Features
The success story of Dr Opoku Prempeh

A positive mindset, it is said, brings positive results and also a dream does not become a reality through magic: it takes sweat, determination and hardwork.
There is no gainsaying the fact that there has been massive improvement in the energy sector through the instrumentality of Dr. Matthew Opoku Prempeh, the current Minister of Energy.
He is looking for nothing short of a sustainable electricity supply in the country.
To this end, he has vowed not to allow the myriad of challenges in the energy sector to divert him from his ultimate goal; ie uninterrupted power supply to the good people of Ghana.
President Nana Akufo-Addo, after winning the 2020 presidential election for the second time decided to make Dr. Prempeh, a former Minister of Education who is also the Member of Parliament for Manhyia South in the Ashanti Region, the Minister of Energy, and that decision has turned out to be very good, first for the current administration and second for the nation.
The medical doctor, who is allergic to failure, has placed the energy sector on a pedestal such that the sector will no doubt witness the needed growth to promote Ghana’s development.
The minister together with the heads of the various agencies under the energy sector, set some key objectives for the 2021-to-2024 period and commenced working on them one after the other.
These objectives include stable, realistic and universally accessible electricity, availability of fuel and realistic pricing of petroleum products, increase Crude Oil reserves to improve revenue, local content and local participation in the energy sector and Ghana’s Energy Transition.
With the unambiguous game plan, the minister set to work and made additions to Ghana’s total installed capacity of electricity. In 2020, it was 5,018 Megawatts but moved to 5,231 Megawatts in 2021.
New additions of Bridge Power generating 150 Megawatts, Bui Solar generating 50 Megawatts and Volta River Authority (VRA) Kaleo Solar generating 13 Megawatts were made under the watch of Dr. Prempeh.
To increase the availability of electricity generation and achieve price competiveness, the Ministry of Energy renegotiated all Power Purchasing Agreements (PPAs) and shifted from Capacity Based PPA to energy purchase on procurement of electricity.
For power to be transmitted very well, power quality was highly improved in 2021 by introducing more Bulk Supply Points (BSPs), such as Kasoa in the Central Region and Pokuase in the Greater Accra Region to improve the quality of power supply.
Improving technical losses was also a major pre-occupation of the Minister of Energy, making him to make swift moves to upgrade power lines which became the ‘Dum Sie Sie’ agenda to reduce losses and increase transmission capacity.
Power stability in the middle belt of Ghana was so crucial to Dr. Prempeh that the Ameri Plant has been relocated to Kumasi the Ashanti Regional Capital, to ensure that there is grid stability for the people in those areas.
Losses associated with power distribution are being dealt with and, in 2021, the minister designed various strategies to deal with the ugly situation.
To improve revenue collection from electricity users beyond the 50 per cent average for the two distribution companies, Electricity Company of Ghana (ECG) and Northern Electricity Distribution Company (NEDCo), the Ministry of Energy introduced private sector participation to address commercial losses in the power distribution sector.
The ministry and for that matter government also committed through the Millennium Development Authority (MiDA) to improve transmission and distribution of electricity.
In addition to that, there were Boundaries Metering for nine ECG operational regions to help reduce commercial losses.
To increase reserves under petroleum upstream, Dr. Prempeh supervised government’s full payment to Offshore Cape Three Points (OCTP) partners for the cost of the Takoradi-Tema interconnection project and with that Ghana will benefit from savings on Gas Price of at least $70million per annum.
Under the petroleum upstream activities, the Ministry of Energy in 2021 supervised preparatory studies towards drilling of a well in the Voltarian Basin, unitisation of Afena and Sankofa fields to reduce cost of development and improve, in addition to Ghana National Petroleum Corporation (GNPC), acquisition of seven per cent each of Anadarko’s stake in Jubilee and TEN Field.
In addition to that Dr. Prempeh was deep in Eni’s discovery of Oil in Eban-1X Well, as well as the invitation to tender for new blocks to increase Oil and Gas reserves, negotiations on acquisition of AKER Field and Tullow Oil’s drill of seven wells.
