Health Essentials
‘Bad roads, deadly car tyres’(1)

Our roads have been turned into battlefields. Lawlessness reigns supreme. Lives and property are destroyed or lost without anyone losing sleep.
What I am referring to as roads are in most places stretches of land where manholes and potholes compete for prominence. Sometimes mother luck smiles at us and we have strips of tarred areas reminding us that once upon a time there was a road or a semblance of a road there.
Imagine dodging these craters and competing with people totally drunk yet in charge of a steering wheel. Add a good dose of noise pollution from blarring horns and do not forget our car tyres and road (or is it battle-field) worthiness of our vehicles.
Today we have Abenaa Antwiwaa Adusei (AA) who will tackle a vital part of our road safety that we so often take for granted. Abenaa practiced as a nurse for six years before pursuing an MSc in Occupational Hygiene, which in her opinion positions her to prevent injuries and ill-health rather than wait to see patients at the hospital.
KCE: I am glad you made valuable time to share vital information with my readers.
AA: Same here. Thank you and your readers for allowing me to share this with you.
KCE: You are extremely passionate about etiquette and safety, what motivates you?
AA:The results of ignoring safety is always expensive, in terms of cost of compensation, repair/replacement, loss of corporate image, accidents, disability, loss of lives and properties. All these are most of the time easily preventable by observing safety rules, hence my extreme passion. The popular saying is that ‘prevention is better than cure’ and I totally agree; why cure at an expensive price when you can prevent with just a little!
KCE: Our roads could be described as death traps, dodging these holes has caused many accidents and people have been maimed or precious lives lost. What is your take on safety on our roads?
AA:Safety on our roads, indeed, leaves much to be desired. A lot is being done by the National Road Safety Commission to improve safety on our roads but there is more room for improvement.
Almost everyone has lost a family member or a friend or knows someone who has been disabled through road accidents. So many factors come together to contribute to poor safety on our roads. Unfortunately, the next victim to poor road safety could be you or me.
KCE: You believe that beyond the poor roads, drunk drivers, poor sight etc., there is another major factor that makes life on our roads even more dangerous. Kindly enlighten us
AA: Generally, causes of road traffic accidents (RTA) have been grouped into 3 main components; the human factor, road/environment factor and the vehicle factor. Human factor deals with actions and inactions on the part of drivers, passengers, pedestrians and road safety law-enforcement personnel. Road/environment factors deals with the nature and designs of our roads, lighting systems, traffic calming measures, speed limits, pedestrian facilities etc. Vehicle factor takes a look at design/size of the vehicle, roadworthiness, braking system, tyres, restraints/seatbelts etc.
KCE: Which of the factors you have listed is in your opinion the most important?
AA: According to an approach called the Human – Environment – Vehicle Interface which looks at the percentage contribution of each of the factors as well as their combinations to RTA; human factor alone is said to contribute about 57%.
This approach makes this factor most important but I guess we can critically look at the vehicular factors with specific emphasis on tyres.
KCE: Which of the factors can easily be corrected with our new found knowledge?
AA: Human factors could be improved upon with continuous education, this may take some time but a simple vehicular factor like poor condition of tyres could be corrected easily. It does not take much to do this.
KCE: Have we lost the fight to have safe roads even before we started?
AA:Yes, to some extent but I guess there is hope. We all have roles to play.
KCE: What practical steps may be taken to ensure that our car tyres are much safer?
AA: i. Proper Inflation/Pressure: Maintaining proper air pressure is the single most important thing drivers can do for their tyres. It is important to check air pressure regularly, to make sure tyres are neither under- nor over-inflated.
One can find the correct tyre pressure for one’s vehicle in the operating manual and in most cases either under the fuel cap, on the inside of the door or glove compartment. Correct pressure values are often different for front and rear tyres and are higher for fully loaded vehicles.
Under-inflation causes increased tread wear on the outside edges (or shoulders) of the tyre. It also generates excessive heat, which weakens components and reduces tyre durability. It reduces fuel economy by increasing rolling resistance – soft tyres make vehicles work harder.
Over-inflation is also detrimental to the tyre. Too much air pressure causes the center of the tread to bear the majority of the vehicle’s weight, which leads to faster and uneven wear. Any kind of uneven wear will shorten the lifespan of tyres.
AS ALWAYS LAUGH OFTEN, ENSURE HYGIENE, WALK AND PRAY EVERYDAY AND REMEMBER IT’S A PRICELESS GIFT TO KNOW YOUR NUMBERS (blood sugar, blood pressure, blood cholesterol, BMI)
Dr. Kojo Cobba Essel
Health Essentials Ltd/Mobissel
(www.healthessentialsgh.com)
*Dr. Essel is a medical doctor, holds an MBA and is ISSA certified in exercise therapy, fitness nutrition and corrective exercise. He is the author of the award-winning book, ‘Unravelling The Essentials of Health & Wealth.’
Thought for the week – “Whatever you practice grows stronger. What will you like to see grow stronger in your life?”
Resource Person: Abenaa Antwiwaa Adusei Her References:
1. Basic Tyre Fundamentals, GOOD YEAR PLUS, www.goodyearplus.com
2. ABC News: http://abcnews. go.com/Blotter/story?id=4988518
3. Rubber Manufacturers Association: http://ww.rma.org
4. The telegraph, www.telegraph. co.uk
Abenaa may be reached on: healthandsafetygh@gmail.com or 0500777 775.
Health Essentials
Revival Outreach Church donates food items, others to Street Academy

