Background: There is limited scientific evidence supporting the efficacy of aphrodisiacs and more worrying is the fact that potential adverse health effects could result from the abuse of aphrodisiacs. Despite the safety concerns raised by the FDA on the abuse of unregistered sex enhancing products, the patronage remains high amidst debilitating side effects. We explore the factors influencing the use of aphrodisiacs while assessing the prevalence of aphrodisiac usage among men in the Ashaiman Municipality of Greater Accra Region, Ghana. Methods: A cross-sectional study was carried out between January and March 2018 at the Ashaiman Municipality. Structured questionnaires were administered to 370 consented and purposively selected adult males (18 years and above) through interviews. Data on variables such as respondent's socio-demographic characteristics, sexual characteristics, knowledge and use of aphrodisiacs were obtained. Analysis was done with aphrodisiac use as the main outcome of interest. A bivariate statistical analysis was done with aphrodisiac use as the main outcome of interest. Results: Out of the 352 men, 52.6% reported ever using aphrodisiacs at some points in their lives. Majority (68.7%) of the users first used aphrodisiacs between the ages of 18 and 25 years. Usage was found to be higher among those with lower educational attainment. Number of sexual partners, the presence of sexual problems, advertisement, and knowledge of side effects were statistically associated with the use of aphrodisiac (p < 0.05). About 50% of the aphrodisiac users had no sexual problems indicating recreational use. Majority of the responders (52.4%) acquired the aphrodisiacs from drug peddlers. Conclusions: This study revealed the use of aphrodisiac is still high among adult males, and that the participants' levels of education and knowledge of side effects serve as a protective factor to the likelihood of using aphrodisiacs. There

Background: A major factor for health services provision in various communities is the concern for spatial justice in the distribution of healthcare facilities. The eastern region with most of its population in rural areas has been subject to frequent increases in the number of administrative districts over time. This however has not correspondingly followed with a significant increase in the number of health facilities and health personnel in the region, a phenomenon that has disturbed the distribution of health facilities and personnel, thus the purpose of this study to investigate the spatial pattern in the distribution of health facilities and health personnel. Methods: Data on the global positioning system of each health facility and the total number of health workers were factored with the population in the administrative districts of the eastern region as part of analysis to investigate the distribution of health facilities and health personnel per population of each district and the Region. Results: Health facilities and health personnel were unevenly distributed, recently added districts such as Kwahu Afram Plains South, Ayensuano, Upper West Akim along with existing ones such as Birim South, Kwahu West, Akyem Mansa, and Kwahu East all lacked in terms of health facilities and health personnel. Conclusions: This observed deficiency in distribution of health facilities and health personnel has the potential to generate productivity inequalities among residents of the Eastern Region which in turn has a negative effect on the entire development of the region. Areas that were identified as disadvantaged districts should be considered for various intervention strategies.

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Background: Variations in the distribution of health facilities have resulted in differences in health outcomes within the administrative districts of Ghana of which the Lower Manya Krobo Municipality (LMKM) is no exception. Aim: The primary objective of this study was to examine the distribution of health care resources in the Lower Manya Krobo Municipality in the Eastern Region of Ghana. Methods: A single case study approach was adopted, involving all health resources, facilities, and their supporting service centers in the LMKM. All functional health facilities in the municipality during the time of the study were included in the study. The study partly utilized records of generated coordinates using the Geo-positioning system (GPS) of other resources and services. Results: The Municipality had a total of 16 health facilities and 29 supporting centers. There were 285 clinical health workers in the municipality. Odumase and Akuse, had higher percentages of clinical health personnel. The population per single health worker ratio for the whole municipality was found to be 13201:1. Agomanya had the highest number of facilities and support centers. The population per health facility ratio was 15,086 per facility.Conclusion: The study demonstrated disparities in the distribution of health facilities across the municipality. There is a need to ensure the distribution of all health resources corresponds to the population size and the health needs of the Lower Manya Krobo Municipality.