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PRIORITIZING REPRODUCTIVE HEALTH AND GENDER EQUALITY FOR A BETTER GHANA

In 1968, a group of world leaders proclaimed that the public had a basic human right to determine freely and responsibly the number and timing of their children. As a result, in 1989, World Population Day was established by the Governing Council of the United National Development Programme as an outgrowth of the Day of Five Billion which was observed on 11th July, 1987. This initiative was necessary to generate awareness among public about the population issues such as family planning, gender equality, poverty, maternal health, human rights, environment and its impact on development and the impact they have on development and environment.

Interestingly, approximately 83 million people are being added to the world’s population every year. Hence, it is expected that by 2030, World population would hit a whopping 8.6 billion, and 9.8 billion by 2050. The World Population Day (WPD) has been marked in Ghana with a call on the government to make a conscious effort to make family planning available and accessible to people of reproductive age, particularly women and adolescent girls.

Last  year’s celebration being the 30th year running in Ghana’s participation of the day pays tribute to the landmark International Conference on Population and Development which took place in 1994 in Cairo.  This year’s global theme “ICPD at 25: Accelerating the Promise” offers countries signatory to the ICPD Programme of Action (PoA) including Ghana, the perfect opportunity to review the achievements and challenges of the 25 years’ journey of the International Conference on Population and Development (ICPD).  In the case of Ghana, a National theme, “Reproductive Health and Gender Equality for Sustainable Development” has been adopted to enable us reflect as a country how far we have come in terms of upholding the three (3) key ideals of the ICPD PoA namely human rights, health & wellbeing and sexual and reproductive health. This, according to the Executive Director of the National Population Council (NPC), Dr Leticia Adelaide Appiah, would yield socio-economic gains that could propel the country’s development forward.

According to UN Secretary-General Antonio Guterres ,Sustainable Development 2030 agenda is the world’s blueprint for a better future for all on a healthy planet. On World Population Day it is recognized that this mission is closely interrelated with demographic trends including population growth, ageing, migration and urbanization.

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Besides, World Population Day focuses on the importance of reproductive health and how it affects overall growth and development plans and programmes. Population issues include family planning, gender equality, child marriage, human rights, right to health, baby’s health etc. This programme basically focuses on comprehensive reproductive health care including family planning, safe pregnancy, childbirth services, prevention and treatment of sexually transmitted infections.

Last year’s World Population Day celebration was held at Mantse Agbonaa in Accra on Thursday, 11th July 2019 which kicked off with a float through the principal streets of Ga Mashie, Accra featuring the National Population Council and its partners accompanied by school children.  Various messages on family planning, personal hygiene, healthy living among others were disseminated to the public to create awareness on the need for gender equality and reproductive health issues.

The mayor of Accra Metropolitan Assembly, Honourable Mohammed Nii Adjei Sowah, delivered the keynote address indicating that WPD celebrations aims to focus on the need to accelerate the promise of meeting the goals of ICPD and other global and regional development agenda like SDGs and AU Agenda 2063. According to him, the year’s celebration calls on all stakeholders to strive to meet the reproductive health rights and needs of individuals and also put in place measures to bridge the gender equality gap existing in the country.

He added that, in spite of the progress made by Ghana after 25 years of the ICPD, maternal deaths were still high, unmet need for family planning was still on the rise while gender violence was still prevalent. Hon. Nii Adjei Sowah reiterated that these issues were what was considered as the ‘unfinished business’ that Ghana was supposed to address if it was to meet the goals of the ICPD and other development agenda commitments like the SDGs and AU Agenda 2063.

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Furthermore, the Executive Director of NPC, Dr. Leticia Adelaide Appiah made it known that for any country to make gains in the field of population and health there was the need to expand reproductive health rights and services to reach every individual in the country. According to her, this can only be possible if stakeholders increased their efforts and adapted tried and tested strategies like the Expanded Programme on Immunisation (EPI) which levelled the playing ground in terms of access to polio vaccination and was effective in reaching all and sundry including hard-to-reach areas with the polio vaccine.

She indicated that today, polio has been eradicated in all but three countries worldwide. As such there was the need for stakeholders to consider using this approach in the delivery of reproductive health information and services since the Expanded Programme on Immunisation (EPI) had massive support from both international and national stakeholders and was delivered in a well-coordinated and equitable manner all in a bid to safeguard individuals’ right to health.

Dr. Appiah therefore called on all stakeholders to formulate policies and programmes which would tackle poverty and inequality in society since these are the main issues that limit people’s access to SRH information and services. When issues relating to poverty and inequality are dealt with, we would have a world where no one is left behind thus pave the way for unprecedented economic development due to the presence of a healthy and vibrant human populace. She established that stakeholders are to act swiftly in initiating change in the area of reproductive health and gender equality since it affects Ghana’s chances of meeting set goals in international and regional development agenda such as the SDGs and the Africa Union Agenda 2063, ‘the Africa We Want’.

