Background Neonatal mortality in many low-and middle-income countries (LMICs) remains high despit... more Background Neonatal mortality in many low-and middle-income countries (LMICs) remains high despite global efforts at addressing this challenge. Tackling neonatal death in LMICs is further complicated by lack of reliable data from individual countries in the region to inform effective context specific interventions. This study investigates the probability of neonatal survival and socio-demographic risk factors of neonatal mortality in Ghana. Methods Pooled data from three population-based surveys (N = 12,148) were analysed using multivariable Cox Proportional Hazards regression models. Results The risk of dying within the first 28 days of life was highest in the first week of life (early neonatal period), it then decreases sharply around the middle of the second week of life and remains low over the late neonatal period. Adjusted hazard ratios (HRs) showed that: rural residency (HR = 1.80, 95% CI: 1.15-2.75); birth order 2-3 (HR = 1.63, 95% CI: 1.10-2.42); birth order ≥7 (HR = 1.89, ...
Practitioners from sub-Saharan Africa are working to provide evidence-based intervention programs... more Practitioners from sub-Saharan Africa are working to provide evidence-based intervention programs to address the mental health of established adults in poor rural communities in Ghana. However, institutions in Ghana also pursue youth policy for training human capital that can contribute to national development as a strategy to leverage its heavy demographic makeup of adolescents and emerging adults. Positive Youth Development (PYD) is a framework for measuring indicators of thriving for such youthful populations. Studies have recently examined PYD in terms of developmental assets with mental illness, but less is known about their interaction with the continuum of mental health, which poses strength-based theoretical distinctions about the conditions of human flourishing. Investigating positive mental health in terms of well-being, along with developmental indicators from another conception of PYD with strong theoretical grounding known as the 5Cs, represents a salient cross-section ...
The UN's Sustainable Development Goals (SDGs) are grounded in the global ambition of "le... more The UN's Sustainable Development Goals (SDGs) are grounded in the global ambition of "leaving no one behind". Understanding today's gains and gaps for the health-related SDGs is essential for decision makers as they aim to improve the health of populations. As part of the Global Burden of Diseases, Injuries, and Risk Factors Study 2016 (GBD 2016), we measured 37 of the 50 health-related SDG indicators over the period 1990-2016 for 188 countries, and then on the basis of these past trends, we projected indicators to 2030. We used standardised GBD 2016 methods to measure 37 health-related indicators from 1990 to 2016, an increase of four indicators since GBD 2015. We substantially revised the universal health coverage (UHC) measure, which focuses on coverage of essential health services, to also represent personal health-care access and quality for several non-communicable diseases. We transformed each indicator on a scale of 0-100, with 0 as the 2·5th percentile est...
Detailed assessments of mortality patterns, particularly age-specific mortality, represent a cruc... more Detailed assessments of mortality patterns, particularly age-specific mortality, represent a crucial input that enables health systems to target interventions to specific populations. Understanding how all-cause mortality has changed with respect to development status can identify exemplars for best practice. To accomplish this, the Global Burden of Diseases, Injuries, and Risk Factors Study 2016 (GBD 2016) estimated age-specific and sex-specific all-cause mortality between 1970 and 2016 for 195 countries and territories and at the subnational level for the five countries with a population greater than 200 million in 2016. We have evaluated how well civil registration systems captured deaths using a set of demographic methods called death distribution methods for adults and from consideration of survey and census data for children younger than 5 years. We generated an overall assessment of completeness of registration of deaths by dividing registered deaths in each location-year by ...
