Health Essentials
Law and order at Kaneshie Market Complex: Eva Maison rises up to task
• Eva likes dressing in national colours
About fortnight ago we highlighted part of the leadership and governance structure of the traders at the Kaneshie Market Complex, which is headed by the Queen, Madam Lydia Naa Kowah Quaye.
This weekend, our attention is on the Secretary to the Queen and the traders at the market, Madam Eva Esi Bentuma Maison.
Popularly known as a trader in children’s clothing, she is a woman of many parts and a paralegal also. For the past seven years Madam Eva Maison together with her team of four other paralegal members has brought and maintained relative peace at the market.
She hails from Saltpond in the Central Region but was born at Agona Ahuntem, a community in the Agona East Constituency.
Madam Maison completed Kaneshie Senior High Technical School in 1978 in Secretarial (short hand and typing) after which she gained admission at the Government Secretarial School, Accra Campus, at Cantonments for further course in secretarial training.
After school, she worked as a private secretary at a construction firm for a year-and-a half before pursuing other interests.
For the past 40 years she has been doing business at the Kaneshie Market Complex and she explained that the genesis of her trade was in the quest to procure baby care items, after giving birth to her first child.
“I realised that I was buying the baby care items at a more expensive amount where I lived than I did from town, so I decided I could purchase in smaller quantities and sell to some mothers I knew,” she said.
Shortly, the business started growing, so she joined the traders at the UTC market, Accra and started selling but after some time she secured a place at the Kaneshie Market Complex.
Madam Maison sells to people from all walks of life and the joy of satisfying her customers keeps her going.
Diverting to her paralegal duties, she said the issues that were brought before her and her team were non-exhaustive, but specific among such cases were gender-based violence, child abuse and child labour.
Such issues, according to Madam Eva, were “not condoned at all, unless our attention is not drawn to them.” She cited a case in which a woman was abused and as a result lost two teeth but got justice, following their intervention.
“We took the matter to the appropriate quarters, the police. Though the victim in this case wanted the case withdrawn for the sake of her children, we ensured that the culprit was made to fix the lost teeth and compensate the victim with GH₵1,000.00,” she recalled.
Madam Maison has been a secretary at the Kaneshie Market Complex for the past 22 years. After her training as a paralegal and women rights activist which was funded by FIDA Ghana she had further training at Tostan Training Centre in Senegal.
These studies, she said, had been instrumental in identifying and helping to end varied forms of injustice reported to them. Advocacy is done through an information centre and a public address system available at the market.
Some of the challenges encountered in her line of duty are that “most women try to endure abuses because they want to save their marriages. That, she noted, was bad because it could result in deformity or even death.
“No one likes divorce, however, it is very wrong for women to endure abuse for the sustainability of the marriage,” she stressed.
She said when the team was overwhelmed by some of the cases; they were referred to the Ministry of Gender, Children and Social Protection for further redress.
All social related issues are handled at their market meetings on Wednesdays but cases of domestic abuse, child marriage, among others, are brought before the paralegal them for resolution.
She receives constant training and is required to submit quarterly report on the cases that have come before them and inform stakeholders on the happenings at the market.
Talking about breast cancer, Madam Maison advised women not to downplay the devastating effect of the disease and further stressed the need for traders to be concerned about their general wellbeing in spite of their daily hustle and bustle.
By Portia Hutton-Mills
This week I bumped into Deborah, one of my avid readers and I promised her I will be writing this weekend. So Deborah, this is for your reading pleasure and to pick some golden nuggets for the future.
The quest to find the best way to make one’s golden years, happy, exciting, healthy and a time most people look forward to continues unabated. One factor that keeps popping up is the need to grow friendships with people more than 20 years younger than yourself.
Do not take this for granted. It is a form of “social security” since these close friends who are much younger than you will step in to support you in more ways than you can ever imagine.
Some conditions may make life challenging for older adults but knowing these Geriatric Giants helps us to take the necessary steps to reduce our risk.
“Geriatric Giants” refers to a group of chronic health conditions that are common in the elderly, typically 65-year-olds and older.
These conditions quite often co-occur and can impact on the independence, dignity and overall wellbeing and quality of life of an elderly person.
These Geriatric Giants include:
- Impaired Intellect/ Memory (e.g. Dementia)
- one of the major battles we need to deal with is challenges with memory
- Exercise, adopt the Mind Diet, build a great social network and enjoy time outdoors
- Keep reading and solving puzzles for as long as possible
- Instability – leading to much feared falls
- A good reason to indulge in Balance Training and Core Strengthening exercises from today
- Ensure your home is safe; avoid clutter such as cables crisscrossing floors, toys etc. These are all trip hazards and should be avoided
- Many healthy, happy and fun-loving older adults have died soon after a fall with its attendant complications.
- Do whatever it takes to avoid falling
- Immobility (opening the doors to pressure sores, joint stiffness)
- Even when you are unable to move about on your own it is important to get support to change positions as often as possible or get an appropriate mattress or bed that prevents prolonged pressure over any single point.
