Ama De-Graft Aikins
Biographic Data
| ID | 893651 |
|---|---|
| NAME | Ama De-Graft Aikins |
| GIVEN NAMES | Ama De-Graft |
| FAMILY NAME | Aikins |
| SIGNATURE | AIKINS A -G |
| AFFILIATIONS | University of Ghana |
| ORCID | 0000-0001-9215-0134 |
| VERIFIED | Yes |
| TOTAL WORKS | 45 |
| TOTAL CITATIONS | 64 |
| AUTHOR COUNT | 45 |
| EDITOR COUNT | 0 |
| FIRST PUBLICATION YEAR | 2002 |
| LATEST PUBLICATION YEAR | 2025 |
| H-INDEX | 6 |
Heat Adaptation Benefits for Vulnerable groups In Africa (Habvia)
Pan African Clinical Trials Registry (PACTR) PACTR202401521630856, version 1. Retrospectively registered on January 12, 2024
To vaccinate or not to vaccinate? Experiences of Covid-19 vaccine uptake among people living with non-communicable diseases in Ghana
Following the development of a vaccine for COVID-19, the expectation was instantaneous widespread distribution and uptake to halt further spread, severe illness and deaths from the virus. However, studies show very low uptake, especially in resource-poor settings, and little is documented about the drivers of vaccine uptake in populations classified as high-risk. In this study, we explored access and uptake of COVID-19 vaccines among people livin…
Contextual awareness, response and evaluation (Care) of diabetes in poor urban communities in Ghana
Diabetes remains a major, global clinical and public health threat with consistent rises in prevalence around the world over the past four decades. Two-thirds of the projected increases in global diabetes prevalence to 2045 are expected to come from low- and middle-income countries, including those in sub-Saharan Africa. Ghana is typical of this trend. However, there are gaps in evidence regarding the appropriate development of interventions and …
The contextual awareness, response and evaluation (Care) diabetes project
Diabetes is estimated to affect between 3.3% and 8.3% of adults in Ghana, and prevalence is expected to rise. The lack of cost-effective diabetes prevention programmes designed specifically for the Ghanaian population warrants urgent attention. The Contextual Awareness, Response and Evaluation (CARE): Diabetes Project in Ghana is a mixed methods study that aims to understand diabetes in the Ga Mashie area of Accra, identify opportunities for comm…
Applying arts to health interventions and health research in Ghana
BACKGROUND: This review documents arts applied to health interventions and health research in Ghana, examines evidence of their impact on health outcomes, and identifies research and practice gaps. METHODS: Eight databases (MEDLINE, Academic Search Complete, CINAHL, Health Source: Nursing/Academic Edition, Humanities International Complete, Scopus, African Journals Online and PsycINFO) were searched for articles published between 2000 and 2022. F…
Community social capital and mental health participation
We utilised a multiple mediation model to investigate the pathways linking dimensions of community social capital to collective participation in mental health promotion in two urban communities in Ghana. Participants (n = 384) were from Jamestown (n = 144) and Usshertown (n = 240) communities (female = 55.7%; mean age = 34.38 years, SD = 14.37 years). Structural equation modelling showed that shared concern and leadership trust directly facilitat…
Group membership, social identification and mental health
Mainstream psychology research promotes social group membership as a remedy for poor mental health. However, empirical evidence from African communities is limited. Using a survey of 384 respondents (female = 55.7%; mean age = 34.38 years, SD = 14.37 years), we examined this in two resource-poor Ghanaian urban communities. Depressive symptoms ranged from 11.5% to 28.1%, with severe symptom rates higher in male participants. Anxiety symptoms varie…
Social Group Membership, Social Identities, and Mental Health Experiences in Urban Poor Communities in Ghana
Scoping review of community health participatory research projects in Ghana
BACKGROUND: Community health participation is an essential tool in health research and management where community members, researchers and other relevant stakeholders contribute to the decision-making processes. Though community participation processes can be complex and challenging, evidence from previous studies have reported significant value of engaging with community in community health projects. OBJECTIVE: To identify the nature and extent …
Psychosocial stressors among Ghanaians in rural and urban Ghana and Ghanaian migrants in Europe
Psychosocial stressors have significant health and socio-economic impacts on individuals. We examined the prevalence and correlates of psychosocial stressors among non-migrant and migrant Ghanaians as there is limited research in these populations. The study was cross-sectional and quantitative in design. A majority of the study participants had experienced stress, discrimination and negative life events. Increased age, female sex, strong social …
Covid-19, chronic conditions and structural poverty
