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The case for regional eye secretariats: Decentralizing vision care in Ghana

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​Eye health is a fundamental pillar of universal health coverage and national productivity. In Ghana, vision loss and avoidable blindness continue to impact thousands, particularly those in rural and underserved communities where quality care remains a luxury rather than a right.

​While the National Eye Care Unit under the Ghana Health Service has made significant strides, the current centralized model, where coordination is anchored almost exclusively in Accra has reached its limit.

To achieve equitable access, Ghana must transition toward a decentralized system by establishing Regional Eye Secretariats in all 16 regions.

The Challenge of Over-Centralization

​Currently, the “Accra-centric” model places immense pressure on a single national body to oversee diverse regional needs. This bottleneck results in several systemic friction points: Logistical Delays: Slow decision-making and implementation cycles.

​Supervisory Gaps: Weak oversight of district-level facilities and outreach programs.

​Data Silos: Inadequate monitoring and inconsistent reporting from the field.

​Resource Disparity: An unequal distribution of equipment and specialists, leaving Northern Ghana and remote districts vulnerable to preventable blindness and untreated cataracts.

Why Regional Eye Secretariats are Essential

Tailored Local Interventions: Health delivery is most effective when it is responsive to local realities. A secretariat in the Upper East Region might prioritize trachoma surveillance and cataract outreach, while one in Greater Accra focuses on diabetic retinopathy and glaucoma. Regional hubs allow for “precision planning” rather than a one-size-fits-all mandate.

Rigorous Monitoring and Clinical Standards, proximity enables accountability. Regional Secretariats would provide direct supervision to CHPS compounds and district hospitals, ensuring:  High surgical success rates, proper maintenance of specialized ophthalmic equipment, strict adherence to clinical protocols.

Evidence-Based Planning Through Better Data

​Reliable data is the currency of modern healthcare. Regional secretariats would act as data clearinghouses, tracking: cataract surgical rates (CSR), school screening outcomes, glaucoma case management.

By capturing more accurate data, the regions can build stronger cases for donor funding and national budget allocations.

Harmonizing NGO and Partner Efforts

​Many NGOs and development partners operate in silos. A Regional Eye Secretariat acts as a strategic hub, coordinating outreach schedules to prevent the duplication of services and ensuring that surgical camps reach the most “invisible” populations.

Specialist Retention and Professional Growth

​From ophthalmic nurses to surgeons, eye care professionals need local mentorship and advocacy. Regional secretariats can manage staff deployment, coordinate continuing professional development, and create the support systems necessary to retain specialists in deprived areas.

A Sustainable Path Forward

​Establishing these secretariats does not require the construction of expensive new complexes. It begins with a strategic policy shift:

​Formalizing Roles: Appointing dedicated Regional Eye Coordinators with structured offices under the existing Regional Health Directorates.

​Resource Allocation: Providing necessary logistics (transport, ICT tools) and clear budget lines.

​Policy Framework: Empowering regional leaders with the authority to manage local partnerships and resources.

​“Preventing blindness is not an expense; it is an investment. The cost of managing lifelong disability far outweighs the cost of a decentralized, functional eye care system.”

Call to Action

​The Ministry of Health, the Ghana Health Service, and international development partners must recognize that the future of sight in Ghana depends on local action.

​We must move beyond the national secretariat in Accra. To eliminate avoidable blindness and ensure that every Ghanaian, regardless of their geography, can see a brighter future, the time to establish Regional Eye Secretariats is now.

​Eye care should not be a matter of location. It should be a matter of right.

Feature By Desmond Yaani, Ophthalmic Nurse at Builsa South District Hospital.

Writer’s email: desmondyaani@outlook.com

Upper East Health Directorate joins virtual orientation on new Free Primary Health Care policy

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Staff of the Upper East Regional Health Directorate joined their national colleagues on Monday for a virtual orientation following the official launch of the government’s Free Primary Health Care (FPHC) policy.

The initiative was formally launched by President John Dramani Mahama on Wednesday, April 15, at the Shai Osudoku District Hospital in Dodowa, Greater Accra Region.

The regional team, led by the Regional Director of Health Services, Dr Braimah Baba Abubakari, gathered at the Directorate’s conference hall to participate in technical presentations detailing the policy’s framework and implementation strategy.

The FPHC policy is designed to provide comprehensive primary health services to all residents in Ghana, regardless of their financial status.

Health care will be administered through a network of accredited primary care points, including: Community-based Health Planning and Services (CHPS) compounds, Health Centres and Clinics, Polyclinics and other approved primary care service points.

The policy reinforces primary health care as the first point of entry into the national health system.

By strengthening the “gatekeeping” role of local facilities, the policy creates a more organized referral structure that links primary, secondary, and tertiary care.

