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The Geography of Maternal Health Indicators in Ghana
Ghana is identified among the developing countries with high maternal mortality ratio in Africa. This study unpacked the Demographic and Health Survey data by examining the maternal health indicators at the district level using GIS methods. Understanding the geographic patterns of antenatal care, place of delivery, and skilled birth attendants at the small scale will help to formulate and plan for location-specific health interventions that can improve maternal health care behavior among Ghanaian women. Districts with high rates and low rates were identified. Place of residence, Gini-Coefficient, wealth status, internet access, and religious affiliation were used to explore the underlying factors associated with the observed patterns. Economic inequality was positively associated with increased use of maternal health care services. The ongoing free maternal health policy serves as a cushion effect for the economic inequality among the districts in the Northern areas. Home delivery is common among the rural districts and is more prominent mostly in the western part of Northern Region and southwest of Upper West. Educating women about the free maternal health policy remains the most viable strategy for positive maternal health outcomes and in reducing MMR in Ghana.
Emergency Fire Response in Ghana: The Case of Fire Stations in Kumasi
Comprehensive emergency management and response is crucial for disaster prevention and health emergencies. However, in African countries with an abundance of natural disasters and a rising surge in cardiovascular and obstetric emergencies, little research exists on emergency response. This study examines the fire emergency response in Kumasi Metropolitan Assembly (KMA), Ghana's second largest city. We use Geographic Information Systems (GIS) tools including location -allocation modeling to evaluate the existing system of fire facilities, identify gaps in service, and suggest locations for new fire stations to maximize population coverage. Our results show that fire stations within KMA are poorly distributed and large portions of the metropolis are underserved, a situation that is partly responsible for the huge losses of lives and property during fire outbreaks.
Geography of Tuberculosis in the Greater Accra Region of Ghana
In Ghana, spatial patterns of TB vary for different regions and variations may occur within the same region. This study examines TB distribution in the Greater Accra Region of Ghana using Geographic Information Systems (GIS). Behavioral, cultural and economic variables associated with TB morbidity are examined. From January 1998 to June 1999, data obtained from the Ghana Ministry of Health revealed that, men had a higher TB rate than women, TB was common among the age groups 20-29 and 30-39, and the average TB rate of 67.7 per 100, 000 population in the Greater Accra Region was higher than the national average (58.6 per 100,000 population). Using the human ecology model, this study attempts to explain the spatial distribution of the disease.
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