The healthcare landscape in Ghana is primarily composed of lower-tier providers, which serve as the initial point of contact for most medical emergencies. This study aimed to assess the emergency care preparedness and readiness of primary healthcare providers using a robust evaluation approach. A multicentre retrospective cross-sectional study was conducted on 460 healthcare facilities using the standardised Health Facilities Emergency Preparedness Assessment Tool (HeFEPAT). Data were analysed via Bayesian Belief network. Emergency preparedness was associated with facility location, type, ownership, and in-charge personnel. Over 70% of facilities lacked specialised emergency/critical care personnel. Although 65% of in-charges reported protocol knowledge, only 7.8% could execute cardiopulmonary resuscitation. 90% of facilities lacked onsite defibrillators, and over 80% had no cerebrovascular accident medications. Road traffic accident protocols were largely unavailable, with an estimated 53% probability of lacking such protocols. Private-owned facilities were more likely to lack protocols for road traffic accidents (76% vs 20% probability) and general acute care (62% vs 32%) compared to government-owned facilities. Significant gaps in emergency preparedness were identified across the studied health facilities, indicating limited capacity to manage critical situations effectively. Urgent investments in emergency medicine training, essential resources, and evidence-based protocols are needed. Standardised emergency preparedness assessments should be implemented for accreditation and quality improvement. Further research can inform the development of national guidelines and targeted interventions to strengthen emergency response capacities.

Little is known about the health effects of heat in outdoor work and appropriate work and rest schedules for farmers working in developing countries. As temperatures continue to increase in tropical regions, such as Northern Ghana, it is necessary to evaluate how farmers experience and respond to high heat exposures. In this study, WBGT (Wet Bulb Globe Temperature) estimates and the ISO work / rest standards were applied to a cohort of farmers in the rural areas of Bawku East, Northern Ghana, to assess how farmers respond to high heat and how much they rest to protect their health, as well as the level of heat on their productivity. WBGT data was recorded over a period of 6 months among vegetable, cereals, and legume farmers. The ISO proposed and actual rest regimes observed by farmers in the same time period were evaluated. In the dry season the dry bulb temperature rose as high as 45 ºC, while during the humid months of March and April WBGT rose to levels as high as 34 ºC. Farmers worked for nine hours a day during these hot periods with insufficient rest, which has adverse consequences on their health and productivity.