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Families ignore cleft treatment due to non-medical expenses -Research

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Dr Appiah (second left) with staff and members of the Paga Youth

A study by the National Cleft Care Centre (NCCC) at the Komfo Anokye Teaching Hospital (KATH) has revealed that the headache of parents of children born with cleft lip and palate in Ghana is not about the cost of surgery.

What actually put these families in difficult situations are the non-medical expenses that come in the form of transportation, feeding and temporary accommodation while seeking comprehensive care for such children after surgery.

According to the study, these families spend at least 25 per cent of their annual income on the non-medical expenses required to ensure a comprehensive post- surgery care.

Consequently, the Director of NCCC, Prof. Solomon Obiri-Yeboah, has underscored the need for a comprehensive cleft management which requires a multidisciplinary approach, integrating plastic surgery, dental care, speech therapy, nutritional support, and psychosocial counseling.

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Additionally, he has urged the National Health Insurance Scheme (NHIS) to absorb surgical costs so that donor resources can be redirected toward travel and welfare support.

Marking this year’s cleft awareness campaign, Prof. Obiri-Yeboah stated that the core surgical procedure alone costs a minimum of GH₵5,000.

According to the research, that burden has forced many families to miss or abandon the multiple hospital visits required for successful treatment, putting children at risk of complications that could otherwise be prevented.

It explained that although corrective surgeries were offered free through support from international partners, the cost of travelling repeatedly to specialist centres, feeding and accommodation remains beyond the reach of these families.

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The research cautioned that until these financial barriers were addressed, more children would continue to shun essential reviews and follow-up care, undermining the success of treatment.

Health professionals have argued that cleft care inclusion on the NHIS would not only reduce the financial burden on families but also improve treatment outcomes and advance Ghana’s commitment to achieving universal health coverage.

Dr Robert Larmie, a Maxillofacial Surgeon at the NCCC, warned that failing to provide financial relief leaves children vulnerable to harmful myths.

“If these mothers cannot afford the journey for care, children are pushed back into misconceptions.

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To expand treatment capacity, Smile Train has collaborated with KATH and the Ghana Cleft Foundation to build over $2-million, six-storey National Cleft Care Centre at KATH.

The facility has an outpatient department, consulting rooms, four specialised operating theaters, pre- and post-operative wards, clinical laboratories, lecture halls, a library, and research units.

Prof. Peter Donkor, President of the Ghana Cleft Foundation and First Vice-President of the West African College of Surgeons, noted that the centre provides free treatment regardless of a patient’s age.

Cleft lip and palate occur during pregnancy when a baby’s lip or the roof of the mouth fails to fuse properly. The condition may range from a small notch in the lip to a wide opening extending into the nose.

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Without timely treatment, affected children often experience serious challenges with feeding, breathing, hearing and speech development, while many also endure social stigma and discrimination.

Globally, one in every 700 babies is born with a cleft, leaving an estimated 4.6 million people living with untreated or inadequately treated conditions, particularly in low and middle income countries.

In Ghana, about one in every 770 babies is born with a cleft, resulting in more than 400 new cases each year, in addition to a backlog of children still awaiting treatment.

By Kingsley E. Hope, Kumasi

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Seek regular medical eye care for children- Parent told

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Seek regular medical eye care for children- Parent told

An Optometrist, Dr Adjoa Pokua Osae Awulai has called on parents to take keen interest in regularly presenting their wards for eye screening.

That, he said, would help with early detection of defects or abnormalities with the eye and seek lasting solution for them. 

Dr Osae Awulai made the call at the 13th graduation ceremony of the 3 Garrison Early Childhood Development Centre, Liberation Barracks in Sunyani where a total of 106 pupils made up 50 boys and 56 girls graduated. 

According to her, problems with the eye have usually been ignored by some parents that preferred to self-medicate and in the process, making the condition worse.

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But she stated that the eye was an important organ that must be treated or handled with extreme care.

According to Dr Awulai, the first eye examination must actually start from birth to six months, adding that “this must be done at least twice in a year.” 

This, according to her, was a significant step in improving the wellbeing and academic performance of the children as they grow.

She explained that kids with eye defects develop low self-esteem, lack confidence and perform poorly in school due to their condition. 

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Dr Awulai said despite her regular school visits to sensitise and create awareness on eye health and safety, most people are just reluctant and find excuses not to seek medical care. 

“Some people have become so superstitious; they hold on to their religious beliefs rather than seeking medical care,” she said and urged parents to be regular and intentional about problems with their wards eyes. 

She commended the management and staff of the 3 Garrison Early Childhood Development Centre for the care, sacrifice, love, and compassion for the training of the school children. 

The Headmistress of 3Garrison Early Childhood Development Centre Mrs Helen Korkor Bamfo appealed to parents and teachers to show and demonstrate love, care, patience, and empathy in nurturing the young children.

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This she said is a responsibility that must guide every efforts being made to train the future leaders of our dear country. 

Mrs Bamfo said training kids with creative skills encompasses providing the essential support and nourishment conducive for developing their cognitive, social, emotional, spiritual and problem solving skills. 

Lt. Michael Tetteh, who represented the Commanding Officer of 3BN Lt Col. Michael Naar, appealed to fathers to make their presence count, indicating that “it is critical in raising children.” 

Lt. Tetteh praised the teachers for their professionalism and selfless dedication to duty. 

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The school pupils entertained their parents and guests with choreographed dances and poetry recitals at the ceremony.

From Daniel Dzirasah, Sunyani 

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NCCE promotes anti-corruption values among basic schools

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The Ghana Anti-Corruption Coalition (GACC), in partnership with the Wassa Amenfi West Municipal Directorate of the National Commission for Civic Education (NCCE), has engaged pupils of some basic schools to promote transparency, integrity and accountability. 

The programme, held on the theme: ‘Building evidence for increased accountability in Ghana through a multi-stakeholder accountability initiative,’ targeted students of the All Saints Academy and Mount Calvary Basic School. 

The interactive session gave students the platform to share their understanding of corruption and suggest ways to combat it. 

The pupils defined corruption as the abuse of entrusted power or public office for personal gain through dishonest means such as bribery, embezzlement, nepotism, favouritism, and fraud. 

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They identified various forms of corruption to include examination malpractice, extortion, abuse of office, and the misappropriation of public funds.  

They noted that corruption occurred in schools, workplaces, public institutions, and society at large. 

The students said greed, poverty, unemployment, weak enforcement of laws, lack of integrity, inadequate civic education, and the desire for quick wealth, were some of the key drivers of corruption. 

“When people are not held accountable for their actions, corruption tends to increase,” one student said. 

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To address the menace, the pupils proposed practical solutions including inculcating honesty and integrity from an early age, strengthening civic and anti-corruption education in schools, enforcing anti-corruption laws without fear or favour, and providing protection for whistle-blowers. 

Mr Cornelius Ahiekpor, the Wassa Amenfi West Municipal Director of NCCE and facilitator for the programme, commended the students for their insightful contributions. 

He urged them to uphold the values of honesty and patriotism in their daily lives, stressing that the fight against corruption required the collective efforts of government institutions, civil society organisations, schools, parents, traditional leaders, the media, and the youth. –GNA

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