Wednesday, November 24, 2010

Assessing results-based financing in reproductive health

Article: Salome Donkor (published on 20/11/2010
THE Millennium Development Goals (MDGs) Summit attended by world leaders, along with the private sector, foundations, international organisations, civil society and research organisations, in New York in September this year kicked off a major concerted world-wide effort to accelerate progress on women and children's health.
Reports from that summit indicate that child mortality (MDG 4) has been reduced, but not significant enough to reach the target, while maternal mortality (MDG 5) remains high in much of the developing world.
Deliberately ambitious, the MDGs have provided a global agenda that has galvanised international action towards agreed indices of change, including a specific target of reducing the number of women dying during pregnancy and childbirth by three-quarters by 2015.
The MDGs give a central place to maternal health and gender equality and MDG 5 — improving maternal health — is often called “the heart of the MDGs” because if it fails, the other goals will also fail.
According to the World Health Organisation (WHO) 2006 report, while women in northern Europe have a one in 4,000 likelihood of dying from pregnancy-related causes, for those in sub-Saharan Africa the chance is one in 16.
Available evidence shows that 75 per cent of these deaths are preventable and that the timely provision of blood transfusion, caesarian section, oxytocin and antibiotic therapy and the timely management of pre-eclampsia/eclampsia are sufficient to reduce maternal mortality rates by 50 per 100,000 without the need for advanced technology and safe support mechanisms.
The problem of maternal mortality causes more anxiety and uneasiness, considering the fact that the factors that jeopardise maternal and new-born survival are preventable or treatable with essential services and, the most effective, affordable public health interventions.
Maternal mortality is defined by health experts as the death of a pregnant woman during her pregnancy or within 42 days of pregnancy termination. According to the experts, an obstetric emergency is not a situation where the expectant mother involved could be asked to come back the next day, since that can result in her death.
Evidence from 20 years of research and pilot interventions has identified five primary causes of deaths among pregnant women. Pregnancy-related conditions, also known as obstetric complications, include post-partum haemorrhage (bleeding), eclampsia (high blood pressure in pregnancy), sepsis (infection), prolonged or obstructed labour, as well as complications of abortion, and these are the leading causes of death among women of reproductive age in many developing countries.
Maternal mortality is a global issue and the concern for reducing it stems from the fact that at least 583,000 women die each year from the complications of pregnancy and childbirth. The alarming situation is that almost 90 per cent of these deaths occur in sub-Saharan Africa and Asia.
The situation in Ghana is equally gloomy, with an institutional maternal mortality rate of 250 per 100,000 live births. Reducing maternal and neonatal mortality has been a challenge in Ghana over the past decades, as many more women continue to fall prey to this problem, in spite of the efforts by the government, the development partners, the private sector and civil society.
Attaining MDGs 4 and 5, still remains a big challenge to most developing nations, Ghana included. For this reason, the World’s Children Report for 2009 prepared by UNICEF called on political leaders, governmental and non-governmental organisations (NGOs) to generate action at all levels to address the problem of maternal and neonatal deaths.
The MDGs Summit also expressed grave concern over the slow progress being made in reducing maternal mortality and improving maternal and reproductive health and the summit indicated that progress on the other MDGs was fragile and must be sustained to avoid reversal.
Similarly, the Vice President, Mr John Dramani Mahama, in an address read on his behalf at the 52nd annual general meeting of the Ghana Medical Association in Koforidua recently, on the theme, “Maternal Health Care in Ghana: The Realities Beyond the Policies”, said there were numerous challenges facing the health sector which could only be addressed through collaboration between the government and the GMA to reduce maternal and infant mortality.
He said such an initiative would also enable the country to attain its MDGs in the health sector and expressed the hope that the GMA would embrace the slogan, “Zero Tolerance for Maternal and Infant and Childhood Deaths”, and work in that direction to find solutions to the problems associated with such deaths.
