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Social workers, especially in the Global North/developed countries such as the United States of America, Australia, Canada, and the United Kingdom, have been actively involved in implementing social programs to improve the psychosocial, health, and wellbeing of older adults during the COVID-19 pandemic. However, this is not the case in the Global South/developing countries like Nigeria, Ghana, etc. This concept paper aims to describe the current state of Nigerian social workers' role in developing and implementing social programs for older adults during the COVID-19 pandemic and to identify action plans for further strengthening their involvement. We systematically reviewed the literature to identify Nigerian social workers' role in developing and implementing social programs for older adults during COVID-19. Our review reflected that social workers are rarely involved in developing and implementing social programs; when involved, their involvement is on a consultation basis, which limits their active involvement in multidisciplinary team of COVID-19 prevention and vaccination ad hoc committees in Nigeria.

The COVID-19 pandemic led to extended school closures globally. Access to remote learning opportunities during this time was vastly unequal within and across countries. Higher-quality early childhood education (ECE) can improve later academic outcomes, but longer-term effects during crises are unknown. This study provides the first experimental evidence of how previously attending a higher-quality ECE program affected child engagement in remote learning and academic scores during pandemic-related school closures in Ghana. Children (N = 1668; 50.1% male; M age  = 10.1 years; all Ghanaian nationals) who attended higher-quality ECE at age 4 or 5 years had greater engagement in remote learning (d = .14) in October 2020, but not better language and literacy and math scores. Previous exposure to higher-quality ECE may support educational engagement during crises., (© 2022 The Authors. Child Development © 2022 Society for Research in Child Development.)

The study aims to understand the foremost challenges in the transition to online teaching and learning during the COVID-19 pandemic. The study adopts the PRISMA approach to screening the selection of journal articles and review papers according to the research aims and the inclusion criteria. The journal articles and review papers were extracted and stored in Microsoft Excel and Google Scholar, Academic. Microsoft, Semantic Scholar, Elsevier, and Emerald Insight databases searched relevant documents using formulated keywords. A statistical technique was applied using the M.S. Excel analysis tool (PivotTable and an independent t-Test) to analyze data and determine the differences between teachers and students. The review revealed the evidence that the majority of the studies were primarily focused on the individual developing countries and results from other developing countries were not considered. In addition, the foremost challenges in the transition to online teaching and learning during the COVID-19 pandemic were inadequate skills and training, inadequate Internet/Infrastructure, lack of supporting resources and lack of online student engagement and feedback. Finally, the independent t-test reveals there is no statistically significant difference in challenges in the transition to online teaching and learning during the COVID-19 pandemic. Both teachers and students encounter similar challenges. The systematic review raised concerns that higher learning needs to effectively implement long term strategies and support teachers and students in getting into online teaching and learning.

This paper explores the thesis of de-globalisation in relation to international education. Through interrogating accounts of international school leadership during the COVID-19 crisis, the tension between international expectations and localised realities is charted, with four central tenets of internationalism undermined by the pandemic experience. It is argued that the COVID-19 crisis, ostensibly a single global event, resulted in the fractalisation of international education; the conceptualisation of unified internationalism was undermined by the inherently localised material effects of the pandemic. In place of an internationalism that is unified, transcendent, inclusive and connected, international school leaders' accounts of leading through the pandemic focused on their sense that their schools were fractured, rooted, privileged and isolated. It is suggested that this international crisis demonstrates the precarious nature of the respatialising of the global that is intrinsic to international schooling.

A critical part of the national economy is small and medium enterprises (SMEs). SME owners are vital contributors to the overall economy. Due to their limited capital and assets, they are more vulnerable. In comparison to their contribution, the value of assessing SME owner's depression, anxiety, and mental stress has been very minimal during the COVID-19 outbreak. Firms were forced to close due to lockdown, and they faced substantial business losses. Thus, this study aims to investigate SME owners' psychological distress due to business losses during this pandemic. The study used psychological parameters: Depression, Anxiety, Stress Scale-21 (DASS-21) to examine SME owners' psychological distress. A total number of 217 owners were surveyed through a judgmental sampling technique using a structured questionnaire. Data were analyzed employing partial least square-based structural equation modeling (PLS-SEM). The findings showed that DASS-21 parameters and fear of business loss affected psychological distress. Besides, fear of business loss increases psychological distress, whereas government support lessens the distress. Theoretically, this study extended the scope of DASS-21 scale and contributed to the literature of psychology. In terms of policy implications, this study provides useful information for government, policymakers, and SME owners about the effects mentioned above., (© 2021 Wiley Periodicals LLC.)

This paper addresses the paradox of transition to online distance learning during COVID-19 pandemic in Higher Education Institutions (HEIs) in developing countries. The systematic review methodological procedures were employed to draw some limitations and possible opportunities that may inform future practices on online distance learning. The findings reveal several limitations such as digital inequalities, lack of reliable internet access, low readiness and technological competence among instructors and students, and limited availability of digital solutions. The findings also reveal that most students faced social emotional challenges due to rapid and blind transition to online distance learning. It was concluded that most limitations were due to lack of digital culture even before the outbreak of COVID-19 pandemic. It is recommended that deliberate investment should be made to promote digital culture and equity. Further possible areas for research recommended in this paper include exploration of digital inclusion among marginalized groups in developing countries.

The ravages of the COVID-19 pandemic on society affected several facets including formal education. Significantly, the indefinite closure of schools was introduced to control the spread and related fatality of the pandemic making the decision to reopen schools for all learners in January 2021 after several months of closure a preparedness concern. Using a national school-based survey informed by Event Systems and Chaos theories, the paper explores the preparedness of schools to re-open post-COVID-19 school closure. From the findings, it became evident that schools in Ghana were generally prepared to re-open per schedule. However, there existed unique disparities in some school system sub-levels informed by the location of the school. Consequently, we recommend: (1) the need to take advantage of the confidence the school system had regarding reopening for undertaking build-back efforts in future pandemics, and (2) policy and research response, especially for the vulnerable in resilience building post-emergency recovery in schools.

The process of data analysis provides, undoubtedly, some of the major challenges facing organizations during the implementation of interventions in emergencies. The challenges are primarily due to the lack of direct access to beneficiaries and the rapidly evolving nature of emergencies. This paper outlines how Plan International's Making Ghanaian Girls Great! (MGCubed) project used phone-based surveys to assess the uptake of a Ghana Learning TV (GLTV) programme implemented in partnership with the government. Due to the emergency context and the need for real-time information to guide the implementation of this intervention, there was little time to undertake a major statistical analysis of survey data. This paper discusses how the MGCubed project adopted a simple data disaggregation method using a logic tree technique to gain valuable insights from the survey data. The method allowed for exploring the insights of the data set in real-time without requiring more complex and time-consuming analysis. All views expressed in this article are the author's and not of FCDO.

