Tuesday, July 7, 2009

Women would benefit from Mental Health Law

Daily Graphic. Pg 11, Tues. June 30

Story: Rebecca Quaicoe-Duho

KWANSEMA was 36 years old when she had her third child. She was diagnosed a few days later with postpartum depression, a mental disorder which affects some women after delivery.
Efforts to get her cured immediately with orthodox medicine proved futile and her husband abandoned her to her fate when her family took her to a prayer camp for deliverance. The family believed that she had either been bewitched or she was a witch.
At the camp, her right as a human being was abused . She was chained to a tree to prevent her from exhibiting wild behaviours and she was also physically and sexually abused.
Presently, Kwansema, like many other women in the country who experience mental disorders one way or the other, do not have any protection from the current Mental Health Law operating under the National Revolutionary Council Decree (NRCD) 30 of 1972.
The law does not mention human rights issues to enable such people to seek redress but only mentions that women with such conditions should be given separate accommodation.
Also, the law does not make any reference to mental patients outside the psychiatric hospital and therefore such patients are left to their fate either at the hands of traditional healers or pastors.
It is for this reason that the acting Chief Psychiatrist and Medical Director of the Accra Psychiatric Hospital, Dr Akwasi Osei, together with some other health personnel, advocates and well meaning Ghanaians are advocating for the law on mental health to be passed as soon as possible.
At a forum on ‘Women’s right and mental health in Ghana’, organised by the Network for Women’s Rights in Ghana (NETRIGHT) in Accra, Dr Osei said the law was drafted three years ago but was yet to be considered by the Minister of Health.
He said the law had specific provisions for women and children who were considered as vulnerable groups, saying that the law specifically criminalises stigma, discrimination and other human rights abuses.
According to him, the law criminalises forced marriage, forced labour and sexual abuse at prayer camps and decriminalises suicide, explaining that most suicide cases were a result of depression which he said was a mental condition and therefore under the law such people would be treated and counselled instead of imprisoned.
Also, he said the law would ensure that people like Kwansema could maintain their marriage, or at least would not be disadvantaged in marriage on grounds of mental illness. Added to this, they could exercise their franchise to vote as determined by their psychiatrists.
Dr Osei said the new law would also overhaul mental health care and de-emphasise institutionalisation by ensuring that people with mental cases were rehabilitated in their communities.
He said the law would also help to decentralise mental health care by ensuring that regional and district hospitals have psychiatric units attached to them.
The law, he said, would also regulate the activities of pastors and prayer camps to help curtail the numerous abuse of human rights in such camps which also serve as rehabilitation centres for some mental patients.
He said the law would also ensure that more mental health workers are put in the system saying that presently, the country had only seven psychiatrists made up of five permanent doctors of the Ghana Health Service (GHS) and two retired ones of which one is a private doctor.
The law, he said, would also ensure that adequate resources were made available to the psychiatric institutions so that they would be able to give better health care to their patients.
According to him, the time had come for the country to take the issue of mental health care in the country seriously saying that it was a condition that could affect anybody at any time.

