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Family Planning Needs of Adolescents in Predominantly Rural Communities in the Central Part of Ghana

Open Journal of Preventive Medicine 2015年第6期5卷 269-279页

作者： Yeetey Enuameh Obed Ernest Nettey Emmanuel Mahama Charlotte Tawiah Ellen Boamah Abubakari Sulemana George Adjei Stephanie Gyaase Samuel Afari Asiedu Alexander Manu Charles Zandoh kwaku poku asante Seth Owusu-Agyei Kintampo Health Research Centre (KHRC) Kintampo Ghana

The manuscript presents findings of a descriptive analysis of data from a cross-sectional study of adolescents aimed at identifying their family planning needs and the best approaches to addressing them in the Kintampo Districts of Ghana. Data for the paper were from the family planning module of a sexual and reproductive health survey carried out by the Kintampo Health and Demographic Surveillance System in 2011. Adolescents in this study recorded high marital (1.6% females and 0.4% males) and pregnancy rates (11.5% females and 1.5% males). Their knowledge of contraceptive methods was high (87.7% females and 82% males), but utilization was low (17.9% females and 6% males). Most study participants viewed family planning as important to their health and wellbeing (59.6% females and 58.6% males). A minority of adolescents were of the perception that contraceptive use was solely the responsibility of women (41.1% females and 32.4% males);and that the use of contraceptives could lead to promiscuity among women (43.8% females and 42.5% males). Those adolescents who previously had unwanted pregnancies would have accepted some help in preventing it (33.1% females and 9.1% males). Recommendations made by respondents included creating a friendly atmosphere by care providers for family planning services delivery to adolescents. Other suggestions were ensuring that family planning services are available and accessible to adolescents, and educating adolescents on the diverse methods available.

关键词： Adolescents Family Planning Contraceptives Kintampo Ghana

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Making Family Planning Services Relevant to Adolescents: Perspectives from Rural Communities in Central Ghana

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Open Journal of Preventive Medicine 2014年第11期4卷 852-859页

作者： Yeetey Enuameh Charlotte Tawiah Samuel Afari-Asiedu Obed Ernest A. Nettey Abubakari Sulemana Emmanuel Mahama George Adjei Ellen Boamah Alex Manu Stephanie Gyaase Charles Zandoh Nelson Amanfo kwaku poku asante Timothy Letsa Seth Owusu-Agyei Kintampo Health Research Centre (KHRC) Kintampo Ghana Drexel University School of Public Health Philadelphia USA Regional Health Directorate Ghana Health Service Sunyani Ghana

In lower middle-income countries like Ghana, it is common to find low contraceptive use among adolescents with corresponding high pregnancy outcomes. Evidence points to the fact that the use of contraceptives prevents maternal, neonatal and infant deaths, but in most lower middle-income countries, socio-cultural practices inhibit adolescents’ use. Ensuring the uptake of family planning among adolescents is deemed a necessary means of reducing maternal, neonatal and infant mor-tality. This manuscript seeks to provide contextually relevant approaches to satisfying family planning needs of adolescents in a population lacking it. We employed a qualitative study design from an interpretive paradigm with phenomenology as the methodology to understand societal attitudes towards family planning delivery to adolescents, so as to arrive at contextually appro-priate ways of providing family planning to this needy group. Focused group discussions and in-depth interviews techniques were used in data collection among adolescents, relevant commu-nity opinion leaders and family planning & health services providers. Themes that emerged from data analysis with respect to “perspectives on family planning care delivery to adolescents” and “best ways in addressing adolescents’ family planning needs” are presented, followed by discussion of the issues emerging. A significant and encouraging finding of the study was that opinion leaders and healthcare providers viewed family planning as a means of protecting adolescents against pregnancies and their complications. A key recommendation is for policy makers and political leaders to enact legislations that enable adolescents to have friendly family planning service delivery in all places and at all times.

