Background Even though malaria is easily preventable and treatable, it continues to have a devastating impact on people’s health and livelihoods around the world. Sub-Saharan Africa carries a disproportionately high share of the global malaria burden. This study seeks to assess the prevalence, trend and factors associated with malaria in the Shai-Osudoku District Hospital. Methods A cross-sectional study was conducted to determine the prevalence, trend, and factors associated with malaria in the Shai-Osudoku District Hospital. A 10-month secondary data was extracted from February to November 2020 in the Shai-Osudoku District Hospital, Ghana. The extracted data were entered into Epi Data version 6 and analyzed using STATA version 16. Descriptive analysis was performed to determine the prevalence, trend and socio-demographic characteristics of study participants. Simple logistic regression at a 95% confidence level was performed to investigate socio-demographic factors associated with malaria infection. Tables and charts with summary statistics were used to present the results. Results Secondary data from 3896 individuals were included in the study. The participants with The age of the participants range from 0.8 to 101 years with a mean age of 32.5. The estimated prevalence of malaria during the study period is 20.9%. Majority (79.1%) of the participants who presented signs and symptoms of malaria were negative after testing. The prevalence of malaria cases increased progressively from 6.7–55.4% across the ten months. The simple logistic regression at a 95% confidence level revealed that age group, sex, residential status, religion, occupation and marital status were statistically significantly associated with malaria. The shows that persons who tested positive for malaria were mostly treated with Artemether lumefantrine (46.1%), some malaria positive cases were given Artesunate injection (11.6%), Dihydroartenisinin Piperaquine (16.2%) and Oral artemether-lumefantrine (6.5%). Surprisingly 19.6% of the malaria-positive cases were not given any form of malaria medication. Conclusion Factors found to influence malaria infection in the Shai-Osudoku District Hospital include participant’s age, sex, residential status, religious affiliation occupation and marital status. The findings of this study showed that malaria remains a serious public health problem in the Shai Osudoku District Hospital, Ghana. The information obtained from this study can guide the implementation of malaria prevention, control and elimination strategies in Ghana.

Background: Immunization is a cost-effective process of improving child survival in developing countries through the Expanded Program on Immunization (EPI). Childhood vaccination has shown to be effective in protecting children against vaccine-preventable diseases. Even though Ghana has adopted the World Health Organisation (WHO) initiative of EPI, a considerable portion of childhood morbidity and mortality is due to vaccine-preventable diseases in certain municipalities. This study identified factors influencing immunization coverage and acceptance among children under-five years in the Hohoe municipality of Ghana. Methods: A cross-sectional quantitative study was conducted in the Hohoe Municipality of Ghana. A total of 416 mothers of children under-five years old were randomly selected to participate in the study. Data was collected using questionnaires and entered into EpiData. The data was transferred into STATA 15 for cleaning and analysis. We conduct a descriptive statistical analysis to characterize the data and a simple logistic regression at 95% confidence interval was used to assess the association between dependent and independent variables of interest. The findings were presented in tables and charts with summary statistics.Results: A total of 70% of under-five children included in the study were fully immunized. All the basic vaccines recorded immunization coverage above 80%. While maternal age, ethnicity, educational level, and income were statistically significantly associated with under-five vaccination status, maternal age, ethnicity, educational level, employment status and income level were significant predictors of immunization acceptance among mothers and caregivers of children under-five.Conclusion: The immunization coverage of children under-five in the Hohoe municipality of Ghana is below the global recommended coverage of 80%. Maternal educational status, maternal age, ethnicity, employment status and income level were found to be significant predictors of both immunization coverage and acceptance. We recommend an immunisation health education interventions among pregnant women focusing on the significant findings from this study which may hopefully improve childhood immunisation uptake in the Hohoe Municipality of Ghana.

Background Even though malaria is easily preventable and treatable, it continues to have a devastating impact on people’s health and livelihoods around the world. Sub-Saharan Africa carries a disproportionately high share of the global malaria burden. This study seeks to assess the prevalence, trends and factors associated with malaria in the Shai-Osudoku District Hospital, Ghana. Methods A cross-sectional study was conducted to determine the prevalence, trend, and factors associated with malaria in the Shai-Osudoku District Hospital; a 10-month secondary data was extracted from February to November 2020. The extracted data were entered into Epi Data version 6 and analysed using STATA version 16. Descriptive analysis was performed to determine the prevalence, trend and socio-demographic characteristics of study participants. Simple logistic regression at a 95% confidence level was performed to investigate socio-demographic factors associated with malaria infection. Tables and charts with summary statistics were used to present the results. Results Secondary data from 3896 individuals were included in the study. The age of the participants range from 0.8 to 101 years with a mean age of 32.5. The estimated prevalence of malaria during the study period is 20.9%. A majority (79.1%) of the participants who presented signs and symptoms of malaria were negative after testing. The prevalence of malaria cases increased progressively from 6.7 to 55.4% across the ten months. The simple logistic regression at a 95% confidence level revealed that age group, sex, residential status, religion, occupation and marital status were statistically significantly associated with malaria. The results shows that persons who tested positive for malaria were mostly treated with artemether-lumefantrine (46.1%), some malaria positive cases were given artesunate injection (11.6%), dihydroartemisinin-piperaquine (16.2%) and oral artemether-lumefantrine (6.5%). Surprisingly 19.6% of the malaria-positive cases were not given any form of malaria medication. Conclusion Factors found to influence malaria infection in the Shai-Osudoku District Hospital include participant’s age, sex, residential status, religious affiliation occupation and marital status. The findings of this study showed that malaria remains a serious public health problem in the Shai Osudoku District Hospital. The information obtained from this study can guide the implementation of malaria prevention, control and elimination strategies in Ghana.