Features
Childhood vaccine shortage: A justification for Public Health Emergency Fund

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• Availability of childhood vaccines would require more reliable source of funding
In February this year, there was uneasy calm among health workers and parents following reports of a widespread shortage of vaccines used for the routine immunisation of babies from birth to 18 months.
Vaccines said to be unavailable nationwide included Bacille Calmette-Guerin (BCG), which primarily prevents the occurrence of tuberculosis in babies, and OPV, which prevents polio infections. Others that prevent diseases such as whooping cough and measles were also in short supply.
Health workers said although there had been shortages in the past, it was not as pervasive as the scarcity recorded in 10 of 16 administrative regions of the country.
The President of the Paediatrics Society of Ghana, Dr. Hilda Mantebea Boye, had stated that the delay in the supply of the vaccine could lead to an outbreak of childhood diseases, including measles. And true to her words and other concerns expressed by many interest groups, about 100 cases of measles were detected in Northern Ghana by the time the first batch of vaccines had arrived.
Delay in the supply of vaccines was partly attributed to the depreciating Cedi but the Minister of Health Kwaku Agyeman Manu, at a press conference in Accra, explained that the situation was rather a “global challenge.” According to him, the shortage had nothing to do with the government owing suppliers but he gave the assurance that the situation would be resolved in due time.
To ease tension, the Health Minister indicated that no death was recorded as a result of the vaccine shortage.
Vaccination
Be that as it may, health experts say gaps in vaccination could “reduce immunity and require children to start the series all over again” hence the need to comply with recommended vaccine schedules. This, perhaps, explains the anxiety expressed by parents and health practitioners when the vaccines were taking too long to arrive.
Children are exposed to thousands of germs every day due to the food they eat, the air they breathe, and the things they put in their mouths. Because their immune system is not fully developed at birth, they are susceptible to infections and serious illnesses. Vaccines, therefore, help build their natural defenses and reduce the risk of contracting diseases.
It was, therefore, refreshing that good consignments were procured pending the delivery of additional supplies, as indicated by the government. Considering that it was the first time such a massive shortage was recorded, Dr. Kwaku Agyeman speaking on the floor of Parliament assured that the phenomenon would not occur again.
Shortage
During the period of the shortage, Private Health Practitioner, Dr. Amanda Nhyirah Biyeh, explained that facilities that did not have the vaccines relied on vitamins to “help sustain the children for some time.”
“Thirty percent of patients that come to our facility are pregnant women and children who come for vaccination. Sometimes there is an argument between nurses, doctors, and parents when we tell them there are no vaccines.”
“What we do is to give them vitamin B12, folic acid, and omega 3 fatty acids. These are the ones that help boost the immune system and help prevent some sickness until the children can go back and start their vaccination schedules again,” she noted.
Following the delivery of the first batch of vaccines on March 11, 2023, health workers are ensuring that parents who missed out on the routine vaccination would do the necessary “catch up”.
Donors
According to the Health Ministry, about $6.4 million had been paid to the United Nations Children’s Fund (UNICEF) which supplies the vaccines. Mr Agyeman, speaking on the floor of Parliament, did not indicate when the payments were made and what might have caused the delay.
As we await the delivery of the second batch of vaccines, the assurances and explanations given by the Health Ministry is an indication of the financial hurdle the country had to overcome to procure the vaccines.
To this extent, the government and health authorities cannot gloss over the fact that the availability of childhood vaccines in the future would require a more reliable source of funding.
Analysis presented by the Kaiser Family Foundation (KFF), a non profit organisation focusing on national health issues indicated that the Global Alliance for Vaccines and Immunization (GAVI), since its launch in 2000, had disbursed over $18 billion to support immunization efforts in low and middle-income countries, including Ghana.
GAVI is an independent public-private partnership and multilateral funding mechanism that aims at expanding global access to and use of vaccines, particularly among vulnerable children.
In 2017, development partners funded at least 19% of the country’s health expenditure but stakeholders say Ghana’s shift from low-income to middle-income status implies that the country would be “ineligible to receive concessional aid in the future.”
