Background: Despite progress made in the last decades, malaria persists as a pressing health issue in sub-Saharan Africa. Pregnant women are particularly vulnerable to infection and serious health outcomes for themselves and their unborn child. Risk can be mitigated through appropriate use of control measures such as insecticide-treated bed nets. Although social networks can influence uptake of preventive strategies, the role of social influence on bed net ownership has not been explored. During an evaluation of a bed net distribution programme, the influence of non-health care advisors on ownership and use of bed nets by pregnant women in Kumasi, Ghana was examined. Methods: Data were collected through in-person interviews with 300 pregnant women seeking antenatal care in an urban hospital in Kumasi, Ghana. Participants were asked about their bed net ownership, bed net use, and information about three personal contacts that they go to for pregnancy advice. Information about these advisors was combined into an influence score. Logistic regression models were used to determine the association between the score and bed net ownership. Those who owned a bed net were further assessed to determine if interpersonal influence was associated with self-reported sleeping under the bed net the previous night. Results: Of the 294 women in the analysis, 229 (78%) reported owning bed nets. Of these bed net owners, 139 (61%) reported using a bed net the previous night. A dose response relationship was observed between the interpersonal influence score and bed net ownership and use. Compared to the lowest influence score, those with the highest influence score (> 1 SD above the mean) were marginally more likely to own a bed net [OR = 2.37, 95% CI (0.87, 6.39)] and much more likely to use their bed net [5.38, 95% CI (1.89, 15.25)] after adjusting for other factors. Conclusions: Interpersonal influence appears to have modest impact on ownership and use of bed nets by pregnant women in an urban area of Ghana. Further investigations would need to be conducted to determine if the relationship is causal or if individuals who associate are simply more likely to have similar practices.

Thesis (M.M. (Finance & Investment))--University of the Witwatersrand, Faculty of Commerce, Law and Management, Graduate School of Business Administration, 2013. / This research work explores the risks that microfinance institutions (MFIs) face in their operations and the risk management strategies they adopt to mitigate their risks. Microfinance institutions serve some of the world’s most financially challenged population who otherwise would not have access to banking services. Risk management within the context of microfinance banking has gained importance within the last decade due partly to the fact that most MFIs are adopting business/profitability principles in their operations. Also, due to the recent financial crisis, MFI cannot afford to be indifferent to risk management practices in the battle for survival, financial sustainability and self-sufficiency. The data for this study is from both secondary and primary sources; 48 MFIs in Ghana responded to a questionnaire made up of 25 questions. Analysis of the responses obtained was done using Chi-Square test of equal proportions, P-values and other descriptive statistics. The Analysis found that the microfinance institutions surveyed are aware of the types of risk inherent in their line of business and do in varying ways employ some form of risk management strategies to mitigate losses and enhance profitability. Since credit granting stands at the core of the operations of MFIs, the management of risk as a result of the credits extended is crucial for their survival and profitability.

Student Number : 0413807K - MSc research report - School of Public Health - Faculty of Health Sciences / Tuberculosis ranks among the top ten causes of global mortality. Globally it kills nearly 2 million people each year and is the second leading cause of death after Human Immune Deficiency Virus/Acquired Immune Deficiency Syndrome (HIV/AIDS).Tuberculosis (TB) is primarily an illness of the respiratory system, and is spread by coughing and sneezing from an infectious person. Nearly a third of the world’s population is infected with the bacilli that causes TB and are at risk of developing tuberculosis (TB).1, 2 Left untreated, each person with active TB disease will infect on average between 10 and 15 people every year. In 2004, estimated per capita TB incidence was stable or falling in five out of six World Health Organization (WHO regions, but growing at 0.6% per year globally. The exception is the African region, where TB incidence was still rising.3, 4 HIV increases the risk of developing TB and accounts for much of the increase in countries where prevalence is high. 4 Co-infection is common and could be as high as 70% in high-burdened countries. Gains made in global TB control in the 1970 and 80s are being dramatically reversed by the effect of HIV/AIDS. HIV is the main reason for failure to meet Tuberculosis (TB) control targets in high HIV settings.3 Drug-resistant TB is a major problem. Resistance to single anti-tuberculosis drugs have been reported in almost every country surveyed. To make the situation worse, drugs resistant to all the major anti-TB drugs have emerged. 4 Drug-resistant TB is caused by inconsistent or partial treatment, when patients do not take all their medicines regularly for the required period because they start to feel better, because doctors and health workers prescribe the wrong treatment regimens, or because the drug supply is unreliable. A particularly dangerous form of drug-resistant TB is multidrug-resistant TB (MDR-TB), which is defined as the disease caused by TB bacilli resistant to at least isoniazid and rifampicin, the two most powerful anti-TB drugs.4, 5

