Features
Agenda 111: Potential impetus to health growth

A few days ago, the country witnessed a sod-cutting ceremony at Trede in the Atwima Kwanwoma District of the Ashanti Region to put up the construction of 111 regional and district hospitals to make Ghana emerge a country with excellent health facilities, the best in the sub-region of West Africa, to prove in practical terms that our lovely country is ready to let the world see how determined it is to lead the way to progress.
Of the 111 hospitals being constructed, 88 are district hospitals while the remaining 13 will represent regional hospitals with two others being specialised hospitals for psychiatric purposes for the Northern and Middle Belts.
In fact, this is the largest investment ever made in the medical history of Ghana since independence and having been carried out by President Nana Addo Dankwa Akufo-Addo, the country salutes this noble man for his vision and foresight.
On the face of it, many people will not see the health significance of this huge project and its relationship to economic growth in the country. It is, therefore, important for us to examine the relationship between this project and potential economic growth of the country.
MEANING OF HEALTH
Health does not necessarily refer to the absence of disease, according to the World Health Organisation (WHO). Indeed, the absence of diseases may be important but good health depends on that we find ourselves in a situation where people will be able to enjoy the peace to create activities that lead to socio-economic development in their lives and in the nation. This means that if people are hindered by obstacles that make it possible for them to promote development in their lives, the state of health cannot be said to be good.
There is no doubt that the state of health impacts economic growth in several ways. In the first place, when hospitals exist to cater for the health needs of the people, it makes them healthy and strong to increase productivity. Good health, due to productivity of hospitals, reduces illness on the part of people and enables them to get better nutrition following the guidance given them by the hospitals through quality medical care. This helps to lower absenteeism on the part of workers.
Apart from this, it helps to improve the state of absenteeism on the part of school children, leading to better learning and stronger population. Again, the absence of enough hospitals often leads to increasing illnesses that cannot be easily addressed due to the absence of medical facilities. As a result, efforts are made in form of alternative financial investments for the treatment of the sick population.
ENOUGH HOSPITALS
The availability of enough hospitals in the districts and regions would have made it possible for such investments or financial resources to have been used for alternative projects that could have stimulated a higher rate of socio-economic development. Thus, the 88 district hospitals under construction together with the other 13 regional hospitals including those for psychiatric purposes are meant to promote socio-economic development directly and indirectly in the country.
By implications, therefore, the state of health in a country affects economic growth through productivity of labour. When people fall sick and cannot be treated by reliable medical facilities, it means that the economic burden of illnesses will thwart every effort being made for greater productivity as well as general growth in the economy. If, for example, the health of children is negative due to frequent illnesses in areas without health facilities, the burden of child health will affect the future income of people through the impact health has on education.
Here, the children will not be able to go to school regularly and the financial burden incurred by parents will adversely affect the trend of education in the country. If the trend of education is affected in this way, what it means is that the quality of population produced for the future will not be able to live up to expectation in terms of excellent labour force and high productivity.
INDIRECT IMPACT
This indirect impact is easier to understand if it is observed at the family level. By way of illustration, if a family is healthy, both the mother and father can concentrate on their jobs and earn some money which will allow them to feed and protect the family. In the same way, it will empower them to send their children to school. Ultimately, therefore, healthy and well-nourished children will be able to perform better in school. As these children perform better in school, they will be able to prepare themselves positively for higher or better income in future.
What this means is that if parents can envisage that their children have a high probability of reaching adulthood, they will give birth to fewer children and be able to invest more in terms of time and effort in their health and education.The point being made is that when families suffer from poor health leading to loss of children through death, they decide to have many children so that after a few deaths, some of the children can remain as human assets for their parents.
It is for this reason that in the past, in many farming areas, many parents gave birth to many children so that after a few deaths some of them would be available to help them on their farms. This means that there is a link between availability of medical facilities and the social norms and values of societies. Thus, the construction of the 111 regional and district hospitals, thanks to President Akufo-Addo and his administration, has a huge positive implication for the country’s socio-economic development and should, therefore, not be taken for granted. In other words, families with good health will not necessarily have to bring forth many children and the few children brought forth will not place huge economic burden on the state, thereby accelerating the rate of socio-economic growth.
88 HOSPITALS AND MORE
It is good that the construction of the 88 district hospitals has begun with the sod-cutting by the President a few days back. Indeed, the construction of the regional hospitals, like the district hospitals, is also dependent on the availability of suitable land for that purpose and their construction will begin towards the end of the year as indicated by President Akufo-Addo. The good news is that each hospital will be a modern state-of-the-art single-storey health centre, featuring patient reception and processing area, administration, pharmacy, laboratories/diagnostics, physiotherapy, public health, accident, and emergency facilities.
