ghanaopendata/ghanaian-research-english huggingface dataset:
Determinants of supply chain finance adoption among SMEs: evidence from a developing economy

Purpose – Little is known about the determinants of supply chain finance (SCF) adoption among small and medium-sized enterprises (SMEs) in developing countries. This study aims to address this relevant research gap and hence, draws on the resource-based view and transaction cost economies to empirically investigate five factors that make SCF adoption practicable among SMEs in Ghana. Design/methodology/approach – The approach involves a sample of 257 SME managers/owners and modelling via structural equations modelling. Findings – All five factors (innovative capability, information sharing, inter- and intra-firm collaboration, external financing and trade process digitization) were found to impact positively and significantly on SCF adoption. The findings provide SME managers/owners with a research model which guides them on how to settle the SCF process. Research limitations/implications – This paper used a cross-sectional survey, which makes it impossible to access changes over time. In addition, the use of quantitative method limits respondents from expressing their feelings fully. Using a mixed or qualitative methodology will provide avenues for future research. Practical implications – This paper offers a completive advantage for Ghanaian SMEs to strengthen their relationships while collaborating with each other. The findings suggest that by adopting SCF solutions, SMEs can optimize their liquidity and working capital. The factors underpinning SCF adoption are of incredible attractiveness for SME managers/owners to discover the relevant practice of SCF solutions. SMEs should adopt SCF strategies for improving their capability to respond promptly to transactions. Originality/value – This paper is among the few papers that have examined these five factors in a developing economy context. The study also provides new understanding of the factors that influence SCF adoption in the context of a developing economy.

Source: UG
Determinants of systemic hypertension in older adults in Africa: a systematic review

Background: An estimated 55% of older adults in Africa have systemic hypertension, a major risk factor for stroke, heart failure and dementia in the region. The risk factors associated with hypertension in this population group in Africa have not been systematically evaluated. We, therefore, undertook a systematic review to identify these risk factors. Methods: We searched for population-based studies of adults aged ≥50 years living in Africa and reporting an estimate of hypertension and associated risk factors. We included articles published in any language between January 1980 and May 2018 using a comprehensive search strategy. We extracted data including the sample characteristics, prevalence of hypertension and risk factors with their effect sizes. Results: From an initial 10,719 records, we retained 63 eligible full text articles for review out of which we analyzed 23 studies made up of 19 primary and four multiple publications which had data on risk factors from bivariate or multivariable analysis. The primary studies, published from 2010 to 2018, involved a total of 30,500 participants in 12 different countries with mean ages ranging from 62.7 ± 9 years to 76.9 ± 8.4 years. Through narrative synthesis, we found consistent determinants of hypertension (overweight/obesity and history of stroke), less consistent but frequent determinants (including older age group, female sex and urban residence), inconsistent determinants (including education, wealth index, alcohol intake and physical activity) and non significant covariates (marital status and having health insurance). Overall, the highest adjusted odds ratios were those associated with obesity and history of stroke. Conclusion: The key determinants of systemic hypertension in older adults in Africa are older age group, overweight/obesity, history of stroke and female sex. Health programmes should promote weight reduction throughout the life course, including during the middle and older age of African adults.

Source: UG
Determinants of tax compliance costs of small and medium enterprises in emerging economies: Evidence from Ghana

Small and medium enterprises (SMEs) are important to emerging economies, especially in tackling economic growth and unemployment challenges. SMEs bear a disproportionate burden in complying with many forms of regulations, in particular tax rules and legislation. Complying with tax regulations often results in increased costs and a significant reduction in profits. There is very little information available about the various factors that determine the tax compliance costs of SMEs, especially in Africa. The study attempted to identify the determinants of tax compliance cost using a survey of 132 SMEs in Ghana. From the analysis of three models and In OLS regression, the study found that the size of the business, the age of the business, the business sector and technological costs were significant determinants of tax compliance cost. The results provide meaningful insight to the revenue authorities in knowing the determinants of SMEs’ tax compliance costs. Furthermore, the findings provide valuable information to SMEs to assist in evaluating and managing their tax compliance costs. Finally, the study offers an empirical contribution to the scanty literature on SMEs’ tax compliance cost in emerging economies.

