Publications by authors named "Sally-Ann Ohene"

Meningitis is a fatal condition and survivors often face long-term effects and often burdened their families. It is therefore important to understand how families cope with the aftermath of the infection. This study examined the experiences of families of meningitis patients and survivors in Ghana's Upper West Region to support public health interventions.

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Introduction: The uptake trend of a new vaccine is unpredictable and may reflect the quality of introduction process and community acceptance. The objective of this study was to conduct a trend analysis of RTS,S malaria vaccine uptake in the seven pilot regions of Ghana from 2019 to 2022. The findings are envisaged to strengthen malaria vaccine introductions in the future.

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Introduction: Savannah Region witnessed a decline in measles-rubella (MR) vaccination coverage prior to the measles outbreak in 2022. This study aimed to assess contributory factors of the low routine MR vaccination coverage and proffer recommendations to improve vaccination uptake.

Methods: A cross-sectional study was conducted in two districts (Bole and Central Gonja) of Savannah Region from December 2022 to June 2023.

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  • The RTS,S malaria vaccine has been authorized for use in areas with moderate to high malaria transmission, specifically targeting children aged 12-59 months in Ghana.
  • A study conducted from 2020 to 2022 found that the vaccine reduced uncomplicated malaria cases by 33%, though the rate of malaria incidence averted showed a decline over time.
  • Researchers concluded that the vaccine effectively lowers malaria burden, but decreasing protective immunity as children age highlights the need for better vaccination uptake and malaria control strategies.
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  • Ghana switched from the 2-dose Rotarix to the 3-dose Rotavac rotavirus vaccine in 2020 to improve cost-efficiency and reduce cold chain requirements in childhood immunization programs.
  • A study analyzed vaccination and diarrhea data from 2018 to 2022, finding that the uptake of rotavirus vaccines remained stable and there were no significant differences in vaccination coverage or outpatient department visits for diarrhea before and after the switch.
  • The transition to Rotavac provided expected benefits without negative impact, suggesting that such vaccine switches can be beneficial for other immunizations to lower costs and maintain health outcomes.
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Background: In May 2019, Ghana piloted the introduction of RTS,S malaria vaccine into routine immunization in 42 districts of seven of the 16 regions. The RTS,S malaria vaccine implementation programme (MVIP) post-introduction evaluation (PIE) conducted in Ghana, assessed the immunization system as well as healthcare worker and caregiver experiences during the phase-one rollout but was less expressive on quantitative grading of the respective thematic areas of the vaccine introduction plan. Given the utility of summary statistics in programme evaluation and communication, this follow-up study aimed to provide an overall rating of the country's performance regarding the MVIP .

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Background: Instruments to assess the knowledge about the rights of persons with mental health conditions and psychosocial disabilities, the attitudes toward their role as rights holders, and mental health professionals' practices related to substitute decision-making and coercion are either missing or lack evaluation of their validity and reliability.

Aim: The aim of this study is to evaluate the validity and reliability of three instruments developed to fill this gap in the literature, the World Health Organization's QualityRights (WHO QR) Knowledge questionnaire, the WHO QR Attitudes questionnaire, and the WHO QR Practices questionnaire.

Methods: A sample of participants was recruited and completed an online survey.

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Background: Globally, human rights violations experienced by persons with psychosocial, intellectual or cognitive disabilities continue to be a concern. The World Health Organization's (WHO) QualityRights initiative presents practical remedies to address these abuses. This paper presents an overview of the implementation of the initiative in Ghana.

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Introduction: Ghana witnessed an outbreak of measles in 2022 following the COVID-19 pandemic, and Savannah Region was among the regions severely impacted. The objective of this study was to conduct trend analysis of measles case incidence and measles-rubella (MR) vaccination coverage in the Savannah Region to identify gaps and propose remedial actions to mitigate future outbreaks of vaccine preventable diseases (VPDs).

Methods: Analysis of measles surveillance and measles-rubella vaccination data for 2018-2022 was conducted to assess relationship between immunization coverage and measles case incidence.

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Background: Despite growing recognition of essential human rights, people with mental health conditions and psychosocial, intellectual, or cognitive disabilities' rights are known to be frequently violated in mental healthcare worldwide, with common use of coercive practices and limited recognition of people's right to exercise their legal capacity and make decisions for themselves on treatment and other issues affecting them. To tackle this issue, Ghana adopted the WHO QualityRights Initiative in 2019. This aims to introduce a right-based, person-centred recovery approach within the mental health care system, protecting and promoting the rights of people with mental health conditions, psychosocial, cognitive, and intellectual disabilities in the healthcare context and community.

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  • The Joint External Evaluation (JEE) is a WHO-recommended assessment tool for evaluating countries' capabilities under the International Health Regulations, implemented across all 47 African nations after the West Africa Ebola outbreak.
  • Tanzania was the first to conduct a JEE in February 2016, with a total of 360 experts from 88 organizations involved by April 2022.
  • Key challenges included a lack of understanding of the JEE process and limited resources, but lessons learned emphasized the importance of local leadership, stakeholder involvement, and the need for better financing and planning for future evaluations.
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Yellow fever virus, transmitted by infected Aedes spp. mosquitoes, causes an acute viral hemorrhagic disease. During October 2021-February 2022, a yellow fever outbreak in some communities in Ghana resulted in 70 confirmed cases with 35 deaths (case-fatality rate 50%).