BIGGEST HEALTH INVESTMENT
As already indicated, this would be the biggest investment in health care in the country and for this reason, they should be monitored on continuous basis by the districts through the District and Metropolitan Chief Executives, whether already on the job or will be in-coming new executives. The regional hospitals, when they also begin later, should be closely monitored by Regional Ministers so that regular accounts on progress of work can be given to Ghanaians who happen to be the chief stakeholders in this enterprise.
President Akufo-Addo and his administration mean business so the entire nation must give them, but not listen to desperate propagandists in the country, the support needed to propel Ghana to a higher pedestal of socio-economic development.
Contact email/WhatsApp of author:
Pradmat2013@gmail.com (0553318911)
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Features
Farmers, fund and the mafia


The notion some people have about the Sikaman farmer can be amusing. It is the belief of some that immediately a struggling farmer manages to grab a loan, the first thing he does is to invite his abusua (kith and kin) home and abroad.
He organises a mini-festival using palm wine mixed with Guinness as the first course. There and then he announces that he is no longer a poor man; in effect he has ceased to be the close buddy of Mr John Poverty.
The ceremony will be consummated with singing and breakdance, a brief church service, drama and poetry recitals.
At least three bearded goats complete with moustache and four cockerels would be sacrificed in various recipes to celebrate the farmer’s broken alliance with poverty. Some would end up as fufu and light soup, grilled chicken, toasted mutton and smiling goat-head pepper soup. In short, the loan was well taken and well utilised.
The farmer’s prosperity begins right from the stomach. His idea is that if you don’t prosper in the stomach, there is no way you can prosper outside it.
Some farmer are ‘wiser’ though. When they get the loan, they promptly look for new wives. They can no longer continue enjoying one soup everyday like that. Variety is the spice of life! A new wife would bring new zest, new hope and heavenly glary into the farmer’s life. Most importantly the new wife would bring more action into his waist.
So the loan goes indirectly into promoting physical exercise for the human waist instead of the expansion of the farm, purchase of new equipment and improved seeds. Farmers of this nature are jokers, not farmers.
Is it probably because of these whimsical reasons that the banks are reluctant to grant loans to farmers? Obviously with the celebration of mini festivals and the installation of new wives, it is unlikely bank loans can ever be repaid. Of course, farmers who are more concerned about their libido can only be experts in re-scheduling loan payments and not in paying back loans.
Banks are very much concerned about getting their monies back with interest whenever they give out loans. So they demand collateral security as a requirement for the granting of loans. Some farmers actually don’t have anything they can put up as collateral except their hoes, cutlasses and wives. So they struggle through life, not going and not coming.
I do not blame the banks for not granting loans to those who cannot put up collateral. But what about those who are very serious farmers and can put up collateral. Should they also be denied?
Farming is seasonal and a farmer may need a loan only within a certain period to grow crops or breed birds. When the period elapses before the loans are granted, farmers are tempted to misapply the money because it lies idle. In fact, with idle money lying around, the farmer may be tempted to ‘purchase’ a new wife.
It goes without saying that farmers need money but for specific periods when the banks apparently do not take into consideration. Within three months in a year (main cropping season), a crop farmer must plant, nurture, harvest and sell. He applies for a loan and takes nine months or is not even granted. Meanwhile the money lies under his bed waiting to be enjoyed. Not all farmers are angels.
Now, If the government has seen and acknowledged the importance of farmers in national development and has instituted a Farmers’ Day which is a public holiday during which farmers are awarded, then government might as well also do something about funding for our serious farmers, at least the award winning ones to expand and grow since bank loans are not readily available.
Lama of Site 21, Tema, a man of great learning and of vision, has just been telling me that when a farmer gets an award, it means he knows his way about his job, is serious and diligent. According to him, most likely that such a person would also be investment-conscious and judicious in the use of his resources, and not interested in enstooling a new wife.
If government can set up a fund to assist, not with cash but by way of inputs, most of our farmers who have not had any assistance to propel themselves above sea level would be most thankful.
Interview a few award-winning farmers and they would tell you their palaver. The Overall Tema Municipal Farmer Mr Ellis Aferi and his wife Mrs Rosemary Aferi, began their Soka Farms Complex with ten fowls. The pig (a sow), was sent to a farm on a cart to be serviced and brought back breeding.