The situation has been attributed to several factors, and with such growing concerns, the Ghana office of the World Bank (WB) is taking the initiative to hold deliberations with relevant players, especially in the public sector, as part of an identification mission being undertaken in preparation of a pilot project to implement results-based financing in the area of reproductive healthcare delivery in the country.
In line with the programme, a round-table discussion on the issues, the challenges and the way forward to identify possible actions was organised in Accra on Wednesday on the theme, “Reducing maternal and neonatal mortality through dialogue and action”.
The programme brought together a number of core practitioners and policy makers and other stakeholders to brainstorm on the problems, challenges and possible actions that can be taken to address the neonatal and maternal mortality issues confronting the country.
The programme, from the World Bank’s perspective, seeks to explore the extent to which civil society organisations, through civic engagement, could contribute to the bank’s regular programmes/projects on improving maternal health.
In his opening remarks, the World Bank Country Director for Ghana, Mr Ishac Diwan, said there was the need to keep searching for more solutions and explore the usefulness of results-based financing.
An extended term consultant on financial management of the World Bank, Mrs Elizabeth Alluah Vaah, said the meeting was aimed at getting everybody’s view on the way forward, stressing, “We don’t have to throw our hands in despair.”
Discussion on the subject was generated after a documentary on maternal healthcare delivery in Ghana, produced by the Alliance for Reproductive Health Rights (ARHR) and titled, “The lights have gone our again”, had been shown.
It showed that lack of facilities, delay in accessing health facilities, acute shortage of skilled staff working under severe pressure, unsafe abortion, anaemia, lack of family planning services, as well as dissatisfaction on the part of some patients with the services provided by health service staff, negatively affected maternal healthcare delivery in the country.
Participants asserted that the problem was multi-dimensional and required effective public/private sector partnership to come up with a solution.
One issue that cropped up was the phasing out of traditional birth attendants (TBAs) and the role of faith-based groups in the provision of maternal healthcare delivery.
While some maintained that TBAs and faith-based groups could not be done away with in maternal healthcare delivery, since those in the rural areas preferred patronising their services to visiting health facilities, others insisted that receiving antenatal care from a skilled provider, mostly a nurse or a midwife, and going through supervised delivery by a trained health official, was necessary to dealing with obstetric complications.
For her part, Madam Florence Okra, the Founder/Chief Executive Officer of Eve’s Foundation, an NGO that offers education on safe motherhood, suggested that TBAs and community-based attendants
should be trained and certified to team up with private midwives to offer the needed maternal health care to people, mostly in the rural communities where health facilities are inaccessible.
Ms Petra Vergeer, Health Specialist, made a presentation on the Concept of Results-Based Financing as a vehicle to achieve accountability for results and said the concept involved focusing on maternal and child health, increasing quantity and quality of selected health services provided, increasing health worker motivation, as well as providing financial incentives for health facilities for more quantity and quality services, in addition to providing financial incentives for pregnant women to deliver in health facilities.
A social development specialist of the World Bank, Ms Beatrix Alla-Mensah, said every year the bank selected a theme under its small grant programme and that was used to apply for funding and then advertised for civil society organisations (CSOs) to put in applications.
She said the theme for the small grant project in the coming year was on maternal health and that the bank, through its small grants programme, was looking to engage CSOs to identify innovative ways by which they could engage the public, sensitise and educate them as a way of addressing the demand side of the problem of maternal and neonatal mortality at the community, district and national levels.
Like the observation made by participants at the MDG Summit in New York, those who attended the focus group discussion in Accra realised key areas where CSOs could begin some civic engagement work in achieving “Zero Tolerance for Maternal and Infant and Childhood Deaths”.

