low education level, HWLE was 7·9 years (7·3–8·5) in 2001 and 8·4 years (7·9–8·9) in 2011, and for those with high education level, HWLE rose from 9·6 years in 2001 (9·1–10·1) to 10·5 years in 2011 (10·2–10·9). Across all groups, there were at least 2·5 years working in poor health and 6·7 years not working in good health. Interpretation: Increases in length of working life have not been accompanied by similar gains in healthy life expectancy for women or people of any gender with low education, and it is not unusual for workers older than 50 years to work with long-term health limitations. Strategies to achieve longer working lives should address life-course inequalities in health and encourage businesses and organisations to recruit, train, and retain mature-age workers. Funding: Australian Research Council

Hand-dug Well Water Quality: The Case of Two Peri-Urban Communities in Ghana

Many rural and peri-urban areas in developing countries including Ghana face challenges with access to good quality drinking water. These areas often depend on surface water or ground water sources which are often compromised with excess levels of nitrate, chloride and microbial pathogens. This study sought to assess the effect of household latrine system on household water quality of two peri-urban communities in the Upper West Region of Ghana. Geographic Information Systems were used to map the latrine location and elevation of household wells relative to latrines. Latrines and wells were visually inspected. Water samples were also collected from the selected household wells and tested for pH, chlorine, turbidity, colour, conductivity, temperature, total dissolved solids, nitrites and nitrates. Selected community borehole water were used for controls. The study showed average latrine location relative to household well was 13.7 m. The difference in elevation between the wells and latrines is at an average of 0.7m. All the household latrines were improved latrines and household wells with 47% of them having lids to cover them. The water quality observed were all within the WHO drinking water quality for the physicochemical parameters assessed. The study however showed higher levels of nitrate in household wells than bore holes. The need to educate households in locating of Kraals relative to household water systems is needed. Further studies including environmental and geological assessments are required to establish the observations made regarding why areas of high latrine concentrations had lower nitrate levels. Also microbiological studies to establish the safety of water for drinking is required

Compositional, physico-mechanical and functional properties of two Ghanaian cowpea (Vigna unguiculata) varieties

Cowpea (Vigna unguiculata) is a legume that is cultivated throughout Africa and contributes a significant amount of plant-based protein to human diets. There are many varieties of cowpeas, and these have varying seed characteristics such as shape, size, colour and nutritional properties. The compositional, physico-mechanical, and functional properties of two new cowpea seed varieties were investigated in order to determine their full food-use potentials as well as key parameters for their postharvest machinery for processing, handling, and storage. The proximate composition of the two cowpea cultivars was determined using standard methods. Physico-mechanical analyses carried out were the hundred-seed weight and volume, bulk density, true density, size, aspect ratio, surface area, equivalent diameter, porosity and angle of repose. Functional properties determined were cooking time and water uptake of the grain as well as water and oil absorption, foam capacity and stability, and emulsion capacity and stability of the flour. The Padi-Tuya variety was longer, broader and thicker than Wang Kae. The results showed both varieties to be useful sources of macronutrients. The moisture, fat and fibre in Wang Kae were significantly higher (p<0.05) than Padi-Tuya. However, both cowpea varieties had comparable protein levels of 17.7 g/100 g. The cooking time, hydration capacities and indices of the two varieties were also significantly different (p<0.05), but their swelling capacities, swelling and water uptake indices were comparable. Cooking times were 40 and 62 min for Padi-Tuya and Wang Kae, respectively. The water and oil absorption capacities, as well as the swelling indices, were similar, but their emulsion capacities and stabilities were significantly different (p<0.05) for the flour. Padi-Tuya had a higher foam capacity, but was less stable, than Wang Kae. The physico-mechanical properties determined would aid in the design of cleaning, handling and other processing machinery as well as storage facilities for the new cowpeas. The functional and the compositional parameters would assist in the food formulations