More so, the representative of the Parliamentary Caucus on Population and Development laid emphasis on women and girls because they suffer all kinds of sexual abuse and gender discrimination in societies. Women empowerment, investment in education, quality and accessible health care delivery for women and girls are essential to promote a healthy living and bring forth healthy offspring. It is therefore important to uphold women’s rights to reproductive health and some cultural practices such as Female Genital Mutilation (FGM), early child marriage abolished from our societies. According to him, the Parliamentary Caucus on Population and Development will help the National Population Council (N.P.C) to address issues on Reproductive Health and Gender Equality for a sustainable development.

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Again, Ms. Anne Coolen, the Country Director of Marie Stopes International Ghana, reiterated that, there is unfinished business when it comes to population issues. Equality means ensuring that people have equal opportunities to make the most out of their lives and talents. As such gender equality is a pre-condition for meeting the challenges of reducing poverty, promoting sustainable development and building good governance.

However, most West African government lack the commitment towards reducing inequality as women and girls are the most affected. This is as a result of the lack of commitment to funding of public services such as investment in health care, and education by most governments. She bemoaned the inadequate contribution of the government of Ghana towards health care financing since the Abuja declaration in 2001 which Ghana has agreed to make a commitment of 15 percent of annual budget to health.

She continued by indicating that, in 2017, the total budgetary allocation to health was under 8 percent of which public health received only 4 percent which includes family planning and reproductive health. In as much as Ghana has good policy on family planning, little allocation of resources is being made towards its implementation thus, investment in sexual and reproductive health is a major tool for sustainable development. She then said that, Marie Stopes International Ghana will continue to support NPC and its partners to make this a reality.

In Conclusion, the chair, Dr. Gladys Norley Ashitey informed all partners gathered that NPC was committed to strengthening its collaboration with the private sector so as to enable it execute its mandate as the lead coordinating agency for all population programmes in the country.

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It would be of great benefit to the nation if various partners strive to assist the NPC to meet its targets. The success story of EPI shows that with the right tools backed with commitment there was the chance that we will have a world where everyone’s right to reproductive health information and services is upheld and prioritized regardless of location, economic status or background.

Writer: Solace Esi Amanka

(PRO, National Population Council)

Source: Ghanaian Times

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Features

 Old folks and human suffering

• The aged

The aged

Grey hair is an honour from God, says my uncle, Kofi Jogolo, whose moustache the world ad­mires. Unfortunately, his moustache is not grey. However, my dear, uncle who is a petty bourgeoisie is greying at the temples, which according to him is a sign of wisdom, reverence and honour. To me, it is also an indication that he is gradually nearing ‘home’ to render a comprehensive account of his life to his Creator.

Indeed, the principles of account­ability and probity transcend grey hairs and moustache, and wind up in St Peter’s Heaven.

Anyone who is getting close to the age of 60 can rightly claim the grey hair status. But in Sikaman for in­stance, to be a living member of the grey hair fraternity is a privilege and not a right. This is because the aver­age life span of humans today is 49 years, and the average in Third World countries is much lower. Poverty alone can kill you at 27.

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It is also of interest to note that journalists have the lowest average lifespan vis- a-vis other professional groups, according to a proven re­search.

In any case, the human species are better off than insects and animals. A mosquito lives for only six days and decides to call it quits. Most birds live for five years; and when a dog lives up to 10 years, it automatically becomes a liberal democrat. Why? Because it becomes so weak that it can no longer be a leftist watchdog of its master’s home. The poor dog becomes rather liberal to thieves and burglars.

So is it with human beings who clock 65 and above, especially when they have not eaten good for over six decades. According to the Bible, the human limit which has been divinely decreed is three score and 10, that is, 70. This appears discriminatory when we consider that Methuselah for instance lived for 969 years before agreeing to die.

CURSE

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Back to Sikaman, anyone who flies past the age of 65 is considered an old- man (woman) whether he is well- nourished or takes ‘quarter’ on a regular basis.

To many, however, to be called an old person is rather a curse than a blessing. And of course nobody wants to be a pensioner for obvious reasons. So you see workers who are clearly over 70 years claiming to be 50 just to avoid retirement and its associated mon­ey palaver. But somehow, they are justified.

Fact is that, these days, nobody cares for the aged, and so they have to care for themselves. It was the quest to avoid this unfortunate situation that the HelpAge Ghana was formed last year as a voluntary organisation aimed at promoting the well-being of the aged and ageing in Sikaman.

When the second HelpAge Week was launched last weekend, I felt so sad to see on television, old men and wom­en, some of whom could hardly work their rickety heels to help themselves about. Some really had to be assisted to walk.

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HelpAge has come so timely, at a time when no one respects or cares for the aged. In times’ past, old folks were regarded as useful mem­bers of the society, imparting knowl­edge and wisdom to the younger generation, telling Ananse stories to enliven the evenings of little children.

But today, old people are regard­ed as nuisance. They are accused of being talkatives, always complaining of kooko, waist-pains, constipation, diarrhea, chronic catarrh and lack of good diet.

