Features
What a hardworking President! (Part 2)
There is no doubt that in the light of his achievement, President Akufo-Addo has proved to be a leader who is very hardworking, is committed to what he stands for and is also prepared to leave for this country a list of achievements for the benefits of Ghanaians today and yet unborn.
We have already spoken about his achievements in a form of the free educational system, in digitalisation, in the health sector and remarkable growth in the agricultural sector. All these, put together, show that he is a great leader who must be emulated by all countries in Africa today. The opposition in Ghana have done all they can to vilify him, but he has always risen high above their evil intentions to serve his country to the best of his ability which is unparalleled in the history of this country. The discussion of his achievements will reveal that indeed he is a great leader, and that Ghanaians will have to retain his party, the New Patriotic Party (NPP) in power in 2024.
The Chief in the village of Berepro was faced with preservation of foodstuff in his community. The Chief and his elders thought about how to solve this problem, knowing that in previous times leaders who preceded him had not done anything meaningful to solve the problem. God being with him, this chief and his elders thought of traditional ways of preserving their produce and engaging in trade with the other villages around. Within a short time, the village of Berepro enjoyed better standard of living together with their neighbours.
INTRA-CONTINENTAL TRADE
Similarly, the government of President Akufo-Addo has done very well when it comes to promoting intra-continental trade in Africa. Until recently, many countries on the continent of Africa, were trading in larger volumes with countries outside the continent, while intra-regional trade was very low. African countries, realising this as a short-coming, have decided to come together and promote trade among themselves. This is what has led to the African Continental Free Trade Area (AfCFTA).
WHAT ARE THE OBJECTIVES OF AFCFTA?
First, it is to create a single continental market for goods and services and thereby accelerate Continental Customs Union. Second, it is to expand intra-African trade through better harmonisation and co-ordination of trade liberalisation and facilitation regimes. Third, it is to resolve the challenges of multiple forms of membership and expedite regional and continental processes. Finally, the Agreement seeks to enhance competitiveness at the industry and enterprise level through the exploitation of opportunities for large scale production, continental market access and better reallocation of resources.
One good move made by the President of the Republic is that he fought hard and negotiated with his colleagues for the headquarters of this noble programme to be sited in Accra. As we speak, AfCFTA headquarters is in Accra, bringing about numerous benefits to the country. First, it has raised the image of Ghana to a high level as a country that has set up and accommodate the AfCFTA secretariat.
Secondly, it goes to show Ghana as a peaceful and well secured country that must be trusted to accommodate the secretariat. Thirdly, all the officials connected to the secretariat will be based in Accra and indirectly bring in some revenue to the country. Fourthly, Ghana will also take advantage of the secretariat and conscientise its people on the need for making use of applicable standards in the production of goods and services for export to other countries on the continent. Furthermore, the local staff to be employed by the secretariat stands the chance of benefitting Ghanaians. This shows that Ghana stands to gain a lot for accepting to host the secretariat in line with the vision of President Akufo-Addo.
Fighting for the secretariat to be set up in Accra received very little opposition from other countries on the continent. This is because Ghana was seen as a beacon of hope for the rest of the continent. Several countries supported Ghana’s bid to host the AfCFTA secretariat and this did not come as a surprise when Ghana won the mandate to do so all because of President Akufo-Addo.
PLANTING FOR FOOD AND JOBS
In the agricultural sector, the President and his team introduced Planting for Food and Jobs as well as Rearing for Food and Export programmes. Also introduced was the One District One Factory concept and rolled it out in such a careful and vigorous manner that within the second and third years of his administration, the President had been able to produce a large quantity of foodstuff for consumption by the people of this country. Some of the food items were exported to neighbouring countries to feed the people there.
Neighbouring countries have been so enticed to Ghana that they are now rushing for the foodstuff available and today maize, yam, plantain and many others are running out of stock. What government must do in this case is to rigidly regulate the export of such products so that its own people will be fed adequately and be encouraged in their farming and farming-related businesses such as poultry so that the shortages can be curtailed to reasonable levels. Our neighbours must be fed but not to the detriment of Ghanaians.
Fruits like pineapple, watermelon and many others are being produced in various parts of the country under the programme and if things continue like this, Ghana will be a net exporter of food to the rest of the world as it is already doing, but of course not to the detriment of its people as has been pointed out already. Similarly, vegetables like tomatoes, onions, green pepper, garden eggs and others must be produced in large quantities so that people elsewhere can also benefit from such produce. In Demfefe in the Bono Region, for example, the 1D1F has set up Weddi Africa Tomato processing factory with 40,000 metric tonnes capacity. Here, 2,200 direct and indirect jobs have been created. It is not all the factories under the 1D1F that are agricultural in nature. Some of them produce non-agricultural products like garments.
COMMODITY EXCHANGE
In its wisdom, the government has been able to set up the Commodity Exchange which is helping to store the foodstuff produced so that they will not go bad within a short time since under the 1D1F, most of the factories established were agricultural in nature. The Commodity Exchange has helped to make food items available all year round. We should, however, not be happy with these achievements but continue to work hard under the programme, 1D1F, so that the best will be created for Ghana and Ghanaians for that matter.
Still on agriculture, much frantic efforts have been made in cocoa to increase output. Most of the cocoa trees were too old and had to be cut down to make way for new ones. Cutting them down required compensation for the cocoa farmers and this was provided by the government. Also, spraying of the cocoa trees as well as pruning were needed to energise the trees and make them produce more. All these have yielded positive results and today, Ghana has hit over one million tonnes of cocoa regarding production in that sector. Here too, kudos to the Akufo-Addo government and the Chief Executive of COCOBOD.
The programmes designed and implemented by the Akufo-Addo government is what as a country we would have to implement over the next decade or so to ensure that the country can begin to swim in greater prosperity than it is even doing now. We need to keep this in mind for a brighter future for all Ghanaians.
Contact email/WhatsApp of author:
Pradmat2013@gmail.com (0553318911)
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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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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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