His piggery is now a real model of inspiration. “We started right from the scratch without any bank loan or financial assistance from any quarter. We placed our trust in labour, hard work and the advice of extension officers. Today we have a large piggery, poultry breeding house, mushroom and snail quarters, fishpond and beehives aside the rabbits we breed. All these without a penny from anywhere,” Mr Aferi told me just last week.
However, he bemoaned the current situation farmers are facing “We have exploited our creativity, our imagination and our muscles. There is a limit to productivity using only human labour and ingenuity. We now want to grow bigger but without funding there is little we can achieve in our bid to grow and develop.”
Mr Aferi like, his colleagues, uses about one ton of wheat bran to prepare feed for his birds, pigs, snails and fishes every week. When Food Complex was in operation, they had their wheat bran without problem. Today, there are mafia connections in the wheat bran trade.
According to all the livestock farmers I’ve spoken to, it is hard to get wheat bran from GAFCO or Irani Brothers directly. They allege that the companies prefer to sell to some wealthy women and top business-men who can buy wheat bran on conditional basis (that is together with flour and other products of the companies), than to farmers.
Then these women and businessmen through their agents resell the bran to the poor farmers at cut-throat prices. I don’t think the system is being fair to farmers. It is indeed a tragedy for the farmers who through their sweat and blood the nation is fed.
“We protest heart and soul,” one farmer yelled at me as if I was responsible for their plight. “How can I feed my birds and pigs satisfactorily if I cannot get wheat bran at the factory price? We disagree that because we are poor, things should be made difficult for us. The rich must not be allowed to exploit us like that.”
The proprietor of Soka Farms, Mr Aferi, for instance has risen from the discomfort of the dust and hardness of the earth to such an enviable height to be an award winner who now holds seminars for farmers, students and officials of organisations on his farm near the Ashiaman-Michel Camp barrier. He must be propped up, even if not with money with inputs on credit basis.
The government must think about setting up a special fund for such individual farmers to grow, while preventing them from cheats and those in the cloak of the mafia.
This article was first published on Saturday, September 21, 1996
Features
Mystery surrounding figure five
There seems to be something mysterious about the figure five or numbers ending in five. A few days ago I realised it was June 3, so I called my brother-in-law, to talk about his narrow escape from the disaster which occurred at circle in 2015.
It is a date that reminds the family each year of the goodness of the Lord every year since the incident. My brother-in-law had been standing and chatting with some friends at one of the shops that got burnt less than an hour before the incident happened.
Therefore for us as a family, we celebrate that day as a day of deliverance of one of us even as we sympathise with those who lost loved ones in that fire disaster. Later on after I finished talking to my brother-in-law and was reflecting on the incident and issues around it, another incident early on in that same year, came to mind.
The incident had to do with an air disaster in Europe and I began wondering if the number five in the figure 2015, had something to do with it.
Reports came through that a Lufthansa flight from Barcelona in Spain, flying to Germany, had disappeared from the radar around the Swiss Alps and that a search was being organised to try and locate it.
The result of the search established that the aircraft had crashed. What is even sad about this incident are the issues that led to its occurrence. Investigations conducted after the crash revealed that, it was deliberately caused.
It was revealed that, the pilot steeped out of the cockpit to go to the washroom. The co-pilot locked the door so no one could enter the cockpit without him opening it.
He then proceeded to set the aircraft on autopilot to crash the plane. When the Pilot realised that there was something wrong with the plane he rushed towards the cockpit, only to realise that it was locked.
He banged on the door to no avail. They tried contacting the co-pilot but he would not answer. Nothing in this world will be more painful than to see death coming and being helpless to prevent it. They could do nothing until the plane crashed.
A former girlfriend of the co-pilot revealed later to the investigators that he once told her that one day, he would do something that the world will forever remember his name. It came out later also, that he was told by his Doctor not to fly a plane again until his medical condition improves.
Apparently he had a mental problem but he kept it to himself and his employer never knew anything about his condition and he sadly killed high school students, about 60 from the same school, returning home from an educational tour in Spain.
This is one thing I have been praying against and I can imagine the grief of the parents of these students who tragically lost their lives.
In 2005, there was Hurricane Katrina which brought in its wake such a huge devastation in the United States. In that same year, an earthquake occurred in Kashmir resulting in over 86,000 people losing their lives, again note the last digit of the figure 2005.
I am therefore inclined to believe that we need to intensify prayer this year, 2025 to avert disaster. History has a way of repeating itself. Until I grew up, especially at the secondary school level, I wondered why we should study history and that apart from it being a reminder of dates on which certain events occurred, there was really no use for it.
I now know better that it is the basis for forecasting future events. Our teachers did not help us by not telling us the importance of history, maybe I would have become the National
By Laud Kissi-Mensah