Millions of Africans lack basic means to prevent COVID-19 transmission, research finds

Ho, Millions of Africans are at risk of contracting COVID-19 due to a lack of the most basic public health tools to protect themselves, including the essentials of soap and water. These measures, known as non-pharmacological public health interventions (NPIs), and including physical distancing or isolation at home to prevent transmission, are among the simplest and least expensive methods to slow the spread of SARS-CoV-2, the virus that causes COVID-19.

Yet huge numbers of Africa’s roughly 1.4 billion people do not have access to these tools, researchers said.

“Hundreds of millions of people across Africa simply lack means for implementing NPIs to prevent SARS-CoV-2 transmission,” said Dr Timothy Brewer, UCLA Fielding School of Public Health Professor of Epidemiology and Professor of Medicine, and a member of the Division of Infectious Diseases, at the David Geffen School of Medicine at UCLA.

“These populations urgently need to be prioritized for vaccination to prevent disease and to contain the global pandemic.”

The findings, published this month in the peer-reviewed journal Epidemiology & Infection, as “Housing, sanitation and living conditions affecting SARS-CoV-2 prevention interventions in 54 African countries” -are from an international team, led by Brewer and colleagues at the University of Bristol, and including researchers in China, Ethiopia, Mexico, South Africa, Spain, Sweden, the United Kingdom, and the U.S.

As of now, COVID-19, caused by severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2), has resulted in some 7.3 million cases and 185,505 deaths across the continent.

Globally, nearly 210 million cases and 4.4 million deaths have been reported in more than 200 countries, although total mortality due to COVID-19 may be as high as 7 million deaths.

The global COVID-19 case fatality ratio approximates that of the 1918 H1N1 Influenza pandemic.

“SARS-CoV-2 spreads primarily by respiratory droplets generated by coughing, sneezing or talking,” Brewer said.

“Until effective vaccines are universally available, NPIs are the principal means by which governments prevent SARS-CoV-2 transmission in their populations.”

In addition to isolation of those infected and contact tracing and quarantine for those exposed, the World Health Organization (WHO) recommends physical distancing, masking in public places and hand washing as important NPIs that countries should employ for COVID-19 prevention and control.

Laboratory-based and observational studies suggest that physical distancing and the wearing of face masks may reduce SARS-CoV-2 transmission by at least 80 per cent.

“These findings illustrate the substantial barriers many African households face in keeping safe from SARS-CoV-2 infection because of living conditions that preclude their ability to quarantine, isolate or maintain physical distancing and because of substantial obstacles to handwashing,” said Dr Jody Heymann, a UCLA distinguished professor of public health, public policy, and medicine who serves as director of the Fielding School’s WORLD Policy Analysis Center (WORLD).

“Crucially, the findings raise the urgency of getting vaccines rapidly to all countries in Africa, which lag far behind, and for addressing the underlying conditions of poverty that place populations at increased risk from respiratory virus outbreaks and pandemics.”

Across the 54 countries, approximately 718 million people live in households with more than six individuals at home. Approximately 283 million people live in households where more than three people sleep in a single room. An estimated 890 million Africans lack on-site water, while 700 million lack in-home soap/washing facilities.

“The pandemic has exposed structural inequalities in almost all spheres, from health to the economy, security to social protection,” said study co-author Yehualashet Mekonen, director of the African Child Observatory Program at the African Child Policy Forum (ACPF).

“Girls in the continent have particularly felt its impact with far-reaching consequences on their life trajectories including higher risks for early marriage, drop out from school and reduced access to reproductive health services.”

The researchers also made the point that despite the structural and resource issues faced by governments in Africa, some nations’ responses to COVID have been among the best in the world.

“Unfortunately, impoverished living conditions mean that it is almost impossible for many people in African countries to follow public health advice and protect themselves from the virus,” said co-author Dr David Gordon, with the University of Bristol in the United Kingdom.

“European and North American countries need to stop hoarding millions of doses of vaccines that they will never be able to use and make them available to people in Africa.”

 

Source: Ghana News Agency

Cleft is a medical problem – Professor Donkor

Kumasi, Cleft is not a curse but a medical problem that could be treated, Professor Peter Donkor, the President of the Ghana Cleft Foundation said on Tuesday. Scientifically, Prof Donkor explained though the causes of cleft remained unknown, the nation had highly skilled surgeons to perform cleft surgeries.

