A 38-year-old cocoa farmer from the Bono Region presents to the district hospital OPD with a two-year history of progressive low back pain, bilateral knee pain, and stiffness in his fingers that is wo…
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A clinical researcher at Cape Coast Teaching Hospital conducts a randomised controlled trial comparing two antihypertensive regimens in 400 Ghanaian adults. The trial is double-blinded and allocation …
A community health researcher evaluates a new point-of-care test for diagnosing sickle cell disease (HbSS) in neonates at a district hospital in the Brong-Ahafo Region. The test is applied to 1,000 ne…
A community health officer in the Upper East Region investigates a cluster of meningococcal meningitis cases during the dry harmattan season. Over a 2-week period, 18 cases are identified in a village…
The Ghana Health Service introduces a new rapid diagnostic test (RDT) for typhoid fever in OPD clinics. In a validation study at Ho Teaching Hospital, the test has a sensitivity of 70% and a specifici…
A team evaluating Ghana's national tuberculosis programme conducts a study comparing treatment success rates before and after the introduction of community treatment supporters (CTS) in three northern…
A postgraduate student at the School of Public Health, a Ghanaian medical school, reviews a published cohort study on the relationship between physical inactivity and type 2 diabetes mellitus among ci…
The Ghana Health Service introduces a rapid antigen test for schistosomiasis screening among school-age children in the Volta Region, where the disease is endemic. In a validation study of 500 childre…
During a community health posting at Komfo Anokye Teaching Hospital, a Year 5 student reviews the Alma-Ata Declaration of 1978. The student is asked to identify the core principles of primary health c…
A health promotion officer in the Oti Region wants to evaluate the effectiveness of a six-month community nutrition education programme targeting mothers of children under two years. She plans to meas…
Esi, a 34-year-old market trader in Kumasi, presents to the NHIS registration desk. She has no formal employment and her husband is a subsistence farmer. She is not enrolled in any formal sector schem…
A district hospital in the Upper West Region is conducting a quarterly review of its National Health Insurance Scheme (NHIS) claims. The hospital administrator notes that several claims for caesarean …
The District Health Management Team (DHMT) of a district in the Ashanti Region is reviewing its annual work plan. The district director of health services notes that the team must fulfil its core stew…
UNICEF and the Ghana Health Service are jointly reviewing progress on child survival in the Northern Region. A public health specialist explains to students that UNICEF's technical mandate and compara…
During a district health management team review in the Bono Region, the team notes that the under-five mortality rate has fallen from 80 to 52 per 1,000 live births over five years. The team wants to …
Kofi, a 28-year-old man, is admitted to the medical ward of a regional hospital in the Volta Region with suspected meningococcal meningitis. The medical officer notifies the district health directorat…
Kwame, a 55-year-old cocoa farmer in the Ashanti Region, is enrolled in the National Health Insurance Scheme (NHIS). He presents to the district hospital OPD with a three-week history of productive co…
Yaa, a 28-year-old primigravida at 34 weeks gestation, presents to a CHPS compound in the Bono Region with headache and swollen feet. The CHO checks her blood pressure and finds it is 158/104 mmHg. Th…
Yaw, a 52-year-old civil servant in Accra, is diagnosed with smear-positive pulmonary tuberculosis. He is enrolled in the National TB Programme and is about to start treatment. His wife, Adwoa, works …
The Medical and Dental Council of Ghana receives a complaint that a private practitioner in Kumasi has been operating a clinic without a valid licence and has caused harm to a patient through a neglig…
The Ghana Health Service is reviewing its district health plans and wants to classify health facilities by function. A newly constructed facility in a rural community has an outpatient department, a m…
A school health nurse visits Accra New Town Basic School and conducts a vision screening exercise for pupils in Primary 4. During the session, a 10-year-old boy named Kwame is found to squint when rea…
A community health nurse conducts antenatal care for a 24-year-old primigravida named Afia at 28 weeks of gestation at a CHPS compound in the Bono Region. Her blood pressure is 110/70 mmHg and urine d…
A two-year-old boy named Kwabena is brought to a community outpatient therapeutic programme (OTP) site in the Savannah Region. He was classified as having severe acute malnutrition (SAM) without compl…
Esi is a 26-year-old primigravida attending her first antenatal clinic at 10 weeks gestation at a district hospital in the Volta Region. She has no significant past medical history. Her blood pressure…
A health promotion officer is conducting a session on family planning at a community health centre in the Upper East Region. A 32-year-old woman, Adwoa, delivered her third child eight weeks ago and i…
A 28-year-old woman, Mary, attends the postnatal clinic at a regional hospital six weeks after an uncomplicated vaginal delivery. She is fully breastfeeding and her menses have not returned. She repor…
A community health nurse at a CHPS compound in the Upper West Region is reviewing the cold chain equipment. She notices that the fridge thermometer has been reading between 0°C and +2°C for the past 2…
A community health nurse at a CHPS compound in the Ashanti Region is conducting antenatal care for Abena, a 28-year-old primigravida at 36 weeks of gestation. Abena has attended four antenatal visits …
A 32-year-old woman named Fatima presents to a district hospital OPD six weeks after her second delivery. She is breastfeeding exclusively and her menses have not returned. She reports no contraceptiv…