ghanaopendata/ghanaian-research-english huggingface dataset:
Literacy-Related Factors And Knowledge Of Patient Rights Charter: Evidence From Nurses In Selected Hospitals In Ghana

Background Systems of across the world have developed and implemented patient rights policies to protect and improve the provider-patient relationship. The Patient Charter of Ghana was developed in 2002 to improve service quality and protect patients’ rights. However, it is not yet known whether those at the frontline of healthcare delivery can read and understand the contents of the charter. While studies have explored the socioeconomic and institutional-level factors related to awareness and knowledge of the Patient Rights Charter, there is a lack of literature on its readability and comprehensibility among nurses. This study assesses nurses’ knowledge of patient rights. Charter and associated literacy-related factors. Method An exploratory cross-sectional design and quantitative methods were used to collect data on knowledge. comprehension and readability of the Patient Rights Charter. 205 nurses from four district hospitals in the Central Regions were recruited using proportional and total enumeration sampling. Data were collected using structured questionnaires and were processed using SPSS (version 26) and an online text readability consensus calculator (version 2.0). Descriptive and inferential statistical analyses were performed, and data were presented using simple frequencies, readability statistics, and regression output. Results The results show the charter is written at a higher reading grade level, Flesch-Kincaid Grade Level (13.36), Simple Measure of Gobbledygook (11.57) and Coleman-Liau Readability Index (14.2). The average reading grade level score was 14. The Gunning Fox Index (15.40) and the Flesch Reading Ease Score (34%) show the patient's is difficult to read and will require at least 14 years of education to be able to read. 87.3% of nurses were able to read and comprehend the charter. Very few (8.3%) read at frustration level. Nurses’ actual comprehension of the charter was the only significant predictor of knowledge of the charter. Conclusion The comprehension of the patient charter is an important predictor of its knowledge. The results emphasize the need to enhance the readability and comprehensibility of the charter for providers. Hospitals can stimulate nurses’ knowledge of the charter by simplifying the charter’s language and deliberately educating nurses on its content.

Source: UG
A Literature Review of Mobile Payments in Sub-Saharan Africa

The influx of mobile technologies during 1990’s saw to the purchase of mobile phones and subsequently mobile terminals in the form of tablets, PDAs among others. The trend in adoption has seen increasing hikes and drastic impact on business transactions also recorded. Mobile payments have emerged as one of the electronic payment platforms that are creating convenience for many consumers. In order to strengthen the field and to examine the knowledge gap over a decade (2007–2017), a review of literature was opportune. Hence 37 studies conducted in Sub-Saharan Africa were retrieved, classified based on TOE framework and Porter’s five competitive forces. The thematic areas identified based on the framework were reviewed. In addition, geographical cover, methodological issues, conceptual frameworks and gaps identified for further studies were also studied. The analysis showed that, similar to earlier findings; Changes in technology, merchant adoption and consumer adoption have been well researched into with grey areas like traditional payment systems, socio-cultural factors that affect implementation of mobile payment system. The research gaps and direction of future research were discussed.

Source: UG
A literature review of schistosomiasis in Ghana: a reference for bridging the research and control gap

The Department of Parasitology conducts research into parasitic diseases of public health importance with the overall goal of reducing their transmission and the heavy disease burden that they impose on affected populations. The Department maintains focus on parasitic diseases in general. These include major diseases such as malaria, and others listed under the Neglected Tropical Diseases (NTD) control initiative such as, lymphatic filariasis, onchocerciasis, schistosomiasis, soil-transmitted helminthiasis, trypanosomiasis and leishmaniasis.