Thursday, June 24, 2010

Expanding radiotherapy centres to boost cancer treatment

Article: Salome Donkor
THE word ‘cancer’ evokes desperation that stirs grief and pain, a scourge that strains intellectual, social and emotional resources.
Statistics from the World Health Organisation (WHO) indicate that there are over 20 million people living with cancer in the world today, with the majority in the developing world.
According to medical experts, cancer, which is the term used for diseases in which abnormal cells divide without control and invade other tissues, is one of the killer diseases among both men and women.
Each cancer is thought to first start from one abnormal cell. What seems to happen is that certain vital genes which control how cells divide and multiply are damaged or altered. This makes the cell abnormal. If the abnormal cell survives, it may multiply “out of control” into a malignant tumour, which consists of cancer cells that have the ability to spread beyond the original area.
Dr Clegg Lamptey of the Surgical Department of the Korle-Bu Teaching Hospital in Accra says cancer affects various parts of the body, which results in various types of cancers, each with its own name and its treatment.
Some types of cancers that affect parts of the body are breast, lung, stomach, skin, cervical and prostate cancers. Doctors say cancers in children can affect any part of their bodies. Leukaemia is a type of cancer that starts in blood-forming tissues such as the bone marrow and causes the production of large numbers of abnormal blood cells which enter the blood.
Given the complex nature of the disease, early detection of cancer is crucial for effective treatment and such detection is almost impossible without the requisite equipment and trained personnel.
Doctors contend that irrespective of the type of cancer a patient develops, he or she may need one of the following processes — surgery, chemotherapy, radiotherapy and hormonal therapy — and that usually patients who have prostate and breast cancers go through hormonal therapy.
For this reason, the news that Ghana has secured $13.5 million loan from the OPEC Fund and the Arab Bank for Economic Development in Africa to upgrade and expand the radiotherapy centres at the Korle Bu and Komfo Anokye Teaching Hospital in Accra and Kumasi respectively could be described as a positive step to enhance the care and treatment of cancer cases in the country.
The story published in the Daily Graphic early April, quoted the Minister of Environment, Science and Technology, Ms Sherry Ayittey, as stating in an interview that another $9 million dollars was being sourced to establish a new radiotherapy centre at the Tamale Teaching Hospital to serve the northern part of the country and neighbouring West African countries not having radiotherapy facilities.
She said the projects were being undertaken in line with the government’s determination to ensure that cancer cases received prompt attention at the country’s two teaching hospitals.
Ms Ayittey said upgrading and expanding the two centres would enhance the care and treatment of cancer cases in the country and ensure that cases which were hitherto referred to hospitals outside the countries were treated locally.
Doctors say cancer could be cured when detected early, and that cancers needed multi-disciplinary treatment with various specialists. However, if left untreated, it may spread and destroy surrounding tissues.
Radiotherapy is an important means of treating cancers and most cancer patients go through this treatment. According to Wikipedia, the Free Encyclopedia, radiotherapy is used for the treatment of malignant cancer, and may be used as a primary or adjuvant modality. It is also common to combine radiotherapy with surgery, chemotherapy, hormone therapy or the mixture of the three. Most common cancer types can be treated with radiotherapy in some way. The precise treatment intent (curative, adjuvant, neoadjuvant, therapeutic, or palliative) will depend on the tumour type, location, and stage, as well as the general health of the patient.
Radiation therapy is commonly applied to the cancerous tumour. The radiation fields may also include the draining lymph nodes, if they are clinically or radiologically involved with tumour, or if it is thought there is the risk of subclinical malignant spread. It is necessary to include a margin of normal tissue around the tumour to allow for uncertainties in daily set-up and internal tumour motion. These uncertainties can be caused by internal movement (for example, respiration and bladder filling) and movement of external skin marks relative to the tumour position.
To spare normal tissues (such as skin or organs which radiation must pass through in order to treat the tumour), shaped radiation beams are aimed from several angles of exposure to intersect at the tumour, providing a much larger absorbed dose there than in the surrounding, healthy tissue.
Lack of knowledge of the disease and the cost of treatment makes it difficult for most cancer patients to bear the cost of surgery and treatment. For that reason, some patients seek support from herbalists and pastors, instead of visiting the health facility.
Mrs Gladys Boateng, Director, Reach for Recovery, a breast cancer support group, said because of the stigmatisation, myth and fear surrounding the disease, nobody wanted to be associated with it, stressing that that was affecting the fight against the disease.
There is therefore the need for a concerted effort and intensive education to highlight the world-wide growing cancer crisis and its effect on women in particular. There is the need for counselling and other support.
It is also necessary to demystify cancer to disabuse the minds of patients of the fear, misconception and myths surrounding the disease and encourage patients to go for regular, medical examination.
The survivors are encouraged to participate in stress-relieving trips and also take active roles in visiting one another.
According to Mrs Boateng, another important aspect of cancer treatment was the need to establish a hospice for terminally ill cancer patients for proper care and support and pointed out that support groups, such as Reach for Recovery, needed to be offered the maximum support to continue their good works.

