Education: Pathway to Empowerment for Ghanaian Women?

Education has long been seen as crucial to women's empowerment. Increasingly, however, scholars such as Stromquist have questioned our faith in the power of education to empower women. Drawing on a survey of 600 women of three age groups in three regions of Ghana and 36 intergenerational interviews, this article makes the case that the benefits of education for women is context specific, for example when decent work in the public sector is available. This study shows that more than twice as many women aged 18–29 have had some form of education compared with those above 50. However, it finds that while all the women above 50 who worked in the formal sector worked in better paying public sector jobs, this was not the case of the women aged 18–29, almost half of whom worked in the private informal sector with more insecure incomes

Science-based health innovation in Ghana: health entrepreneurs point the way to a new development path

<p>Abstract</p> <p>Background</p> <p>Science, technology and innovation have long played a role in Ghana’s vision for development, including in improving its health outcomes. However, so far little research has been conducted on Ghana’s capacity for health innovation to address local diseases. This research aims to fill that gap, mapping out the key actors involved, highlighting examples of indigenous innovation, setting out the challenges ahead and outlining recommendations for strengthening Ghana’s health innovation system.</p> <p>Methods</p> <p>Case study research methodology was used. Data were collected through reviews of academic literature and policy documents and through open-ended, face-to-face interviews with 48 people from across the science-based health innovation system. Data was collected over three visits to Ghana from February 2007 to August 2008, and stakeholders engaged subsequently.</p> <p>Results</p> <p>Ghana has strengths which could underpin science-based health innovation in the future, including health and biosciences research institutions with strong foreign linkages and donor support; a relatively strong regulatory system which is building capacity in other West African countries; the beginnings of new funding forms such as venture capital; and the return of professionals from the diaspora, bringing expertise and contacts. Some health products and services are already being developed in Ghana by individual entrepreneurs, which are innovative in the sense of being new to the country and, in some cases, the continent. They include essential medicines, raw pharmaceutical materials, new formulations for pediatric use and plant medicines at various stages of development.</p> <p>Conclusions</p> <p>While Ghana has many institutions concerned with health research and its commercialization, their ability to work together to address clear health goals is low. If Ghana is to capitalize on its assets, including political and macroeconomic stability which underpin investment in health enterprises, it needs to improve the health innovation environment through increasing support for its small firms; coordinating policies; and beginning a dialogue with donors on how health research can create locally-owned knowledge and be more demand-driven. Mobilizing stakeholders around health product development areas, such as traditional medicines and diagnostics, would help to create trust between groups and build a stronger health innovation system.</p

Big Data Evaluation Scorecard

This study seeks to examine the evolution of issues that have been espoused by both junior and senior scholars to aggregate out of literature, a criterion that can guide firms in evaluating their Big data analytic (BDA) projects. The systematic review approach took stock of varied socio-technical understanding, requirements, and capabilities used in addressing Big data issues and synthesized these issues for value accruals. The study strongly argues that Big data benefits accrue to firms whose economic activities require distributed collaborative effort, operational visibilities, cost, and time-sensitive decisions who adopt and implement the concept in their strategic, tactical, and operational levels. Though the trend shows steady growth in scholars’ interests and expectations in BDA, a significant percentage of the reviewed studies were not informed by any theory. The study contributes to BDA literature by affording scholars issue gaps and for practitioners, an analytical competency and evaluation scorecard that links strategic business goals to operational outcomes

Prevention and Screening for Cardiometabolic Disease Following Hypertensive Disorders in Pregnancy in Low-Resource Settings: A Systematic Review and Delphi Study

Hypertensive disorders in pregnancy (HDP) and cardiometabolic and kidney diseases are rising in low- and middle-income countries (LMICs). While HDP are risk factors for cardiometabolic and kidney diseases, cost-effective, scalable strategies for screening and prevention in women with a history of HDP are lacking. Existing guidelines and recommendations require adaptation to LMIC settings. This article aims to generate consensus-based recommendations for the prevention and screening of cardiometabolic and kidney diseases tailored for implementation in LMICs. We conducted a systematic review of guidelines and recommendations for prevention and screening strategies for cardiometabolic and chronic kidney diseases following HDP. We searched PubMed/Medline, Embase and Cochrane Library for relevant articles and guidelines published from 2010 to 2021 from both high-income countries (HICs) and LMICs. No other filters were applied. References of included articles were also assessed for eligibility. Findings were synthesized narratively. The summary of guiding recommendations was subjected to two rounds of Delphi consensus surveys with experts experienced in LMIC settings. Fifty-four articles and 9 guidelines were identified, of which 25 were included. Thirty-five clinical recommendations were synthesized from these and classified into six domains: identification of women with HDP (4 recommendations), timing of first counseling and provision of health education (2 recommendations), structure and care setting (12 recommendations), information and communication needs (5 recommendations), cardiometabolic biomarkers (8 recommendations) and biomarkers thresholds (4 recommendations). The Delphi panel reached consensus on 33 final recommendations. These recommendations for health workers in LMICs provide practical and scalable approaches for effective screening and prevention of cardiometabolic disease following HDP. Monitoring and evaluation of implementation of these recommendations provide opportunities for reducing the escalating burden of noncommunicable diseases in LMICs

Supplementation with Small-Quantity Lipid-Based Nutrient Supplements Does Not Increase Child Morbidity in a Semiurban Setting in Ghana: A Secondary Outcome Noninferiority Analysis of the International Lipid-Based Nutrient Supplements (iLiNS)–DYAD Randomized Controlled Trial

