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Publications
Publications (18)
Background
Women’s decision to access medication abortion (MA) in clinics or pharmacies may be shaped by several factors, but is an area that has not been adequately researched. Little is also known about the primary predictors of choice of MA provider.
Objectives
Our study examined the factors associated with choice of MA provider and identified...
Background
Medication abortion (MA) may be accessed covertly in private pharmacies and clinics due to abortion-related stigma. Stigmatization may lead to information asymmetry, resulting in price discrimination. The existing literature on abortion in Ghana has primarily focused on factors associated with abortion stigma. However, the potential vari...
Motivation
Despite increases in school enrolment, the world is facing a global learning crisis that suggests a trade‐off between the quantity and quality of education.
Purpose
This case study from Ghana examines whether there has been a long‐term change in educational outcomes, measured by population literacy and numeracy rates, in the decades fol...
Background
This study examines the likelihood of contraceptive use among married women in sub-Saharan Africa, focusing on the influence of spousal age difference.
Methods
Binary logistic regressions predicting contraceptive use were estimated using a sample of 478,193 women in first union from 29 sub-Saharan African countries spanning two decades...
Informal fostering arrangements can relieve pressure on parents and promote social mobility for children from poor households in sub-Saharan Africa. However, the motivation of host households to invest in fostered children would determine the extent of the benefits. This study uses Multiple Indicator Cluster Survey (MICS) data on children 6–12 year...
Background
Contraceptive use dynamics continue to be of priority in sub-Saharan Africa because of persistently high levels of fertility. This paper focuses on the use of barrier versus non-barrier contraceptive use in sub-Saharan Africa hypothesizing that the HIV pandemic in the region would be responsible for increases in the use of barrier method...
Background: Strengthening healthcare systems is a practical approach to enhance healthcare delivery and services. Although there has been a rise in the number of health systems strengthening (HSS) interventions in sub-Saharan Africa (SSA), there is limited evidence on the causal effect of these activities on child survival. Furthermore, the finding...
Background
Health care systems in low and middle-income countries are decentralizing and devolving power to the periphery. Transferring power without systematic processes to develop and nurture leaders at the district compromises the effectiveness and sustainability of the decentralized health system. To address this problem, we developed an approa...
Sub-Saharan African countries have made remarkable strides in closing the gender gap in primary enrolment and more girls than ever are attending school. With the existing gender differentials in youth literacy rates, an important question is whether they are learning as well as their male classmates. This article explored factors that contribute to...
We examined factors that either enabled or inhibited the process of evidence-based decision making regarding health policy in Ghana. We conducted qualitative interviews with 2 major groups of stakeholders: health policy and systems research producers (research producers [RPs]) and policy makers (PMs). In-depth interviews were conducted with 12 RPs,...
Introduction:
Health systems are complex. Policies targeted at health system development may be informed by health policy and systems research (HPSR). This study assesses HPSR capacity to generate evidence and inform policy in Ethiopia and Ghana.
Methods:
We used a mixed-methods approach including a self-administered survey at selected HPSR inst...
Patterns of assortative mating are informative because they reflect the strength of social boundaries across groups. Ethnic homogamy is particularly important as it provides a useful measure of social cohesion in multi-ethnic societies. This paper investigates the patterns of interethnic marriage in Ghana using the census data of the 2000 and 2010...
Background: The United Nations 2030 Sustainable Development Goals have reaffirmed the international community’s commitment to maternal, newborn, and child health, with further investments in achieving quality essential service coverage and financial protection for all.
Objective: Using a modified version of the 1978 Tanahashi model as an analytical...
Background:
The completion of an implementation research project typically signals the end of research. In contrast, the Ghana Health Service has embraced a continuous process of evidence-based programming, wherein each research episode is followed by action and a new program of research that monitors and guides the utilization of lessons learned....
Existing cross-national research on educational attainment does not fully address whether the same level of educational attainment
generates the same level of literacy skills in different countries. We analyze literacy skills data for young adults from
19 countries in the 1994–1998 International Adult Literacy Survey and find that in all countries,...
Our comparison of performance gaps in mathematics between native and immigrant students across 18 countries shows considerable cross-national variation in the size of performance differences between native and immigrant students. We hypothesize that countries with higher levels of school segregation by family socioeconomic status (SES) and immigran...
Using data of literacy skills among adults aged 26 to 35 from the International Adult Literacy Survey, we compare the degree of literacy gaps between those who completed tertiary education and those who did not graduate from high schools across 19 countries. The result of ordinary least square regression shows that although those with a higher leve...