In the African region COVID-19 infection and death rates are increasing (writing in May 2020), most deaths have occurred among individuals with chronic conditions, and poor communities face higher risks of infection and socio-economic insecurities. We assessed the psychosocial needs of a chronic illness support group in Accra, Ghana, within the context of their broader community. The community lives in structural poverty and has a complex burden …
Competence in professional psychology practice in Ghana
Issues concerning competence of practicing psychologists have not been critically investigated in Ghana. This study used the three-dimensional cube model of core competencies as a framework to explore competencies of professional psychologists in active clinical health practice in Ghana. Sixteen clinical psychologists with 1 to 20 years of practicing experience were interviewed on adequacy of their graduate training for practice as well as mainta…
Understanding the causes of breast cancer treatment delays at a teaching hospital in Ghana
Poor outcomes for breast cancer in Ghana have been attributed to late presentation of symptoms at biomedical facilities. This study explored factors accounting for delays in initiation of breast cancer treatment at the Korle-Bu Teaching Hospital in Accra. Focus group discussions were conducted with 20 women with breast cancer. A theory-driven thematic analysis identified three multilevel factors influencing treatment seeking delays: (1) patient (…
Improving the quality of care for people who had a stroke in a low‐/middle‐income country
BACKGROUND AND OBJECTIVE: Efforts to improve the adoption of evidence-based interventions for optimal patient outcomes in low-/middle-income countries (LMICs) are persistently hampered by a plethora of barriers. Yet, little is known about strategies to address such barriers to improve quality stroke care. This study seeks to explore health professionals' views on strategies to improve quality stroke care for people who had a stroke in a LMIC. MET…
Building cardiovascular disease competence in an urban poor Ghanaian community
This paper describes conceptual, methodological, and practical insights from a longitudinal social psychological project that aims to build cardiovascular disease (CVD) competence in a poor community in Accra, Ghana's capital. Informed by a social psychology of participation approach, mixed method data included qualitative interviews and household surveys from over 500 community members, including people living with diabetes, hypertension, and st…
Explanatory models of stroke in Ghana
Objective: This study examines explanatory models (EMs) of stroke and its complications among people living with stroke, and their caregivers, in two urban poor communities in Accra (Ga Mashie) and Korle Bu Teaching Hospital (KBTH), Accra. Methods: Twenty-two stroke survivors and 29 caregivers were recruited from 2 urban poor communities in Accra and KBTH. Qualitative data were obtained using semi-structured interviews that lasted between 45 minu…
Food beliefs and practices in urban poor communities in Accra
The findings suggest that beliefs about healthy and unhealthy food practices are rooted in multi-level factors, including individual experience, family dynamics and community factors. The factors influencing food choices are also multilevel. The implications of the findings for the design and content of dietary and health interventions are discussed
Health psychology in Ghana
This article presents a historical overview of psychology applied to health and health psychology in Ghana. A brief history of health, illness and healthcare in Ghana is introduced. Then, the history of psychology in Ghana is presented, with signposts of the major turns in the field in relation to psychology and other disciplines applied to health and the emergence of health psychology as a sub-field. Selected health psychology studies are review…
Parental Wellbeing, Parenting and Child Development in Ghanaian Families with Young Children
Tracing Africa’s progress towards implementing the Non-Communicable Diseases Global action plan 2013–2020
Our findings suggest that Africa is off track in achieving the NCDs indicators by the set deadlines. To make sustained public health gains, more effort and commitment is urgently needed from governments, partners and societies to implement these recommendations in a broader strategy. While donors need to suit NCD advocacy with funding, African institutions such as The African Union (AU) and other sub-regional bodies such as West African Health Or…
Association between socioeconomic position and the prevalence of type 2 diabetes in Ghanaians in different geographic locations
BACKGROUND: The prevalence of diabetes has been shown to be socially patterned but the direction of the association in low-income countries and among migrant populations in Europe has varied in the literature. This study examined the association between socioeconomic position (SEP) and diabetes in Ghanaians in Europe and in Ghana. METHODS: Data were derived from the multicentre Research on Obesity and Diabetes among African Migrants (RODAM) study…
Research on Aging in Ghana from the 1950s to 2016