Civil Society Organisations and other health agencies agree that the loss of support from donor agencies could negatively impact the health system, such as procurement of medical products, availability of human resources, and lack of technical capacity to continue activities formally led by donors.
This and many factors give credence to why the country must stop paying lip service to the establishment of a Public Health Emergency Fund (PHEF) as captured in Ghana’s (2022- 2025) Medium Term Development Framework.
PHEF
The establishment of the fund would, undoubtedly, go a long way to help mobilise and disburse resources to respond effectively to potential health and humanitarian crisis in the future.
Although no casualty was recorded during the period of the shortage, one cannot imagine a future situation where children would not receive their recommended vaccines because there are no funds to procure same.
Again, a standby fund for health emergencies would have mitigated the recent inconveniences caused by the shortage of childhood vaccines. In the words of Dr. Biyeh, “we do not have to run out of vaccines.” According to her, the availability of funds would help in the procurement of enough cold chain facilities to store the vaccines.
“If the fund is established it would help the health centres a lot. The funds would ensure that we do not have to wait for a long time to raise funds or receive vaccines from elsewhere,” she said.
The government continues to play its part by raising domestic revenue to support the health budget. But to build a more resilient and responsive health system, we would have to look beyond external partners and fast-track the establishment of a Public Health Emergency Fund.
It would not only help us respond quickly to avoidable situations, such as the shortage of vaccines for childhood immunisation but would help provide adequate and sustained funding or backing for the country’s fragile public health system.
Availability of childhood vaccines would require more reliable source of funding
By Ernest Nutsugah
Features
The eye is indeed the lamp of the body
There is a scripture that is found in Matthew 6:22 which says that the lamp of the body is the eye and therefore the eye must see well to enable the body to get to its destination.
What most people do not know is that behind the scenes, there is a strong interaction between the eyes and the brain before a picture becomes clear. The state of mind therefore is crucial to the eye seeing clearly to enable the body to process accurately the information the eyes are feeding it for proper identification of what the eyes see.
This is similar to how a person behaves i.e. what informs the decisions that forms in the mind that results in the actions that a person performs. The actions of a person does not therefore just happen but is as a result of things that went on in the mind, which in most cases resulted from information passed on to it by the eyes either consciously or unconsciously.
There are so many issues that affect our society which makes one wonder, whether the people who displayed such acts were created by someone or something other than God.
How can a person see a beach created by God with beautiful beaches and fresh air blowing all around, decides to defecate at such places, and therefore desecrate the environment? lt is simply mind boggling?
When other people in other countries who dwell on the coast are using their beaches for tourist attraction purposes as a means of livelihood and also to promote environmental health, some people living around our beaches, have turned them into rubbish dumping sites and toilets.
It is a very sad situation and the earlier we did something about it the better. It is a national emergency that must engage the attention, first of the government and then the citizenry, where religious bodies and NGOs must play a critical role.
The things we focus on in this country, needs to be addressed. Our minds which processes the info the eyes send to the brain, must be disciplined. There are certain behaviours that a disciplined mind can ignore even when the eye has provided info to the brain. One of the things a disciplined mind does, is the avoidance of a second look, which is critical for every person who wants to avoid adultery or fornication.
Once a person is not blind, he will see things. The boobs, the ‘shankus’, the coca cola shapes, the light complexioned, the dark complexioned etc. the eyes will definitely see and report same to the brain. What the brain or the mind decides to do or instructs the eye to do is the issue.
It can decide to instruct the eye to take a second look and let the mind drool over it or say ignore it and that will be the end.
If the mind becomes trained to focus on environmental issues like clean environment, the eyes will automatically be reporting on insanitary conditions to the brain as and when it sees them. The mind will pay attention to such data and begin to process them and to identify solutions to deal with the reported insanitary conditions.
There is the need to encourage citizens to train the mind to focus on the right thing so that in tandem with the eyes, focus will be maintained. When the mind is so trained, it communicates with the eye to also focus on hood things that helps in both are spiritual life and our secular lives, for indeed the eyes are the lamp of the body. God bless.
