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Absence of RBC antibody screening puts babies at risk

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Dr (Mrs) Lilian Antwi Boateng
Dr (Mrs) Lilian Antwi Boateng

A NEW study has revealed alarming gaps in antenatal care in Ghana, where routine screening for Red Blood Cell (RBC) antibodies is largely absent, leaving many babies at risk of preventable complications and death. The research, conducted between June 2024 and June 2025 at a secondary referral facility, was led by Dr (Mrs) Lilian Antwi Boateng, Senior Lecturer at the Department of Medical Diagnostics, KNUST, with support from Mr Bastu Odoka, Principal Medical Laboratory Scientist at Effia Nkwanta Hospital.

The study, involving 411 pregnant women, found that nine (2.2 per cent) carried potentially harmful antibodies. Among RhD- (a protein found on the surface of red blood cells) negative mothers, the prevalence of anti-D antibodies was 17.1 per cent — higher than rates reported in other African countries.

Two babies born to affected mothers developed serious complications; one died on the third day of life, while the other survived after intensive care. According to Dr Antwi Boateng, in a chat with The Spectator, the absence of routine RBC antibody testing in most hospitals is contributing to stillbirths, preterm births, and neonatal deaths.

In Ghana, these conditions occur at estimated rates of 1.2 per cent, 37.3 per cent, and 2.3 per cent respectively, based on recent studies. Although anti-D prophylaxis — two injections given during pregnancy and shortly after birth — can prevent sensitisation almost entirely, access remains limited.

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Only 49 per cent of eligible mothers in the study had received the injections, far below the World Health Organisation’s recommendation of 100 per cent coverage. The drug, which costs about GH₵750 per dose, is often unavailable or unaffordable, leaving many women unprotected.

Health experts, including Dr Antwi Boateng, are calling for urgent reforms: routine antenatal RBC antibody screening, enforcement of national protocols for RhD immunoprophylaxis, and inclusion of anti-D immunoglobulin in the National Health Insurance Scheme. They also recommend training healthcare providers to detect and manage maternal antibodies.

“This is a preventable tragedy,” Dr Antwi Boateng stressed, noting that every Ghanaian baby deserves the chance to be born healthy.


From Kingsley E. Hope, Kumasi

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24 Hour Economy Authority signs MoU to plan Volta Economic Corridor

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The 24 Hour Economy Authority has signed a Memorandum of Understanding with Hunan Architectural Design Institute Group to support the planning of the Volta Economic Corridor.

The agreement aims to guide how land within the corridor will be used, design key infrastructure, and develop systems that will support large scale production.

The partnership will focus on detailed planning to make the area ready for investment and smooth business operations.

The project will include the development of agroecological parks, industrial zones, and transport networks to connect production centres to markets.

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According to the Authority, proper planning is critical to building strong economic systems and expanding production across the corridor.

It noted that the collaboration with the Chinese design firm will help lay a solid foundation for industrial growth and long term development within the Volta Economic Corridor.

By: Jacob Aggrey

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GBA President urges humility and fairness in justice delivery at Supreme Court anniversary

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President of the Ghana Bar Association, Efua Ghartey, has called on judges and lawyers to carry out their duties with humility, fairness, and a strong sense of responsibility.

She made the appeal during the Supreme Court at 150 celebration held at the University of Ghana, under the theme “Honouring the past, celebrating the present and defining the future.”

Addressing participants, she noted that those in the legal profession occupy positions of great power and influence, and must therefore remain humble in the discharge of their duties.

She urged both the bench and the bar to deliver justice without fear or ill will, stressing the need for fairness in handling cases.

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Reflecting on the significance of the celebration, she explained that the year 1876 marks not only the establishment of the Supreme Court but also the beginning of formally trained lawyers in the Gold Coast.

The GBA President questioned what Ghana would be without the rule of law, which is upheld by judges and lawyers, adding that the country could descend into a system where only the strongest survive if justice is not properly administered.

She further encouraged legal practitioners to reflect on their responsibilities and remain committed to upholding the rule of law for the benefit of all citizens.

By: Jacob Aggrey

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