- Make sure you passively or actively move joints daily.
- Incontinence (urine, faeces or both)
- This is one of the reasons older adults prefer to stay at home and avoid going out to meet friends etc.
- Iatrogenic Disorders – adverse effect of medication
- Quite often most older adults are on several medications and some side effects such as drowsiness may seem to cause more unhappiness and may even lead to falls.
- Inappetite – this may result in poor nutrition
- This may also be linked to loss of teeth thus making chewing very difficult or limited.
- The loss of smell and taste may also reduce the amount of food one may willingly eat.
The power to reduce the impact of the Geriatric Giants starts now and should be a lifetime commitment. It is never too early to start making the appropriate lifestyle modifications, nor is it too late to reduce the impact of the giants on one’s life.
Other conditions that significantly impact on the lives especially of the elderly are:
- Sleep Disorders
- Good sleep has the power to give us energy, improve our thought pattern and even helps us to make good choices.
- Good sleep sets the tone for a healthy life
- Constipation
- This is a challenge that confronts quite a number of older adults.
- Movement, fibre and lots of water go a long way to reduce the stress that frequent constipation generates.
- Fraility
- Muscle loss is real and as we age, we lose a significant percentage of our muscle plus our bones also become brittle.
- Make sure strength training is part of your exercise schedule
- Polypharmacy
- Another headache that needs to be confronted head-on
- Everyone especially older adults need a good primary care physician or a general practitioner who can coordinate all medicines from the different Specialists who may be attending to an elderly person. This ensures that unnecessary medicines are dropped
The goal of care at all times is to optimise the quality of life. As family, professional caregivers and friends we should always show respect so that the dignity of the elderly is preserved at all times. For those of us who are not yet in the age group with such challenges, we need to start the conversation about the type of care we will prefer and take steps to stay healthy and independent for as long as possible. The goal should be a long Healthspan and not just a long Lifespan.
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 – “There is no magic formula to being happy but making a conscious effort to be happy goes a long way.” – Dr. Kojo Cobba Essel
By Dr. Kojo Cobba Esse
The call to action
We must move beyond the cycle of temporary outrage. I propose a four-point blueprint for the Ministry of Health and the government:
1. A Digital Bed-Tracking Command Centre: Legally mandate all public and major private hospitals to update a live, digital bed-registry every hour. The NAS must be able to see a vacancy before they move. This must be matched with the available resources and services so that the right patient will be sent to the right facility.
2. Strategic Capacity Expansion: We must stop building “prestige projects” and start building high-volume stabilisation centres. We need a targeted investment to triple the ER bed count in Accra and Kumasi within 24 months. This should then be extended to other regional capitals.
3. Specialised Emergency Hubs: Designate specific hospitals as “Centres of Excellence” for Cardiac and Stroke care (and for other health emergencies), ensuring they have 24/7 imaging and intervention capabilities as well as the requisite expertise to manage these conditions. Policy makers must incentivise public-private partnerships to ensure that a heart attack in Accra or Kumasi can be treated with the same urgency as one in New York.
4. Develop a nationwide trauma system: This is extremely important because trauma is a major cause of deaths in Ghana. In the US, each state has a statewide trauma system with three levels. Level 1 trauma centres are usually University Teaching hospitals that provide comprehensive trauma care and also play an important role in local trauma system development, regional disaster planning, increasing capacity and advancing trauma care through research. Level II trauma centres are expected to provide initial definitive trauma care for a wide range of injuries and injury severity.
Level III centres provide definitive care to patients with mild trauma. Having such systems is imperative to ensure proper treatment of trauma patients.
Even for those who survive trauma, disability is a major assault on economic potential and viability. Importantly all this cannot happen with a cash and carry system. Emergencies should be managed under a different model to save life and limb first. Obviously, there is a need to ensure that healthcare facilities will be able to recover their investments in emergency care, and that balancing act needs careful consideration.
Frontline clinicians are often forced to bear the public’s anger for infrastructure deficits they did not create and cannot fix. This is a failure of governance, not a lack of clinical care. Responsibility lies with the policy makers who manage the nation’s resources.
The “No Bed Syndrome” is a systemic disease. It cannot be cured with a directive from the Ministry of Health, parliament or a lecture on ethics. It requires a blueprint, a budget, and the political will to treat this like the menacing threat it is.
It is safe to say that non-emergent healthcare is excellent in Ghana for the most part if you can afford it. However, emergency care is suboptimal. We had a sitting president die from an emergency health issue and a former vice president also die from an emergency. If that is not enough warning, it is clear that anyone can be a victim of an emergency.
If we do not act, the next ambulance driving aimlessly through the streets of Accra could be carrying anyone, including the very people who have the power to fix this issue.
Prof. Jonathan Laryea is a Professor of Surgery at the University of Arkansas for Medical Sciences in Little Rock. Arkansas. He is board certified in General Surgery, Colorectal Surgery and Clinic Informatics.
He is a graduate of the University of Ghana Medical School (Class of 1997)