Cleft surgeries, he added, were conducted free of charge and appealed to parents with cleft children not to hide their babies in homes but contact the Foundation.

Prof Donkor, also the Director of the Cleft/Craniofacial Clinic of the Komfo Anokye Teaching Hospital (KATH), gave the advice at a media workshop in Kumasi, organised by Smile Train, a non-governmental organization.

The Smile Train is organising the two-day workshop on the theme: “the role of the media in cleft awareness in Ghana” to empower Journalists, as key stakeholders, to intensify community awareness on cleft and other essential care and services.

The NGO is the world largest cleft-focused organisation providing training, funding and resources to empower local medical professionals in 70 counties to provide free cleft surgeries and other forms of essential care in local communities.

Prof Donkor regretted that because babies born of cleft were often linked to witchcraft, wizardly or family curse, cases often turned to disrupt families, explaining that cleft was a defect that could easily be treated through surgeries.

Mrs Nkeiruka Obi, the Vice President and Regional Director, Africa, Smile Train explained the NGO started operation in the country in 2007, and it had supported the Ghana Cleft Foundation to conduct free surgeries for 2,146 children born with a cleft.

She expressed discomfort about the high level of public stigmatization and discrimination of cleft children.

Mrs Obi indicated her NGO’s commitment to conduct more surgeries for the children and called on the media to help identify these children in local communities.

She also called on the media to scale up community education on cleft to dispel the erroneous public perception and theories to control societal stigma.

 

Source: Ghana News Agency

Ho Technical University to demonstrate solar-powered irrigation system

Ho, The Ho Technical University will demonstrate the use of an innovative solar-powered irrigation system, becoming the first Technical University in the country to achieve the feat. The initiative, under the GIZ Green People’s Energy Project, seeks to develop the capacity of training institutes and technicians in solar-powered irrigation systems in Ghana.

The Project will install the systems in three tertiary institutions – the University for Development Studies, the University of Energy and Natural Resources, and the Ho Technical University.

Mr Raphael Wiese, Project Manager for the Green People’s Energy, at a joint sod-cutting ceremony held at the demonstration farm of the HTU’s Agro Enterprises Department, said the initiative was made possible with funds from the German Ministry of Economic Development and Cooperation.

He said it would enhance the capacity of the HTU to offer training to a broad range of stakeholders towards stimulating investments in renewable energies.

“We are proud and happy that we can now corporate with a technical university on that issue,” Mr Wiese said.

The project runs at an estimated cost of 143,000 Euros, which includes training for relevant staff, students and irrigation farmers.

Professor Ben Honyenuga, the Vice-Chancellor, said the choice of the HTU as one of the seeding grounds for the project showed repute and helped cement the Institution’s place as “the reference point for TVET education in Ghana and Africa.”

He said the solar-powered system would help address challenges with rain-fed agriculture and thanked the GIZ for supporting the development of agriculture through the enhancement of knowledge.

The Vice-Chancellor said the project aligned with the University’s strategic objectives, which was to impact communities in its enclave.

“We are telling everybody that the Ho Technical University is ready and so begin to warm up and get ready for the training.

“We all calling on all people in this Region, Oti and beyond, that, bring your staff here when the time comes,” he said, adding that irrigation farmers across, should consider the project a relief.

Prof. Honyenuga gave the assurance that the University would work together with the various partners to successfully implement the project, saying, “We are already looking beyond this project.”

He said the HTU would seek more collaboration with the GIZ on efforts to alleviate poverty, ensure sustainability and enhance living standards.

Mr Gilbert Asorwoe, Site Manager for Punptech, the company installing the systems, said all tools and materials were ready and would be completed in a month, following the discovery of a suitable site for the well.

He said the system incorporated high-quality German pumps and expected to encourage the use of solar-powered alternatives in irrigation farming.

 

Source: Ghana News Agency

Report illegal service charges to us – NHIA

Bolgatanga, The Acting Upper East Regional Director of the National Health Insurance Authority (NHIA), Mr Kasimu Abudulai has entreated clients to report illegal service charges by health service providers to the Authority for action. He noted that “The issue of illegal charges is still on, and we are closely monitoring and working with our service providers to see how we can surmount the challenge and reduce such acts to minimum levels.

“We are also encouraging clients to report to us with evidence, when they are given such charges. While we are monitoring, we may not see some of the acts, but you the clients suffer it,” he said.