Dealing with gender stereotypes -

Article: Salome Donkor
Inequalities between men and women, whether in the economic or cultural sense or both, certainly mean that women work hardest to produce food and water, yet benefit the least from their work.
This is because women have less power over the resources they produce.
Gender inequality impacts on access to food, property and land rights, as well as access to credit.
The World Development Indicators, 1997, Womankind World-wide, indicate that women work two-thirds of the world’s working hours, produce half of the world’s food and yet earn only 10 per cent of the world’s income and own less than one per cent of the world’s property.
To promote the EC/UN Partnership Programme on gender Equality for Development and Peace, the Ghana Journalists Association (GJA), under the auspices and sponsorship of the United Nations Development Fund for Women (UNIFEM), recently organised a two-day forum to share experiences and exchange views with media practitioners on practices and principles for promoting gender equality as a priority development issue.
The forum discussed the Accra Agenda for Action endorsed by ministers of developing and donor countries responsible for development and heads of multilateral and bilateral development institutions, after the Third High level Forum on Aid Effectiveness held in Accra from September 2-4, 2008.
The document provides the framework for promoting gender equality and also provides UNIFEM with a platform to introduce its new programme for 2010 - 2013.
According to the National Programme Co-ordinator of UNIFEM, the Proposed New Programme on Financing Gender Equality and Aid Effectiveness, Programme Country Strategy, developed after the adoption of the action programme, would address four key gaps and challenges in the country.
She mentioned the need for capacity building or the strengthening of key government institutions on their roles and functions in the implementation of the national gender equality agenda, the need to strengthen gender equality and the role of civil society organisations and non-governmental organisations in monitoring and evaluating government and donors’ commitment to gender equality and women’s empowerment agenda in national development plans, budgets and development co-operation frameworks.
It will also address issues associated with limited progress on mutual accountability of governments and donors, as well as the lack of relevant gender desegregated data and information on financing for gender equality, costing of gender equality and women empowerment programmes and gender responsive budgeting implementation in the country.
In identifying the main activities that will be carried out and the programme partners to achieve the expected results, UNIFEM mentions ministries, departments and agencies, United Nations agencies and other multilateral, as well as bilateral, agencies, the private sector and the media.
One important way in which the media can deal with gender inequalities is to publish stories that challenge stereotypes and these include those that overturn common assumptions about women and men in relation to their attributes, traits, roles or occupations.
Conversely, stories that reinforce stereotypes will reinscribe the generalised, simplistic and often exaggerated assumptions of masculinity and femininity in a given cultural context.
The preliminary report by the Global Media Monitoring Project, 2010, states that stories in Asia are almost eight times as likely to reinforce gender stereotypes than to challenge them.
It said in Africa, stories were almost 16 times as likely to reinforce than challenge stereotypes, adding that the larger percentage of stories that reinforced rather than challenged stereotypes suggested a need for media practitioner awareness on understanding, recognising and challenging stereotypes in reportage.
The top five topics in which women are central pertain to women in politics, violence and crime. Specifically, these are women in political power and decision-making, gender-based violence, violent crime, domestic politics and disaster. Further, the preliminary results show that women are not central at all in several news topics that are of importance to them, such as labour (employment, unemployment) and poverty (housing, social welfare and aid).
The report shows that the breakdown of topics with the highest coverage in all regions indicates that the media in Africa devoted 25 per cent of news coverage for politics and government, 21 per cent for social and legal, 19 per cent for the economy, 18 per cent for crime and violence, nine per cent for science and health,, six per cent for celebrity, the arts and the media and sports and zero per cent for the girl-child.
The hierarchy of priorities reveals the need for a radical transformation of the news media agenda towards one that is cognisant of and responsive to gender interests in the news.
The topics, ‘science and health’ and ‘social and legal’, are relevant to women’s gender interest. What is needed is a re-alignment of the priorities on the news media agenda to reflect the interest of the majority.
The most significant of participants’ commitment at the Third High Level Forum on Aid Effectiveness was their resolve to work together to help countries across the world build a successful future for all, a future based on a shared commitment to overcome poverty, a future in which no countries will depend on aid.
The participants agreed that by 2010, each of them should meet the commitments they had made on aid effectiveness in Paris in 2005 and in Accra and reach beyond those commitments, where they could.
They agreed to reflect and draw upon the many valuable ideas and initiatives that had been presented at the High Level Forum and asked the Working Party on Aid Effectiveness to continue monitoring progress on implementing the Paris Declaration and the Accra Agenda for Action and report back to the Fourth High Level Forum on Aid Effectiveness in 2011.
As was rightly pointed out by Dr Doris Dartey, a communications consultant and media educator, the media should not reinforce gender stereotypes or publish gender-blind stories.
There is the need for media practitioners to set their personal agendas and use the media to get people to tell their stories.
That should be done in such a way to champion cultural change, safeguard women’s rights and shine “the dark spots in society”.

