Grammatical analysis of commentaries of Sankaracarya on Prasthanatrayi (Brahmasūtra, Bhagavadgītā, Upanishad).

An analysis of Marxist aesthetics, with reference to Nepal.

This article featuring Ghana constitutes one of five articles in a collection of essays on local capacity-building in research ethics by graduates from the University of Toronto’s Joint Centre for Bioethics MHSc in Bioethics, International Stream programme funded by the Fogarty International Center for Advanced Study in the Health Sciences (FIC). Although there are no national ethical guidelines in Ghana, eight research ethics committees have been established in the country, with a number of them obtaining Federal Wide Assurances (...) (FWA) from the United States Office for Human Research Protections (OHRP).However, the existing ethics committees cannot match the volume of work to be done, especially in light of the increase of research activities in the country. This calls for the need to train more people in research ethics to fill that gap and provide continuing education to members of research ethics committees in the country. (shrink)

Many commentators call for a more ethical approach to planning for influenza pandemics. In the developed world, some pandemic preparedness plans have already been examined from an ethical viewpoint. This paper assesses the attention given to ethics issues by the Ghana National Integrated Strategic Plan for Pandemic Influenza.

Centenary celebrations in every organisation are approached with joy and reflection of the past, present, impact on society and planning for the years ahead. The Christ Apostolic Church International, which is acknowledged by Ghanaian Pentecostals as the mother of Pentecostalism, celebrated its Centenary of Pentecostalism in 2017. Having come this far and being acknowledged as the pioneer of classical Pentecostalism in Ghana, it is very important that issues concerning the church, its leadership and impact on society are discussed and (...) properly recorded for future reference. Although some Ghanaian Pentecostal scholars did their best to document some aspects of history of CACI, their focus was limited to the early history of the church and the ministry of Apostle Peter Newman Anim. This article contributes to the existing missional and historical literature on CACI by bringing on board some of the historical gaps. This article also discusses the miraculous dispensation in CACI, their leadership and administrative structure, their growth and challenges as well as their religio-social and economic impact in Ghana. (shrink)

Jacques Ellul argued that modernity's nearly exclusive reliance on science and technology to design society would threaten hunan freedom. Of particular concern for Ellul was the prospect of the technical milieu overwhelming culture. The commodification of the Volta River in order to modernize Ghana illustrates the Ellulian dilemma of the autonomy of technique. Displacing a commons way of life, the Volta River Project has imposed an energy commodity regime and a technocratic management scheme to rule the basin, which now (...) includes modern aluminum manufacturing. But after 50 years of modernization, there is little evidence of poverty alleviation or an advance of freedom. (shrink)

According to the World Health Organization cardiovascular disease is the leading cause of death globally. Over 80% of CVD deaths take place in low- and middle-income countries. It is estimated that 1 million to 2 million people worldwide die each year due to lack of access to an implantable cardiac defibrillator or a pacemaker. Despite the medical, legal, cultural and ethical controversies surrounding the pacemaker reutilization, studies done so far on the reuse of postmortem pacemakers show it to be safe (...) and effective with an infection rate of 1.97% and device malfunction rate of 0.68%. Pacemaker reutilization can be effectively and safely done and does not pose significant additional risk to the recipient. Heart patients with reused pacemakers have an improved quality of life compared to those without pacemakers. The thesis of this paper is that pacemaker reutilization is a life-saving initiative in LMICs of Nigeria and Ghana. It is cost effective; consistent with the principles of beneficence, nonmaleficence, and justice with a commitment to stewardship of resources and the Common Good. Used pacemakers with adequate battery life can be properly sterilized for use by patients in LMICs who cannot afford the cost of a new pacemaker. (shrink)

Objectives: To explore how subjects in a placebo-controlled vitamin A supplementation trial among Ghanaian women aged 15–45 years perceive the trial and whether they know that not all trial capsules are the same, and to identify factors associated with this knowledge.Methods: 60 semistructured interviews and 12 focus groups were conducted to explore subjects’ perceptions of the trial. Steps were taken to address areas of low comprehension, including retraining fieldworkers. 1971 trial subjects were randomly selected for a survey measuring their knowledge (...) that not all trial capsules are the same. The subjects’ fieldworkers were also interviewed about their characteristics and trial knowledge. Factors associated with knowledge were explored using multi-level modeling.Results: Although subjects knew they were taking part in research, most thought they were receiving an active and beneficial medication. Variables associated with knowledge were education and district of residence. Radio broadcasts benefited those with some schooling. Fieldworkers’ characteristics were not associated with subjects’ knowledge.Conclusions: Research and debate on new or improved consent procedures are urgently required, particularly for subjects with little education. (shrink)