Mr Abudulai, who expressed concern about illegal NHIS service charges in an interview with the Ghana News Agency in Bolgatanga, capital of the Upper East Region, said with the involvement of clients, such illegal charges would be eliminated.

He said there was a marginal increase in active membership from 682,334 representing 51.7 per cent of the population of the Region in the first half of 2020 to 697,924, representing 52 percent of the population in the first half of 2021.

This, he said could be attributed to the illegal charges by service providers, “People think because they paid some monies at hospitals, the National Health Insurance system is not working, therefore, they are not encouraged to renew.”

Mr Abudulai noted that service providers initially complained that the Authority owned them so much money, and so they had no requisite cash flow to operate.

He explained that “A lot of improvements have happened in clearing the arrears. So much have been paid, so the number of months in arrears is now minimal. We are in August now, if we owe, it will even be four months of indebtedness, so the number of months in arrears have dwindled so much,” Mr Abudulai said.

The Acting Director noted that in spite of the improvement, the illegal charges were still ongoing in some health facilities across the Region, and reiterated the need for clients to report such acts for the appropriate action to be taken.

Mr Abudulai also attributed the marginal increase to mobile network challenges, “We go to the field, we can’t operate because the network is down. When people are disappointed on two or three occasions, they lose interest in renewing or even registering onto the scheme.”

He added that the intermittent shortage of consumables, coupled with obsolete and weak equipment also accounted for the marginal increase as some of the equipment frequently broke down.

Mr Abudulai added that the first quarter of the year usual had low turnout, while the third to last quarters were their bumper season, saying “That is when crops are harvested, farm work reduces and people are available. So usually we get higher turnouts during the last two quarters.”

He was hopeful that before the end of December this 2021, they would possibly increase the 697,924 mid-year figure to about 900,000 or 1,000,000 of the population in the Region.

 

Source: Ghana News Agency

Impact of COVID-19 and debts on essential medicine supplies in Upper West

Wa, The widespread complaints about lack of essential medicines in some health facilities in the Upper West Region last year were fueled by disruptions in the supply chain due to the negative effects of COVID-19 and the huge debt owed to suppliers.

 

Dr Damien Apunguyire, the Upper West Regional Director of Health Services, disclosed this in an interview with the Ghana News Agency (GNA) in Wa under the “Mobilizing Media for Fighting COVID-19 project being implemented by the Journalists for Human Rights (JHR) in collaboration with the Ghana Journalists Association (GJA).

He said the availability of essential medicines and supplies were critical for quality and accessible health care delivery, and have been able to increase tracer drugs availability in the regional medical stores from 69 percent in 2020 to 75 percent during 2021 half-year.

“This was achieved by engagement with our major suppliers to re-profile our debt to enable them to continue to supply”, he said whilst assuring that they would continue to use the LMD to ensure these medicines were distributed to all points of use.

Dr Apunguyire noted however, that the inability of health facilities to promptly redeem their indebtedness to the Regional Medical Stores threating the sustainability of the tracer medicine and non-medicine availability.

“The facilities are unable to reimburse the Regional Medical Stores due to delay by the National Health Insurance Scheme (NHIS) to reimburse them”, adding that they do know that even when NHIS reimbursed the health facilities, some managers still do not settle their indebtedness which according to him was unacceptable.

The Regional Director of Health said despite the effects of CIVID-19 and the huge debt situation, they also made some modest progress in maternal and child health services.

Antenatal care (ANC) coverage increased marginally from 44.0 percent in 2020 to 44.7 percent in 2021 half-year whereas percentage skilled delivery increased from 35.4 percent to 38.7 percent.

Dr Punguyire added that postnatal coverage also increased from 36.1 percent to 39.2 percent in 2021.

He said there were declines in some key indicators including; stillbirth rate which declined from 11.2/1000LB to 10.8/1000LB and institutional neonatal mortality rate also declining from 7.9/1000LB to 5.9/1000LB.

The Regional Director of Health said the disruptions had thrown the region out of track towards achieving the Sustainable Development Goal (SDG) target on maternal mortality.

He said 12 maternal deaths were reported in 2021 half-year compared to seven deaths in 2020, whilst Family Planning acceptor rate had for the second year running declined from 26.3 percent to 23.7 percent.

He said the proportion of newborn babies initiating breastfeeding within 30 minutes after birth, which was critical for survival and wellbeing of newborns decreased from 90.8 percent to 90.2 percent.