This paper presents a compilation of personal reflections from 66 contributors on the impact of, and responses to, COVID-19 in accounting education in 45 different countries around the world. It reveals a commonality of issues, and a variability in responses, many positive outcomes, including the creation of opportunities to realign learning and teaching strategies away from the comfort of traditional formats, but many more that are negative, primarily relating to the impact on faculty and student health and well-being, and the accompanying stress. It identifies issues that need to be addressed in the recovery and redesign stages of the management of this crisis, and it sets a new research agenda for studies in accounting education.

This paper assesses the antecedents (prospects) geared toward the implementation of e-learning strategy in the HLI's of Ghana (a developing country) amidst the COVID-19 pandemic. The study again espouses the enabling factors that influence the e-learning system usage during the COVID-19 pandemic in a less digitalized economy. In doing so, the authors relied wholly on a quantitative research paradigm by leveraging on structural equation modelling (SEM) technique to achieve the study goal(s). The findings from 563 valid responses showed that the outbreak of the novel COVID-19 has positively and significantly strengthened the adoption of e-learning strategies across HLI's in Ghana. It also revealed that "academic innovativeness" and "technological growth & development" have a significant mediation effect on the relationship between the COVID-19 pandemic and the adoption of e-learning strategy. In practice, the study offers contributions for universities' management and policymakers to understand the relevant factors needed urgently by students and instructors of HLI's for ensuring the successful usage of e-learning systems. The conclusion and future research direction has been presented in the paper.

Given the effect of the COVID-19 pandemic, which led to the forced adoption of online teaching in several academic institutions across the world, we set out an objective in this paper to examine salient factors that may affect the decision to use online teaching by faculty members (teaching staff). We propose and validate a model based on an extended innovation diffusion theory and 284 online survey responses from Ghana and find that the attitude towards online teaching is predictably influenced by relative advantage and observability. Contrary to theory, complexity boosts rather than inhibits the attitude towards online teaching. The most salient predictors of willingness to use the mode of online teaching are attitude, observability, institutional trust, and compatibility. We conclude with discussions on the important implications for the scientific community and educational policymakers.

This paper examines the ability of a public higher education in Ghana to adapt to changes in teaching and learning in the midst of COVID-19 pandemic. Measures taken to ensure uninterrupted migration to online teaching and learning included a regular monthly supply of data bundle from an internet service provider to faculty members, select support staff and students in addition to regular training in the effective use of the SAKAI Learning Management System. Challenges encountered include inadequate internet access, occasional network interruptions during online classes and oversubscription of Zoom time slots at the departmental level. Despite these challenges, this public higher education institution was able to complete the 2019/2020 academic year fairly well.

Purpose: Students' career choices and programmes of study are perceived to influence student understanding of many courses. Yet, research attention is limited on entrepreneurship education that is a panacea for unemployment. Thus, this paper aims to assess the influence of students' career interests on students' comprehension of the entrepreneurship curriculum from a developing economy perspective. Design/methodology/approach: The study adopts a mixed-method approach and explanatory sequential design is used to collect the data from 575 student studying entrepreneurship course in Ghana. Findings: The results show that there is no statistically significant relationship between students' career interests and students' comprehension levels in concepts taught in the entrepreneurship curriculum but a statistically significant relationship between students' programme of study and students' comprehension levels in concepts taught in the entrepreneurship curriculum in Ghanaian universities. Practical implications: The findings imply that the entrepreneurship course should be taught practically. This can be accomplished by creating a virtual enterprise modelled after a successful enterprise. This will help students understand the concepts being taught. Second, students who study different programmes should be taught using different methods. Lastly, students who study non-business-related programmes should be taught using methods that emphasise the basic ideas to aid students' understanding. Originality/value: This study has made significant contribution by successful adopting the Piaget's cognitive constructivism to the learning of entrepreneurship from a developing country perspective and establish that no statistical relationship exist between students' career interests and students' comprehension levels in entrepreneurship education.

This paper looks at Ghanaian Colleges of Education tutors' perception on the personal and institutional preparedness for online teaching-learning during the COVID-19 crisis. The study selected 24 tutors from 9 Colleges of Education (CoEs) in the Eastern and Greater Accra Regions. 7 CoEs are in Eastern while 2 are in Greater Accra. Using the convenience sampling technique, 24 tutors were selected as the accessible population. The research design used was the qualitative with a semi-structured interview conducted over the telephone because of social distancing. The data collected was analysed manually. The results indicate that only 33.3% of the respondents could teach confidently online, while 66.7% needed more training to confidently deliver lessons online. Furthermore, none of the 9 colleges had policies on online teaching even though each college had at least 16 policies regarding the good governance of the colleges. It is therefore recommended that tutors of CoEs should be given support in ICT and online skills and competencies through continuous training.

Since the onset of COVID-19, governments have launched technology-supported education interventions to ensure children learn. This paper offers a narrative synthesis of emerging evidence on technology-based education to understand the current experiences of learners, teachers and families. Studies find that few students in low- and middle-income countries have access to technology-supported learning with the most marginalised children appearing to have the least educational opportunities. As such, the education response to COVID-19 could widen existing inequalities.

This paper examines the challenges posed by the COVID-19 pandemic on the existing health inequalities disproportionately affecting vulnerable populations. It explores the impact of COVID-19 pandemic response measures to "curb the spread" on informal sector workers in Ghana. In Ghana, like many other developing countries, the informal sector was impacted by a higher risk of exposure to the COVID-19 infection and the slew of pandemic response measures, for example, lockdowns and stay-at-home orders, as well as guidelines around social distancing implemented by their governments. Given the high level of precarity that undergirds work in the informal sector and the intersectional forces that contribute to and maintain their marginality—class, race, ethnicity, gender, religion, and geographic location—this paper creates a space for dialogue about the unintended consequences of pandemic response measures on the livelihood security of informal sector workers. [ABSTRACT FROM AUTHOR]

Given that the educational sector was particularly hard hit in most countries around the world during the COVID-19 pandemic, the study employs an extended UTAUT2 to investigate student use and satisfaction with e-learning in a developing country setting. We employed partial least squares structural equation modelling (PLS-SEM) on 616 data responses gathered online from university students during the pandemic to evaluate our integrated model. This paper found that not all the predictors of the UTAUT2 model were statistically significant in predicting behavioural intention. Our results revealed that performance expectancy, effort expectancy, and facilitating conditions, as predictors, have no influence on various outcomes relating to the behavioural intention to use e-learning. The study also found that e-learning interaction quality predicts student satisfaction. Other theoretical and practical implications are also detailed in our study.