In recent years, Sir Jack Goody has published a series of essays (2002, 2003, 2004, 2006: 154—79) criticizing Norbert Elias’s theory of ‘civilizing processes’. In all of them, Goody — himself a West African specialist — makes clear that his disagreement with Elias dates back to their acquaintance in Ghana. The date is highly significant for it is unlikely that Goody’s opinions of Elias’s ideas were initially formed by his reading of Elias’s publications. There were also important differences between (...) them in their approaches to theories of long-term social development. Despite appearances to the contrary, Elias and Goody have in fact much in common intellectually. Goody is one of the most historically orientated of anthropologists, and many points of contact with Elias are evident in his work on literacy (1968, 1987), food (1982), or The Domestication of the Savage Mind (1977). Both swam against the ahistorical current of their respective disciplines and both rejected the old notion of ‘progress’. Elias’s fault is that occasionally his formulations may appear to give the opposite impression. Goody’s fault, perhaps, is that — in spite of his own historical perspective — under any model of a structured process he suspects there lurks a vision of progress and of European superiority. (shrink)

The Hearts and Minds of Ghana project travels from Boston Children’s Hospital for two weeks each year to provide cardiac surgery to children in Ghana. Of the hundreds of children in need, how to choose who will receive lifesaving surgery?

Bioethics is gradually becoming an important part of the drive to increase quality healthcare delivery in sub‐Saharan African countries. Yet many healthcare service‐users in Africa are familiar with incidences of questionable health policies and poor healthcare delivery, leading to severe consequences for patients. We argue that the overarching rights‐based ethical administrative framework recently employed by healthcare authorities contributes to the poor uptake and enforcement of current normative tools. Taking Ghana as a case study, we focus on the cultural ethical (...) context and we tease out the concepts of the good and the ethical among the Akan and Bulsa ethnic groups. We point out three tenets towards building a normative framework that can resonate with service‐users and practitioners: ontological communitarianism; empathic humanism; and virtuous character. Finally, we indicate how these core tenets can be dovetailed into building an effective normative framework and into the training of healthcare providers. (shrink)

Widows form a sub-set of an already beleaguered gendered minority in societies where law is but one of a competing number of social orders. This can render widows vulnerable and often outside the protection of State law and at the behest of (discriminatory) customary laws. Ghana enacted the Intestate Succession Law 1985 (P.N.D.C.L.111) to grant widows the right to inherit from the estate of the deceased. However, the law has had little impact. Personal narrative analysis was used to ascertain (...) the reasons for this through interviews conducted with widows. Proposals are then made as to how law reform can promote and effect gender equality. (shrink)

In this paper we demonstrate the importance of non-economic values to community-based conservation by presenting findings from research into Kunlog Community Resource Management Area (CREMA) in northern Ghana. One of the central motivations for creating the CREMA was to reinforce a traditional taboo on bushbuck, and while some respondents mentioned the possibility of eventually attracting tourists, the primary desire behind the CREMA is to protect bushbuck and other wildlife for future generations. Several respondents emphasised wanting children and grandchildren to (...) be able to grow up seeing the wildlife. Material benefits should not be the sole focus of those involved in promoting and legislating frameworks for community-based conservation – frameworks such as Ghana's CREMA policy. Government frameworks for the creation, registration and regulation of conservation initiatives should be flexible and able to accommodate diverse community-based conservation initiatives driven from a variety of mixes of motivations, including motivations deriving from non-material values. (shrink)

Ghana, like many African countries, continues to grapple with domestic violence issues. Ghana's 1992 Constitution mandates provisions that should eradicate the scourge of violence against women and children. In this paper, two main questions are asked. First, will the 1992 Constitution ultimately lead to victories over discrimination and violence against Ghanaian women? Second, has progress been made in eradicating violence against women in Ghana to date? In that regard, have governmental and non-governmental organizations supported Ghanaian women to (...) arrive at relative stability, empowerment and freedom from violence? Progress thus far is encouraging. Presently, there are several holistic or organic approaches being used to combat domestic violence in Ghana. however, an epidemiological examination of custom and a psychosocial approach towards domestic violence may facilitate permanent meaningful solutions. (shrink)