Features
Arming the Sikaman journalists to the teeth

THE relationship between New Times Corporation (NTC) and African Concrete Productions (ACP) is based entirely on matters of the stomach. Each depends on the other in a dietary symbiosis, reinforced by the close proximity of each other
At lunchtime, you’d see a particular set of Times workers marching regimentally to ACP to face the wall. You’d think they are soldiers. It has long been declared that the company manufactures the best kokonte in the Greater Accra Region. ACP is, therefore, a culinary haven for those NTC kokonte fans, both male and female.
As the NTC kokonte warriors cross the border to ACP, you’d see some ACP banku fanatics dancing joyously to NTC. They are lucky folks because they do not have to obtain visa to enter into ‘Times’ to attack the balls of banku with precision and accuracy. They also claim that the lightsoup at ‘Times’ is arguably the best in West Africa.
So the relationship between the two entities was quite cordial and based practically on stomach palaver, until ACP workers staged an industrial revolution, whereupon the managing director, accountant and estate manager were allegedly stripped naked and locked up in a room. An insurgency had began in earnest.
An ACP worker came to ‘Times’, this time not to eat banku and okro. He had come to inform newsmen that juicy stuff awaited them at ACP. It could make a front page lead story.
A camerawoman and a female reporter were accordingly dispatched to go and bring back news, juicy news as juicy as kokonte and groundnut soup.
I was driving to work when I espied the familiar camerawoman clicking away outside the ACP premises. I didn’t see any ‘Times’ reporter but angry workers who were on the verge of getting violent. I slowed down and the driver behind blew his horn at me like a lunatic. I drove on.
Later, I heard the reporter and camerawoman were harassed and brutalised. The report came,. “The camerawoman, Mrs Salome Adonu-Agbottah and reporter Mrs Doreen Allotey, in an attempt to retrieve the camera which the workers had seized from them were severely beaten. They were manhandled and almost pushed into a big gutter opposite the company’s premises.
BRUISES
“….The camerawoman had bruises on her body, her hand bag was destroyed and the money in it stolen. Mrs Allotey’s watch was also snatched and her feet stamped on.”
Luckily, it was not her nose that was trampled upon. She has a beautiful nose.
The bad news was received with extreme sorrow. If the victims had been men, it would not have seemed too bad. But to brutalise women is just unacceptable. The New Times Corporation has not stopped mourning the incident which has been condemned in many circles.
Some people keep asking me why Times sent females to cover a potentially violent demonstration. I tell them they might as well ask why CNN’s amazon, Christina Amanpour, is assigned to cover the carnage in Bosnia-Herzegovina and Rwanda. She is always on the frontline in jeans and jacket.
Journalism is a potentially hazardous profession, and once you accept to study and practise the trade, you might as well bone up to face any assignment as long as your superiors feel you are capable of handling it or you have demonstrated the capacity to handle it. Both males and females can be assigned anywhere, anytime just like policemen and women are assigned.
The only difference between cops and pressmen is that the latter are armed only with a pen and the former with a gun. The question is should newsmen also arm themselves so that in any event of an assault they would not be found wanting in self-defence? They can’t adequately defend themselves with a pen and a jotter. A pen cannot even disfigure an opponent’s upper lip.
Photo-journalists have particularly suffered violence. Spectator ace-cameraman Vincent Dzatse was severely assaulted by AMA men when he attempted to take pictures of their indiscretions.
Sports cameraman, P. K. Arthur has been beaten more than once at the sports stadium when riots errupted and he wanted to capture it on his lenses.
Some sports journalists have been banned from entering the Accra Sports Stadium by supporters because in their comments, they didn’t write “sense”. Some supporters once nearly lynched Christian Abbew, Spectator Sports Editor, near a courtroom. He was stoned like the biblical Stephen. He had gone to defend a contempt charge.
I think it is time journalists met and discussed how best to defend themselves in any event of an attack by individuals or mobs. In the pursuance of their duty, they must be free from harassment and assault.
Some journalists go to work and return home with a black-eye or a double fore-head. It is just not right. Something has to be done about it. I think journalists should be armed. But first we must be trained in the use of firearms so that our warning shot do not hit below the belt. What about training in Kung Fu?
This article was first published on Saturday, October 17, 1998.