This paper reported how students used the virtual streaming technology and considered their satisfaction and preferences-related to video conferencing during COVID-19 lockdown. A case study was selected for an exploratory mixed methods design to explore students' (n=89) lived experiences of the video conferencing facility during the COVID-19 lockdown. This study has found that students preferred both Teams and Zoom as virtual streaming facilities during the COVID-19 lockdown. Students were satisfied with virtual streaming platforms as a teaching and learning supportive tool that facilitated their shift to online learning. Moreover, this study reported that using a web-based videoconferencing platform as a virtual streaming tool supports students in learning from home in critical times such as this pandemic. Further research is needed to determine students and lecturers' digital literacy competencies using video conferencing for successful online learning post COVID-19 lockdown.

Adult learners' engagement in distance education is increasing in Ghana. Following the COVID-19 pandemic, the University of Ghana transitioned to online facilitation and learning. This qualitative case study explores the transition to online learning at the Accra Learning Centre, which hosts over 80% of the University of Ghana's distance education students. In-depth interviews were conducted for eight students on the potential strengths, challenges, and coping strategies for learning online. It emerged that online learning helps build the digital skills that help adults become self-directed learners. Among challenges, participants observed network and internet connectivity problems. Adult learners were unprepared, but there was no other way to drive lifelong learning endeavours, so they adjusted to online learning through group learning and practice to build their digital literacy skills. The paper recommends that training programmes on change and time management are organised for adult learners who lack those skills and high-speed internet installed at the learning centres.

The novel coronavirus (COVID-19) pandemic has impelled many countries all over the world to institute sweeping measures to help reduce infection rates and ultimately its utter elimination. One of the many measures is the closure of schools which concomitantly implied that other innovative strategies to the delivery of subject matter to students while they remain at home be employed in order to avert the likely disruption to the academic calendar of schools. In Ghana, many higher education institutions have turned to the use of digital tools to facilitate teaching and learning. While this was an inevitable move given the prevailing circumstances, it represents a major shift in the teaching and learning experiences of many students in the country due to their familiarization with the traditional face-to-face classroom sessions. This present study explored the unique experiences of 15 conveniently selected students from a two-year college in the country with regard to the sudden shift to digital learning necessitated by the pandemic. This paper identified three main experiences: 1. the use of unregulated social media platforms for learning; 2. high data costs for surfing the internet coupled with instability of internet; and 3. empathy from the lecturers contributed to students' online learning engagement. These findings serve as an invitation for profound reflection on the unique place of technology-mediated teaching and learning in higher education in current and future pandemics.

Globally, Information and Communication Technology (ICT) is regarded as a dependable vehicle for facilitating educational reform and development, a platform for communication, and as a means to achieve the Sustainable Development Goal Four (SDG 4). Since the enactment of the No Child Left Behind Act (NCLB) and declaration of the SDG 4, many countries have opted to embrace the lifelong education for all by integrating ICT in teaching and learning at all school levels. The Ghanaian Government's initiative to ensure "education anytime anywhere for everyone" by revolutionizing teaching and learning through ICT has faced a lot of challenges and criticisms. The main mission of the Ghana ICT for Accelerated Development (ICT4AD) in 2003 was to transform Ghana into an information and technology-driven high-income economy through education, but this goal is yet to be realized. In the wake of the COVID-19 which has forced many countries and educational sectors to adopt online learning, there is a need to discuss the effectiveness of online learning and barriers to online learning in the developing contexts, and how to successfully integrate ICT in schools for online learning, especially rural schools where students' educational careers are in jeopardy because they benefit less from online learning. The paper identifies critical factors that affect online learning, recommends post COVID-19 strategies to promote e-learning for policymakers in education and the government, and concludes with a conceptual model for emergency transition to e-learning.

This paper provides glimpses of transactions in chemistry classrooms in five African countries (Burundi, Ghana, Morocco, Nigeria, and Senegal) during the COVID-19 lockdown. Members of the secondary school community in the countries including teachers, students, and school managers were unprepared for the unprecedent demand in shift from a face-to-face to an online delivery system. From a tepid, faltering start in the early days of the lockdown in Morocco, Nigeria, and Senegal, and recognizing that the end of the lockdown may not be in sight, some minuscule progress is being made in exploring virtual delivery of the chemistry curriculum. Four major challenges to online delivery of chemistry education emerged. These are a teacher capacity deficit for delivering online education, poor internet service, an erratic power supply, and severe inadequacies in infrastructure for open and distance education. Taken together along with poor teacher motivation induced by low and irregular wages, these challenges are depressants to quality chemistry teaching during the COVID-19 period. We foresee that these challenges will persist. The harsh effect of COVID-19 on the economy of all African countries is a sign that funds will be unavailable to address these challenges in the near future. A glimmer of hope can be the reprioritization of funding resources by African governments to online delivery of education, noting that blended learning will be the new normal in the coming decades.

The treatment of Africans in Guangzhou, China in 2020 during the COVID-19 pandemic - here referred to as the "Guangzhou episode" - generated strong criticisms and made news headlines within and outside Africa. This paper analyzes the reportage of the episode in four online African newspapers: two each from Nigeria and Ghana. Specifically, it sheds light on how the episode was framed, comparing coverage between both countries. Using a discourse analysis that prioritizes language, source, and focus, the paper demonstrates that while Western media were important influences and sources for the newspapers, the African migrants' experiences in the episode were largely framed within (ahistorical) victimhood. Yet the idea of "African" migrants had a noticeable Nigerian dimension. [ABSTRACT FROM AUTHOR]

The African continent has witnessed most health crises including yellow fever, meningitis, cholera, and Ebola. Two recent health crises faced by Ghana have been the Ebola virus and the Covid-19 virus diseases. This paper attempts to compare these two crises to understand what preparedness approaches were used by the government of Ghana during these two crises. Also, the paper attempts to identify what the similarities and differences have been and why these similarities and differences existed in the preparedness towards these crises that happened over different periods and whether Ghana's Covid-19 preparedness was based on lessons from Ebola. Through the policy legacies analytical framework and a review of the literature, the paper argues that Ghana's preparedness shows a lot of similarities from the training of healthcare workers, the health infrastructure introduced, approaches to public engagement, and political decisions made to fight both crises. [ABSTRACT FROM AUTHOR]