Source: UG
Lithium elemental and isotopic variations in rock-melt interaction

Despite the occurrence of highly variable lithium (Li) elemental distribution and isotopic fractionation in mantle mineral, the mechanism of Li heterogeneity and fractionation remains a controversial issue. We measured Li contents and isotopic compositions of olivine and clinopyroxene xenocrysts and phenocrysts from kamafugite host lavas, as well as minerals in melt pockets occurring as metasomatic products in peridotite xenoliths from the Western Qinling, central China. The olivine xenocrysts in the kamafugites show compositional zonation. The cores have high Mg# (100×Mg/(Mg+Fe); 91.0-92.2) and Li abundances (5.63-21.7ppm), low CaO contents (≤0.12wt%) and low δ7Li values (-39.6 to -6.76‰), which overlap with the compositional ranges of the olivines in the melt pockets as well as those in peridotite xenoliths. The rims of the olivine xenocrysts display relatively low Mg# (85.9-88.2), high CaO contents (0.19-0.38wt%) and high δ7Li values (18.3-26.9‰), which are comparable to the olivine phenocrysts (Mg#: 86.4-87.1; CaO: 0.20-0.28wt%; Li: 12.4-36.8ppm; δ7Li: 18.1-26.0‰) and the silicate-melt metasomatized olivines. The clinopyroxene phenocrysts and clinopyroxenes in the melt pockets have no distinct characteristics with respect to the Li abundances and δ7Li values, but show higher and lower CaO contents, respectively, than the clinopyroxenes from silicate and carbonatite metasomatized samples. These features indicate that Li concentration and isotopic signatures of the cores of the xenocrysts recorded carbonatite melt-peridotite reaction (carbonatite metasomatism) at mantle depth, and the variations in the rims probably resulted from xenocryst-host magma interaction during ascent. Our results reveal that the interaction with carbonatite and silicate melts gave rise to an increase in Li abundance in minerals of peridotite xenoliths at mantle depth or during transportation. In terms of δ7Li, the carbonatite and silicate melts produced remarkably contrasting δ7Li variations in olivine. Based on the systematic variations of Li abundances and Li isotopes in olivines, we suggest that the δ7Li value of olivine is a more important indicator than that of clinopyroxene in discriminating carbonatite and silicate melt interaction agents with peridotites. © 2014 Elsevier GmbH.

Source: UG
Lithium enrichment and isotopic variation in minerals from peridotite xenoliths from northwestern Ethiopian plateau

We report Lithium (Li) concentrations and isotopic compositions for co-existing olivine, orthopyroxene (opx), and clinopyroxene (cpx) mineral separates from depleted and metasomatised peridotite xenoliths hosted by basaltic lavas from northwestern Ethiopian plateau (Gundeweyn area). The peridotites contain five lherzolites and one harzburgite and are variably depleted and enriched in LREE relative to HREE. In both depleted and enriched lherzolites, Li is preferentially incorporated into olivine (2.4-3.3 ppm) compared to opx (1.4-2.1 ppm) and cpx (1.4-2.0 ppm) whereas the Li contents of olivines (5.4 ppm) from an enriched harzburgiteare higher than those of lherzolites. Olivines from the samples show higher Li abundances than normal mantle olivines (1.6-1.9 ppm) indicating the occurrence of Li enrichments through melt-preroditite interaction. The average δ⁷ Li values range from +2.2 to +6.0‰ in olivine, from -0.1 to +2.0‰ in opx and from -4.4 to -0.9‰ in cpx from the lherzolites. The Li isotopic composition (3.5‰) of olivines from harzburgite fall within the range of olivine from lherzolites but the opxs show low in δ⁷Li (-2.0‰). Overall Li isotopic compositions of olivines from the peridotites fall within the range of normal mantle olivine, δ⁷Li values of ~+4±2‰ within uncertainty, reflecting metasomatism (enrichment) of the peridotites by isotopically heavy Li-rich asthenospheric melt. Li isotope zonation is also observed in most peridotite minerals. Majority of olivine grains display isotopically heavy cores and light rims and the reverse case is observed for some olivine grains. Orthopyroxene and clinopyroxene grains show irregular distribution in δ⁷Li. These features of Li isotopic compositions within and between grains in the samples reflect the effect of diffusion-driven isotopic fractionation during meltperidotite interaction and cooling processes.