This paper argues that there is ethical and practical necessity for including women's needs, perspectives, and expertise in international climate change negotiations. I show that climate change contributes to women's hardships because of the conjunction of the feminization of poverty and environmental degradation caused by climate change. I then provide data I collected in Ghana to demonstrate effects of extreme weather events on women subsistence farmers and argue that women have knowledge to contribute to adaptation efforts. The final section (...) surveys the international climate debate, assesses explanations for its gender blindness, and summarizes the progress on gender that was made at Copenhagen and Cancun in order to document and provoke movement toward climate justice for women. (shrink)

In this article, I use ethnographic and historical evidence to consider marriage as a particular locus of what Maria Lugones has called “the colonial/modern gender system.” By bringing specific research on marriage among the matrilineal Asante of Kumasi, Ghana, together with a consideration of global ideals of marriage and gender, I argue that marriage and the family are key sites through which the subjugation of women in Africa can be understood, but that this requires local and historical contextualization. To (...) do this, I trace the emergence and current local expression of “companionate marriage,” an ideal of marriage that is associated with romantic love and personal choice, and that is often seen as a gender-progressive marriage ideal. In Kumasi, “companionate” ideals began to emerge during the colonial period, not as an empowering force, but in complicated interactions with other gendered changes that limited wives' claims to husbands' reciprocal support and isolated women from their matrilineal kin. Today, customary marriage is often considered harmful to women and distinct from other forms of marriage; however, I show that such assumptions impose categorial differences where none may exist, and occlude the complexities of women's lives and struggles. (shrink)

Christian universities are established to integrate Christian faith, principles and virtues into their academic programmes with the expectation that through this holistic Christocentric education, students will be well-prepared to serve and to contribute positively to transform society. Although this approach to education is good, it however does not come without the challenge of how to maintain these Christian virtues in light of increasing secularisation and permissiveness in contemporary society. This article examines the realities and challenges of maintaining Christian virtues and (...) ethos in Christian universities in Ghana and recommends some helpful solutions. The study employed eclectic methodology in data gathering and analyses. The research revealed that for a university to be called a Christian university, it must have at its core the vision for Christ-centredness, mission mindedness and discipleship focus. This must also be reflected in the attitude of both students and staff in the way they relate to and manage God’s resources. (shrink)

ABSTRACTThe recent increase in research and commercialization of genetically modified crops in Africa has resulted in considerable and understandable interest from farmers, scholars, and practitioners. However, messy situations are often hard to critically engage in from afar, and the recent article published by Braimah et al. [. Debated agronomy: Public discourse and the future of biotechnology policy in Ghana. Global Bioethics. doi:10.1080/11287462.2016.1261604] presents certain claims that further obfuscate – rather than clarify – an already complex landscape. In this commentary (...) I first seek to clarify particular details of the Ghanaian “GMO” story with particular focus on certain actors and their stances. Next, I highlight some methodological shortcomings of Debated Agronomy and correct certain dubious quotations and claims. Finally, I suggest a more ethnographically and discourse-focused methodology to gain much needed insight into how Ghanaia... (shrink)

When a group of doctors and nurses from Boston, Massachusetts, provided evaluation and heart surgery to children in Ghana, they encountered three rationing dilemmas: (1) What portion of surgery slots should they reserve for the simplest, most cost-effective surgeries? (2) How much time should be reserved for especially simple, nonsurgical interventions? (3) How much time should be reserved to training local staff to perform such surgeries? This article investigates these three dilemmas.

This article reviews an epochal change in international thinking about physical punishment of children from being a reasonable method of chastisement to one that is harmful to children and troubling to families. In addition, the article suggests shifts in thinking about physical punishment were originally pioneered as part and parcel of the dismantling of national laws granting fathers’ specific rights to admonish children under conventions of patria potestas. A comparative historical framework of analysis involving two case studies of Ireland and (...) Ghana illustrates non-unilinear pathways of international convergence towards the prohibition of physical punishment. The comparative historical analysis highlights the 1930s and 1940s as an era when Ireland began to reject patria potestas and religious or judicial rulings which allowed for children to be given ‘a good beating’ in family and school settings. However, from the same period, Ghana is seen to experience Christian remonstrations not to ‘spare the rod’ leading to the ‘conventional’ tradition of ‘this is how we do it here’. Two case studies serve to illustrate that banning physical punishment was less controversial in Ireland where allied traditions of patria potestas and disciplinarian Christian beliefs had lost their moral hegemony than in Ghana where such beliefs still held influence. The article concludes overall that normative campaigns against physical punishment of children emanate from a coherent paradigm of family policy where childcare, education, and well-being of children are embedded as everyday societal responsibilities rather than privatised or patriarchal familial obligations. The coherent model offers an alternative moral hegemony to neo-liberal and Janus-faced conceptualisations of good or ‘intact’ families versus ‘broken’ or ‘troubled’ families. (shrink)