2021 saw lots of activities in the downstream petroleum development, with the Cylinder Recirculation Model programme to improve safety and increase access to clean gas being implemented, as well as National Petroleum Authority (NPA)’s aggressive strategy to reduce fuel smuggling and dumping.
Under the watch of Dr. Prempeh, there are well-orchestrated plans to develop and improve gas infrastructure in the country and to also increase the availability of petroleum products.
On top of Dr. Prempeh’s agenda was NPA’s regulation of natural gas condensate fuel, integration of Natural Gas activities across the value chain to boost efficiency, increase the utilisation of gas in the country and increase investment in the downstream.
There is a Gas Commercialisation game plan under which the Tema LNG project, a strategic project to diversify and boost security of gas supply to the nation, is expected to be commissioned in the first quarter of 2022. The terminal will have the capacity to receive, regassify and deliver up to 400 mmscfd. Negotiations have commenced with N-Gas, the supplier of gas in the West African Gas Pipeline (WAGP), as part of government’s effort to renegotiate existing gas agreements to lessen the Take or Pay burden.
To rationalise electricity tariff, the Ministry of Energy is collaborating with the Public Utilities Regulatory (PURC) to rationalise electricity tariffs to achieve equity for all consumer categories, in addition to shifting from capacity based PPA to energy purchase on procurement of electricity.
The minister’s commitment to local participation in the petroleum industry is clear, as he is supervising the Energy Commission in the establishment of Legislative Instruments (LI) to increase participation in the energy industry. LI 1835 will be for the power sector, while LI 2204 would cater for petroleum upstream.
Renewable and Nuclear Energy Development is dear to the heart of Dr. Prempeh such that, in 2021, there were various steps to strengthen that area with data collection and assessment to select a preferred site for the development of a nuclear power plant with evaluation of the expression of interest is ongoing to select a vendor country for the development of a nuclear power plant.
The International Atomic Energy Agency (IAEA) is committed to Ghana’s nuclear power programme and has promised technical support.
In 2021, the National Energy Transition Committee was commissioned to draft a transition plan for Ghana by the end of the first quarter of this year.
The construction of three mini-grids at the Azizakpe, Aflive and Alorkpem islands in the Ada East District of the Greater Accra Region has commenced as part of efforts to electrify 50 island communities and hard-to-reach areas with Renewable Energy technologies, while the Scaling Up Renewable Energy Programme (SREP) is being extended to include prioritised projects, such as solar streetlights and off-grid solar power projects for isolated communities.
There is no gainsaying the fact that Dr. Prempeh took off smoothly in 2021 and with various strategies put in place, Ghana’s energy sector will definitely blossom under his watch.
Features
Disqualified — Part 5
The driver stopped the vehicle at the gate of the large, fenced property along the Nsawam Highway, and Kakraba stepped out to meet the several workers who had gathered to wait for him.
He greeted them and went straight to the point.
“Gentlemen, I am glad to see that you have almost completed the clearing of the land. I’m happy to report that we have concluded all arrangements with Nana Serebour, and construction of the palace will start in a few days.
“I will need you to go and level the ground, and then come back to start this project. Some workers from a construction company will come and join us.
“My plan is to build twenty houses in four months. Then we will do twenty more until we reach two hundred.
“I am relying on you to help me deliver good-quality work to satisfy our clients and, as I have already indicated to you, I will reward you for your work.”
After an hour’s discussion, he closed the meeting and moved to drive away. Wofa Yaw drew closer.
“Director, can you please spare me five minutes? I would like to discuss a small issue.”
“Why, Wofa Yaw? Your wife has threatened to leave you?”
“No, Director. My wife will never leave me. This concerns a young niece of mine.”
“I hope it’s something I can help with. Please sit in the car and let me hear you.”
“Boss, my niece, Beesiwa, is a polytechnic graduate, very beautiful and with very good character.
“Unfortunately, her parents virtually forced her into a relationship with an idiot based in the US, which affected her badly. She has now recovered from that experience and, Boss, I am respectfully asking if you would find a job for her.
