We fully understood that in coming to Africa, we were leaving the world of 110V electricity and entering the world of 220V. We brought with us adapters, converters, and step-up/step-down units.
The surprise to us was that Ghana is the United Nations of electrical plugs. We have electric appliances from Europe, South Africa, Asia, the United States, and so on. Our home is built for UK style plugs. Our appliances are rarely from the UK. So we are always searching for what kind of an adapter will allow us to plug what appliance into the wall. All wall sockets have their own on/off switch at the wall. Since a picture is worth a thousand words, you can have a close up look at our electrical world.
The second problem is electrical surges which are all too common here. In order to protect your equipment, you must have a voltage regulator. It will stabilize the flow of electricity to 220, even if spikes occur. So, your sewing machine would need a voltage regulator or it could become toast!
The third problem is the frequent power outages. We are very blessed to have a large diesel operated generator in our back yard. When the electricity goes off, this behemoth roars into activity. We usually have a quick return of lights and power unless there is a problem with the generator... which has happened... and then Gregg and I sit in the dark. Fortunately, our computers function with a battery backup, so we don't lose anything during a power outage.