The individual informed consent model remains critical to the ethical conduct and regulation of research involving human beings. Parental informed consent process in a rural setting of northern Ghana was studied to describe comprehension and retention among parents as part of the evaluation of the existing informed consent process.

Ethical problems are addressed in various ways within countries in planning for and response to pandemic influenza. Here we report on a qualitative study, in which 46 policymakers in Malawi and Ghana were interviewed on how they identified and resolved ethical problems. The study results revealed that ethical problems involving conflicts of values and choices were raised in reference to the extent and role of resources and nature of public health interventions, including the extent and processes of decision making, (...) reasoning, and justification. There is a need for an ethical framework within pandemic preparedness plans to resolve and avert these problems. (shrink)

Despite the widespread popularity of the Creating Shared Value discourse, its ‘business case’ and ‘win–win’ rhetoric remain problematic. This paper adds an inclusive development perspective to the debate, arguing that analysing CSV strategies through an inclusivity lens contributes to a better operationalisation of societal value; makes tensions and contradictions between economic and societal value explicit and uncovers processes of inclusion, exclusion and adverse inclusion. We illustrate this by analysing Nestlé’s CSV strategy in its cocoa supply chains in Ghana based (...) on content analysis of company documents, interviews with value chain actors and stakeholders, and focus groups with farmers. We ask how Nestlé frames and implements its CSV discourse in practice and how this relates to the social, relational and environmental dimensions of inclusive development. Findings show how the company addresses inclusive development dimensions in its corporate discourse, practices and business operations, and what trade-offs it faces. We then unmask the inherent tension between business objectives and societal interests and explain why the scope, issues addressed and societal impacts of CSV remain constrained. We conclude that CSV can help reduce a company’s impact on some persistent societal issues, but that its contribution to transformational change remains limited because the need to uphold competitive advantages and short-term financial performance narrows its ability to address all inclusivity dimensions. Legislation mandating responsible business conduct and due diligence can reduce this inherent tension by levelling the playing field between companies addressing inclusivity issues vis-à-vis those who do not. (shrink)

Ghana joined the list of oil-producing countries with the export of its first oil from the Jubilee oilfield in January 2011. President John Atta Mills's statement drawing attention to the potential paradigm shift as well as risks that the discovery of oil and gas imposes not only speaks to the complexity of extractive-industry-engendered development, but it also makes it imperative that the country learns from other countries? successes and failures. In this article, we use the ?resource curse? thesis to (...) examine the emerging dynamics and complexities in Ghana's oil industry, with the attempt to draw both correlations with and lessons from the Nigerian case. The article highlights five key lessons in Nigeria's management of its oil?gas resources related to the legal-regulatory framework, development of the oil-producing areas, Corporate Social Responsibility, management of oil revenues, and oil?civil society nexus that Ghana should give serious thoughts to in order to leverage its new found oil wealth and avert the ?resource curse.? (shrink)

Decentralization is predicted to increase popular participation in all processes, and especially decision-making at the local level. Through the analysis of interview data and secondary information, this claim was tested in five districts in Ghana. The evidence showed that contrary to theory, formal and informal procedures for participation are inadequate and irregular. Although the spaces for participation have been established and expanded, these are dominated by males with educated and professional backgrounds as well as the rich and influential with (...) access to power at the center. Women, the poor and disabled as well as people from rural peripheries are excluded from the process. Their exclusion is attributable to gender-insensitive decentralization policy, lack of socio-economic resources, low educational attainment, cultural practices, and patronage politics. The paper concludes that decentralization cannot compel the predicted level of participation unless these structural conditions inhibiting engagement and empowerment of especially marginalized groups are addressed. (shrink)