关键词： Adolescents Young People Family Planning Kintampo Ghana

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Knowledge, Attitudes and Preventive Practices on Ebola Virus Disease in the Kintampo Districts of Ghana

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Health 2016年第14期8卷 1465-1484页

作者： Obed Ernest A. Nettey Yeetey A. Enuameh Charles Zandoh Edward Apraku Anane Mahama Abukari Francis Agbokey Awurabena Q. Dadzie Mathilda Tivura Dennis Adu-Gyasi Lawrence Gyabaa Febir Kenneth A. Ae-Ngibise Timothy Letsa kwaku poku asante Seth Owusu-Agyei Kintampo Health Research Centre Kintampo Ghana Regional Health Directorate Ghana Health Service Sunyani Ghana

This study describes community members’ knowledge of Ebola Virus Disease (EVD), their attitudes and preventive practices. A mixed methods approach was used. A random sample of 1028 community members aged 15 - 65 years was interviewed in a quantitative survey. This was complemented with a qualitative study involving 24 opinion leaders who were carefully selected. The study was conducted in Kintampo North and South districts of Ghana from August 2014 to October 2014. 83% of respondents had heard of EVD, but 62.5% did not know the duration between the time of infection and onset of clinical symptoms. The most popular symptom mentioned spontaneously was bleeding through body orifices (48.6%). Majority of respondents mentioned handshake or skin contact as a mode of transmission (57.3%) and reduced contact with bats as a means to prevent the spread of EVD (58.1%). Knowledge of transmission of body fluids such as faeces, blood or urine was low (<10%), though this varied significantly by socio-demographic group. Majority (94%) of respondents acknowledged that EVD was a serious disease, however, only 58% saw themselves at risk. Current preventive behaviours included: improved hand hygiene (83%) and avoidance of handshakes and physical contact with people (81%). Community members in the Kintampo districts have high level of awareness of EVD, but important gaps in knowledge of EVD still exist, especially concerning body fluids as a mode of transmission. There is the need to intensify educational messages as part of Ghana’s preparedness towards a potential EVD outbreak.

关键词： Ebola Virus Kintampo Ghana Knowledge Attitudes Preventive Practices KAP

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Family Planning Awareness, Perceptions and Practice among Community Members in the Kintampo Districts of Ghana

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Advances in Reproductive Sciences 2015年第1期3卷 1-12页

作者： Obed Ernest A. Nettey Yeetey A. Enuameh Emmanuel Mahama Abubakari Sulemana George Adjei Stephaney Gyaase Samuel Afari-Asiedu Robert Adda Abena Konadu Yawson Gifty Fosuaa Nuamah Edward Apraku Anane Livesy Abokyi Charles Zandoh Martha Abdulai Ellen Abrafi Boamah Kwame Adjei Seeba Amenga-Etego Francis Dzabeng Charlotte Tawiah-Agyeman Frank Baiden kwaku poku asante Seth Owusu-Agyei Kintampo Health Research Centre Kintampo Ghana Drexel University School of Public Health Philadelphia USA

Family planning is known to prevent maternal deaths, but some social norms, limited supplies and inconsistent use makes this difficult to achieve in most low- and middle-income countries. In spite of the high fertility levels in most sub-Saharan African countries and the potential economic benefits of family planning, its patronage remains very low in the sub-region. This study was with the objective of identifying the levels of awareness, utilization, access to and perceptions about family planning and contraception. A cross-sectional study design was used for the study, with data collected from multiple sources using both quantitative and qualitative approaches. Relevant findings included a marked disconnect between family planning/contraceptive knowledge and use. The pills and injectables were the most frequently used, but females in the study population poorly patronised emergency contraception. Supplies of most family planning methods were found to be health facility based, requiring clients to have to necessarily go there for services. Some respondents harboured perceptions that family planning was the responsibility of females alone and that it fuelled promiscuity among female users. Recommendations made include ensuring that health facilities had adequate staff and expertise to provide facility-based family planning services and also to disabuse the minds of community members of the negative perceptions towards family planning.

关键词： Family Planning Contraception Reproductive Health Kintampo Ghana

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