Dr Apunguyire noted that teenage pregnancies significantly increased during 2021 half-year, noting that the region recorded a total of 13,812 teenage pregnancies in the half year as against 11, 547 over the same period in 2020.

He said this was primarily driven by high numbers from Sissala East Municipality, Sissala West District, Wa East District, Wa West District, Daffiama-Bussie-Issa District, and Nadowli-Kaleo District.

“It is a serious source of concern that despite the huge investments in these districts towards strengthening adolescent health services including; adolescent health corners, clubs, and peer educators, the situation did not seem to improve.

“There is the need for multi-stakeholder engagement to examine the cultural and contextual issues that influence our young girls into early sex”, he suggested.

He said the proportion of pregnant women with anemia at 36 weeks of gestation remained high at 46 percent.

On communicable disease prevention, Dr Apunguyire said per the data, the region made some progress in its expanded programme on immunization.

“Penta3 coverage has increased from 40.3 percent in 2020 to 44.0 percent in 2021 half-year, MR1coverage has improved from 40.1 to 41.4 percent; however, MR2 declined from 38.1 per cent to 37.2 percent.

“Under-five years’ malaria case fatality has declined from 0.37 to 0.13.

“On TB, the results are mixed. While the region performed well on TB case detection, the treatment outcomes were poor. TB case notification increased from 193 to 208.

“However, the region achieved only a 74 percent cure rate compared to a target of 90 percent, and this was precipitated by a high death rate of 15.2 percent and six percent lost to follow up” he added.

He lamented the unprecedented heavy downpours that resulted in floods with several communities cut off from the regional and district capitals.

He said six out of the 11 districts of the region were not accessible to the regional capital as some major roads were washed away, adding that this made movement of health workers and critical supplies to service delivery points hugely impeded.

“This situation is likely to threaten the delivery of essential health services to most of the region’s population and could derail the gains made”, Dr Apunguyire said, but expressed confidence that they would rise to the occasion.

“We will explore innovative ways including; the use of ICT to reach out to the populace with our services” he said.

He reminded the public that the pandemic was not over yet, saying over the past few weeks, some regions have seen rising numbers of cases in what is now described as the third wave and the region had recorded 21 new cases and one new death bringing total number of cases to 519 and 20 deaths as of 22nd August, 2021.

“If we lose hold of the proven public health measures, the disease will come back strongly and overwhelm us. We need to sensitize the public to practise hand hygiene, social distance, mask wearing and use open spaces for public events”, he urged.

Pre-triaging at entry points to all health facilities need to be reinstituted in earnest.

 

Source: Ghana News Agency

US Ambassador commissions two health facilities to improve emergency response

Sekondi, The United States Ambassador to Ghana, Ms Stephanie Sullivan, has commissioned two giants health services intervention facilities to improve emergency response in the Western Region. The two facilities, made possible through collaboration with the USA Centre for Disease Control and others, are the Public Health Emergency Operations Centre and the Public Health Molecular Laboratory (Biosafety level II facility) with the state of the art technology to help in surveillance, real-time data and diagnosis and could respond to future pandemics.

The Ambassador at separate events to cut the tape for the official opening of the two facilities described the Western Region as “Ready to diagnose other diseases” with the provision of such a world-class medical intervention.

She noted that the COVID-19 pandemic made clear the need for effective local responses in disease control, adding, “these facilities may not be for COVID-19 alone but any such health care emergencies in the future.”

He noted how the Service had put in place an E- Surveillance system to enhance Regional Response healthcare in real-time.

Dr Aboagye said the COVID-19 pandemic had opened the “eyes” of the Service to challenges that needed to be addressed in health care infrastructure, adding, “this is one good response to public health in line with International Health Regulations.”

The Director-General mentioned that so far the country has 34 laboratories running tests in emergency areas out of which 16 were state-owned.

According to him, the Country currently has 6,500 active COVID-19 cases.

Dr Yaw Ofori Yeboah, the Western Regional Director of the Ghana Health Service, appreciated partners for such a massive capital, human and logistical investment into the health care needs of the people in the Region.

He said the facility was commissioned at an opportune time, bearing in mind the emergence of bird flu and Ebola in the neighbouring Ivory Coast.

Dr Yeboah said the Service, through its collaborators, would continue to work more to strengthen public health.

Mr Kwabena Okyere Darko-Mensah, the Western Regional Minister, said the government had planned programmes for the health care sector, including Agenda 111 to ensure quality health care even in the remotest part of the country.