The Revival Outreach Church in La on Friday presented food items to the Street Academy in Accra.
The gesture was to support the academy to take care of the underprivileged children and help in the organisation of an Easter picnic for the children on Easter Monday.
The items worth over Gh₵27,000 include rice, sugar, maize, tin fish, gari, toiletries, clothes and many others.
Led by Rev. Prof. Abednego Okoe Amartey, immediate past Vice Chancellor of the University of Professional Studies, Accra (UPSA) said the gesture was to put smiles on the faces of the children and also encourage the staff of the Academy for the good work.
He said the presentation has been an annual thing and believes it has come to stay.
According to him, it was important for other churches and organisations to join the effort to keep these children off the street and be trained in their areas of interest.
Rev. Emmanuel Amuzu who presented the items commended the staff and management of the Academy for the good work it was doing to giving the children a bright future.
He said the items were not meant for the children alone, adding that, “part of it would go to the teachers who train these children. That should serve as an incentive to them.”
He lauded the vision of the Academy Director, Ataa Lartey and urged more organisations to offer similar support.
“What the Academy is doing is massive. These are children who on regular days would roam the streets and grow up becoming social deviants. Parents should try to be more responsible taking care of their wards.
“However, traditionally when a child is born, his or her development and upbringing becomes the responsibility of the society. It is the reason we, as a church, would continually support the academy to keep these children to get the training to be responsible adults,” he explained.
The Director of the Academy, Ataa Lartey thanked the leadership and members of the church for the presentation which he said would go a long way to ease the burden on them.
By Spectator Reporter
Health Essentials
‘Every birth counts’: The critical need to improve emergency maternal care in Ghana

Imagine a young woman in labour, her heart racing, her unborn child in distress. She arrives at a district hospital — tired, scared, and in need of immediate care. What happens next determines whether she lives, whether her baby survives — and whether another Ghanaian family is shattered by a preventable loss.
A recent study in the Lower Manya Krobo Municipality of the Eastern Region is shedding new light on the realities of emergency obstetric and newborn care (EmONC) in Ghana. The findings are sobering — but they also reveal a clear path forward.
Why this matters now
Despite progress in maternal health, far too many Ghanaian women are still dying from childbirth-related complications. Ghana’s maternal mortality ratio is estimated at 308 per 100,000 live births — nearly 20 times higher than the average in high-income countries.
“We know what the problems are, and we know how to solve them,” says Dr Reuben Esena, one of the study authors. “The question is: are we willing to invest where it matters most — in women’s lives?”
What the study found
The research, published in the International Journal of Science Academic Research, evaluated three key hospitals — St. Martins Catholic Hospital, Atua Government Hospital, and Akuse Government Hospital — which serve a population of over 108,000 in Lower Manya Krobo.
The study reviewed 271 cases of obstetric complications and found that the most common were:
– Foetal distress (18 per cent)
– Complications from previous C-sections (13 per cent)
– Pre-eclampsia and eclampsia (8 per cent)
– Cephalopelvic disproportion and breech deliveries (7 per cent)
These complications are not rare, nor are they unpredictable. Most are entirely preventable or manageable — with timely intervention and well-equipped facilities.
A mixed picture: Progress and gaps
The good news? All three hospitals provide round-the-clock EmONC services, staffed by midwives, medical officers, and anaesthetists. Life-saving drugs like oxytocin and magnesium sulfate are widely available. Caesarean sections and manual placenta removal are routinely performed when needed.
The bad news? None of the facilities had an infant laryngoscope — essential for newborn resuscitation. Only one had ergometrine to control bleeding after childbirth. And not a single case utilised assisted vaginal delivery — even where it might have been appropriate.
In some cases, multiple complications overlapped, such as foetal distress plus severe pre-eclampsia. For a woman in that situation, every minute counts. Every delay risks two lives — or more.
Who’s Most at Risk?
Women aged 25–29 years had the highest number of complications — a reminder that even “prime age” pregnancies can be dangerous without the right support. But adolescents and women over 40 faced some of the most severe risks, including eclampsia, foetal death, and difficult labour.
“Our younger girls, especially those between 15–19 years, are particularly vulnerable,” the study noted. “They come late to the hospital, sometimes after trying traditional remedies at home. By the time they arrive, it’s often too late.”
A national crisis demands national response
The maternal health challenges in Lower Manya Krobo reflect a broader national reality. Many districts across Ghana lack the full complement of staff, drugs, and equipment required for quality EmONC services.
But the solutions are not out of reach.
So what must we do?
1. Invest in life¬-saving supplies and training: Every hospital handling deliveries should be equipped with the full range of emergency tools — including items as simple, but critical, as an infant laryngoscope or ergometrine injection.
2. Improve documentation and digital health systems: Accurate records allow clinicians to track complications and adjust care accordingly. Ghana’s shift to digital health must prioritise maternal health systems.
3. Decentralise comprehensive EmONC: More health centres and CHPS compounds need capacity to offer basic EmONC. Complications don’t wait for referrals — care must be accessible at the first point of contact.
4. Promote community education: Women and families must be educated on the importance of antenatal care, early referrals, and hospital deliveries, especially in rural areas where myths and delays still cost lives.
Every woman deserves a safe birth
This study is more than data — it’s a call to action. Behind every statistic is a mother, a child, a family. Ghana has the knowledge, the workforce, and the policy framework to make maternal death a thing of the past.
What remains is commitment — not just in funding, but in leadership, in community involvement, and in valuing every single life.
As the researchers conclude: “Emergency Obstetric and Newborn Care is not a privilege. It is a right — and one that Ghana must deliver.”
By Henry Okorie Ugorji
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