Gender
Overcoming breast cancer …Theresa Fakaah’s journey to survival
Theresa Fakaah.
At just 33 years, Theresa Fakaah’s world was turned upside down when she was diagnosed with breast cancer at Korle-Bu Teaching Hospital in Accra. Overwhelmed by fear and negativity, she broke down in tears upon hearing the biopsy results.
The doctor’s words echoed in her mind: “The cancer is aggressive; we must remove the affected breast to prevent it from spreading to the other.” The thought of losing a breast, especially at her age and without having children or a partner, was unbearable.
Ms Fakaah’s breast cancer journey started in 2021 when she visited Ga South Municipal with a pain in her breast and was later referred to the Korle-Bu Teaching Hospital.
It was at the hospital that she receive the devastating news of breast cancer that turned her life around.
Desperate for an alternative, Theresa abandoned conventional treatment and sought herbal remedies for three months. However, her condition worsened.
While on herbal treatment, she experienced excruciating pain and discharge from her right breast coupled with sleepless nights.
Returning to Korle-Bu the following year 2022, Theresa began her treatment anew, she went through eight cycles of chemotherapy, surgery to remove the affected breast and received 14 shots of Herceptin in her thigh.
Herceptin is a medication administered through infusion. This targeted therapy helps prevent cancer cells from growing and is commonly used as an adjuvant treatment to prevent recurrence.
Initially, she was scheduled to receive 18 Herceptin injections, however, Ms Fakaah experienced adverse reactions after 14 injections, and her medical team decided to discontinue the treatment with it and suggested another drug.
She said she was neglected by her family when they heard of her condition, advising her to return to the village for cure; a suggestion she refused, hence the rejection.
She was later supported by Toptown Church of Christ, Amanfrom and other individuals which enabled her to go through the treatment.
She encouraged breast cancer patients not to habour fear in them but rather follow the instructions of health professionals in order to ‘fight and conquer’ the disease.
Ms Fakaah’s breast cancer journey, is an indication of the rising number of young women in Ghana being diagnosed with breast cancer, underscoring the urgency for broader public education and awareness.
In Ghana alone, over 2,000 women lose their lives to breast cancer each year, however, health experts believe the number is significantly higher, as many cases remain undiagnosed.
A major barrier to diagnosis and treatment is the cost, with many unable to afford the necessary medical procedures. As a result, countless individuals return home, untreated, only to succumb to the disease.
October is globally recognised as Breast Cancer Awareness Month, dedicated to raising awareness about the disease and promoting early detection.
This year’s global theme for the awareness month is “no one should face breast cancer alone,” with the aim of bringing to attention the silent struggles faced by survivors and patients who may feel isolated and unsupported due to the disease.
The goal of this year’s campaign is to ensure that survivors receive the warmth and support they need while battling with the disease and stigma.
It is therefore important not to pay lip service to the treatment of breast cancer, as many women are continuously suffering from the disease.
It is also important for stakeholders to find ways of lessening the financial and emotional burden of patients and survivors, increase awareness especially among young people, promote healthy lifestyles, improve access to screening and diagnostic facilities as well as enhancing healthcare infrastructure and treatment options.
Theresa’s journey was marked by fear, denial, and determination. Today, she stands as a testament to resilience and courage in the face of adversity
By Jemima Esinam Kuatsinu
Across many farming communities in Northern Ghana, women routinely carry their infants on their backs while engaging in strenuous farm labour. This practice, though rooted in necessity and resilience, exposes both mothers and their babies to significant health risks, particularly musculoskeletal strain and developmental concerns.
For these women, the decision to take babies to the farm is rarely optional. It reflects the absence of affordable childcare, entrenched gender roles, and persistent economic pressures that compel women to combine farming, childcare, and household duties simultaneously.
Everyday Reality
In many rural communities in Northern Ghana, women begin their day before sunrise, balancing farm work with domestic responsibilities such as fetching water and firewood, cooking, and caring for children. Carrying infants on their backs, strapped with cloth, enables them to breastfeed and monitor their babies while going about their farming activities.
The use of outdated tools increases the risk of sprains and strains. Exposure to pesticides, extreme heat, and zoonotic infections further endanger women, especially those who are pregnant or breastfeeding.
Effects on Mothers
Dr. Enoch Harvoh, a Senior Medical Doctor at the Tamale Teaching Hospital, explained in an interview with GNA that the primary health risks stem from prolonged physical strain. He identified several key concerns, including musculoskeletal pain, postural changes, chronic fatigue, injury risk, and other hazards such women face.
Dr. Harvoh explained that musculoskeletal issues such as chronic lower back, upper back, neck, and shoulder pain are common among women who farm with babies on their backs. He added that back-carrying alters spinal alignment, increasing pelvic tilt and causing abnormal curvature of the spine, medically described as cervokypholordotic posture.
