Journal of Public Health in Africa最新文献

{"title":"COVID-19 incidence among Kenyan patients with and without inflammatory rheumatic disease.","authors":"Benwillies Onchong'a, Tuulikki Sokka-Isler, Pekka Mäntyselkä, Ari Voutilainen","doi":"10.4102/jphia.v16i1.1409","DOIUrl":"10.4102/jphia.v16i1.1409","url":null,"abstract":"<p><strong>Background: </strong>Inflammatory rheumatic diseases (IRDs) have been considered potential risk factors for COVID-19, but evidence from Africa remains limited.</p><p><strong>Aim: </strong>To investigate the association between IRDs and COVID-19 among general patients after hospital discharge in Nairobi, Kenya.</p><p><strong>Setting: </strong>The prospective cohort study was conducted at Mbagathi County Hospital, a major public hospital in Nairobi, Kenya.</p><p><strong>Methods: </strong>Patients were classified as IRD and non-IRD cases based on admission diagnosis. After discharge, 348 IRD and 2951 non-IRD patients were followed up for 2 years or until death. Cox proportional hazard models adjusted for baseline characteristics were executed to predict COVID-19 hazard in patients with versus without IRDs.</p><p><strong>Results: </strong>The cohort included 46.2% women. IRD patients were older (mean 64 years vs. 62 years; <i>p</i> < 0.001), more frequently alcohol drinkers (17.0% vs. 9.5%; <i>p</i> < 0.001), less often vaccinated against COVID-19 (74.0% vs. 78.0%; <i>p</i> = 0.031) and had higher body mass index (BMI) (mean 26.3 kg/m² vs. 25.3 kg/m²; <i>p</i> < 0.001). The 2-year COVID-19 incidence rate per 100 person-years was 4.5 (95% confidence interval [CI]: 3-7) in IRD patients and 5.0 (95% CI: 4-6) in non-IRD patients. The age- and sex-adjusted hazard of COVID-19 among IRD versus non-IRD patients was 0.9 (95% CI: 0.6-1.4; <i>p</i> = 0.667).</p><p><strong>Conclusion: </strong>Inflammatory rheumatic diseases did not increase COVID-19 risk in this Kenyan cohort.</p><p><strong>Contribution: </strong>This study provides valuable African data on IRDs and COVID-19 risk, reflecting potential regional features in clinical practice and public health strategies.</p>","PeriodicalId":44723,"journal":{"name":"Journal of Public Health in Africa","volume":"16 1","pages":"1409"},"PeriodicalIF":0.8,"publicationDate":"2025-10-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12587191/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145460311","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Pertussis in the Tshwane District, Gauteng province, South Africa: A cross-sectional study.","authors":"Xolelwa Ntsham, Tladi D Ledibane","doi":"10.4102/jphia.v16i1.1393","DOIUrl":"10.4102/jphia.v16i1.1393","url":null,"abstract":"<p><strong>Background: </strong>Pertussis remains a public health concern worldwide, particularly in infants and young children. Despite effective vaccines, challenges persist in addressing pertussis because of barriers such as limited healthcare access, inadequate vaccination coverage and weak surveillance systems, especially in low- and middle-income countries.</p><p><strong>Aim: </strong>To describe the demographic, geographic and seasonal distribution of pertussis cases reported in Tshwane District, Gauteng province, South Africa, from 2015 to 2019.</p><p><strong>Setting: </strong>The study was conducted in Gauteng's Tshwane District, which has seven sub-districts with diverse demographics ranging from highly urbanised to peri-urban and rural areas.</p><p><strong>Methods: </strong>A retrospective cross-sectional analysis of surveillance data was conducted for all pertussis cases notified in Tshwane between 1 January 2015 and 31 December 2019. Data were obtained from the district Pertussis Monitoring Database and validated against the District Health Information System. Descriptive statistics, chi-square tests and time-series analyses were applied.</p><p><strong>Results: </strong>A total of 272 cases were reported; 46.7% occurred in infants under 1 year, with those younger than 6 months comprising 39.7%. One-third were hospitalised, mostly infants. Most notifications originated from private facilities (73.5%), and spring-summer peaks were observed. Three infant deaths were recorded.</p><p><strong>Conclusion: </strong>Pertussis contributes substantially to the disease burden in Tshwane, particularly in early infancy. Strengthened immunisation programme, improved surveillance and equitable diagnostic access are essential to reduce morbidity and mortality.</p><p><strong>Contribution: </strong>This study provides district-level analysis of pertussis in Tshwane, highlighting inequities in vaccination reporting and diagnostic access and informing strategies to strengthen pertussis immunisation and surveillance.