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Introduction
I am a Professor of Health and Development Geography at the Department of Geography and Regional Planning, University of Cape Coast, Cape Coast, Ghana. My research interests include Environmental Management, Sanitation, Waste Management, Community Development, Mobile Phones for Health (mHealth), Health Behaviours, Livelihoods and Resource Management.
Additional affiliations
October 2013 - January 2018
March 2010 - September 2013
December 2005 - February 2010
Publications
Publications (76)
Access to sanitation is a fundamental human right essential for health and dignity, yet inadequate access remains a significant challenge globally. This has a significant negative impact on vulnerable populations, especially older adults. This study assesses the spatial distribution and socioeconomic determinants of access to sanitation among older...
Substandard and falsified (SF) medical products are a serious health and economic concern that disproportionately impact low- and middle-income countries and marginalized groups. Public education campaigns are demand-side interventions that may reduce the risk of SF exposure, but the effectiveness of such campaigns, and their likelihood of benefitt...
ABSTRACT
Context and background:
The role of Customary Land Secretariats (CLSs) in Ghana’s land administration system cannot be misjudged. However, their ongoing practices have not received much attention from scholarships, land pundits, and policymakers.
Goal and Objectives:
Expressing concerns about the increasing collapse of CLSs, this study fr...
Climate change, population growth, rapid urbanization, shifting dietary patterns, and economic development pose significant challenges to food security, particularly in the Global South. Addressing these challenges involves efforts aimed at sustainable agricultural intensification (SAI), especially for smallholder farmers in marginalized regions. H...
The study examines the association of bodily pain intensity and pain interference with sleep problems and investigates the mediating role of activity limitation and emotional distress in the pain-sleep problems link.
Thermal power generation is the main source of power in the energy mix of the country. Erratic rainfall patterns, the high cost of fossil fuel for thermal generation, and increase electricity demand have contributed to rampant power out-ages in the recent past. This paper examined energy conservation and efficiency awareness practices of households...
Global health efforts such as malarial control require efficient pharmaceutical supply chains to ensure effective delivery of quality-assured medicines to those who need them. However, very little is currently known about decision-making processes within antimalarial supply chains and potential vulnerabilities to substandard and falsified medicines...
The governance of pharmaceutical medicines entails complex ethical decisions that should, in theory, be the responsibility of democratically accountable government agencies. However, in many Low- and Middle-Income Countries (LMICs), regulatory and health systems constraints mean that many people still lack access to safe, appropriate and affordable...
This paper assessed energy conservation and efficiency awareness practices of households in the Cape Coast Metropolis of Ghana. It examined the level and variability in energy conservation practices and the level of energy-savings awareness education among households. The findings reveal that years spent in school by household heads, income levels,...
Lack of or inadequate access to water, sanitation and hygiene (WASH) facilities has been cited as a major cause of morbidity and mortality in most developing countries. Meanwhile, Ghana provides a good example of the potential for decentralization to facilitate the delivery of municipal services (including sanitation), given that the country has im...
Community-led total sanitation (CLTS) is increasingly promoted globally as an innovative approach to addressing the sanitation challenge in developing countries, especially in the rural areas where access to sanitation remains poor. However, a significant challenge in CLTS is poor management of faecal sludge when pits are full. In this regard, comp...
Most existing studies on land consumption have used a reactive approach to assess the phenomenon. However, for evidence-based policies, an initiative-taking forecast has been touted to be more appropriate. This study, therefore, assessed current trends and efficiency of land consumption in the Greater Accra Region from 1987 to 2017, and predicted a...
Teenage motherhood is a social occurrence that presents itself in every country. This paper explored lived experiences of teenage mothers in the Adaklu District of Ghana. The study was a phenomenological qualitative study. Data for the study were obtained through narratives, and photovoices; using an in-depth interview guide. The thematic data anal...
This paper adds to the landscape ecological integrity (LEI) literature by emphasising the need to move beyond the assumption of a linear relationship between fragmentation metrics and ecological integrity. This study argues that such a relationship is weak or even non-existent when not associated with specific species or ecological process. Thus, u...
