Recommendation Life style modifications, mechanized farming,

and use of alternative means to convey farm produce and traded items with active involvement of males will go a long way to reduce pelvic organ prolapse. Surgical services for affected patients could be provided in hospitals within the various communities if there is an increase in the number of gynecologist in the northern region of Ghana. Acknowledgement Sincere gratitude to Dr. Isaac Aboagye Marfo, Ms. Millicent Kumassey, Hajia Amira Iddrisu and Ms. Amina Abu all of the Department of Obstetrics and Gynaecology, Tamale Teaching Hospital and all others who contributed in putting this paper together.
Trends in ageing have been increasing in all regions of the NLG919 world; Asia,

Europe, Latin America/Caribbean, North America, Oceania and sub-Saharan Africa1. The older adult population has increased steadily since 1950 in all six regions. The highest overall proportion is in Europe; where by 2050 the aged proportion is estimated to be 36.6%. For Asia, Latin America and North America, projections indicate that increases will bring the proportion of the aged to between 22% and 27% by 2050, and in sub-Saharan Africa the projected population of the aged will be 10.2%.1 In Ghana, there is evidence of the ageing of the population, with the proportions aged 60 years and older rising from 4.6 in 1960 to 6.7 percent in 2010. Ageing may appear to be gradual at the moment the but the older population will grow rapidly as the fertility transition advances.2 The later years of life are accompanied by many physical and emotional changes as well as changes Thiazovivin clinical trial in one’s environment. Some of these changes, such as deteriorating health are gradual; whereas others, like the death of a spouse are sudden. However not all the changes associated with ageing are negative. The wisdom of experience, retirement and freedom from familial responsibilities can make later life a very positive part of the life cycle. An individual’s ability to cope with these changes affects their subjective well-being.3

Subjective well-being (SWB) is defined as “a person’s cognitive and affective evaluations of his or her life”3. The cognitive element refers to what one thinks about his or her life satisfaction in global terms (life as a whole) and in domain terms (in specific areas of life such as work, relationships, etc.) The affective element refers to emotions, moods and feelings. Affect is considered positive when the emotions, moods and feelings experienced are pleasant (e.g. joy, elation, affection etc.) Affect is deemed negative, though, when the emotions, moods and feelings experienced are unpleasant (e.g. guilt, anger, shame etc.). The terms subjective well-being, happiness, psychological well-being, positive affect, and morale are often used interchangeably.