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Introduction: Health care workers (HCWs) are crucial to the fight against COVID-19 and are at risk of being infected. We sought to determine the risk factors and associations of COVID-19 among HCWs in Ghana during the period of the pandemic.

Materials And Methods: A case-control study was conducted using the WHO COVID-19 HCWs exposure risk assessment tool.

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  • A study was conducted in Ghana between February and December 2021 to assess the seroprevalence of SARS-CoV-2 using a nationally representative sample of participants 5 years and older, collecting data on various risk factors.
  • The results showed a seroprevalence of 67.10%, with lower rates in males and individuals over 20, while young adults aged 20-39 had the highest rates.
  • The findings indicate that vaccination coverage was only 10%, and heightened infection risk in urban areas suggests a need for better vaccination efforts and adherence to preventive measures, especially in rural regions.
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Background: There are currently major efforts underway in Ghana to address stigma and discrimination, and promote the human rights of those with mental health conditions, within mental health services and the community, working with the World Health Organization's QualityRights initiative. The present study aims to investigate attitudes towards people with lived experience of mental health conditions and psychosocial disabilities as rights holders.

Methods: Stakeholders within the Ghanaian mental health system and community, including health professionals, policy makers, and persons with lived experience, completed the QualityRights pre-training questionnaire.

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Background: The global switch from trivalent oral poliovirus vaccine (OPV) to bivalent OPV in April 2016 without corresponding co-administration of inactivated poliovirus vaccine (IPV) until June 2018, created a cohort of poliovirus type 2 naïve children with risk of developing vaccine-derived poliovirus type 2 (VDPV2). In November and December 2019, two cases of circulating vaccine-derived poliovirus type 2 (cVDPV2) were confirmed in quick succession through Acute Flaccid Paralysis (AFP) surveillance in two nomadic pastoralist settlements in Oti Region. We investigated to determine the outbreak extent, identify risk factors and implement control and preventive measures.

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Background: Adequate knowledge about COVID-19 in a population may be relevant in the fight to control its spread among the populace. Thus, the aim of this study was to assess the factors associated with real knowledge of COVID-19 among Ghanaians to promote effective dissemination of appropriate information aimed at containing the spread.

Methods: A cross-sectional online survey and computer assisted telephone interviews (CATI) was conducted among Ghanaians aged 18 years and above across the 260 districts of Ghana.

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Background: In 2012, Ghana ratified the United Nations Convention on the Rights of Persons with Disabilities and enacted a Mental Health Act to improve the quality of mental health care and stop human rights violations against people with mental health conditions. In line with these objectives, Ghanaian stakeholders collected data on the quality of mental health services and respect for human rights in psychiatric facilities to identify challenges and gather useful information for the development of plans aimed to improve the quality of the services offered. This study aimed to assess psychiatric facilities from different Ghanaian regions and provide evidence on the quality of care and respect of human rights in mental health services.

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  • The study investigated the prevalence of tuberculosis (TB) in artisanal gold mining communities in Ghana, finding high rates of TB cases through screening activities that included symptom checks and mobile X-ray technology.
  • A total of 10,441 individuals were screened, identifying 95 TB cases and highlighting risk factors such as being male, a miner, and aged 35 to 54 years.
  • Results showed cough was the most significant indicator for TB, suggesting that targeted outreach programs are necessary for these high-risk populations, especially in remote areas.
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  • * To gather data, researchers analyzed records from 72,434 respiratory samples collected between February and July 2020, confirming SARS-CoV-2 infection through RT-PCR testing, and found that the infection rate was 13.2% overall.
  • * Results indicated males had a slightly higher infection rate, young adults (21-30 years) were most affected, and symptoms like anosmia strongly predicted infection; the study also noted a gradual decline in the virus's reproductive number.
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Background: Buruli ulcer is a neglected tropical disease caused by Mycobacterium ulcerans infection that damages the skin and subcutis. It is most prevalent in western and central Africa and Australia. Standard antimicrobial treatment with oral rifampicin 10 mg/kg plus intramuscular streptomycin 15 mg/kg once daily for 8 weeks (RS8) is highly effective, but streptomycin injections are painful and potentially harmful.

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Background: Tuberculosis (TB) is a leading cause of death in children and adults. Unlike for adults, there is paucity of data on childhood TB in several countries in Africa. The study objective was to assess the characteristics and treatment outcomes of children with TB from multiple health facilities in Accra, Ghana.

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  • This study analyzed the epidemiology of extrapulmonary tuberculosis (EPTB) patients in Accra, Ghana, comparing them to pulmonary TB (PTB) patients and identifying key risk factors for mortality among EPTB patients.
  • Out of 3,342 new TB patients, 21.8% had EPTB, with higher prevalence in males and common sites including disseminated, pleural, and spinal areas, demonstrating a lower treatment success rate for EPTB compared to PTB (70.1% vs. 84.2%).
  • Significant risk factors for EPTB included HIV positivity and female gender, while factors associated with mortality among EPTB patients were older age, HIV status, and central nervous
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