Source: UG
Lithium isotopic composition of Alaskan-type intrusion and its implication

To determine whether fractionation of Li isotopes could occur at high temperatures, we examined major element and Li isotopic compositions of olivine from the Xiadong intrusion, an Alaskan-type complex in the Central Asian Orogenic Belt. Olivine in thirteen dunites, displaying characteristic cumulus textures, yielded large variations in Li concentration (0.10 to 11.18 ppm) and isotopic composition (δ7Li = − 7.18 to + 34.41‰). These variations are too large to be attributed entirely to diffusive processes. The correlations between Li elemental or isotopic composition and differentiation indices such as Fo and MnO contents of olivine, and NiO content of chromite, suggest probable Li isotope fractionation during early stage of differentiation. We speculate that while Li behaves mildly incompatible during differentiation, 7Li is preferentially incorporated into olivine relative to 6Li during early stage crystallization from arc magmas. Relatively high Li concentrations and low δ7Li in arc magmas might be the result of substantial olivine fractionation prior to eruption. © 2017 Elsevier B.V.

Source: UG
Lithium protects against toxic effects of cadmium in the rat testes

Purpose: To investigate the protective effect of Lithium against the toxic effect of Cadmium in the rat testes. Methods: Twenty four adult male Sprague-Dawley rats were treated with four different regimens: Cadmium only, Cadmium and lithium, lithium only and controls. Rats were sacrificed after 6 weeks and testicular levels of pro-inflammatory cytokine (IL-4), anti-inflammatory cytokine (TNF-α), Pro-apoptotic protein (Bax) and anti-apoptotic protein (Bcl-2) were measured by ELISA while serum levels of FSH, LH, Prolactin and Testosterone were measured using the Vidas parametric system. Antioxidant status (MDA, SOD) was also assessed in serum. Histopathological changes of testes were examined using light and electron microscopy. Immunohistochemical staining for Bax, Bcl-2 and Caspase 3 were performed. Results: Treatment with lithium was associated with significant reduction in the toxic effects of Cadmium as shown by reduced testicular levels of TNF-α, serum levels of Malondialdehyde and testicular level of Bax, and increased levels of IL-4, Zn-Cu SOD, Bcl-2 and Testosterone. Testicular histopathology showed that Cadmium produced an extensive germ cells apoptosis and the addition of lithium in Cadmium-treated rats significantly reduced cadmium-induced testicular damage. Conclusion(s): Lithium has a protective effect against cadmium-induced testicular apoptosis in the rat.

Source: UG
Live to 70 years and older or suffer in silence: understanding health insurance status among the elderly under the NHIS in Ghana

Ghana has introduced a National Health Insurance Scheme (NHIS). Embedded in the NHIS is a policy to exempt poor and vulnerable groups from premiums and user fees. There has been some debate as to why the start-off age for exemption among the elderly is 70 years. Ghana has a shorter life expectancy than middle- and high-income countries and its current age of retirement is 60 years. This study explores the financial and social implications of continuing to charge premiums to people aged 60 to 69 years. Based on the analysis of data from a representative household survey, it is recommended that the exemption policy should be expanded to include all vulnerable elderly persons, regardless of age.

Source: UG
Lived Experiences Of Ghanaian Community Psychiatric Nurses Resilience Strategies In Combating Stigma: An Interpretive Phenomenology.

Background: Community Psychiatric Nurses (CPNs) deliver healthcare services to people with mental illness, offering in-home, personalized care. However, stigma surrounding mental illness in both rural and urban communities complicates service delivery. Stigma refers to a social construct involving the devaluation and discrimination against individuals based on perceived undesirable characteristics or attributes. This study aimed to explore how community psychiatric nurses employ resilience strategies to combat stigma. Methods: This study used an interpretive phenomenological framework to examine community psychiatric nurses’ experiences with stigma. Participants were purposefully sampled, and interviews were audio-taped and manually transcribed. Thematic analysis was conducted, achieving data saturation by the 12th participant, ensuring comprehensive coverage of recurring themes and patterns without new information emerging. Results: The CPNs employ a variety of resilience strategies to manage the stigma they encounter in their professional lives. Many CPNs choose to avoid situations or individuals that perpetuate stigma. This passive approach allows them to shield themselves from negative interactions and comments, creating a buffer against the emotional toll of stigma. In contrast to avoidance, some nurses adopt a proactive stance by directly addressing and challenging stigma when they encounter it. This approach not only empowers them but also serves to educate others about the realities of their profession. The CPNs often find solace and strength in discussions with their peers. These supportive conversations provide a safe space for sharing experiences. The CPN actively engage in public education efforts to raise awareness and reduce stigma within their communities. Conclusion: The findings indicate a complex interplay between resilience strategies and the professional experiences of CPNs, suggesting that targeted interventions could enhance their resilience and effectiveness in combating stigma.