Global food security challenges demand an understanding of farmers’ gendered practices and perspectives. This research draws on data from a quantitative survey and qualitative methods to explore gender differences related to farmers’ practices, perceptions, and knowledge of pesticides and other pest management practices in tomato growing regions of Ghana and Mali. A pathways approach based on participatory mapping integrates findings and reveals gender differences in labor and knowledge at different stages of tomato production. Farmers in both countries are heavily (...) reliant on pesticides, but there are also differences in pest management knowledge and practices between them. In Mali, farmers are more familiar with Integrated Pest Management practices, but less aware of potential health risks of pesticides and more likely to engage in dangerous agro-chemical practices. In both countries, women are significantly less aware of pesticide dangers and IPM techniques than men and exposed to pesticides though a variety of pathways. We argue that the gender division of labor and differences in access to resources, information, and power between the two sites leads to gendered pesticide exposure pathways that are often unseen by the biological scientists who tend to focus on the field. Gender inequalities in knowledge and unsafe practices were particularly apparent in Mali compared to Ghana, possibly due to the lower literacy rates and decision making power of women and their narrower range of involvement in tomato production. The article concludes with gender sensitive recommendations to improve IPM research methods, trainings, and technology diffusion. (shrink)

The purpose of this study is to assess the intention of typically developing peers towards learning in the classroom with students with Autism Spectrum Disorder. In developing countries, such as Ghana, the body of literature on the relationship between students with disabilities and typically developing peers has been sparsely studied. Using Ajzen's theory of planned behaviour as a theoretical framework for this study, 516 typically developing students completed four scales representing belief constructs, attitudes, subjective norms, and perceived behavioural controls, (...) hypothesised to predict behavioural intention. The data were subjected to a t-test, analysis of variance, and structural equation modelling. The modelling confirmed the combining ability of attitude, subjective norms, and perceived behavioural controls to predict intention. We conclude by revealing the need for policymakers to consider designing programmes aimed towards promoting social relationships between students with ASD and typically developing peers. (shrink)

Diverse agricultural technologies are promoted to increase yields and incomes, save time, improve food and nutritional security, and even empower women. Yet a gender gap in technology adoption remains for many agricultural technologies, even for those that are promoted for women. This paper complements the literature on gender and technology adoption, which largely focuses on reasons for low rates of female technology adoption, by shifting attention to what happens within a household after it adopts a technology. Understanding the expected benefits (...) and costs of adoption, from the perspective of women users in households with adult males, can help explain observed technology adoption rates and why technology adoption is often not sustained in the longer term. Drawing on qualitative data from Ethiopia, Ghana, and Tanzania, this paper develops a framework for examining the intrahousehold distribution of benefits from technology adoption, focusing on small-scale irrigation technologies. The framework contributes to the conceptual and empirical exploration of joint control over technology by men and women in the same household. Efforts to promote technology adoption for agricultural development and women’s empowerment would benefit from an understanding of intrahousehold control over technology to avoid interpreting technology adoption as an end in and of itself. (shrink)

This article is an analysis of rumors about Internet scamming told by Internet café users in the West African capital city of Accra, Ghana. Rumors provided accounts of how the Internet can be effectively operated by young Ghanaians to realize ‘‘big gains’’ through foreign connections. Yet these accounts were contradicted by the less promising direct experiences users had at the computer interface. Rumors amplified evidence of wildly successful as well as especially harmful encounters with the Internet. Rather than simply (...) transferring information, through the telling of rumors, Internet users reclaimed a social stability that was disrupted by the presence of the Internet. These stories cast young Ghanaian Internet users as both good and effective in relation to the Internet. The study of accounts as they relate to the activities accounted for is an established area of interest in social theory. By considering how rumors function as accounts and how such interpretations of the technology are propagated among users, this analysis contributes to a broader understanding of user agency. (shrink)

Has the Internet changed the pattern of social relations? More specifically, have social relations undergone any systematic change during the recent widespread diffusion of new communications technology? This question is addressed using a unique longitudinal survey that bookends the entire period of Internet diffusion in two African nations and one Indian state. We analyze data on nine professional linkages reported by a population of agricultural and environmental scientists in Kenya, Ghana, and Kerala over a sixteen-year period. Factor analysis reveals (...) two clusters of relationships, one interpretable as traditional scientific exchange, the other indicating mediated forms of collaboration. While collaboration increases in frequency, friendship declines. We interpret this shift as a consequence of communications technology that facilitates formal projects, reducing the affective dimension of professional association. (shrink)

