Gender
Awareness: First weapon against breast cancer
October is globally observed as Breast Cancer Awareness Month -a period dedicated to raising awareness, honouring millions of lives touched by the disease, and reaffirming the worldwide commitment to equitable access to care and improved survival for all.
This annual observance, marked in countries across the globe, serves as a rallying point to increase attention and support for early diagnosis, treatment, and survivorship. The 2025 theme, “Every story is unique, every journey matters,” places a spotlight on the deeply personal experiences of breast cancer survivors and patients. It underscores the diversity of their struggles while reinforcing the urgent need for compassionate, timely, and quality care regardless of geography, income, or background.
Behind every diagnosis lies not only a medical condition but also a story-one filled with courage, resilience, and hope. These stories extend beyond individuals, shaping the experiences of their families, friends, and entire communities.
Breast cancer continues to be the most diagnosed cancer among women worldwide. According to the World Health Organisation (WHO), approximately 2.3 million women were diagnosed in 2022, and about 670,000 died from the disease.
“These are not just numbers but mothers, sisters, daughters, and friends who deserve hope and dignity,” the WHO emphasises.
Survival rates, however, differ starkly across regions. While the five-year survival rate exceeds 90 per cent in high-income countries, it drops to 66 per cent in India and 40 per cent in South Africa. The reasons are clear: unequal access to early detection, timely diagnosis, and effective treatment.
If current trends remain unchecked, both incidence and mortality are projected to rise by 40 per cent by 2050. To address this, the WHO established the Global Breast Cancer Initiative in 2021, working with partners to strengthen health systems and reduce preventable deaths worldwide.
The situation in Ghana
In Ghana, breast cancer poses a particularly pressing public health concern. It is the most common cancer among women, accounting for about 15 per cent of all malignancies.
Studies reveal a troubling trend: almost 70 per cent of women are diagnosed at advanced stages, where treatment options are limited and survival rates much lower. In 2012, nearly half of Ghanaian women diagnosed with breast cancer lost their lives to the disease.
These statistics point to late presentation, cultural stigma, and limited access to screening facilities as some of the key factors fuelling high mortality.
Experts warn that unless more women come forward for early screening and timely treatment, these figures may remain stubbornly high.
Executive Secretary of the Breast Cancer Society of Ghana (BCSG), Mrs Georgina Kumah-Dzagah, said the numbers are not just statistics, they represent lived experiences. A survivor herself, she knows first-hand the difference early detection and treatment can make.
“My journey could have ended differently if I had ignored the early signs,” she reflected. “That is why the theme ‘Catch it early, treat it right, survive it’ is not just a slogan to me. It is a lifeline that can save countless women.”
Mrs Kumah-Dzagah believes awareness is the first weapon in the fight. She stresses that women must be proactive, know their bodies, and act quickly when something feels unusual.
“A lump, nipple discharge, or changes in the skin should never be ignored or treated with fear and silence,” she explained. “Hospitals and screening centres are there to help us, not to harm us. Early detection gives the best chance for a cure.”
The Executive Secretary also raised concern about the role of misinformation and reliance on untested remedies saying, too often, delays and misplaced trust in alternative cures cost lives.
“Treating it right means trusting science and trained professionals,” she stressed. “Modern treatment -whether surgery, chemotherapy, radiotherapy, or hormone therapy -may be tough, but it saves lives. I went through these treatments myself, and though the journey was not easy, I am living proof that treatment works when given at the right time.”
Her message resonates strongly in a society where cultural beliefs sometimes discourage women from seeking hospital care, and myths about breast cancer fuel stigma.
For Mrs Kumah-Dzagah, survival is not simply about conquering the disease. It is also about reclaiming life, hope, and purpose.
“Breast cancer is not a death sentence,” she affirmed. “Survivorship comes with challenges, but it also brings strength. Today, I speak not just for myself but for every woman still in the fight.”
A call for collective action
Mrs Kumah-Dzagah believes that breaking the silence and stigma around breast health is critical. She called on women, families, and communities to support open conversations and proactive health checks.
She said “let us be bold to check, quick to act, and committed to supporting each other. If we catch it early and treat it right, we will surely survive it.”
She said, BCSG continues to lead nationwide campaigns to create awareness, encourage screening, and support patients and survivors.
Through advocacy and education, the organisation, she said reminds women that vigilance, timely treatment, and community support can turn the tide against breast cancer.
By Esinam Jemima Kuatsinu
Join our WhatsApp Channel now!
https://whatsapp.com/channel/0029VbBElzjInlqHhl1aTU27
Across many farming communities in Northern Ghana, women routinely carry their infants on their backs while engaging in strenuous farm labour. This practice, though rooted in necessity and resilience, exposes both mothers and their babies to significant health risks, particularly musculoskeletal strain and developmental concerns.
For these women, the decision to take babies to the farm is rarely optional. It reflects the absence of affordable childcare, entrenched gender roles, and persistent economic pressures that compel women to combine farming, childcare, and household duties simultaneously.
Everyday Reality
In many rural communities in Northern Ghana, women begin their day before sunrise, balancing farm work with domestic responsibilities such as fetching water and firewood, cooking, and caring for children. Carrying infants on their backs, strapped with cloth, enables them to breastfeed and monitor their babies while going about their farming activities.
The use of outdated tools increases the risk of sprains and strains. Exposure to pesticides, extreme heat, and zoonotic infections further endanger women, especially those who are pregnant or breastfeeding.