Over the years, Ghana has made notable strides in adopting digital approaches to address societal challenges and meet demands. While the health sector, particularly the disease surveillance structure, has embraced digitization to enhance case detection, reporting, analysis, and information dissemination, critical aspects remain to be addressed. Although the Integrated Disease Surveillance and Response (IDSR) structure has experienced remarkable growth in digitization, certain areas require further attention as was observed during the COVID-19 pandemic. Ghana during the COVID-19 pandemic, recognized the importance of leveraging digital technologies to bolster the public health response. To this end, Ghana implemented various digital surveillance tools to combat the pandemic. These included the 'Surveillance Outbreak Response Management and Analysis System (SORMAS)', the digitalized health declaration form, ArcGIS Survey123, Talkwalker, 'Lightwave Health information Management System' (LHIMS), and the 'District Health Information Management System (DHIMS)'. These digital systems significantly contributed to the country's success in responding to the COVID-19 pandemic. One key area where digital systems have proved invaluable is in the timely production of daily COVID-19 situational updates. This task would have been arduous and delayed if reliant solely on paper-based forms, which hinder efficient reporting to other levels within the health system. By adopting these digital systems, Ghana has been able to overcome such challenges and provide up-to-date information for making informed public health decisions. This paper attempts to provide an extensive description of the digital systems currently employed to enhance Ghana's paper-based disease surveillance system in the context of its response to COVID-19. The article explores the strengths and challenges or limitations associated with these digital systems for responding to outbreaks, offering valuable lessons that can be learned from their implementation. [ABSTRACT FROM AUTHOR]

In this paper, we suggest a mathematical model of COVID-19 with multiple variants of the virus under optimal control. Mathematical modeling has been used to gain deeper insights into the transmission of COVID-19, and various prevention and control strategies have been implemented to mitigate its spread. Our model is a SEIR-based model for multi-strains of COVID-19 with 7 compartments. We also consider the circulatory structure to account for the termination of immunity for COVID-19. The model is established in terms of the positivity and boundedness of the solution and the existence of equilibrium points, and the local stability of the solution. As a result of fitting data of COVID-19 in Ghana to the model, the basic reproduction number of the original virus and Delta variant was estimated to be 1.9396, and the basic reproduction number of the Omicron variant was estimated to be 3.4905, which is 1.8 times larger than that. We observe that even small differences in the incubation and recovery periods of two strains with the same initial transmission rate resulted in large differences in the number of infected individuals. In the case of COVID-19, infections caused by the Omicron variant occur 1.5 to 10 times more than those caused by the original virus. In terms of the optimal control strategy, we formulate three control strategies focusing on social distancing, vaccination, and testing-treatment. We have developed an optimal control model for the three strategies outlined above for the multi-strain model using the Pontryagin's Maximum Principle. Through numerical simulations, we analyze three optimal control strategies for each strain and also consider combinations of the two control strategies. As a result of the simulation, all control strategies are effective in reducing disease spread, in particular, vaccination strategies are more effective than the other two control strategies. In addition the combination of the two strategies also reduces the number of infected individuals by 1/10 compared to implementing one strategy, even when mild levels are implemented. Finally, we show that if the testing-treatment strategy is not properly implemented, the number of asymptomatic and unidentified infections may surge. These results could help guide the level of government intervention and prevention strategy formulation., Competing Interests: The authors have declared that no competing interests exist., (Copyright: © 2024 Kim et al. This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.)

Introduction: Ghana witnessed an outbreak of measles in 2022 following the COVID-19 pandemic, and Savannah Region was among the regions severely impacted. The objective of this study was to conduct trend analysis of measles case incidence and measles-rubella (MR) vaccination coverage in the Savannah Region to identify gaps and propose remedial actions to mitigate future outbreaks of vaccine preventable diseases (VPDs)., Methods: Analysis of measles surveillance and measles-rubella vaccination data for 2018-2022 was conducted to assess relationship between immunization coverage and measles case incidence. Data were extracted from the District Health Information Management System (DHIMS) platform and loaded into Microsoft Excel 16.0 spreadsheet for analysis. Coverages for first (MR1) and second (MR2) doses of measles-rubella vaccination, dropout rates, and measles incidence (per 100,000) were calculated., Results: The coverage trend for both vaccine doses followed similar trajectories, increasing from 2018 to a peak in 2019, and declining sequentially thereafter to the lowest (for the study period) in 2022. Generally, MR1/MR2 dropout rate was high across all districts during the entire study period. The regional incidence of confirmed measles rose sharply from less than 1/1,000,000 in 2018-2021 to 94 in 2022. Wide variations in vaccination coverage and dropout rates were observed among the districts. There was moderate to fairly strong negative correlation between MR vaccination coverage and measles case incidence., Conclusions: The MR vaccination coverage in the Savannah Region declined probably due to pre-existing weaknesses in the immunization programme accentuated by impact of the COVID-19 pandemic. The lowered population immunity likely contributed to occurrence of the measles outbreak in 2022. Pragmatic actions are needed to catch-up on missed children, restore coverage to pre-pandemic levels, and strengthen the immunization programme as part of global efforts towards achieving the Immunization Agenda 2030 (IA2030) trajectory., Competing Interests: Declaration of competing interest The authors declare that they have no known competing financial interests or personal relationships that could have appeared to influence the work reported in this paper., (Copyright © 2024 The Author(s). Published by Elsevier Ltd.. All rights reserved.)

Handwashing is an effective public health intervention for preventing the spread of coronavirus (COVID-19). Maintenance of clean hands is particularly important during the pandemic, to break the cycle of human-to-human transmission of the virus. This study explored the potential impact of the COVID-19 pandemic on the handwashing behaviours of residents before and during the pandemic. A mixed-method cross-sectional design using standardised questionnaire was used to examine hand handwashing behaviours among residents before and during the COVID-19 pandemic in the middle belt of Ghana. However, this paper reports on the quantitative data on handwashing behaviour only. A total of 517 participants between 18 to 60 years were randomly selected from the Kintampo Health and Demographic Surveillance System (HDSS) database. Descriptive statistics were performed and McNamar test was used to estimate the difference in the handwashing behaviour of residents. Majority of the respondents were females (54.6%). The majority of them 77.0% (398) usually wash their hands with soap and water. Those who washed hands 4 to 6 times a day before the pandemic increased from 39.9% (159) to 43.7% (174). About 34.8% (180) had received training on hand washing and television 53.3% (96) emerged as the main source of training. Ownership of handwashing facilities increased from 11.4% (59) to 22.8% (118) during the pandemic. The odds of handwashing after handshaking were lower 0.64 (95% C1: 0.44-0.92,) during the pandemic. Television (53.3%) was the main source of training for respondents who had received training on handwashing (34.8%). The odds of owning a handwashing facility during the pandemic were 3 times higher than before (OR = 2.97, 95% CI: 1.94 - 4.65). The odds of handwashing after sneezing were 1.8 (95% CI: 1.19-2.92) times higher during the pandemic. Handwashing behaviours during the pandemic improved among residents than before. However, there is a need to intensify health education and media engagement on proper handwashing practices to protect the population against infectious diseases., Competing Interests: The authors declare no competing interests., (Copyright: Edward Anane Apraku et al.)

