Water and Sustainable Development in Ghana

Abstract

Water is vital for the survival and development of every community or society. The health of a given community is reflected to a large extent in the water quality of the community's available water resources. In Ghana, efforts have been made since colonial days to supply both the urban and the rural communities with potable water to enhance the rapid socio-economic development of the country. It is economically viable due to the remoteness of most of the rural communities to supply them with potable water from local sources such as groundwater. The urban water supply systems are mainly based on surface water sources. With the ever-expanding population, there is a need to improve freshwater resources conservation and management in order to avoid impending shortages. To ensure the total coverage of all rural and urban communities by the year 2020, a huge capital outlay of $1 billion and 51.5 billion, respectively, is needed. Most of these funds are expected to come from the private sector, both local and foreign, with the Government making some substantial contribution.     

Palm kernel shell as fuel for burning bricks

The use of an agricultural waste product, palm kernel shell, as a fuel for firing bricks is explored as a means of reducing environmental degradation and depletion of scarce firewood in Ghana. A simple but efficient methodology of clamp firing bricks using the new fuel is developed and tested. The resulting bricks are analysed for physical properties and suitability for construction use. The viability of palm kernel shell as a fuel for small-scale brick industries is considered. On etudie actuellement au Ghana les possibilites d'utilisation d'un dechet agricole, en l'occurrence, les coquilles de noix de palme, comme combustible dans les briqueteries; une telle solution permettrait de reduire la degradation de l'environnement et de diminuer l'appauvrissement des maigres reserves en bois de chauffage du pays. A cet effet, on met au point une methodologie simple mais efficace de cuisson des briques en brulant des dechets de coquilles de noix de palme. On analyse les proprietes physiques de ces briques et on verifie qu'elles conviennent a la construction. On etudie la viabilite de la coquille de noix de palme pour l'alimentation en combustible des petites briqueteries.     

Survival pattern of hemodialysis patients in Kumasi, Ghana: A summary of forty patients initiated on hemodialysis at a new hemodialysis unit

To evaluate the survival pattern of hemodialysis patients at a dialysis unit in Kumasi, Ghana, through a retrospective (observational) study. Patients who were placed on hemodialysis at the dialysis unit at Komfo Anokye teaching hospital from October 25, 2006 to December 2007. The patients were followed from initiation of dialysis until December 31, 2007. The overall mortality was 14 (35.9%) on the incident population for the period and that for the first 90 days was 12 (32.4%) patients. Chronic glomerulonephritis was the underlying kidney disease in 35.9%. This was followed by hypertension (19.1%) and diabetes mellitus (15.4%), respectively. Cardiovascular diseases accounted for 42% of mortality. This was followed by septicemia (25%) from the access site and anemia (25%). Fifty percent of the patients were able to afford 20 sessions of hemodialysis before stopping. The most powerful predictors of survival were the duration of hemodialysis (P=0.05) and the number of hemodialysis sessions (P=0.02). Age at initiation of hemodialysis was not significant. First 90-day mortality of patients on hemodialysis is high in poor African countries. This is due partially to the late referral of patients and also the cost of the dialysis treatment. Efforts will have to be made to reduce the cost of the dialysis treatment. Reuse technology (of dialyzer, etc.) should be introduced to cut down the cost of hemodialysis. Peritoneal dialysis should also be introduced for highly motivated patients. Efforts should also be made to reduce the increasing incidence of kidney disease, and finally third-world countries should consider establishing kidney transplantation, that is cost effective.     

The effect of road and environmental characteristics on pedestrian hit-and-run accidents in Ghana

The number of pedestrians who have died as a result of being hit by vehicles has increased in recent years, in addition to vehicle passenger deaths. Many pedestrians who were involved in road traffic accident died as a result of the driver leaving the pedestrian who was struck unattended at the scene of the accident. This paper seeks to determine the effect of road and environmental characteristics on pedestrian hit-and-run accidents in Ghana. Using pedestrian accident data extracted from the National Road Traffic Accident Database at the Building and Road Research Institute (BRRI) of the Council for Scientific and Industrial Research (CSIR), Ghana, a binary logit model was employed in the analysis. The results from the estimated model indicate that fatal accidents, unclear weather, nighttime conditions, and straight and flat road sections without medians and junctions significantly increase the likelihood that the vehicle driver will leave the scene after hitting a pedestrian. Thus, integrating median separation and speed humps into road design and construction and installing street lights will help to curb the problem of pedestrian hit-and-run accidents in Ghana.     

Pedestrians’ injury patterns in Ghana

Objective

To establish the associations between pedestrian injury and explanatory variables such as vehicular characteristics, temporal trends, and road environment.

Methods

A retrospective analysis of de-identified pedestrian crash data between 2002 and 2006 was conducted using the Building & Road Research Institute's crash data bank. We estimated the odds ratios associated with casualty fatalities using a multinomial logistic regression.

Results

There were 812 pedestrian casualties reported, out of which 33% were fatal, 45% sustained serious injuries requiring hospitalization, and 22% were slightly injured but were not hospitalized. Crossing the roadway accounted for over 70% of all pedestrians’ deaths. Whereas fatalities in 2002 and 2003 were statistically indistinguishable from those of 2004 (p > 0.05), in comparison with 2004, there were significantly fewer fatalities in 2005 and 2006 (78% and 65% reduction respectively). According to police report, the probability that a pedestrian fatality occurring in Ghana attributable to excessive speeding is 65%. The adjusted odds ratio of pedestrian fatality associated with speeding compared with driver inattentiveness was 3.6 (95% CI: 2.5-5.2). It was also observed that generally, lighter vehicular masses were associated with lower pedestrian fatalities. Compared with buses, pedestrians were less likely to die when struck by private cars (52%), pick-up trucks (57%), and motorcycles (86%).

Conclusion

Pedestrian death remains the leading cause of fatality among urban road users in Ghana. Risk factors associated with pedestrian fatality include being hit by heavy vehicles, speeding, and roadside activities such as street hawking, jaywalking and nighttime walking. Steps which may contribute to reducing pedestrian fatalities include measures to reduce vehicles speeds in settlements, providing traffic medians and lighting streets in settlements, and discouraging street and roadside activities such as hawking.