ORCID Profile
0000-0002-1347-7102
Current Organisation
University of Cape Coast
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Publisher: Springer Science and Business Media LLC
Date: 04-06-2022
DOI: 10.1186/S12889-022-13306-6
Abstract: Type of occupation has been linked to early antenatal care visits whereby women in different occupation categories tend to have different timing for antenatal care visits. Different occupations require varying levels of commitment, remuneration and energy requirements. This study, therefore, sought to investigate the association between the type of occupation and early antenatal care visits in sub-Saharan Africa. This is a secondary analysis of Demographic and Health Survey data from 29 countries in sub-Saharan Africa conducted between 2010 and 2018. The study included 131,912 working women. We employed binary logistic regression models to assess the association between type of occupation and timely initiation of antenatal care visits. The overall prevalence of early initiation of antenatal care visits was 39.9%. Early antenatal care visit was high in Liberia (70.1%) but low in DR Congo (18.6%). We noted that compared to managerial workers, women in all other work categories had lower odds of early antenatal care visit and this was prominent among agricultural workers [aOR = 0.74, CI = 0.69, 0.79]. Women from Liberia [aOR = 3.14, CI = 2.84, 3.48] and Senegal [aOR = 2.55, CI = 2.31, 2.81] had higher tendency of early antenatal care visits compared with those from Angola. The findings bring to bear some essential elements worth considering to enhance early antenatal care visits within sub-Saharan Africa irrespective of the type of occupation. Women in the agricultural industry need much attention in order to bridge the early antenatal care visit gap between them and workers of other sectors. A critical review of the maternal health service delivery in DR Congo is needed considering the low rate of early antenatal care visits.
Publisher: SAGE Publications
Date: 16-10-2020
Abstract: Although insights on bride price and domestic violence have been explored in Ghana, very little is known about payment of bride price and the justification of sexual violence. We investigated the payment of bride price and justification of sexual violence among women ( N = 4,222) in Ghana, dwelling on the 2014 Ghana Demographic and Health Survey. Two binary logistic regression models were fitted. We adjusted for significant sociodemographic variables. The findings revealed that women whose partners had paid their bride price had higher odds [ OR = 1.54 CI = 1.174, 2.00] of justifying sexual violence, compared to those whose partners had not paid. We found that women with primary [AOR = 0.55 CI = 0.44–0.71] and secondary/higher [AOR = 0.47 CI = 0.36–0.60] levels of education had lower odds of accepting sexual violence. Women in the rich wealth quintile [AOR = 0.32 CI = 0.22, 0.46] had lower odds of justifying sexual violence. Our study has illustrated the need for women to appreciate that payment of bride price does not imply that their fundamental human rights have been bought by men, but they rather become partners. This information can form part of premarriage counselling and human rights initiatives by the Ministry of Gender and Social Protection. That is, the content of marriage counselling may be expanded to include issues on IPV, its implications, and legal consequences. Such information can develop personal realization and urge women to report any violent advances to the police and appropriate authorities for the required legal action to be taken. This may deter others to desist from violence perpetration against women. At the community level, chiefs and other leaders of high repute can be made anti-IPV ambassadors. The Ministry of Health and other nongovernmental anti-violence organizations can also collaborate to strengthen education on anti-sexual violence programs by using the mass media.
Publisher: Springer Science and Business Media LLC
Date: 24-11-2021
DOI: 10.1186/S12889-021-12204-7
Abstract: Hypertension is one of the leading causes of cardiovascular morbidities in Ghana and represents a major public health concern. There is dearth of information on the rural-urban disparity in hypertension among women in Ghana. Therefore, this study aimed at examining the rural-urban variation in hypertension among women in Ghana. We extracted data from the women’s file of the 2014 Ghana Demographic and Health Survey. The s le included 9333 women aged 15–49 with complete data on hypertension. The analysis was done using Pearson Chi-square and binary logistic regression at 95% confidence interval. The results of the binary logistic regression were presented as Odds Ratios (ORs) and Adjusted Odds Ratios (AORs). Statistical significance was set at p 0.05. Hypertension prevalence among urban and rural residents were 9.5% and 5.1% respectively. Rural women had lower odds of hypertension [OR = 0.59 95% CI = 0.52, 0.67] compared to urban women, however, this was insignificant in the adjusted model [aOR = 0.84 95% CI = 0.70, 1.00]. The propensity to be hypertensive was lower for women aged 15–19 [aOR = 0.07 95% CI = 0.05, 0.11]. The poorest were less likely to be hypertensive [aOR = 0.63 95% CI = 0.45, 0.89]. Single women were also less probable to have hypertension [aOR = 0.66 95% CI = 0.46, 0.97]. Women from urban and rural areas shed similar chance to be hypertensive in Ghana. Therefore, the health sector needs to target women from both areas of residence (rural/urban) when designing their programmes that are intended to modify women’s lifestyle in order to reduce their risks of hypertension. Other categories of women that need to be prioritised to avert hypertension are those who are heading towards the end of their reproductive age, richest women and the orced.