Food suppliers cut credit to mental homes

Daily Graphic. Pg. 55 Thurs. June 25/09

Story Rebecca Quaicoe-Duho

FOOD suppliers have cut supplies on credit to the three mental health institutions in the country until a debt of GH¢3 million owed them is paid.
The amount is for food supplied to the Accra Psychiatric Hospital (APH), the Pantang Psychiatric Hospital (PPH) and the Ankaful Psychiatric Hospital over the last four years.
The situation has resulted in the inmates of the APH sometimes having to take porridge without sugar and bread.
The acting Head of the APH, Dr Akwasi Osei, who made this known during a public forum on ‘Women’s Right and mental health in Ghana’, said the hospitals had resorted to using two-thirds of their allocations to service their debt, thereby leaving them with little money to take care of the inmates.
According to Dr. Osei, who is a Chief Psychiatrist of the Ghana Health Service (GHS), the 60Gp a day allocated to the inmates was inadequate to sustain them and, therefore, called on the government to increase the amount.
He also called on the government to expedite action on the passage of the Mental Health Bill which, according to him, had, for the past three years, been shelved at the Ministry of Health.
Dr Osei said the APH recorded more female mental health patients than men and attributed that to a number of factors, including the biological make-up of women, differences in physiological responses to stress, hormonal factors as in menses, pregnancy, menopause, mood and behavioural changes associated with fluctuations in sex hormones and the adverse effects of inferior status accorded women generally by society.
He said in 2005 the APH recorded an outpatient attendance of 23,692 females as against 20,519 males; 23,334 females in 2006 as against 19,628 males, and 22,430 females in 2007 as against 18,224 males.
He mentioned some of the frequent ailments that were recorded at the hospital as depression, acute psychotic disorders, schizophrenia, neurosis, epilepsy, substance abuse, mania schizo-affect disorder, alcohol depression and dementia.
He mentioned some of the causes of mental illness in women as marital problems such as divorce and separation, maltreatment within marriage, polygamy, battering, emotional and financial withdrawal, widowhood issues and relationship problems.
Others are the aftermath of childbirth, menopause, rape and defilement, financial burden, domestic problems, drug abuse and genetics.
A clinical psychologist, Dr. Angela Ofori-Atta, who spoke on the topic, 'Understanding women's mental illness in Ghana', said poverty was one of the major causes of mental disorders among most women in the country.
She said women with low or medium income were more susceptible to mental disorder than rich women, saying that depression also accounted for one-third of mental disorders in the country.
The Policy Research Officer of Basic Needs, a non-governmental organisation based in the northern part of the country, Ms Truelove Antwi-Bekoe, who gave a situational report on women's mental health in Ghana and its challenges for advocacy, said women's mental health could be adequately tackled if the government put in more effort at addressing some of the problems being faced in that direction.
Dr Rose Mensah-Kutin, the Convenor of NETRIGHT, organisers of the forum, said the forum was necessitated by the fact that the rights of most women with mental disorders were being trampled upon by society because there was no law protecting them.

‘Promote gender-equitable governance’

Daily Graphic. Pg11. Thurs. June 25/09

Story Rebecca Quaicoe-Duho

A Gender consultant, Mrs Dede Bedu-Addo, has called on the media to promote a gender-equitable governance and elections that will be globally adjudged as free and fair.
According to her, “media critics feel that the media have not effectively taken up their responsibility to promote women's political participation”.
Mrs Bedu-Addo made the call at a two-day media sensitisation workshop in Accra which was organised by Women, Media and Change (WOMEC) and supported by ABANTU for development with sponsorship from the Canadian International Development Agency (CIDA).
It was on the theme “Promoting greater visibility for women in leadership”.
Mrs Bedu-Addo said that “just as the media have assisted male politicians to gain popularity, they should do the same for women”.
She said the media must recognise the enormity of their assignment and handle it with dexterity and seriousness .
She observed that cultural inhibitions had contributed immensely to women not participating in politics and that gender roles put women at a disadvantage where very often a woman's voting right is subjected to external influences, constraints and domination. Sometimes she is intimidated by her spouse to vote for particular candidates or parties.
She said this was one area where good public awareness and public education could help diffuse some of these inhibitions and reduce the undue domination of women by their male relatives and colleagues.
She observed that generally, African politics placed a lot of emphasis on individual connections and affiliations at the expense of ability and qualification and therefore called on the media to take up its responsibility as 'the fourth estate of the realm' or 'the fourth arm of government'.
She said the media should be at the front pushing for both legislative and constitutional reforms that would give credence to women's participation in politics, without the usual cronyism and nepotism that kept women out.
She also advised women politicians to maintain their contacts with media houses which assisted in their campaign during the 2008 elections.
Mrs Bedu-Addo called on women politicians and the media to also foster a relationship that would be sustained till the next election, and beyond, “if we are to see increased participation of Ghanaian women in governance”.
On increasing women's participation in decision-making through Affirmative Action, Mrs Bedu-Addo said targets had been set for governments which could aid them in addressing the gender imbalance in politics.
Such targets, he said, included the United Nation's 30 per cent representation of women in politics by 2005, government setting up a system of monitoring and evaluating women's participation in politics and decision-making and the development of structures and systems that gave more opportunities to women to be represented in politics.
Other measures she said were making funds accessible to women and persons from marginalised sectors who want to participate in politics, as well as instituting measures that would eliminate structural constraints and ensure a safe and violence-free environment for all women aspiring for public office.

