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Chasing the ghosts out of the national pension payroll
A ghost is an apparition of a dead person which is believed to appear or become manifest to the living, typically as nebulous image. It is the soul of a dead person believed to be an inhabitant of an unseen world or to appear to the living in bodily likeness. The word ghost has been corrupted and used in our everyday life. For example, we often hear of ghost names that have found their way into payrolls of public institutions and workplaces, resulting in the loss of huge sums of revenue at the expense of the nation. Moneys are paid to faceless people as a result of negligence on the part of officials who manage the public purse, thereby causing financial loss to the state.
HUGE AMOUNT RECOVERED FROM GHOST NAMES
Recently, Ghanaians were told that the Social Security and National Insurance Trust (SSNIT), in an aggressive drive to rid its books of ghost pensioners, has raked in over GH¢320 million savings which otherwise, would have gone to ghosts or faceless beneficiaries of the Pension Scheme who had passed on without their knowledge. According to the Director-General of SSNIT, Dr John Ofori-Tenkorang, the amount which had been withheld since 2018, covered the category of deceased pensioners whose guaranteed pensions entitlement had been exhausted.
“For persons who are on PNDC Law 247, that is the age of 72 and pensions on Act 766, that is the age 75…but at the moment, no pensioner who is on Act 766 is that old because, they recently just started going on pension. Every year, we have to ensure that pensioners reach out to the Trust and undertake their biometric registration…however, we know that this can come at an inconvenience for pensioners who may be bedridden or incapacitated and cannot come to the SSNIT offices,” he told journalists outside parliament on July 27, 2022.
COMPLETION OF PENSIONER CERTIFICATE
He explained before the Public Accounts Committee that, in order to ensure that payment of funds to deceased pensioners aged 72 years and above, under PNDCL 247 and those aged 75 years and above under Act 766, ceases, all pensioners within the stated age categories, were required by policy to complete a Pensioner Certificate once every year to confirm that they are alive. “Those who do not complete the certificates are deemed not to be alive and, therefore would have their names deleted from the pension payroll,” he told the committee.
He further explained that the SSNIT in 2018, changed the Pensioner Certificate renewal frequency from once every three years to once a year in a move to promptly identify and delete deceased pensioners age 72 years and above, adding that the Trust has since implemented a number of measures including Electronic tracking, deactivation of names of pensioners due to annual Pension Certificates Renewal in the new Operational System to tackle issues concerning deceased pensioners.
PLUGGING THE LOOPHOLES IN PAYROLL
The Director-General deserves commendation for the pragmatic policies put in place to plug the loopholes within the payroll of pensioners that enabled the country to rake in a lot of money that could have gone to the drain. The Pension Scheme had over the years been fraught with enormous challenges in which moneys were paid to deceased pensioners through their banks to their families and relatives, because of lack of information about them due to failure to report about their death by relatives and relations to the Trust for their names to be expunged or taken out from the beneficiaries’ payroll.
That problem might not come from SSNIT per se. It could be either from the establishments or institutions where the deceased worked, of which the failure by the employers to inform the Trust about the death or the reluctance of the deceased’s families to communicate the information on the demise of their relations to the SSNIT. In the case of pensioners, even though their entitlements have been duly paid to the deceased persons before they passed on to eternity, their monthly allowances will continue to be paid at the blind side of the Trust since there is no available information concerning their death. For this reason, the country will continue to have ghost names on the SSNIT payroll.
INDEPENDENT INVESTIGATIONS BY SSNIT
Under the Pension Act, SSNIT upon receiving information of the death of a member including evidence of death will conduct its own investigations to ascertain the death and afterwards request the nominated and approved beneficiaries to apply for the benefits. If the deceased had not yet retired, most schemes will pay out a lump sum that is typically two or four times their salary. If the person who had died was under 75, this lump sum is tax-free. This type of pension usually pays a taxable survivor’s pension to the deceased spouse, civil partner or dependent.