</p>","PeriodicalId":44723,"journal":{"name":"Journal of Public Health in Africa","volume":"16 1","pages":"1393"},"PeriodicalIF":0.8,"publicationDate":"2025-10-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12587218/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145459816","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Influence of institutional support and organisational culture on HIV and NCD integration.","authors":"David Njuguna, Caroline K Kyalo, Eunice Mwangi, Daniel Mwai, Elvis Kirui, Wesley Rotich, Joy Mugambi, James Waweru, Nelson Muriu, Easter E Olwanda","doi":"10.4102/jphia.v16i1.1430","DOIUrl":"10.4102/jphia.v16i1.1430","url":null,"abstract":"<p><strong>Background: </strong>The integration of services for human immunodeficiency virus (HIV) and non-communicable diseases (NCDs) has gained increasing attention in recent years because of the overlapping prevalence and shared risk factors between these health conditions. However, successful integration requires more than just the alignment of clinical practices. The role of institutional support and organisational culture in promoting effective integration remains an underexplored area.</p><p><strong>Aim: </strong>This study aims to fill this gap by examining how institutional structures and organisational values influence the integration of HIV and NCD care.</p><p><strong>Setting: </strong>The study setting was Nakuru County in Kenya.</p><p><strong>Methods: </strong>This study employed a qualitative research design to capture the nuanced experiences and perceptions of healthcare providers involved in HIV and NCD care integration. A total of 99 key informant interviews were conducted with healthcare providers in levels 2 to 5 facilities in Nakuru County. The interviews lasting 45 min - 60 min were conducted sequentially. This study adopted a thematic analysis using NVivo 12.</p><p><strong>Results: </strong>Institutional support, including an improved provider efficiency, support from top management, capacity building, availability of essential commodities, maximum use of facility space, and monitoring of outcomes, has been shown to enhance integration efforts. Additionally, a supportive organisational culture characterised by adaptivity, embracing innovative or new culture, staff empowerment to propose new strategies, teamwork and performance monitoring contributes to successful integration outcomes. These factors improve patient workflow, ensure continuity of care, reduce patient wait times and reduce stigma.</p><p><strong>Conclusion: </strong>The findings highlight the importance of leadership commitment, resource allocation, communication, collaboration, stigma reduction and patient-centredness in achieving successful integration outcomes.</p><p><strong>Contribution: </strong>This study contributes to the body of knowledge surrounding the integration of HIV and NCD services, providing valuable insights that can be applied in other contexts and settings aiming to enhance healthcare delivery and outcomes for individuals living with these conditions.</p>","PeriodicalId":44723,"journal":{"name":"Journal of Public Health in Africa","volume":"16 1","pages":"1430"},"PeriodicalIF":0.8,"publicationDate":"2025-10-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12587185/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145460367","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Factors associated with COVID-19 vaccine acceptance among medical laboratory workers in South Africa.","authors":"Melitah Motlhale, Kerry Wilson, David Jones, Graham Chin, Nisha Naicker","doi":"10.4102/jphia.v16i1.1291","DOIUrl":"10.4102/jphia.v16i1.1291","url":null,"abstract":"<p><strong>Background: </strong>During the COVID-19 pandemic, medical laboratory workers had a higher risk of contracting COVID-19 compared to the general population.</p><p><strong>Aim: </strong>To assess the COVID-19 vaccine acceptance and hesitancy among medical laboratory workers in South Africa in 2022.</p><p><strong>Setting: </strong>In South Africa among the healthcare worker population at the National Health Laboratory Service (NHLS) in 2022.</p><p><strong>Methods: </strong>Descriptive statistics was used to identify the reasons for COVID-19 acceptance. We examined the association between COVID-19 acceptance and other socio-demographic factors using logistic regression analyses to calculate the odds ratio (OR) and 95% confidence interval (CI).</p><p><strong>Results: </strong>The prevalence of COVID-19 vaccine acceptance among NHLS workers was 82.8%. Most of the participants reported that their reason for COVID-19 vaccine acceptance was mainly to protect their family (62.6%) and to protect themselves (50.2%), and they perceived the vaccine to be safe (40.7%). COVID-19 vaccine hesitancy was mainly because the participants reported that there was very little research done on the vaccine (41.4%) and some were worried about the vaccine side effects (31.4%). Increased COVID-19 vaccine acceptance was associated with age, 40-49 years (OR: 5.35 [95% CI: 1.42-20.10]) and 50-59 years (OR: 11.0 [95% CI: 1.63-74.92]). Decreased COVID-19 vaccine acceptance was associated with black people (OR: 0.15 [95% CI: 0.03-0.89]).