Establishment of spermatogonia throughout the fetal and postnatal period is essential for production of spermatozoa and male fertility. Here, we established a protocol for in vitro reconstitution of human prospermatogonial specification whereby human primordial germ cell (PGC)-like cells (hPGCLCs) differentiated from human induced pluripotent stem cells were further induced into M-prospermatogonia-like cells (MLCs) and T1 prospermatogonia-like ce…
Aging in Ghana
Interferon (IFN)-gamma production, stimulated by the addition of exogenous interleukin (IL) 2, T cell mitogens, or tuberculin purified protein derivative (PPD) was studied in cultures of separated human mononuclear cells or unseparated peripheral blood leukocytes (PBL). IFN-gamma was induced by the addition of IL 2 to cultures of otherwise unstimulated cells. The minimal concentration of exogenous IL 2 required to cause a reproducible stimulation…
Mass media constructions of ‘socio-psychological epidemics’ in sub-Saharan Africa
Genital shrinking is a recurring phenomenon with about 180 reported cases in sub-Saharan Africa over the last two decades. Transcending national boundaries, it results in distress for victims, mob violence against accused perpetrators and mass panic which law enforcement agencies struggle to contain. This article examines mass media construction and framing of genital shrinking within a social representations theory framework. Our analysis sugges…
Preparing for Ebola Virus Disease in West African countries not yet affected
BACKGROUND: The current Ebola Virus Disease (EVD) epidemic has ravaged the social fabric of three West African countries and affected people worldwide. We report key themes from an agenda-setting, multi-disciplinary roundtable convened to examine experiences and implications for health systems in Ghana, a nation without cases but where risk for spread is high and the economic, social and political impact of the impending threat is already felt. D…
Homelessness and Mental Health in Ghana
This article discusses everyday experiences of transient homelessness in Ghana's capital, Accra. Episodic interviews with individuals living in squatter settlements in the wealthy East Legon suburb explored: (1) roots of homelessness; (2) everyday experiences and coping strategies; (3) relationship between experiences and (mental) health; (4) needs and interventions. Three intersecting forms of insecurity framed participants' everyday experience:…
Living with Diabetes in Rural and Urban Ghana
Current chronic illness research in Africa neglects the social psychological dimensions of illness experiences that present more appropriate frameworks for intervention. Informed by social representations theory, links between social knowledge of diabetes, illness experience and illness action were examined through semistructured individual interviews with rural and urban Ghanaians with diabetes. All respondents drew interchangeably from commonse…
Reframing applied disease stigma research
Research suggests that rural and urban Ghanaians living with uncontrolled diabetes—typified by extreme weight loss—experience HIV/AIDS‐related stigma. This paper reports a multilevel analysis of this stigma within the broader context of diabetes handicap in two rural communities. Two key findings emerge. First, the content of stigma constitutes social representations of HIV/AIDS, and to internalized and projected collective attributions of protra…
Ethnicity and cardiovascular health research
Chronic diseases such as cardiovascular diseases (CVD) are major health problems in most ethnic minority and migrant populations living in high income countries. By the same token, CVD is a looming threat that is creating a double burden in most of the countries where these populations originate from. The causes of the rising burden are unclear, but they are likely to be multifaceted. Traditionally, ethnicity and health research have mostly conce…
Health, Disease and Healthcare in Africa
This editorial introduction to `Health, disease and healthcare in Africa' addresses some of the key issues for health psychology in the continent. African populations face a health crisis driven by a double burden of disease, a nutrition transition, war and conflict, and poverty. Health systems are under-funded and underresourced. Research suggests that the most prevalent diseases in Africa are preventable and treatable, and that most deaths are …
Strengthening Quality and Continuity of Diabetes Care in Rural Ghana
Adopting critical social psychology and community psychology perspectives, this article examines the links between shared social knowledge of diabetes, illness experience and illness action through semi-structured individual and group interviews with diabetes sufferers and lay healthy individuals in two rural Ghanaian communities. Analysis highlights that both groups make sense of diabetes and illness experience by drawing interchangeably from fo…
Influencing policy change
