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Why Ghana’s ‘no bed syndrome’ is a policy failure, not a clinical failure -Part 2

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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.

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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.

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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.

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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)

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Hair styles and Palm Sunday

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Children waving palm fronds
Children waving palm fronds

MY bosom friend Kofi Kokotako once told me that a person’s haircut portrays his character. I disagreed with him and said a person’s character portrays his haircut.  All in all, we agreed between us that a presidential aspirant whose haircut is excessively punk cannot win even a unit committee election, much more a castle-bound one.

One thing I hated as a kid was getting my hair barbered because I never had the style I wanted.  Usually, it was my father who was the tormentor-in-chief, and he chose the kind of design that would suit the shape and nature of my head and that of my elder brother Christian, whose name is more civilised than mine.

When we were through, we looked quite different from the other kids. I didn’t know where my Pop learnt that kind of style but I realised it was very colonial in form and outlook and I became sad when the girls giggled at my design.

Actually, it was something resembling a half-bow with a line cut through at about 38 degrees to the perpendicular. After the ordeal we looked half like the resident catechist and half like a fierce Regimental Sergeant-Major.

When I told my daddy that I had had enough of the ancient cut and wanted an Afro or at least a Tokyo Joe, he quickly explained that Tokyo Joe was for ruffians and that his style was tailor-made for aspiring doctors, lawyers, engineers and great states-men. He didn’t mention journalists though.

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So I went and told the giggling girls that my hairdo was a magical one that was going to transform me into a doctor whether they liked it or not. I added that their brothers who had modern haircuts invariably were going to be labourers and tangas (town council). They laughed at me even the more.

They referred me to the conservancy labourer not far away who always wore my kind of cut and asked me why he wasn’t wearing a white gown with a stethoscope hanging from his neck, if that kind of haircut was indeed miracle-performing!

My Dad was quite scrupulous and dished us the haircut in its hardest form just before Palm Sunday. It helped boost our religious conviction and the Holy Spirit almost descended and settled on our wonderful heads.

At Sunday school one Palm Sunday, the lady teacher asked me to stand so that she could admire my hairdo. I was quite flattered and happy that I was the centre of attraction on a great occasion like Palm Sunday.  So I quickly stood up and turned round like a model for all to see and envy my design.

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 It was when the teacher asked me whether my daddy was a policeman that I lost heart. At the mention of policeman, everybody started laughing and I concluded that the teacher wasn’t admiring my head after all. All she wanted to do was to predict my daddy’s occupation using my head as a determinant. I wasn’t pleased with the attempt.

Today whenever it is getting to Palm Sunday 1 remember the incident. And actually I have always enjoyed Palm Sunday because deep within me, I’m a very religious person and I believe that once God will judge us by the purity of our hearts and not the bottles of beer we quaff, I shall also be in heaven together with Korkorti.

Now if you observe properly, you’d realise it is those who are not believers who celebrate Easter to the fullest. They understand the real meaning of Palm Sunday because they equate it to the birthday of palm wine. They actually mourn the death of Christ and rejoice at his resurrection using palm in the form of wine.

Palm Sunday is best marked in the rural areas where palm wine is always available from dawn to dusk and vice versa. Normally, people start Palm Sunday at exactly 4.15 am when the freshly-tapped wine starts arriving. But you have to begin slowly otherwise you’d be in coma before the sun rises.

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Easter is due again and this time as usual, the action is right in the countryside. Kwahu is going to shake, Tapa Abotoase will somersault and Peki would explode. All over the world, these three Sikaman towns are ranked as places where Easter is best celebrated with a hangover assured.

People from Britain, Germany and Holland come down either to Obo Kwahu or Avetile Peki to celebrate Easter. They never miss it. It is a yearly ritual. They save towards the occasion.

So during the celebrations, people from all over the country also converge on these places and the celebrants compare haircuts and note carefully those who have grown lean and those who are neither growing lean or growing fat.

In fact, people assess their fellow human beings to ascertain whether they are becoming prosperous or are chewing grass. News is also brought from all over the globe and those from Germany (Jaaamani) are the loudest. The way they talk, you would never know they are cleaning the whiteman’s toilet to make some dough. You’ll think they are Managing Directors of a multinational corporation in Dusseldof. Such is life.

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It is during church service on Easter Sunday that the been-tos and the locals alike display whatever they have under their sleeves. The gentlemen are often resplendent in suits and black shining pairs of shoes, and the way they walk can be a clue as to where they are sojourning. With seamen for instance, it can be quite psychedelic. It is a real sight to behold especially if they hail from Kromanti, Moree or Abandze.

