Adu Mensah, Derrick
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Knowledge and Perception of COVID-19 and Its Psychosocial Impact on Pre- and Post-Natal Women in Tema Metropolis, Ghana, West Africa Adu Mensah, Derrick; Bortie, Patience Naa Adaku; Bonney, Richard Abeiku; Ashong, Sam-Kingsley; Ayamba, Emmanuel Ayimbissa; Odonkor, Stephen Tawiah
Journal of Maternal and Child Health Vol. 8 No. 4 (2023)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26911/thejmch.2023.08.04.02

Abstract

Background: The emergence of the coronavirus disease 2019 (COVID-19) pandemic incited series of societal changes. Adopted practices to mitigate the virus’ spread included; limiting human contact, closure of workplaces, lockdown of cities, and thus limiting health care delivery to emergency services with interruption to routine visits— such as antenatal and postnatal care. During the onset of the pandemic there was a myriad of information on the virus, with several misconceptions involving the viral infection. This study was aimed at assessing the knowledge and perceptions of COVID-19, as well as its psychosocial impact among pregnant and postnatal women in the Tema Metropolis. Subjects and Method: This cross-sectional survey was conducted among a total of 349 pregnant and postnatal women at the Tema General Hospital, Ghana. The dependent variable was outcome of a number of correct/incorrect responses given and the test scores. The independent variables were level of knowledge on COVID-19, prevention practices of COVID-19, and the psychosocial impact of COVID-19. Structured questionnaires were administered to participants to retrieve demographic information, knowledge, perception, and psychosocial impact of COVID-19 on participants. The data collected were imported into Microsoft Excel and analyzed with SPSS version 20. Data was presented as frequencies, percentages, and chi-square values. Results: The study comprised of 295 (84.5%) pregnant and 54 (15.5%) postnatal women. Generally, 80.5% of the participants had good knowledge about COVID-19, whereas 2.6% exhibited poor knowledge. Most postnatal women had the right perceptions about COVID-19, with statistical significance (p<0.050) observed among all variables. With the preventive measures, significant associations amongst both pregnant and postnatal women were observed in monitoring body temperature (OR= 0.08; 95% CI= 0.01 to 0.02; p=0.002) and seeking medical advice when ill (OR= 0.83; 95% CI= 0.01 to 0.02; p= 0.004). Based on depression anxiety score, each variable recorded a postnatal woman experiencing extremely severe psychological impact because of COVID-19, whereas only one pregnant woman experienced same. Conclusion: There were adequate knowledge about COVID-19 among both pre- and post-natal women in the study area, and very few were impacted psychologically as a result of COVID-19. Keywords: COVID-19, prenatal, postnatal, psychological, pregnant women. Correspondence: Derrick Adu Mensah, Department of Clinical Microbiology, Kwame Nkrumah University of Science and Technology, Kumasi, Ghana/Kumasi Center for Collaborative Research in Tropical Medicine, KCCR, Kumasi, Ghana. Mobile: +2332-6168-6052. Email: derrickadumensah@yahoo.com
Seroprevalence and the Associated Risk Factors of Toxoplasma Gondii Infection among Pregnant Women in The Middle Belt of Ghana Adu Mensah, Derrick; Debrah, Linda Batsa; Bonney, Richard Abeiku; Bhavana, Singh; Bortie, Patience; Safo, Rebecca; Aryee, Clement Evans; Debrah, Alexander Yaw
Journal of Maternal and Child Health Vol. 8 No. 5 (2023)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26911/thejmch.2023.08.05.02

Abstract

Background: Exposure to Toxoplasma gondii infection is prevalent in up to 90% of the world’s human population. Severe infections can be fatal and deforming in neonates, with cats serving as reservoirs for T. gondii infections. The objective of this study was to determine the seroprevalence of Toxoplasma gondii infection and its associated risk factors among pregnant women in the middle belt of Ghana. Subjects and Method: This was a cross-sectional study involving 266 pregnant women from two health facilities in the middle belt of Ghana. A structured questionnaire was administered to the parti­cipants to gather information on exposure to the associated infection risk factors and demo­graphy. In addition, 3ml of venous blood was collected from each participant for anti-Toxo­plasma gondii IgG/IgM antibody analyses. Results: A total of 64.3% of the study population had been exposed, whiles 26.3% were actively infected, being seropositive respectively to anti-Toxoplasma gondii IgG/IgM antibodies. In both districts, significant differences were recorded between anti-T. gondii IgG and IgM seroprevalences (95% CI= 0.00 to 0.02; p<0.001). There was no statistical difference observed between the parti­cipants’ mean antibody concentration levels and age (95% CI= 0.74 to 0.85; p=0.637) as well as the stage of pregnancy (95% CI= 0.38 to 0.43; p= 0.127). Also, no strong association (OR<0.6) was found between seropositivity and the suspected risk factors assessed in the study. Conclusion: The study showed that the seroprevalence of T. gondii infection among pregnant women visiting the two health facilities in the two regions was higher compared to the 30%-65% reported as the global population infection status. This study provides baseline data for future studies in other Districts and Regions in the country to ascertain the overall seroprevalence in Ghana and also push for a national programme/ policy for routine clinical screening of toxoplasmosis in pregnant women. Keywords: seroprevalence, Toxoplasma gondii, pregnant women, anti-T. gondii IgG/IgM antibodies. Correspondence: Derrick Adu Mensah, Department of Clinical Microbiology, Kwame Nkrumah University of Science and Technology, Kumasi, Ghana/Kumasi Center for Collaborative Research in Tropical Medicine, KCCR, Kumasi, Ghana. Mobile: +2332-6168-6052. Email: derrickadumensah@yahoo.com.