In recent years there has been a growth in the number of independent health policy analysis institutes in low- and middle-income countries which has occurred in response to the limitation of government analytical capacity and pressures associated with democratization. This study aimed to: (i) investigate the contribution made by health policy analysis institutes in low- and middle-income countries to health policy agenda setting, formulation, imp…
Building cardiovascular disease competence in an urban poor Ghanaian community
This paper describes conceptual, methodological, and practical insights from a longitudinal social psychological project that aims to build cardiovascular disease (CVD) competence in a poor community in Accra, Ghana's capital. Informed by a social psychology of participation approach, mixed method data included qualitative interviews and household surveys from over 500 community members, including people living with diabetes, hypertension, and st…
Explanatory models of diabetes in urban poor communities in Accra, Ghana
The biomedical model of diabetes was a major source of legitimate information for self-care practices. However, this was understood and applied through a complex framework of cultural theories of chronic disease, the biopsychological impact of everyday illness experience and the disempowering effects of poverty. An integrated biopsychosocial approach is proposed for diabetes intervention in this research community
Ghana at Fifty
The fifty-year anniversary celebrations of Ghana's independence animated the people of the nation while bringing back a flood of memories. Emmanuel Akyeampong and Ama de-Graft Aikins report and reflect on the events and their significance
Psychosocial stressors among Ghanaians in rural and urban Ghana and Ghanaian migrants in Europe
Psychosocial stressors have significant health and socio-economic impacts on individuals. We examined the prevalence and correlates of psychosocial stressors among non-migrant and migrant Ghanaians as there is limited research in these populations. The study was cross-sectional and quantitative in design. A majority of the study participants had experienced stress, discrimination and negative life events. Increased age, female sex, strong social …
Understanding the causes of breast cancer treatment delays at a teaching hospital in Ghana
Poor outcomes for breast cancer in Ghana have been attributed to late presentation of symptoms at biomedical facilities. This study explored factors accounting for delays in initiation of breast cancer treatment at the Korle-Bu Teaching Hospital in Accra. Focus group discussions were conducted with 20 women with breast cancer. A theory-driven thematic analysis identified three multilevel factors influencing treatment seeking delays: (1) patient (…
Explanatory models of stroke in Ghana
Objective: This study examines explanatory models (EMs) of stroke and its complications among people living with stroke, and their caregivers, in two urban poor communities in Accra (Ga Mashie) and Korle Bu Teaching Hospital (KBTH), Accra. Methods: Twenty-two stroke survivors and 29 caregivers were recruited from 2 urban poor communities in Accra and KBTH. Qualitative data were obtained using semi-structured interviews that lasted between 45 minu…
Association between socioeconomic position and the prevalence of type 2 diabetes in Ghanaians in different geographic locations
BACKGROUND: The prevalence of diabetes has been shown to be socially patterned but the direction of the association in low-income countries and among migrant populations in Europe has varied in the literature. This study examined the association between socioeconomic position (SEP) and diabetes in Ghanaians in Europe and in Ghana. METHODS: Data were derived from the multicentre Research on Obesity and Diabetes among African Migrants (RODAM) study…
Exploring Biomedical and Ethnomedical Representations of Diabetes in Ghana and the Scope for Cross-professional Collaboration
This article examines the ways in which ethnomedical and biomedical representations of chronic illness and approaches to treatment impact on illness action. Using diabetes care in Ghana as a case study, qualitative interviews were conducted with rural and urban biomedical and ethnomedical practitioners to examine professional representations of diabetes, descriptions of the treatment process and assessment of in-group and out-group knowledge base…
Exploring Biomedical and Ethnomedical Representations of Diabetes in Ghana and the Scope for Cross-professional Collaboration
This article examines the ways in which ethnomedical and biomedical representations of chronic illness and approaches to treatment impact on illness action. Using diabetes care in Ghana as a case study, qualitative interviews were conducted with rural and urban biomedical and ethnomedical practitioners to examine professional representations of diabetes, descriptions of the treatment process and assessment of in-group and out-group knowledge base…
Living with Diabetes in Rural and Urban Ghana