Women Candidates Support Package is laudable

Article: Salome Donkor
The important role of women in politics and public office is recognised within the framework of the Millennium Development Goals (MDGs). One of the indicators for monitoring MDG 3 that relates to promoting gender equality and women empowerment, is the proportion of seats held by women in national parliaments and other levels of decision-making process.
The 2005 World Summit Outcome reaffirmed the commitment to increase representation of women in government and decision-making bodies, including opportunities to participate fully in the political process.
Marked progress has been made since 1995 in the numbers of women elected to national parliaments and statistics from the Inter-Parliamentary Union (IPU) database on women in national parliaments indicate that 20 countries achieved over 30 per cent representation of women in 2006, which compares favourably with the very short list of five countries that had achieved this in 1995 (Denmark, Finland, The Netherlands, Norway, Sweden).
The IPU database indicates that almost all of the 20 countries have used some form of electoral quotas to ensure that women account for a certain number of percentage of candidates for office or officeholders, whether through a constitutional commitment, a provision of election legislation, voluntary action by political parties, or some combination of these.
Two articles of the Convention on the Elimination of All Forms of Discrimination against Women (CEDAW) deal with women’s participation in political and public life. Article 7 commits States parties to ensure equality between women and men in political and public life, including the right to vote, to be eligible for election, to participate in formulating government policy, to hold public office and to perform public functions. That provision also includes the right to participate in non-governmental organisations and other associations.
Article 8 requires States parties to ensure that women have equal opportunities with men to represent their governments at the international level and to participate in the work of international organisations. The Committee on the Elimination of Discrimination against Women provided additional guidance in the implementation of the Convention in 1997 in its General Recommendation 23, which highlighted the application of the Convention to all levels of government and to the activities of a range of organisations concerned with public and political life, including public boards, local councils, and the activities of political parties, trade unions and professional associations.
The involvement of more women in politics and decision-making is significant, since it is expected to meet their interests and basic needs and enable them to continue to influence policies from a gender perspective and address inequalities and injustices in social relationships. The full participation of women in the electoral process was also key to the growth of democracy.
The local government system has therefore become good grounds for some women who want to enter national politics. But there are various challenges that confront women intending to enter local government, which make it difficult for them to take the initiative.
To address these challenges, which include social and economic factors, the Department of Women in the various regions have been tasked to work in collaboration with the district assemblies and identify 20 women from each district to support them to take part in the forthcoming district assembly elections.
This month, the Electoral Commission (EC) also announced a package to encourage more women to contest the upcoming district level elections scheduled for October 26, this year.
Known as The Women Candidates Support Package, it is set to be introduced in recognition of the peculiar challenge women faced, with financial support from the European Union, and it will include training workshops to be attended solely by female candidates.
In 2005, with the support of the Democratic Governance Thematic Trust Fund (DGTTF), the National Commission for Civic Education (NCCE), the EC and the Ministry of Women and Children’s Affairs undertook intensive leadership training programmes for potential women candidates for the 2006 district level elections.
In addition to this, the Women in Local Government Fund was also launched to support female contestants. Despite these, the low numbers of women in local and national politics means that it is also important to look at other methods, such as quota representation, to bridge the gap between the numbers of men and women represented in the political arena.
Ms Gloria Ofori Buadu, President of the Women Assistance Business Association (WABA), an organisation that supports women, described the EC’s initiative as a good idea but stated that there was the need to repackage these programmes well in order not to incur the displeasure of other contestants in the local elections.
She said in the last elections some male contestants used the raising of funds to support female candidates, to campaign against the women, with some of them alleging that the female candidates had been given a lot of money, while their male counterparts had none.
She also advised the EC to stick to the date fixed for the election and said in the last election, a number of the electorate lost interest in the polls as a result of the change in dates.
Some women contacted said the details of the EC’s package should be spelt out and made known to prospective contestants, to help them derive maximum benefit from the scheme, to significantly improve gender balance in decision-making at all levels.