The Western Region, he said, stood to benefit from six of such planned projects.

However, the Regional Minister entreated the US Ambassador to help lure investors in the pharmaceutical sector to begin turning their attention to the Region for investment.

 

Source: Ghana News Agency

Be guided by ILO’s HIV/AIDS workplace policy – Dr Ayisi Addo

Tema, Dr Stephen Ayisi Addo, Programme Manager, National AIDS/STI Control Programme (NACP), has urged the management of establishments to be guided by the Internal Labour Organization’s code of practice on HIV/AIDS in formulating a HIV policy for their institutions. He said a properly structured workplace policy based on the ILO’s code would serve as a guide in handling employees who might contract the virus.

Dr Ayisi Addo said this at the fifth Ghana News Agency stakeholder engagement at Tema.

The event provides a platform for state and non-state actors to address national issues and to recognize the editorial contribution of reporters towards national development.

Dr Ayisi Addo spoke on the topic: “Workplace policy on HIV/AIDS, who enforces it: Legal basis for churches demanding HIV/AIDS test from would-be partners? Role of partners of an infected individual.”

He said there were 10 key principles of the ILO Code of Practice on HIV and AIDS and the World of Work, starting with the acceptance that HIV/AIDS was a workplace issue as the workplace could play a vital role in limiting the spread and its effect.

He said the objective of the ILO code was to provide a set of guidelines to address the HIV/AIDS epidemic in the world of work and within the framework of the promotion of decent work.

It covers key areas of action including prevention of HIV/AIDS; management and mitigation of the impact of HIV/AIDS on the world of work; care and support of workers infected and affected by HIV/AIDS; elimination of stigma and discrimination based on real or perceived HIV status.

The other principles, he noted, include non-discrimination, explaining that there should be no discrimination or stigma against workers on the basis of their real or perceived HIV status as casual contact at the workplace did not carry any risk of infection.

Gender equality, he said, was also key and vital to the prevention of the spread of HIV infection.

Dr Ayisi Addo said among the ten principles was the creation of a healthy work environment, which should minimize occupational risk and be adapted to the health and capabilities of workers.

He indicated that a good HIV/AIDS policy, according to the ILO code, also needed the cooperation and trust of employers, workers, and governments through social dialogue, adding that there must be no HIV screening for purposes of employment.

“Testing for HIV at the workplace should be carried out as specified in the Code, should be voluntary and confidential, and never be used to screen job applicants or employees,” he said.

He noted that existing ILO instruments on confidentiality must be applied in respect of revealing personal data, which included a worker’s HIV status.

Dr Ayisi Addo stressed that it could only be disclosed to others in a health setting which was referred to as shared confidentiality. “If I am taking care of a patient and referring to another person, my colleague must know to provide the right medication this is for purpose of continuity of care.”

He said workers with HIV-related illnesses should work for as long as medically fit in good conditions and that they must benefit from affordable health services as well as statutory and occupational schemes.

Dr Ayisi Addo noted that social partners were in a unique position to promote HIV/AIDS prevention efforts through information, education and support for behaviour change.

 

Source: Ghana News Agency

German Development Agency and partners develop flood risk App for Accra residents

The App called ‘My Flood Risk Accra’ developed under the Developing Risk Management Approaches for Climate and Health Risks (SAGABI) could be accessed on Google play and the apple store.

It gives information on flood response, recovery and insurance measures that could be taken to minimize impact.

Mr Mohammed Adjei Sowah, the Chief Executive Officer of the Accra Metropolitan Assembly, who disclosed this at a closeout session of the SAGABI, said it was jointly developed closely with the Ghana Meteorological Agency and three key Municipalities.

The SAGABI, which was a strategic Alliance between GIZ and Allianz joined forces with BIMA forming the Strategic Alliance GIZ, Allianz, BIMA sought to develop suitable risk management approaches for the Greater Accra Metropolitan Area.

The project also aimed at enabling underserved consumers to access simple and affordable mobile-delivered insurance and health services as well as to increase overall insurance awareness and health literacy.

Mr Sowah said through the project a contingency plan guideline and monitoring tool for cities, and urban resilience training manuals on disaster management had been developed.

“We have witnessed in this year, catastrophic disasters around major cities in the world. In the Upper West Region, roads have been washed away cutting of key food security routes and sections of our country with dire consequences on livelihoods and communities,” he said.

 

Source: Ghana News Agency