Sheila Agyeiwaa Owusu

Sheila Agyeiwaa Owusu
Tamale Teaching Hospital · Department of pediatrics

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39
Publications
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318
Citations

Publications

Publications (39)
Article
Full-text available
To date, the history of colonialism has permeated nearly every aspect of our conceptions, structures, and practices of global health; yet, there are no published medical school curricula aimed at promoting decoloniality in global health. We developed a pilot course for medical students to examine the history of colonialism, power, and positionality...
Conference Paper
Background Childhood tuberculosis (TB) accounts for 12% of the 10.6 million incident cases of TB globally, and 16% of all TB-related mortality. The majority of childhood TB cases and deaths occur in TB-endemic countries where difficulties with confirming TB diagnosis with conventional sputum-based approaches contribute to poor outcomes. We present...
Preprint
Full-text available
Background The spectrum of Juvenile Idiopathic Arthritis (JIA) in Africa is still largely unknown. We thus set out to describe the clinical-epidemiological profile of Juvenile Idiopathic Arthritis across the various regions in Africa. Methods We carried out a retrospective observational cohort study where collaborators were trained on use of the e...
Article
Objectives Empyema and parapneumonic effusions (PPEs) are common complications of community-acquired pneumonia in children. Both contribute to prolonged hospital stay, increased morbidity, and less frequent mortality. This study aimed to describe the demographics, immunization status, clinical profile, etiology, and outcomes in children admitted wi...
Article
Background Childhood mortality in sub-Saharan Africa still remains high despite a reduction in global trends. Although several strategies have been instituted to help reduce this, the progress is slow which can affect the achievement of the Sustainable Development Goal 3 (SDG). Majority of these deaths occur within the first twenty-four hours of ad...
Article
Background Sickle cell disease (SCD) is a significant public health concern in Ghana, with reported birth prevalence as high as 2% in the general population. Newborn screening (NBS) is crucial for early diagnosis and prompt management of the disease, which can significantly improve health outcomes for affected children and avoid early deaths. Howev...
Article
Full-text available
Ghanaians with perinatally acquired human immunodeficiency virus (HIV) infection now live into adulthood. It is known that adolescents and young adults living with HIV have a high risk of mental health comorbidity. Despite increasing global attention on HIV-mental health interactions, the field remains understudied in Ghana, with an attendant lack...
Article
Full-text available
Background Computer-aided detection (CAD) systems hold promise for improving tuberculosis (TB) detection on digital chest radiographs. However, data on their performance in exclusively paediatric populations are scarce. Methods We conducted a retrospective diagnostic accuracy study evaluating the performance of CAD4TBv7 (Computer-Aided Detection f...
Article
Over the last several decades, successful interventions in the health of newborns, infants, and children mean more children survive to become adolescents. There has been a global demand to improve health and care delivery for the adolescent population, guided by the United Nation’s Sustainable Development Goals by 2030. However, with this deadline...
Article
Full-text available
Background The spectrum of Juvenile Idiopathic Arthritis (JIA) in Africa is still largely unknown. We thus set out to illustrate how we set up the PAFLAR JIA registry and describe the clinical profile of Juvenile Idiopathic Arthritis across various regions in Africa. Methods We carried out a retrospective observational cohort study where collabora...
Article
Full-text available
Neonatal hypothermia, defined as an axillary temperature of <36.5C in a neonate, is common in neonatal intensive care units and is almost universal across all geographic and climatic regions of the world. This is even though environmental temperature is a known risk factor for its occurrence. We conducted a retrospective study in the Neonatal Inten...
Article
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Background Although post‐tuberculosis lung disease (PTLD) is a known consequence of pulmonary tuberculosis (pTB), few studies have reported the prevalence and spectrum of PTLD in children and adolescents. Methods Children and adolescent (≤19 years) survivors of pTB in the Western Regions of The Gambia underwent a respiratory symptom screening, che...
Article
Full-text available
Intussusception is a common pediatric surgical emergency that results from the introversion of one loop of bowel into another. It is common in children between 3 months and 3 years. Recurrence of intussusception is said to be common in non-operative reduction and negligible after operative reduction. In this case report, we aim to discuss a case of...
Article
Full-text available
Members of the COVIDSurg Collaborative are co-authors of this study and are listed under the heading Collaborators. For details of role see Appendix S1. Dear Editor During the COVID-19 pandemic, multiple theories were proposed based on the observation that countries with an ongoing national Bacillus Calmette-Gué rin (BCG) immunization programme had...
Article
Background Although there has been a decrease in mother to child transmission (MTCT) of HIV, new pediatric infections still occur especially during the postnatal period. Prevention of vertical transmission is a key strategy in reducing the incidence which is 15-30% during pregnancy and delivery and 5-20% during breastfeeding. Early infant diagnosis...
Article
Background Parapneumonic effusions (PPE) and Empyema are serious complications of pneumonia in children that are associated with higher morbidity and prolonged hospital stay. The introduction of the pneumococcal conjugate vaccines (PCV 13) have led to a reported decline in the episodes of complicated pneumonia in children. The organisms commonly as...
