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Health Essentials

Your kitchen holds the key to your heart

• What we eat or do not eat can affect our cardiovascular health

Whoever coined the phrase, “the way to a man’s heart is through his stomach” may have been onto something bigger than he or she had intended. We can now authoritatively state that this pathway applies to women and children as well and it may just not be what you are thinking. The kitchen may not only get you a life-partner, it may also deter­mine your heart health.

This year we are discussing heart health from January so that together we can modify what we eat in the month that most people are very pro­active about resolutions with health at the fore. Just as charity begins at home, so does heart health and to be more precise; “Heart Health Begins in the Kitchen.”

Cardiovascular diseases affect as many women as men but the risk among women is seriously underesti­mated. Heart disease is actually the number one killer of women in the world, causing 1 in 3 female deaths. Cardiovascular diseases claims over 17.5million lives each year and is the WORLD’S BIGGEST KILLER. This killer boasts of being responsible for 31 per cent of all deaths globally. Con­trary to popular belief 4 out of 5 of these deaths occur in low and middle income countries and men and women were equally affected. Why? The high income countries often have the skill and technology to keep the victims alive.

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Children are vulnerable too. Their risk for these diseases can begin be­fore birth, during foetal development and may even increase exponentially during childhood with exposure to unhealthy diets, lack of exercise, smoking and alcohol consumption. Poor children, they have no control over their mother’s eating habits yet they start paying for this even before they can catch a glimpse of what this world looks like.

An undernourished mother and an over nourished one both place their unborn child at risk of cardiovascular disease.

The mother is at risk from this poor eating pattern. It is becoming increasingly clear that the food you prepare in your kitchen or fail to pre­pare may not only kill you, it may be the cause of the woes of your yet to be born child.

I hate to think that we put such a strain on children; not only do they have to cope with the emotional bur­den of living with a parent suffering from a cardiovascular disease; they may again lose a parent or even both from this evil.

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Then they will have to deal with cardiovascular disease of their own. We compete to feed our children with diets with useless calories (sugar lad­en) and diets high in bad fats.

In addition to “cooking” cardio­vascular diseases in our kitchens we have also created a society where it is fashionable to avoid physical activ­ity; computer games reign supreme and children sit for hours behind a desk supposedly studying. We finally complete the kill by filling our envi­ronment with secondhand tobacco smoke.

We all know the risk factors for heart disease and strokes but I will list them once again:

• Hypertension

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• Diabetes

• High cholesterol

• Smoking & excessive alcohol consumption

• Overweight or obesity

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• Inadequate intake of fruits and vegetables

• Inadequate physical activity (lack of exercise)

• Excessive Salt Intake (salt like sugar is something we learn to take. We are not born with appetite for salt. Let us teach the right things to our young ones)

• Genetics??

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There is certainly good news, 80 per cent of premature heart attacks and strokes are preventable. Healthy diet, regular exercises not using tobacco products (includes passive smoking) are the keys to prevention.

Let’s protect our children from heart disease; encourage the intro­duction of daily physical activity sessions in school, let’s discourage the sale or even the presence of coloured water laden with sugar and being paraded as nutritious drinks.

Encourage children to eat less salt and oil but rather more fruits and vegetables. Beware of the dan­ger “hiding” in many snacks. We will face resistance from the little ones but if we are serious about reducing the death toll especially in developing countries then we have no option but to adopt these measures.

Always strive to Make your KITCH­EN HEART FRIENDLY

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AS 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/ Mobissel

(dressel@healthessentialsgh.com)

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*Dr. Essel is a medical doctor, holds an MBA and is ISSA certified 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 – “Heart disease does NOT discriminate. It can hit anyone regardless of age, gender, race, social class or eco­nomic status BUT you have far more control over your heart health than you may realise.”

Reference:

1. World-heart-federation.org

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2. WHO website

3. Mayo Clinic – Essential Heart Guide 2012.

By Dr. Kojo Cobba Essel

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Health Essentials

Revival Outreach Church donates food items, others to Street Academy

• Street Academy Director Ataa Lartey ( Left) receiving the items from Elder Peter Akorful, the Administrator of the Church
• Street Academy Director Ataa Lartey ( Left) receiving the items from Elder Peter Akorful, the Administrator of the Church

 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.

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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.”

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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.

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 By Spectator Reporter

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Health Essentials

‘Every birth counts’: The critical need to improve emergency maternal care in Ghana

• Author
• Author

 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.

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“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:

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– 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)

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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.

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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.”

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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?

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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.

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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.”

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By Henry Okorie Ugorji

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