Children count - Make the commitment

Article: Salome Donkor
TO many parents and those who have the interest of children at heart,"every day is Children's Day". The World Conference for the Well-being of Children in Geneva, Switzerland proclaimed June 1 as International Children's Day in 1925 to promote the well-being of children around the world. This followed resolutions taken at the World Conference in Geneva, Switzerland that year.
On this day, the whole world observes the need to reach out to the youngest members of our world community. Each year in commemoration of International Children's Day, Amnesty International calls on the international community to take concrete steps to protect and promote children's rights, which are the foundation for a thriving human rights culture.
It is not clear as to why June 1 was chosen as the International Children's Day: One theory has it that the Chinese consul-general in San Francisco (USA) gathered a number of Chinese orphans to celebrate the Dragon Boat Festival in 1925, which happened to be on June 1 that year, and also coincided with the conference in Geneva.
The day, celebrated as a holiday in some countries, is usually marked with speeches on children's rights and well-being, children TV programmes, parties, various activities involving or dedicated to children, with some families going out with their children. Many nations declare days for children on other dates.
In the United States of America, Children’s Day observations predate both Mothers’ and Fathers’ Day, though a permanent annual single Children's Day observation is not made at the national level.
The celebration of a special Children’s Day in America dates from the 1860s and earlier.
In 1856, Rev. Charles H. Leonard, then pastor of the First Universalist Church of Chelsea, Mass., set apart a Sunday for the dedication of children to the Christian life, and for the re-dedication of parents and guardians to bringing-up their children in Christian nurture. This service was first observed the second Sunday in June.
In Ghana, similar programmes are held in some churches such as the Presbyterian and Methodist that mark Children’s day with drama, Bible recitals, and talk on children’s rights and development. Such programmes are also used to raise funds in support the Children’s Ministry of those churches.
To mark the 20th, 50th and 60th anniversaries of the Convention on the Rights of the Child, the Declaration of the Rights of the Child and the Geneva Conventions, respectively, the International Committee of the Red Cross has issued a new brochure on children and war. This brochure examines the risks faced by children caught up in armed conflict, the steps taken to address their specific needs and the rules of law defined to protect them.
Much was not heard about this year’s International Children’s Day celebration in the country, but one significant programme held in Accra on Saturday June 5, that is also related to the promotion of child’s rights, was the launch of the 2010 World Day Against Child Labour and the current International Labour Organisation (ILO) Child Labour Global Report.
The worst forms of child labour as defined in the International Labour Organisation (ILO) Convention No. 182 included practices such as the sale and trafficking of children, serfdom and forced or compulsory labour including forced or compulsory recruitment of children for use in armed conflict, the use, procuring or offering of children for prostitution, or for the production of pornography or pornographic performance: And the use, procuring or offering of a child for illicit activities, in particular for the production and trafficking of drugs.
Some people contend that there is no child labour in the country,arguing that children who help their parents to raise money
for the upkeep of the family are not engaged in child labour. However, the 2003 Ghana Child Labour Survey (GCLS 2003), revealed that 2.47 million children out of an estimated number of 6.36 million aged between 5 and 17, were economically active, with about 1.27 million in activities classified as child labour.
Speaking at the programme, the Deputy Commissioner of the Commission of Human Rights and Administrative Justice (CHRAJ), Ms Anna Bossman, was reported to have stated that child labour continued to pose problems that resulted in child abuse and hindered the growth and development of children in developing countries.
A communiqué adopted by participants after the six-day forum at the recent annual Easter School for Children in Sunyani, organised by Child's Rights International (CRI) in co-operation with the United Nations Children's Fund (UNICEF), urged the Department of Social Welfare to monitor the activities of children and called on the Department of Social Welfare, Commission on Human Rights and Administrative Justice (CHRAJ) and Ministry of Women and Children’s Affairs (MOWAC),to institute programmes to tackle the problems of child labour and early marriages involving children.
This was based on their observations and findings during different field trips to the Techiman Market, various houses, shops and drinking bars to distribute 250 copies of the Children’s Act 560. The visit to the Techiman Market revealed that, although the day of the visit was not a market day, there were many children at the market carrying loads of food items.
The communiqué indicated that majority of the children, aged between six and 17 started selling at the age of six, with some of them ‘working’ permanently for the whole week for approximately 10 hours a day, while those working temporarily, ‘work’ five days a week, earning between GH¢1 and GH¢20, with some earning as low as 50 Ghana pesewas a day.
It said most of the children, who were malnourished, lived in rented kiosks and stores, and take unprescribed drugs to ease their body pains, and some were knocked down by vehicles without any compensation.
Recognising the need to respond to the health, education, safety, and social and emotional well-being of children, countries that joined the world community in observing International Children's Day renewed their commitment to improving the lives of children around the world.
Ghana, as well as the global community in general need to commit herself to promoting access to a quality education for all children,strive to improve the lives of young people by seeking innovative solutions to poverty,including programmes that provide emergency relief, promote economic opportunity and integrate human rights concerns into humanitarian assistance.
As a parent/guardian, we need to commit ourselves to love, cherish and nurture our children physically, mentally,emotionally, attend to their spiritual needs and affirm our love to them. All adults have the responsibility to make the world a better place for children.

