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Healthcare in Ghana
Healthcare in Ghana has many levels to it. There are three primary levels: national, regional and district. Within these, there are different types of providers: health posts, health centers/clinics, district hospitals, regional hospitals and tertiary hospitals. On average, Ghana spends 6% of its gross domestic product on healthcare, and the quality of healthcare varies by region. Here are four facts about healthcare in Ghana.

4 Facts About Healthcare in Ghana

  1. Ghana has a public insurance system. In 2003, Ghana made the switch from the “cash and carry” system to public insurance. The “cash and carry” health system required patients to pay for their treatments before receiving care. Because of this process, few people were able to afford treatment. In response, the government established the National Health Insurance Scheme (NHIS). This system provides wide coverage, covering 95% of the diseases that affect Ghana. The coverage includes treatment for malaria, respiratory diseases, diarrhea and more. Between 2006 and 2009, the proportion of the population registered to NHIS increased by 44%
  2. Child mortality rates have decreased. Data from 2019 showed that 50 out of 1000 babies die before the age of five. While this may appear unsettling at first, the twice as high a few decades earlier. In low-income communities, there is a higher risk of death because of limited access to healthcare. To help prevent this, the NHIS provides maternity care, including cesarean deliveries. In the 1990s, Dr. Ayaga Bawah began a study to provide healthcare in rural areas to see if it would decrease mortality rates. Between 1995 and 2005, the study showed that when qualified nurses were working in communities, there was an equal distribution of child mortality throughout the country, rather than mostly in rural communities.
  3. Access to health services has increased. In rural communities, health posts are the primary healthcare providers. A 2019 study found that 81.4% of the population had access to primary healthcare in Ghana, while 61.4% have access to secondary-level, and 14.3% to tertiary care. Despite these relatively high rates of accessibility, approximately 30% of the population has to travel far to access primary facilities or see a specialist. To increase access to services, Ghana’s president, Nana Akufo-Addo, stated in June 2020 that he intended to build 88 more district hospitals.
  4. More and more scientists are being trained. Throughout Africa, scientists are being trained to improve research and the dissemination of information. The World Economic Forum has pushed for research in programs such as Human Health and Heredity in Africa. This program is dedicated to helping local institutes manage the diseases and conditions that affect its area. Another group, H3-D, trains scientists in many African countries, including Ghana, to focus on conditions that are prevalent in Africa, such as malaria, tuberculosis and cardiovascular disease.

These four facts about healthcare in Ghana illuminate the progress that has been made, as well as the work that still needs to be done. While healthcare has improved, the government must take more steps to increase accessibility for all throughout the country. With a continued focus on healthcare, Ghana will hopefully continue to provide more communities with health services.

Sarah Kirchner
Photo: Flickr

Witch camps in Ghana
A modern-day witch hunt is taking place in Northern Ghana, where witch camps are still prevalent. Neighbors continue to turn on women in their communities, accusing them of practicing witchcraft. Due to discrimination, threats and fear for their own lives, these women have to flee from their own homes. Once exiled from their homes, hundreds of these accused women end up in “witch camps.” As of 2018, up to 1,000 women lived in the witch camps, which act as a place of refuge for these women. Below are the top five things to know about witch camps in Ghana.

5 Things to Know About Witch Camps in Ghana

  1. There are six witch camps in Ghana. Spread out across the Northern Region, the six confirmed witch camps reside in Bonyasi, Gambaga, Gnani, Kpatinga, Kukuo and Nabuli. Some sources state the possibility of more camps, but these camps are more remote and there are not many records about them. Several of these camps date back to well over a century ago. In 2014, the government created a plan to shut down the camps in an effort to stop the stigma and mistreatment of these women and reunite them with their communities. The Ghanaian government began the shutdowns with the Bonyasi camp. However, activists feared that communities would refuse to reaccept these “witches” and the women would no longer have a home. The government has since halted its plans to shut down the camps, as many of the accused witches fear returning to the communities that sent them away.
  2. The population of the witch camps is mostly women. It is almost undeniable that the communities’ accusations that these women are witches have a lot to do with sexism and misogyny. These women are often vulnerable, such as older women, single mothers, widows and unmarried women who do not fit the stereotype that their society sees as desirable. Furthermore, these women do not have a male authority figure to protect them, so it is easy for their communities to cast them out.
  3. Communities often accuse these women of things out of their control. Communities often accuse women of witchcraft because they believe they are guilty of circumstances like bad weather, disease and livestock death. Some communities exile women simply for appearing in someone’s dream. Showing signs of dementia or mental illness also leads to witch accusations. Often, communities’ accusations are based on superstition. In 2014, a woman received an accusation of witchcraft and her community compared her to Maame Water, a sea goddess that lures men to their deaths, because a man drowned beside her. The method that communities use to determine if a woman practices witchcraft involves slaughtering a chicken and taking note of its posture as it dies.
  4. Women are not the only ones who reside in the witch camps in Ghana. Children occasionally accompany women to the camps. A child may go with the accused witch in order to protect them. Often, a woman’s own children accompany her. These children suffer greatly from the discrimination of their previous communities. The camps have no access to education, little access to water and insufficient food. Most of these children go their whole lives with no formal education and spend their time completing chores. While the camps may not have the best living conditions, the inhabitants believe it is better than facing discrimination and possible violence.
  5. ActionAid is pushing to improve the conditions for women and children in these camps. ActionAid, an organization that fights for and protects women’s rights, strives to provide aid for the accused witches. ActionAid works to dissolve the camps and reintegrate the accused with their past communities. However, the organization understands that that cannot happen without ending the superstition and stigmas surrounding witchcraft. Until that day arrives, ActionAid is prioritizing the current needs of the women and children of the camps. Its work includes increasing the accused witches’ self-confidence, teaching the women their rights and finding ways they can support themselves. ActionAid promoted the creation of a network of alleged witches, Ti-gbubtaba, that works to register the camp’s inhabitants on the National Health Insurance Scheme and gain food aid. In 2011, ActionAid brought the inhabitants of all six camps together in a two-day forum. This forum was space for the accused women, children, priests, local government and organizations to come together to discuss future solutions for the camps.

These five facts about witch camps in Ghana give a look into the accused women’s lives, as well as the organizations trying to help. While organizations are making great strides to better the lives of these women and hopefully reintegrate them into their communities, much more is necessary for the future.

– Lilith Turman
Photo: Wikimedia