Representation of Africa online: sourcing practice and frames of reference

The dominant perspective on the representation of Africa in the western media claims that western media coverage is bias and crisis orientated and the liberal perspective claims that the coverage of Africa is not as negative as is often assumed. However, there is a paucity of literature on the representation of Africa online. This research enquiry is relevant because literature claims that the Internet has the potential to resolve the journalistic predicament of representing other culture through political participation and deliberation. But this requires a re-orientation of the sourcing practice of news organization to embrace sensitivity to and knowledge of African cultures. Moreover, the journalistic predicament can be resolved or not depending on the news gathering approach adopted by the news organization. Literature has identified two approaches, that is, ‘gatekeeping’ used mainly by dominant traditional media and ‘gatewatching’ used by alternative media in their quest to counter mainstream ideology. This study examines the impacts of the ‘gatewatching’ approach adopted by Africa Have Your Say (AHYS) website on its representation and frames of reference of Africa. It uses on-site observation, in-depth interviews and textual analysis to gather data. The study found that although the sourcing practice at the AHYS is elaborate and complex, the ‘gatewatching’ approach makes its susceptible to second level agenda setting. Hence, its frame repeats the attributes and tone used by the mainstream traditional media. However, a minority of users did not use repeat this frame in their comments

Implementing effective community-based surveillance in research studies of maternal, newborn and infant outcomes in low resource settings

BACKGROUND: Globally adopted health and development milestones have not only encouraged improvements in the health and wellbeing of women and infants worldwide, but also a better understanding of the epidemiology of key outcomes and the development of effective interventions in these vulnerable groups. Monitoring of maternal and child health outcomes for milestone tracking requires the collection of good quality data over the long term, which can be particularly challenging in poorly-resourced settings. Despite the wealth of general advice on conducting field trials, there is a lack of specific guidance on designing and implementing studies on mothers and infants. Additional considerations are required when establishing surveillance systems to capture real-time information at scale on pregnancies, pregnancy outcomes, and maternal and infant health outcomes. MAIN BODY: Based on two decades of collaborative research experience between the Kintampo Health Research Centre in Ghana and the London School of Hygiene and Tropical Medicine, we propose a checklist of key items to consider when designing and implementing systems for pregnancy surveillance and the identification and classification of maternal and infant outcomes in research studies. These are summarised under four key headings: understanding your population; planning data collection cycles; enhancing routine surveillance with additional data collection methods; and designing data collection and management systems that are adaptable in real-time. CONCLUSION: High-quality population-based research studies in low resource communities are essential to ensure continued improvement in health metrics and a reduction in inequalities in maternal and infant outcomes. We hope that the lessons learnt described in this paper will help researchers when planning and implementing their studies

Polymerization-based signal amplification for paper-based immunoassays

Diagnostic tests in resource-limited settings require technologies that are affordable and easy to use with minimal infrastructure. Colorimetric detection methods that produce results that are readable by eye, without reliance on specialized and expensive equipment, have great utility in these settings. We report a colorimetric method that integrates a paper-based immunoassay with a rapid, visible-light-induced polymerization to provide high visual contrast between a positive and a negative result. Using Plasmodium falciparum histidine-rich protein 2 as an example, we demonstrate that this method allows visual detection of proteins in complex matrices such as human serum and provides quantitative information regarding analyte levels when combined with cellphone-based imaging. It also allows the user to decouple the capture of analyte from signal amplification and visualization steps.Bill & Melinda Gates Foundation (Award 51308)United States. Defense Advanced Research Projects Agency (HR0011-12-2-0010)National Science Foundation (U.S.). Graduate Research FellowshipBurroughs Wellcome Fund (Career Award at the Scientific Interface

Vaccination timing of low-birth-weight infants in rural Ghana: a population-based, prospective cohort study

Objective: To investigate delays in first and third dose diphtheria–tetanus–pertussis (DTP1 and DTP3) vaccination in low-birth-weight infants in Ghana, and the associated determinants. Methods: We used data from a large, population-based vitamin A trial in 2010–2013, with 22 955 enrolled infants. We measured vaccination rate and maternal and infant characteristics and compared three categories of low-birth-weight infants (2.0–2.4 kg; 1.5–1.9 kg; and <1.5 kg) with infants weighing ≥2.5 kg. Poisson regression was used to calculate vaccination rate ratios for DTP1 at 10, 14 and 18 weeks after birth, and for DTP3 at 18, 22 and 24 weeks (equivalent to 1, 2 and 3 months after the respective vaccination due dates of 6 and 14 weeks). Findings: Compared with non-low-birth-weight infants (n=18 979), those with low birth weight (n=3382) had an almost 40% lower DTP1 vaccination rate at age 10 weeks (adjusted rate ratio, aRR: 0.58; 95% confidence interval, CI: 0.43–0.77) and at age 18 weeks (aRR: 0.63; 95% CI: 0.50–0.80). Infants weighing 1.5–1.9 kg (n=386) had vaccination rates approximately 25% lower than infants weighing ≥2.5 kg at these time points. Similar results were observed for DTP3. Lower maternal age, educational attainment and longer distance to the nearest health facility were associated with lower DTP1 and DTP3 vaccination rates. Conclusion: Low-birth-weight infants are a high-risk group for delayed vaccination in Ghana. Efforts to improve the vaccination of these infants are warranted, alongside further research to understand the reasons for the delays

