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Overcoming breast cancer …Theresa Fakaah’s journey to survival

• Theresa Fakaah.

Theresa Fakaah.

At just 33 years, Theresa Fakaah’s world was turned upside down when she was diagnosed with breast cancer at Korle-Bu Teaching Hospital in Accra. Overwhelmed by fear and negativity, she broke down in tears upon hearing the biopsy results.

The doctor’s words echoed in her mind: “The cancer is aggressive; we must remove the affected breast to prevent it from spreading to the oth­er.” The thought of losing a breast, es­pecially at her age and without having children or a partner, was unbearable.

Ms Fakaah’s breast cancer journey started in 2021 when she visited Ga South Municipal with a pain in her breast and was later referred to the Korle-Bu Teaching Hospital.

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It was at the hospital that she re­ceive the devastating news of breast cancer that turned her life around.

Desperate for an alternative, The­resa abandoned conventional treat­ment and sought herbal remedies for three months. However, her condition worsened.

While on herbal treatment, she experienced excruciating pain and dis­charge from her right breast coupled with sleepless nights.

Returning to Korle-Bu the following year 2022, Theresa began her treat­ment anew, she went through eight cycles of chemotherapy, surgery to re­move the affected breast and received 14 shots of Herceptin in her thigh.

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Herceptin is a medication adminis­tered through infusion. This targeted therapy helps prevent cancer cells from growing and is commonly used as an adjuvant treatment to prevent recurrence.

Initially, she was scheduled to re­ceive 18 Herceptin injections, how­ever, Ms Fakaah experienced adverse reactions after 14 injections, and her medical team decided to discontinue the treatment with it and suggested another drug.

She said she was neglected by her family when they heard of her con­dition, advising her to return to the village for cure; a suggestion she refused, hence the rejection.

She was later supported by Toptown Church of Christ, Amanfrom and other individuals which enabled her to go through the treatment.

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She encouraged breast cancer patients not to habour fear in them but rather follow the instructions of health professionals in order to ‘fight and conquer’ the disease.

Ms Fakaah’s breast cancer journey, is an indication of the rising num­ber of young women in Ghana being diagnosed with breast cancer, under­scoring the urgency for broader public education and awareness.

In Ghana alone, over 2,000 women lose their lives to breast cancer each year, however, health experts believe the number is significantly higher, as many cases remain undiagnosed.

A major barrier to diagnosis and treatment is the cost, with many unable to afford the necessary medi­cal procedures. As a result, countless individuals return home, untreated, only to succumb to the disease.

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October is globally recognised as Breast Cancer Awareness Month, ded­icated to raising awareness about the disease and promoting early detec­tion.

This year’s global theme for the awareness month is “no one should face breast cancer alone,” with the aim of bringing to attention the silent struggles faced by survivors and patients who may feel isolated and un­supported due to the disease.

The goal of this year’s campaign is to ensure that survivors receive the warmth and support they need while battling with the disease and stigma.

It is therefore important not to pay lip service to the treatment of breast cancer, as many women are continu­ously suffering from the disease.

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It is also important for stakeholders to find ways of lessening the financial and emotional burden of patients and survivors, increase awareness espe­cially among young people, promote healthy lifestyles, improve access to screening and diagnostic facilities as well as enhancing healthcare infra­structure and treatment options.

Theresa’s journey was marked by fear, denial, and determination. Today, she stands as a testament to resilience and courage in the face of adversity

 By Jemima Esinam Kuatsinu

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Gender

Trapped in Limbo: Teenager girls caught between consent and marriage laws

• A child

A child according to Ghana’s Chil­dren’s Act, 1998, is any person below the age of 18 years and it clearly states that the best interest of the child shall be paramount in any matter concerning the child.

Again, it says the best interest of the child shall be the primary consid­eration by any court, person, insti­tution or other body in any matter concerning the child.

According to Section 14 of the Act, ‘no person shall force a child to be betrothed, be a subject of a dowry transaction; or be married’.

The minimum age of marriage of whatever kind, it stated, shall be 18 years.

