Alex Segbefia, Health Minister |
Some
findings that women are avoiding hospitals because they can’t afford what the
hospitals demand of them are troubling indeed.
There
is a free maternal health programme in place under which pregnant women are
entitled to: exemption from paying NHIS premium; exemption of payment of
registration fees; waiving the period between registration and accessing the
services; free medical care and medicines during delivery; and free medical services
and care for the newborn baby on the mother’s ticket.
But
a recent study by SEND-Ghana has revealed that a lot of women who go into
labour, especially in the northern regions, avoid health facilities due to
illegal fees - a situation that contributes to the rise in maternal mortality.
According
to the study, there are a number of hidden or unapproved charges at the various
facilities that prevent poor pregnant women from fully enjoying the benefits
offered by the policy.
Pregnant
women who report to the hospitals are compelled to provide a list of items
before being admitted to the health facilities for delivery, but many cannot
afford these, thereby forcing them to avoid the hospitals and sometimes
unfortunately losing their lives.
Stated one woman who was forced to deliver at home. “It’s not all of us who can get the items demanded by the facilities, and when you do not provide them you are mishandled. In fact, this small girl was delivered at home because my husband could not afford the items requested.”
The SEND study shows that at some facilities in the four regions targeted - the
Upper West, Upper East, Northern and the Greater Accra Regions -- clients are
charged between GHC3 and GHC4 for items such as specimen bottles for laboratory
tests, and they also pay for pregnancy test kits.
Stated one woman who was forced to deliver at home. “It’s not all of us who can get the items demanded by the facilities, and when you do not provide them you are mishandled. In fact, this small girl was delivered at home because my husband could not afford the items requested.”
Most Pretty Gender Minister Oye Lithur |
In Greater Accra, the report noted, facilities charge even higher amounts that range between GHC30 and GHC100 without receipts.
“Clients are often compelled to provide a list of items before being admitted for supervised delivery. This list is displayed at the facility for all pregnant women to provide. A rough estimate of the items runs into hundreds of Ghana cedis,” the report said.
“The disturbing question is how many pregnant women will be able to afford these items considering the level of poverty in the three regions of the north. This is enough to prevent many pregnant women from going to the facility,” Siapha Kamara, CEO of SEND-Ghana, said at the report’s launch in Accra.
“Clients
are often compelled to provide a list of items before being admitted for
supervised delivery. This list is displayed at the facility for all pregnant
women to provide. A rough estimate of the items runs into hundreds of Ghana
cedis,” the report said.
“The disturbing question is how many pregnant women will be able to afford these items considering the level of poverty in the three regions of the north. This is enough to prevent many pregnant women from going to the facility,” Siapha Kamara, CEO of SEND-Ghana, said at the report’s launch in Accra.
“The disturbing question is how many pregnant women will be able to afford these items considering the level of poverty in the three regions of the north. This is enough to prevent many pregnant women from going to the facility,” Siapha Kamara, CEO of SEND-Ghana, said at the report’s launch in Accra.
The
SEND’s findings make for uncomfortable reading, but it offers a needed peep
into what is happening behind clear good policies. They are unfortunately not
the only ones and authorities will do well to explore whatever additional
measures would be needed to ensure that access to health is available to all
regardless of wealth status.
Editorial
Erdogan’s Visit
The
visit of President Erdogan of Turkey to Ghana at this time must be very
interesting for different reasons.
First,
just before he enplaned for Ghana, he was engaged in a bitter struggle with
Journalists in his own country over his refusal, to release a Turkish
Journalist from jail on court orders.
Tayyip Erdogan, a vendor of terrorism |
Erdogan
has publicly stated that he is involved in the illegal act of overthrowing the
legitimate government of Syria.
Reports
from all credible human rights institutions from around the world, say that his
government is systematically abusing the rights of Kurds and his political
opponents.
Even
the North Atlantic Treaty Organization (NATO) has been very reluctant to grant
Turkey under Erdogan membership.
The
United States of America and other western powers have also openly disagreed
with Erdogan and his government on their policies in the Middle East and in the
Persian Gulf.
It
is indeed strange that in spite of all these facts the Government of Ghana has
embraced Erdogan and his regime.
It
is our hope that during his stay in Accra, President Mahama will advise his
Turkish counterpart to abide by international law and refrain from his subversive
activities in the Middle East and the Persian Gulf.
That
may be the only useful outcome of this visit.
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