Effective diagnosis training on malaria starts

Daily Graphic, Pg 20. Mon. June 22/09

Story Rebecca Quaicoe-Duho

A training programme to ensure that doctors request for laboratory tests from patients with fevers for the effective diagnosis and treatment of malaria has begun at Dodowa.
The programme has become necessary because of the tendency among some health professionals to treat all fever cases as malaria, making it difficult for the health authorities to know the actual cases of malaria in the country.
Already, selected doctors from the northern sector have completed a training-of-trainers programme to enhance their skills and competencies in the diagnosis and treatment of malaria.
This was made known by the Programme Manager of the National Malaria Control Programme (NMCP), Dr Constance Bart-Plange, at a two days stakeholders’ meeting of the INDEPTH Effectiveness and Safety Studies of Anti-malarials in Africa (INESS) in Accra.
She said the aim of the Ghana Health Service (GHS) was to roll out an effective educational system for doctors on malaria diagnosis and treatment.
The meeting, which brought together stakeholders from the Dodowa, Kintampo and Navrongo Health Research centres, was aimed at briefing them on the INESS project which is aimed at researching into the safety and efficacy of malaria drugs in Ghana, Tanzania, Burkina Faso and Mozambique.
Dr Bart-Plange said there was the need for the introduction of easier methods of diagnosing, such as the use of the Rapid Diagnostic Test Kit, as well as the development of a manual for laboratory technicians.
Giving an overview of the INESS project, the Project Manager, Dr Aziza Mwisongo, said it was intended to provide national, regional and international health policy makers with independent and objective evidence on the safety and effectiveness of new anti-malarial drugs.
She said such evidence could provide the basis for the formulation and implementation of malaria treatment policies.
For his part, the Executive Director of the project, Dr Osman Sankoh, said the mission was to harness the collective potential of the world's surveillance initiatives in resource constrained countries to provide a better understanding of health and social issues and to apply the knowledge to solve health and social challenges.
In a presentation, the Communications and External Relations Manager of INDEPTH, Mr Samuel Mikenga, said INDEPTH was well placed to contribute to further advancing research and developing and testing solutions to health problems for those in the world’s poorest countries.

Children calls for more commitment from government

Daily Graphic. pg.11 Thurs. June 18/09

Story Rebecca Quaicoe-Duho

THE tradition where children are seen but not heard and adults allowed to make decisions on their behalf was reversed last Tuesday when representatives of children from across the country handed over a communiqué to Parliament.
The communiqué was developed by some of these children with sponsorship from UNICEF and the Ministry of Women and Children’s Affairs as part of this year’s celebration of the AU Day of the African child on the theme “Africa fit for children: Call for accelerated action towards their survival”, It is being observed on June 16 of every year.
The day was declared by the AU in commemoration of the 1976 massacre of schoolchildren in Soweto, South Africa.
The communiqué, which was presented to the Chairman of the Parliamentary Select Committee on Gender and Children, Mr Sampson Ahi, among other things, called on the government to make the issue of children a top priority.
According to the representative of children from the northern part of the country, they needed good educational infrastructure and electricity to enable them learn education on child labour, trafficking and migration effectively, and called for an effective collaboration among all stakeholders to reduce child mortality.
From the middle belt, the children called for more spacious classrooms, ICT and science equipment, recreational centres, more health facilities, awareness on child rights and security for children.
From the southern zone, the children called for good educational infrastructure, science and computer laboratories, good learning environments, education on human rights, resources to meet the need of street children, stricter punishments for child traffickers, more national platforms for children’s views, good water supply, salary increment for parents and a stop to illegal mining.
For their part, members of the committee advised the children to ensure that they learnt harder to make the nation and their parents proud.
Ms Cecilia Abena Dapaah, a member of the committee, called on the children to ensure that they were always obedient to their elders.
She also reminded them that although the 1992 Constitution granted them freedom to their rights, they should also remember that the freedom would come with responsibilities.
Ms Shirley Ayorkor Botchway said although children of Ghana were more privileged than many of their counterparts in other African countries, she called on them to ensure that they cherished what they had.
Ms Botchway called on the children to use the little that they had to achieve higher laurels in future, saying that they should work harder to become better and responsible citizens.
The Chief of the Child Protection Unit of the UNICEF, Ms Sheema Sen Gupta, in a brief remarks, said two representatives each from all the 10 regions of Ghana were drawn to come out with the communiqué, saying that the process would be continued over the years to inspire children to bring out their best for their future.
She said UNICEF was doing this in collaboration with the Children’s Department of the ministry as a means of promoting child participation and of creating awareness and promoting children’s right to survival.

