Abstract
Sickle cell disease (SCD) and sickle cell trait (SCT) are highly prevalent in Africa. Despite public health implications, there is limited understanding of community issues for implementing newborn screening and appropriate family counseling. We conducted a 3-day workshop in Kumasi, Ghana, with community leaders as lay program development advisors to assist the development and implementation of a Sickle Cell Counselor Training and Certification Program. We employed qualitative methods to understand cultural, religious, and psychosocial dimensions of SCD and SCT, including the advisors’ attitudes and beliefs in relation to developing a culturally sensitive approach to family education and counseling that is maximally suited to diverse communities in Ghana. We collated advisors’ discussions and observations in order to understand community issues and potential challenges and guide strategies for advocacy in SCD family education and counseling. Results from the workshop revealed that community leaders representing diverse communities in Ghana were engaged constructively in discussions about developing a culturally sensitive counselor training program. Key findings included the importance of improved knowledge about SCD among the public and youth in particular, the value of stakeholders such as elders and religious and traditional leaders, and government expectations of reduced SCD births. We submitted a report to the Ministry of Health in Ghana with recommendations for the next steps in developing a national sickle cell counselor training program. We named the program “Genetic Education and Counseling for Sickle Cell Conditions in Ghana” (GENECIS-Ghana). The first GENECIS-Ghana Training and Certification Program Workshop was conducted from June 8 to 12, 2015.
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Acknowledgments
We are extremely grateful to all the participants of the 3-day advisory workshop that was held in Kumasi, Ghana, from February 25 to 27, 2013, for the development of the Sickle Cell Counselor Training and Certification Program.
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This manuscript is supported by Cooperative Agreement no. U60HM000803 funded by the Centers for Disease Control and Prevention (CDC). Its contents are solely the responsibility of the authors and do not necessarily represent the official views of CDC or the Department of Health and Human Services.
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Kofi A Anie, Marsha J Treadwell, Althea M Grant, Jemima A Dennis-Antwi, Mabel K Asafo, Mary E Lamptey, Jelili Ojodu, Careema Yusuf, Ayo Otaigbe, and Kwaku Ohene-Frempong declare that they have no conflict of interest.
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This article does not contain any studies with human participants or animals performed by any of the authors.
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Informed consent was not required since this is a report of proceedings of a workshop and not a study of human participants.
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Anie, K.A., Treadwell, M.J., Grant, A.M. et al. Community engagement to inform the development of a sickle cell counselor training and certification program in Ghana. J Community Genet 7, 195–202 (2016). https://doi.org/10.1007/s12687-016-0267-3
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DOI: https://doi.org/10.1007/s12687-016-0267-3