For the benefit of my cherished readers and patrons, I will like to dwell a bit on the Pension Act of Ghana as it relates to deceased persons to enable them to be abreast of how it operates. The National Pension (Amendment) Act 883 was passed by Parliament on 31st December 2014 with the objectives of reducing the age exemption of those who Act 766 became applicable from its inception on January 1, 2010 from 55 years to 50 years and a mandatory contribution scheme with monthly contributions of five per cent on the basic salary of all employees among others.
WHAT THE PENSION LAW SAYS ABOUT DECEASED PENSIONER
After death, the pension benefits vary depending on the type of pension you operate. More often, the spouse of the pensioner can receive benefits upon the account holder’s death. That will be equal to quarter of the emolument for each completed six monthly period of qualifying service, subject to a minimum of 16.5 times the emoluments. Some pensions end at death, meaning that no beneficiary or family member gets the right to claim the pension. However, other pensions provide for payments to surviving spouse or dependent children for a few years and longer for others.
I am not an expert in pension matters but from my little research, I can conclude that the National Pension Scheme, is such a laudable venture which every worker in the country should take advantage of because there are more prospects involved in the scheme, especially when one retires from active service and has nothing to depend on, but to rely on your pension allowance. Life after retirement, is not an easy thing at all, because that is the time you will face a lot of challenges, especially healthwise. You have to invest a lot in medications to keep your body fit, healthy and active, and your pension money, although meagre can at least support, sustain and help you to manage yourself somehow.
PAYMENT OF COLA TO PENSIONERS
This is an issue which should be well considered by the government and to take a critical look at it because of the meagre allowances enjoyed by pensioners in the public service to cushion and help them to manage the high cost of living.
The management of the scheme must consider the recent petition by the Trades Union Congress (TUC) and other well- meaning Ghanaians about the need to pay Cost of Living Allowance (COLA) to pensioners in view of the current economic hardship to enable them to make ends meet. It is also important for workers to fight for better monthly wages and salaries instead of allowances, so that when they finally retire from active service, their pension entitlements will be higher, since the calculation of end- of- service pension is based on monthly salaries not allowances.
The scheme should be well protected and safeguarded, while at the same time ensuring that people are honest to report the death of their deceased relatives and family members, to enable the management of the scheme to expunge their names from the pension payroll to maintain and safeguard the integrity of the scheme.
By Charles Neequaye
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The driver stopped the vehicle at the gate of the large, fenced property along the Nsawam Highway, and Kakraba stepped out to meet the several workers who had gathered to wait for him.
He greeted them and went straight to the point.
“Gentlemen, I am glad to see that you have almost completed the clearing of the land. I’m happy to report that we have concluded all arrangements with Nana Serebour, and construction of the palace will start in a few days.
“I will need you to go and level the ground, and then come back to start this project. Some workers from a construction company will come and join us.
“My plan is to build twenty houses in four months. Then we will do twenty more until we reach two hundred.
“I am relying on you to help me deliver good-quality work to satisfy our clients and, as I have already indicated to you, I will reward you for your work.”
After an hour’s discussion, he closed the meeting and moved to drive away. Wofa Yaw drew closer.
“Director, can you please spare me five minutes? I would like to discuss a small issue.”
“Why, Wofa Yaw? Your wife has threatened to leave you?”
“No, Director. My wife will never leave me. This concerns a young niece of mine.”
“I hope it’s something I can help with. Please sit in the car and let me hear you.”
“Boss, my niece, Beesiwa, is a polytechnic graduate, very beautiful and with very good character.
“Unfortunately, her parents virtually forced her into a relationship with an idiot based in the US, which affected her badly. She has now recovered from that experience and, Boss, I am respectfully asking if you would find a job for her.
“I promise you that you will never regret it.”
“Well, Wofa Yaw, let me meet her and speak with her. I may be able to help, maybe not in the way you expect, but let me meet her.