Thursday, May 13, 2010

Children’s rights need protection and commitment

Article: Salome Donkor
The Children’s Act 1998 (Act 560) defines a child as a person below the age of 18 and entrusts parents with the responsibilities to protect the child from neglect, discrimination, violence, abuse, exposure to physical and moral hazards and oppression.
Media reports on the abuse of the rights of the child sometimes involving parents, who refused to provide guidance, care, assistance and maintenance for the child and assure them of their survival and development, amount to breach of the Children’s Act.
The efficient enforcement of children’s rights is affected by the fact that most children were not enlightened on their rights, while some state institutions charged with the protection of children’s rights were confronted with challenges that render their operations ineffective.
At the recent annual Easter School for Children in Sunyani, the Brong Ahafo Regional capital, organised by Child's Rights International (CRI) in co-operation with the United Nations Children's Fund (UNICEF), that provided a forum for children to actively participate in open discussions about critical issues that affected their welfare and the enjoyment of children's rights, the participants engaged in constructive dialogue with one another and with policy makers and government officials in Ghana.
The Tano North District Girl-Child Co-ordinator, Mrs Margaret Anane-Agyei, lamented the high incidence of teenage pregnancy among students in the district, in an interview with the Daily Graphic.
She said last year,23 female students who wrote the Basic Education Certificate Examination (BECE) in the district, were found to be pregnant and pointed out that apart from that, some female students found to be pregnant were in primary four and in other classes.
She attributed the problem to poverty, which she said had led to a high level of parental neglect and irresponsibility, adding that, in their quest to make money, some parents neglected the training and upbringing of their children and left them “to manage their own affairs”.
She also said the negative influence of foreign culture which made some young girls in rural communities copy foreign culture blindly, as well as peer pressure influence, have compounded the problem.
She stressed the need for churches to use the Women and Men’s Fellowships to champion parental responsibility and child upbringing, and also called for women empowerment programmes to improve the financial position of women to help them support the upkeep of their homes.
The Deputy Regional Co-ordinator of the Domestic Violence and Victims Support Unit (DOVVSU) of the Ghana Police Service, Assistant Supervisor of Police (ASP) Setina Aboagye, said much as emphasis was being put on the need to arrest perpetrators of child sexual abuse, emphasis should also be placed on the need for victims of sexual abuse to make a report to the police and also seek early medical care to protect them against sexually transmitted diseases.
She also called on the media to protect sexual violence victims in order not to compound their emotional and psychological trauma.
The Executive Director of Child’s Rights International, Mr Bright Appiah, said failure to promote children’s rights amount to stifling their efforts to realise their potentials, adding that the CRI organised the programme annually on specific theme “to remind us of what we can do to protect the rights of children”.
The Associate Community Services Officer of the UNHCR, Ms Elsie Dinah Yaokumah, said like all other children, displaced and trafficked children, as well as and street children need to be provided with the basic necessities of lives namely, food clothing and shelter and pointed out that the United Nations High Commission for Refugees (UNHCR) has camps in various parts of the country, sheltering refugee children from neighbouring countries.
The participants, after the six-day forum, presented a communiqué to the Regional Co-ordinating Council,after they had visited the Techiman Market,various houses, shops and drinking bars to distribute 250 copies of the Children’s Act 560.They also visited the Sunyani Traditional Council to interact with the traditions rulers.
The communiqué called for intensive efforts to empower women through the institution of microfinance programmes, as well as the institution of a social intervention programmes to ensure that all these children are covered under the National Health Insurance Scheme.
It also urged the Department of Social Welfare to monitor the activities of children and urged the Department of Social Welfare, Commission on Human Rights and Administrative Justice (CHRAJ) and Ministry of Women and Children’s Affairs (MOWAC), to institute programmes to tackle the problems of child labour and early marriages, involving children.
It further called for the translation of the Children’s Act into Child friendly versions to be produced and distributed to promote legal literacy of the Act, stressing that the production of more copies of Act 560, as well as its translation into local dialects for the appreciation of all, must be enhanced.
Children who participated in this year’s programme exhibited unique talents, in addition to sharing experiences and discussing critical issues that affected the welfare of children.
The participants entertained the gathering with cultural display to emphasise their expectations from parents, guardians, child rights activists and stakeholders, in order to bridge the gap between children’s rights and realities.
A 12-year-old Junior High School (JHS) student of the Duayaw Nkwanta District Assembly JHS, Hannah Serwaah Arthur, who was selected by her school to participate in the Presidential Dinner in Accra, won the admiration of the audience with her display of brilliance and eloquence with a recital on the importance of education and the need for parents to educate their children to help unearth their talents.