Source: UG
Determinants of the level of informality amongst female street food vendors in sub-Saharan Africa: Evidence from two regions in Ghana

This paper relied on data from the food service industry in Ghana to measure the extent of informality as well as to determine the motivations and challenges that influence selection into informal entrepreneurship. Because of the need to guarantee food safety and hygiene and protect the consuming public, enterprises in the food service industry are required to undergo some practices and procedures that limit the conventional measures of informality in describing them correctly. By varying this conventional definition, we showed that informality can more appropriately be measured in the food service industry. Using data from 406 female street food vendors in Ghana’s Greater Accra and Central regions, we show that approximately 62 % of enterprises in the food service industry tend to be wholly informal. We again found that higher levels of informalization tend to be associated with survivalist and opportunist motivations as well as some economic and spatial challenges, and this is similar to characteristics of informal firms measured using the well-known conventional definitions. One practical implication of our finding is that a sector-specific definition may be appropriate when measuring informality in the food service industry. Our findings show that by varying this definition, many of the known characteristics of informalization can still be realized.

Source: UG
Determinants of transitions in water and sanitation services in two urban slums of Nairobi: A multi-state modeling approach

Access to improved water, sanitation, and hygiene (WASH) services at the household level remains a good strategy to improve the health and well-being of individuals. Informal settlements, such as urban slums, are at risk of the spread of diseases due to the relative lack of access to safe, clean drinking water and basic sanitation, as well as poor hygiene. Global initiatives, such as the Sustainable Development Goals (SDGs) adopted by the United Na tions, are aimed at transitioning households and communities from unimproved to sustained improved states of WASH services. To deepen understanding of the time dynamics between states of WASH services in the Nairobi Urban and Demographic Surveillance System (NUHDSS), this study employs the multi-state transition model to assess the influence of potential risk factors on these transitions. Results indicated that study sites, wealth tertile, age of household head, poverty status, the ethnicity of household head, household ownership, and food security were associated with household transitions of WASH services. There was a lower probability for households to transition from unimproved to improved toilet services than the reverse transition, but a higher chance for households to transition from unimproved to improved water and garbage services. The estimated average time that households spent in the unimproved and improved states before transitioning were, respectively, 35 months and 9 months for toilet services, 7 months and 66 months for water services, and 16 months and 19 months for garbage services. Thus, households tend to remain longer in the unimproved state of toilet and gar bage services, and when in the improved states, they transition back relatively faster compared to water services. In conclusion, sanitation services in Nairobi informal settings remain largely unsatisfactory as transitions to improved services are not sustained. It is therefore important for Governments, policy-makers, and stakeholders to put in place policies and interventions targeting vulnerable households for improved and sustained WASH services.

Source: UG
Determinants of tuberculosis treatment support costs to the treatment supporters in rural Ghana

Background: The Ghana Health Service has been implementing the Directly Observed Therapy Short Course (DOTS) strategy for decades now, to cure and reduce the transmission of tuberculosis. DOTS strategy requires TB patients and their treatment supporters to make multiple clinic visits in the course of treatment, and this may place financial burden on treatment supporters with low socio-economic status. However, the determinants of tuberculosis treatment support costs to treatment supporters are unknown in Ghana. Objectives: This study determined the costs associated with treatment support to the treatment supporters in Bono Region, Ghana. Methods: In a cross-sectional study using cost-of-illness approach, 385 treatment supporters were selected and interviewed. A validated questionnaire for the direct and indirect costs incurred was used. Descriptive statistics and bivariate techniques were used for data analysis. Results: Averagely, each treatment supporter spent GHS 122.4 (US$ 21.1) on treatment support activities per month, which is about 19% of their monthly income. The findings also revealed that highest level of education, household size, monthly income and district of residence were significant predictors of the direct costs. On the other hand, gender of the respondents, highest level of education, ethnicity, household size, income level and relationship with patient were some of the factors that significantly influenced the indirect costs. The significance levels were set at a 95% confidence interval and p < 0.05. Conclusion: The study concludes that the estimated cost associated with assisting tuberculosis patients with treatment is significant to treatment supporters. If these costs are not mitigated, they have the tendency of affecting the socio-economic status and welfare of individuals assisting tuberculosis patients with treatment.