</p><p><strong>Conclusion: </strong>The prevalence of COVID-19 vaccine acceptance among medical laboratory workers was notably high.</p><p><strong>Contribution: </strong>This study contributes to the body of knowledge on vaccine acceptance and hesitancy.</p>","PeriodicalId":44723,"journal":{"name":"Journal of Public Health in Africa","volume":"16 1","pages":"1291"},"PeriodicalIF":0.8,"publicationDate":"2025-10-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12587219/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145460352","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Awareness and perception of invasive fungal diseases among the Nigerian population.","authors":"Olufunmilola Makanjuola, Ubong A Udoh, Damilola Akinlawon, Folasade Ogunsola, Rita Oladele","doi":"10.4102/jphia.v16i1.1323","DOIUrl":"10.4102/jphia.v16i1.1323","url":null,"abstract":"<p><strong>Background: </strong>Invasive fungal diseases (IFDs) are a public health issue causing morbidity and mortality in millions annually, yet they remain under-recognised.</p><p><strong>Aim: </strong>To determine the awareness and perception of IFDs among Nigerians.</p><p><strong>Setting: </strong>Three states in Nigeria: Lagos, Oyo and Cross River.</p><p><strong>Methods: </strong>This was a cross-sectional study utilising multistage sampling to recruit participants who responded to an interviewer-administered questionnaire. Logistic regression was used to determine factors associated with awareness and perception of IFDs, and a <i>p</i>-value of < 0.05 was taken for statistical significance.</p><p><strong>Results: </strong>One thousand two hundred and forty one participants were recruited with a mean age of 37.1 ± 16.1 years. The highest percentage had tertiary education as the highest educational attainment 538 (43.4%) and monthly household income within the lowest range of less than 30 000.00 naira ($40.00) 320 (25.8%). Awareness of IFDs was low 240 (19.3%) among the participants. Most participants 820 (66.1%) also had poor perception of fungal diseases. Tertiary education level showed higher IFD awareness (<i>p</i> < 0.001) than lower educational levels. Higher educational level was also associated with better perception, with secondary (<i>p</i> = 0.049), tertiary (<i>p</i> < 0.001) and postgraduate (<i>p</i> < 0.001) participants showing significantly better perception compared to those without formal education.</p><p><strong>Conclusion: </strong>Awareness and perception of invasive fungal infections among the Nigerian populace were low. There is a need for public health awareness and education on IFDs in Nigeria.</p><p><strong>Contribution: </strong>This study provides baseline data and crucially highlights a need for increased public health campaigns to improve awareness of IFDs in Nigeria.</p>","PeriodicalId":44723,"journal":{"name":"Journal of Public Health in Africa","volume":"16 1","pages":"1323"},"PeriodicalIF":0.8,"publicationDate":"2025-10-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12587187/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145460394","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Healthcare providers' perception about challenges of reproductive health service utilisation.","authors":"Meaza G Sileshi, Lebitsi M Modiba, Portia J Jordan","doi":"10.4102/jphia.v16i1.1358","DOIUrl":"10.4102/jphia.v16i1.1358","url":null,"abstract":"<p><strong>Background: </strong>Reproductive health service maintains optimal health and reduces missed opportunities for seropositive women. But it is reported that the service uptake is not adequately recognised.</p><p><strong>Aim: </strong>This study helped to explore healthcare providers' perceived challenges of reproductive health service utilisation by seropositive women.</p><p><strong>Setting: </strong>This study was conducted in Addis Ababa, June 2021.</p><p><strong>Methods: </strong>Qualitative-exploratory research design was carried out. Human immunodeficiency virus (HIV) programme representative health professionals (<i>n</i> = 22) were recruited through the snowball sampling method from different levels of facility and health offices. They participated in three researcher-led focused group discussion (FGD) using semi-structured guiding questions. Prior to actual FGD sessions, a pilot test was done. ATLAS.ti version 7.0 software was used for data analysis. Data visualisation, coding and thematic analysis were done consecutively.