Health Essentials
Glaucoma – a call to have your eyes checked
As we raise awareness of Glaucoma this week (it should continue all year), the importance of community education to prevent vision loss, regular eye care and early detection of this silent disease is key. The theme “SEE THE FUTURE CLEARLY” puts the whole process into perspective.
What will you do if after years of enjoying the beauty of the world through your eyes, you wake up one day and realize your eyes are failing or have failed you? It could be a major life-changing event. You may even run the risk of causing accidents. Imagine what one goes through during the DUM phase of DUMSOR.
Now imagine life perpetually in DUM. All this could be prevented if you make time to care for your eyes: check your eye pressure and have your sight checked as well.
Glaucoma is a group of eye conditions that damage the optic nerve (nerve of the eye) leading to loss of vision. It is most often but not always associated with an increase in eye pressure.
In Ghana, glaucoma is a leading cause of blindness second only to cataract. Ghana appears to have many challenges with “vision” (note the pun) as we have been identified as the country with the second (some data quote third) highest prevalence rate of glaucoma.
Glaucoma is sometimes referred to as the “silent thief of sight” because it can damage your vision so gradually that you may not notice any loss of vision until the disease is at an advanced stage. The most common type of glaucoma, primary open-angle glaucoma has no noticeable signs or symptoms except gradual vision loss. As always, the key is to be diagnosed early and managed since this can prevent or minimize damage to the optic nerve. Early diagnosis is only possible if we have regular check-ups. I checked my eye-pressures six months ago, what about you?
Isolating the risk factors
1. Age – Anyone can get glaucoma, but it most often occurs in those above forty years.
2. Ethnicity – Africans and African Americans are at an increased risk compared to Caucasians. In high-risk groups it may be necessary to have your eyes checked even in your 20s.
3. Family History/ Genetics – You are at an increased risk if a member of your family has glaucoma.
4. Medical Conditions – Diabetics and people with hypothyroidism are also prone
5. Nearsighted/shortsighted – For this group of people, objects in the distance appear fuzzy without corrective lenses.
6. Prolonged Steroid use – especially if used as eye drops, increases our risk for glaucoma.
7. Other Eye conditions – Severe eye injury, some of which may even cause the eye lens to dislocate. Retinal detachment, eye tumours and some eye infections may also predispose us. Some eye surgeries may occasionally trigger glaucoma.
Recognising the warning signs
It is important to drum home the point that just as in high blood pressure, there may be no warning signs. As stated above, the commonest form of glaucoma will hardly warn you. In some forms of glaucoma, however, we may experience the following:
1. Gradual loss of peripheral (side) vision leading to tunnel vision where one is able to see only objects directly in front of him/her
2. Redness of the eye
3. Blurred vision
4. Halos around lights
5. Severe eye pain is sometimes associated with nausea and vomiting
6. Sudden onset of poor vision especially in low light
Overview of tests available
1. Measuring eye pressure. This is a simple painless procedure. It is often the first line for screening for people with glaucoma.
2. Visual Field Test – your doctor will use this test to determine whether glaucoma has affected your peripheral vision
3. Several other tests are available and include testing for optic nerve damage and measuring corneal thickness.
Treatment options
There is NO CURE for glaucoma, but it can be successfully managed. Our options include eye drops, oral medication or surgery, which reduce pressure in the eye to a level that is unlikely to cause further optic nerve damage.
You may not be able to prevent glaucoma, but you can avoid its complications if diagnosed and its management started early. Talk to your healthcare professional and have eye examinations when necessary.
This is the only way to ensure that you can “…see clearly now the rain is gone. I can see all obstacles in my way” and you will enjoy this great vision for years to come.
Glaucoma is “a silent thief of sight.” This is another reminder that NOT ALL SILENCE IS GOLDEN! Get checked.
AS ALWAYS LAUGH OFTEN, ENSURE HYGIENE, WALK AND PRAY EVERYDAY AND REMEMBER IT’S A PRICELESS GIFT TO KNOW YOUR NUMBERS (blood sugar, blood pressure, blood cholesterol, BMI)
Dr. Kojo Cobba Essel
Health Essentials Ltd (HE&W Group)
(dressel@healthessentialsgh. com)
*Dr. Essel is a Medical Doctor with a keen interest in Lifestyle Medicine, He holds an MBA and is an ISSA Specialist in Exercise Therapy, Fitness Nutrition and Corrective Exercise. He is the author of the award-winning book, ‘Unravelling The Essentials of Health & Wealth.’
Thought for the week – “The next big thing in Healthcare in Ghana is the Medics Clinic. Visit https://medicsgroupgh.com/ for more information.”
References:
1. 37 Military Hospital Eye Department infomercials
2. Mosby’s ACE the BOARDS
3. www.mayoclinic.com
By Dr. Kojo Cobba Essel
Health Essentials
Children Believe, Norsaac present medicines, medical equipment to three Health Directorates
THE Northern, Upper East and Savannah Regional Health Directorates have taken delivery of various medicines and medical equipment to improve care for pregnant/lactating mothers, adolescent girls and children under five years.
The medicines and medical equipment, worth GH¢1.6 million, were procured with funding support from the Canadian Government through Global Affairs Canada.
They included Combined Iron (III) Hydroxide Polymaltose and Folic Acid – 5,500 Boxes, Mebendazole (Wormalex 400mg) – 10,000 Packs, Albendazole (400mg) – 20,000 Packs, Combine Ferrous Sulphate and Folic Acid (Folidyn Tab mp) – 2880 cartons, Tarring Weighing Scale- 18 pieces, Digital Thermometer – 108 pieces, and Height Rod in CMS/Feet HOM Stadiometer – 27 pieces.