Ensure development of children

Daily Graphic, Pg 31. Wed. June 17/09

Story Rebecca Quaicoe-Duho

THE Minister of Women and Children's Affairs, Ms Akua Sena Dansua, has called on African leaders to make the survival and development of children the focus of their development programmes and agenda.
Making a statement on the floor of Parliament to mark this year’s Day of the African Child in Accra yesterday, Ms Dansua said heightened insecurity on the African continent had thwarted efforts at promoting the development of the African child.
She said hostile environments such as the displacement of families and communities being experienced on the continent had hindered the development and growth of the African child.
The Day of the African Child falls on June 16 every year. The day is being celebrated across the continent on the theme, “Africa fit for children: Call for accelerated action towards their survival”, and, according to the minister, “the African child is also faced with diseases and hunger, both of which negatively impact on his survival and participation in national progress”.
Ms Dansua said her ministry would use this year's celebration to focus on awareness creation on the major challenges of child survival, such as irresponsible parenting, child mortality, malnutrition, education, as well as vulnerable situations and child protection issues such as child labour, child trafficking, effects of conflicts on children, violence against and abuse of children, among others.
She, however, said despite all the challenges that bedevilled the African child, “the continent is making progress towards improving the situation of children”.
She cited good governance, the rule of law and due process as some of the measures used in promoting democracy, peace and security on the continent.
Ms Dansua said one peculiar feature of the day was child participation, saying that the concept was a right enshrined in the African Charter on the Rights and Welfare of the Child, the Convention on the Rights of the Child and the 1998 Children's Act of Ghana.
She said child protection and development would be a mirage if society did not create the platform for children to participate in matters affecting their welfare.
Contributing to the statement on the Floor of the House, other Members of Parliament (MPs) pledged their commitment to ensure that children in Ghana were better protected.
The MP for Amenfi East, Mr Joseph Boahen Aidoo, in a submission, said children were into social vices such as illegal mining, pottering and street hawking because policies had not been put in place to see to their welfare.
He said if nothing was done about the plight of deprived children in the country, their future would be destroyed, as they would not have any training and employable skills.
The MP for Wa West, Mr Joseph Yieleh Chireh, who is also the Minister of Local Government and Rural Development, in his contribution, called on his colleague MPs to encourage their various district assemblies to build children’s clubs that would engage the children to prevent them from engaging in social vices.
The MP for Evalue/Gwira, Mrs Catherine Afeku, in a contribution, called on people to celebrate the positive aspects of the African child, saying that children in Africa were intelligent but had been overshadowed by problems such as poverty, hunger and diseases.
She called on society to embrace children with disability, saying that such children should not be discriminated against but rather encouraged to come out with their best.
The Majority Leader, Mr Alban Bagbin, also called on parents to reproduce responsibly and lay solid foundations for their children's future.
Later, selected children from all the 10 regions interacted with members of the Parliamentary Select Committee on Gender and Children. The children also presented a communiqué which outlined some of their needs, such as improved educational facilities, good healthcare systems, provision of electricity, spacious classrooms, provision of ICT and science resource centres, recreational centres and good water supply.
They also called for an end to child abuse, child trafficking, child mortality and illegal mining by children.