</p><p><strong>Result: </strong>Participants' mean age was 30.14 years; 12 (54.5%) of them were nurses, and 11 (50%) of them worked for 2-4 years. Low reproductive healthcare utilisation was related to the vertical care delivery approach to HIV, lack of clear guidance for providing multidimensional care, technical skill gaps and the low caring attitude of health professionals. Another factor that lessens reproductive health use was seropositive women's fear of status disclosure, interest for only HIV care or demanding additional incentives for newly introduced care.</p><p><strong>Conclusion: </strong>Reproductive health service is inadequately utilised by seropositive women due to several reasons and causes inefficient opportunities to care.</p><p><strong>Contribution: </strong>This study helps for task-shifting and to design reproductive health components integration with HIV care that ensures comprehensive service to these target population.</p>","PeriodicalId":44723,"journal":{"name":"Journal of Public Health in Africa","volume":"16 1","pages":"1358"},"PeriodicalIF":0.8,"publicationDate":"2025-10-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12587190/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145460383","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Knowledge, attitudes and practices related to SARS-CoV-2 prevention in Kenya.","authors":"Brennan R Cebula, Roger Ying, Tyler Hamby, Julius Tonzel, Josphat Kosgei, Deborah Langat, Rael Bor, Britt Gayle, Matthew L Romo, Glenna Schluck, Christine Akoth, Fred Sawe, Margaret Yacovone, Julie A Ake, Trevor A Crowell","doi":"10.4102/jphia.v16i1.1401","DOIUrl":"10.4102/jphia.v16i1.1401","url":null,"abstract":"<p><strong>Background: </strong>Knowledge, attitudes, and practices (KAPs) regarding severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) non-pharmaceutical interventions (NPIs) may differ among populations with health vulnerabilities.</p><p><strong>Aim: </strong>To examine COVID-19 KAPs among Kenyan adolescents and adults with behavioural vulnerability to HIV.</p><p><strong>Setting: </strong>This study was conducted in Kericho and Homa Bay, Kenya.</p><p><strong>Methods: </strong>From December 2021 to April 2023, we enrolled participants without HIV aged 14-55 years who reported recent sexually transmitted infection, injection drug use, transactional sex, condomless sex, and/or anal sex with males. A self-administered questionnaire captured sociodemographic data and KAPs. Multivariable robust Poisson regression with purposeful variable selection was used to estimate prevalence ratios (PRs) and 95% confidence intervals (CIs) for factors associated with NPI practices.</p><p><strong>Results: </strong>Among 399 participants (median age 22 years [interquartile range 19-24]), 317 (79.4%) were female. Participants during the Omicron-variant wave were less likely to meet outdoors (PR = 0.85 [95% CI: 0.73-0.98]), reduce shopping (PR = 0.83 [95% CI: 0.73-0.96], and avoid crowds (PR = 0.81 [95% CI: 0.71-0.93]). Believing that mask-wearing prevents SARS-CoV-2 was associated with less meeting outdoors (PR = 0.44 [95% CI: 0.27-0.73]) and reducing shopping (PR = 0.48 [95% CI: 0.31-0.76]), while believing that handwashing prevents SARS-CoV-2 was associated with less crowd avoidance (PR = 0.73 [95% CI: 0.60-0.89]). Perceiving widespread community face mask use was associated with reduced shopping (PR = 1.12 [95% CI: 1.02-1.23]).</p><p><strong>Conclusion: </strong>Belief in personal NPIs (mask-wearing and handwashing) was associated with decreased practice of social NPIs (meeting outdoors, reducing shopping, and avoiding crowds).</p><p><strong>Contribution: </strong>Future public health strategies for pandemic response should anticipate risk compensation.</p>","PeriodicalId":44723,"journal":{"name":"Journal of Public Health in Africa","volume":"16 1","pages":"1401"},"PeriodicalIF":0.8,"publicationDate":"2025-10-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12587216/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145460376","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Are rural adolescent girls in Senegal more likely to use family planning? DHS 2023 analysis.","authors":"Ndeye M Sougou, Cheikh T Diop","doi":"10.4102/jphia.v16i1.1345","DOIUrl":"10.4102/jphia.v16i1.1345","url":null,"abstract":"<p><strong>Background: </strong>In Senegal, adolescent reproductive health is a public health priority.</p><p><strong>Aim: </strong>The objective of this research is to identify and analyse the key determinants of modern contraceptive uptake among Senegalese adolescents in 2023.</p><p><strong>Setting: </strong>The study focused on adolescent family planning in Senegal in 2023.</p><p><strong>Methods: </strong>The study draws on secondary data from the 2023 Senegal Demographic and Health Survey. The sample comprised 16 583 women aged 15-49 years. Adolescent girls aged 15-19 years represented 4024 individuals. The analysis included descriptive, comparative and multivariable statistical approaches. The outcome variable was binary, indicating whether or not a modern contraceptive method was used. All analyses were conducted using STATA version 15.