Emily Owusu-Ansah  Frances                                                 1 
                                                                                                            
                                                  
                                                                                            Nkrumah  Josephine                                                 2 
                                                                                                            
                                                  
                                                                                 
          
                                     
          
                                   
                                  
                                        
                                                                                                      1
                                                          School of Medical Sciences, Department of Behavioral Sciences, Kwame Nkrumah University of Science and Technology, Kumasi, Ghana, West Africa.  
                                                          
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                                                          School of Medical Sciences, Department of Community Health,Kwame Nkrumah University of Science and Technology, Kumasi, Ghana, West Africa.