While higher-level facilities such as regional and teaching hospitals are not the primary focus of this specific policy, they remain vital to the system to ensure continuity of care.

To ensure wide coverage, the FPHC includes services delivered through public, and faith-based facilities, provided they are appropriately credentialed and accredited by the relevant authorities.

Under the policy, a defined package of essential primary health care services, including: health promotion and health education, disease prevention services, maternal, newborn, and child health services, family planning services, basic outpatient clinical care for common conditions, screening and early detection for priority diseases, basic diagnostic services available at primary-level facilities, initial management and referral to a higher level of care.

The primary objective of the FPHC policy is to eliminate the financial barriers that often delay or prevent Ghanaians from seeking medical attention.

The policy is expected to have the greatest impact on vulnerable populations, including: rural communities and underserved areas, low-income households, women, children, and the elderly.

By removing out-of-pocket costs at the primary level, the GHS aims to improve health outcomes and further move the nation closer to achieving Universal Health Coverage (UHC).

Source: PR Unit, Upper East Regional Health Directorate

Ghana, Norway deepen academic partnership to drive research and innovation

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Ghana has reaffirmed its commitment to strengthening international collaboration in higher education and research as part of efforts to drive national development and innovation.

Speaking at the Ghana–Norway Academic Programme held at the Institute of Statistical, Social and Economic Research (ISSER) Conference Facility at the University of Ghana, Deputy Minister for Education Dr. Clement Abas Apaak underscored the importance of sustained partnerships in addressing global and local challenges.

He described the Ghana–Norway relationship as a critical platform for advancing knowledge, innovation and human capital development, noting that no country can achieve sustainable growth without investing in research and education.

“The collaboration between Ghana and Norway is not just timely, it is essential to shaping the future of higher education and research,” Dr. Apaak said.

The programme, themed “Strengthening Collaboration in Higher Education and Research,” brought together government officials, diplomats, academics and students to explore ways of enhancing bilateral academic cooperation.

Dr. Apaak highlighted ongoing initiatives such as the Norwegian Programme for Capacity Development in Higher Education and Research for Development (NORHED) and the Norwegian Agency for Exchange Cooperation (NOREC), which he said have significantly contributed to improving research output and building institutional capacity in Ghana.

According to him, the partnership has led to the introduction of new postgraduate programmes, improved research infrastructure and increased global visibility for Ghanaian universities.

He noted that joint research efforts between Ghanaian and Norwegian institutions are already yielding practical solutions in key sectors, including climate change, water resource management, public health and coastal development.

“These collaborations are not just academic exercises. They are addressing real development challenges and contributing directly to national priorities,” he added.

The Deputy Minister further indicated that government will intensify support for research and innovation while strengthening linkages between academia and industry to ensure that research findings are translated into policy and practice.

He also emphasised the role of students and young researchers as key drivers of future innovation, urging them to take advantage of such partnerships to build skills and contribute to national development.

Dr. Apaak concluded by describing the Ghana–Norway partnership as a model for effective international cooperation, calling for deeper collaboration and sustained commitment to achieving measurable impact.

A1 Radio | 101.1 MHz | Moses Apiah | Bolgatanga

GES announces payment plan for salary arrears owed to newly recruited teachers

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The Ghana Education Service (GES) has announced that approval has been secured for the payment of outstanding salary arrears owed to newly recruited teachers, bringing relief to hundreds of educators affected by delayed payments.

In a press statement signed by the Head of Public Relations, Daniel Fenyi, GES said the approval was granted by the Ministry of Finance in collaboration with the Controller and Accountant-General’s Department (CAGD). The payments cover arrears accrued between Aug. 1, 2024, and Nov. 2025 for eligible teachers recruited during that period.

According to the statement, the arrears will not be paid as a lump sum but will instead be disbursed in structured instalments over a four-month period beginning May 2026. Under the schedule, affected teachers will receive four months’ arrears each in May, June, July, and August 2026.

GES explained that the phased payment approach is intended to ensure efficiency, accuracy and transparency in the disbursement process, while minimizing administrative challenges associated with bulk payments.

The delay in salary payments for newly recruited teachers has been a longstanding concern within the education sector, with many affected staff calling for urgent intervention to address financial hardship. The announcement is therefore expected to ease pressure on teachers, many of whom have been working for months without full remuneration.

To facilitate smooth communication and implementation, GES has directed all regional directors to notify heads of schools across the country. The directive is aimed at ensuring that all eligible teachers are adequately informed about the payment arrangements and timelines.

Management of GES also expressed appreciation to affected teachers for their patience and cooperation during the period of delay, reaffirming its commitment to staff welfare.

The development comes amid broader government efforts to streamline payroll processes and address bottlenecks in public sector salary administration.

