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Profiles of HIV-Affected Households in Ghana

Health 2014年第15期6卷 2004-2013页

作者： amos laar Daniel Fiaveh Matilda laar Sandra Boatemaa James Abugri Angela El-Adas Richard Amenyah Kyeremeh Atuahene Andrew Anthony Adjei Isabella Quakyi Centre for Gender Studies and Advocacy University of Ghana Accra Ghana Department of Applied Chemistry and Biochemistry Faculty of Applied Sciences University for Development Studies Navrongo Campus Tamale Ghana Department of Biological Environmental and Occupational Sciences School of Public Health University of Ghana Accra Department of Pathology Korle-Bu Teaching Hospital College of Health Sciences University of Ghana Accra Ghana Department of Population Family & Reproductive Health School of Public Health University of Ghana Accra Ghana Ghana AIDS Commission Accra Ghana Regional Institute for Population Studies University of Ghana Accra Ghana School of Dietetics and Human Nutrition McGill University Montreal Canada

Background: To contribute to a fuller appreciation of Ghana’s HIV epidemic, this paper presents various profiles of the Ghanaian HIV-affected household. To comprehensively tackle the HIV epidemic in Ghana, the profiles would provide stakeholders with ready information for policy formulation. Methods: We used data from a nationally representative survey that measured livelihood activities, household asset wealth, household composition, health, and nutrition variables of 1745 HIV-affected households. From these emerged various profiles. Results: About 50% of the households are headed by females. Households headed by men have an average size of three members, compared to two for female-headed households. There are far more AIDS widows than widowers. The annual death rate among the surveyed households was about 1000 per 100,000-households. Relatively more deaths occurred in male-headed households. Two-thirds of the households were asset poor. Various coping strategies were instituted by the households in reaction to threat of food insecurity. The national prevalence of chronic energy deficiency is 16%. Conclusions: Our data show that age of household head, hosting of a chronically ill member, and average size of household differed by sex of household head. The annual death rate of 1000 per 100,000 households is very high.

关键词： HIV-Affected Households Profiles HIV Ghana

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Targeted community based interventions improved malaria management competencies in rural Ghana

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Global Health Research and Policy 2017年第1期2卷 64-73页

作者： Isabella A.Quakyi George O.Adjei David J.Sullivan Jr Judith K.Stephens amos laar Vivian N.Ama Aubyn Richmond Owusu Kwame S.Sakyi Nathaniel Coleman Francis D.Krampa Linda Vanotoo Julliette Tuakli Bernard B.Bortei Edward Essuman Felix Sorvor Isaac A.Boateng Constance Bart-Plange Ebenezer A.Addison Peter Winch Andrew A.Adjei Department of Biological Environmental and Occupational Health SciencesSchool of Public HealthCollege of Health SciencesUniversity of GhanaP.O.Box LG 13LegonAccraGhana Office of Research Innovation and DevelopmentUniversity of GhanaLegonAccraGhana Department of Molecular Microbiology and Immunology Johns Hopkins Bloomberg School of Public Health615 N.Wolfe StBaltimoreMD 21205USA Department of Population Familyand Reproductive HealthSchool of Public HealthUniversity of GhanaLegonAccraGhana National Malaria Control Programme Ministry of HealthAccraGhana Department of Health Policy Planning and ManagementSchool of Public HealthUniversity of GhanaLegonAccraGhana Department of International Health Social and Behavioural Interventions ProgramJohns Hopkins Bloomberg School of Public Health615 N.Wolfe StBaltimoreMD 21205USA Department of Biochemistry Cell and Molecular BiologyUniversity of GhanaLegonAccraGhana Regional Health Directorate Ghana Health ServicesAccraGhana Child and Associates AccraGhana Asante-Akim Central Municipal Health Directorate Ghana Health ServicesKonongoGhana Kpone Katamanso District Health Directorate Ghana Health ServicesKponeTemaGhana Worldwide Universities Network University of GhanaP.O.Box LG 13LegonAccraGhana

Background:Malaria is one of the most challenging public health concerns in the developing *** address its impact in endemic regions,several interventions are implemented by *** Affordable Medicine Facility-malaria(AMFm)is an example of such *** activities include communication interventions to enhance the knowledge of caregivers of children under five years,licensed chemical sellers(LCS)and prescribers on malaria management with artemisinin-based combination therapy(ACT).This study was conducted to evaluate the effectiveness of the AMFm activities on malaria among targeted groups in two rural communities in ***:A communication intervention study was conducted in the Asante-Akim North and South Districts of *** cross-sectional pre and post surveys were *** malaria messages were designed and used to develop the information,education and communication(IEC)tools for the *** the aid of posters and flipcharts developed by our study,community health workers(CHWs),prescribers,and licenced chemical sellers provided proper counselling to clients on malaria *** CHWs and community based volunteers educated caregivers of children under five years on malaria management at their homes and at public gatherings such as churches,mosques,***-square tests and logistic regression were run to determine associations and control for demographic differences ***:There was significantly high exposure to malaria/ACT interventions in the intervention district than in the comparison district(OR=16.02;95%CI=7.88–32.55)and same for malaria/ACT-related knowledge(OR=3.63;95%CI=2.52–5.23).The participants in the intervention district were also more knowledgeable about correct administration of dispersible drug for children<5 years than their counterparts in the unexposed ***:Our data show that targeted interventions improve malaria based competences in rural commun

关键词： malaria district gathering

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