The problem with which this study is concerned is that of identifying the significant variables involved in cross-cultural communication and applying these concepts in communicating the Christian faith to Ashanti tribe members of central Ghana in West Africa.

After independence on March 6, 1957, Ghana, under the late President Kwame Nkrumah, turned to diverse developmental activities. Economically, Ghana was on sound footing; the balance of payments was favorable and cocoa was yielding a good harvest. In 1967, Nkrumah was ousted due to his dictatorial rule. In this study the available primary and secondary sources were utilized. Primary sources were made available by the Ghana Embassy in Washington, D. C. and by friends and relatives in institutions of higher learning in Ghana. The study is divided into five chapters. Chapter I concerns itself with a geographical survey of the country, including land, climate, people, and natural resources. Chapter II explores political developments, and Chapter III examines some of the crucial economic problems. Chapter IV explores some economic progress and Chapter V makes suggestions, some of which may seem sordid and grim, but at least they offer a "stepping stone."

Comprehensive emergency management and response is crucial for disaster prevention and health emergencies. However, in African countries with an abundance of natural disasters and a rising surge in cardiovascular and obstetric emergencies, little research exists on emergency response. This study examines the fire emergency response in Kumasi Metropolitan Assembly (KMA), Ghana's second largest city. We use Geographic Information Systems (GIS) tools including location -allocation modeling to evaluate the existing system of fire facilities, identify gaps in service, and suggest locations for new fire stations to maximize population coverage. Our results show that fire stations within KMA are poorly distributed and large portions of the metropolis are underserved, a situation that is partly responsible for the huge losses of lives and property during fire outbreaks.

Ghana is identified among the developing countries with high maternal mortality ratio in Africa. This study unpacked the Demographic and Health Survey data by examining the maternal health indicators at the district level using GIS methods. Understanding the geographic patterns of antenatal care, place of delivery, and skilled birth attendants at the small scale will help to formulate and plan for location-specific health interventions that can improve maternal health care behavior among Ghanaian women. Districts with high rates and low rates were identified. Place of residence, Gini-Coefficient, wealth status, internet access, and religious affiliation were used to explore the underlying factors associated with the observed patterns. Economic inequality was positively associated with increased use of maternal health care services. The ongoing free maternal health policy serves as a cushion effect for the economic inequality among the districts in the Northern areas. Home delivery is common among the rural districts and is more prominent mostly in the western part of Northern Region and southwest of Upper West. Educating women about the free maternal health policy remains the most viable strategy for positive maternal health outcomes and in reducing MMR in Ghana.

In Ghana, spatial patterns of TB vary for different regions and variations may occur within the same region. This study examines TB distribution in the Greater Accra Region of Ghana using Geographic Information Systems (GIS). Behavioral, cultural and economic variables associated with TB morbidity are examined. From January 1998 to June 1999, data obtained from the Ghana Ministry of Health revealed that, men had a higher TB rate than women, TB was common among the age groups 20-29 and 30-39, and the average TB rate of 67.7 per 100, 000 population in the Greater Accra Region was higher than the national average (58.6 per 100,000 population). Using the human ecology model, this study attempts to explain the spatial distribution of the disease.

While obesity is now recognized as a major health concern in Ghana, the major drivers, causal factors, and their spatial variation remain unclear. Nutritional changes and lack of physical activity are frequently blamed but the underlying factors, particularly cultural values and practices, remain understudied. Using hot spot analysis and spatial autocorrelation, this research investigates the spatial patterns of obesity in Ghana and the explanatory factors. We also use focus group discussions to examine the primary cultural factors underlying these patterns. The results show that wealth, high education, and urban residence are the best positive predictors of obesity, while poverty, low education, and rural residence are the best (negative) predictors of obesity. Consequently, improving the socioeconomic status, for example, through higher levels of education and urbanization may increase obesity rates. Furthermore, the cultural preference for fat body as the ideal body size drives individual aspiration for weight gain which can lead to obesity. Thus, reducing obesity rates in Ghana is impossible without addressing the underlying cultural values.

The study examines the socio-demographic characteristics of Traditional Medical Practitioners in Ghana. Their attitudes towards collaboration with biomedical practitioners, their associations, and regulation is also discussed. Data for the study was obtained from a Survey of Traditional Medical Practitioners in Ghana.

West African Journal: A Travel Account is a narrative of the author's trip in twelve West African countries. In the first chapter the author describes her previous travels and preparations for this trip and introduces her husband. She begins the second chapter with a discussion of the benefits and hardships of independent travel and describes the hotels, restaurants, forms of transportation, and difficulties with language. The remainder of Chapter II is a close account of the first sixteen days of travel. The narrative continues chronologically in Chapters III through VIII. Each chapter pertains to a distinct stage of the trip. In Chapter IX, the author reviews her personal accomplishments during the journey, relates her and her husband's reactions on their return to the U.S., and concludes with some evocative descriptions of West Africa.