SummaryThis paper examines the role of health knowledge in the association between mothers' education and use of maternal and child health services in Ghana. The study uses data from a nationally representative sample of female respondents to the 2008 Ghana Demographic and Health Survey. Ordered probit regression models evaluate whether women's health knowledge helps to explain use of three specific maternal and child health services: antenatal care, giving birth with the supervision of a trained professional and complete child (...) vaccination. The analyses reveal that mothers' years of formal education are strongly associated with health knowledge; health knowledge helps explain the association between maternal education and use of health services; and, net of a set of stringent demographic and socioeconomic controls, mothers' health knowledge is a key factor associated with use of health services. (shrink)

Religion and spirituality are considered to be helpful resources during late adulthood where declines and losses are presumably pronounced. In Ghana, religion and spirituality are integral aspects of everyday life. The purpose of the study was to explore and understand how older adults experience and make meaning of their lives using spirituality as a lens. Twelve community-dwelling older adults (age range = 60–81 years) in Ghana were interviewed. Thematic analysis was used to analyze the data. The findings indicated (...) that God or the divine guides the navigation of life situations and infuses life with spiritual goals and concerns. Older adults practiced acceptance and gratitude in both positive and negative circumstances and maintained optimism and hope in other situations. The meaning-making model provided a useful framework for interpreting these findings. Limitations of the study were discussed, and suggestions for future research were offered. (shrink)

An important part of responsible business practices is compliance with the law. This article details what actually happens when the laws of the host country fail to ensure adequate protection. The focus here is on land dispossession and loss of livelihood in relation to a gold mine project in central Ghana. How is it that a well‐known international company—Newmont—with its own corporate social responsibility (CSR) statements sets up a project in the year 2003 that displaces subsistence farmers from their (...) land without compensating in cash or with replacement land? The analysis identifies the factors that lead the company to not compensate farmers for their lost land: cost‐cutting, strict adherence to the law, CSR commitment that was new and not internalized, complexities of the Ghanaian land tenure system, peer pressure to preserve the status quo, selection of an “old‐school” CSR manager, and the inadequacy of Ghanaian mining law to account for relatively novel, “open‐pit” mining techniques. However, the specter of famine raised by civil society activism, the involvement of the International Financial Corporation, and a better qualified CSR team constitute another set of factors that lead to a comprehensive package of livelihood improvement measures. There is a contrast between the complexity, long‐term, and advanced type of assistance Newmont currently envisages and the backward, short‐term, formalism, and brutality of denying compensation for land back in 2003. This research is based on the extensive documentation Newmont makes available on its web site, interviews conducted in Ghana, and literature research. (shrink)

This study examines online advocacy campaigns by five women action groups in Nigeria and Ghana. Based on modern social movement theories, the study utilizes computer-mediated discourse analysis to qualitatively analyze the content of the websites and social media platforms of these groups. Findings show that social media provide women advocacy groups a voice that tend to defy intimidation and the traditional patriarchal stereotypes to demand the rights of women to political leadership. Discourse structures of protest discourses include imperative statements (...) or direct acts that demand change by all means. Through online activism, the advocacy groups extend their voices, and activities to reach national and international audiences and communities of people – also reaching out to the most vulnerable rural women and the underprivileged. However, only a small percentage of women in rural areas have access to the Internet, thereby limiting participation in online activism in cities and urban centers. (shrink)

BackgroundInformal mHealth is widely used by community health nurses in Ghana to extend healthcare delivery services to clients who otherwise might have been excluded from formal health systems or would experience significant barriers in their quest to access formal health services. The nurses use their private mobile phones or devices to make calls to their clients, health volunteers, colleagues or superiors. These phone calls are also reciprocal in nature. Besides, the parties exchange or share other health data and information (...) through text messages, pictures, videos or voice clips. There are some ethical dimensions that are inherent in these practices that ought to be critically scrutinised by bioethicists.ObjectiveThe author has argued in this paper that informal mHealth at large scale adoption in Ghana is associated with some bioethical challenges.MethodsThis essay was largely based on an analysis of an empirical study published by Hampshireet alin 2021 on the use of informal mHealth methods in Ghana.ResultsWidespread adoption of Informal mHealth in Ghana is associated with privacy invasion of both the nurses and their clients, breaches confidentiality of the parties, discredits the validity of informed consent processes and may predispose the nurses to some other significant aggregated harms.ConclusionThe author affirms his partial support for a formalised adoption process of informal mHealth in Ghana but has reiterated that the current ethical challenges associated with informal mHealth in Ghana cannot escape all the debilitating bioethical challenges, even if it is formalised. (shrink)

