Papers by Vida Nyagre Yakong
Health Research Policy and Systems
Background Globally, health insurance has been identified as a key component of healthcare financ... more Background Globally, health insurance has been identified as a key component of healthcare financing. The implementation of health insurance policies in low and middle-income countries has led to a significant increase in access to healthcare services in these countries. This study assessed health insurance coverage and its associated factors among women of reproductive age living in rural Ghana. Methods This study used a nationally representative data from the 2017/2018 Ghana Multiple Indicator Cluster Survey (GMICS) and included 7340 rural women aged 15–49 years. Bivariate and multivariable logistic regression models were developed to assess the association between the explanatory and the outcome variable. Statistical significance was considered at p = 0.05. Results The overall prevalence of health insurance coverage among rural women in Ghana was 51.9%. Women with secondary (aOR = 1.72, 95% CI: 1.38–2.14) and higher education (aOR = 4.57, 95% CI: 2.66–7.84) were more likely to ha...
PLOS ONE
Introduction In recent times, there has been an increasing burden in traumatic, medical, and surg... more Introduction In recent times, there has been an increasing burden in traumatic, medical, and surgical emergency conditions, placing more emphasis on the need for quality emergency care. This study aimed to explore the challenges experienced by nurses working in the emergency unit of a secondary referral hospital. Methods The study used an exploratory qualitative research design with a constructivist approach and a grounded theory method. Data were collected through in-depth interviews lasting between 30 to 45 minutes using a semi-structured interview guide. Inductive content analysis was used to analyse data. Results Eleven (11) participants were interviewed. The majority were female (9), aged between 31–40 years. From the inductive content analysis, four themes emerged. These were; 1) overcrowding in the emergency unit, 2) understaffing at the emergency unit, 3) lack of emergency equipment, 4) inadequate managerial support. Conclusion The study identified several major challenges c...
BMC Cancer
Background In low-resource settings with weak health systems, the WHO recommends clinical breast ... more Background In low-resource settings with weak health systems, the WHO recommends clinical breast examination (CBE) as the most cost-effective breast screening modality for women. Evidence shows that biennial CBE leads to significant downstaging of breast cancer in all women. Breast cancer is the second most common cancer among women in Lesotho with a weaker healthcare system and a low breast cancer screening rate. This study investigated the prevalence and factors associated with the uptake of CBE among women of reproductive age in Lesotho. Methods This study used cross-sectional data from the 2014 Lesotho Demographic and Health Survey. A sample of 6584 reproductive-age women was included in this study. We conducted both descriptive and multivariable logistic regression analyses. The study results were presented in frequencies, percentages, and adjusted odds ratios (aOR) with their corresponding confidence intervals (CIs). Results The prevalence of CBE uptake was 9.73% (95% CI: 8.91...
BMC Health Services Research
Background Globally, breast cancer is the most common cancer type and the leading cause of cancer... more Background Globally, breast cancer is the most common cancer type and the leading cause of cancer mortality among women in developing countries. A high prevalence of late breast cancer diagnosis and treatment has been reported predominantly in Low- and Middle-Income Countries (LMICs), including those in Asia. Thus, this study utilized a mixed-methods systematic review to synthesize the health system barriers influencing timely breast cancer diagnosis and treatment among women in Asian countries. Methods We systematically searched five electronic databases for studies published in English from 2012 to 2022 on health system barriers that influence timely breast cancer diagnosis and treatment among women in Asian countries. The review was conducted per the methodology for systematic reviews and reported following the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines, while health system barriers were extracted and classified based on the World Healt...
PLOS ONE
BackgroundNeonatal jaundice is a major reason babies are frequently re-admitted after hospital di... more BackgroundNeonatal jaundice is a major reason babies are frequently re-admitted after hospital discharge following delivery. One means of improving neonatal care and reducing potential mortality associated with neonatal jaundice in resource-limited settings is to create awareness among caregivers. Caregivers who tend to have higher knowledge and awareness, also have positive attitudes, and are not guided by outmoded socio-cultural beliefs and practices are more likely to seek early care and treatment for neonatal jaundice.ObjectiveThis study investigated caregivers’ knowledge, attitude and practices regarding neonatal jaundice in a tertiary health facility in the Volta region of Ghana.MethodsThis was a descriptive cross-sectional study that employed a quantitative approach for data collection. A total of 202 caregivers from the Ho Teaching Hospital in the Volta region of Ghana were sampled using a systematic random sampling strategy where quantitative data was collected using a ques...