Attitudes towards persons with mental health conditions and psychosocial disabilities as rights holders in Ghana: a World Health Organization study

Background: There are currently major efforts underway in Ghana to address stigma and discrimination, and promote the human rights of those with mental health conditions, within mental health services and the community, working with the World Health Organization’s QualityRights initiative. The present study aims to investigate attitudes towards people with lived experience of mental health conditions and psychosocial disabilities as rights holders. Methods: Stakeholders within the Ghanaian mental health system and community, including health professionals, policy makers, and persons with lived experience, completed the QualityRights pre-training questionnaire. The items examined attitudes towards coercion, legal capacity, service environment, and community inclusion. Additional analyses explored how far participant factors may link to attitudes. Results: Overall, attitudes towards the rights of persons with lived experience were not well aligned with a human rights approach to mental health. Most people supported the use of coercive practices and often thought that health practitioners and family members were in the best position to make treatment decisions. Health/mental health professionals were less likely to endorse coercive measures compared to other groups. Conclusion: This was the first in-depth study assessing attitudes towards persons with lived experience as rights holders in Ghana, and frequently attitudes did not comply with human rights standards, demonstrating a need for training initiatives to combat stigma and discrimination and promote human rights

Prevalence of preeclampsia and algorithm of adverse foeto-maternal risk factors among pregnant women in the central region of Ghana: A multicentre prospective cross-sectional study

Background: Preeclampsia is a leading cause of foeto-maternal deaths especially in Sub-Saharan Africa. However, the prevalence and risk factors of preeclampsia are scarce in the Central region of Ghana with previous study assessing individual independent risk factors. This study determined the prevalence and algorithm of adverse foeto-maternal risk factors of preeclampsia. Methods: This multi-centre prospective cross-sectional study was conducted from October 2021 to October 2022 at the Mercy Women’s Catholic Hospital and Fynba Health Centre in Central region, Ghana. A total of 1,259 pregnant women were randomly sampled and their sociodemographic, clinical history, obstetrics and labour outcomes were recorded. Logistic regression analysis using SPSS version 26 was performed to identify risk factors of preeclampsia. Results: Of the 1,259 pregnant women, 1174 were finally included in the study. The prevalence of preeclampsia was 8.8% (103/1174). Preeclampsia was common among 20–29 years age group, those who had completed basic education, had informal occupation, multigravida and multiparous. Being primigravida [aOR = 1.95, 95% CI (1.03–3.71), p = 0.042], having previous history of caesarean section [aOR = 4.48, 95% CI (2.89–6.93), p \u3c 0.001], foetal growth restriction [aOR = 3.42, 95% CI (1.72–6.77), p \u3c 0.001] and birth asphyxia [aOR = 27.14, 95% CI (1.80–409.83), p = 0.017] were the independent risk factors of preeclampsia. Pregnant women exhibiting a combination of primigravida, previous caesarean section and foetal growth restriction were the highest risk for preeclampsia [aOR = 39.42, 95% CI (8.88–175.07, p \u3c 0.001] compared to having either two or one of these factors. Conclusion: Preeclampsia is increasing among pregnant women in the Central region of Ghana. Pregnant women being primigravida with foetal growth restriction and previous history of caesarean section are the highest risk population likely to develop preeclampsia with neonates more likely to suffer adverse birth outcome such as birth asphyxia. Targeted preventive measures of preeclampsia should be created for pregnant women co-existing with multiple risk factors