Africa marks Day of the African Child

Daily Graphic, Pg. 11. Tues. June 16/09

By Rebecca Quaicoe-Duho

TODAY, June 16, is being commemorated as the 'Day of the African Child'. It is a day marked across Africa every year to seek the welfare of children who most often end up being the worst affected whenever there is civil unrest, famine or bad economic situations.
The day is being celebrated on the theme ,“Africa, Fit for Children: Call for Accelerated Action towards their Survival”.
The African Charter on the Rights and Welfare of the Child, which was promulgated in November 1999, is the first regional treaty on the human rights of children. However, children in Africa continue to suffer various abuses of their rights. These take the form of child labour, child soldiers, trafficking, etc.
Statistics from the International Labour Organisation (ILO) reveals that over 40 per cent of the children in Africa are working. They are mainly working as slaves in private households, apart from other industries.
The Convention on the Rights of the Child (CRC) was adopted in 1989 by the UN General Assembly, and in it, Article 32 asserts children’s right not be engaged in work deemed to be "hazardous or to interfere with the child's education, or to be harmful to the child's health".
The issue of child trafficking in Africa has also gained growing international recognition as a serious violation of children's rights - rights affirmed by important international human rights treaties dating back to the 1956 UN Convention on the abolition of slavery, slave trading and institutions and practices similar to slavery.
The 1989 UN Convention on the Rights of the Child (CRC), its general principles and its specific provisions, particularly Article 35, calls on State parties to “take all appropriate national, bilateral and multilateral measures to prevent the abduction of, the sale of or traffic in children for any purpose or in any form” - and Article 32 recognises the child's right “to be protected from economic exploitation”.
Also, Convention 182 of the ILO on the Worst Forms of Child Labour (1999), in Article 3 (a) recognises child trafficking as one of the worst forms of child labour and calls for action by Member States to eliminate them.
Another abuse that children in Africa need to be rescued from is the issue of child soldiers. It is estimated that more than 500,000 children under 18 have been recruited into state and non-state armed groups in over 85 countries worldwide, according to the Coalition to Stop the Use of Child Soldiers.
Most child soldiers are between the ages of 15 and 18 years, but some are as young as seven. The recruitment and use of these children for combat is outlawed by various measures of international human rights law, humanitarian law, labour law and criminal law but a chasm exists between these standards and their application.
Up to half of the world's child soldiers are in Africa, despite the coming into force- in 1999 - of the African Charter on the Rights and Welfare of the Child; the only regional treaty in the world that prohibits the use of child soldiers. The charter forbids member states from recruiting or using children in a participatory role in any acts of war or internal conflicts.
On violence against children in Africa, many forms of violence meted out to children are linked to specific economic, social and cultural contexts. It rarely occurs as an isolated event but is more likely a result of a combination of factors that increase the vulnerability of children and triggers behaviour that results in others preying on this vulnerability in a number of ways, including through violent acts.
Many countries, especially in West and Central Africa, face the challenges of poverty, increasing urbanisation, disease and conflict, and these increase children's vulnerability and deviant social behaviours.
Some cultural traditions also contribute to violence against children. All these factors act as catalysts for violence against children, as do the significant gender disparities across the region, which allow hierarchies of power that put women and girls at particular risk in many circumstances. Some cultural, traditional and religious practices also foster power dynamics that can result in violence being inflicted on those who are seen as weaker or subservient.
Currently, what is being done to stop violence against children is that all countries in West and Central Africa have ratified the United Nations Convention on the Rights of the Child, the over-arching international agreement that children have rights, including the right to a life free of violence, abuse and exploitation.
Also, some countries have taken some steps, in accordance with the CRC, to bring national laws in line with the provisions of the convention.
However, the enforcement of these laws remains seriously inadequate and there is a huge gap between the intent as embodied in the law and the reality of children's daily lives.
One problem is that in this region, national laws often co-exist with customary or religious laws. Most frequently, the law gives authority to customary law in certain areas and even codifies customary practices in some instances (for example, in laws relating to succession) even if they are contrary to international norms.
There is a real need for a recognised framework based on human rights in all countries of the region that acknowledges the rights and responsibilities of all sectors of society and encourages the protection of children as an overriding objective.
Governments, international agencies and national NGOs have been active in programmes aimed at child protection in recent years, but as we celebrate the Day of the African Child today, what is needed is a massive turn-around in the mindset of people in the region who tolerate violence against children and view it as part and parcel of everyday life.