Their physical and mental infirmities associated with senescence, coupled with the high cost of fending for them, makes them unwanted in a rat-race society where man must live by sweet.

Some people really want their aged relatives to die quickly to relieve them of the burden of caring for them. They can’t afford to be feeding them every day like that! So unfortu­nate.

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PROBLEMS

In the developed countries, how­ever, because of problems that go with caring for the elderly in society, homes for the elderly are established in many communities, where the aged can live comfortably to enjoy their last days on earth. They are cared for, nourished and entertained.

In fact, there is a branch of med­icine called GERONTOLOGY which is concerned with the processes of growing old, and there is what we call (GERIATRICS) which is the med­ical care of old people. Scholars are specialise in these fields because their society cares for the welfare of the aged.

HelpAge Ghana is a laudable idea and Sikaman natives must be awak­ened to their responsibility to the elderly. Those who also handle their pension claims must avoid the un­necessary delays. I remember, my old man had to go up and down for months before he was put on his right­ful scale.

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Now, instead of wishing our aged mothers, fathers and grand-parents to die so that we can get enough money to drink beer, let us contribute to Hel­pAge Ghana to get it firmly instituted.

That way when we are lucky to reach the three score and ten mark, we could also benefit from it. No one knows what the future has in store.

Sometime last year, I was privileged to attend a get-together of pensioners of UAC and management staff at the Ambassador Hotel. I am not a pension­er though. It was quite an interesting scene to see old men and women all over chatting animatedly, and remi­niscing their good old days.

I was also quite impressed with how some of them attended to the gin, brandy and beer at the reception.

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In contrast to this, it is so pathetic to see many old people in the capital of Sikaman begging for money to buy kenkey. They look dirty and unkempt carrying aloft their grey hairs. Let us find a means of helping out these elderly folks so that when our turn comes the good old Lord will have mercy upon us.

This article was first written was on Saturday October 6, 1990

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Features

The anxiety of parents

 I had a call from my daughter and addressing me in her rather unusual but affec­tionate way, by my official name as usual, she greeted me and asked about how I was doing and I responded and we exchanged the usual pleasant­ries.

Then her next statement caused my heart to start pounding. She said “Daddy, I am going out on a date.” This is one of the moments every parent becomes filled with anxiety. It is just like when your adult child comes to tell you that “I have met someone I would like to marry”.

I then started asking about when she met him, how long she had known him etc. Then she said “Daddy, I am just pulling a prank on you” and I heaved a sigh of relief. Every parent will tell you that one of their fears is who their chil­dren will marry in future.

Fear of the unknown, is the issue that brings the anxi­ety. Will this man be a good husband to my daughter? Is there a terrible hereditary disease in his family? What are his parents like and would they be caring in-laws to my daughter etc. etc.

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Most parents do not worry too much when their child is a man as opposed to a female child. Furthermore, boys do not bring pregnancy home so if they go out and come home late, parents do not worry too much compared to when Maggie or Agatha or Lucy goes out and comes home late.

Our culture makes it easier for men to opt out of rela­tionships so parents do not worry too much when a male children come to introduce their would-be spouses to them and there is no need to add that spouse here refers to a female, since our culture does not tolerate the insane antisocial behaviour affect­ing some societies including African ones.

Marriage must be between a male and a female, a man and a woman, as God who institut­ed and ordained it. The girls fall in love easily compared to the boys who mostly walk into love. I have not conducted a survey but I strongly believe that females suffer from heartbreaks more than males because of their emotional nature.

Another dimension to this anxiety of parents is the issue of mental problems which in some instances can lead to suicidal tendencies. Mental cases resulting from mental breakdowns abound in our communities and the victims are mostly female.

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A woman I met while walk­ing with a friend was a victim of a mental breakdown. The friend I was walking with, ex­changed pleasantries with the said lady and it was apparent that they knew each other very well.

My friend, after we had parted company with the woman, narrated how her husband was engaged in womanising which compelled the woman to take a revenge on him.

She decided that the best way to also hurt her hus­band’s feelings was to have an affair with the husband’s driver. The affair became known to the husband and she was divorced. The dress she was wearing and her general appearance when we met her on the street showed clearly that all was not well mentally with her.

It was so sad and as a parent I started praying into the future of my children that they would get the right partners, God-fearing people to marry.

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Another anxiety of parents is the character of their chil­dren’s life partners. Would they be kind people? Will they be people with bad tempers? Will they be wife beaters?

Domestic abuse is common in our society and you will be surprised at the calibre of the perpetrators. Some are well educated people, nicely dressed, when you meet them in public places you will never suspect that they are wife beaters.

Some are even pastors and yet they ignore the teachings of the Bible and maltreat their spouses. It is not only men who abuse their spouses but some women are abusers as well.

May God grant us and our children the gift of spirit of discernment so our children will make the right choices for us to also endorse.

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By Laud Kissi-Mensah

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