A1 Radio | 101.1 Mhz | Moses Apiah | Bolgatanga

Andrew Atariwine applauds government’s free primary healthcare policy

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A social commentator and former Deputy Regional Communications Director of the New Patriotic Party, Andrew Atariwine, has thrown his support behind the government’s newly introduced Free Primary Healthcare policy, describing it as a “credible and laudable” step toward transforming Ghana’s healthcare system from a reactive to a preventive model.

Speaking on the Day Break Upper East show on A1 Radio, Mr. Atariwine said the initiative builds on the historical foundation of the National Health Insurance Authority and represents a strategic evolution rather than a departure from Ghana’s healthcare framework.

“If you look at the history of our healthcare delivery before the introduction of the National Health Insurance Scheme in 2003, you will appreciate why this policy is necessary,” he noted.

Before the rollout of the National Health Insurance Scheme (NHIS), Ghana operated a “cash-and-carry” system that barred many citizens from accessing healthcare unless they could pay upfront.

The NHIS, introduced under Act 650 and later strengthened in 2012, sought to remove that barrier by allowing registered members to access treatment with minimal annual premiums. However, Mr. Atariwine said the system has largely focused on curative care, treating illness after it occurs rather than preventing it.

“We spend colossal sums every year paying for claims. If we can reduce the number of people who fall sick in the first place, that is the smartest move,” he explained.

At the core of the new policy is a significant shift: Ghanaians can now access primary healthcare services using the Ghana Card, even if they are not registered with the NHIS.

Mr. Atariwine described this as a game-changer in expanding access and moving the country closer to universal health coverage.

“You don’t necessarily need a health insurance card. With your Ghana Card, you can walk into a facility, be attended to, and then be encouraged to enroll,” he said.

He noted that this approach could help increase healthcare access from the current estimated 65% coverage to as high as 80% to 90% of the population.

Unlike the traditional system, where patients seek care only when ill, the Free Primary Healthcare policy encourages routine check-ups and early detection of diseases, many of which show no symptoms in their early stages.

Mr. Atariwine stressed that this preventive approach could significantly reduce long-term healthcare costs and improve health outcomes.

“Some conditions won’t show symptoms until it is too late. Early detection helps both the individual and the government’s budget,” he said.

Contrary to concerns about sustainability, Mr. Atariwine dismissed fears that the policy could strain public finances. Instead, he pointed to inefficiencies and lack of financial autonomy as the real challenges facing the health insurance system.

He cited revenue streams such as the National Health Insurance Levy and donor support from organizations like the World Health Organization as evidence that funding exists.

“The issue is not funding. It is about prudence and allowing the authority to manage its resources independently,” he argued.

He also welcomed the government’s decision to remove spending caps on the NHIS, describing it as a move that could improve operational flexibility.

While endorsing the policy, Mr. Atariwine acknowledged that public misunderstanding remains a major hurdle. Many Ghanaians, he said, mistakenly believe the initiative is an entirely new programme rather than an extension of existing services.

“It is an addition, not a replacement,” he clarified. “We need better communication so people understand what is being offered.”

He also cautioned against politicizing the policy, urging stakeholders to focus on implementation quality and accountability instead.

Ghana’s NHIS has long been regarded as one of the most successful health insurance models in Africa, attracting interest from countries such as Kenya, Nigeria, and The Gambia.

Mr. Atariwine believes the new policy could further strengthen Ghana’s leadership in healthcare innovation and even open the door for cross-border health coverage in the future.

“Ghana is already a model. The next step is how we can expand and even think about portability across countries,” he suggested.

As the Free Primary Healthcare policy begins implementation, Mr. Atariwine’s endorsement adds to growing support among policy experts. However, he insists that success will depend on strict monitoring, effective communication, and responsible management of resources.

“It’s a very good policy,” he concluded. “What matters now is how well we execute it for the benefit of Ghanaians.”

A1 Radio | 101.1 Mhz | Samuel Adagom | Bolgatanga

Sumbrungu community sets sights on becoming cleanest town in Bolgatanga

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The Sumbrungu community is aiming to become the cleanest town in the Bolgatanga Municipality following a large-scale cleanup exercise organized over the weekend.

Sumbrungu hosts four of the 27 electoral areas in the Bolgatanga Municipality of the Upper East Region. The exercise was spearheaded by the Sumbrungu Youth and Development Association (SUYDA) in collaboration with assembly members, local chiefs, and the Bolgatanga Municipal Assembly.

Speaking during the exercise, SUYDA President Albert Adongo said the initiative marks the beginning of a sustained drive to improve sanitation in the community.

“This is the beginning of cleanliness in Sumbrungu. It is going to be continuous, and we are making efforts to ensure that we sustain it so that Sumbrungu will continue to be the cleanest town in the municipality,” Adongo said.

