Introduction: Diabetes remains an emerging public health challenge in Ghana. The control of cardio‑metabolic risk factors among type 2 diabetes patients in the country is suboptimal, leading to massive healthcare costs. This systematic review examined the extent of adherence to self-care behaviours and associated factors among type 2 diabetes patients in Ghana.Methods: PubMed, PsycINFO, Scopus, and Google scholar were used to identify quantitative observational studies published between 1990 and June 2022. Studies exclusive to type 2 diabetes patients ≥18 years of age in a Ghanaian setting were included in this review. Findings of primary studies were analysed using narrative synthesis.Results: Eleven (11) studies, presenting data on a total of 2,503 type 2 diabetes patients, were included. All the studies were published in the last decade (2015-2021) and a majority (45.5%) of them were from the Greater Accra Region. The mean number of days (per week) participants adhered to a self‐care behaviour were in the ranges of 3.9–4.4 for diet, 4.2–4.8 for physical activity, 0.5–2.2 for self-monitoring of blood glucose (SMBG), and 2.9–5.0 for foot care. Adherence rates for medication were in the range of 33.5–84.5%. Patient-related factors, sociodemographic/economic-related factors, condition-related factors, and healthcare system-related factors were associated with the practice of self-care behaviours.Conclusion: Adherence to self-care behaviours among type 2 diabetes patients in Ghana remains an ongoing challenge, with significant variations in adherence among patients with different characteristics. Public health interventions are needed to address the variations in adherence to self-care behaviours among type 2 diabetes patients.
Introduction: Babies should be born to developed and well-adjusted parents in safe relationships and with the means to support and care for them. This will enable them to have a conducive atmosphere for their proper growth and development. Such a conducive atmosphere is usually not available for babies born to teenagers in rural Ghana. Aim: The research sought to investigate several aspects of the incidence of teenage pregnancies in Penkye community, a rural community in the Effutu Municipality in the Central Region of Ghana. Method: A descriptive cross-sectional design was employed for the study. A well-structured questionnaire was used to collect data from sixty (60) respondents through a purposive sampling technique. Data were analysed with the aid of SPSS version 19 and presented quantitatively. Results: The study found that teenage pregnancies were high among teenagers between the ages of 17 and 19. The study also identified that all the teenagers knew of contraceptives but only a few used contraceptives. Peer influence, broken homes, and poverty were identified as the main factors contributing to the incidence of teenage pregnancies in the study area. Conclusion: Teenage pregnancies have adverse effects on the physical, social, mental health and socio-economic status of the mother, the new-born and the community at large. Therefore, it is necessary to put in measures to reduce the occurrence of teenage pregnancies in the society. Recommendations: Based on findings of the study, there is the need for government through the Ministry of Health and Ministry of Education to incorporate adolescent health programmes in the school curriculum to empower teenagers to make better life choices and develop social support systems to assist teenage mothers.
E-health has become an innovation of interest in many healthcare organisations due to its numerous advantages. This study aimed at empirically assessing the nature of e-health in LEKMA Hospital and Nyaho Medical Centre and examined the factors that determined e-health readiness. LEKMA Hospital is a public facility while Nyaho Medical Centre is a private facility. The study used a qualitative design and a comparative approach through the use of interviews and focus group discussions to collect qualitative data from 32 healthcare staff in the two facilities. The study found that Nyaho Medical Centre had an advanced system that runs effectively and efficiently compared to the LEKMA Hospital. Also, core/technological, structural, and societal issues determined e-health readiness in health facilities. In effect, we recommend among other things that government must invest in the technological infrastructure of public hospitals. This is necessary for these facilities to deliver healthcare that is efficient, accelerated, and based on improved information-sharing abilities.
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