“I promise you that you will never regret it.”
“Well, Wofa Yaw, let me meet her and speak with her. I may be able to help, maybe not in the way you expect, but let me meet her.
“I will not be back here for another week, but I will be at the office throughout next week. You can come with her.”
On Monday morning, Wofa Yaw and Beesiwa were seated at the office by nine o’clock. Three young ladies welcomed them warmly, offered them soft drinks and assured them that Kakraba would be there shortly.
They then returned to their desks and sat behind computers with large screens displaying various building designs.
Kakraba walked in and greeted them warmly. After chatting briefly with the three ladies, he ushered Wofa Yaw and Beesiwa into his office.
“Director, this is my niece, Beesiwa. I mentioned her to you when you came to Nsawam.”
“Yes, indeed. Madam Beesiwa, you are very beautiful, just as your uncle said. Wofa Yaw is my colleague.
“We have just started a building project that will take about three to four years. He mentioned that you have a small problem, so I said I would like to meet you and see how I can help.
“So, Beesiwa, please tell me a little about yourself.”
Beesiwa described her childhood, her school experience, her brief work at the bank and the nasty episode with Sammy Abrokwa, which shattered her peaceful life. She also explained how she had been recovering from the experience.
“I am really sorry to hear this,” Kakraba said. “Now, here is what we are going to do.
“We are a small but very busy company. The three ladies out there spend most of the day on site and come back to report on their work in the morning.
“I have three main projects. The big one is an estate project in Nsawam, where your uncle is one of my main colleagues. I need a personal assistant who can take care of my activities, especially when I am not in town.
“Now, we will have to start with trust. Based on what I know about Wofa Yaw, and based on what you yourself have told me, I think we can start on a sound basis.
“So, Wofa Yaw will take you to my home. You can move into one of the four guest rooms.”
“Sir, I have taken some computer lessons, and I have even done graphics and web design,” Beesiwa said.
“Fantastic! I will give you a good phone and a laptop. I will also arrange computer lessons for you.”
“Now, Wofa Yaw, take her home. My sister, Kuukuwa, will meet you and show you around, and then you can return to Koforidua.
“When would you like to start work?”
“Sir, I would like to start today, but I would need to go and bring my things.”
“No problem. Take a taxi to my house, meet my sister, and let me know what you decide.”
Later that day, Kakraba and the three ladies met with some bank officials to conclude the sale of the three buildings at Adabraka.
They closed at five-thirty and, after rewarding the ladies for their hard work, Kakraba got home just after dark.
He was surprised to find Kuukuwa and Beesiwa sitting at the table enjoying supper.
“What’s happening here?” he asked. “Beesiwa, I thought you would return to Koforidua.”
“She changed her mind,” Kuukuwa said. “We went to the mall and bought a few things for her. Then we came back to cook. She has made some nice changes to your bedroom and cooked a couple of interesting dishes. Sit down; we will serve you.”
“Well, I certainly can’t refuse that. It’s been a busy day.
“So, what’s the plan now? Will Beesiwa go to Koforidua tomorrow, gather her things together and come down?”
“No, I will stay here for a while,” Beesiwa replied. “Kuukuwa bought me the things I need, so I may go back next week. I’m ready to start work. What would you like me to start with?”
“Well, you can come to the office tomorrow morning, meet the three girls and get a feel for what we do.
“Since you are living here, at least for now, we can discuss the plans for the next few weeks.
“Sometimes there are gaps when I travel up north. You can take care of things from now. I think the girls would like having someone like you around.”
By Ekow de Heer
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Features
The biological realities of breast excision – Part 1
A frequent question following breast surgery is whether human tissue possesses the regenerative capacity to restore an excised organ.
From a strict physiological standpoint, a completely removed breast cannot regrow. Unlike certain organisms that can regenerate complex limbs or organs, adult human tissues—particularly specialised glandular structures—lack the cellular machinery required to rebuild an entire organ after its total surgical removal.
Instead, the body heals the surgical site through processes such as scar tissue formation and re-epithelialisation rather than complete cellular regeneration.
