Ensign Digital Repository
Ensign Digital Repository is a digital service that collects, preserves, and distributes digital materials of the University. Repositories are important tools for preserving an organization's legacy; they facilitate digital preservation and scholarly communication.The Ensign Digital Repository platform enables the University to:
- easily ingest documents, audio, video, datasets and their corresponding Dublin Core metadata
- open up this content to local and global audiences, thanks to the OAI-PMH interface and Google Scholar optimizations
- issue permanent urls and trustworthy identifiers, including optional integrations with handle.net and DataCite DOI
results
Discover
Communities in Ensign Digital Repository
Select a community to browse its collections.
Recent Submissions
Assessing the Impact of Workplace Stress on Mental Health Among Health Workers A Case Study of the 37 Military Hospital in Accra, Ghana
(Ensign Global University, 2025-11) Forson, Berlinda
Background:
The 37 Military Hospital in Accra is in a stressful working environment founded on the fact that it is a dual service provider as both a military and civilian provider of healthcare services. However, the degrees to which these pressure points are transcending to the psyche of the health workers and, to a large extent, in the military health establishments like the 37 Military Hospital, there is a lack of literature concerning empirical studies into their impact. To address this gap, a study will be conducted to determine the impacts of workplace stress on the mental health of health workers at the 37 Military Hospital.
Methodology:
This study adopted a cross-sectional quantitative design, which allowed for the collection of quantitative data at a single point in time. This approach enabled the researcher to measure the prevalence and patterns of workplace stress and mental health outcomes (depression, anxiety, and stress levels) among health workers. This design was appropriate for this research because it facilitated the simultaneous examination of prevalence of depression, anxiety and stress within the institutional context of a military hospital.
Conclusion:
The study revealed a high prevalence of depression, anxiety and stress among the clinical health workers. Therefore, policy makers and mental health professionals should advocate for platforms for regular dialogue with frontline staff to identify workplace challenges and implement timely solutions. Further studies should be conducted to examine the economic implications of workplace stress on healthcare delivery, including costs associated with absenteeism, turnover, and reduced productivity.
Epidemiology of Injuries Presenting to The Emergency Department of The Korle Bu Teaching Hospital: A 2024 Review
(Ensign Global University, 2025-11) Ahuahey, Joshua Tetteh
Background:
Injuries are a leading cause of morbidity and mortality globally, with low and middle-income countries (LMICs) bearing a disproportionate burden. Injuries directly lead to 5 million deaths every year, accounting for 9% of all deaths worldwide. Annually, about 800,000 deaths are recorded among children and adolescents under 20 from injuries of any kind. Low and middle-income nations account for 95% of childhood injury mortality. The highest injury rate is 94 per 100,000 in low-income countries of Sub-Saharan Africa. In the Volta Region of Ghana, a study analyzing transport-related injuries reported to health facilities from 2019 to 2023 found a cumulative incidence of 387 injuries per 100,000 population, with the highest incidence recorded in 2021. Most cases involved males (66.0%), and the highest proportion of injuries (35.8%) occurred among individuals aged 20–34 years.
Methodology:
This study utilized a retrospective cross-sectional study design to analyze a complete enumeration of 2,874 de-identified patient records presenting with injuries to the Korle Bu Teaching Hospital's Emergency Department from January 1 to December 31, 2024. The methodology relied on secondary data retrieved from hospital records. Variables collected included patient’s socio-demographics (age, sex, place and location of injury), clinical data (mechanism of injury and diagnosis), severity, mode of transportation and clinical outcome as well as referral and temporal patterns. The data was then subjected to descriptive and inferential statistical analysis after a rigorous data cleaning process.
Results:
Data from the Emergency Department revealed distinct demographic and mechanism patterns in injury presentations. Males were disproportionately affected across most injury types, accounting for 80.8% of assault cases and 68.9% of road traffic accident (RTA) cases. The highest proportion of injuries occurred in the 25-44 age group, particularly for assaults (60.6%) and RTAs (42.1%). The most common mechanisms of injury were RTAs, followed by falls, assaults, burns, and other forms of trauma. The most frequent diagnoses were lacerations (30.9%) and fractures (19.0%).