Since the adoption of Community-Led Total Sanitation (CLTS) in Ghana in 2012, eight (8) partners have been involved in the implementation of the approach in over 140 districts. Although the COVID-19 pandemic has reinforced the need for improved sanitation and hygiene practices, the nature and the extent of the impact of the pandemic on the implemen...
Landscape ecosystem services are often conceptualised as a unidirectional flow of services from nature (SfN) to societies, neglecting services provided by societies to nature (StN). Using respondents from four Ga/Dangme communities in the Greater Accra Region of Ghana, this study sought to develop a scale for measuring the dimensions of perceived S...
p>This paper assessed energy conservation and efficiency awareness practices of households in the Cape Coast Metropolis. It examined the level and variability in energy conservation practices, and the level of energy-savings awareness education among households. The findings reveal that years spent in school by household heads, income levels, expen...
p>This paper assessed energy conservation and efficiency awareness practices of households in the Cape Coast Metropolis. It examined the level and variability in energy conservation practices, and the level of energy-savings awareness education among households. The findings reveal that years spent in school by household heads, income levels, expen...
p>This paper assessed energy conservation and efficiency awareness practices of households in the Cape Coast Metropolis. It examined the level and variability in energy conservation practices, and the level of energy-savings awareness education among households. The findings reveal that years spent in school by household heads, income levels, expen...
Gender differences have been recognized in most cultures, but the challenge arises when such differences are misinterpreted as gender inequality, especially to the gross disadvantage of women. One dimension of culture where gender inequality is generally manifested is through language and more specifically the use of proverbs, which are generally b...
In spite of its role in the development of nations, transport has also been identified as a means of spreading some communicable diseases. However, few studies have been conducted to assess the spread of diseases on road transport. This study sought to explore the views of operators and passengers about the spread of communicable diseases on the pu...
Ghana lacks proper establishment of primary sources of information on Ghanaian music, musicians, artists, and performance group. In addition, there is lack of a channel for acquiring such data. In an attempt to solve these problems, an online system entitled, Ghana Music Documentation System (GMDS) was developed and evaluated. The research aim at d...
The use of mobile phones is fast transforming the healthcare delivery landscape in Ghana. A substantial number of health facilities are now dependent on mobile phones to facilitate their work. Evidence of the use of mobile phones in Ghana’s healthcare is however limited. In order to contribute to the evidence of the value of using mobile phones to...
Populations in peri-urban communities of Sub-Saharan Africa frequently depend on shallow aquifers and on-site sanitation facilities concurrently. Routinely, domestic wells end up too close to toilet facilities, risking groundwater contamination. For coastal communities, saltwater intrusion adds to the risk of groundwater contamination. This study a...
This study sought to investigate household solid waste separation practices in the Cape Coast Metropolis, Ghana. Specifically, the study examined previous and existing solid waste separation practices, challenges associated with household separation of solid waste and willingness of households to separate waste. Employing a descriptive research des...
The extraordinary global growth of digital connectivity has generated optimism that mobile technologies can help overcome infrastructural barriers to development, with ‘mobile health’ (mhealth) being a key component of this. However, while ‘formal’ (top-down) mhealth programmes continue to face challenges of scalability and sustainability, we know...
There is increasing awareness in disaster research about the diverse ways in which disasters affect humanity. The impact of disaster stretches from individuals and households to nation-states. Most disaster discourses focus on the impact, mitigation, management, preparedness and response, but neglecting the issues surrounding the social and natural...
While mobile phones promise to be an important tool for bridging the healthcare gaps in resource-poor areas in developing countries, scalability and sustainability of mobile phones for health (mhealth) interventions still remain a major challenge. Meanwhile, health workers are already using their own mobile phones (referred to as ‘informal mhealth’...
Gendered and intersectional inequalities determine differential vulnerabilities to climate change, as well as access to resources and decision making for adaptive actions. Critical scholarly insights demonstrate the roles of power and agency in determining social difference and shaping adaptive capacities across geographical contexts. Framings of r...