“Legalise policy statement on affirmative action”

Daily Graphic Pg. 11. Thurs. June 11/09

Story Rebecca Quaicoe-Duho

The government has been called upon as a matter of urgency to initiate the process of legalising the 1998 Policy Statement on Affirmative Action (AA).
This would be in line with the global movement to promote good governance and leadership that allows equal participation in decision-making by both men and women to accelerate development.
Journalists drawn from five regions in the country: Greater Accra, Western, Central, Eastern and Volta, made the call at the end of a two-day workshop which was held on the theme “promoting greater visibility for women in leadership”.
It was jointly organised by the Women Manifesto Coalition, Women Media and Change and ABANTU for Development and was sponsored by the Canadian International Development Agency (CIDA).
The communiqué was signed by all participants “after having noted the contents of the Policy Statement on Affirmative Action of 1998”.
Among some of the recommendations made was a call on the government to put in place structures for the implementation of the said policy statement which includes the setting up of a Committee on Affirmative Action as stipulated in the document being referred to.
Participants also called on the government to institute measures to ensure the implementation of programmes on affirmative action by speeding up the process of ensuring 40 per cent representation of women in all advisory bodies as documented in the 1998 AA document.
They also called on the government to initiate action for 40 per cent representation of women in parliament as stated in the AA document and added that current efforts being made to amend the electoral laws to fund political parties should make it mandatory for political parties to ensure that 40 per cent of their parliamentary candidates are women.
Participants also called on political parties to ensure that adequate representation of women at district and sub-district levels of administration which had the target of at least 40 per cent representation of women was met.
They further called on the government to ensure that the decentralisation process in the country remained non-partisan and devoid of monetary influence.
They also called for the fulfilment of the promise to set up a Special Fund for Girls Education as stated in the AA document for the education and training of women and girls at all levels as well as do a national evaluation of the “Girls Education Programme” of the Ministry of Education.
Participants further urged the Ministry of Women and Children’s Affairs (MOWAC) to collaborate with the Ghana Statistical Service (GSS) to generate
gender disaggregated data to inform the process of increasing women’s participation in governance and leadership in the country.
To step up public education on affirmative action, participants called on political parties to introduce measures to encourage women to participate in politics and recommended that affirmative action be introduced to ensure that 40 per cent of office holders at all levels are women in order to fulfil the objectives of the 1998 Policy Statement on Affirmative Action.
They also called on parties to put up women parliamentary candidates in constituencies considered to be party strongholds or safe seats as well as step up political education to encourage more women to stand for election and also for the electorate to vote for them.
They finally called on political parties to make election processes very transparent and devoid of rancour and acrimony since that tended to discourage women from participating in politics.