What a mastectomy actually removes
To understand why natural tissue regeneration does not occur, it is important to examine the surgical scope of a mastectomy.
Depending on the type of procedure and the medical reason for surgery, a mastectomy may involve the removal of:
Glandular architecture: The milk-producing lobules and ducts that form the functional core of the mammary gland.
Adipose tissue: The fatty tissue that contributes to breast volume, projection and contour.
Other breast tissue: The extent of tissue removal varies according to the type of mastectomy and the need to achieve appropriate surgical clearance.
Because specialised breast structures are physically removed, the body does not rebuild a complete mammary gland. Instead, healing occurs through tissue repair and scar formation.
Distinguishing residual tissue from “regrowth”
Patients or observers may notice changes in the chest area after surgery, sometimes leading to misconceptions about tissue regeneration.
Skin- and nipple-sparing procedures
Modern breast surgery may preserve the outer skin envelope or, in selected cases, the nipple-areola complex. Small amounts of breast tissue may remain depending on the surgical technique. Any changes in remaining tissue due to hormonal fluctuations represent residual tissue responding to the body, rather than the regrowth of a completely removed breast.
Adipose accumulation
Weight gain after surgery can increase the amount of subcutaneous fat across the chest wall. However, this is part of general body fat distribution and does not represent the regeneration of a mammary gland.
Modern reconstructive pathways
Because a completely removed breast does not naturally regenerate, modern medicine offers reconstructive options aimed at restoring physical symmetry, contour and body image.
The two main approaches are implant-based reconstruction and autologous, or tissue-based, reconstruction.
Implant-based reconstruction
Implant-based reconstruction uses synthetic medical devices, typically filled with silicone gel or saline, to rebuild the breast mound following a mastectomy.
The two-stage process: This approach may begin with the placement of a temporary tissue expander to gradually create space and stretch the surrounding tissues. A later procedure may then be performed to place a permanent implant.
Recovery profile: Implant-based reconstruction generally involves a shorter initial surgery and recovery period compared with procedures that require tissue to be harvested from another part of the body.
Long-term considerations: Breast implants are not lifetime devices and require ongoing medical monitoring. Some patients may need additional procedures over time because of complications or changes in the implant or surrounding tissue.
Autologous or tissue-based reconstruction
Autologous reconstruction uses the patient’s own living tissue to create a new breast mound. Tissue may be transferred from another part of the body, commonly the lower abdomen, using procedures such as a DIEP flap.
Natural look and feel: Because the reconstruction uses living tissue, it can provide a natural warmth, texture and softness. The tissue may also change with the patient’s body weight over time.
Long-term durability: Once healing is complete, autologous reconstruction can provide a long-lasting result without the need to replace an implant. However, some patients may still require further procedures.
Complex surgery: This option usually involves a longer operation and recovery period. In microsurgical procedures, surgeons may need to reconnect tiny blood vessels to establish blood flow to the transferred tissue.
Direct comparison
When choosing between these two reconstructive pathways, patients and their surgical teams must consider several physical, medical and lifestyle factors.
Surgical burden: Implant surgery is generally less invasive, while flap reconstruction involves surgery at both the chest and the donor site.
Foreign material versus native tissue: Implants involve the use of a medical device, while autologous reconstruction uses the patient’s own tissue.
Recovery: The recovery timelines and rehabilitation requirements differ significantly between the two procedures.
Recovery and physical rehabilitation
Recovering from breast reconstruction requires patience, careful pacing and, in some cases, structured physical rehabilitation.
Because implant-based and autologous tissue-flap procedures involve different surgical techniques, their healing timelines and physical therapy milestones can vary considerably.
Understanding these differences is important for patients considering reconstruction, as the choice involves more than restoring physical appearance. It also requires careful consideration of recovery, long-term monitoring, lifestyle and individual medical needs.
Part 2 will examine recovery timelines, physical therapy milestones and other factors patients should consider when choosing between reconstructive options.
By Robert Ekow Grimmond-Thompson
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