AAMUSTED Knowledge Manager

Welcome to the AAMUSTED Knowledge Manager (Institutional Repository), an open access digital archive of scholarly intellectual and research outputs of AAMUSTED. The Knowledge Manager contains and preserves: Theses and Dissertations; Research Articles and Conference Papers; Rare and Special Materials and many other Digital Assets of the University.

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    Item type: Item , Access status: Open Access ,
    Malaria Epidemiology and Dynamics in the Mampong Municipality of Ghana, (2015-2023).
    (YEBOAH, Owusu Enoch, 2025-05) YEBOAH, Owusu Enoch
    This study examined malaria trends using data from health facilities in the Asante Mampong Municipality of the Ashanti Region, assessing different age groups, genders, and geographical clusters (rural, peri-urban, urban) settings. A retrospective crosssectional study was employed to analyze the disease trends, patterns, and dynamics in incidence and prevalence and the implications for future malaria control and elimination planning from 2015 to 2023. Results showed that malaria prevalence cumulatively stood at 15.38% and exhibited significant year-on-year increases, with children under five and those aged 5-14 being the most affected groups (29.67% and 32.77%), respectively, far above the national prevalence (8.36%). Malaria prevalence peaked in 2020 (19.73%), with a significant reduction in 2021 (15.70%) and 2022 (14.88%), spiking in 2023 (17.15%). Geographical cluster analysis revealed substantial differences in malaria risk, with towns in the Ejura Cluster (Rural) having the highest relative risk (RR = 10.99), followed by the Kofiase Cluster (Peri-urban) (RR = 5.93) and the Jamasi Cluster (Periurban) (RR = 4.22), compared to Mampong Town (Urban) (RR = 1.00), the reference cluster. Gender disparities were also significant, with females showing slightly higher incidence (55.93%) but lower prevalence (12.77%) compared to (20.76%) for males. Seasonal variation analysis indicated higher malaria prevalence during the rainy season April-July). The findings also revealed a strong association between climate and vegetative factors, topography and human activities, and malaria transmission. A forecast analysis showed a continued upward trend in malaria cases if the current intervention strategies remain unchanged. The model projected an increase in prevalence from 2024 through 2026, estimating values of approximately 18.7%, 19.4%, and 20.1% for these years, respectively. Therefore, enhanced tailored community-based intervention strategies should be deployed to improve access to healthcare, environmental management and vector control initiatives, and targeted interventions for high-risk groups. These findings provide essential data to guide future regional malaria control efforts.
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    Psycho-Social Factors Contributing to Safety Practices at Anglogold Ashanti Iduapriem Gold Mine Ghana Limited, Tarkwa.
    (SADARI, Peter, 2025-09) SADARI, Peter
    Mining continues to play a vital role in Ghana’s economy, but is also associated with high levels of occupational hazards and safety risks. At AngloGold Ashanti's Iduapriem Limited (AAIL) Gold Mine in Tarkwa, significant investments have been made in safety infrastructure and training; however, psychosocial factors influencing workers’ adherence to safety protocols remain underexplored. This study, therefore, examined the psychological and sociological factors that contribute to safety practices among mine workers, while also assessing socio-demographic associations, levels of adherence, coping mechanisms, and workplace support systems. A cross-sectional, quantitative survey design was employed, involving 342 participants selected from a workforce of 1,420. Structured questionnaires were administered, and data were analysed using descriptive statistics, chi-square tests, and logistic regression. The psychosocial assessment revealed variations across the observed variables. Notably, role clarity (mean=80.79), job satisfaction (mean=76.63) quality of work (mean=83.99,) and leadership (mean=76.44) were high. Also, 73.7% demonstrated good safety practices, while 26.3% showed poor adherence to safety practices. Age, education level, experience, department and job role were all associated with safety practice (p < 0.05). Psychological stress, job dissatisfaction, and job insecurity significantly undermined adherence to safety practices, while job satisfaction and role clarity improved compliance. Sociological factors, including supportive leadership, peer and supervisory support, and effective communication, were positively associated with safety behaviours. Coping mechanisms and workplace support systems moderated the impact of psychosocial stressors, enhancing resilience. Psychological and sociological factors substantially influence safety practices at AAIL gold mine. Strengthening psychosocial risk management, supportive leadership, and organizational support systems is crucial for enhancing occupational health and safety.
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    Perspective of Employees' Compliance with Electronic Medical Records Privacy Policy in Ashanti Region.