Effects on Mothers
Dr. Enoch Harvoh, a Senior Medical Doctor at the Tamale Teaching Hospital, explained in an interview with GNA that the primary health risks stem from prolonged physical strain. He identified several key concerns, including musculoskeletal pain, postural changes, chronic fatigue, injury risk, and other hazards such women face.
Dr. Harvoh explained that musculoskeletal issues such as chronic lower back, upper back, neck, and shoulder pain are common among women who farm with babies on their backs. He added that back-carrying alters spinal alignment, increasing pelvic tilt and causing abnormal curvature of the spine, medically described as cervokypholordotic posture.
The combination of farming, domestic work, and childcare leads to severe physical exhaustion and stress, while frequent bending, squatting, and lifting further contribute to physical strain.
Effects on Infants
While back-carrying supports bonding and infant safety, prolonged exposure in farm environments presents risks to infants. These include:
- Lower limb development concerns
- Restricted movement and visual stimulation
- Potentially affected sensorimotor development
- Exposure to farm hazards including chemicals, machinery, and excessive heat
According to Dr. Harvoh, some studies link extended back-carrying to changes in leg alignment, such as genu valgum (knock-knees), though these are often within normal clinical limits.
Labour and Time Constraints
Women face chronic labour shortages, especially during peak farming seasons. Combined with unpaid domestic work and childcare, this creates extreme physical and mental strain.
Madam Saada Abdul, a farmer from Kpadjai in the Kpandai District, told GNA that she regularly carries her baby while weeding, harvesting, transporting crops, and cooking. “The work is very hard, and the baby’s weight adds to the pain in my back and waist. I hardly get time to rest compared to my husband,” she said.
Similarly, Madam Ramatu Iddris from the Nawuri community explained that women often prioritise labour on their husbands’ farms, reducing productivity on their own plots. Limited access to tractors, credit, extension services, and market information forces many women to rely on manual labour while carrying their babies.
These compounded challenges heighten women’s vulnerability to climate shocks such as drought, erratic rainfall, and economic downturns.
Intersecting Challenges
The practice of carrying babies to farms is embedded within broader structural inequalities. Customary inheritance systems largely favour men, leaving women with limited access to land. Many women farm on their husbands’ plots or borrow small, less fertile parcels of land, discouraging long-term investment and access to credit or extension services.
Women account for more than half of Ghana’s agricultural labour force, particularly in subsistence farming in the Northern Sector, yet much of their work remains informal and undervalued, with limited recognition in economic planning and policy frameworks.
Resilience and Coping Strategies
Despite these hardships, Northern women farmers demonstrate remarkable resilience. Common coping mechanisms include forming women’s farming groups to access training, credit, and inputs. Livelihood diversification, such as engaging in shea butter processing, poultry rearing, petty trading, charcoal production, and seasonal migration, can help supplement income.
Recommendations
Stakeholders in agriculture, health, and local governance must prioritise targeted interventions to reduce the physical burden on women farmers. Key recommendations include:
- Establishing community-based childcare centres to reduce the need to carry babies to farms
- Providing practical ergonomic training on safe lifting, posture, and culturally appropriate baby-carrying techniques
- Improving access to appropriate farm tools and small-scale mechanisation
- Strengthening workplace protections through rest breaks, access to potable water, and protective equipment
- Formally recognising women’s unpaid care and agricultural labour in national and district development planning
Health professionals also recommend targeted strengthening and stretching exercises for the lower back and pelvic muscles to mitigate long-term physical strain associated with combined farming and childcare responsibilities.
Conclusion
Women farmers are indispensable to Ghana’s food security and rural livelihoods. Yet their contributions come at a high personal cost due to systemic inequities, limited support services, and entrenched gender roles.
Addressing the health and productivity challenges faced by women who farm with babies on their backs is not only a matter of equity but a critical investment in national development, public health, and future generations.
—GNA
Join our WhatsApp Channel now!
https://whatsapp.com/channel/0029VbBElzjInlqHhl1aTU27
A training and capacity-building workshop was held on Thursday for the media to intensify coverage on gender-based issues to support women’s participation in leadership and governance in Accra.
The workshop, held under the theme ‘Strengthening Advocacy for the Implementation of Ghana’s Affirmative Action (Equity) Law, 2024 – The Case of the Media’, brought together journalists from selected media houses.
The Convener of the Affirmative Action (AA) Law Coalition, Ms Sheila Minka-Premo (Esq.), stressed that the media has a critical responsibility to educate the public on the importance of the Affirmative Action Act, noting that sustained and informed reporting would strengthen advocacy and support the effective implementation of the law.
While commending both the Legislature and the Executive for the passage and presidential assent of the Affirmative Action Bill into law, the AA Law Coalition Convener appealed to government to address existing gaps. These include the constitutional provision of 30 per cent women’s representation in politics, inadequate policy frameworks to advance affirmative action, and weak compliance by state institutions.
She charged the media to highlight and promote the role of women in leadership and to actively support a smooth and effective implementation process of the Act.
In her welcome address, Executive Director of ABANTU for Development, Dr Rose Mensah-Kutin, said the training sought to strengthen journalists’ advocacy skills to enable them to educate the public on the provisions and significance of the law.
Dr Mensah-Kutin commended ActionAid Ghana for supporting the advocacy efforts, urging the media to prioritise the law to ensure its sustainability.
The Affirmative Action (Gender Equity) Act, 2024 (Act 1121) was passed by Parliament in July 2024 and received presidential assent in September 2024, following years of sustained advocacy by women’s rights organisations, gender activists, and other stakeholders.
By Linda Abrefi Wadie
Join our WhatsApp Channel now!
https://whatsapp.com/channel/0029VbBElzjInlqHhl1aTU27
