Religious involvement and marital status were however, not found to significantly affect SWB in this study. Recommendations Based on the findings above, we wish to make the following recommendations: The government should seriously consider ways of expanding and extending the free

compulsory universal basic education (FCUBE) program beyond the basic to secondary and ultimately to tertiary levels as education beyond the secondary level significantly enhances SWB of the older Ghanaian adult. This may also enhance their earning abilities during their years of active service and thus by extension help secure better pensions. Additionally, expansion of the pension scheme to include workers in the informal sector and education of this group of workers on the importance of saving or investing to safe guard their find more future will help improve their income in old age and thus improve their wellbeing. The sector ministry responsible for social welfare should collaborate with various stakeholders to revamp the social welfare system to be able to meet the needs of the ever increasing older adult population. This should include the establishment of day care facilities for

the aged especially those with no family support. Acknowledgement Financial support was provided ZD6474 purchase by the US National Institute on Aging through an interagency agreement with the World Health Organization. WHO contributed financial and human resources to SAGE. The Ministry of Health, Ghana is supportive of SAGE. The University of Ghana’s Department of Community Health contributed training facilities,

data entry support and storage of materials. The Ghana Statistical Office provided the sampling information for the sampling frame and updates.
During drug development, only a limited number of people, with carefully selected characteristics are monitored for the safety and efficacy of the drug, hence it is the common adverse drug reactions (ADRs) following proper use of the medication that get detected. Spontaneous Reporting (SADR) is the most widely employed method for monitoring entire populations for the safety of drugs in real-life use.1,2 Compared to other methods, SADR is very cheap to implement and with this system, all medicines can be monitored in a population on an ongoing basis, about with both patient- and populationlevel analyses done. Despite these benefits, the voluntary nature of SADR makes it heavily affected by poor reporting by patients and/or healthcare professionals. Ghana began its spontaneous reaction reporting programme in June 2001, and joined the WHO Programme for International Drug Monitoring the same year as the 65th member, yet the reporting rate of about 6 reports per 1,000,000 population per year is woefully below the WHO recommended reporting rate of 200 per million per year.