Two organisations collaborate - To collect health data

Daily Graphic Pg. 44. Mon. June 08/09

Story: Rebecca Quaicoe Duho

A US-based research institute is to collaborate with INDEPTH Network, an international non-governmental organisation based in Ghana, to help in the collection and analysis of health data to inform policies both locally and internationally.
Based in Seattle Washington, the Institute for Health Metrics and Evaluation (IHME) makes available to the world information on population health, its determinants, and the performance of health systems and seeks to achieve this directly, by catalysing the work of others, and training researchers and policy makers.
Through the collaboration, scientists from INDEPTH will be trained at the IHME to help in the building and strengthening of their capacities while the network will also make available its sites to the institute for IHME to collect and analyse data that have been generated over the years.
The INDEPTH Network, which deals in the demographic evaluation of populations and their health in developing countries, has its secretariat in Ghana and is based in 18 other countries across the globe and currently has 33 demographic surveillance systems (DSS) field sites that collectively monitor 2.2 million people at the household level.
When the collaboration is achieved, it will also help improve the methodologies used by INDEPTH in its data collection and also help the network to attract donors for its various research works.
To this end, the Director of the IHME, Dr Christopher Murray, together with a professor at the Department of Global Health at the institute, Dr Rafael Lozano, paid a two-day working visit to the INDEPTH Secretariat in Accra where they were taken to the Dodowa Health Research Centre (DHRC) in the Dangbe West District in the Greater Accra Region to observe at first-hand the difficulties that field officers go through in their day-to-day collection of health data.
The DHRC — which operates its demographic and health surveillance in Ayikuma, Dodowa, Prampram, Asutsuare and Dawa — operates in all seven local councils of the district, which has a DSS population of 106,470 with an infant population of four per cent.
The Director of the centre, Dr Margaret Gyapong, who briefed Dr Murray and his colleague on some of the work that the centre undertakes, said they collected data from the whole community over a period of time to monitor new health threats, track population changes and assess policy interventions.
She said currently the centre, which collaborates with INDEPTH, was collecting data on the impact of the use of Rapid Diagnostic Test (RDT) in the management of malaria and was looking forward to undertaking other research interventions.
The team also visited Duffor Osudoku near Asutsuare where the DSS Field Worker, Nii Adjatey Adjei, briefed them, saying that he collects data on in and out migration, new births, pregnancies, death, the socio-economic status of the people, as well as verbal autopsy in the community.
Dr Murray, who was impressed with the level of work being done, said the site had a huge resource base that could be used to the benefit of many people.
He said the goal of the IHME was to help inform data globally and that it was normally difficult to get access to data from some of the regions of the world, adding that collaborating with INDEPTH would help bridge that gap.
The Executive Director of INDEPTH, Dr Osman Sankoh, at the end of the two-day visit, said when the collaboration was signed it would help INDEPTH to open up its network to help it undertake other initiatives.
He said the network was willing to share its findings with the international community but added that its capacity needed to be built through collaboration.
Dr Sankoh said such collaborations would help the outside community to understand the enormity of work and challenges that they went through, saying that such knowledge would help strike a strategic partnership.

‘Local contractors need government assistance’

Daily Graphic, Pg 37. Wed. May 27/09

Story Rebecca Quaicoe-Duho

THE Vice-President of the Association of Road Contractors (ASROC), Mr Joseph Ebo Hewton, has called on the government to help build the capacities of local contractors so that they can win local and international contracts.
According to him, international companies were often favoured over local ones because the former had more capacity and equipment to win both national and international contracts.
Mr Hewton made the call in an interview with the Daily Graphic at a day’s workshop on capacity building and entrepreneurial skills for women in construction in Accra.
The workshop, which was aimed at building the capacities of women contractors on managerial skills, attracted about 60 participants drawn from all the regions in the country.
According to Mr Hewton, many local contractors did not have the capacity to bid for contracts and, therefore, the government’s intervention in terms of providing both financial and logistical support would help them to compete with foreign contractors.
He also called on the government to revisit a programme which was introduced in the 1990s with the aim of building the capacities of contractors to win international contracts.
He said the programme, which for some years now had been halted, enabled a local contractor, Eagle Star Construction Limited, to win contracts outside the country.
Mr Hewton further appealed to the government to make prompt payments to contractors, saying delays in payment were killing the construction industry.
The Executive Secretary of ASROC, Mr Kwaku A. Nuamah, who took the participants through various topics, said it had become necessary to build the capacities of members of the association to make them more dynamic and result- oriented.
According to him, most road contractors in the country operated within as micro, medium and small-scale enterprises which made them vulnerable because they were unable to work to repay the loans they had contracted, a situation which he said had negative repercussions on themselves, their employees, families and the nation at large.
He said the workshop would enable the participants to be able to identify external and internal factors that could impact negatively on their operations.
He took participants through topics such as processes for preparing business plans, stages of corporate development, analysis of environmental factors that affect businesses and analysis of external and internal factors that can affect businesses.
The Executive Secretary of the Greater Accra branch of ASROC, Mr Kwaku Biney, said the workshop was part of efforts at building the image of the association in the country.
He said similar workshops would be organised for all members across the country.