Up-to-date evidence about levels and trends in disease and injury incidence, prevalence, and year... more Up-to-date evidence about levels and trends in disease and injury incidence, prevalence, and years lived with disability (YLDs) is an essential input into global, regional, and national health policies. In the Global Burden of Disease Study 2013 (GBD 2013), we estimated these quantities for acute and chronic diseases and injuries for 188 countries between 1990 and 2013. Estimates were calculated for disease and injury incidence, prevalence, and YLDs using GBD 2010 methods with some important refinements. Results for incidence of acute disorders and prevalence of chronic disorders are new additions to the analysis. Key improvements include expansion to the cause and sequelae list, updated systematic reviews, use of detailed injury codes, improvements to the Bayesian meta-regression method (DisMod-MR), and use of severity splits for various causes. An index of data representativeness, showing data availability, was calculated for each cause and impairment during three periods globally...
Introduction Identifying high risk geographical clusters for neonatal mortality is important for ... more Introduction Identifying high risk geographical clusters for neonatal mortality is important for guiding policy and targeted interventions. However, limited studies have been conducted in Ghana to identify such clusters. Objective This study aimed to identify high-risk clusters for all-cause and cause-specific neonatal mortality in the Kintampo Districts. Materials and methods Secondary data, comprising of 30,132 singleton neonates between January 2005 and December 2014, from the Kintampo Health and Demographic Surveillance System (KHDSS) database were used. Verbal autopsies were used to determine probable causes of neonatal deaths. Purely spatial analysis was ran to scan for high-risk clusters using Poisson and Bernoulli models for all-cause and cause-specific neonatal mortality in the Kintampo Districts respectively with village as the unit of analysis. Results The study revealed significantly high risk of village-clusters for neonatal deaths due to asphyxia (RR = 1.98, p = 0.012)...
As a result of the significance of childbearing in the Ghanaian culture, couples would go to all ... more As a result of the significance of childbearing in the Ghanaian culture, couples would go to all lengths to have biological children. One of the means that has made it possible for childless couples to have children is through the use of various assisted reproductive technologies. Using a qualitative research design, the paper explores the experiences of 40 women who have delivered following the use of assisted reproductive technology in Ghana. A semi-structured interview guide was utilised to explore women’s experiences and results were analysed thematically. The study revealed that childless women faced hostile treatment but the birth of a child ceased the hostility, giving couples social recognition. The study also revealed that the transition to motherhood is characterised by excitement, high self-esteem, recognition and acceptance into spouses’ families. It was a source of anxiety for other women due to society’s perception of children born following the use of assisted reprodu...
Background: In Ghana, the infertility prevalence rate continues to be high. To avert this phenome... more Background: In Ghana, the infertility prevalence rate continues to be high. To avert this phenomenon, individuals with fertility challenges access assisted reproductive technology (ART). This paper explores the experiences of women who have undergone ART treatments. Methods: Using a qualitative research design, the paper explores the self-reported account of 35 women who have gone through assisted reproductive technology procedures and awaiting to be tested for pregnancy. A semi-structured interview guide was utilised to explore women’s experiences. The thematic analysis approach was used to analyse the data.Results: Findings from the study indicated that some women sought ART treatment to save their marriages from collapse while others indicated that pressure and demands from in-laws and families, as well as shame, forced them to utilise ART. Women who went through ART treatment services complained of the high cost of the treatment. As a result, some borrowed money from friends, fa...
Background Communities and their composition have an impact on neonatal mortality. However, consi... more Background Communities and their composition have an impact on neonatal mortality. However, considering the smallest health administrative units as communities and investigating the impact of these communities and their composition on neonatal mortality in Ghana have not been studied. Therefore, this study aimed to investigate the effect of community-, household- and individual-level factors on the risk of neonatal mortality in two districts in Ghana. Methods This was a longitudinal study that used the Kintampo Health and Demographic Surveillance System as a platform to select 30,132 neonatal singletons with 634 deaths. Multilevel cox frailty model was used to examine the effect of community-, household- and individual-level factors on the risk of neonatal mortality. Results Regarding individual-level factors, neonates born to mothers with previous adverse pregnancy (aHR = 1.38, 95% CI: 1.05–1.83), neonates whose mothers did not receive tetanus toxoid vaccine (aHR = 1.32, 95% CI: 1....
