A survey of public perception, knowledge and factors influencing COVID-19 vaccine acceptability in five communities in Ghana

Objective: The present study assessed the public's perception and Knowledge about COVID-19 and factors that could affect vaccine acceptability in Ghana. Design: We carried out a cross-sectional population-based study. A structured questionnaire was used to capture data on socio-demographic information, knowledge, and the public's perception of COVID-19 infection, as well as COVID-19 vaccine acceptability from consented participants. Factors affecting vaccine acceptability in Ghana were explored. Robust ordinary least square linear regression analysis was adopted to assess factors associated with vaccine acceptability. Setting: Five communities (Labone, Lartebiorkoshie, Old Fadama, Chorkor, and Ashiyie) in Accra in the Greater Accra district were selected. Participants: WHO modified cluster-sampling method was applied to select households of 997 participants in the five communities. Results: Most respondents were males (57.6%), and the median age of participants was 30 years. The study participants demonstrated a good knowledge of COVID-19 and had high perceptions of the COVID-19 pandemic. The results revealed that the highest educational level, marital status, self-rated Knowledge of COVID-19, Knowledge of COVID-19 definition, Knowledge of COVID-19 symptoms, and perception of the COVID-19 pandemic were significantly associated with vaccine acceptability. Self-reported impact of COVID-19 lockdown/movement restrictions on agriculture and job as a source of livelihood was associated with vaccine acceptability. Conclusion: Higher subjective and objective knowledge of COVID-19 increases vaccine acceptability scores significantly thus, education on COVID-19 and the vaccination against SARS-CoV-2 infection must be intensified to improve vaccine acceptability in Ghana, especially among those with lower educational backgrounds

Building the foundation for universal healthcare: Academic family medicine's ability to train family medicine practitioners to meet the needs of their community across the globe

Background: The Declaration of Astana marked a revived global interest in investing in primary care as a means to achieve universal healthcare. Family medicine clinicians are uniquely trained to provide high-quality, comprehensive primary care throughout the lifespan. Yet little focus has been placed on understanding the needs of family medicine training programs. Aim: This study aims to assess broad patterns of strengths and resource challenges faced by academic programs that train family medicine clinicians. Methods: An anonymous online survey was sent to family medicine faculty using World Organization of Family Doctors (WONCA) listservs. Results: Twenty-nine representatives of academic family medicine programs from around the globe answered the survey. Respondents cited funding for the program and/or individual trainees as one of either their greatest resources or greatest limitations. Frequently available resources included quality and quantity of faculty and reliable clinical training sites. Frequently noted limitations included recruitment capacity and social capital. Over half of respondents reported their program had at some point faced a disruption or gap in its ability to recruit or train, most often because of loss of government recognition. Reflecting on these patterns, respondents expressed strong interest in partnerships focusing on faculty development and research collaboration. Lessons learnt: This study provides a better understanding of the challenges family medicine training programs face and how to contribute to their sustainability and growth, particularly in terms of areas for investment, opportunities for government policy and action and areas of collaboration.

Attitude of Final Year Medical Students Towards Community Medicine in Ahmadu Bello University; Zaria; Nigeria

Background: Several studies were conducted in the past in Nigerian Universities to determine undergraduate medical students' attitudes; aspirations and career preference but none was conducted in Ahmadu Bello University (ABU); Zaria. This study was undertaken to determine final year medical students' attitudes toward Community Medicine. Methodology: The study was cross-sectional and descriptive in design. A total of 94 graduating medical students during the 2006/2007 academic session were invited to participate in the study. All the 94 students were given self-administered structured and closed-ended questionnaire. We collected information on socio-demographic characteristics of the respondents; general and specific attitudes towards Community Medicine (CM); class attendance in Community Medicine; and choice of CM as a field for future specialization. Result: Seventy-two students (76.7) have made up their minds to specialize in a chosen field of Medicine while fourteen (14.4) were undecided. Thirty-five (48.69) students said they could specialize in CM while 19(26.4) cannot. Of the clinical discipline for possible specialization in the future by the whole class; 32(34.0) respondents declared to specialize in Obstetrics et Gynecology; 18(19.1) in Community Medicine 11 (11.7) in surgery. Conclusion: Our finding demonstrated that final year medical student favorably perceived community medicine as a future career

A community based study of risk factors in maternal mortality in the Kassena-Nankana district of Northern Ghana

Maternal mortality rates in Northern Ghana are extremely high and for an individual woman in the district; the risk of dying from maternal mortality is 1 in 18. Efforts to reduce the scale of suffering in the area are tampered by the lack of community based data. A community based study was designed in mid 1991 to determine the principal risk factors of maternal mortality in the Kassena-Nankana district and to suggest appropriate interventions to reduce maternal mortality in the region