Good Agricultural Practices are central to sustainability standards and certification programmes in the global cocoa chain. Pruning is one of the practices promoted in extension services associated with these sustainability efforts. Yet concerns exist about the low adoption rate of these GAPs by smallholder cocoa farmers in Ghana. A common approach to addressing this challenge is based on creating enabling conditions and offering appropriate incentives. We use the concepts of inscription and affordance to trace the vertically coordinated travel of (...) recommended pruning from research to extension and farming sites, and to describe how pruning is carried out differently at each site. Our analysis suggests that enactments of pruning at the extension site reduce the number of options and space for interactions, and this constrains making the practice meaningful to farmers’ repertoires. The conventions guiding and legitimising actions at this site, reinforced by sustainability standards, certification schemes and associated inspections and audits, favour standardised recommendations and consequently narrow room for context-specific diagnostics and adaptions. Therefore, we reframe the adoption problem as a matter of fit between different sites in the ‘agricultural research value chain’ embedded in the operational cocoa chain. Our contribution problematises the dominant framing of low adoption and highlights that the movement of pruning and the sequential enactment at different sites constrain the affordances available for rendering the practice meaningful to farmers’ repertoires. Consequently, addressing the low uptake of GAPs requires institutional work towards conventions that can construct a fit between sites along the agricultural research value chain. (shrink)

Purpose The introduction of artificial intelligence (AI) applications in the Global South brings tremendous potential for both good and harm. This paper aims to highlight the guiding ethical principles and normative frameworks for the ethical use of AI in the lens of the traditional Ga (a tribe in Ghana) philosophy and add to the academic literature and research on AI and ethics within the African context. Design/methodology/approach Literature overview on the African philosophy of Ga tradition as applied to AI (...) and application of it to the AI4people ethical framework for a good AI society. Findings Existing principles in AI are based on and mostly influenced by western principles, which may give rise to biases in AI outcomes and design implications in Africa. The research finds a high degree of overlap in the AI4People ethical framework for a good AI society and the Ga philosophy. Research limitations/implications There are a few existing literatures on AI ethics in Africa and on Ga philosophy. Originality/value This research offers valuable contribution to the ongoing discourse of Africa’s adoption of AI and widens the debate on AI and ethics beyond the western ethical approaches. (shrink)

Infertility presents both medical and public health challenges, with in vitro fertilization (IVF) emerging as a prominent solution, particularly when other alternatives are exhausted. However, IVF treatment raises significant ethical questions that have been under explored in the Ghanaian context. This study aimed to explore ethical constraints and dilemmas in the provision of in vitro fertilization (IVF) treatment in Ghana. A descriptive phenomenological qualitative design was employed. Purposive sampling techniques were used to recruit 12 participants including ART experts from (...) three in vitro fertilization (IVF) centres, ethicists and a legal practitioner. In-depth face-to-face interviews guided by an open-ended interview guide were conducted. Thematic analysis of the interviews was performed to identify major themes. Providing IVF treatment in Ghana raises several ethical issues, including inequitable access due to high costs and limited availability, which favour wealthier individuals and leave marginalized populations with fewer options. There are significant ethical considerations in balancing the potential benefits of successful IVF treatment outcomes against the health risks and emotional tolls on patients. Decisions about the fate of surplus embryos present moral dilemmas, including whether to preserve, donate, or discard them. Differing personal beliefs about the moral status of the embryo further complicate the ethical landscape. Ensuring informed consent is challenging due to the complex medical, ethical, and emotional implications of IVF treatment, potentially leading to compromised consent. Additionally, there are ongoing risks of breaches in confidentiality, given the sensitive nature of reproductive health data and the importance of protecting patient privacy. This study revealed that several ethical dilemmas confront both healthcare providers and couples in the process of IVF. There is an urgent need for the development of clear and uniform regulations to govern the practice of IVF treatment in Ghana, with further attention given to mitigating financial barriers and enhancing support systems for couples considering IVF treatment. (shrink)