Source: UG
Lived Experiences of Ghanaian Women With Obstetric Fistula

Obstetric fistula is a worldwide problem that is devastating for women. This qualitative descriptive study explores the experiences of Ghanaian women who sustained obstetric fistula during childbirth. In-depth interviews were conducted with 10 participants. The resultant themes include cultural beliefs and practices surrounding prolonged labor in childbirth, barriers to delivering at a health care facility, and the challenges of living with obstetric fistula, including psychosocial, socioeconomic, physical, and health care access issues. Recommendations include strategies to address this complex problem, including education of men and women on safe motherhood practices, training of traditional birth attendants (TBAs), and improving access to health care. © 2013 Copyright Taylor and Francis Group, LLC.

Source: UG
Lived Experiences of Women Receiving Medical Treatments for Breast Cancer in Ghana: A Qualitative Study

Breast cancer diagnosis and its treatment present women with significant challenges which require adjustment in several domains to ensure good health outcomes. Any psychosocial interventions to address the challenges need to be informed by empirical evidence. However, there is dearth of empirical literature in this regard in the Ghanaian context. To address some of these gaps, we explored the lived experiences of women living with breast in Ghana to inform healthcare practice and breast cancer research. In-depth individual interviews were conducted among 11 breast cancer patients receiving medical treatment for breast cancer. The interpretative phenomenological approach was used in the data analysis. Findings from the study showed that participants’ lived experiences cluster around three major themes; burdens of breast cancer treatments, alternative/herbal medicine use, and breast cancer stigma. These findings underscore the need for a multidisciplinary treatment approach to achieve optimum health outcomes among these groups of women.

Source: UG
The Livelihood Challenges of Resettled Communities of the Bui Dam Project in Ghana and the Role of Chinese Dam-builders

Emerging issues from the Bui hydropower project suggest that the experiences of two earlier hydropower projects in Ghana failed to prevent challenges related to resource access and livelihoods. This article examines the nature of the challenges, their causes, why they were not avoided and the role of the Chinese builders. We conducted 43 interviews and 11 focus group discussions and analyzed qualitative data by themes using narrative analysis. Our findings show that the livelihoods of the resettled communities are, on balance, negatively impacted by the construction of the dam. While Chinese dam‐builders played a major role in financing and enabling the dam's construction, the Ghanaian governance arrangements were found to be more important in addressing the livelihood challenges.

Source: UG
Livelihood Changes, Spatial Anticontagion Policy Effects, and Structural Resilience of National Food Systems in a Sub-Saharan African Country Context: A Panel Machine Learning Approach

