Papers by Peter Agyei-baffour
Research Square (Research Square), Dec 1, 2020
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Journal of Nutrition, May 1, 2019
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Value in Health, Nov 1, 2014
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Value in Health, May 1, 2016
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Research Square (Research Square), Oct 19, 2020
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Value in Health, May 1, 2016
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F1000Research
Background: The main focus of Ghana’s free maternal healthcare policy under the national health i... more Background: The main focus of Ghana’s free maternal healthcare policy under the national health insurance scheme was to reduce the maternal mortality ratio. Aim: This study aims at ascertaining the potency of this policy in the achievement of universal health coverage in Ghana. Method: A cross-sectional qualitative study was conducted in the Bibiani-Anwiaso-Bekwai Municipality from June to December 2021 among women in their reproductive age (15-49 years) to ascertain how the policy has enhanced women’s access to maternal healthcare thereby facilitating the attainment of universal health coverage. Written informed consent and permission to participate in the study was obtained from each participant. In the case of those under 18 years, consent was sought from their parents/guardians A multistage sampling technique was used to select districts, health facilities and study participants. Focus group discussion and four key informants interviews were conducted among two nurses and two mi...
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Postgraduate Medical Journal of Ghana
Objective: Pneumonia is a leading cause of hospital admission among children less than five years... more Objective: Pneumonia is a leading cause of hospital admission among children less than five years in sub-Saharan Africa. It is also associated with considerable economic cost to the households affected. This study sought to quantitatively measure the economic burden of households with children less than 5 years admitted at the Komfo Anokye Teaching Hospital (KATH) on account of pneumonia. Methodology: This was a cross-sectional study involving children less than 5 years admitted to the KATH for pneumonia. A consecutive sampling technique was used to select 157 eligible participants from the Paediatric Ward of KATH from June to August 2016. A structured questionnaire and data abstraction form was used to collect primary and secondary data respectively. We applied point (median) and interval estimation (interquartile range) on the various cost components (Pre-admission cost, direct cost and indirect costs). Estimates of the disability adjusted life years (DALY) was done using the prev...
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Healthcare
Human Papillomavirus (HPV) self-sampling has the potential to increase Cervical Cancer Screening ... more Human Papillomavirus (HPV) self-sampling has the potential to increase Cervical Cancer Screening (CCS) and reduce the cervical cancer burden in Medically Underserved Women (MUW). However, interventions promoting self-sampling are limited. We examined the effectiveness of an intervention study in increasing CCS among MUW. We conducted a quasi-experimental intervention study. A face-to-face verbal approach was used to recruit MUW (n = 83, mean age 48.57 ± 11.02) living in a small city in the US. Behavioral intervention based on reframing, reprioritizing, and reforming (3R model) was used to educate the women about CCS in a group format. The women (n = 83) completed pre-and post-intervention assessments, and 10 of them were invited for follow-up interviews. The primary outcome was CCS uptake. Mixed methods analyses were conducted using a t-test for the primary outcome, PROCESS for mediation analysis, and NVivo for interview data. The majority of women (75%) completed self-testing. High...
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Asian Pacific Journal of Cancer Prevention
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World Journal of Advanced Research and Reviews
Background: The neonatal period is the transitional time from intrauterine to independent existen... more Background: The neonatal period is the transitional time from intrauterine to independent existence. Deaths within this period can be further categorized as early neonatal deaths between 0 and 7 completed days of birth. Moreover, late neonatal deaths; are deaths after seven days to 28 completed days of delivery. The Bono Region of Ghana was selected as one of the only eight Regions to benefit from the MEBCI program (Making Every Child Count Initiative). Under the program, all regional districts received staff training, and various stakeholders were contacted for support. This was to reverse the trend of neonatal mortality, which is increasing annually. Identifying the factors that drive this unusual shift will help in targeted intervention. This study, therefore, seeks to establish health service delivery factors influencing neonatal mortality in the region as a lesson learned for the country. Method: The study used a mixed-method approach involving quantitative and qualitative stud...
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International Journal of Injury Control and Safety Promotion
Many road traffic injuries in low- and middle-income countries (LMICs) are to bus passengers. We ... more Many road traffic injuries in low- and middle-income countries (LMICs) are to bus passengers. We sought to determine the availability, functionality, and observed vs. self-reported use of seatbelts in large intercity buses in Ghana. We observed seatbelt use for 1,184 passengers in 35 large intercity buses. We interviewed a separate group of 633 bus passengers. All buses observed had seatbelts and most (92.6%) were functional. A little over a fifth (21.6%) of passengers were observed to wear seatbelts. However, 34.5% of passengers in the self-reported survey indicated always wearing seatbelts when riding in buses. Passengers on 5 buses out of the 35 observed where the driver verbally prompted them to wear seatbelts were more likely (57.8%) to wear seatbelts than on the other buses (15.3%, p = 0.001). Comparing the self-reported survey with observations, passengers tended to overinflate seatbelt use by a factor of 1.6. This study provides useful information for efforts to increase and monitor seatbelt use among large intercity bus passengers in LMICs.