ABSTRACT INTRODUCTION : Malaria remains a serious health burden among children in sub- Saharan Africa. The Home Management of Malaria (HMM) programme was adopted by African heads of states in 2000 as a strategy to achieve high coverage of prompt and effective anti malarial treatment within 24 hours of the onset of symptoms by home caregivers in areas with poor access to facility based health care. Strategic components of the programme include communication for behavioural change, training of community based public-private health service providers and making antimalarials available in communities[1]. AIM: To determine the impact of HMM strategy in the home treatment of uncomplicated malaria in children in Kassena-Nankana District (KND) of upper-east region of Ghana. Specific objectives described the knowledge, attitude and practice and tested the association between knowledge, attitude and other factors and accurate HMM. METHOD: Secondary data from a survey on the role of health information recipients in access and utilization of treatment for malaria management in children under 5 years (U5s) conducted among 818 women in KND from 2005 to 2006 were analyzed using a cross sectional study design. A total of 708 Home caregivers (HCGs) aged 15-49 years who responded to knowledge of the treatment of uncomplicated malaria was obtained after data cleaning. Knowledge of the treatment of uncomplicated malaria was used as a proxy for accurate HMM (correct dosage and correct duration of antimalarial) in U5s because the questionnaire did not contain information on the actual treatment given by the HCGs. Data analysis was done in STATA 10 using Chi squared test for categorical variables. Logistic regression models were used to quantify the associations and adjust for potential confounders and effect modification. RESULTS: The study found that 59% of the women had good knowledge of the symptoms of uncomplicated malaria and 25% knew that only mosquitoes transmit malaria. On treatment seeking attitude (advice and autonomy), the majority (91%) of the home caregivers received various forms of advice from the older women. Such advice included: using herbs (77%), buying drugs (41%), visiting Health Clinic (24%), and visiting the Community Health Officers (19%). On receiving advice, only 15% would utilize the services of the Community Health Officers (CHOs) who are the main source of treatment information for the communities. Thirty percent (30%) of the HCGs had autonomy of health care decision-making in the households. Accurate HMM in children was 28%. Knowledge of malaria and treatment seeking attitude were not significantly associated with accurate HMM (p>0.05). In the multivariate model, the HCGs were more likely to do accurate HMM in children if they had secondary education (OR = 2.54, 95% CI 1.18 ; 5.60), were of Nankani ethnicity (OR = 3.00, 95% CI 2.08 ; 4.35) and belonged to the very poor socio-economic status (OR = 2.31, 95% CI 1.25 ; 4.30). A Chi squared analysis to further identify the differences between the women who gave drugs and those who did not showed that the women differed significantly in their ethnicity (p<0.001), occupation (p<0.001) and relationship as the biological mothers to the children (p=0.008). The major limitation of this study was that knowledge of the treatment of uncomplicated malaria was used as a proxy for accurate HMM hence the finding is not a true reflection of the actual malaria treatment practice HCGs give to U5s. Another limitation is that the study could not measure the promptness of initiating malaria treatment within 24 hours of the onset of symptoms in children because of the absence of such variable in the data. CONCLUSION: Although HCGs had good knowledge of the symptoms of uncomplicated malaria, it did not translate to accurate HMM. The study identified poor dosage of treatment with Chloroquine (the first line antimalarial at the time of the study) was responsible for inaccurate HMM. Therefore, HCGs need to receive adequate information on the dosage of the current first line Artemesinin Combination Therapy drugs which have replaced Chloroquine in the treatment of malaria. Home caregivers need to be encouraged to utilize the services of the CHOs as the main source of malaria related information in the HMM programme. Specific groups to be targeted include the older women and the HCGs at risk of inaccurate HMM. Further research on the actual treatment given to children is recommended with particular emphasis on qualitative technique to unpack culturally related ethnic beliefs associated with HMM in children.