Background Adequate knowledge about the safety of consumption of small-quantity lipid-based nutrient supplements (SQ-LNSs) is needed. Objective We aimed to test the hypothesis that SQ-LNS consumption is noninferior to control with respect to child morbidity. Methods Women (n = 1320) ≤20 wk pregnant were assigned to iron and folic acid until delivery with no supplementation for offspring; or multiple micronutrient supplements until 6 mo postpartum with no supplementation for offspring; or SQ-LNSs until 6 mo postpartum, and SQ-LNSs for offspring (6 mg Fe/d) from 6 to 18 mo of age [the lipid-based nutrient supplement (LNS) group]. We assessed noninferiority (margin ≤20%) between any 2 groups during 0–6 mo of age, and between the non-LNS and LNS groups during 6–18 mo of age for caregiver-reported acute respiratory infection, diarrhea, gastroenteritis, fever/suspected malaria, poor appetite, and “other illnesses.” Results During 0–6 mo of age, 1197 infants contributed 190,503 infant-days. For all morbidity combined, overall mean incidence (per 100 infant-days) was 3.3 episodes, overall mean prevalence (percentage of infant-days) was 19.3%, and the 95% CIs of the incidence rate ratio (IRR) and longitudinal prevalence rate ratio (LPRR) between any 2 groups were ≤1.20. During 6–18 mo, there were 240,097 infant-days for the non-LNS group and 118,698 for the LNS group. For all morbidity combined, group mean incidences were 4.3 and 4.3, respectively (IRR: 1.0; 95% CI: 1.0, 1.1), and mean prevalences were 28.2% and 29.3%, respectively (LPRR: 1.0; 95% CI: 1.0, 1.1). Noninferiority was inconclusive for diarrhea, fever/suspected malaria, and poor appetite. Conclusions SQ-LNS consumption does not increase reported overall child morbidity in this population compared with the 2 other treatments. This trial was registered at clinicaltrials.gov as NCT00970866

“But the moment they find out that you are MSM…”: a qualitative investigation of HIV prevention experiences among men who have sex with men (MSM) in Ghana’s health care system

Abstract: The prevalence of HIV in Ghana is 1.3%, compared to 17% among men who have sex with men (MSM). There is limited empirical data on the current health care climate and its impact on HIV prevention services for Ghanaian MSM. The purposes of this study were to investigate (1) MSM’s experiences using HIV prevention resources, (2) what factors, including health care climate factors, influenced MSM’s use of prevention resources and (3) MSM self-identified strategies for improving HIV/sexually transmitted infection (STI) prevention among MSM in Ghanaian communities. Methods: We conducted 22 focus groups (n = 137) with peer social networks of MSM drawn from three geographic communities in Ghana (Accra, Kumasi, Manya Krobo). The data were examined using qualitative content analysis. Interviews with individual health care providers were also conducted to supplement the analysis of focus group findings to provide more nuanced illuminations of the experiences reported by MSM..

Oil and Cocoa in the Political Economy of Ghana-EU Relations: Whither Sustainable Development?

Oil and cocoa represent strategic export commodities for the Ghanaian economy, prioritised within the Ghana Shared Growth and Development Agenda. This article examines these sectors in the context of Ghana’s relations with the European Union (EU). Notably, the EU constitutes the most important market for Ghanaian exports. The European Commission, moreover, has pledged to tangibly assist private sector development in Ghana, with particular reference to the UN Sustainable Development Goals (SDGs). Through its focus on oil and cocoa, the article problematises certain aspects of EU aid and trade interventions with respect to normative SDG development pledges

Unpacking the complexity of improved nutrition in Ghana: A consultative process with national stakeholders: A meeting report

Over the past decade, Ghana has achieved significant reductions in hunger and improvement in nutrition of women and children. Undernourishment rate (Food Balance Sheet indicator) has declined and remained below 5% over the past decade. 1 Young child growth has improved as indicated by reduced stunting (low height-for-age), from 28% in 2008 to 19% in 2014; underweight, from 14% in 2008 to 11% in 2014; and wasting- from 8.5% in 2008 to 5% in 2014.2 However, in the context of increasing urbanization and income growth, challenges of urban food and nutrition insecurity and overnutrition have begun to arise. Understanding the drivers of these positive changes will provide useful lessons for future actions for food and nutrition security. While consideration of emergent problems related to urbanization and overnutrition is also necessary. This requires broad consideration of the actions and occurrences that may have contributed in the past, and how Ghana’s changing food system can be leveraged for future progress. To achieve these objectives, two new research initiatives have commenced in Ghana. These are ‘Stories of Change in Nutrition in Ghana’, and ‘Leveraging Food Systems for Improved Nutrition in Ghana’. Both have been initiated by the International Food Policy Research Institute (IFPRI). This report provides a summary of a consultative stakeholder meeting held jointly by the two initiatives on July 3, 2018 in Accra, to engage key stakeholders just as the two initiatives are commencing activities in Ghana. The purpose of the meeting was to introduce participants to the research plans and activities and to present preliminary findings. The meeting also was an opportunity to seek stakeholder input on: a) the actors, actions, and policy processes that have led to improvements in key nutrition problems in the past ; and b) the opportunities for leveraging a changing food system for continued progress on nutrition. Finally, the meeting also sought to learn from stakeholders what were feasible approaches and pathways for engagement and participation. Proceedings of the meeting are presented in this report.Non-PRIFPRI1; CRP4; Stories of Change in Nutrition; Transform Nutrition West Africa; UNFSSPHND; A4NHCGIAR Research Program on Agriculture for Nutrition and Health (A4NH