Current chronic illness research in Africa neglects the social psychological dimensions of illness experiences that present more appropriate frameworks for intervention. Informed by social representations theory, links between social knowledge of diabetes, illness experience and illness action were examined through semistructured individual interviews with rural and urban Ghanaians with diabetes. All respondents drew interchangeably from commonse…
Strengthening Quality and Continuity of Diabetes Care in Rural Ghana
Adopting critical social psychology and community psychology perspectives, this article examines the links between shared social knowledge of diabetes, illness experience and illness action through semi-structured individual and group interviews with diabetes sufferers and lay healthy individuals in two rural Ghanaian communities. Analysis highlights that both groups make sense of diabetes and illness experience by drawing interchangeably from fo…
Healer shopping in Africa
OBJECTIVES: To provide counter evidence to existing literature on healer shopping in Africa through a systematic analysis of illness practices by Ghanaians with diabetes; to outline approaches towards improving patient centred health care and policy development regarding diabetes in Ghana. DESIGN: Longitudinal qualitative study with individual interviews, group interviews, and ethnographies. SETTINGS: Two urban towns (Accra, Tema) and two rural t…
Reframing applied disease stigma research
Research suggests that rural and urban Ghanaians living with uncontrolled diabetes—typified by extreme weight loss—experience HIV/AIDS‐related stigma. This paper reports a multilevel analysis of this stigma within the broader context of diabetes handicap in two rural communities. Two key findings emerge. First, the content of stigma constitutes social representations of HIV/AIDS, and to internalized and projected collective attributions of protra…
Homelessness and Mental Health in Ghana
This article discusses everyday experiences of transient homelessness in Ghana's capital, Accra. Episodic interviews with individuals living in squatter settlements in the wealthy East Legon suburb explored: (1) roots of homelessness; (2) everyday experiences and coping strategies; (3) relationship between experiences and (mental) health; (4) needs and interventions. Three intersecting forms of insecurity framed participants' everyday experience:…
Health, Disease and Healthcare in Africa
This editorial introduction to `Health, disease and healthcare in Africa' addresses some of the key issues for health psychology in the continent. African populations face a health crisis driven by a double burden of disease, a nutrition transition, war and conflict, and poverty. Health systems are under-funded and underresourced. Research suggests that the most prevalent diseases in Africa are preventable and treatable, and that most deaths are …
Ghana at Fifty
The fifty-year anniversary celebrations of Ghana's independence animated the people of the nation while bringing back a flood of memories. Emmanuel Akyeampong and Ama de-Graft Aikins report and reflect on the events and their significance
Tackling Africa's chronic disease burden
Developing effective chronic disease interventions in Africa
BACKGROUND: Africa faces an urgent but 'neglected epidemic' of chronic disease. In some countries stroke, hypertension, diabetes and cancers cause a greater number of adult medical admissions and deaths compared to communicable diseases such as HIV/AIDS or tuberculosis. Experts propose a three-pronged solution consisting of epidemiological surveillance, primary prevention and secondary prevention. In addition, interventions must be implemented th…
Epidemiological Transition and the Double Burden of Disease in Accra, Ghana
Cardiovascular disease prevention in Ghana
OBJECTIVE: To examine the feasibility of using community health workers (CHWs) to implement cardiovascular disease (CVD) prevention programmes within faith-based organizations in Accra, Ghana. METHODS: Faith-based organization capacity, human resources, health programme sustainability/barriers and community members' knowledge were evaluated. Data on these aspects were gathered through a mixed method design consisting of in-depth interviews and fo…
Establishing and sustaining research partnerships in Africa
This paper examines the challenges and opportunities in establishing and sustaining north–south research partnerships in Africa through a case study of the UK-Africa Academic Partnership on Chronic Disease. Established in 2006 with seed funding from the British Academy, the partnership aimed to bring together multidisciplinary chronic disease researchers based in the UK and Africa to collaborate on research, inform policymaking, train and support…
Culture, ethnicity and chronic conditions
Ethnicity and cardiovascular health research
Chronic diseases such as cardiovascular diseases (CVD) are major health problems in most ethnic minority and migrant populations living in high income countries. By the same token, CVD is a looming threat that is creating a double burden in most of the countries where these populations originate from. The causes of the rising burden are unclear, but they are likely to be multifaceted. Traditionally, ethnicity and health research have mostly conce…
