http://hdl.handle.net/123456789/1497 2026-03-12T04:20:43Z http://hdl.handle.net/123456789/8230 Willingness to Work in Assisted Living Facilities: The Ghanaian Nurses Perspectives Aboh, Irene Korkoi This study explored nurses willingness to work in assisted living institutions for the aged. Background Assisted living institutions are multifunctional facilities that provide clinical and ambulatory (day hospital) care for somatic and psychogeriatric elderly with multiple pathology, disability, and handicaps. Methods The study used a mixed-methods approach in which qualitative data was collected first before the quantitative data. Data was collected through focused group discussions (FGDs) and questionnaires from 248 respondents with age ranging from 20 to 58 years from October 2016 to January 2017 with 8 missing from the quantitative data. Four pertinent questions were sked both in the study. Sampling was convenient and purposive from 4 different health institutions in the metropolis. Data from the FGDs were digitally recorded and transcribed verbatim. Quantitative data was entered in SPSS version 23 and cleaned. Both sets of data were coded and analysed. Result The nurses appreciate the increase in the number of the aged in their communities; they think community members prepare towards their ageing by using their children as security, and the idea of assisted living was enthusiastically supported, but with the proviso that it would need to be ran by a private entrepreneur. Almost all the 240 respondents said that government should establish an institution for the aged and they would be willing to work in such an institution, if only it will run by a private entrepreneur. Conclusion The nurses also think that families are now becoming more nuclear; that is why caring for the aged has become a problem, thus creating a need for assisted living facilities. 23p:, ill. 2020-07-01T00:00:00Z http://hdl.handle.net/123456789/8229 Upscaling Community-Arranged Preparedness for Preventing Maternal Mortality in Ghana: A Case Study of Keta and Akatsi Districts of Volta Region Mba, Chuks J.; Aboh, Irene K. The main objective of the study is to assess maternal health in Ghana using empirical evidence from Akatsi and Keta districts of the Volta Region. Interviews were conducted from a sample size of 6,250 respondents within the reproductive age group of 15-49 years drawn from both districts in 2007. The results show that most of the women had only basic education and were generally petty traders, farmers and fishmongers. Overwhelming majority of the women stated that there was no community-arranged preparedness to aid them in times of emergency obstetric care. A significant proportion of the women (about 30%) relied on relatives/friends/home or traditional birth attendants (TBAs) to deliver their babies, while the road network in both districts was poor. The Government of Ghana should therefore rehabilitate roads or construct new ones that could help the people transport emergency complications to the health facility on time to prevent deaths. These TBAs should be trained to recognize complications and not to manage complications professionally and they should be motivated to make referrals to mainstream health facilities. The Government of Ghana should aim at increasing girls’ participation at all levels of the education system in the country since education is the key to ending poverty. 11p:, ill. 2020-05-01T00:00:00Z http://hdl.handle.net/123456789/8228 Trans-Placental Transmission and Survival at Birth among Neonates of Chlamydia trachomatis Infected Mothers: A Cohort Study Siakwa, Mate; Bruce, Sylvia; Owoo, Hanson; Mills, Joseph Objective The study aimed at assessing trans-placental transmission of Chlamydia trachomatis (CT) and fetal survival at birth among CT infected mothers. Study Design This is a non-interventional prospective cohort study. Population /Study Setting The study was conducted among two thousand and fourteen pregnant women attending antenatal clinic at the Cape Coast Teaching Hospital. Methodology Cord blood from neonates born to one hundred and twelve (112) pregnant women whose cervical samples were positive for CT at first ANC visit were screened by Polymerase Chain Reaction (PCR) for CT infection. Transplacental transmission of CT was considered when CT DNA type-specific agreement was observed between the samples of maternal cervical specimen and the corresponding neonatal cord blood. A neonate who did not survive at birth at > 28weeks gestation or 1000g birthweight is considered stillbirth. Results There were one hundred and one (101) live births and eleven (11) stillbirths. Of the 101 live births, two (2) of the cord bloods were CT DNA positive whereas nine (9) of the eleven (11) stillbirths were cord blood positive for CT DNA. The two (2) neonates with cord blood positive for CT DNA developed early onset neonatal sepsis. There is therefore, a strong evidence that trans-placental CT infection is associated with stillbirth P< 0.001; OR, 38.5 ; 95% CI (6.91 – 412.3). Conclusion Antibiotic prophylaxis for pregnant women at risk for CT infection is recommended. Routine screening for all pregnant women should be considered for prenatal care in medium to long term planning. 8p:, ill. 2020-08-01T00:00:00Z http://hdl.handle.net/123456789/8227 The Views of People with Learning Disabilities with Epilepsy Communication with Carers and Healthcare Professionals Ninnoni, Jerry P. K.; Young, Anita F. Effective communication plays a crucial role in the management of people with learning disabilities with epilepsy. The literature suggests that poor adherence to treatment is higher among people with learning disabilities. This is attributed to a range of factors including communication difficulties, poor information provision and cognitive impairments. Effective communication has both therapeutic and health promotion functions. This study aimed to solicit services users and carers experiences and perspectives regarding communication with health and social care professionals. Methodology: The study adopted qualitative exploratory approach using in depth interviews and communication diaries. It was a community-based study involving people with learning disabilities with epilepsy in the North-Eastern part of Scotland. Sample size consisted of 28 community-based adults aged 16-50. Informed consent was obtained from the participants and ethical clearance was given by the Grampian Research Ethics Committee. Analysis: Data-driven analysis was applied based on Systematic Text Condensation to produced descriptive findings Findings: Analysis revealed that services users and carers views and experiences of communication with healthcare professionals were largely negative. They reported that they were not being listened to by healthcare professionals although this report varied with individual healthcare professionals and also with the professional discipline. Service users reported that the quantity and quality of information obtained from healthcare professional were limited. Conclusion: The findings suggest that effective communication with people with learning disabilities with epilepsy requires that healthcare providers adopt a listening approach and involve service users as consumers of healthcare services with the rights to information which may improve quality of life. 7p:, ill. 2016-09-01T00:00:00Z