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Winning trust: A reluctant father’s change of heart on vaccination for his child

A group picture of the team and the family after successful vaccination

In the Ketu North District of Gha­na, Erica Doe Hormeku, a pas­sionate Community Health Nurse (CHN) at the Kasu Health Centre, dedicates herself to ensuring every child receives their routine immu­nisation.

Brimming with enthusiasm and commitment, Erica tirelessly fol­lows up with caregivers, even those hesitant about vaccinating their children.

Despite her best efforts, there are a few who remain adamant, which worries her deeply.

“Some caregivers refuse vacci­nation for their children, and we follow up to talk to them. Many of these cases have been overturned, but others remain. My fear is that such attitudes are ‘infectious’ and could potentially impact vaccine uptake,” Erica shares.

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A group picture of the team and the family after successful vaccination

One such case involved David, a 46-year-old teacher and father of four, who refused to have his youngest child, Dennis, vaccinat­ed, even though his other children were fully vaccinated and remained healthy.

At three years old, Dennis had only received the Bacillus Calmette-Guerin (BCG) vaccine at birth. Under Ghana’s national immunisation schedule, Dennis should have completed his routine vaccinations by 18 months. Howev­er, missed doses can still be admin­istered until age five.

David’s reluctance stemmed from a deep mistrust of vaccines. “My parents told me I was not given any vaccines as a child, but I am healthy. These vaccines contain germs that cause illness instead of the so-called protection. I want to use my son to prove to everyone that vaccines are not relevant,” he stressed when health workers visited his home.

Thanks to funding from Canada Global Initiative for Vaccine Equity (CanGIVE), Erica and a team from World Health Organisation (WHO) Ghana made a follow-up visit to David’s home. They spent time explaining to him and his partner, Janet, the benefits of vaccination, the safety measures in place, and the risks of leaving a child unvacci­nated.

Dr Kwadwo Asante-Afari, WHO’s Technical Officer for Risk Commu­nication and Community Engage­ment, shared his expertise during the discussion, saying, “Vaccines have contributed significantly to the reduction of deaths and illness, especially among children. Some diseases, including measles and polio, that once killed and maimed children are no longer encountered as often.”

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After a thorough conversation, David’s stance began to shift. “I see the importance now, and I want to make sure my son is protected,” he said, agreeing to allow Dennis to receive his missed vaccines. A vaccination plan was created with input from the family, addressing concerns about multiple injections. Dennis was immediately vaccinated with oral polio vaccine, inactivated polio vaccine, pentavalent vaccine, and pneumococcal conjugate vac­cine, with a follow-up schedule to complete the remaining doses.

Dennis’ mother, Janet, expressed her relief, saying, “It has always been my prayer that my partner agrees to Dennis’ vaccination just as the other children, and I am happy you defied the terrain and came this far to speak with him. I now have the assurance of my son’s protection against vaccine-prevent­able diseases.”

Gariba Abubakar Sumaila, the District Director of Health Services, acknowledged the positive impact of the intervention. “We shall work with the family to complete Dennis’ vaccination as planned. WHO’s in­tervention has been very impactful and will go a long way to strengthen demand for immunisation beyond this case. We have learned a lot from your approach and will scale it up to ensure every child benefits from vaccination”, he explained.

This successful engagement not only ensured Dennis received his vaccination but also strengthened community trust in immunisation. It’s a reminder that changing hearts and minds requires patience, dedication, and a commitment to protecting future generations.

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 ‘Nipahiamoa’ residents cry for basic social amenities

• Mr Najohnbo

Residents of a farming community in the Nkoranza North District of the Bono East Region are living under conditions that directly reflect or con­note the name of the township, Nipahia­moa.

The name of the town, Nipahiamoa, when translated directly means ‘humans need help.’

Despite the contribution in ensuring there is sufficient food in not only the region but the country at large, Nipa­hiamoa lacks basic social amenities to make life enjoyable after their farming activities.

According to some of the members of the community that The Spectator spoke to during a visit to the area, they lacked basic needs such as potable water, health post, among others.

This, they claimed, was impacting negatively on their general wellbeing and appealed to authorities to come to their aid.

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The Unit Committee chairman of Nipahiamoa, Mr James Najohnbo, told this paper on Thursday that successive governments have neglected the town over the years.

“It is the reason we are where we are today in this era of development. Some people poke fun that our condition is a reflection of the name of the town but I don’t believe that. We have been ne­glected by governments over the years. There are no government initiatives here,” he explained.

The community, inhabited by over one thousand people, mostly settlers, is lo­cated on the Techiman-Kintampo stretch of the Trans-ECOWAS highway which connect from Tema to Mali.

Mr Najohnbo, who conducted this re­porter around, revealed that a borehole constructed for the community by the former Member of Parliament for Nkoran­za North, Major Derrick Oduro, had since broke down, compelling the people to turn to the Bono manso waterfalls which they trek several kilometres for their source of water.

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Mr Najohnbo stated that their children are not left out in this challenges as they had to trek to either Manso or Dweneho, about two kilometres to access health­care and education.

He added that a wooden structure con­structed in 1994 currently serves as the only primary school for the community.

“Our kids had to trek several kilome­tres to Manso to attend school which come at cost to most parents.”

A 30-year old hairdresser, Rebecca Dibenpong, also appealed to authori­ties to come up with income generating activities to boost economic lives of the people.

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She alleged that politicians often claimed they don’t have enough numbers to attract development, hence such ini­tiatives were directed to bigger commu­nities.

Like the name suggest, Nipahiamoa, the community needs urgent attention to make life meaningful for the people who contribute to the national economy by way of their farming activities.

 From Daniel Dzirasah, Nipahiamoa

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Maternal mortality rate increases in Ashanti Region

• Dr. Frank Adomanko Boateng
• Dr. Frank Adomanko Boateng

 The Ghana Health Service has revealed a staggering statistic of 1,000 women losing their lives during child­birth in the Ashanti Region between 2020 and 2024.

This alarming number, accord­ing to the Regional Health Direc­tor, Dr Frank Adomanko Boateng, highlights the persistent chal­lenge of maternal mortality in Ghana, despite efforts to im­prove maternal healthcare.

Dr Adomanko Boateng, there­fore emphasized on an urgent need for stronger interventions to curb the high rate of maternal deaths.

Speaking at the 2024 Regional Health Forum, he indicated that “Ghana is struggling to meet the Sustainable Development Goal (SDG) target of reducing mater­nal mortality to 70 deaths per 100,000 live births by 2030.”

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Dr Boateng stressed that time was of the essence, saying, “The clock is ticking, and we must double our efforts.”

He called for intensified mea­sures over the next six years to bridge the gap and prevent further loss of lives.

Ghana’s maternal mortality ra­tio, he noted, has been declining from 760 deaths per 100,000 live births in 1990 to 310 deaths per 100,000 live births in 2017.

However, “the country still faces significant challenges in reducing maternal mortality, particularly in regions like Ashan­ti.”

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To address the issue, he said, Ghana has been working to improve maternal healthcare through various initiatives, in­cluding the Network for Improv­ing Quality of Care for Maternal, Newborn and Child Health.

The country aims to reduce maternal mortality by strength­ening healthcare systems, improving access to quality care, and enhancing community en­gagement

 From Kingsley E. Hope,

Kumasi

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