Influencing policy change
In recent years there has been a growth in the number of independent health policy analysis institutes in low- and middle-income countries which has occurred in response to the limitation of government analytical capacity and pressures associated with democratization. This study aimed to: (i) investigate the contribution made by health policy analysis institutes in low- and middle-income countries to health policy agenda setting, formulation, imp…
Chronic non-communicable diseases and the challenge of universal health coverage
We consider these findings in the context of the primary healthcare system and discuss the challenges and opportunities for strengthening health systems in low and middle-income countries
Food Beliefs and Practices During Pregnancy in Ghana
Ghanaian women's food beliefs and practices during pregnancy and the scope for developing more effective maternal health interventions were explored in this study. Thirty-five multiethnic Ghanaian women between the ages of 29 and 75 were interviewed about pregnancy food beliefs and practices. I show that, based on the data analysis, their knowledge about food was drawn from lifeworlds (family and friends), educational settings, health professiona…
Explanatory models of diabetes in urban poor communities in Accra, Ghana
The biomedical model of diabetes was a major source of legitimate information for self-care practices. However, this was understood and applied through a complex framework of cultural theories of chronic disease, the biopsychological impact of everyday illness experience and the disempowering effects of poverty. An integrated biopsychosocial approach is proposed for diabetes intervention in this research community
Mass media constructions of ‘socio-psychological epidemics’ in sub-Saharan Africa
Genital shrinking is a recurring phenomenon with about 180 reported cases in sub-Saharan Africa over the last two decades. Transcending national boundaries, it results in distress for victims, mob violence against accused perpetrators and mass panic which law enforcement agencies struggle to contain. This article examines mass media construction and framing of genital shrinking within a social representations theory framework. Our analysis sugges…
Preparing for Ebola Virus Disease in West African countries not yet affected
BACKGROUND: The current Ebola Virus Disease (EVD) epidemic has ravaged the social fabric of three West African countries and affected people worldwide. We report key themes from an agenda-setting, multi-disciplinary roundtable convened to examine experiences and implications for health systems in Ghana, a nation without cases but where risk for spread is high and the economic, social and political impact of the impending threat is already felt. D…
The association of physical activity, body mass index and the blood pressure levels among urban poor youth in Accra, Ghana
The positive association of BMI and BP in the study communities suggests the need for health measures to tackle their increase and related public health consequences. Further studies on BP and other risk factors among the youth of rural populations and other developing countries will be important to stall the rising prevalence and implications for adult morbidity and mortality
Research on Aging in Ghana from the 1950s to 2016
Establishment of spermatogonia throughout the fetal and postnatal period is essential for production of spermatozoa and male fertility. Here, we established a protocol for in vitro reconstitution of human prospermatogonial specification whereby human primordial germ cell (PGC)-like cells (hPGCLCs) differentiated from human induced pluripotent stem cells were further induced into M-prospermatogonia-like cells (MLCs) and T1 prospermatogonia-like ce…
Aging in Ghana
Interferon (IFN)-gamma production, stimulated by the addition of exogenous interleukin (IL) 2, T cell mitogens, or tuberculin purified protein derivative (PPD) was studied in cultures of separated human mononuclear cells or unseparated peripheral blood leukocytes (PBL). IFN-gamma was induced by the addition of IL 2 to cultures of otherwise unstimulated cells. The minimal concentration of exogenous IL 2 required to cause a reproducible stimulation…
Tracing Africa’s progress towards implementing the Non-Communicable Diseases Global action plan 2013–2020
Our findings suggest that Africa is off track in achieving the NCDs indicators by the set deadlines. To make sustained public health gains, more effort and commitment is urgently needed from governments, partners and societies to implement these recommendations in a broader strategy. While donors need to suit NCD advocacy with funding, African institutions such as The African Union (AU) and other sub-regional bodies such as West African Health Or…
Medicine (34 works) · Psychology (22 works) · Nursing (19 works) · Political science (19 works) · Public health (18 works) · Psychological intervention (17 works) · Psychiatry (15 works) · Economic growth (14 works) · Environmental health (14 works) · Sociology (13 works)