Dataset Information

Barriers and facilitators of weight management: Perspectives of the urban poor in Accra, Ghana.

ABSTRACT:

Background

Obesity is rising in sub-Saharan Africa and globally, and is a highly significant public health problem that needs urgent attention. To reduce the obesity prevalence levels and associated challenges, public health interventions highlight healthy eating and increased physical activity, which are key elements for weight management.

Aim

This study explored perceived factors that hinder or facilitate weight management in an urban poor context in Accra, Ghana.

Methods

A cross-sectional qualitative data was obtained from eight focus group discussions (FGDs) conducted among community members. The FGDs were audio recorded, transcribed, and analysed using thematic analysis.

Results

The findings indicate that weight management is mainly inhibited by the perception that healthy foods are expensive and not satisfying, laziness, lack of time to engage in physical activity, and social representation of being fat or slim. On the contrary, personal decision to manage weight and social support facilitated engagement in weight management.

Conclusion

The findings indicate that weight management is influenced by individual, community, and structural factors. These findings have programmatic implications in terms of health education strategies and messaging.

SUBMITTER: Afrifa-Anane GF

PROVIDER: S-EPMC9359579 | biostudies-literature | 2022

REPOSITORIES: biostudies-literature

ACCESS DATA

Publications

Barriers and facilitators of weight management: Perspectives of the urban poor in Accra, Ghana.

Afrifa-Anane Grace Frempong GF Badasu Delali Margaret DM Codjoe Samuel Nii Ardey SNA Anarfi John Kwasi JK

PloS one 20220808 8

<h4>Background</h4>Obesity is rising in sub-Saharan Africa and globally, and is a highly significant public health problem that needs urgent attention. To reduce the obesity prevalence levels and associated challenges, public health interventions highlight healthy eating and increased physical activity, which are key elements for weight management.<h4>Aim</h4>This study explored perceived factors that hinder or facilitate weight management in an urban poor context in Accra, Ghana.<h4>Methods</h4 ...[more]

PMID: 35939441

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Project description:BackgroundMental health disorders present significant health challenges in populations in sub Saharan Africa especially in deprived urban poor contexts. Some studies have suggested that in collectivistic societies such as most African societies people can draw on social capital to attenuate the effect of community stressors on their mental health. Global studies suggest the effect of social capital on mental disorders such as psychological distress is mixed, and emerging studies on the psychosocial characteristics of collectivistic societies suggest that mistrust and suspicion sometimes deprive people of the benefit of social capital. In this study, we argue that trust which is often measured as a component of social capital has a more direct effect on reducing community stressors in such deprived communities.MethodsData from the Urban Health and Poverty Survey (EDULINK Wave III) survey were used. The survey was conducted in 2013 in three urban poor communities in Accra: Agbogbloshie, James Town and Ussher Town. Psychological distress was measured with a symptomatic wellbeing scale. Participants' perceptions of their neighbours' willingness to trust, protect and assist others was used to measure community sense of trust. Participants' willingness to ask for and receive help from neighbours was used to measure personal sense of trust. Demographic factors were controlled for. The data were analyzed using descriptive and multivariate regressions.ResultsThe mean level of psychological distress among the residents was 25.5 (SD 5.5). Personal sense of trust was 8.2 (SD 2.0), and that of community sense of trust was 7.5 (SD 2.8). While community level trust was not significant, personal sense of trust significantly reduced psychological distress (B = -.2016728, t = -2.59, p < 0.010). The other factors associated with psychological distress in this model were perceived economic standing, education and locality of residence.ConclusionThis study presents evidence that more trusting individuals are significantly less likely to be psychologically distressed within deprived urban communities in Accra. Positive intra and inter individual level variables such as personal level trust and perceived relative economic standing significantly attenuated the effect of psychological distress in communities with high level neighbourhood disorder in Accra.

Project description:BackgroundThe tuberculosis (TB) and diabetes mellitus (DM) co-epidemic continues to increase globally. Low-and middle-income countries bear the highest burden of co-epidemic, and Ghana is no exception. In 2011, the World Health Organisation (WHO) responded to this global challenge by launching a collaborative framework with a view to guide countries in implementing their DM and TB care, prevention and control plans. Subsequently, several countries, including Ghana, adopted this framework and began implementing bidirectional screening of TB and DM patients. Almost a decade later since the launch of the framework, the implementation of bidirectional screening in Ghana has not been subjected to empirical research. This study explored the barriers and facilitators to bidirectional screening through the lenses of the implementing healthcare workers.MethodsThis was an exploratory qualitative study conducted in three public health facilities offering both TB and DM services in Northern Ghana. In-depth interviews, document review and observations, were used to generate data. In total twenty-three healthcare workers (doctors, nurses, prescriber, health managers and TB task- shifting officers delivering care in TB and DM clinics) were interviewed, using semi-structured interview guides. The interview questions solicited information on the screening process, including knowledge of the collaborative framework, comorbidity, collaboration and workload.ResultsSix themes emerged from the analysis, of which two (Increase in staff capacity, and Institutionalisation of bidirectional screening) were facilitators, and four (Delays in screening, Fear and stigmatization of TB, Poor collaboration between TB and DM units, and Skewed funding for screening) were barriers.ConclusionsThe implementation of bidirectional screening at public health facilities in Ghana was evident in this study and increased staff capacity, funding and institutionalisation enhanced the policy implementation process. However, the screening of TB patients for DM is yet to be prioritised, and emphasis should be put on the design for cost-effective screening approaches for low- and middle-income countries.

Project description:Urban air quality management is dependent on the availability of local air pollution data. In many major urban centers of Africa, there is limited to nonexistent information on air quality. This is gradually changing in part due to the increasing use of micro air sensors, which have the potential to enable the generation of ground-based air quality data at fine scales for understanding local emission trends. Regional literature on the application of high-resolution data for emission source identification in this region is limited. In this study a micro air sensor was colocated at the Physics Department, University of Ghana, with a reference grade instrument to evaluate its performance for estimating PM2.5 pollution accurately at fine scales and the value of these data in identification of local sources and their behavior over time. For this study, 15 weeks of data at hourly resolution with approximately 2500 data pairs were generated and analyzed (June 1, 2023, to September 15, 2023). For this time period a coefficient of determination (r 2) of 0.83 was generated with a mean absolute error (MAE) of 5.44 μg m-3 between the pre local calibration micro air sensor (i.e., out of the box) and the reference-grade instrument. Following currently accepted best practice methods (see, e.g., PAS4023) a domain specific (i.e., local) calibration factor was generated using a multilinear regression model, and when this factor is applied to the micro air sensor data, a reduction, i.e. improvement, in MAE to 1.43 μg m-3 was found. Daily variation was calculated, a receptor model was applied, and time series plots as a function of wind direction were generated, including PM2.5/PM10 ratio scatter and count plots, to explore the utility of this observational approach for local source identification. The 3 data sets were compared (out of the box, domain calibrated, and reference-grade) and it was found that although there were variations in the data reported, source areas highlighted based on these data were similar, with input from local sources such as traffic emissions and biomass burning. As the temporal resolution of observational data associated with these micro air sensors is higher than for reference grade instruments (primarily due to costs and logistics limitations), they have the potential to provide insight into the complex, often hyperlocalized sources associated with urban areas, such as those found in major African cities.

Dataset Information

Barriers and facilitators of weight management: Perspectives of the urban poor in Accra, Ghana.

Background

Aim

Methods

Results

Conclusion

Publications

Barriers and facilitators of weight management: Perspectives of the urban poor in Accra, Ghana.

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