The livelihood changes due to the COVID-19 policies in low-income and transitional economies serve as a lever for gauging the structural resilience of national food systems. Yet, few studies have addressed the cascading effects of the pandemic policies on the livelihood changes of farming system actors or modeled and provided coherent hypotheses about the transitory structural shifts at the micro-level. Other studies on the subject have either captured the early impacts of the pandemic on food systems with limited or no insight into the sub-Saharan African context or have used macro-level data, due to sparsely available micro-level data. These early insights are relevant for the design of early warning systems. However, an ongoing and deeper insight into the effects of pandemic policies is critical, since new and more comprehensive policies are needed to address the economic fallout and the extenuating effects of COVID-19 on food supply chain disruptions. The overriding questions are as follows: what are the effects of the pandemic policies on the livelihoods of food system actors and are there spatial-economic variations in the effects of the pandemic policies on the livelihoods of the farming system actors? Using 2019 and 2020 primary data from 836 farming system actors in Ghana, we offer fresh insights into the transitory micro-level livelihood changes caused by the COVID-19 anticontagion policies. We analyzed the data using the generalized additive, subset regression, classical linear, and logistic regression models in a machine learning framework. We show that the changes in the livelihood outcomes of the food system actors in Ghana coincide with the nature of pandemic mitigation policies adopted in the spatial units. We found that the lockdown policies had a negative and significant effect on the livelihoods of the farming system actors in the lockdown areas. The policies also negatively affected the livelihoods of the farming system actors in distant communities that shared no direct boundary with the lockdown areas. On the contrary, the lockdown policies positively affected the livelihoods of the farming system actors in the directly contiguous communities to the lockdown areas. We also document the shifts in the livelihood outcomes of the farming system actors, such as income, employment, food demand, and food security in the different spatial policy areas.

Source: UG
Livelihood Diversification Strategies to Climate Change among Smallholder Farmers in Northern Ghana

Employing the Margalef index of diversification, the linear regression model and three‐step feasible generalised least square, we analyse the impact of climate variability and expectation on the diversification strategies and vulnerabilities of rural households in Northern Ghana. The finding indicates households have diversified on and off the farm. The decrease average rainfall increases the diversification of total labour and female labour supply whilst decreasing diversification of cropland and income. Higher average rainfall lowers mean and variable per capita consumption. Extension service is an effective policy variable under high climate variability. We recommend increasing extension services and women economic empowerment. Copyright © 2017 John Wiley & Sons, Ltd.

Source: UG
Livelihood vulnerabilities and diversification of fishing households in Ghana

This article reports on a study that employed the livelihood vulnerability approach and Simpson’s diversiﬁcation index to examine the vulnerability and diversiﬁcation of ﬁshing households in Ghana, using primary data from 715 households. It found signiﬁcant diﬀerences between the vulnerability indexes of the combined areas below the Akosombo dam and the area upstream of the dam. A majority of the households have diversiﬁed their activities. Therefore, policy interventions to make ﬁshing households less vulnerable should focus on households upstream of the Akosombo dam. Policy interventions that enhance the diversiﬁcation of the ﬁshing households to enable them reduce their income risks are important.

Source: UG
Livelihood, carbon and spatiotemporal land-use land-cover change in the Yenku forest reserve of Ghana, 2000–2020

A B S T R A C T Tropical forests are important sources of securing basic human needs (livelihoods) for both the deprived and well-endowed but are also critical for reducing metric tonnes of carbon (tC) emitted from deforestation and land degradation. However, inequalities of human population and land-use land-cover change (LULCC) are existential threats to sustainable tropical forest reserve management and their aboveground biomass carbon stock (AGBCS) in Africa. This study examines the extent of LULCC, AGBCS and perception of livelihood effects on the Yenku Forest Reserve (YFR) in the Central Region of Ghana. Google Earth Engine remotely sensed Landsat data analysis using supervised classification, change detection, mixed with qualitative data from individual in-depth interviews and focus group discussions with inhabitants were used. The overall classification accuracy was 89.1%, 90.8% and 89.8% for the LULC in 2000, 2010 and 2020 respectively. Farming, charcoal production, hunting and harvesting non-timber forest products were the main livelihood activities impacting LULCC and AGBCS in the reserve. Open degraded forest was estimated at 1627ha, 1764ha, 1784ha out of 2293ha, corresponding to 36,349.6tC, 39,395.70tC, 39,840.0tC respectively in 2000, 2010 and 2020. Dense degraded forest cover yielded the least carbon stock of 938.6tC compared to 39,840.0tC from less dense degraded forest cover. These findings would aid policy decisions toward achieving United Nations land degradation neutrality and sustainable development goals (SDGs) one, ten and fifteen while ensuring YFR sustainability. Deprived forest-fringe communities, traditional authorities and other relevant stakeholders need to actively adopt gendered livelihood objectives to achieve SDGs, carbon and land degradation neutralities within YFR.

Source: UG