Background: Research on vaccines confirms the crucial role media play in framing discourses and mobilizing public support for successful immunization campaigns. What journalists cover on vaccination issues and their diligence in producing stories can influence attitudes to and uptake of vaccines. This paper contributes to emerging discussions on the role of the media in pandemics and in vaccination programs by interrogating the information seeking and verification practices of journalists reporting on COVID-19 vaccines in Ghana., Methods: A cross-sectional online survey was conducted among journalists from June to July 2021 through self-administered questionnaires by means of Google forms. The opinions of 300 respondents, randomly drawn from members of the Ghana Journalists' Association, were solicited and a response rate of 73% obtained., Results: Majority of journalists surveyed relied on official health sources for their information on COVID-19 vaccines (61.5%) and were confident the benefits of vaccines outweigh the risks (70%). While journalists relied on a variety of expert sources, social media platforms served as important sources of information also, with respondents stating a preference for Facebook (48.3%), and WhatsApp (44%). Journalists stated they were guided by sound practices such as source credibility and relevance, but betrayed weaknesses in their verification practices with a third of them admitting to sharing unsolicited information from social media., Conclusions: Journalists in Ghana generally display a positive attitude towards COVID-19 vaccines and regularly search for information from official sources to inform their work, thus making them vital allies in overcoming vaccine hesitancy. Laxity in verification practices, however, makes them inadvertent agents of misinformation.

The world battled to defeat a novel coronavirus 2019 (SARS-CoV-2 or COVID-19), a respiratory illness that is transmitted from person to person through contacts with droplets from infected persons. Despite efforts to disseminate preventable messages and adoption of mitigation strategies by governments and the World Health Organization (WHO), transmission spread globally. An accurate assessment of the transmissibility of the coronavirus remained a public health priority for many countries across the world to fight this pandemic, especially at the early onset. In this paper, we estimated the transmission potential of COVID-19 across 45 countries in sub-Saharan Africa using three approaches, namely, [Formula: see text] based on (i) an exponential growth model (ii) maximum likelihood (ML) estimation and (iii) a time-varying basic reproduction number at the early onset of the pandemic. Using data from March 14, 2020, to May 10, 2020, sub-Saharan African countries were still grappling with COVID-19 at that point in the pandemic. The region's basic reproduction number ([Formula: see text]) was 1.89 (95% CI: 1.767 to 2.026) using the growth model and 1.513 (95% CI: 1.491 to 1.535) with the maximum likelihood method, indicating that, on average, infected individuals transmitted the virus to less than two secondary persons. Several countries, including Sudan ([Formula: see text]: 2.03), Ghana ([Formula: see text]: 1.87), and Somalia ([Formula: see text]: 1.85), exhibited high transmission rates. These findings highlighted the need for continued vigilance and the implementation of effective control measures to combat the pandemic in the region. It is anticipated that the findings in this study would not only function as a historical record of reproduction numbers during the COVID-19 pandemic in African countries, but can serve as a blueprint for addressing future pandemics of a similar nature., (© 2024. The Author(s).)

The COVID-19 pandemic has triggered several changes in countries' health purchasing arrangements to accompany the adjustments in service delivery in order to meet the urgent and additional demands for COVID-19-related services. However, evidence on how these adjustments have played out in low- and middle-income countries is scarce. This paper provides a synthesis of a multi-country study of the adjustments in purchasing arrangements for the COVID-19 health sector response in eight middle-income countries (Armenia, Cameroon, Ghana, Kenya, Nigeria, Philippines, Romania and Ukraine). We use secondary data assembled by country teams, as well as applied thematic analysis to examine the adjustments made to funding arrangements, benefits packages, provider payments, contracting, information management systems and governance arrangements as well as related implementation challenges. Our findings show that all countries in the study adjusted their health purchasing arrangements to varying degrees. While the majority of countries expanded their benefit packages and several adjusted payment methods to provide selected COVID-19 services, only half could provide these services free of charge. Many countries also streamlined their processes for contracting and accrediting health providers, thereby reducing administrative hurdles. In conclusion, it was important for the countries to adjust their health purchasing arrangements so that they could adequately respond to the COVID-19 pandemic, but in some countries financing challenges resulted in issues with equity and access. However, it is uncertain whether these adjustments can and will be sustained over time, even where they have potential to contribute to making purchasing more strategic to improve efficiency, quality and equitable access in the long run., (© World Health Organization, 2024. All rights reserved. The World Health Organization has granted the Publisher permission for the reproduction of this article.)

Amidst the ongoing COVID-19 pandemic, Ghana is currently grappling with simultaneous outbreaks of Marburg virus disease and human monkeypox virus. The coexistence of these outbreaks emphasizes the imperative for a collaborative and global approach to enhance surveillance and expedite case detection. While Ghana has made efforts to respond to these outbreaks, this paper outlines the lessons learned and proposes recommendations in this regard. It is crucial to intensify response efforts at the local, regional, and national levels to effectively contain the spread of these infectious diseases. Therefore, this paper suggests prioritizing the following recommendations as crucial for assisting Ghana in adequately preparing for future outbreaks and safeguarding global public health: strengthening surveillance system through digitization, rapid and effective response; risk communication and community engagement; healthcare system readiness; and research and collaboration. Also, prioritizing building healthy public policies and developing personal skills of health personnel across the country is key for future outbreak response. [ABSTRACT FROM AUTHOR]