</p><p><strong>Results: </strong>Among the adolescent girls surveyed, 19.33% reported having initiated sexual intercourse, with the earliest reported age at sexual debut being 9 years. Additionally, 10.77% had engaged in sexual activity within the 4 weeks preceding the survey, indicating recent sexual activity. However, only 2.05% (<i>n</i> = 80) of these adolescents reported using contraception at the time of the survey. Factors significantly associated with the use of modern contraceptive methods included residing in a rural area (adjusted odds ratio [AOR] = 0.58; 95% confidence interval [CI]: 0.34-0.96), being married (AOR = 20.61; 95% CI: 11.43-37.14), low socioeconomic status (AOR = 2.35; 95% CI: 1.35-4.08), and identifying as Christian (AOR = 3.41; 95% CI: 2.52-18.19).</p><p><strong>Conclusion: </strong>These findings underscore the need for targeted and context-sensitive sexual and reproductive health interventions. In particular, efforts should prioritise improving access to modern contraception among the most vulnerable subgroups, including adolescent girls living in rural areas, those from socio-economically disadvantaged backgrounds, and unmarried adolescents.</p><p><strong>Contribution: </strong>This study provides a better understanding of the determinants of family planning among adolescents, which can inform the development of evidence-based health programmes aimed at improving the sexual and reproductive health of Senegalese women.</p>","PeriodicalId":44723,"journal":{"name":"Journal of Public Health in Africa","volume":"16 1","pages":"1345"},"PeriodicalIF":0.8,"publicationDate":"2025-10-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12587186/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145460349","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Myopia awareness and knowledge among parents in Kumasi Metropolis and Bekwai Municipality.","authors":"Sylvester Kyeremeh, Percy K Mashige, Kovin S Naidoo","doi":"10.4102/jphia.v16i1.1522","DOIUrl":"10.4102/jphia.v16i1.1522","url":null,"abstract":"<p><strong>Background: </strong>Despite parents' pivotal role in myopia mitigation, published studies investigating parental awareness and knowledge are limited in Ghana.</p><p><strong>Aim: </strong>Assess parental awareness and knowledge of myopia and related factors to mitigate myopia progression.</p><p><strong>Setting: </strong>Participants were parents from the Kumasi Metropolis and Bekwai Municipality in the Ashanti region of Ghana.</p><p><strong>Methods: </strong>A descriptive cross-sectional study was conducted using a semi-structured questionnaire. Participants were selected through a double-staged cluster sampling.</p><p><strong>Results: </strong>Of 747 participants, 500 (66.93%), reported no prior information about myopia, while 247 (33.07%) indicated awareness. Most of those aware (<i>n</i> = 182, 93.81%) demonstrated adequate knowledge. Predictors of awareness included male gender (odds ratio [OR] = 0.534, <i>p</i> = 0.023), training college (OR = 11.041, <i>p</i> < 0.001) and university education (OR = 21.536, <i>p</i> < 0.001), lower monthly income (Ghanaian cedi [Gh¢] 500.00 - Gh¢999.00; OR = 0.389, <i>p</i> = 0.038) and difficulty seeing afar (OR = 1.90, <i>p</i> = 0.023). Knowledge correlated with male gender (<i>p</i> = 0.036), monthly income (<i>p</i> < 0.001), type of work (<i>p</i> = 0.046) and age group (<i>p</i> = 0.042). Community-based approach was most preferred for myopia awareness creation.</p><p><strong>Conclusion: </strong>There was low myopia awareness but adequate knowledge levels, which significantly correlated with demographic factors. Community-based approach was the preferred myopia awareness creation mode.</p><p><strong>Contribution: </strong>The study provides insight into parental perspectives on myopia and reveals the preferred mode of myopia awareness and education in the Ghanaian context.</p>","PeriodicalId":44723,"journal":{"name":"Journal of Public Health in Africa","volume":"16 1","pages":"1522"},"PeriodicalIF":0.8,"publicationDate":"2025-10-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12587205/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145459624","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"A new era of political-technical synergy in Africa's cholera response.","authors":"Ngashi Ngongo, Nebiyu Dereje, Roma Chilengi, Jean Kaseya","doi":"10.4102/jphia.v16i1.1646","DOIUrl":"10.4102/jphia.v16i1.1646","url":null,"abstract":"","PeriodicalId":44723,"journal":{"name":"Journal of Public Health in Africa","volume":"16 1","pages":"1646"},"PeriodicalIF":0.8,"publicationDate":"2025-10-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12587221/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145460333","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}