The mortality rate for patients was 1.7%. Injury severity, primarily assessed by triage, indicated a high volume of green cases (78.3%). Temporally, presentations peaked significantly during weekends and in the afternoons (12-5:59pm). Monthly case flow was highest in September (10.5%) and August (10.1%). Furthermore, the mode of transport highlighted low utilization of ambulance services (1.6%), and most patients (56.9%) were able to walk to the wards upon arrival.
Conclusion:
This study provides crucial and up-to-date epidemiological data on injuries at the Korle Bu Teaching Hospital's Emergency Department, highlighting the significant burden of trauma. The findings reinforce that young adult males and road traffic accidents are the most affected and common causes, respectively. The low mortality rate underscores the effectiveness of current trauma management systems and the importance of prompt care. This research successfully fills a significant knowledge gap and offers foundational data for evidence-based interventions and policies. Ultimately, the study's implications can be used to improve hospital preparedness and support the development of a more responsive and effective trauma system in Ghana.
Knowledge, Attitude and Practices Regarding Climate Change Among Market Women in The Agona West Municipality, Central Region, Ghana
(Ensign Global University, 2025-11) Acquaah, Richard Roland
Background:
Climate change poses significant challenges to socio-economic development, particularly in vulnerable regions like Sub-Saharan Africa. Market women, who play a crucial role in Ghana’s informal economy, are disproportionately affected due to their reliance on climate- sensitive sectors. Despite their vulnerability, limited research exists on their knowledge, attitudes, and practices (KAP) regarding climate change. This study addresses this gap by examining KAP among market women in the Agona West Municipality, Ghana.
Methodology:
A cross-sectional quantitative design was employed, with data collected from 416 market women across four major markets. Structured questionnaires administered via KoboCollect assessed socio-demographics, climate change knowledge, attitudes, and adaptation practices. Data were analyzed using descriptive statistics and chi-square tests in STATA version 18.
Results:
The study revealed that 73.8% of respondents were aware of climate change, but only 40.6% demonstrated good knowledge. Deforestation (79.8%) and fossil fuel combustion (76.0%) were the most recognized causes. While 68.3% reported good adaptation practices, barriers such as lack of information (87.5%) and financial constraints (59.4%) hindered effective responses. Education level significantly predicted knowledge (AOR = 4.62, p = 0.006) and practices (AOR = 3.97, p = 0.008). Older traders showed lower awareness but more positive attitudes.
Conclusion:
Market women in Agona West exhibit moderate climate change awareness but face significant knowledge gaps and adaptation challenges. Targeted educational programs, improved access to climate information, and gender-responsive policies are recommended to enhance resilience. The findings underscore the need for inclusive climate adaptation strategies in Ghana’s informal sector.
Awareness and Knowledge of Polycystic Ovarian Syndrome Among Nurses at The Tema Metropolis in The Greater Accra Region of Ghana
(Ensign Global University, 2025-11) Fenteng, Rhodaline Ohene
Introduction:
Polycystic Ovary Syndrome (PCOS) is one of the most common endocrine disorders affecting women of reproductive age, with a global prevalence ranging from 6% to 20%. Despite its high prevalence and association with various reproductive, metabolic, and psychological complications, awareness and early detection remain limited, particularly in developing countries. Nurses, as frontline healthcare providers, play a vital role in health education and promotion, making their knowledge and awareness of PCOS essential to early diagnosis and patient support.
Objectives:
This study aims to assess the level of awareness and knowledge of PCOS among nurses in the Tema Metropolis in the Greater Accra Region of Ghana.
Methods:
An analytical cross-sectional study were conducted among registered nurses working in the Tema Metropolis. Participants were selected using multi-stage random sampling. Data were collected through a structured, self-administered questionnaire and analyzed using SPSS to generate descriptive and inferential statistics. Pearson’s Chi square test and simple logistic were used to assess the association at the univariate level and Multiple logistic regression was used to assessed the strength of association at the multivariate level. Significance level was at 5%.