Publisher: Elsevier BV
Date: 08-2020
Publisher: Springer Science and Business Media LLC
Date: 22-10-2020
DOI: 10.1186/S12889-020-09660-Y
Abstract: Global commitment to stop Human Immunodeficiency Virus (HIV) and ensure access to HIV treatment calls for women empowerment, as these efforts play major roles in mother-to-child transmission. We examined the association between women’s healthcare decision-making capacity and uptake of HIV testing in sub-Saharan Africa. We used data from the current Demographic and Health Surveys (DHS) of 28 countries in sub-Saharan Africa, conducted between January 1, 2010 and December 31, 2018. At the descriptive level, we calculated the prevalence of HIV testing in each of the countries. This was followed by the distribution of HIV testing across the socio-demographic characteristics of women. Finally, we used binary logistic regression assess the likelihood of HIV testing uptake by women’s health care decision-making capacity and socio-demographic characteristics. The results were presented as Crude Odds Ratios (COR) and Adjusted Odds Ratios (AOR) with their corresponding 95% confidence intervals signifying precision. Statistical significance was set at p -value 0.05. We found that prevalence of HIV testing uptake in the 28 sub-Saharan African countries was 64.4%, with Congo DR having the least (20.2%) and the highest occurred in Rwanda (97.4%). Women who took healthcare decisions alone [COR = 3.183, CI = 2.880–3.519] or with their partners [COR = 2.577, CI = 2.335–2.844] were more likely to test for HIV, compared to those whose healthcare decisions were taken by others, and this persisted after controlling for significant covariates: [AOR = 1.507, CI = 1.321–1.720] and [AOR = 1.518, CI = 1.334–1.728] respectively. Sub-Saharan African countries intending to improve HIV testing need to incorporate women’s healthcare decision-making capacity strategies. These strategies can include education and counselling. This is essential because our study indicates that the capacity of women to make healthcare decisions has an association with decision to test for their HIV status.
Publisher: Public Library of Science (PLoS)
Date: 15-01-2020
Publisher: Springer Science and Business Media LLC
Date: 19-07-2021
DOI: 10.1186/S13006-021-00402-3
Abstract: The probability of not breastfeeding within the first hour after delivery (timely initiation of breastfeeding) is particularly pronounced in sub-Saharan Africa. In this study, we examined the maternal and child factors associated with timely initiation of breastfeeding in sub-Saharan Africa. We pooled data from 29 sub-Saharan African countries’ Demographic and Health Surveys conducted from 2010 to 2018. A total of 60,038 childbearing women were included. Frequencies, percentages, and binary logistic regression analyses were carried out. Binary logistic regression was used to examine the maternal and child factors associated with timely initiation of breastfeeding and the results were presented as adjusted odds ratios (aOR) at 95% confidence interval (CI). We found a prevalence of 55.81% of timely initiation of breastfeeding in the sub-region. The country with the highest prevalence of timely initiation of breastfeeding was Burundi (86.19%), whereas Guinea had the lowest prevalence (15.17%). The likelihood of timely initiation of breastfeeding was lower among married women, compared to never married women (aOR 0.91 95% CI 0.85, 0.98) working women compared to non-working women (aOR 0.90 95% CI 0.87, 0.93) women who watched television at least once a week, compared to those who never watched television (aOR 0.74 95% CI 0.70, 0.78) women who delivered through caesarean section, compared to vaginal birth (aOR 0.30 95% CI 0.27, 0.32) and those with multiple births, compared to those with single births (aOR 0.67 95% CI 0.59, 0.76). Women who lived in Central Africa were less likely to initiate breastfeeding timely compared to those who lived in West Africa (aOR 0.80 95% CI 0.75, 0.84). The findings call for the need for a behavioural change communication programmes, targeted at timely initiation of breastfeeding, to reverse and close the timely initiation of breastfeeding gaps stratified by the maternal and child factors. Prioritising policies to enhance timely initiation of breastfeeding is needed, particularly among Cental African countries where timely initiation of breastfeeding remains a challenge. Sufficient supportive care, especially for mothers with multiple births and those who undergo caesarean section, is needed to resolve timely initiation of breastfeeding inequalities.
No related grants have been discovered for Joseph Oduro.