“I will not be back here for another week, but I will be at the office throughout next week. You can come with her.”
On Monday morning, Wofa Yaw and Beesiwa were seated at the office by nine o’clock. Three young ladies welcomed them warmly, offered them soft drinks and assured them that Kakraba would be there shortly.
They then returned to their desks and sat behind computers with large screens displaying various building designs.
Kakraba walked in and greeted them warmly. After chatting briefly with the three ladies, he ushered Wofa Yaw and Beesiwa into his office.
“Director, this is my niece, Beesiwa. I mentioned her to you when you came to Nsawam.”
“Yes, indeed. Madam Beesiwa, you are very beautiful, just as your uncle said. Wofa Yaw is my colleague.
“We have just started a building project that will take about three to four years. He mentioned that you have a small problem, so I said I would like to meet you and see how I can help.
“So, Beesiwa, please tell me a little about yourself.”
Beesiwa described her childhood, her school experience, her brief work at the bank and the nasty episode with Sammy Abrokwa, which shattered her peaceful life. She also explained how she had been recovering from the experience.
“I am really sorry to hear this,” Kakraba said. “Now, here is what we are going to do.
“We are a small but very busy company. The three ladies out there spend most of the day on site and come back to report on their work in the morning.
“I have three main projects. The big one is an estate project in Nsawam, where your uncle is one of my main colleagues. I need a personal assistant who can take care of my activities, especially when I am not in town.
“Now, we will have to start with trust. Based on what I know about Wofa Yaw, and based on what you yourself have told me, I think we can start on a sound basis.
“So, Wofa Yaw will take you to my home. You can move into one of the four guest rooms.”
“Sir, I have taken some computer lessons, and I have even done graphics and web design,” Beesiwa said.
“Fantastic! I will give you a good phone and a laptop. I will also arrange computer lessons for you.”
“Now, Wofa Yaw, take her home. My sister, Kuukuwa, will meet you and show you around, and then you can return to Koforidua.
“When would you like to start work?”
“Sir, I would like to start today, but I would need to go and bring my things.”
“No problem. Take a taxi to my house, meet my sister, and let me know what you decide.”
Later that day, Kakraba and the three ladies met with some bank officials to conclude the sale of the three buildings at Adabraka.
They closed at five-thirty and, after rewarding the ladies for their hard work, Kakraba got home just after dark.
He was surprised to find Kuukuwa and Beesiwa sitting at the table enjoying supper.
“What’s happening here?” he asked. “Beesiwa, I thought you would return to Koforidua.”
“She changed her mind,” Kuukuwa said. “We went to the mall and bought a few things for her. Then we came back to cook. She has made some nice changes to your bedroom and cooked a couple of interesting dishes. Sit down; we will serve you.”
“Well, I certainly can’t refuse that. It’s been a busy day.
“So, what’s the plan now? Will Beesiwa go to Koforidua tomorrow, gather her things together and come down?”
“No, I will stay here for a while,” Beesiwa replied. “Kuukuwa bought me the things I need, so I may go back next week. I’m ready to start work. What would you like me to start with?”
“Well, you can come to the office tomorrow morning, meet the three girls and get a feel for what we do.
“Since you are living here, at least for now, we can discuss the plans for the next few weeks.
“Sometimes there are gaps when I travel up north. You can take care of things from now. I think the girls would like having someone like you around.”
By Ekow de Heer
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A frequent question following breast surgery is whether human tissue possesses the regenerative capacity to restore an excised organ.
From a strict physiological standpoint, a completely removed breast cannot regrow. Unlike certain organisms that can regenerate complex limbs or organs, adult human tissues—particularly specialised glandular structures—lack the cellular machinery required to rebuild an entire organ after its total surgical removal.
Instead, the body heals the surgical site through processes such as scar tissue formation and re-epithelialisation rather than complete cellular regeneration.
What a mastectomy actually removes
To understand why natural tissue regeneration does not occur, it is important to examine the surgical scope of a mastectomy.