In the wake of the digital revolution, the Musicians' Union of Ghana has begun a massive campaign to re-establish its membership base, advocate for enforceable copyright policy changes, and introduce the technology necessary to make its members' music available for sale to digital consumers. However, despite the excitement behind this project, the vision of a professional class of musicians, enabled by the digitization and digital sale of Ghana's new and existing music, is problematic. Recent revenue reports collected from musicians based in the United States suggest that revenue collected from digital sales may not be the silver bullet Ghanaian musicians hope it will be. Analyzing corporate, government, development, and news documents, this study examines the history and the political economy of the current digitization efforts in Ghana to determine who claims to benefit from the project and who stands to bear the costs. Overall, this study recommends the introduction of new forms of cultural protectionism alongside existing copyright protections to avoid the potential exploitation associated with musical success. The empowering and imperial effects of the project are also debated.

Among college students in Ghana, the new media app WhatsApp has been widely adopted as a medium for both communication and sexual exploration. Drawing on a classical media effects theory Uses and Gratifications, this mixed method research is designed to investigate sexual practices staged on WhatsApp among college students in Ghana. This study surveyed 314 students, along with in-depth interviews with eight respondents from the African University College of Communications in Accra, Ghana, to investigate the practice of viewing and circulating sexually explicit materials on WhatsApp. Key findings from this study with the exception of impact of sexual content on both male and female college students, point to no statistically significant differences in sexual gratifications on WhatsApp. This thesis delineates the various forms of motivations regarding the use of WhatsApp as a sexual gratification platform.

This paper investigates the factors driving the real exchange rate in the Ghanaian economy. The paper aimed at finding the principal factor(s) that influence the real exchange rate and explains the channels by which these factors exert their influence using standard empirical methods of vector autoregressive (VAR) models. The paper established that inflation rate differentials and interest rate differentials influence the exchange rate through the expectations medium. Domestic and foreign money supplies which are exogenous macroeconomic variables were also found to be important in the Ghanaian money market as far as the exchange rate matters. The paper also highlighted how the great recession in the United States may have affected the cedi/dollar rate of exchange after this economic event swept through the United States generating spillover effects on economies around the world.

This is a comparative study of the leadership role of the Chief Justice as head of the judiciary through a decade of change, up to 2009, in South Africa, Ghana and Kenya. It draws on a conceptual framework developed from Burns’s theory of transformational leadership and the “dynamics of the leadership process”, and other scholarship on leadership ethics. The constitutional, legal and political structures surrounding the office of Chief Justice are analysed alongside empirical data gathered from interviews. It addresses three main questions. How do we understand the leadership role of the Chief Justice in Africa? How is this role evolving? What consequences does the distinction between “judicial” and “administrative” functions have for leadership in the judiciary? The study finds, first, that the leadership role of the Chief Justice includes intellectual leadership, administrative leadership, and acting as the representative of the judiciary. Second, the role of the Chief Justice is shifting from one of headship to one of leadership: Chief Justices are expected to be the visible, accountable leaders of the third arm of government. Third, recognising the Chief Justice as leader of the third arm of government raises questions about the usefulness of retaining the distinction between judicial and administrative functions to divide responsibility for court administration between the judiciary and executive. For Chief Justices to lead effectively, they must be free to make decisions on all matters relating to the operation of the judiciary. This need not require immersion in the daily minutiae of court administration. Instead, practices in South Africa and Ghana suggest that leadership could involve collaborating with, delegating to and consulting relevant “constituents” of the Chief Justice’s leadership. This would be consistent with a transformational leadership approach, which it is here argued is the most appropriate form of leadership for the judiciary.