Energy efficiency has an important role to play in response to climate change mitigation and the drive towards sustainable development at the household and institutional levels. Responding to growing concerns on global warming, higher educational institutions (HEIs) are adapting to energy efficiency (EE) initiatives as integral aspects of their eth...
Energy efficiency has an important role to play in response to climate change mitigation and the drive towards sustainable development at the household and institutional levels. Responding to growing concerns on global warming, higher educational institutions (HEIs) are adapting to energy efficiency (EE) initiatives as integral aspects of their eth...
Where regulation is weak, medicine transactions can be characterised by uncertainty over the drug quality and efficacy, with buyers shouldering the greater burden of risk in exchanges that are typically asymmetric. Drawing on in-depth interviews (N = 220) and observations of medicine transactions, plus interviews with regulators (N = 20), we explor...
Many smallholder farmers in Jaman North District, Brong‐Ahafo Region, Ghana are shifting from food crop production to increased cultivation of cashew, an export cash crop. This paper examines gendered and generational tensions in increased commercialisation of land, livelihood diversification, and household food security in the context of globalisa...
We present an Agent-Based Model (hereafter ABM) for a pharmaceutical supply chain operating under conditions of weak regulation and imperfect information, exploring the possibility of poor quality medicines and their detection. Our interest is to demonstrate how buyers can learn about the quality of sellers (and their medicines) based on previous s...
While inadequate water and sanitation services have both been implicated in a number of mortality and morbidity situations all over the world, the improvement in sanitation provision lags far behind that of water. This paper therefore seeks to examine the spatial variation in sanitation provision in Ghana and assess the factors that have contribute...
This paper examines microcredit as a tool for ecological sanitation (EcoSan) and smallholder agriculture in Ghana. Employing a rapid review approach, and its associated review of existing literature, the paper argues that microcredit for sanitation has been proven to be an effective way (“David”) of dealing with sanitation and agriculture challenge...
While awareness of HIV and AIDS is near universal in Ghana, the same cannot be said of the prevention of
mother-to-child transmission (PMTCT) of the disease. This paper assesses the level of knowledge, barriers and
attitudes towards PMTCT of HIV/AIDS among pregnant women, partners of pregnant women and people living
with HIV (PLHIV). Data were gath...
Since the late 1990s, the arguably most problematic regions in Ghana—the three northern regions,
accounting for half of the country’s landscape yet the least developed—have come under increased
academic scrutiny. This article seeks to interrogate some conventional arguments which attempt
to attribute the region’s underdevelopment to its physical an...
In contexts where healthcare regulation is weak and levels of uncertainty high, how do patients decide whom and what to trust? In this paper, we explore the potential for using Signalling Theory (ST, a form of Behavioural Game Theory) to investigate health-related trust problems under conditions of uncertainty, using the empirical example of ‘herba...
Rapid urban growth in developing countries has led to an increase in unplanned, high-density settlements dependent on public toilets for sanitation, yet we know relatively little about users’ perceptions and concerns about such facilities. This paper seeks to explore user satisfaction and willingness to pay for improved sanitation services in Accra...
This paper investigates antecedents to demand for household sanitation in Ghana. We employed a sequential, mixed-method approach, relying on the 2011 Ghana Multiple Indicator Cluster Survey (MICS) and primary qualitative data generated from individual and group interviews. The aim was to ascertain the role of household assets (measured by household...
Antiretroviral therapy (ART) is one of the interventions meant to prolong the progression from HIV to AIDS for People Living with HIV (PLHIVs). Although ART was introduced in Ghana in 2003, there is little or no information about the preferences of those on ART services. The main objective of the study therefore was to examine the preferences of PL...
Africa’s recent communications ‘revolution’ has generated optimism that using mobile phones for health (mhealth) can help bridge healthcare gaps, particularly for rural, hard-to-reach populations. However, while scale-up of mhealth pilots remains limited, health-workers across the continent possess mobile phones. This article draws on interviews fr...
