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‘Obstetric fistula requires attention amidst COVID-19’
As medical practitioners are working tirelessly to curb the spread of COVID-19, health professionals have once again drawn attention to the plight of poor women living with obstetric fistula in the country.
They indicate that it is important to continue to create awareness of the disease and its devastating effect on women.
Prof. Anyetei T. Lassey,Professor in Obstetrics and Gynaecology at the University of Ghana Medical School believes “we mustprioritise and improve maternal health services” to prevent pregnancy and labour complications including obstetric fistula during the pandemic.”
According to him, the associated “stigma and shame” of the disease were horrendous hence the need to join hands and strengthen the partnership in the fight against obstetric fistula.
“Ensuring the continuity of maternal health services in the midst of COVID-19 may hopefully reduce the incidence of obstetric fistula in Ghana, while the National Obstetric Fistula Task Team and the Ghana Health Service, continue to repair the backlog of unrepaired already existing fistula cases.” he said.
Speaking to The Spectator, he stressed the need to end gender and health inequalities to help achieve global and national objective of ending fistula by 2030, in line with the Sustainable Development Goals (SDG).
Madam Rose Mantey, Senior Nursing Officer and Midwife in-charge of the Fistula Centre of Mercy Women’s Hospital, Mankessim, in the Central Region, also indicated that those with the condition “deserve our respect and empathy.”
“As a Senior Nursing Officer, I have worked with so many women and girls with obstetric fistula and I would not wish this condition on anyone.
“It is a humiliating condition. My prayer is that everyone with obstetric fistula would be repaired to help clear the backlog of existing cases in the country,” she said.
She said that most pregnant women and girls were apprehensive about accessing maternal health services due to the fear of COVID-19.
That, she said, could increase the probability of prolonged or undetected obstructed labour, which could increase cases of obstetric fistula.
“We need to encourage all pregnant women and girls to seek the services of a skilled birth attendant amidst the COVID-19 pandemic.
“It is my wish people become aware of this condition and we all work hard to prevent them from happening in the first place, so that in the near future Ghana would no longer report cases of obstetric fistula,” she added.
Dr Patrick Kuma-Aboagye, Director General of the Ghana Health Service, commenting on the subject, also admittedwomen and girls “silently suffer indignity and shame simply because they have obstetric fistula.”
“Their sufferings push us to continue to put measures in place to prevent others from developing this devastating childbirth-related complication amidst the fight against coronavirus pandemic.
“My outfit will ensure the continuity of the provision of essential health services, which included sexual and reproductive health services for all amid the fight against COVID-19,” he said.
He stated Ghanaians especially women should not lose sight of the gains made by the Ghana Health Service and development partners in preventing and managing fistula cases.
“I encourage everyone to access maternal health services to ensure that complications such as obstetric fistula are prevented while adhering to the mandatory precautionary procedures of handwashing, using hand sanitisers, wearing nose masks and observing physical distancing,” he said.
By Geoffrey Buta
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Swedru All Blacks back to winning ways, Roshan humble King Faisal
Sekondi Rospak FC made it eight wins in eight successive home games after three second-half goals from John Amoah, Joseph Ntow and Stephen Anthony Kofi. John Amoah opened the scoring in the 55th minute after a barren first half. Joseph Ntow added to the tally in the 56th minute before Stephen Anthony Kofi rounded things up in the 74th minute to give Rospak a 3-0 win over former Premier League side King Faisal.
Elsewhere at Swedru – leaders Swedru All Blacks humbled PAC Academy in an emphatic 2-0 win. Zayat Bubakari scored first for Swedru All Blacks in the 27th minute before Rudolf Junior Nana Kwasi Mensah made it 2-0 in the 34th minute. Swedru All Blacks are top of the table with 36 points – 4 points ahead of second placed Rospak FC.
Meanwhile, Former Premier League side Cape Coast Mysterious Dwarfs recorded their fourth successive home victory after beaten New Edubiase United 2-1 at the Robert Mensah Park. Enoch Odoom struck first for Cape Coast Mysterious Dwarfs in the 19th minute but Steven Asante equalized for New Edubiase United before halftime. After the interval, Godfred Eshun scored from distance in the 65th minute to help Cape Coast Mysterious Dwarfs secure all the points.
Here are the results in Zone Two
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Cervical Cancer alert: Avoid sex at early age
The Programmes Manager of Non-Communicable Diseases (NCDs) of the Ghana Health Service (GHS), Dr Mary Efua Commeh, has advised young girls to avoid sex at an early age.
This, she explained, will give the cervix the opportunity to mature before they become sexually active.
“You need to delay what we call the first sexual intercourse as much as possible to give the cervix the opportunity to mature before the person becomes sexually active,” she said.
Dr Commeh stated this in an interview with The Spectator in Accra on Tuesday as a part of the Cervical Cancer awareness month.
According to her, cervical cancer was the second leading female cancer in Ghana with a total of about 3,072 cases annually, and out of that, 1,815 deaths are recorded, representing more than 50 per cent.
She indicated that “If young girls are going to be sexually active, then you need to talk to your parents about being vaccinated.”
She explained that vaccinating young girls against human papillomavirus (HPV) has been found to be a very effective way of preventing cervical cancer.
“There are countries that started HPV vaccination years ago and they are not seeing any cervical cancers now because they would have eliminated most of the high-risk HPVs in their women. So if the high-risk HPV is not there, then obviously the results on cervical cancers are going to go down,” she added.
Dr Commmey said the HPV vaccination is recommended for young girls aged nine to 14 years, adding that it had been found to be highly effective, not just for cervical cancers but for other HPV-related cancers, such as anal cancers, cancers of the vagina, genital warts, amongst others.
She further elaborated that the idea is to put up a barrier before the HPV comes in and that once a young female encounters it, she is already protected.
She also mentioned that for cervical cancers, the main cause is called HPV infection, saying generally, all sexually active women acquire HPV at some point in their lives.
However, the Programmes Manager of NCDs at the GHS mentioned that the body has a way of clearing the HPV, explaining that it is a natural mechanism that goes on, unfortunately, there are a few women whose HPV persists.
Moreover, she noted that the numbers for Cervical Cancer tend to be much higher because at times, clients would wait, and try all sorts of medications before they finally report to the health facility saying “we actually lose some women before they get to the hospitals with over 75 per cent of the cases coming in its third and fourth stages.”
Dr Commey, therefore, called for public awareness while ensuring the availability of information for prevention and control.
By Jemima Esinam Kuatsinu
