Publications by authors named "Agbadi Pascal"

Objectives: This study explored the knowledge and experiences of health practitioners regarding the use of mobile health (mHealth) for maternal healthcare delivery.

Design: Underpinned by the Unified Theory of Acceptance and Use of Technology, this study was an exploratory qualitative design involving in-depth interviews. Data collection occurred between July 2023 and January 2024.

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Background: Repeat induced abortion is a serious public health issue that has been linked to adverse maternal health outcomes. However, knowledge about repeat induced abortion and its associated factors among reproductive age women in Ghana is very scarce. The objective of this study is to examine individual and community factors associated with repeat induced abortion in Ghana which would be helpful to design appropriate programmes and policies targeted at improving the sexual and reproductive health of women.

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Introduction: The role of social support in antiretroviral therapy (ART) uptake and retention among pregnant and postpartum women in Ghana's capital, Accra, has received limited attention in the literature. This cross-sectional study extends existing knowledge by investigating the role of social support in ART adherence and retention among pregnant and postpartum women in Accra.

Methods: We implemented a cross-sectional study in eleven (11) public health facilities.

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Background: Adherence to antiretroviral therapy (ART) can substantially reduce morbidity and mortality among women living with HIV (WLWH) and prevent vertical transmission of HIV. However, in sub-Saharan Africa (SSA), more than 50% of new mothers discontinue ART and HIV care after childbirth. The role of water insecurity (WI) in ART adherence is not well-explored.

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Background: Evidence suggests that the implementation of respectful maternity care (RMC) interventions is one of the surest and most effective means of minimising mistreatment during intrapartum care services. However, to ensure the successful implementation of RMC interventions, maternity care providers would have to be aware of RMC, its relevance, and their role in promoting RMC. We explored the awareness and role of charge midwives in promoting RMC at a tertiary health facility in Ghana.

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Objective: We explored and document healthcare workers' (HCWs') perspectives on the challenges encountered during obstetric referrals.

Design: The study adopted a qualitative research approach and a descriptive phenomenology design. HCWs permanently working in 16 rural healthcare facilities in the Sene East and West Districts composed of the target population for this study.

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Few studies have examined how exposure to substance influences adolescent's use of substance in Timor-Leste. We assessed this relationship using nationally representative data from Timor-Leste to address this gap. Data was pulled from the 2015 Timor-Leste Global school-based student health survey.

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Background: Multiple sexual partnership (MSP) is a major cause of HIV/AIDS epidemic and unplanned pregnancies in sub-Saharan Africa. We investigate how individual, household, interpersonal, community and structural factors correlate with multiple sexual partnership of adolescent boys and young men in Ghana.

Methods: We pooled secondary data from the 2003, 2008 and 2014 Ghana Demographic and Health Surveys (GDHS).

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Background: Globally, maternal and neonatal health remains a public health priority, particularly for resource-constrained regions like sub-Saharan Africa (SSA). Skilled birth attendance (SBA) is essential in promoting maternal and neonatal health. This study investigated the inequalities in the prevalence of SBA in Ghana using data from the Ghana Demographic and Health Survey (GDHS) between 1993 and 2014.

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Article Synopsis
  • Healthcare workers (HCWs) face a four-fold higher risk of hepatitis B infection compared to the general population, with limited diagnosis and treatment access in resource-constrained regions.* -
  • A study analyzed vaccination rates across five developing countries, revealing that only a small percentage of HCWs received the full hepatitis B vaccine doses, with notable differences based on gender, qualifications, and education.* -
  • To reduce hepatitis B risks, policymakers should enhance education and consider mandatory vaccination for HCWs, particularly those in roles with significant exposure to patient bodily fluids.*
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HIV testing is critical in reducing the risk of HIV transmission. We investigated the rural-urban correlates of HIV testing amongst sexually active Ghanaians using data from the 2017/2018 Ghana Multiple Indicator Cluster Survey Six (GMICS 6). Robust Poisson models (reporting Adjusted Prevalence Ratios (APR) and 95% Confidence Intervals (CIs)) were used to achieve this aim.

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Background: Evidence shows that women in Ghana experience disrespectful care (slapping, pinching, being shouted at, etc.) from midwives during childbirth. Hence, evidence-based research is needed to advance the adoption of respectful maternity care (RMC) by midwives.