BMJ Open
IntroductionFemale breast cancer is now the most often diagnosed cancer in the world. Breast canc... more IntroductionFemale breast cancer is now the most often diagnosed cancer in the world. Breast cancer screening aims to reduce mortalities related to cancer, and morbidity associated with advanced stages of the disease, through timely detection in asymptomatic women. This study aims to conduct a comprehensive assessment and evaluation of the evidence on the factors that influence the provision and uptake of breast cancer screening among women in sub-Saharan Africa (SSA).Methods and analysisPubMed, Web of Science, EMBASE and the Cumulative Index to Nursing and Allied Health Literature including Google Scholar will be searched to identify published studies on barriers and facilitators to breast cancer screening from January 2010 to 2021. Two reviewers will independently assess the quality of all the included studies using the Mixed Methods Appraisal Tool version 2018. We envisage that this review will adduce evidence on common barriers and facilitators to breast cancer screening in SSA....
BMC Health Services Research
Introduction Female breast cancer is currently the most commonly diagnosed cancer globally with a... more Introduction Female breast cancer is currently the most commonly diagnosed cancer globally with an estimated 2.3 million new cases in 2020. Due to its rising frequency and high mortality rate in both high- and low-income countries, breast cancer has become a global public health issue. This review sought to map literature to present evidence on knowledge of breast cancer screening and its uptake among women in Ghana. Methods Five databases (PubMed, CINAHL, PsycINFO, Web of Science, and EMBASE) were searched to identify relevant published studies between January 2012 and August 2021 on knowledge of breast cancer screening and its uptake among women. The Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) extension for scoping reviews and the six-stage model by Arksey and O’Malley were used to select and report findings. Results Of the 65 articles retrieved, 14 records were included for synthesis. The review revealed varied knowledge levels and practices of bre...
Introduction: According to statistics released by the International Agency for Research on Cancer... more Introduction: According to statistics released by the International Agency for Research on Cancer (IARC) in December 2020, female breast cancer has overtaken lung cancer as the world's most commonly diagnosed cancer. In 2012 sub-Saharan Africa recorded about 94,378 breast cancer cases and 47,583 deaths for the first time. It is estimated that by 2050 the prevalence of breast cancer cases in SSA will double. Breast cancer screening aims to reduce mortalities related to this cancer, and morbidity associated with advanced stages of the disease, through early detection in asymptomatic women. Therefore, this study aims to comprehensively review and assess evidence on barriers and facilitators to breast cancer screening among women in sub-Saharan Africa. Methods: PubMed, Web of Science, EMBASE, and the Cumulative Index to Nursing and Allied Health Literature (CINAHL) including Google scholar were searched to identify published studies on barriers and facilitators to breast cancer scre...
Heliyon, 2021
Introduction: Over the past decade, the incidence of low birth weight (LBW) in sub-Saharan Africa... more Introduction: Over the past decade, the incidence of low birth weight (LBW) in sub-Saharan Africa has not seen any decline and this is a matter of grave concern for healthcare providers, policymakers, and researchers. Therefore, this study aimed to assess the incidence of LBW and related maternal risk factors (during pregnancy or delivery) as well as neonatal outcomes. Methods: An institutional-based retrospective cross-sectional study design was employed to select 1,017 mothers who delivered in the study hospital from January to December 2017 with singleton newborn babies without congenital diseases. Data were analysed using STATA version 14.1 (StataCorp. 2015. Stata Statistical Software: Release 14. College Station, TX: Stata Corp LP). Chi-square test of independence was used to test the association between the dependent variable (LBW) and risk factors of LBW. Bivariate and multivariable unconditional logistic regression was used to determine the factors associated with LBW. Results: The incidence of LBW was 23.7%. The findings show that being married has a protective effect on LBW [AOR ¼ 0.60 (95%CI: 0.40-0.90), p ¼ 0.013] compared to single mothers. Neonates born between gestational age of 37-42 weeks had 85% lower odds of LBW [AOR ¼ 0.15, (95%CI: 0.10-0.24), p < 0.001)]. Neonates with LBW had a higher risk of low Apgar score in the first minute compared to neonates with normal birth weight [AOR ¼ 0.52 (95%CI: 0.37-0.73), p < 0.001]. Female neonates had 64% higher odds of LBW compared to their male counterparts [AOR ¼ 1.64 (95%CI: 1.19-2.24), p ¼ 0.002]. Conclusion: This study revealed a high incidence of LBW. Women's marital status (single mothers), gestational age (<37 weeks), neonatal sex (female), are independent risk factors associated with LBW, while a higher risk of an Apgar score of less than 7 in the first minute was an independent outcome of low birth weight births. The current study findings contribute to the growing literature on the influence of maternal and neonatal factors on LBW in resource-constrained settings. These findings could guide healthcare providers, hospital administrators, stakeholders, and policymakers to develop and implement appropriate clinical and public health strategies aimed at reducing LBW.