The combination of farming, domestic work, and childcare leads to severe physical exhaustion and stress, while frequent bending, squatting, and lifting further contribute to physical strain.
Effects on Infants
While back-carrying supports bonding and infant safety, prolonged exposure in farm environments presents risks to infants. These include:
- Lower limb development concerns
- Restricted movement and visual stimulation
- Potentially affected sensorimotor development
- Exposure to farm hazards including chemicals, machinery, and excessive heat
According to Dr. Harvoh, some studies link extended back-carrying to changes in leg alignment, such as genu valgum (knock-knees), though these are often within normal clinical limits.
Labour and Time Constraints
Women face chronic labour shortages, especially during peak farming seasons. Combined with unpaid domestic work and childcare, this creates extreme physical and mental strain.
Madam Saada Abdul, a farmer from Kpadjai in the Kpandai District, told GNA that she regularly carries her baby while weeding, harvesting, transporting crops, and cooking. “The work is very hard, and the baby’s weight adds to the pain in my back and waist. I hardly get time to rest compared to my husband,” she said.
Similarly, Madam Ramatu Iddris from the Nawuri community explained that women often prioritise labour on their husbands’ farms, reducing productivity on their own plots. Limited access to tractors, credit, extension services, and market information forces many women to rely on manual labour while carrying their babies.
These compounded challenges heighten women’s vulnerability to climate shocks such as drought, erratic rainfall, and economic downturns.
Intersecting Challenges
The practice of carrying babies to farms is embedded within broader structural inequalities. Customary inheritance systems largely favour men, leaving women with limited access to land. Many women farm on their husbands’ plots or borrow small, less fertile parcels of land, discouraging long-term investment and access to credit or extension services.
Women account for more than half of Ghana’s agricultural labour force, particularly in subsistence farming in the Northern Sector, yet much of their work remains informal and undervalued, with limited recognition in economic planning and policy frameworks.
Resilience and Coping Strategies
Despite these hardships, Northern women farmers demonstrate remarkable resilience. Common coping mechanisms include forming women’s farming groups to access training, credit, and inputs. Livelihood diversification, such as engaging in shea butter processing, poultry rearing, petty trading, charcoal production, and seasonal migration, can help supplement income.
Recommendations
Stakeholders in agriculture, health, and local governance must prioritise targeted interventions to reduce the physical burden on women farmers. Key recommendations include:
- Establishing community-based childcare centres to reduce the need to carry babies to farms
- Providing practical ergonomic training on safe lifting, posture, and culturally appropriate baby-carrying techniques
- Improving access to appropriate farm tools and small-scale mechanisation
- Strengthening workplace protections through rest breaks, access to potable water, and protective equipment
- Formally recognising women’s unpaid care and agricultural labour in national and district development planning
Health professionals also recommend targeted strengthening and stretching exercises for the lower back and pelvic muscles to mitigate long-term physical strain associated with combined farming and childcare responsibilities.
Conclusion
Women farmers are indispensable to Ghana’s food security and rural livelihoods. Yet their contributions come at a high personal cost due to systemic inequities, limited support services, and entrenched gender roles.
Addressing the health and productivity challenges faced by women who farm with babies on their backs is not only a matter of equity but a critical investment in national development, public health, and future generations.
—GNA
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A training and capacity-building workshop was held on Thursday for the media to intensify coverage on gender-based issues to support women’s participation in leadership and governance in Accra.
The workshop, held under the theme ‘Strengthening Advocacy for the Implementation of Ghana’s Affirmative Action (Equity) Law, 2024 – The Case of the Media’, brought together journalists from selected media houses.
The Convener of the Affirmative Action (AA) Law Coalition, Ms Sheila Minka-Premo (Esq.), stressed that the media has a critical responsibility to educate the public on the importance of the Affirmative Action Act, noting that sustained and informed reporting would strengthen advocacy and support the effective implementation of the law.
While commending both the Legislature and the Executive for the passage and presidential assent of the Affirmative Action Bill into law, the AA Law Coalition Convener appealed to government to address existing gaps. These include the constitutional provision of 30 per cent women’s representation in politics, inadequate policy frameworks to advance affirmative action, and weak compliance by state institutions.
She charged the media to highlight and promote the role of women in leadership and to actively support a smooth and effective implementation process of the Act.
In her welcome address, Executive Director of ABANTU for Development, Dr Rose Mensah-Kutin, said the training sought to strengthen journalists’ advocacy skills to enable them to educate the public on the provisions and significance of the law.
Dr Mensah-Kutin commended ActionAid Ghana for supporting the advocacy efforts, urging the media to prioritise the law to ensure its sustainability.
The Affirmative Action (Gender Equity) Act, 2024 (Act 1121) was passed by Parliament in July 2024 and received presidential assent in September 2024, following years of sustained advocacy by women’s rights organisations, gender activists, and other stakeholders.
By Linda Abrefi Wadie
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