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Menstruation among adolescent girls and young women (AGYW) can be marked by several challenges that often result in exclusion from social activities. Information regarding this subject matter is however sparse in Ghana. This study examined the rural-urban differences in prevalence and correlates of exclusion from social activities due to menstruation among AGYW in Ghana.

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Article Synopsis
  • The study investigates the unexpected slight increase in fertility rates in Ghana from 1993 to 2014, despite a global decline, focusing on how inequalities related to wealth, education, and geography play a role in this trend.
  • Data from the Ghana Demographic and Health Surveys was analyzed using WHO's Health Equity Assessment Toolkit, revealing that poorer and less educated women have significantly higher fertility rates, particularly in rural areas and the Northern region.
  • The findings emphasize the necessity for targeted interventions and policies to address these disparities and raise awareness around reproductive health in Ghana.
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Introduction: Studies in Southeast Asia found that bullying commonly occurred among students, and it has a detrimental impact on their school attendance. However, there is a paucity of literature in Timor-Leste on the association between bullying and truancy. Therefore, this study examined the association between bullying and truancy among Timor-Leste school-going adolescents.

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Article Synopsis
  • * Utilizing data from 7,795 women aged 15-49 from the Ghana Multiple Indicator Cluster Surveys, researchers employed various statistical analyses to evaluate the factors influencing antenatal care attendance.
  • * Findings indicate a steady rise in women receiving adequate antenatal care (from 49.3% in 2006 to 58.61% in 2017-2018), with education, health insurance, wealth, and geographic location being key factors
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The inclusion of life satisfaction in government policies as a tracker of the social and economic progress of citizens has been recommended. This has encouraged the scientific investigation of life satisfaction levels of people in tandem with factors responsible for these levels. Only a few studies have attempted to do this in Ghana with mixed findings.

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Background: The sense of sight is one of the important human sensory abilities that is required for independent functioning and survival. The highest burden of sight-related problems is recorded in low-and middle-income countries, especially in sub-Saharan Africa. Despite the burden, nationally representative analyses to understand the prevalence and determinants of vision difficulties are hard to find.

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Background: Children with learning difficulties are vulnerable to internalizing symptoms, particularly anxiety and depression. However, only few studies have examined this relationship in low-and-middle-income countries using a nationally representative data.

Aims: This study aimed to examine the relationship between learning difficulty and internalizing symptoms of children aged 5-17 years in Ghana while controlling for covariates.

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The COVID-19 pandemic has affected job satisfaction among healthcare workers; yet this has not been empirically examined in sub-Saharan Africa (SSA). We addressed this gap by examining job satisfaction and associated factors among healthcare workers in Ghana and Kenya during the COVID-19 pandemic. We conducted a cross-sectional study with healthcare workers (N = 1012).

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Morbidities and mortalities caused by malaria are still a serious issue in Nigeria, with the country accounting for 25% of malaria morbidities and 24% of malaria mortalities globally in 2018. Treated bed nets reduce the incidence of malaria, but not all Nigerians use them. This study aimed to examine the factors associated with treated bed net usage, including perceived severity of malaria, and the rural-urban differences in the relationship between socio-demographic factors and use of treated bed nets in Nigeria.

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Malaria is among the leading causes of mortality and morbidity among children in Ghana. Therefore, identifying the predictors of malaria prevalence in children under-five is among the priorities of the global health agenda. In Ghana, the paradigm shifts from using traditional statistics to machine learning techniques to identifying predictors of malaria prevalence are scarce.

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Article Synopsis
  • Home deliveries remain a significant concern in Ghana despite governmental efforts, such as fee waivers and the introduction of the National Health Insurance Scheme, aimed at improving maternal healthcare.
  • A study analyzing data from the Ghana Multiple Indicator Cluster surveys between 2006 and 2018 found that the rate of home deliveries decreased substantially from 50.56% in 2006 to 21.37% in 2018, but certain risk factors persist.
  • Women with fewer antenatal care visits, those from lower wealth households, and rural residents were more likely to give birth at home, highlighting the need for targeted policies to address these at-risk groups and improve access to facility-based deliveries.
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Objective: To examine the factors associated with recent HIV testing and to develop an HIV testing prevalence surface map using spatial interpolation techniques to identify geographical areas with low and high HIV testing rates in Ghana.

Design: Secondary analysis of Demographic and Health Survey.

Setting: Rural and urban Ghana PARTICIPANTS: The study sample comprised 9380 women and 3854 men of 15-49 years.

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