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
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Recent Submissions
Knowledge And Practices of Nursing Mothers on Exclusive Breastfeeding in The South Tongu District in Volta Region of Ghana
(Ensign Global College, 2024-09) Forson, Richard
Background: Breast milk is important for babies because it provides security, cleanliness, and antibodies. It offers energy and nutrients for the first few months before meeting half of a child's nutritional requirements in the second year. Children are facing a variety of dietary difficulties as a result of exclusive breastfeeding habits that do not meet the suggested six-month target. This study aimed to analyze nursing mothers' knowledge and practice of exclusive breastfeeding in Ghana's South Tongu District, Volta Region.
Methods: A cross-sectional quantitative research design was adopted, with 366 nursing moms recruited from South Tongu District Hospital in South Tongu District. Nursing moms were given questionnaires to complete that assessed their knowledge and practice on exclusive breastfeeding. Data was analyzed using SPSS, using frequencies and confidence intervals, and the Chi-Square test was performed to examine the amount of connection between chosen variables at a p-value of 0.05.
Results: In a study of 366 nursing mothers, the majority (63.7%) were well-informed and conscious of the benefits of exclusive breastfeeding, which is limited to giving infants breast milk for the first six months of life. While 6.6% stated breastfeeding should begin when the infant screams, the majority (92.2%) said it should begin on demand. Prenatal clinics provided the bulk of information on exclusive breastfeeding (47.0%), with radio providing 3.5% of the information. 11.3%, friends (18.1%), and family (19.0%) said they obtained the information from other sources. The moms were 30.5 years old on average and 31 years old on average. The survey also discovered that the majority of moms learned about exclusive breastfeeding via radio, friends, family, antenatal clinics, and 11.3% from other sources.
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Conclusion: The study findings showed that the majority of the respondents were aware of the concept of exclusive breastfeeding. However, there was a noticeable gap in their practices. The majority, 63.39% reported they face challenges in exclusive breastfeeding with the top three breastfeeding challenges faced by mothers identified as a belief that breast milk alone is not sufficient, a short maternity leave period and low self-esteem.
The Effects of Flooding on Education in Central Tongu and Ada East Districts of Ghana
(Ensign Global College, 2024-09) Klevo, Shine
Background: The possibility of the occurrence of floods have increased due to
environmental changes and human activities. These floods have severe impact on human
lives and educational infrastructure and activities. The recent floods in Volta and parts of the
Greater Accra has impacted livelihood and destructed educational activities. However, the
impact of these floods on education has been inadequately investigated. The reports on the
floods acknowledges the growing frequency and severity of flooding events in these areas,
and present considerable difficulties to local populations and educational institutions. The
purpose of this research is to illustrate the education sector's vulnerability in the face of
recurring flooding.
Methods: The study used a quantitative cross-sectional approach. The study collected data
on the direct and indirect effects of floods on educational infrastructure, student attendance,
academic performance, and overall learning environments. A school-based cross-sectional
survey was undertaken, with 270 students from two public schools in the Central Tongu and
Ada East districts. Stata version 18 was used for data analysis. The results were presented in
tables, charts, and graphs. The models will include frequencies, cross-tabulation, and a chisquare
values. P-value was determined at 95% confidence intervals
Results:The findings reveal that, 93% of the flooding had impact on schooling in their
communities. The floods resulted in the closure of schools while 59% of the students noted
that classes were not held during the floods. However, 41.9% reported damage to educational
material such as books and laptops. The results of this study presents evidence on flooding
for recommendations aimed at improving the resilience of the education system in the face of
climate-related difficulties in Central Tongu and Ada East districts of Ghana.
Risky Sexual Behaviour and HIV Knowledge Among Young Female Adults in Ghana: Insight From Ghana Demographics and Health Survey 2022
(Ensign Global College, 2024-09) Ibrahim Damba, Ruhana
Background: Risky sexual behavior and knowledge of HIV are critical public health concerns,
especially in Sub-Saharan Africa, which continues to face a significant burden of AIDS. In
Ghana, young female adults are a vulnerable population at risk of engaging in risky sexual
behaviors and lacking adequate knowledge about HIV transmission and prevention. Engaging in
risky sexual behaviors predisposes individuals to a lot of concerns related to sexual and
reproductive health, including sexually transmitted infections like HIV.
Aim: This study aimed to investigate risky sexual behavior and knowledge of HIV among young
female adults in Ghana using data from the Ghana Demographic and Health Survey (GDHS)
2022.
Methods:The survey utilized a quantitative method using a retrospective cross-sectional study
design. Data was gathered from 16 regions in Ghana through the GDHS. The study population
comprised young female adults aged 15 to 24 years across these regions.
Results: The results revealed several key determinants significantly influencing risky sexual
behavior among young female adults in Ghana. A notable finding was the correlation between
risky sexual behaviors and limited knowledge about HIV. The study identified that delaying
sexual debut and promoting safer sexual practices are crucial strategies for mitigating risky
behaviors and reducing the risk of HIV transmission. Additionally, while a minority of
respondents engaged in more diverse sexual relationships, there was also a small number of
individuals with unclear reporting on their sexual behaviors.