‘Shirley Graham Du Bois was a woman of many lives’

Story: Salome Donkor
Mrs Shirley Graham Du Bois, the widow of Dr W.E.B Du Bois-an American civil rights activist, Pan-Africanist, sociologist, historian, author and editor, is not only remembered for her political commitment to the civil rights movement, women’s rights and anti-colonial struggles in Africa and Asia, but also remembered as a faithful caretaker and companion of her legendary husband.
The African-American author, playwright, composer and activist for African-Americans and other people, lived between 1896 and 1977, and got married in 1951, the second marriage for both. The couple later emigrated to Ghana, and received citizenship in 1961. In 1963 her husband died.
A biography on Mrs Du Bois, titled “Race Woman: The life of Shirley Graham Du Bois” written by Dr Gerald Horne of the University of Huston, described her as a “restless, multifaceted woman” and indicated that her life began with an early commitment to uplift her race.
The book shows how Mrs Du Bois handled successfully or unsuccessfully, the conflicts that confronted her as a black woman in a male-dominated arena and her personal struggle to resolve her parenting responsibilities with her artistic and political goals.
She understood that a solid education could free her from the challenges confronting most women in her time and reasoned that education might allow her to achieve better employment and be able to better support her children. For that reason, she relocated in 1929 to Paris, France, to study music composition.
In 1965, she was made the director of Ghana Television and in 1967, she moved to Cairo, Egypt, after a military-led coup d'etat, where she continued writing and died of breast cancer in March 27, 1977 in Beijing, China, where she had gone for treatment.
An 11-member panel that discussed the book at the American Embassy in Accra recently, as part of the centenary celebrations of Dr Kwame Nkrumah, Ghana’s first President, made reference to Mrs Du Bois’ political and cultural activities and commitment to uplift her race.
Prof. Ablade Glover, who met Mrs Du Bois in Ghana in 1964, described the formative years of Mrs Du Bois as interesting, considering the fact that she left her sons in the care of others to go and study in France, where she met a lot of Black Americans and Africans who shared her activist kind of thinking.
Dr Mohammed Ben Abdellah of the School of Performing Arts, University of Ghana, Legon, touched on the frustrations of artists, like Mrs Du Bois, in her bid to get a firm grip on the theatre and her contribution to the establishment of Ghana television in 1965. It was her expectation at the establishment of Ghana Television that 85 per cent of programmes to be shown on that station would originate from Ghana.
In her presentation, Dr Esi Sutherland Addy, a scholar in Diaspora studies, African history and culture of the Arts, touched on chapter five of the book, which she said revealed the soft and vulnerable side of Mrs Du Bois who spent a lot of time caring for her husband in his latter days, while Prof. Akosua A Ampofo, of the Institute of African Studies, University of Ghana, Legon, described Mrs Du Bois as a woman with many lives that is worthy to be considered, adding that she was a strong character in her marriage, playing the motherly role, which she described as intriguing.
The other panelists were Dr Kofi Baku, immediate Head of the History Department of the University of Ghana, Prof. Alex Quarmyne, a retired Director of Ghana Television, who took over from Mrs Du Bois as the Director of Ghana Television after she left Ghana, Madam Mamle Kabu, writer and novelist from Ghana, Ms Doris Kuwornu, Director of Corporate Affairs, Ghana Broadcasting Corporation, Prof. Kojo Yankah, founder of the African University College of Education, and Prof. Akosua Anyidoho, of European University in Ghana.
The discussions were followed by a Video Conference with the author described Mrs as woman with tremendous accomplishment and said he referred to her as ‘Race Woman’ because Mrs Du Bois was concerned about the life and destiny of people of African-American descent.