<p>Health security is increasingly being seen as integral to any poverty reduction strategy. Health is viewed not only as an end in itself but also as an indispensable input into the development process because there is a positive link between health and development. Of all the risks facing poor households, health risks probably pose the greatest threat to their lives and livelihoods. Against this background, this research examines the vital subject of participation in mutual health insurance as a poverty reduction strategy at the rural community level. It has been accepted that community-based initiatives play important roles in improving poor people s risk-sharing arrangements. The extent to which these community-based initiatives are able to address the problem of social exclusion in local communities is far from being clear.</p>

<p>The generation of large volumes of solid and liquid wastes in urban and periurban areas of Ghana is a big problem for the people and government of Ghana. It contributes to the outbreak of many diseases in the country such as malaria, diarrhoea and typhoid fever. In managing the situation, a new concept called ecological sanitation (ecosan), which focuses on reuse of waste, has been introduced in the country. The objectives of the thesis were to criticise the environmental sanitation policy&nbsp / by analysing its content in relation to policy implementation arrangements, to discuss programmes and projects identified under the policy, to critically examine the implementation of an ecosan project as a way of achieving the goal and objectives by outlining its implementation processes, prospects and challenges, and to make appropriate recommendations. The analysis and discussion of the thesis were based on both primary and secondary data. The primary data, on one hand, were collected on the prospects and challenges that exist in the implementation of ecosan projects from Kumasi metropolis. The secondary data, on the other hand, were from&nbsp / books, journals and websites. From the research analysis, it emerged that the policy allows the implementation of many sanitation projects including ecosan. Secondly, stakeholders see ecosanto be a good approach to reduce waste generation in the country. However, the main challenges that exist in promoting the concept are inadequate financial support, unavailability of implementation guidelines and lack of knowledge about concept details. It is therefore argued that financial support, implementation guidelines and awareness-creation activities should be available in the implementation of ecosan in the metropolis. Government, private organisations, companies and individuals should each contribute their quota in the support and processes.</p>

Sex and sexuality issues are still sensitive and controversial subjects despite the growing numbers of sexual and reproductive health (SRH) programmes for adolescents in subSaharan African countries (WHO, 2002; Department ofInternational Development (DFID), 2004). The purpose of this study was to examine and analyze the structure and procedural mechanisms adopted by adolescent sexual and reproductive health (SRH) programmes in two African countries. This study also explored the adolescents' perceived usefulness and relevance of these programmes in addressing their SRH needs. The study was conducted in Ghana (West Africa) and South Africa (Southern Africa) as a cross-national study in these two sub-Saharan African countries. A comparative case study design was adopted involving the use of both quantitative and qualitative approaches to data collection and analysis. Snowballing, critical case, and purposive sampling methods were used. A wide range of personnel from both countries including programme directors, managers, nurse/midwives, peer educators and youth counselors (n=48) were interviewed within the context of adolescent sexual and reproductive health (ASRH) programmes and adolescents (n=247) participated through client exit surveys and focus group discussions. Records review, document analysis and observation of the facilities were employed through a checklist. A Tri-dimensional conceptual framework adapted from Donabedian (1980) and WHO (2001) for: (1) Structure, (2) Process, and (3) Output of ASRH programmes, guided the study and served as the frame for analysis and comparison. Qualitative data were transcribed and analyzed using framework analysis and quantitative data through use of SPSS Version 13.0. Findings of the study revealed that both Ghana and South Africa have established ASRH structures through development of programmes and policies for young people. They also shared common features related to programme focus and philosophy on ASRH matters. Both countries face several challenges associated with sexuality issues, inadequate human and material resources. Religious, socio-cultural, logistical and structural factors were identified as barriers, which hindered access and use of the facilities. These barriers were found to have a profound influence on programme implementation, achievement of objectives and future development. Adolescents in the two countries are confronted with a range of issues affecting their sexual health and general well-being for which they seek services from ASRH programmes. These programmes in both countries were generally perceived as relevant and important by youth utilizing the facilities. The need for changes in the attitude of service providers, structural layout, logistical improvement and staffing composition was expressed. Despite efforts made, there are still programmatic issues needing attention, for which specific recommendations towards improvement were made on the basis of findings from both countries. Findings from this study have implications for nursing practice, management, education, research and relevant stakeholders involved with adolescent health, including policy makers. Recommendations are made that may contribute to the development of an effective model of "Adolescent-Friendly" programmes in the two countries. / Thesis (Ph.D.)-University of KwaZulu-Natal, Durban, 2007.