Introduction: Cervical cancer is the second most common cancer among women and approximately 500,... more Introduction: Cervical cancer is the second most common cancer among women and approximately 500,000 new cases are diagnosed yearly. It is increasingly imperative to use effective methods of early detection and initialization of treatment for cervical cancer especially among women from vulnerable poor communities through the initiation of effective health promotion interventions. This study will coalesce the sporadic, and uncoordinated interventions that have been used by researchers to give a single unit that describes and assess the most effective means of health promotion interventions. Methods: The PRISMA Extension for Scoping Reviews (PRISMA-ScR) and Joanna Briggs Institute (JBI) scoping review methodology will be used to guide the reporting of this scoping review. The three-step search strategy for scoping reviews will be adopted to electronically search databases such as PubMed, Cumulative Index to Nursing and Allied Health Literature (CINAHL via EBSCOhost), Web of Science, a...
Introduction: According to statistics released by the International Agency for Research on Cancer... more Introduction: According to statistics released by the International Agency for Research on Cancer (IARC) in December 2020, female breast cancer (BC) has overtaken lung cancer as the world's most commonly diagnosed cancer. It is estimated that by 2050 the prevalence rate of breast cancer in SSA will double. Breast cancer screening aims to reduce mortalities related to cancer, and morbidity associated with advanced stages of the disease, through early detection in asymptomatic women. This study aims to review and analyze empirical and grey literature on barriers and facilitators to breast cancer screening among women in SSA.Methods: PubMed, Web of Science, EMBASE, and the Cumulative Index to Nursing and Allied Health Literature (CINAHL) including Google scholar will be searched to identify published studies on barriers and facilitators to breast cancer screening from January 2010 to 2021. Two reviewers independently assessed the quality of all the included studies using the Mixed ...
Journal of Caring Sciences, 2017
Labor and delivery process is an exciting, anxiety-provoking, but rewarding time for a woman and ... more Labor and delivery process is an exciting, anxiety-provoking, but rewarding time for a woman and her family after successful delivery of a newborn. The intrapartum period is the time where mothers expect more care. Taking care of a mother through delivery with no side effects is the task of a professional midwife who is trained with the skill to take the responsibility of caring for mothers and babies. Therefore, the aim of this study was to explore mother's experiences regarding quality of intrapartum nursing/midwifery care. Methods: Focused ethnographic study was employed. Data were collected from May to June 2016 TTH, Ghana using semi structured interview guide. Purposive sampling was employed to recruit 20 participants. Eight individual interviews were conducted in the post natal ward after 48 hours of delivery, followed by three focus group discussions two weeks after delivery when mothers visited post natal clinic. Interviews lasted for about 30-45 minutes during each session. Data were analyzed using thematic analysis. Results: The average age of women were 29 years with ranging from 19-43 years. Participants' experiences of nursing/midwifery care during birth were influenced by reception and respect, provision of information, technical skill, providers' behavior, pain management and availability of nurses/midwives. Conclusion: The study findings have revealed that women's experience of care is affected by a wide range of determinants. Therefore, maternal health programs and policies in Ghana must take into account women's perspective on the care they need and their feedback on services they receive. Nursing education should re-enforce communication/relational skills.
IOSR Journal of Nursing and Health Science, 2017
Triage is an essential function of staff in Emergency Department. The triage nurse is typically t... more Triage is an essential function of staff in Emergency Department. The triage nurse is typically the first person a patient encounter when presenting for emergency care in the Emergency Department. Nurses' knowledge about triage is a key in triage decision making. Effective decision making can influence the health outcomes of presenting patients. The study aimed to assess the perceptions and knowledge of triage of nurses working in the Emergency Departments of hospitals in the Tamale Metropolis, Ghana. A quantitative descriptive cross-sectional study was conducted in the Emergency Department of hospitals in the Tamale metropolis. A sample of 65 nurses were selected from the Emergency Department of the three hospitals by using non-probability purposive sampling method.Data were collected by a self-administered questionnaire and analyzed using SPSS version IBM-21 Results were analyzed by descriptive statistics and were represented in the form of tables, and figures. Out of the sixty-five (65) participants, 37(56.9%) were males Majority of the nurses 70.8% were of 21-30 years of age. Minimum age was 21years and maximum age was 41years. The study revealed that 62.6% of the respondents were knowledgeable about triage by correctly answering more than 50% of the questions, in the self-administered questionnaires. Majority of nurses (96%) in the Emergency Departments of the various hospitals had a very good perception about the importance of triage to the patient, care provider and the country at large.Current findings showed that as the nurses had increased years of working experience their triage knowledge level also improved. The current study findings revealed a little above average percent score (62.6%) about triage knowledge among nurses. To improve on this, workshops/inservice training should be carried out, followed by continuous professional development on a regular basis for nurses in the Emergency Departments.