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Health Equity
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Health Systems & Reform, 2021
ABSTRACT Many low- and middle-income countries are adopting far-reaching health financing policie... more ABSTRACT Many low- and middle-income countries are adopting far-reaching health financing policies using strategic health purchasing (SHP) approaches to address their health sector challenges. However, limited efforts have been directed toward analyzing the SHP activities nationwide. Our objective was to explore the scope and development of SHP in Cameroon. We conducted a scoping review applying the framework developed by Arksey and O’Malley and modified by Levac et al. to identify and extract data from relevant SHP studies and documents published between 2000 and 2019, which focused on Cameroon. Among the existing 30 health financing schemes, 5 present the elements of SHP: (1) national health insurance (NHI), (2) performance-based financing (PBF), (3) voucher system, (4) private health insurance, and (5) mutual health organizations. The findings suggest that the governance function of purchasing is very challenging due to the multiple purchaser markets and the resulting fragmentation of the health financing system. In addition, the misalignment of the different benefit packages across schemes leads to considerable gaps and overlaps in the population coverage. The issue of multiple highly fragmented payment systems also remains a big concern across the different schemes, with tentative harmonization observed with NHI and PBF. Achieving the full potential of SHP in Cameroon will require (1) a defragmentation of the multiple schemes, (2) an effective oversight arrangement, and (3) an alignment of provider payment method to a coherent set of incentives across the system, with the ultimate aim of promoting equity, efficiency and quality.
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International journal of health policy and management, 2021
BACKGROUND The government of Sierra Leone introduced Social Health Insurance Scheme as a measure ... more BACKGROUND The government of Sierra Leone introduced Social Health Insurance Scheme as a measure to remove financial barriers that beset the people in accessing health to ensure universal coverage. Under this policy, the citizens were encouraged to subscribe to the scheme to avoid out of pocket payment for healthcare at the point of use. This study was conducted to find out the predictors of willingness among the people to pay for health insurance premium. METHODS A cross-sectional study design was employed in six selected districts in Sierra Leone. Quantitative data was collected for this study through the use of semi-structured questionnaire with a sample size of 1185 respondents. Data was analysed into descriptive and inferential statistics using the contingent valuation model. Statistical analysis was run at 5% significant level using Stata version 14.0 software. RESULTS The results showed that majority of the respondent are willing to join and pay a monthly premium of Le 10 000...
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Respiratory Care, 2021
BACKGROUND: Although prior studies have established the association of asthma with smoking and ob... more BACKGROUND: Although prior studies have established the association of asthma with smoking and obesity, literature on difference-in-differences analyses involving sexual identity is sparse. Therefore, this study aimed to examine the between and within sexual identity-group differences in asthma prevalence among individuals who smoke and are obese. METHODS: We aggregated the 2017–2019 National Survey on Drug Use and Health data on adults (N = 128,319) to perform weighted multivariable logistic regression analysis and marginal estimates and marginsplot to determine asthma prevalence by sexual identity and the status of smoking and obesity. RESULTS: About 66% of the study population reported having asthma. Among the individuals with asthma, 42% were obese, 10% were daily cigarette smokers, and 6% identified as bisexual persons. Lesbian/gay daily smokers (86%) or former smokers (75%) had a higher probability of having asthma than bisexual (daily smokers = 78% vs former smokers = 72%) and heterosexual (daily smokers = 68% vs former smokers = 65%) persons. Within each sexual identity subgroup, daily smokers (68–86%) had the highest probability of asthma. Obese bisexual (73%) or lesbian/gay (72%) persons had higher probabilities of having asthma than heterosexual persons (69%). Obese (73%) or overweight (72%) bisexual (compared to normal weight = 70% or underweight = 51%) and obese (69%) or overweight (65%) heterosexual (compared to normal weight = 62% or underweight = 57%) persons had the highest probabilities of having asthma within their groups, whereas overweight persons (overweight = 81% vs underweight = 79%, normal weight = 78%, and obese = 72%) had the highest probabilities within lesbian/gay persons. CONCLUSIONS: Smoking and obesity show heightened odds for asthma, with significant odds for sexual minorities in asthma diagnosis relative to heterosexuals. These findings provide formative information for future longitudinal and experimental studies to explore these mechanisms of asthma risks among sexual and gender minorities.
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Seminars in oncology nursing, Nov 1, 2016
To review existing exercise guidelines for cancer patients and survivors for the management of sy... more To review existing exercise guidelines for cancer patients and survivors for the management of symptom clusters. Review of PubMed literature and published exercise guidelines. Cancer and its treatments are responsible for a copious number of incapacitating symptoms that markedly impair quality of life. The exercise oncology literature provides consistent support for the safety and efficacy of exercise interventions in managing cancer- and treatment-related symptoms, as well as improving quality of life in cancer patients and survivors. Effective management of symptoms enhances recovery, resumption of normal life activities and quality of life for patients and survivors. Exercise is a safe, appropriate, and effective therapeutic option before, during, and after the completion of treatment for alleviating symptoms and symptom clusters.
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Gulhane Medical Journal, 2015
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European Journal of Public Health, 2018
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Papers by Peter Agyei-baffour