This study establishes what the Akan and Biblical concepts of a human being are in terms of origin, constitution, gender, body form, age, status, moral behaviour, ethnic affiliation, and communality. It then compares the Akan concepts with the Biblical concepts to see what the similarities are, and, what the differences are? The findings are that in terms of origin, constitution, gender, age, status, moral behaviour, ethnic affiliation and communality, the concepts are similar even though there are some differences. For example, while in both Akan and Biblical thought, the human being consists of material and immaterial components, the Akan have five components, namely, :Jkra, honhom, sunsum, mogya and nipadua, and the Biblical has three, body, soul and spirit. In terms of body form, Akan thought is completely different from Biblical thought. The presence of such differences in thought poses a problem in evangelism as it often leads to conflict. Yet this should not be for it then affects the effectiveness of evangelism. This study therefore illustrates how Akan culture, just as it is, can be interpreted by the Bible and thus establishes that it is possible to evangelise cross culturally without creating conflict so that the Christian faith can be integrated into the culture. This is possible only if evangelists know and understand the culture in which they try to evangelise, if they know what needs their beliefs and practices meet for them. The study proposes that for effective evangelism to take place, the church must take up the study of cultures seriously and provide funds for it. / Thesis (M.Th.)-University of Natal, Pietermaritzburg, 2000.

This master thesis contextualise, and discuss the contemporary art as a catalyst for change, and raises social issues through art production in the urban district Nima. Perspectives of "community", and "community of practice" affiliates with examples of placed based art, mainly mural paintings performed in the urban landscape of the community, in the stigmatised community Nima, an area in Ghana’s capital Accra. The study has identified an artistic climate that is emerging from within the community, where artists have created a system for various forms of arts education. The artistic climate is a process of social practice, and this study further discuss the interaction of people in the process of art production, which provides both local, and global perspectives of art. Issues of representation, especially who is in the position to represent others, and how others are in fact represented are discussed and analysed as well as the terminology of “African art”.

Because of an increase in food insecurity over the past decade, the U.S. and many developing countries are focusing efforts on issues relating to child hunger. School feeding programs have been in existence for roughly 220 years but modifications have been made over the years to improve the quality of food they serve. Little research has been conducted about adult perceptions of school feeding programs and the impact it has on the community in the U.S. as well as developing countries such as Ghana, West Africa. Because of the gap in literature on school feeding programs and adult perceptions about school feeding programs, the purpose of this study was to examine adult perspectives on school feeding programs in the U.S. and Ghana rural, mountainous communities. Semi-structured interviews were conducted in two communities with similar community characteristics. Semi-structured interviews examined adult perceptions regarding school feeding impact on kindergarten student attendance, learning, behavior and community impact. The sample size for this study was N=41. Grounded theory provided the framework for data analysis from which a paradigm model was developed. This paradigm model provides a visual representation of the relationships among causal conditions, phenomenon, context, intervening conditions, action/interaction strategies and consequences.

Known colloquially as “purewater”, sachet water has outcompeted all alternatives to Ghana’s unreliable government water infrastructure and serves as the cheap, portable, omnipresent solution for narrowing the safe water access gap. Each single-use sachet holds 500 ml of filtered potable water and is heat-sealed in a high-density polyethylene bag. Insufficient and often skeptical scholarship exists surrounding the state of sachet water in Ghana, and almost no research incorporates qualitative data into analysis and future recommendations. In the face of incomplete and decontextualized research on sachet water, this study aims to use qualitative data concerning Ghanaian viewpoints to showcase the recent positive developments in the lifecycle of sachet water. Data was gathered through semi-structured interviews with dozens of sachet water producers, regulatory parties, consumers from all over the country with diverse backgrounds, and members of the formal and informal waste management sectors over the summer months of 2013 and 2014. Although viewed as a problematic water alternative from a number of health and environmental viewpoints, this thesis demonstrates that sachet water is becoming more potable and better recycled. Results suggest that registered sachet water producers continue to raise water quality, private market waste management solutions are starting to curb the number of inappropriately discarded sachets, and Ghanaians generally are satisfied with sachet water’s role in increasing reliable potable water coverage.

Health security is increasingly being seen as integral to any poverty reduction strategy. Health is viewed not only as an end in itself but also as an indispensable input into the development process because there is a positive link between health and development. Of all the risks facing poor households, health risks probably pose the greatest threat to their lives and livelihoods. Against this background, this research examines the vital subject of participation in mutual health insurance as a poverty reduction strategy at the rural community level. It has been accepted that community-based initiatives play important roles in improving poor people s risk-sharing arrangements. The extent to which these community-based initiatives are able to address the problem of social exclusion in local communities is far from being clear. / Masters in Public Administration - MPA

186 Ghanaian and 199 Liberian young adult students living in Ghana completed surveys regarding their sexual risk taking behaviors, as well as their knowledge about HIV, their current level of hopelessness, and their subjective quality of life. Results indicated that although knowledge levels were adequate, there was no connection between knowledge about HIV and past risk taking behaviors, including multiple sexual partners, and lack of safe sex practices. Results did indicate a connection between quality of life and the number of sexual partners, and a connection between hopelessness and lack of safe sex behaviors. The author concluded that HIV/STD prevention campaigns located in Ghana should include behavioral skills training in current preventative campaigns. / Department of Psychological Science

This thesis explores the role of early development policies on the management of horizontal inequalities in Ghana and La Cote d'Ivoire. Using the wager between the first presidents of the two countries, this study charts the manner in which Horizontal Inequalities have been managed during three time periods: Independence, Structural Adjustment and Democratization.