Educational researchers, practitioners and policymakers agree that quality of leadership and learning influence the quality of education. In the context of Ghanaian basic schools, previous research has shown that the Leadership for Learning (LfL) framework, an educational theory and practice, has improved the leadership capacities of education stakeholders as well as the quality of teaching and learning. However, the processes which lead to such improvements have not yet been studied. This study aimed to contribute to research on LfL by analysing the processes that accounted for the successful incorporation of the LfL principles. This in-depth case study was conducted in two successful LfL schools in the Central Region of Ghana. It engaged multiple stakeholders and gathered data through semi-structured interviews, focus group discussions, observations, and document analysis. Intra- and inter-case analyses were conducted to understand each case in its own terms as well as to identify areas of convergence and divergence between them. The findings reveal that despite the ubiquity of household poverty, youth unemployment, and paucity of infrastructure, stakeholders recreated structures, reoriented attitudes, developed self-efficacy, and deployed creativity. It has been found that stakeholders were able to come to a shared and contextualised understanding of the LfL principles. This engendered collaboration, co-ownership of the leading, teaching and learning activities, and their successful institutional absorption. Put differently, the successful incorporation of the LfL principles was driven by four practices: the stakeholders understood the principles based on their contextual realities; believed in their understanding; taught what they believed in; and practised what they taught. These findings are of practical relevance for policymakers and practitioners. Policymakers need to appreciate the importance of context in understanding and incorporating policy initiatives. Practitioners need to reorient their attitudes and practice, collaborate, form communal beliefs, and recognise, appreciate and harness their internal human capital to succeed. Further research is needed to understand the impact of communication technology - television soap operas, mobile phones and social media on leading, teaching and learning.

Maintaining an adequate level of soil organic matter and nutrients cycling is crucial to the success of any soil management in the humid tropics. Cover crops, compost, or manure additions have been used successfully to supply nutrients to crops but the benefits of such amendments are often short-lived in the tropics, since decomposition rates are high. This study focused on charcoal which, when utilised as a soil amendment is termed ‘biochar’. Throughout this thesis, the terms ‘charcoal’ and ‘biochar’ are used interchangeably depending on the context. Charcoal exhibits physiochemical properties potentially suitable for soil improvement as well as for the safe and long-term storage of carbon in the environment. As a way of investigating its recalcitrance as a carbon store, O:C ratios have been shown to reflect the extent of oxidation and therefore decomposition of charcoal. This study aimed to fill a gap in the research by describing the effects of biochar on the water retention capacity of soil under laboratory conditions. It also provides a detailed snapshot of the first ten years of recalcitrance under natural conditions, using X-Ray Photoelectron Spectroscopy (XPS) to determine elemental oxygen and carbon ratios of whole charcoal fragments and how these are affected by the surrounding environment over time. Mechanisms of oxidation are described, showing how both biotic and abiotic factors influence the degradation of charcoal in the soil. It also investigated how these properties affect the nutrient and water retention capability of charcoals of different ages in the laboratory. Results of charcoal/soil mixtures showed significant reduction in nitrate leachate losses with no reduction in performance over a ten year period of residing in the soil. It was also shown that charcoal addition to a sandy soil resulted in a significantly increased available water content. Both these results were argued to support the idea that charcoal is of potential beneficial amendment to sandy, degraded soils.