Mother needs counselling-To overcome traumatic experience

Daily Graphic pg 11, Tues. May 26/09

Story Rebecca Quaicoe-Duho
A Clinical Psychologist, Mr Adolf Awuku-Bekoe, has stated that the 25-year-old woman who gave birth at home because she could not readily access medical care at the Kaneshie Polyclinic needs to be counselled to overcome her traumatic experience.
He said the woman, Ms Abigail Inkoom, was currently overwhelmed by her experience such that she would refuse to go to the hospital, which is a normal reaction.
He said the woman was likely to suffer a Post-Traumatic Stress Disorder (PTSD) and that she needed to see a psychologist.
He said if she was not helped, the experience would always torment her, a situation which would not be good for her, saying she was now sensitive to fear, blood, pain and nurses for which she should be helped to overcome.
Recounting her ordeal to the Daily Graphic, Mr Louis Asilenu, a civil servant, who is the husband of Ms Inkoom, said on May 15, 2009, his wife, an expectant mother, reported to the Kaneshie Polyclinic with severe contractions, but authorities at the clinic asked her to go home and report later to the hospital, since according to them, her time was not due.
According to him, his wife started having contractions on May 14, which became very severe about midnight, so he had to rush her to the polyclinic, where she had been receiving ante-natal care since November, last year. He said she was admitted, but discharged around 8 a.m. the same day with the explanation that her time not due and that she was due to give birth two or three days later.
He said his wife called him at about 8.30 a.m. to inform him that she had been discharged, but he was not comfortable with the tone of his wife’s voice so he rushed home at about 11 a.m. only to find her lying on the floor weak having delivered herself of her baby, with the baby’s umbilical cord hanging.
He said it was depressing seeing his wife in his room with the baby on the floor and the umbilical cord and the placenta not taken care of.
He said his labouring wife was so exhausted that she could not call anyone to come to her aid.
With the aid of other people, he said, he took his wife and the baby to the Mamprobi Polyclinic, where they were attended to and discharged around 5 p.m. the same day.
He said currently, although his wife did not look too well and was traumatised by the ordeal, she was refusing to seek medical attention from any health facility.
Mr Asilenu is demanding a compensation of GH¢40,000 from the Ministry of Health and the Ghana Health Service (GHS) and an additional GH¢10,000 from the Kaneshie Polyclinic for the psychological trauma his wife went through and “for the health authorities turning my wife away while I have subscribed to the National Health Insurance Scheme (NHIS) over a year and have renewed without even attending any hospital”.
He said although health authorities claimed they were investigating the matter, he would advise himself, if nothing was done about his demand by seeking redress in the court of law.
When contacted for his comment, Dr Raymond Atuguba, a lecturer at the Faculty of Law, University of Ghana, said the incident was a clear case of failure on the part of the state to provide quality and accessible health care for its people.
He said the man could sue the state in respect of the right to life and the provision of quality health care, saying that although the right to the provision of quality healthcare was not expressively stated in the Constitution, he could still sue on the grounds of right to life, which is stated in the Constitution.
According to him, the quality of service rendered by some health service providers could not be described as professional, but he was quick to add that the quality of the delivery of such service by health personnel in the country could not be attributed solely to lack of professionalism since they lacked the resources and were also often overwhelmed by the number of patients they attended to on daily basis, a situation he said increased their margin of error.
He said the government should be able to structure its healthcare system by cutting down on waste in other sectors and channelling them into the provision of quality health care.
An official of the Ghana Health Service, who pleaded anonymity, said the service had launched a full-scale investigation into the issue.
According to him, the service would look into the report that would be presented and take appropriate action, assuring that the service would not cover up its mistake.