Purpose: This paper examines how one group of frontline health workers (nurses) amid coronavirus disease 2019 (COVID-19) pandemic perceive the Government of Ghana (GOG)'s decision to ease the lockdown restrictions when cases were increasing. This paper contributes to the literature on Igor Grossman's concept of wise reasoning and its applicability to COVID-19 management decision-making by political leaders. Design/methodology/approach: The paper employed an exploratory qualitative design. The decision to adopt qualitative method is linked to the paucity of research on wise reasoning, political leadership and COVID-19. The paper draws on qualitative online survey with 42 nurses located in Accra Metropolis, Ghana. Findings: The paper demonstrates that a confluence of research participants perceived the government's act of easing the lockdown restrictions to be in bad faith on account of (1) nonrecognition of different perspectives and viewpoints from stakeholders and interest groups; (2) rising number of cases which naturally make the decision to lift the restriction unwise; (3) concerns about the prioritization of peripheral issues over citizens' health and (4) concerns about limited and robust health facilities and their implications. Research limitations/implications: The key claims must be assessed against the limitations of the study. First, the study is an exploratory study and, therefore, not intended for a generalization purpose. Second, the research participants are highly educated, and the responses in this study are skewed toward them. Originality/value: The paper is novel in seeking to explore wise reasoning and political leadership during a global pandemic such as COVID-19. This exploratory study demonstrates that COVID-19, though devastating and causing havoc, presents an opportunity to test Igor Grossmann's wise reasoning framework about decision-making by political leaders. This extends the literature on wise reasoning beyond the discipline of psychology (the fact that all the authors are geographers) and Global North to Global South since the data for this study are gathered in Ghana. [ABSTRACT FROM AUTHOR]

Objective: Ethnic minority groups have experienced a disproportionate burden of COVID-19, and should therefore be especially encouraged to receive SARS-CoV-2 vaccination. This study compared first-dose uptake of the primary SARS-CoV-2 vaccination series across six ethnic groups in Amsterdam, the Netherlands in 2021., Methods: We analyzed data from participants of the population-based HELIUS cohort. We linked their data to the SARS-CoV-2 vaccination registry data of the Public Health Service of Amsterdam. We included registry data from January 6, 2021 (the start of the Dutch vaccination campaign) until September 6, 2021 (a date by which all adults in the Netherlands could have received one or two vaccine doses). SARS-CoV-2 vaccination uptake was defined as having received at least one vaccine dose of the primary vaccination series. We examined the association between ethnicity and vaccination uptake using multivariable logistic regression, while accounting for the age and sex distribution of ethnic groups in Amsterdam., Results: We included 19,006 participants (median age 53 years [interquartile range 41-62], 57% female). SARS-CoV-2 vaccination uptake was highest in the South-Asian Surinamese group (60.3%, 95%CI = 58.2-62.3%), followed by the Dutch (59.6%, 95%CI = 58.0-61.1%), Ghanaian (54.1%, 95%CI = 51.7-56.5%), Turkish (47.7%, 95%CI = 45.9-49.6%), African Surinamese (43.0%, 95%CI = 41.2-44.7%), and Moroccan (35.8%, 95%CI = 34.1-37.5%) groups. After adjusting for age, sex, perceived social support, and presence of relevant comorbidities, participants of African Surinamese, Ghanaian, Turkish and Moroccan origin were significantly less likely to be vaccinated than those of Dutch origin., Conclusions: Prevention strategies should continue tailoring to specific ethnic groups to encourage vaccination uptake and reduce barriers to vaccination., Competing Interests: Declaration of Competing Interest The authors declare that they have no known competing financial interests or personal relationships that could have appeared to influence the work reported in this paper., (Copyright © 2023. Published by Elsevier Inc.)

Achieving urban food security before and after COVID-19 lockdown among urban households' in Ghana is key. This paper compares the pre-and post-COVID-19 lockdown food security status of urban dwellers in lockdown cities of the Greater part of Accra in Ghana using the Rasch and ordered logit model. From a sample of 340 respondents, the study found a significant difference in household food security status and predictors of food security. Prior to COVID-19 households were 'High food secure' (36.4%), but post-COVID-19 lockdown made more households 'Very low food secure' (12.35%). To combat post-COVID-19 lockdown food insecurity in urban agriculture is encouraged. [ABSTRACT FROM AUTHOR]

Purpose: This paper aims to examine landlords' health support systems to tenants to control COVID-19 in selected informal settlement rental housing (ISRH) in Ghana, dwelling on landlords' views. Design/methodology/approach: The paper used the concurrent imbedded mixed-methods approach and grounded the findings in the socio-ecological theory. The authors collected both qualitative and quantitative data from 242 landlords in 13 informal settlements across Ghana using quotas. The authors undertook semi-structured face-to-face and telephone interviews. The authors conducted content and thematic qualitative data analysis and used simple descriptive statistical data analysis. Findings: The paper discovered that tenants had limited knowledge on the transmission of the pandemic, forcing landlords to regulate their building services usage, ventilation and thermal control, entertainment, common areas and rent advancement for tenants to control the pandemic. Also, tenants found it difficult to comply with the rules on ventilation for fear of criminal attacks, while high social connection and interaction among renters and inadequate enforcement caused the non-adherence by renters to social gathering. Again, landlords had difficulty in contract-tracing visitors suspected to be infected with the virus. Originality/value: The use of concurrent and imbedded mixed methods to investigate landlords' viewpoints on their support in health needs of their tenants to regulate COVID-19. The prescriptions from the study provide practical applications to formulate a mix of housing and health policies to formalize the support of landlords to their tenants in ISRH in Ghana. [ABSTRACT FROM AUTHOR]

The Coronavirus-19 (Covid-19) pandemic took the whole world by surprise and caused unanticipated changes in people's life. The effect of this global pandemic on the religious, economic, political and social lives of people has been enormous. In Ghana (the context of this study) many churches experienced great challenges for their members could not fellowship together physically because of the restrictions that were imposed by the government. Churches whose members tended to depend solely on their leaders to access God's blessings learnt a bitter lesson as their members could not have any meaningful encounter with God without their Pastors. Many studies have been conducted on the effects of the pandemic on Church life with a greater focus on adult members of the Christian community. There is just a little attention paid to the impact of the pandemic on the Children's Ministry. This paper contributes to filling that gap by examining the impact of the pandemic on the Children's Ministry of the Methodist Church Ghana using the Emmanuel Society of the Konongo Circuit as a case study. It is an empirical study that gathered data through questionnaires, interviews and participant observation. The responses received revealed that there was a huge gap created between the children, other believing friends and Sunday School teachers. The paper made recommendations for the Christian community. [ABSTRACT FROM AUTHOR]