Background Neonatal mortality in many low-and middle-income countries (LMICs) remains high despit... more Background Neonatal mortality in many low-and middle-income countries (LMICs) remains high despite global efforts at addressing this challenge. Tackling neonatal death in LMICs is further complicated by lack of reliable data from individual countries in the region to inform effective context specific interventions. This study investigates the probability of neonatal survival and socio-demographic risk factors of neonatal mortality in Ghana. Methods Pooled data from three population-based surveys (N = 12,148) were analysed using multivariable Cox Proportional Hazards regression models. Results The risk of dying within the first 28 days of life was highest in the first week of life (early neonatal period), it then decreases sharply around the middle of the second week of life and remains low over the late neonatal period. Adjusted hazard ratios (HRs) showed that: rural residency (HR = 1.80, 95% CI: 1.15-2.75); birth order 2-3 (HR = 1.63, 95% CI: 1.10-2.42); birth order ≥7 (HR = 1.89, ...
Practitioners from sub-Saharan Africa are working to provide evidence-based intervention programs... more Practitioners from sub-Saharan Africa are working to provide evidence-based intervention programs to address the mental health of established adults in poor rural communities in Ghana. However, institutions in Ghana also pursue youth policy for training human capital that can contribute to national development as a strategy to leverage its heavy demographic makeup of adolescents and emerging adults. Positive Youth Development (PYD) is a framework for measuring indicators of thriving for such youthful populations. Studies have recently examined PYD in terms of developmental assets with mental illness, but less is known about their interaction with the continuum of mental health, which poses strength-based theoretical distinctions about the conditions of human flourishing. Investigating positive mental health in terms of well-being, along with developmental indicators from another conception of PYD with strong theoretical grounding known as the 5Cs, represents a salient cross-section ...
The UN's Sustainable Development Goals (SDGs) are grounded in the global ambition of "le... more The UN's Sustainable Development Goals (SDGs) are grounded in the global ambition of "leaving no one behind". Understanding today's gains and gaps for the health-related SDGs is essential for decision makers as they aim to improve the health of populations. As part of the Global Burden of Diseases, Injuries, and Risk Factors Study 2016 (GBD 2016), we measured 37 of the 50 health-related SDG indicators over the period 1990-2016 for 188 countries, and then on the basis of these past trends, we projected indicators to 2030. We used standardised GBD 2016 methods to measure 37 health-related indicators from 1990 to 2016, an increase of four indicators since GBD 2015. We substantially revised the universal health coverage (UHC) measure, which focuses on coverage of essential health services, to also represent personal health-care access and quality for several non-communicable diseases. We transformed each indicator on a scale of 0-100, with 0 as the 2·5th percentile est...
Detailed assessments of mortality patterns, particularly age-specific mortality, represent a cruc... more Detailed assessments of mortality patterns, particularly age-specific mortality, represent a crucial input that enables health systems to target interventions to specific populations. Understanding how all-cause mortality has changed with respect to development status can identify exemplars for best practice. To accomplish this, the Global Burden of Diseases, Injuries, and Risk Factors Study 2016 (GBD 2016) estimated age-specific and sex-specific all-cause mortality between 1970 and 2016 for 195 countries and territories and at the subnational level for the five countries with a population greater than 200 million in 2016. We have evaluated how well civil registration systems captured deaths using a set of demographic methods called death distribution methods for adults and from consideration of survey and census data for children younger than 5 years. We generated an overall assessment of completeness of registration of deaths by dividing registered deaths in each location-year by ...