Conclusion:The study concluded that comprehensive sexual education programs are essential to
address misconceptions about HIV transmission, including incorrect beliefs such as transmission
through mosquito bites or sharing food. Promoting HIV testing through community outreach and
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awareness campaigns is also crucial. Additionally, enhancing access to antiretroviral therapies
(ARVs) and incorporating gender-sensitive approaches that take into account the unique sociocultural
factors affecting young women's behaviors and access to healthcare are necessary steps.
The Effects of Fluvial Flooding on Livelihood Vulnerability in Central Tongu and Ada East Districts of Ghana
(Ensign Global College, 2024-09) Asuamah-Tawiah, Akua
Background: Flooding commonly refers to the overflow of water that submerge onto dry land. This can occur due to heavy rainfall, storm surges, rapid melting of snow or ice, or the overflow of rivers, lakes, or other water bodies. Dam-mediated flooding can occur due to various factors related to the operation, design, or failure of a dam. In the last three decades, floods have drawn much attention in both developed and developing countries as a critical development challenge. In September 2023, the Akosombo Dam was spilled due to changes in rainfall patterns which led to flooding downstream communities along the lower Volta Basin. The study aimed to explore the effects of flooding on livelihood vulnerability in the Central Tongu and Ada East Districts of Ghana.
Methodology: This study employed a qualitative design and used a non-probability purposive sampling technique to recruit 33 key informants. The study utilized published newspapers and key informants’ interviews as main data sources. To analyze data, thematic analysis was adopted, and ATLAS.ti was used in coding whereas the emergency relief items checklist was analyzed using descriptive statistics with STATA version 18.
Results: The controlled spillage caused significant damage in Central Tongu and Ada East districts, affecting both tangible and intangible assets directly and indirectly. Roads, bridges, and water supply systems were completely destroyed, while schools, markets, and electricity systems suffered partial damage. Some toilet facilities, refuse dumps, cemeteries, and mortuaries were submerged. Schools were repurposed as temporary shelters, disrupting education. The use of polluted water led to skin infections, with reports of diarrhea and malnutrition among children. Overcrowding in shelters increased the risk of communicable diseases, particularly affecting children and girls. Farmlands, food crops, and livestock were impacted, causing temporary food
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shortages and higher food prices, while economic activities like fishing and oyster mining were halted. Although emergency relief items were donated, they were insufficient, and their distribution was influenced by political factors.
Conclusion: The Akosombo Dam Spillage severely affected the livelihoods and general well-being of the people living in the Central Tongu and Ada East Districts. This study underscored the need for comprehensive disaster preparedness and resilience strategies that address the many challenges posed by floods.
Keywords: Flood, Fluvial flooding, Akosombo Dam Spillage, Volta River Authority, Newspapers.
Assessing Knowledge on Seasonal Malaria Chemoprevention; Sicapp Usability and Data Quality Amongst Community Health Workers in The Upper West Region of Ghana
(Ensign Global College, 2024-09) Sarkwah, Hammond Nii
Background:
Although Seasonal Malaria Chemoprevention ( was introduced in 2012 to
mitigate challenges with early diagnosis and treatment manual documentation and logistics
issues remain. To address these problems, the Seasonal Malaria Chemoprevention in Children
Application ( was developed to enhance data management and streamline SMC
implementation. This study was conducted to ass ess community healthcare workers' (
knowledge of SMC, SiCApp's usability, and to analy s e the quality of data from SiCApp in the
Upper West Region of Ghana.
Methodology
A cross sectional survey using a structured questionnaire was conducted from
March 2024 to August 2024. The study utilized a random sampling technique and had a sample
size of 346 CHWs The study assessed SiCApp’s effectiveness by evaluating CHWs' SMC
knowledge, usability and data quality in terms of timeliness and completeness Binary logistic
regression analysed the influence of socio demographic factors and SMC knowledge on
usability and data quality.
Results
The study found that 58.1% of CHWs had high knowledge of SMC, while 41.9% had
low knowledge, and although the SiCApp's accura cy and completeness were high, 52% of
users deemed its usability unacceptable. CHWs from Nadowli (AOR 0.262, 95% CI: 0.0956
0.718, p 0.009), Nandom (AOR 0.135, 95% CI: 0.0395 0.461, p 0.001), and Wa West
(AOR 0.266, 95% CI: 0.1307 0.543, p 0.00 1) were more knowledgeable about SMC than
those in Lawra. Additionally, those with 11 years of experience were more knowledgeable than
those without experience (AOR 0.243, 95% CI: 0.0931 0.633, p 0.004).
Conclusion:
The study highlighted the need for specialised training for less experienced
CHWs, improvements to SiCApp's user interface, and better resource allocation to
underperforming regional districts to enhance malaria interventions and ensure the
effectiveness and sustainability of digital health tools in public health.