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Ghana’s minimum age for sex

However, Ghana’s minimum age of consent to sex is ‘16’ years old. At this age, an individual is considered legally old enough to consent to participate in a sexual activity.

Ghana’s statutory rape law is therefore violated when an individual has consensual sexual contact with a person under age 16.

At the age of 16 years, most chil­dren in the part of the sub-region depend on their parents or guardians for their wellbeing-education, physio­logical needs (food, shelter, clothing, other basic necessities), and health needs among others.

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When such a child, especially a female is legally permitted to consent to a sexual activity, it then means the child ‘should’ be able to take respon­sibility for whatever may be the effect of the sexual activity.

Disregard for loopholes in age con­sent to sex

A position paper on harmonising the age of sexual consent and the age of marriage in Ghana by the Ministry of Gender, Children and Social Protection and UNICEF Ghana, states that despite the concerns arising from the disparity in age of sexual consent and age of marriage, it is noted that there have been limited legal interventions.

So far, it said attention had been on the campaign to end child marriages and much consideration had not been given to the age of sexual consent in the country.

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In Ghana, sex is not a topic that is easily discussed in the open. The so­cio-cultural dynamics between parents and their children make it difficult for children to discuss their sexuality freely with older members of their family.

Exacerbated by the ubiquity of social media, the result is that many young children and adolescents learn about sex from peers, internet sources and experimentation. If a child is too young to marry before the age of 18, is he/she old enough to have sex at 16 years?

In their consultations, they found out people were far more willing to accept boys’ interest in sex as natural, than teenaged girls’ interest, which was regarded as wayward, and symp­tomatic of some deficiency in a girl’s upbringing or in the girl herself.

Statistics

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In Ghana, many adolescents aged 15 to 18, whether married or not, have had sexual intercourse, according to the United Nations Population Fund report in 2016.

Additionally, 12 per cent of girls and nine per cent of boys have had sex before the age of 15 and statistics further show that 10 per cent of teens under 15 years are having sex.

A survey conducted by the Ghana Demographic Health (GDHS) in 2008 revealed that 44 per cent of young people have sex before age 18 and most initiate it at age 15.

According to the Ghana Statisti­cal Service, between 2008 and 2014, the percentage of men and women between the ages of 25 and 40 who reported having sexual intercourse at age 15 decreased only one point, from 12 to 11 per cent (GSS 2015).

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Furthermore, it has been estimated that four in 10 Ghanaian women and two in 10 men aged 15–19 have had sex before. (Alan Guttmacher Insti­tute, 2004).

Experiences of survivors

In an engagement with Martha Asante, a 17-year old school dropout, she said: “I got pregnant at 16 and was forced to drop out of school. If the age of consent to sex was 18, I might have avoided this situation.

Since we were taught in school you can have sex at 16, I just gave in to a man who showed interest easily.”

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Another, Naa Lamiokor Tagoe, a sur­vivor of a child marriage, says: “I was married at 17 and had to endure phys­ical and emotional abuse. If the legal age of marriage was enforced, I might have been spared this ordeal.”

Expert’s concerns

Mr Abdulai Jaladeen, the Upper East Regional Director of the Commission on Human Rights and Administrative Justice (CHRAJ), at the celebration of the International Day of the Girl Child in Bolgatanga, appealed to the Gen­der Ministry to lead the crusade for a memo to be sent to Parliament for the law to be amended.

The delay in reviewing the age of consent to sex, he said, allowed culprits of child sexual abuses to go scot free. “When an adult impregnates a child at the age of 16, the law can catch up on you, but some of these people go behind to influence parents and even the victim.

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And once the girl appears before a judge, and says I consented, the judge and prosecutors cannot do anything,” he noted.

Mr Jaladeen explained that if the law was changed from 16 to 18, men who fell foul to the law against girls below the age of 18 years would be punished fairly no matter the culprit’s financial and social standing.

He also called for a review of the Children’s Act to give stiffer punish­ment to people who give their girls out for early marriages to serve as deterrent to others, adding that the fine of GH¢500 for convicting an of­fender of the law was too minimal and suggested that a provision that spelt out modalities be made to compel the culprit to ensure that her education was not halted.

