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Stigmatisation of infertile male spouses also high

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In Ghana, when couples are unable to have children of their own, it is the women who are mostly deemed to be stigmatised and ridiculed for their inability to have children.

However, according to experts, male stigmatisation is also high with theirs done subtly, causing them to take in all kinds of drugs and aphrodisiacs to boost their ability and to help them solve their problems.

Some are teased and mocked by their wives, relations and friends also give them several names depicting their problem.

The situation is causing some infertile men to lose their confidence, some have developed low self-esteem while others push the blame on their spouses or commit suicide.

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In an exclusive interview on the issue with Dr Francis Vinkpenuba Wuobar, an Obstetrician Gynaecologist from the Eastern Regional Hospital, he explained that male stigmatisation was real, adding that it is causing a lot of sub fertile men to suffer emotionally and therefore called on the public to stop all forms of stigmatisation of infertile couples and rather show love and give them support.

He explained that “men take ridicule and stigma rather poorly than women and tend to internalise their emotions which cause them to lose their ego. The concept of not being a man enough is devastating.”

“Sometimes, some men who are deemed infertile in a bid to remain emotionally stable rather take the blame out unto their partners and this may cause them to avoid seeking help altogether,” he added.

He lamented that stigmatisation was one of the reasons some men refused to go to the hospital with their spouses to go through tests when a couple have problems with their fertility, adding that stigmatisation may worsen the problem or prolong it.

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Dr Wuobar explained that child bearing involves a lot of process which can be interrupted and cause infertility, revealing that infertility in men can be as a result of dysfunctional sperm, prostrate, dysfunctional testes among others.

 “Even at the production stage, an interruption can occur, it could be a problem with the testes which at a child stage may have not descended well into the scrotum or because of poor temperatures among others.”

He said it is only on a few occasions that some men may accept they have a problem attributing their reluctance to the stigma that they may go through. 

The Obstetrician Gynaecologist called on the public to desist from subtly mocking men or infertile couples in general and rather encourage and support them to seek help.

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He also encouraged such couples to live healthy lifestyles, prevent and treat infections promptly as well as seek medical attention early.

Kwabena (not real names) who has been married to his wife, Akua for over 30 years and lives in Tema told The Spectator that his wife left home and married another man because he was unable to impregnate her after he was diagnosed with low sperm count.

He said the situation made him lose his respect before his wife, friends and relatives who subtly stigmatised him and called him names.

He said he has been unmarried since and adopted two children he was taking care of. He, therefore, called on people to stop stigmatising men and rather encourage them to seek help when necessary, adding that wives are supposed to support their husbands.

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Adu, also told the Spectator the he has been married for 15 years without a child, adding that it has not been a pleasant situation and called on the public to desist from stigmatising infertile couples.

“You feel it more when your colleague has delivered and you hear people tell him you are a man, it’s terrible.”

From Ama Tekyiwaa Ampadu Agyeman, Koforidua

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Gender

Ending maternal mortality: A national, moral duty to mothers

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Maternal mortality is failure of care, equity and accountability
Maternal mortality is failure of care, equity and accountability

When Ama Serwaa stepped out of her room that night, she paused at the doorway and looked back. Her two-year-old son was asleep, his tiny chest rising and falling gently. She bent, kissed his forehead and whispered, “Mummy will be back soon.”

It was a promise she never kept.

Ama was 28, seven months pregnant, and hopeful. She had been feeling unwell all day, but as many women do, she tried to endure it. When the bleeding started, fear crept in.

By the time her husband and neighbours realised it was serious, night had fallen and transport was hard to find. The nearest health facility was far away. Every minute felt like an hour.

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By the time Ama arrived at the Ada district hospital, she was barely conscious. Within minutes, she was gone. Her unborn baby died with her.

In one night, a child lost his mother, a husband lost his wife, and a family lost its future. Ama became another silent statistics- another woman who left home pregnant and never returned alive.

Maternal mortality remains a challenge as far as reproductive healthcare services in Ghana are concerned. 

The World  Health Organisation  (WHO) defines it as the  death  of a woman  while pregnant or within 42  days of  termination  of pregnancy, regardless of  the  duration  of the pregnancy, from  any cause  related to or aggravated  by the pregnancy or its  management  but not  from  accidental or incidental causes.

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This continues to be a great concern with majority of all maternal deaths occurring in developing Africa with more than half in Sub- Saharan Africa.

The Ghana Health Service (GHS) says, the country has recorded a slight increase in the institutional maternal mortality rate for 2024.

