Publications by authors named "I Agyepong"

In low-and-middle income countries, maternal mental health needs remain neglected, and common mental disorders during pregnancy and after birth are routinely associated with hormonal changes. The psycho-social, and spiritual components of childbirth are often downplayed. A qualitative study was conducted as part of a wider realist evaluation on health systems responsiveness to examine the interrelationships between pregnant and postnatal women, their families, and their environment, and how these influence women's interactions with healthcare providers in Ghana.

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Introduction: Mental illness remains a significant global health concern that affects diverse populations, including individuals living with hypertension and/or type 2 diabetes, predominantly in lower-income to middle-income countries. The association between non-communicable diseases (NCDs) and mental illness is firmly established globally, however, this connection has yet to be comprehensively explored in West Africa. Our systematic review and meta-analysis aim to synthesise existing evidence on the prevalence, incidence, and risk factors for comorbid mental illness with hypertension and/or type 2 diabetes in West Africa.

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Background: Delivering primary care services within the context of rapid urbanization and a changing disease burden is a major challenge in sub-Saharan Africa. Rural models of primary care, including the "Community-based Health Planning and Services" (CHPS) programme in Ghana, have shown improved health outcomes. However, adapting these to the urban context has proved problematic.

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Article Synopsis
  • Adolescent mental health in West Africa is severely impacted by socio-economic challenges, insecurity, and substance abuse, yet little research exists on this issue in the region.
  • A study analyzing primary healthcare centers in Burkina Faso, Ghana, and Niger found that less than 30% of these centers provide adolescent mental health services, with significant rural-urban disparities and low outpatient attendance rates.
  • The study emphasizes the need for policy reforms, including the establishment of national guidelines for adolescent mental health care, better integration of these services into primary healthcare, and increased training for mental health professionals to reduce stigma and improve service delivery.
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