Health Essentials
Lamentations of a Cocoa lover – Part 1

Farming have become a preserve of the elderly
Why do we still go globe-trotting calabash in hand, a large entourage in tow and officials back home waiting to pounce on the “booty” that will be squeezed into our calabash like the last drop from an Ideal Milk tin?
We sit on so much wealth but like Diabetes, we are hungry (poor) in the midst of plenty.
I do not have answers to our challenges as a country with my limited information because from where I stand it appears international economic woes alone cannot explain our challenges but we have many smart people in leadership positions so something must be missing.

I am no history scholar (my only claim to that is being a friend to one of the great Prof Albert Adu Boahen’s children. May Chris’ soul rest in perfect peace), I do not think there has ever been a better time in the history of our dear country; stable democracy, peace, loads of knowledge, people willing to make a difference, access to a global market and many more.
Yes, the challenges are humongous, but we are not alone, and the story has always been the same.
For as long as I can remember, we have always been one of the top two producers of Cocoa in the world, yet we hardly have a say in the money we should get from the toils of Tetteh Quarshie.
The cocoa farmer seems to be a “neglected” species. Together with our neighbour to our West, we produce over 60% of the world’s cocoa yet as the price of cocoa products like chocolate continue to rise, the price of our unrefined cocoa beans continues to dance “agbadza” with peaks and troughs; who pulls the strings? My limited economics fails me here.
Fear of the unknown may paralyse us but the obvious should urge us on. The pattern of cocoa growth around the country is changing and climate change is certainly playing a role. Can Cocoa really go extinct (I first heard this on Citi FM) if global warming continues unabated?
Are we losing cocoa only to changing climate, galamsey, disease and aging trees or other issues such as lack of respect for those who till the land including cocoa farmers?
Have we made farming so unattractive that it is now the preserve of the elderly? What happens when that generation moves on to glory? The young ones are moving to the cities to be close to where most of the money from cocoa is spent.
These days I see some beauty products from cocoa, shea butter etc. produced locally. These are amazing world-class products. Why did it take us so long to do so little? These finished products need to be promoted nationwide, then to our neighbours and then around the world. We should use as much as possible here for its health and beauty benefits while creating wealth.
I still think about the National Cathedral, but I will keep my thoughts to myself. We need a COCOA VILLAGE by ALL MEANS. This will be a major tourist attraction for both internal and external clients.
CAN YOU JUST IMAGINE, a world top two cocoa producer has a place where you can go to experience the exciting cocoa story of perseverance, hope and maybe patriotism? A place where you can see a miniature cocoa farm and how it is tendered daily and different stages including harvesting and drying.
Areas that show physically or in pictures processing of chocolate, cocoa bread, cake, pastries, drinks, soap, shampoo, body creams and an endless list. We can throw in a few games/activities and couch them as Tetteh Quarshie’s favourite. Why has this not materialized? Tourism please!!!
At least one day each week should be COCOA DAY; everyone or at least all state offices, functions etc. should serve only cocoa products. We will reap not only from the health benefits but also a product that becomes more attractive world-wide and guess what will follow.
Can we have properly organized “cocoa festivals” at least once a year? It should be fairly easy to set the ball rolling by organizing a mini cocoa festival at least once a month in one COCOBOD facility nationwide; lets showcase cocoa products and add some “flavour” to make it attractive.
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 (HE&W Group)
(dressel@healthessentialsgh. com)
*Dr. Essel is a medical doctor with a keen interest in Lifestyle Medicine, He holds an MBA and is an ISSA Specialist 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 – “imagine your food as part of your body and let that inform your choices. Do you want to be built of and powered by junk food?”
Reference:
1. Information from National Committee for The Promotion of Cocoa Consumption
2. “Way Maker”
3. “He Made a Way”
4. www.webmd.com
5. www.mayoclinic.com
6. Professor Addai
By Dr. Kojo Cobba Essel
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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