Data presented by the Director for Family Health, Dr Kennedy Brightson, at the Fifth National Maternal, Child Health, and Nutrition Conference in Accra shows a rise from 109.22 per 100,000 live births in 2023 to 110 per 100,000 live births in 2024.

Owing to the still high levels of maternal mortality in developing countries, especially Africa, it is now increasingly being recognised that actions required to achieve improvements in maternal health should involve comprehensive, multi-faceted approach.

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Across Ghana, stories like Ama’s unfold quietly. There are no sirens, no headlines, no public mourning. Just hurried burials, unanswered questions and children growing up with fading memories of a mother’s voice.

It is this painful reality that formed the backdrop to a high-level Maternal Mortality Roundtable attended by the Minister for Gender, Children and Social Protection, Dr Agnes Naa Momo Lartey, as Ghana intensifies efforts to end preventable maternal deaths.

The roundtable, convened by the Office of the President through the SDGs Advisory Unit, in collaboration with the United Nations Population Fund (UNFPA) and the National Development Planning Commission (NDPC), was held under the theme: “No woman should lose her life to give a life.”

But for families like Ama’s, these words must mean more than fine speeches and conference banners. They must mean real change that reaches the last woman in the last village.

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Speaking with emotion and urgency, Dr Lartey reminded participants that maternal mortality is not just a medical failure, but a failure of care, equity and accountability.

“Saving women’s lives must go beyond rhetoric,” she stressed. “It must be seen, felt and materialised in our communities, our clinics and our homes.”

She called for strong community accountability mechanisms, warning that when maternal deaths are normalised or hidden, society becomes complicit in the loss. Every woman who dies in childbirth, she noted, leaves behind a trail of grief that does not end at the grave.

“History will not judge us by the speeches we deliver today,” the Minister said quietly, “but by the lives we save through the path we take.”

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She urged all stakeholders, government agencies, development partners, traditional and religious leaders to move beyond promises to clear commitments, timelines and responsibility, insisting that maternal health cannot remain an annual discussion while women continue to die daily.

Yet Dr Lartey was equally clear that the fight against maternal deaths also begins with women themselves. She urged pregnant women to take antenatal and postnatal care seriously, noting that many complications are preventable or manageable if detected early.

Health experts present acknowledged a painful truth: some women delay or skip antenatal visits because of distance, cost, fear or cultural beliefs. But these visits can be the thin line between life and death the place where danger signs are noticed before it is too late.

Dr Lartey reminded the nation that maternal health is not the burden of one ministry alone, but a shared moral responsibility — from policy makers to health workers, from chiefs to pastors, from husbands to neighbours.

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“When women survive, children are born, families thrive, communities prosper and nations grow,” she said. “Saving women’s lives is not charity. It is justice.”

Today, Ama’s son calls his grandmother “Mama.” Her husband still keeps her cloth folded neatly in a box.

Her absence is felt in small, crushing ways an empty seat, an unanswered call, a child asking questions no one can answer.

Ama’s death should not be just another story told and forgotten. It should be a reminder and a warning.

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If Ghana’s commitments remain words on paper, more women will leave home pregnant and never return. But if action replaces rhetoric, if women are supported to seek care, and if communities refuse to stay silent, then fewer families will have to whisper goodbye at a graveside.

By Esinam Jemima Kuatsinu

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Gender

Expert urges regular antenatal attendance, adherence to medical advice

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Dr Akua Gyima Asante
Dr Akua Gyima Asante

Dr. Akua Gyima Asante, the Medical Superintendent of the LEKMA Hospital, has urged pregnant women to attend regular antenatal clinics, adhere strictly to medical advice, and report early to health facilities when they notice any unusual signs.

She advised nursing mothers to practise exclusive breastfeeding, maintain good hygiene, and attend postnatal clinics to ensure the health and wellbeing of both mother and child.

Dr. Asante gave the advice after the LEKMA Hospital recorded nine successful deliveries on New Year’s Day, marking a positive start to the year.

She said the first delivery was recorded at 12:30 a.m., with five male babies and four female babies delivered during the day.

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Six of the deliveries were normal, while three were conducted through caesarean section, Dr. Asante said, adding that the mothers and babies were in stable condition and responding well to medical care.

She commended the dedication and professionalism of the hospital’s healthcare staff for their role in ensuring safe deliveries and quality maternal care.

She reaffirmed LEKMA Hospital’s commitment to providing quality maternal and child healthcare services to residents of the Ledzokuku Krowor municipality and called for continued support to help the facility sustain its services. –GNA

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