Depending on the type of procedure and the medical reason for surgery, a mastectomy may involve the removal of:
Glandular architecture: The milk-producing lobules and ducts that form the functional core of the mammary gland.
Adipose tissue: The fatty tissue that contributes to breast volume, projection and contour.
Other breast tissue: The extent of tissue removal varies according to the type of mastectomy and the need to achieve appropriate surgical clearance.
Because specialised breast structures are physically removed, the body does not rebuild a complete mammary gland. Instead, healing occurs through tissue repair and scar formation.
Distinguishing residual tissue from “regrowth”
Patients or observers may notice changes in the chest area after surgery, sometimes leading to misconceptions about tissue regeneration.
Skin- and nipple-sparing procedures
Modern breast surgery may preserve the outer skin envelope or, in selected cases, the nipple-areola complex. Small amounts of breast tissue may remain depending on the surgical technique. Any changes in remaining tissue due to hormonal fluctuations represent residual tissue responding to the body, rather than the regrowth of a completely removed breast.
Adipose accumulation
Weight gain after surgery can increase the amount of subcutaneous fat across the chest wall. However, this is part of general body fat distribution and does not represent the regeneration of a mammary gland.
Modern reconstructive pathways
Because a completely removed breast does not naturally regenerate, modern medicine offers reconstructive options aimed at restoring physical symmetry, contour and body image.
The two main approaches are implant-based reconstruction and autologous, or tissue-based, reconstruction.
Implant-based reconstruction
Implant-based reconstruction uses synthetic medical devices, typically filled with silicone gel or saline, to rebuild the breast mound following a mastectomy.
The two-stage process: This approach may begin with the placement of a temporary tissue expander to gradually create space and stretch the surrounding tissues. A later procedure may then be performed to place a permanent implant.
Recovery profile: Implant-based reconstruction generally involves a shorter initial surgery and recovery period compared with procedures that require tissue to be harvested from another part of the body.
Long-term considerations: Breast implants are not lifetime devices and require ongoing medical monitoring. Some patients may need additional procedures over time because of complications or changes in the implant or surrounding tissue.
Autologous or tissue-based reconstruction
Autologous reconstruction uses the patient’s own living tissue to create a new breast mound. Tissue may be transferred from another part of the body, commonly the lower abdomen, using procedures such as a DIEP flap.
Natural look and feel: Because the reconstruction uses living tissue, it can provide a natural warmth, texture and softness. The tissue may also change with the patient’s body weight over time.
Long-term durability: Once healing is complete, autologous reconstruction can provide a long-lasting result without the need to replace an implant. However, some patients may still require further procedures.
Complex surgery: This option usually involves a longer operation and recovery period. In microsurgical procedures, surgeons may need to reconnect tiny blood vessels to establish blood flow to the transferred tissue.
Direct comparison
When choosing between these two reconstructive pathways, patients and their surgical teams must consider several physical, medical and lifestyle factors.
Surgical burden: Implant surgery is generally less invasive, while flap reconstruction involves surgery at both the chest and the donor site.
Foreign material versus native tissue: Implants involve the use of a medical device, while autologous reconstruction uses the patient’s own tissue.
Recovery: The recovery timelines and rehabilitation requirements differ significantly between the two procedures.
Recovery and physical rehabilitation
Recovering from breast reconstruction requires patience, careful pacing and, in some cases, structured physical rehabilitation.
Because implant-based and autologous tissue-flap procedures involve different surgical techniques, their healing timelines and physical therapy milestones can vary considerably.
Understanding these differences is important for patients considering reconstruction, as the choice involves more than restoring physical appearance. It also requires careful consideration of recovery, long-term monitoring, lifestyle and individual medical needs.
Part 2 will examine recovery timelines, physical therapy milestones and other factors patients should consider when choosing between reconstructive options.
By Robert Ekow Grimmond-Thompson
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