Agricultural land use in much of Brong-Ahafo region, Ghana has been shifting from the production of food crops towards increased cashew nut cultivation in recent years. This article explores everyday, less visible, gendered and generational struggles over family farms in West Africa, based on qualitative, participatory research in a rural community...
Land use and land cover changes are local and place specific, occurring incrementally in ways that often escape our attention. This study sought to detect changes in land cover in the Tema Metropolis of Ghana from 1990 to 2010. Multispectral Landsat Thematic Mapper data sets of 1990, 2000 and 2007 were acquired, pre-processed and enhanced. Unsuperv...
The African communications 'revolution' has generated optimism that mobile phones might help overcome infrastructural barriers to healthcare provision in resource-poor contexts. However, while formal m-health programmes remain limited in coverage and scope, young people are using mobile phones creatively and strategically in an attempt to secure ef...
Solid waste management has become a daunting task for municipal and district authorities who seem to lack the capability and logistics to deal with the escalating waste situation. This paper examined residents' perceptions and attitudes towards urban solid waste management in the Berekum Municipality in the Brong Ahafo Region of Ghana. Using a surv...
Currently, the participatory watershed approach has now become necessary in any developmental activity especially with regards to natural resource management. However, in spite of the numerous advantages of this management approach, there are still major challenges that militate against its successful implementation in most developing countries. Th...
The onset of the post-independence era opened the way for the establishment of agencies and institutions responsible for watershed management in every District in Ghana. This was done to address the diffused state of functions of institutions in charge of watershed management. It is, however a paradox to find that most of the watersheds in Ghana ar...
This research aimed to investigate the implications of changing agricultural land use from food production towards increased cashew cultivation for food security and poverty alleviation in Jaman North District, Brong-Ahafo Region of Ghana. Based on qualitative, participatory research with a total of 60 participants, the research found that increase...
Abstract
Radical reforms and liberalisation in Ghana’s mining sector have stimulated increased investment with new multi-national mining companies coming on board as well as the rehabilitation of old mines. The cumulative effects are the intensification of mining activities and the expansion in operations across the mining zones in the country. Wit...
Ghana experienced rapid liberalisation in the mining sector in the 1980s and 90s which led to the intensification of mining activities across mining zones in the country. This study therefore examined how operations of Newmont Ghana Gold Limited (NGGL) affect environmental justice in the Asutifi District. Using questionnaires, in-depth interview gu...
Children are increasingly engaged in the research process as generators of knowledge, but little is known about the impacts on children's lives, especially in the longer term. As part of a study on children's mobility in Ghana, Malawi and South Africa, 70 child researchers received training to conduct peer research in their own communities. Evaluat...
Objectives:
To establish levels of handwashing after defecation among students at the University of Cape Coast in Ghana, and to test hypotheses that gender and washroom environment affect handwashing behaviour.
Methods:
Data on students' handwashing behaviour after defecation were collected by structured observations in washrooms. Eight hundred...
Over time, while some countries have experienced trends of poverty and inequality moving in the same direction, others have witnessed the two developmental issues panning out in opposite directions. The latter is observed in Ghana, where in the last two decades poverty has been reducing and consumption inequality is on the ascendency. Motivated by...
This paper examines lending and borrowing in a rural setting, and the implications for microfinance schemes in the Jaman North District of Ghana. Using a qualitative research methodology, the study purposively selected two lenders and eight borrowers from two rural communities in the District. It was found that rural farmers borrow at an interest r...
Ghana has almost all the institutions, agencies and policies for waste management at all levels of government. It is, however, a paradox to find that all the major cities in Ghana are still grappling with waste management problems, which threatens the health of residents and for that matter the sustainable development of the nation. This study ther...
Although human excreta contain the necessary nutrients for plant growth, local authorities in Ghana spend huge sums of money to dispose them as waste. Reusing excreta for agricultural purposes saves expenditure for chemical fertilizers, improves soil fertility, reduces poverty and ensures food security. People's attitudes and perceptions about excr...
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