Term of Award

Spring 2016

Degree Name

Doctor of Public Health (Dr.P.H.)

Document Type and Release Option

Dissertation (restricted to Georgia Southern)

Copyright Statement / License for Reuse

Creative Commons License
This work is licensed under a Creative Commons Attribution 4.0 License.


Jiann-Ping Hsu College of Public Health

Committee Chair

Andrew Hansen

Committee Member 1

Ashley Walker

Committee Member 2

Evans Afriyie-Gyawu


Ghana has been a transition country for drug trafficking from South America to the Western World, but has now become a full fledge market. This presents public health risks including an increase in drug addiction prevalence, violence, and associated infections such as HIV/AIDS and Hepatitis C. Photovoice was used to explore factors affecting substance abuse and treatment in Ghana – utilizing Participatory Action Research and Social Ecological Model. Ten participants in recovery took photographs of what they perceived as: 1) risk and protective factors to substance abuse, and 2) barriers and facilitators to substance abuse treatment. Results indicated that substance abuse and treatment are affected by multiple factors including family, peer-pressure, drug availability, and lack of regulation enforcement