Source: UG
Determinants of types of underemployment in the MiDA intervention zones of Ghana

Underemployment is a severe form of human resource underutilization, especially in the rural areas of Ghana. Unfortunately while its ‘twin brother’, unemployment, had for many years enjoyed some attention in the world of research, much cannot be said of underemployment. Using labour underutilization framework, the paper employs multinomial logistic regression to investigate empirically the various forms of underemployment and their determinants in the three MiDA intervention zones in Ghana. The empirical analysis was done with the data of the Ghana Living Standard Survey Five Plus (GLSS 5+) and factors such as: experience, employment in the manufacturing sector and settlement in an urban location tend out not to be in support of underemployment. Consistent with findings of previous studies, the study found all forms of underemployment to be highly pervasive in the rural areas. Unexpectedly, acquisition of tertiary academic qualification was found to exacerbate the incidence of underemployment. Suggestion was therefore made to the stakeholders of the Ghanaian economy to develop pragmatic measures to address the problem of labour underutilization, especially those involving graduates of tertiary institutions, in order not to discourage Ghanaians from seeking higher academic laurels

Source: UG
Determinants Of Under-Five Mortality In Informal Settlements In Nairobi, Kenya From 2002 To 2018.

Background Childhood mortality persists as a significant public health challenge in low and middle-income countries and is uneven within countries, with poor communities such as urban informal settlements bearing the highest burden. There is limited literature from urban informal settlements on the risk factors of mortality. We assessed under-five mortality and associated risk factors from the period 2002 to 2018 in Nairobi urban informal settlements. Methods We used secondary data from the Nairobi Urban Health and Demographic Surveillance System (NUH DSS), a longitudinal surveillance platform that routinely collects individual and household-level data in two informal settlements (Viwandani and Korogocho) in Nairobi, Kenya. We used Kaplan-Meier curves to estimate overall survival and the Cox proportional hazard model with a frailty term to evaluate the impact of risk factors on survival time. Results Overall under-five survival rate was 96.8% and this improved from 82.6% (2002-2006) to 95% (2007-2012) and 98.4% (2012-2018). There was a reduced risk of mortality among children who had BCG vaccination, those born to a married mother or a mother not engaging in any income-generating activity (both from 2007 to 2011), children from singleton pregnancy, children born in Viwandani slum and ethnicity of the child. Conclusion Under-five mortality is still high in urban informal settlements. Targeted public health interventions such as vaccinations and interventions empowering women such as single mothers, those with multiple pregnancies, and more impoverished slums are needed to further reduce under-fve mortality in urban informal settlements.

Source: UG
Determinants of under-fve mortality in informal settlements in Nairobi, Kenya from 2002 to 2018

Background Childhood mortality persists as a significant public health challenge in low and middle-income countries and is uneven within countries, with poor communities such as urban informal settlements bearing the highest burden. There is limited literature from urban informal settlements on the risk factors of mortality. We assessed under-five mortality and associated risk factors from the period 2002 to 2018 in Nairobi urban informal settlements. Methods We used secondary data from the Nairobi Urban Health and Demographic Surveillance System (NUH DSS), a longitudinal surveillance platform that routinely collects individual and household-level data in two informal settlements (Viwandani and Korogocho) in Nairobi, Kenya. We used Kaplan-Meier curves to estimate overall survival and the Cox proportional hazard model with a frailty term to evaluate the impact of risk factors on survival time. Results Overall under-five survival rate was 96.8% and this improved from 82.6% (2002-2006) to 95% (2007-2012) and 98.4% (2012-2018). There was a reduced risk of mortality among children who had BCG vaccination, those born to a married mother or a mother not engaging in any income-generating activity (both from 2007 to 2011), children from singleton pregnancy, children born in Viwandani slum and ethnicity of the child. Conclusion Under-five mortality is still high in urban informal settlements. Targeted public health interventions such as vaccinations and interventions empowering women such as single mothers, those with multiple pregnancies, and more impoverished slums are needed to further reduce under-five mortality in urban informal settlements.

Source: UG
Determinants of Unemployment in Ghana

Unemployment is often cited as a measure of the low employment content of Ghana's strong growth performance over the past three decades. The paper presents evidence to suggest that employment growth in Ghana continues to trail economic growth due to high growth of low employment generating sectors against sluggish growth of high labour absorption sectors. A cross-sectional estimation of a probit regression model also indicates a strong effect of demand factors on unemployment, indicating a weak employment generating impact of economic growth. Empirical analysis also confirms higher vulnerability of youth and urban dwellers to unemployment with education and gender explaining unemployment in some instances. Reservation wage is also observed to have an increasing effect of unemployment. The paper recommends policies that promote investment in agriculture and manufacturing which is associated with higher employment elasticity of output. High incidence of unemployment among the youth and secondary school leavers in the most recent period requires targeted intervention including support for entrepreneurial training and start-up capital to attract young school leavers to become 'creators' rather than 'seekers' of jobs. A downward review of expectations on the part of jobseekers in terms of their reservation wage could help reduce unemployment in Ghana. © 2014 African Development Bank.