    (OFOSU, Simms, 2025-12) OFOSU, Simms
    Electronic Medical Records (EMRs) are increasingly utilized in Ghana to improve healthcare delivery. However, compliance with privacy policies remains a critical concern, particularly in resource-constrained settings such as the Ashanti Region. Understanding perspective of employees' compliance with electronic medical records privacy policy is essential for strengthening patient data protection. To assess healthcare employees’ perspective of employees' compliance with electronic medical records privacy policy in selected public hospitals in the Ashanti Region of Ghana. A cross-sectional survey was conducted among 269 healthcare professionals, proportionally sampled from Mampong, Agona, and Ejura Government Hospitals. Participants included medical officers, nurses, records officers, IT staff, and administrators. Data were collected using structured questionnaires and analyzed with descriptive statistics, Fisher’s t-test for awareness, and weighted average index models for compliance and influencing factors. Mean awareness scores differed significantly between clinical and non-clinical staff (t = 3.41, p = 0.001). The Weighted Average Index indicated moderate overall compliance (0.56), with higher scores among staff who had received prior training (WAI = 0.63 vs. 0.48, p < 0.05). Logistic regression identified training exposure (AOR = 2.84, 95% CI: 1.62–4.96), leadership support (AOR = 1.91, 95% CI: 1.15–3.18), and system usability (AOR = 2.07, 95% CI: 1.22–3.51) as significant predictors of compliance. Challenges of EMR privacy policy included inadequate training (47.3%), limited resources (42.6%), outdated EMR systems (38.5%), and high workload (35.1%). Improving EMR privacy compliance in Ghana depends on focused staff training, clear and simple policies, adequate resources, and upgraded technology to protect patient data and strengthen institutional trust.
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    Concordant Comorbidities in Diabetes: Prevalence, Determinants, and Distribution Patterns among Patients Attending the Ashanti Mampong Municipal Government Hospital.
    (OBIRI-YEBOAH, Daniel, 2025-11) OBIRI-YEBOAH, Daniel
    Nowadays diabetic comorbidities constitute a major public health problem in Ghanaian context. However, there is a dearth of evidence in epidemiology and determinants of diabetic comorbidity in Ghana, particularly in the study setting. Therefore, this study was conducted to estimate the prevalence, examine the determinants associated and assess the socio-demographic predictors of concordant comorbidities among diabetes patients attending the Ashanti Mampong Government Hospital. A hospital-based cross-sectional study was conducted, with a total of 430 diabetic patients were selected using the simple random sampling without replacement (SRSWOR) technique. Bivariable and multivariable logistic regression analysis were carried out using Stata version 19 (StateCorp LLC, College Station, TX, USA). Descriptive and inferential statistics were employed in the data in analysis. To measure the strength of association and Adjusted Odds Ratio (AOR) with 95% Confidence Interval (CI) was used. Moreover, variables with p-value ≤ 0.05 were considered as statistically significant with the outcome variable. In this study, it is found that the overall prevalence of concordant comorbidity among adult diabetic out-patients was 84.0% (95% CI: 80.2 – 87.3). Moreover, more than two-third of patients, 96.9% were diagnosed for type two diabetic mellitus (T2DM). Age ≥ 55 years (AOR = 7.61; 95% CI: 2.14 – 10.71; p = 0.034), female (AOR = 3.89; 95% CI: 1.92 – 5.10; p = 0.028), T2DM (AOR = 2.38, 95% CI: 1.57–3.59, p = 0.000), ≥5 years duration of treatments (AOR = 9.04, 95% CI: 2.02–12.88, p = 0.036), and poor glycaemic control (AOR = 1.31, 95% CI: 1.02–2.67, p = 0.000) were factors significantly associated with concordant diabetic comorbidity. The findings underscore the importance of early detection and timely, appropriate management of diabetic comorbidities to improve patients’ quality of life and overall functional status.
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    The Epidemiological Trend of Schistosomiasis in the Oforikrom Municipality of the Ashanti Region of Ghana.
    (OSEI, Thompson, 2025-10) OSEI, Thompson
    Schistosomiasis, a debilitating parasitic disease, poses significant public health concerns worldwide, particularly in Sub-Saharan Africa. Ghana, one of the endemic countries, continues to report recurring outbreaks. This study investigated the trends and prevalence of schistosomiasis to inform targeted interventions in the Oforikrom Municipality of the Ashanti Region of Ghana. A retrospective design was adopted, focusing on trend analysis to examine the prevalence and patterns of schistosomiasis. Stratified random sampling and purposive sampling were employed to select participants. The study targeted male and female individuals of all ages diagnosed with schistosomiasis who sought treatment between 2014 and 2023 at selected hospitals within Oforikrom Municipality. Data were analysed using Statistical Package for the Social Sciences (SPSS) version 20. A total of 620 confirmed cases were recorded, representing a prevalence of 15.82%, Kwame Nkrumah University of Science and Technology Hospital (18.08%) and Aninwa Hospital (17.37%) reported higher prevalence rates than Graceland Hospital (11.62%). A significant difference was observed among the three hospitals (p = 0.006, 95% CI: 6.89–24.49). The results also showed a slight female predominance (51.13%) compared with males (48.87%). Cases were distributed across facilities as follows: University Hospital, KNUST (35.00%), Aninwa Medical Centre (42.42%), and Graceland Hospital (22.58%). The highest number of cases occurred among individuals aged 21–30 years (189 cases, 30%), while the lowest was among those aged 61–70 years (15 cases, 3.1%). University Hospital recorded the most cases in the 11–20 years age group, while Aninwa and Graceland Hospitals reported the highest cases in the 21–30 years age group. The study recommends that public health authorities implement targeted health education initiatives, particularly for older individuals, focusing on specific risk factors such as occupational exposure to contaminated water sources.