Up-to-date evidence about levels and trends in disease and injury incidence, prevalence, and year... more Up-to-date evidence about levels and trends in disease and injury incidence, prevalence, and years lived with disability (YLDs) is an essential input into global, regional, and national health policies. In the Global Burden of Disease Study 2013 (GBD 2013), we estimated these quantities for acute and chronic diseases and injuries for 188 countries between 1990 and 2013. Estimates were calculated for disease and injury incidence, prevalence, and YLDs using GBD 2010 methods with some important refinements. Results for incidence of acute disorders and prevalence of chronic disorders are new additions to the analysis. Key improvements include expansion to the cause and sequelae list, updated systematic reviews, use of detailed injury codes, improvements to the Bayesian meta-regression method (DisMod-MR), and use of severity splits for various causes. An index of data representativeness, showing data availability, was calculated for each cause and impairment during three periods globally...
Introduction Identifying high risk geographical clusters for neonatal mortality is important for ... more Introduction Identifying high risk geographical clusters for neonatal mortality is important for guiding policy and targeted interventions. However, limited studies have been conducted in Ghana to identify such clusters. Objective This study aimed to identify high-risk clusters for all-cause and cause-specific neonatal mortality in the Kintampo Districts. Materials and methods Secondary data, comprising of 30,132 singleton neonates between January 2005 and December 2014, from the Kintampo Health and Demographic Surveillance System (KHDSS) database were used. Verbal autopsies were used to determine probable causes of neonatal deaths. Purely spatial analysis was ran to scan for high-risk clusters using Poisson and Bernoulli models for all-cause and cause-specific neonatal mortality in the Kintampo Districts respectively with village as the unit of analysis. Results The study revealed significantly high risk of village-clusters for neonatal deaths due to asphyxia (RR = 1.98, p = 0.012)...
As a result of the significance of childbearing in the Ghanaian culture, couples would go to all ... more As a result of the significance of childbearing in the Ghanaian culture, couples would go to all lengths to have biological children. One of the means that has made it possible for childless couples to have children is through the use of various assisted reproductive technologies. Using a qualitative research design, the paper explores the experiences of 40 women who have delivered following the use of assisted reproductive technology in Ghana. A semi-structured interview guide was utilised to explore women’s experiences and results were analysed thematically. The study revealed that childless women faced hostile treatment but the birth of a child ceased the hostility, giving couples social recognition. The study also revealed that the transition to motherhood is characterised by excitement, high self-esteem, recognition and acceptance into spouses’ families. It was a source of anxiety for other women due to society’s perception of children born following the use of assisted reprodu...
Background: In Ghana, the infertility prevalence rate continues to be high. To avert this phenome... more Background: In Ghana, the infertility prevalence rate continues to be high. To avert this phenomenon, individuals with fertility challenges access assisted reproductive technology (ART). This paper explores the experiences of women who have undergone ART treatments. Methods: Using a qualitative research design, the paper explores the self-reported account of 35 women who have gone through assisted reproductive technology procedures and awaiting to be tested for pregnancy. A semi-structured interview guide was utilised to explore women’s experiences. The thematic analysis approach was used to analyse the data.Results: Findings from the study indicated that some women sought ART treatment to save their marriages from collapse while others indicated that pressure and demands from in-laws and families, as well as shame, forced them to utilise ART. Women who went through ART treatment services complained of the high cost of the treatment. As a result, some borrowed money from friends, fa...
Background Communities and their composition have an impact on neonatal mortality. However, consi... more Background Communities and their composition have an impact on neonatal mortality. However, considering the smallest health administrative units as communities and investigating the impact of these communities and their composition on neonatal mortality in Ghana have not been studied. Therefore, this study aimed to investigate the effect of community-, household- and individual-level factors on the risk of neonatal mortality in two districts in Ghana. Methods This was a longitudinal study that used the Kintampo Health and Demographic Surveillance System as a platform to select 30,132 neonatal singletons with 634 deaths. Multilevel cox frailty model was used to examine the effect of community-, household- and individual-level factors on the risk of neonatal mortality. Results Regarding individual-level factors, neonates born to mothers with previous adverse pregnancy (aHR = 1.38, 95% CI: 1.05–1.83), neonates whose mothers did not receive tetanus toxoid vaccine (aHR = 1.32, 95% CI: 1....
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