This article studies the impact of homonegativity on risky sexual behavior among men who have sex with men (MSM) in Ghana and Togo (West Africa) using a mixed method approach.

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.

The purpose of this study was to identify the status and challenges of online distance education programs in post-secondary institutions in Ghana. This study was a replication of a similar study conducted in Kenya in 2009, at the University of Nairobi and Kenyatta University. This present study was conducted with an online survey using Google survey assessment. The survey requested responses from six post-secondary institutions in Ghana. Out of a total of 450 projected student responses, 309 responses were received with a 69% participation rate. A total of 14 responses were received for instructors out of a projected 30 resulting in 47% participation rate. And for administrators, 8 responses were received out of a projected 12 resulting in a 67% participation rate. Overall the study revealed that Ghana post-secondary institutions have established and incorporated online distance education into their programs, offering both online and blended courses. Some of these institutions established regional centers across the country and incorporated foreign instructors into their programs. The survey also revealed that students were satisfied with the overall online distance education program in their institutions which included the level of instruction, feedback and evaluation. However, there were still challenges revealed from the study that …

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.