The rest were Blood Pressure Monitor Digital, Andon- 27 pieces, Ultrasonic Pocket Doppler, 1.5v Sonotrax Basic – 9 pieces, Glucose meters – 54 pieces, Glucose meter stripes (50’s)- 500 pieces, Delivery set (used for facility-based delivery) – 27 pieces, Hb Testing System/URIT -12 – 36 pieces, Hb Test Stripes (50’s) – 800 pieces, Weighing Scale, Hanging (Salter) HOM- 27 pieces.
Some 96,374 individuals comprising pregnant/lactating mothers, adolescent girls and children under five years in nine districts in the three regions are expected to benefit from the medicines and the medical equipment.
A total of 54 health facilities in the nine districts, namely Bole, Sawla-Tuna-Kalba, East Gonja, Tolon, Kumbungu, Nanumba South, Builsa South, Kassena-Nankana West and Kassena-Nankana North, are to benefit from the supplies.
They were donated by Children Believe, an international NGO, under the Championing Nutrition and Gender Equality (CHANGE) project, which is funded by Global Affairs Canada.
The CHANGE project is being implemented in partnership with Norsaac; the national implementing partner, amongst other governmental agencies.
The overall objective of the project is to improve nutrition for the poorest and most marginalised, especially women and adolescent girls.
Madam Esenam Kavi De Souza, the Country Director, Children Believe, speaking to hand over the medicines and the medical equipment to the authorities of the Ghana Health Service (GHS) at the Regional Medical Stores in Tamale, said it was geared towards achieving the project’s commitment to improve women’s leadership and control resources for community and individual gender equitable nutrition practices.
The authorities of the GHS in the Upper East and Savannah Regions also received their share of the donated items in their respective regions.
Madam De Souza said the gesture followed assessments conducted with the GHS to identify the most critical healthcare needs in the targeted communities. She said the intervention was designed to ensure that the support would make a meaningful difference in healthcare delivery for the poorest and most marginalised populations in the targeted districts.
Dr Chrysantus Kubio, the Northern Regional Director, GHS, who received the items, said they would significantly improve health service delivery in the beneficiary districts in the region.
He said as part of the project, motorbikes and laptops were also supplied to the districts to facilitate the work of health personnel and improve data analysis for health services.
He lauded the project saying such partnerships were crucial in supporting vulnerable populations, who faced financial barriers to healthcare and expressed appreciation to Global Affairs Canada and the implementing partners for their support. —GNA
ZERO Maternal Mortality was recorded at Awutu District Health Service in 2023, 2024 and 2025. Dr Felix Gerald Kwaning Darbbey, the District Health Service Director, disclosed this in a presentation at the 2025 Annual Performance Hearing summit at Awutu Bereku.
The Health Directorate has 30 Community Health Planning and Services compounds, Two Health Centers, Two Polyclinics, five Maternity Homes and three Private Clinics working under it. He said the theme for the meeting: ‘Reboot, Re-Center, Drive Universal Health Coverage,’ encouraged them to think about their journey together, reassess their priorities and confidently work towards their goal for everyone in the district, support the Service and the mission of the World Health Organisation to ensure that people accessed healthcare efficiently without hindrances.
According to Dr Darbbey, 3,258 deliveries was recorded in 2023 against 2,932 in 2024 but increased to 3,280 in 2025. Anemia in pregnant women at 36 weeks reduced from 3,029 in 2023 to 2,815 in 2024 and increased to 2,973 in 2025, skilled deliveries reduced from 3,258 in 2023 to 2,923 in 2024 and increased to 3,280 in 2025, while Traditional Birth Attendant (TBA) deliveries dived from 211 in 2023 to 74 in 2024 and further up to 61 in 2025.
According to him, Out-Patient Department (OPD) attendants decreased from 163 in 2023 to 75 in 2024 and increased to 193 in 2025, with clients insured cards increasing to 71,721 in 2023 as against 81,111 in 2024 and to 90,363 in 2025. Hypertension cases went up to 684 in 2024 from 595 in 2023 and rose to 765 in 2025. The Directorate recorded 392 accidents in 2023 against 373 in 2024 and 353 in 2025 at the OPD. 279 tested positive in 2023, 63 in 2024 and 39 in 2025.
Darbbey mentioned some of their major challenges to include deplorable nature of roads which hampered monitoring and supervision, inadequate office at the district level, yet still low reporting rate by private facilities, low skilled deliveries in most facilities, low recording of epidemic and other prone diseases.
“The results came about due to integrating some funded activities with other activities, improved behavioural change communication, mostly on skin diseases and advent of wellness clinics, quarterly TB case searches and mop-up exercises and contract tracing conducted as well as intensified monitoring and supervision at the sub-districts facilities.”
He said Antenatal Clinic attendance reduced from 6,094 to 5,600 in 2024 and increased slightly to 5,829 in 2025, teenage pregnancies reduced from 681 in 2023 to 563 in 2024 and increased to 603 in 2025, pregnant women who tested for HIV increased.
“To sustain our achievement we must have the courage to face issues, we must be honest, welcome new ideas, find new smarter ways, focus on what really matters at providing services, especially on mothers who need care, vulnerable children, teenagers and adolescents who need help in navigating the health issues that they encounter.”
He said to move forward they need to focus on strengthening primary healthcare services which is the solid base of primary healthcare delivery, encourage community involvement at ensuring that persons who had not yet enrolled on NHIS had access to free service delivery when they were sick. —GNA
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