Source: UG
Determinants of use of mobile phones for sexually transmitted infections (STIs) education and prevention among adolescents and young adult population in Ghana: implications of public health policy and interventions design

Background: Sexually Transmitted Infections (STIs) are a major public health challenge globally especially among adolescents and young adults in lower-middle-income countries (LMICs) in Africa including Ghana. In light of this, mobile phone innovations are advocated to enhance public health education and prevention of STIs in developing health systems. Objective: This study assessed mobile phone usage among adolescents and young adult populations pursuing tertiary education and their use of these technologies in the education and prevention of STIs. Method: This was a cross-sectional analytical study among 250 adolescents and young adults aged 18–24 at Ghana’s premier and biggest public University. The study was however conducted in only one public university in the Greater Accra region which potentially poses generalizability challenges due to socio-cultural and economic differences in other regions of the country. Data was collected using structured questionnaire and data analysis done with STATA (version 12.0). Univariate probit regression (VCE, Robust) analysis was used to determine factors associated with adolescents and young adult population’s usage of mobile phones in the education and prevention of STIs. Results: Out of the 250 adolescents and young adults interviewed, 99% owned mobile phones. Out of this number, 58% them were smartphone users. Also, it was found that male young adults (Coef. = 1.11, p = 0.000) and young adults who owned a smartphone (Coef. = 0.46, p = 0.013) were more likely to use mobile phones for education and prevention of STIs.Conclusion: Mobile phone penetration among young adults is nearly 100% in line with the national trend. Additionally, these young adults largely believe in the use of mobile phone programmes for STIs education and prevention. Moreover, respondents were found to be more comfortable using mobile applications than traditional text messaging or phone calls in STIs education and prevention. Future mobile phone programmes for STIs education and prevention should consider innovating customized mobile applications to promote acceptability by the youth and enhance sustainability of such interventions on STIs in Ghana. Even though this study was conducted in only one public university in Ghana, the findings are nonetheless informative and future researchers could consider using a larger sample size across private and public universities in other regions of the country.

Source: UG
Determinants of Utilisation of Maternal Health Care Services Among Pregnant Women in Kwahu South District

Maternal mortality remains a major Public Health challenge although various interventions have been devised by the international community to reduce it. Most of these deaths occur in Sub-Saharan Africa for which Ghana is no exception. The use of maternal health care services has been documented to reduce maternal deaths. However, utilisation of antenatal care has been declining. The study sought to examine the determinants of utilisation of maternal health care services among pregnant women using Andersen and Newman’s health care utilisation model as a theoretical framework. The study site was Kwahu South District with the study population consisting of pregnant women. A quantitative, descriptive cross sectional survey was used and data was collected from 430 pregnant women using a structured questionnaire. Lubben social network scale, Euro Qol self-reported health status and a modified version of Kotel chuck index were used. Data were processed and analysed using Statistical Package for Social Science version 17.0 and Microsoft Excel. Descriptive statistics was used to describe socio-demographic variables whiles Pearson’s chi square (X2) was used to determine the relationship between the independent variables (environmental factors and population characteristics) and the dependent variable (utilisation). Bivariate and multivariate logistic regression was used to identify variables that predict the use of maternal health care service. Results show that 68.8% utilise antenatal care services adequately whiles 61.4% commenced ANC early. Environmental factors such as the presence of health personnel, logistics, reduced waiting time, coordination and control are strong determinants of utilisation. Age, marital status, education, occupation, partner’s occupation, means of transport, income level and parity have a significant relationship with the utilisation of maternal health care services. The results also show that marital status, occupation and level of education accounts for 19% of the variance in utilisation. However, the significant predictors were marital status and Determinants of maternal health care service utilisation occupation. Married women were twice more likely to have adequate utilisation than single women and women who are cohabiting (OR=2.046, CI: 1.024-4.086, P=0.043). Farmers (OR=0.186, CI: 0.361-0.563, P=0.003) and women who are unemployed (OR=0.364, CI: 0.165-0.824, P=0.015) were less likely to have adequate utilisation. These findings have implications for nursing practice and management, health promotion and education. Continuous public education about the need for adequate utilisation of maternal health care services is required.

Source: UG