With the ladies, the spectacle is breathtaking. It is unbelievable! You can’t comprehend it using the human senses. You have to employ spiritual means. The kaba styles are of different kinds, styles, colour and combination of colours. Some of the styles are complemented with wings and when the lady wearing it is hurrying to “chapel” you’ll think she is actually airborne. She is practically a human vulture.

Then comes the picnic sessions which are normally well-attended by gate crashers, mental patients and political strategists who are also well-versed with what is going on between Kwame Pianim and kukrudu. So they brief their listeners and prophesy the outcome of court cases and election results. In exchange, they are well-fed, well-boozed and all.

But things do not happen only during the day time. At night, the devil usually takes over. Friendships are entered into, old girlfriends are re-baptised and there is love and romance.

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By Easter Monday, marriages are broken, new marriages contracted, girlfriends are jilted and pregnancies are on the way awaiting abortion. Every year it happens, and this year it is going to happen again. The death and resurrection of the Lord will really be marked in both righteous and evil ways.

Perhaps, this is not how Judas intended it to be celebrated. Judas was the architect of the Holy Friday coup d’état against the Son of Man.

 This article was first published on Saturday March 30, 1996

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On Ghanaian migrants in Finland, Ghana’s 69th independence anniversary

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Some Ghanaians celebrating indece party in Finland

The Ghanaian community in Finland on Saturday, March 14, 2026, celebrated Ghana’s 69th independence anniversary in an impressive event in Helsinki, the capital city of Finland.

The event was organised by the Ghana Union Finland (GUF), an association of Ghanaian migrants in Finland. It was an occasion well attended by many people from the Ghanaian community in Finland, Finns and other nationalities.

The occasion was graced by the Special Guest, Her Excellency Abigail Naa Adzoko Kwashi, the Ambassador of Ghana to Norway with concurrent accreditation to Finland and Iceland. In her speech, the Ambassador encouraged Ghanaians living in Finland to pursue unity, actively participate in, and support the Ghana Union Finland to build a stronger body better positioned to advocate for its interests and goals.

Also present at the event was the Honorary Consul of Ghana in Finland, Mrs Kati Kivisaari, who has replaced the retired Ms Ulla Alanko. Mrs Kivisaari urged Ghanaians in Finland to remain good ambassadors of Ghana in their lives in Finland.

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The event saw the inauguration of new executive members of the Ghana Union Finland. The team was inducted by Elder Samuel Anini, Patron of the Ghana Union Finland.

Earlier, a “royal entry” was performed by leaders of the Asanteman Finland and Mfantseman Kuw and other personalities in their colourful kente attire adorned with ornaments, amidst traditional music and adowa dance to usher in the Ambassador.

Unity and harmony

I see such events, especially the ones marking independence anniversaries, as ample display of unity and harmony in the Ghanaian migrant community as well as in the larger Ghana and Finland relations.

Some personalities present at the event were Nana Ekuoba Gyasi Gyimah and other leaders of Asanteman Finland, Mfantseman Kuw Finland, as well as representatives of other Ghanaian ethnic groups.

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It was a very colourful occasion with dance and other performances such as poetry recitals. The audience was also treated to tasty Ghanaian dishes such as jollof rice, fried yam, and soft drinks.

For me personally, whenever I think about Ghana’s Independence Day anniversary every 6th of March, my mind also goes to Finland’s own day on 6th of December. The two dates always give me such a special, positive feeling. As soon as one of the dates ends, I begin a countdown to the other (next) date.

Last year on December 6, 2025, when Finland celebrated its 108th independence anniversary and I participated in two events marking the celebration in Helsinki, I started looking forward to Ghana’s 69th anniversary this year. Now that Ghana’s anniversary is over, I am looking forward to Finland’s 109th anniversary on December 6, 2026. That’s the beauty of it all for me.

Ensuring integration

What I see in all this, especially for Ghanaian migrants in Finland, is the chance for members of the Ghanaian diaspora in Finland to integrate into the Finnish society through such celebrations that are marked by social activities, affiliations and ideas of inclusion.

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Inclusion is key to integration, and the two ideas undoubtedly build a sense of belonging. As I previously wrote, Finland sees the role of migrant associations as bridge-builders for the integration and inclusion of migrants through participation in the decision making process and by acting as a representative voice, which is highly appreciated in Finland.

As I keep pointing out, Finland encourages migrants’ participation in the planning of issues concerning the migrants themselves, using such a strategy as one of the efficient ways to improve their inclusion.

Thus, there is an enabling environment created within the Finnish cultural ecology that undoubtedly helps migrants to integrate into the host Finnish society. Thank you!

By Perpetual Crentsil

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