This paper provides a mathematical fractional-order model that accounts for the mindset of patients in the transmission of COVID-19 disease, the continuous inflow of foreigners into the country, immunization of population subjects, and temporary loss of immunity by recovered individuals. The analytic solutions, which are given as series solutions, are derived using the fractional power series method (FPSM) and the residual power series method (RPSM). In comparison, the series solution for the number of susceptible members, using the FPSM, is proportional to the series solution, using the RPSM for the first two terms, with a proportional constant of ψ Γ n α + 1 , where ψ is the natural birth rate of the baby into the susceptible population, Γ is the gamma function, n is the n th term of the series, and α is the fractional order as the initial number of susceptible individuals approaches the population size of Ghana. However, the variation in the two series solutions of the number of members who are susceptible to the COVID-19 disease begins at the third term and continues through the remaining terms. This is brought on by the nonlinear function present in the equation for the susceptible subgroup. The similar finding is made in the series solution of the number of exposed individuals. The series solutions for the number of deviant people, the number of nondeviant people, the number of people quarantined, and the number of people recovered using the FPSM are unquestionably almost identical to the series solutions for same subgroups using the RPSM, with the exception that these series solutions have initial conditions of the subgroup of the population size. It is observed that, in this paper, the series solutions of the nonlinear system of fractional partial differential equations (PDEs) provided by the RPSM are more in line with the field data than the series solutions provided by the FPSM. [ABSTRACT FROM AUTHOR]

The COVID-19 pandemic has heightened and made visible the embodied consequences of water, sanitation and hygiene (WASH) inequalities and the relationalities of health in place. This paper combines insights from relational geographies and embodied epidemiology to explore psychosocial concerns among Ghanaian migrants in Canada due to their multiple and simultaneous roles in the WASH space in Ghana, particularly during the COVID-19 pandemic. We explored this using narratives from in-depth interviews with 27 participants (16 women and 11 men) residing in Ontario, Canada. The case of Ghana offers insight into how social ties with home communities could provide a safety net during emergencies but could also affect the psychosocial wellbeing of migrants. Results revealed four interrelated psychosocial stressors, including social stressors, financial stressors, stressors related to perceived inequality and stressors related to the fear of infection during WASH access. The paper underscores the urgent need for research to move beyond local health implications of WASH inequalities and begin to prioritize how these social inequalities are embodied at distant locations., (Copyright © 2023 Elsevier Ltd. All rights reserved.)

This paper assesses disruptions in the non-bank financial institution (NBFI) sector and the protracted effects of COVID-19 and the lockdown on the NBFI sector. The paper focuses on microfinance institutions in Ghana using rapid response survey data obtained from the Ghana Microfinance Institutions Network between January 2020 and April 2020. Poor corporate governance, improper documentation of transactions, and impaired loan portfolio among others were antecedents to the disruptions. Regarding the lockdown effects, we found that savings value contracted and the possibility of a further deteriorating portfolio is anticipated thus reducing interest income. The use of digital channels of delivering savings and loan products increased while the physical delivery channel decreased. The regulator needs to have a second look at microfinance regulation in Ghana. Policy should focus on expanding and upscaling the use of digital and remote banking means in reaching out to clients. [ABSTRACT FROM AUTHOR]

Bioethics provides various models of fair allocation of scarce health resources like COVID-19 vaccines. Even though these models are grounded in some ethical principles like justice and beneficence, there were severe inequalities in global access to COVID-19 vaccines. In Ghana, about 21.5 million COVID-19-doses have been administered but comprise mainly members of the adult population. As a result, ethical issues related to vaccinating children have been largely ignored in the country. This paper explores some of the ethical implications related to children's exclusion in the initial COVID-19 vaccination programs in Ghana. It provides a general overview of the COVID-19 pandemic in Ghana and how it related to children and discusses the risks to which Ghanaian children were exposed by delaying their COVID-19 vaccination. A guide to facilitating the full rollout of COVID-19 vaccination in Ghana for children has been proposed that indicates that a fair vaccine distribution for children should prioritize children on admission at health facilities, those diagnosed with severe underlying health conditions, and children who could play an instrumental role in promoting vaccine uptake. It concludes that children must not be placed at the peripheries of the COVID-19 vaccination program in Ghana. [ABSTRACT FROM AUTHOR]

This study employs the therapeutic landscape theory to explore how online religious services during lockdown restrictions shape experiences of well-being and intergenerational learning. We used qualitative data from in depth interviews and focus groups with older adults and pastors in five churches in Ghana to explore how online religious places are conceptualized as therapeutic landscapes for sustaining wellbeing goals amidst a global pandemic. We identified multiple pathways of meaning through which online religious services shape the lives of people in a faith community to sustain the experience of well-being in a difficult time. In addition, this paper reflects on the broader implications of COVID-19 in shaping a paradigm shift in digital religion and intergenerational learning experiences through a changing religious landscape precipitated by lockdown restrictions that have drastically altered traditional religious places. [ABSTRACT FROM AUTHOR]

The Covid-19 pandemic mandated the closure of all schools globally. E-learning programmes were introduced to promote learning throughout the crisis. This paper, therefore, investigates the impact of Covid-19 e-learning and teaching on students’ social life, indexed by their practice of social conviviality after the pandemic. The study employed multiple sampling techniques in selecting students in the second cycle and tertiary institutions in Accra, Ghana for the study. Using data collected from extensive interviews with students, teachers/lecturers and parents, backed by personal observations, the study found out that the social skills of students were negatively impacted by the pandemic, as several of them suffered multidimensionality of social exclusion when schools were re-opened after lockdown rules were liberalised. The e-learning approach that Ghana introduced to stem the debilitating impact of the pandemic yielded some positive results – helping the education sector to retain contact hours. Nevertheless, the outcome of the pandemic had some negative social consequences. Students were unable to effectively recuperate their social skills in fostering social conviviality. Considering the outcome of the study’s findings, the paper concludes that Ghana needs to invest in its Triple Heritage – through the synthesisation of human ontological dignity -- embedded in Islam, Christianity, and indigenous worldview. This approach will help the country to restructure its educational curriculum as part of rejuvenating social conviviality among students. The paper contributes to knowledge by providing evidence of the social impact of the pandemic. However, it also recommends a need for further research to explore how Ghana can broaden the frontiers of its heritage without provincializing or marginalisation emerging minority cultures. [ABSTRACT FROM AUTHOR]