Background: Studies have shown that health behaviour is a function of socio-demographic variables... more Background: Studies have shown that health behaviour is a function of socio-demographic variables. This paper examines the effect of some socio-demographic characteristics on health seeking by the use of divination. It explores the statistical correlations between these characteristics and the resort to divination through soothsayers to seek healthcare. Methods: A questionnaire was used to obtain data form 384 adults aged between 18- 60+ years. Data collected included the socio-demographic characteristics of respondents as well as their responses as to whether or not they resort to divination in an attempt to solve health problems they encounter. Analysis was done using descriptive statistics with the aid of frequencies and cross-tabulations. Chi-square analysis was used to determine the association between each of the socio-demographic factors and the dependent variable (whether or not they use divination in health seeking). Logistic regression was then used to estimate the effects...
SAGE Open
Birth preparedness and complication readiness (BPCR) involves preparing for childbirth, bearing i... more Birth preparedness and complication readiness (BPCR) involves preparing for childbirth, bearing in mind the possible complications. The concept of BPCR has the potential to improve the awareness and utilization of suitable medical facilities to ensure safe delivery and minimize maternal and neonatal mortality. The purpose of the study was to explore pregnant women’s perspectives on the benefits and barriers of BPCR in the Northern Ghana. The study employed an exploratory descriptive design using a qualitative approach. Purposive sampling was used to recruit 13 participants. Data was collected through individual face-to-face interviews. The data was analyzed using qualitative content analysis. Out of the 13 participants, the age range for participants was 17 to 37 years; more than half were married, but less than half had no formal education. The participants indicated their understanding of BPCR by explaining the concept of BPCR, dangers signs, and prevention of danger signs. A vari...
Additional file 1. Test for internal consistency of CLES + T (Cronbach's alpha).
Introduction: Unwanted pregnancy and unsafe abortion have become serious public health concerns a... more Introduction: Unwanted pregnancy and unsafe abortion have become serious public health concerns around the world, particularly among female students in both developed and developing countries. The general objective of this study was to investigate the utilization of emergency contraception among final-year female students of a public university in Ghana. Methods A stratified random sample was used to enroll 199 female university students for descriptive cross-sectional research. SPSS version 25 was used to analyze the data. To compare categorical variables, Chi-square analysis was employed, and a p-value of 0.05 was considered statistically significant. Results Majority (88.4%) of the respondents demonstrated sufficient knowledge, and 84.4% had a favorable attitude towards emergency contraceptives (ECs). On the indications for EC; after unprotected sex (65.3%), after a missed period (22.6%), when one is raped (83.4%), unwanted pregnancy (75.9%), and rupture of condoms (88.9%) were i...
Journal of Medical and Biomedical Sciences, 2016
Obesity and hypertension are emerging problems in the Tamale metropolis in the northern region of... more Obesity and hypertension are emerging problems in the Tamale metropolis in the northern region of Ghana. This study investigated the prevalence of obesity and hypertension among market men and women in the Tamale Metropolis. This is from a viewpoint of the market place, being an occupational environment that predisposes individual to obesity, mainly due to sedentary living and enhanced access to all sorts of food. A total of 220 market men and women were contacted. 15 individuals refused to take part in the study and 5 returned incomplete questionnaires, leaving 200 complete and evaluable respondents comprising 100 men and 100 women. The study population was selected randomly from four major markets (Lamashegu market, Aboabo market, Tamale central market and Kukuo market) in the city. Obesity was measured using the various anthropometric parameters (BMI, WHR, WC and %BF) and blood pressure was measured. The prevalence of hypertension was 3% while the prevalence of obesity was 25.0%,...
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Papers by Vida Nyagre Yakong