Dr Ndonwie Peter, National Execu­tive Secretary of Girls Not Brides-Gha­na, a network of non-governmental organisations, said the results of early sex at 16 was pregnancy, which truncated the education of girls as they were in many instances forced to cohabitate or marry those responsible for impregnating them.

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He explained that the harmonisation of such laws to peg the minimum age of girls consenting to sex at 18 years, would help to control the increasing rate of early and forced marriages.

Challenges

Problems associated with child sex before marriage is intimate partner violence, sexually transmitted infec­tions, adolescent pregnancy, early childbirth including unsafe abortions and infringements on their sexual and reproductive health and rights. The sexual relation involving a child usual­ly occurs between her and an adult.

Therefore the older persons often take advantage of the girls and give them little or no room to negotiate for safe sex.

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The WHO states that at 16 years or lower, the biological constitute of the girl might pose as a threat to child­birth and girls who engage in sexual activities are more likely to get preg­nant, a condition that puts them at risk of experiencing stillbirths, miscar­riages, eclampsia, puerperal endome­tritis, and systemic infections.

The babies might also suffer preterm birth, low birth weight due to young maternal age at birth, and se­vere neonatal condition. Many teenag­ers at age 16 engage in sexual inter­course not for procreation, but out of curiosity or for the fun of it and aside its consequences, the teenage mother may not be prepared for marriage or be legally permitted to marry.

To avoid shame, the parents of the female children may force their daughters to marry the man who im­pregnated them.

The situation is more common in the coastal communities and the Northern part of the country, where the preg­nant girl is forced to live with the man responsible and/or his family, reports have stated.

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Ghana as a country that is hungry for growth with all parties involved such as government, civil society or­ganisation, development partners and donor agencies, parents, students, religious and traditional leaders, the media as well as legal practitioners, need to analyse carefully if an addi­tion to the population through un­wanted pregnancies by children is positive and should be encouraged.

If a child born of a child is not well taken care of due to inadequate finances, that child becomes a bur­den on society and the government at large. They gradually join the large population to depend on the fewer re­sources, and thereby harden the lives of the citizenry much more. -GNA

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Gender

President Mahama commits to gender equality, female representation

President Mahama addressing guest at his inauguration

 Ghana has marked a significant milestone in its history with the inauguration of its first female Vice President, Naana Jane Opoku- Agyemang.

According to President Mahama, her ascension to this high office was not just a personal achievement, but a testament to the nation’s commitment to promoting gender equality and female representation.

He said this at the swearing in of both he and the Vice president at the Independence Square in Accra on Tuesday.

He said his administration will also be committed to fostering a nation where gender equality and female representation were cherished and amplified.

“With the inauguration of Ghana’s first female Vice President, we have turned a significant page in our his­tory. Naana Jane’s ascension to this high office is not merely a personal triumph; it symbolises our collective commitment to fostering a nation where gender equality and female representation are cherished and am­plified,” he said.

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President Mahama also reaffirmed his administration’s commitment to fostering a culture of inclusivity and empowerment in Ghana and described the inauguration of Prof. Opoku- Agyemang, as a powerful testament to the impact of diverse voices in shaping the nation’s future.

That, he said represented a signifi­cant step towards breaking the glass ceiling that has long hindered many Ghanaians, particularly women and youth, from reaching their full poten­tial.

He emphasised that his administra­tion is dedicated to enacting policies that empower women and ensure equal opportunities for the youth, regardless of their background.

“We stand committed to enacting policies that empower women and ensure that doors of opportunity swing open for our youth regardless of their background. Together, we will gal­vanise our efforts to create a society where every Ghanaian can dream, be­lieve and achieve without restraint,” he added.

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President Mahama said his admin­istration was committed to fostering a more inclusive, accountable, and innovative society.

Alongside his Vice President, Pres­ident Mahama pledged to create pathways that uplift every Ghanaian citizen.

 By Jemima Esinam Kuatsinu

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