While the effects of the COVID-19 pandemic on household food security have been documented, the intensity and forms of food insecurity in urban households in the Global South have not been adequately explored. This is despite the emerging consensus that impacts of the pandemic were more severe in urban than rural Africa. This paper addresses this knowledge gap by examining the relationship between pandemic precarity and food insecurity in Ghana's urban areas during the COVID-19 pandemic in 2020. This study is based on the World Bank (WB) and Ghana Statistical Service (GSS) COVID-19 High-Frequency Phone Survey. Using a sub-sample of 1423 urban households, the paper evaluates household experiences of the pandemic. Our findings show that household demographic characteristics are not a major predictor of food insecurity. Economic factors, especially the impact of the pandemic on wage income and total household income, were far more important, with those most affected being most food insecure. Additionally, food-insecure households were most aware of and were affected by food-price increases during the pandemic. These findings are important in planning the post-pandemic recovery initiatives and in addressing current and future emergencies and shocks to urban food systems. [ABSTRACT FROM AUTHOR]

Purpose: The paper tests the overconfidence bias and volatility on the Ghana Stock Exchange (GSE) during the pre-Covid-19 pandemic and Covid-19 pandemic period. Design/methodology/approach: The study employs pairwise Granger causality to test the presence of overconfidence bias on the Ghana stock market as well as GARCH (1,1) and GJR-GARCH (1, 1) models to understand whether overconfidence bias contributed to volatility during pre-Covid-19 pandemic and Covid-19 pandemic period. The pre-Covid-19 pandemic period spans from January, 2019 to December, 2019, and Covid-19 pandemic period spans from January, 2020 to December, 2020. Findings: The paper finds a unidirectional Granger causality running from weekly market returns to weekly trading volume during the Covid-19 pandemic period. These results indicate the presence of overconfidence bias on the Ghana stock market during the Covid-19 pandemic period. Finally, the conditional variance estimation results showed that excessive trading of overconfident market players significantly contributes to the weekly volatility observed during the Covid-19 pandemic period. Research limitations/implications: The empirical findings demonstrate that market participants on the GSE exhibit conditional irrationality in their investment decisions during the Covid-19 pandemic period. This implies investors overreact to private information and underreact to available public information and as a result become overconfident in their investment decisions. Practical implications: Findings from this paper show that there is evidence of overconfidence bias among market players on the GSE. Therefore, investors, financial advisors and other market players should be educated on overconfidence bias and its negative effect on their investment decisions so as to minimize it, especially during the pandemic period. Originality/value: This study is a maiden one that underscores investors' overconfidence bias in the wake of a pandemic in the Ghanaian stock market. It is a precursor to the overconfidence bias discourse and encourages the testing of other behavioral biases aside what is understudied during the Covid-19 pandemic period in Ghana. [ABSTRACT FROM AUTHOR]

On 11 March 2020, the World Health Organisation declared COVID‐19 a global pandemic. Subsequently, governments worldwide implemented strict regimes of lockdowns and school closures to contain the transmission of the virus. Ghana's government on 15 March 2020 also announced a lockdown and closure of schools, lasting up till January 2021. Against this backdrop, the paper examined the implications of school closures on child labour in Ghana. Qualitative data for the study were collected between October 2020 to February 2021 in a small rural community in northern Ghana. Findings from 16 semi‐structured interviews with schoolchildren aged 8–13 years show how school closures have meant that children from contexts of poverty: (a) are driven into child labour as they are either forced to accompany their parents to work on farms or sell foodstuff by the roadside; and thus, ultimately (b) engage in no learning during the lockdown period. [ABSTRACT FROM AUTHOR]

Following the successful development of vaccines for COVID-19, attention turned to the problem of vaccine access. However, in contexts where vaccines are available, hesitancy remains a major problem. Informed theoretically by the scholarship on vaccine anxiety, this paper uses a qualitative research approach that included 144 semi-structured interviews to investigate how social and political dynamics shaped people's perspectives in particular environments in Ghana, Cameroon, and Malawi about COVID-19's viral spread and COVID-19 vaccines. Vaccines and the viral spread of COVID-19 are related to political tensions and class-related fractures in particular contexts, and how the public interprets COVID-19's viral spread and engages with vaccination is based on people's social and political environment and their experience. Subjectivities are also rooted in coloniality. Vaccine confidence goes beyond clinical and regulatory authority approvals, and encompasses forces that are economic, social, and political in nature. Thus, an exclusive focus on technical prescriptions for enhancing vaccine uptake will not achieve significant positive results., (Copyright © 2023 Elsevier Ltd. All rights reserved.)

Purpose: The onset of the coronavirus disease 2019 (COVID-19) has led to loss of lives and jobs and other adverse effects on persons, families and businesses. With its frightening tendencies, it was a sigh of relief with the discovery of vaccines to mitigate its disastrous effects. However, participation in the vaccination exercise in Ghana has been slow and unencoraging. This paper sought to identify the factors that influence the perception and willingness of individuals to receive the COVID-19 vaccine. Design/methodology/approach: For this study, structured questionnaires were administered to 1,350 respondents selected at random by way of purposive sampling from specific regions that were also randomly selected. Out of this sample, a total of 1,296 were found to be in useable form. The probit model estimation with marginal effects was used to determine both perception and willingness to take the COVID-19 vaccine. Findings: The authors observed that increases in age and manufacturing sector workers were positively associated with vaccine perception, while both males and females residing in the Bono and Central regions had negative perceptions toward the vaccine. Among male workers, education and living in Accra had a negative relationship with vaccine perception, while for female workers, education had a positive influence on vaccine perception. Additionally, workers in the transport sector and those residing in urban areas were more inclined to receive the COVID-19 vaccine in Ghana, regardless of gender. Again, the authors observed that larger household size, people with no formal education and females with primary education were more willing. Also, increase in age for males reduced willingness, while residents in the greater Accra region were less willing to take the vaccine. Originality/value: To the best of the authors' belief and knowledge, the observations and recommendations made are consistent with theory and empirical studies and contribute immensely to the discussions about the most effective ways of combating the COVID-19 pandemic. It also offers a nuanced perspective on how policy-makers can enact policies that ensure efficient and effective ways of dealing with future epidemics. [ABSTRACT FROM AUTHOR]

This paper reports the findings from a microcredit (financial inclusion) scheme that has been operated by a non-governmental organization since 2012 in a local community in Ghana, and sustained through the COVID-19 pandemic. It first examines microfinance, women's empowerment and third-sector organizational dynamics. It then provides an overview of microfinance in Ghana within the context of the COVID-19 pandemic, followed by dissecting the organization's microcredit, training and women's empowerment programmes. The following part documents the findings, with brief concluding thoughts and policy implications appearing in the last section. It is argued here that financial schemes, particularly those operated by third-sector organizations, can play a significant role in helping women in particular to deal with the secondary effects of COVID-19 by providing improved non-financial services and easy access to microfinance at low, sustainable interest rates. These findings have implications for policy formulation and sustainable development. [ABSTRACT FROM AUTHOR]