Results:
The study included 260 nurses with 11 (4.26%) being enrolled nurses, 116 (44.96%) registered nurses, 89 (34.50%) midwives, and 44 (12.40%) were nurse specialists. About two thirds 179 (68.85%) were aware of PCOS. Of this, 60 (33.6%) demonstrated high knowledge, 76 (42.5%) demonstrated moderate knowledge, and 43 (24.1%) demonstrated low knowledge on the causes, symptoms, management of PCOS. Factors that influenced awareness are the work experience (AOR = 1.44, p = 0.04), Receiving formal training (AOR = 2.33, p = 0.03) and having interest in women reproductive health (AOR = 2.71, p = 0.01).
Conclusion:
Although a majority of nurses in the Tema Metropolitan were aware of PCOS, a substantial proportion demonstrated only moderate to low knowledge regarding its causes, symptoms, and management. This highlights a critical need for the Ministry of Health to strengthen continuing education, training, and awareness campaigns to enhance nurses’ knowledge and capacity in managing PCOS effectively
Assessing the Factors Influencing Awareness of The One Health Approach to Antimicrobial Resistance A Case Study Among Senior High School Students in The Lower Manya Krobo Municipality, Eastern Region of Ghana
(Ensign Global University, 2025-11) Dzakpasu, Priscilla Edem
Background:
Antimicrobial resistance (AMR) remains one of the most critical global public health threats, with growing concern over its spread across human, animal, and environmental domains. The One Health Approach (OHA) emphasizes the interconnectedness of these sectors in addressing AMR. However, awareness of OHA among young people, who represent future health stewards, remains poorly documented in Ghana. This study assessed the factors influencing awareness of AMR and the One Health Approach among Senior High School (SHS) students in the Lower Manya Krobo Municipality, Eastern Region of Ghana.
Methodology:
A cross-sectional study was conducted among 394 science students randomly selected from four Senior High Schools in the municipality. The study adopted a quantitative cross-sectional design, targeting SHS students aged 15–19 years. A multistage stratified random sampling approach was used to select 394 participants. Data was collected using a structured, self-administered questionnaire adapted from validated tools, focusing on students’ knowledge of antibiotics and AMR, misconceptions, and information sources. Data was entered using KoboCollect and analyzed with SPSS V2.0. Descriptive statistics summarized demographic characteristics and awareness levels, while Chi-square tests and multivariate logistic regression identified associations between socio-demographic factors and awareness levels. Statistical significance was set at p < 0.05.
Results:
The findings revealed that awareness of AMR was moderate, with 66% of respondents demonstrating moderate to good knowledge, while 34% had poor awareness. In contrast, awareness of the One Health Approach was strikingly low (16.3%). Male students were more likely to have good AMR awareness compared to females (AOR = 2.24, p = 0.006). Socioeconomic status and religion were also significant predictors, with students from higher-income backgrounds and Christian faiths demonstrating better awareness (p < 0.05). No significant associations were found for age, ethnicity, or location. Although AMR knowledge was positively associated with awareness of the One Health Approach, the relationship was not statistically significant (p = 0.209), indicating limited translation of AMR knowledge into holistic understanding.
Conclusion:
The study highlights moderate awareness of AMR but poor understanding of the One Health framework among SHS science students. Gender, religion, and socioeconomic status significantly influenced AMR awareness, while One Health understanding remained uniformly low across demographic groups. These findings underscore the urgent need to integrate AMR and One Health education into the Senior High School science curriculum. Strengthening teacher capacity and leveraging digital platforms identified as key information sources could enhance sustained youth engagement. Collaboration among the Ghana Education Service (GES), the District Health Directorate, and NGOs is recommended to promote One Health literacy as part of Ghana’s broader National Action Plan on Antimicrobial Resistance.