Article
Background Pediatric heart diseases (PHDs), comprising congenital heart diseases (CHDs) and acquired heart diseases (AHDs) are significant contributors to non-communicable diseases in children. CHDs alone occur in 0.8-1.0% live births globally. Data on echocardiogram diagnosed PHDs in Ghana however is lacking. We set out to describe the echocardiog...
Article
Full-text available
Background Undernutrition is associated with forty-five percent of all deaths in children under-five years. Irrespective of the type of heart disease (HD), malnutrition remains a constant phenomenon in children with both congenital and acquired HD. To minimize the long-term effect of malnutrition in a cohort of patient who have very limited chance...
Article
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Background: Malnutrition is a major underlying factor in under-five mortality and morbidity. Early detection and management are key in preventing the associated complications. However, the nutritional status of children is not frequently assessed at outpatient clinics. Objective: This study aimed to determine the degree of wasting and underweight a...
Article
Full-text available
There is little evidence around the potentially protective role of previous Bacillus Calmette-Guerin (BCG) vaccination on postoperative mortality in patients with perioperative SARS-CoV-2 vaccination. Prior BCG vaccination did not protect SARS-CoV-2 infected patients against postoperative pulmonary complications and 30-day mortality.
Article
Full-text available
Objective: The aim of this study was to determine the burden, outcomes and factors associated with outcomes of birth asphyxia among sick neonates admitted to the Neonatal Intensive Care Unit (NICU) of the Tamale Teaching Hospital (TTH). Patients and Methods: A retrospective descriptive study design was used. Subjects included all neonates admitted...
Article
Full-text available
Purpose To describe the epidemiology and referral patterns of gastroschisis patients in northern Ghana. Methods A hospital-based retrospective review was undertaken at Tamale Teaching Hospital (TTH) Neonatal Intensive Care Unit (NICU) between 2014 and 2019. Data from gastroschisis patients were compared to patients with other surgical diagnoses. D...
Article
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Background: Congenital anomalies are the fifth leading cause of mortality in children younger than 5 years globally. Many gastrointestinal congenital anomalies are fatal without timely access to neonatal surgical care, but few studies have been done on these conditions in low-income and middle-income countries (LMICs). We compared outcomes of the s...
Article
Full-text available
Background: Congenital anomalies are the 5th leading cause of mortality in children younger than 5 years globally. Many gastrointestinal congenital anomalies are fatal without timely access to neonatal surgical care, but few studies have been done on these conditions in low-income and middle-income countries (LMICs). We compared outcomes of the sev...
Article
Full-text available
The emergence of COVID-19 by a novel severe acute respiratory syndrome coronavirus (SARS-CoV-2) in 2019 has seen evolving data reporting infrequent infection in children and mostly mild disease for children who contract the infection. A severe form of COVID-19 in children recently reported in Europe and North America describes a multisystem inflamm...
Article
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Background Ageing into adulthood is challenging at baseline, and doing so with a chronic disease can add increased stress and vulnerability. Worldwide, a substantial care gap exists as children transition from care in a paediatric to adult setting. There is no current consensus on safe and equitable healthcare transition (HCT) for patients with chr...
Article
Full-text available
Neonatal deaths now account for more than two-thirds of all deaths in the first year of life and for about half of all deaths in children under-five years. Sub-Saharan Africa accounts up to 41% of the total burden of neonatal deaths worldwide. Our study aims to describe causes of neonatal mortality and to evaluate predictors of timing of neonatal d...
Article
Full-text available
Background: Preterm birth and complications are now the leading cause of death in children under 5 years globally. In Ghana, studies assessing the survival rate of preterm babies and associated factors in Neonatal Intensive Care Units (NICU) are limited. Therefore, this study was designed to assess the survival rate and associated factors in this...
Article
Full-text available
Background Congenital anomalies have risen to become the fifth leading cause of under-five mortality globally. The majority of deaths and disability occur in low- and middle-income countries including Ghana. This 3-year retrospective review aimed to define, for the first time, the characteristics and outcomes of neonatal surgical conditions in nort...
Article
Full-text available
Introduction: Congenital anomalies are the 5th leading cause of death in children under 5-years of age globally, contributing an estimated half a million deaths per year. Very limited literature exists from low- and middle-income countries (LMICs) where most of these deaths occur. The Global PaedSurg Research Collaboration aims to undertake the fir...
Article
Full-text available
Introduction Congenital anomalies are the fifth leading cause of death in children <5 years of age globally, contributing an estimated half a million deaths per year. Very limited literature exists from low and middle income countries (LMICs) where most of these deaths occur. The Global PaedSurg Research Collaboration aims to undertake the first mu...
Research Proposal
Full-text available
Background: Gastroschisis has a great disparity in outcomes globally with less than 4% mortality in high-income countries (HICs) and over 90% mortality in many tertiary paediatric surgery centres across sub-Saharan Africa (SSA), including the study centres. Low-technology, cost-effective, evidence-based interventions are available with the potentia...

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