The cleanup mobilized residents to clear rubbish from markets, shops, gutters, roads, and homes across the community. Organizers said the goal is not a one-time event but the start of a long-term sanitation culture that reflects Sumbrungu’s growth.

The Bolgatanga Municipal Assembly has commended the effort, calling on other communities to emulate the initiative to improve overall cleanliness in the municipality.

With four electoral areas and strong backing from youth groups, traditional leaders, and local government, Sumbrungu is positioning itself as a model for community-led sanitation in the Upper East Region.

A1 Radio | 101.1 Mhz | David Azure | Sumbrungu

Sumbrungu Youth and Development Association leads cleanup in Sumbrungu

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The Sumbrungu Youth and Development Association (SUYDA), in collaboration with assembly members, local chiefs, and the Bolgatanga Municipal Assembly, has organized a large-scale cleanup exercise to improve sanitation in the community.

Speaking to the media during the exercise, SUYDA President Albert Adongo said the association is committed to championing development in all areas, with sanitation as a key priority.

“This is an association that is advocating for development for the Sumbrungu community and its environment. We champion development in all areas, and sanitation is very key to our community,” Adongo said.

“The growth of the community must go with the cleanliness of the community. That is why we mobilized our people to keep the environment clean. Cleanliness is next to godliness. For us to be strong, healthy, and bring more development, the people must be healthy.”

The cleanup targeted refuse in the market, shops, gutters, roads, and homes across Sumbrungu. Mr. Adongo said the exercise marks the beginning of a sustained sanitation campaign.

“We came together as a community to make sure every rubbish in the market, in the stores, in the gutters, on the road, in our houses—we pick all that rubbish away. This is not the end. This is the beginning of cleanliness in Sumbrungu. It is going to be continuous, and we are making efforts to ensure we sustain it so that Sumbrungu will continue to be the cleanest town in the municipality,” he said.

The SUYDA president admitted that while community cleanups have taken place before, this was the first major coordinated effort. He said the turnout demonstrated the need for broader participation in future exercises.

“What we witnessed today has informed us that we need to enhance the measures to ensure we bring everybody on board. That means making sure the information gets to every home and household,” he said.

Mr. Adongo also addressed challenges with some shop owners who opened during the exercise, citing lack of information.

“Some of our brothers and sisters still opened their shops, giving the excuse that they did not get the message. Next time, we are going to make proper announcements, inform everybody, and ensure that every shop is closed until we are done with the cleaning,” he added.

The exercise brought together youth groups, assembly members, traditional leaders, and the Bolgatanga Municipal Chief Executive, signaling a united approach to improving sanitation in Sumbrungu.

Speaking on behalf of assembly members in the Sumbrungu enclave, Elias Ayinbila Apasiya, Assembly Member for the Sumbrungu Azorebisi Electoral Area, said the community considers good sanitation a shared responsibility. He noted that residents are ready to take ownership of keeping the environment clean rather than relying solely on the assembly or government.

Bolgatanga Municipal Chief Executive Roland Ayoo Atanga, who participated in the exercise, expressed appreciation to the leadership and all participants. He called on other communities to organize similar exercises to promote cleanliness across the municipality.

A1 Radio | 101.1 MHz | David Azure | Sumbrungu 

Toyota Highlander somersaults near Mount Sinai School, disrupting traffic on Bolgatanga–Tamale Highway

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A road accident has occurred on the Bolgatanga–Tamale highway near Mount Sinai School, close to Salsa Oil, involving a Toyota Hilux, registration number GW-6870-26GH, and a Toyota Highlander, registration number UE-160-20GH, both traveling toward Tamale.

Eyewitnesses said the Toyota Hilux was parked by the roadside when the driver of the Toyota Highlander crashed into it, causing the vehicle to somersault into the middle of the road and disrupt traffic.

No casualties were reported.

The Toyota Highlander was carrying a mother and her two young children at the time of the incident. All occupants escaped without injury. Volunteers at the scene assisted them and arranged for transport to the Bolgatanga Regional Hospital for medical evaluation.

As of the time of reporting, personnel from the Ghana Police Service and the National Ambulance Service had not yet arrived at the scene. Authorities are expected to investigate the circumstances surrounding the crash.

The incident highlights ongoing road safety concerns along the busy Bolgatanga–Tamale highway. Motorists are being urged to exercise caution and adhere to traffic regulations.

A1 Radio | 101.1 MHz | Joseph Napoleon Anaaya | Bolgatanga

“I sympathize with residents” – Bolga East MP promises action on Kulaa section of Bolga-Bawku road

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The Member of Parliament for the Bolgatanga East Constituency and Minister for Justice and Attorney General, Dr. Dominic Ayine, has pledged swift action to address the deteriorating Kulaa section of the Bolgatanga–Bawku road following public outcry and recent youth-led protests over worsening conditions.

Speaking in an interview with A1 Radio, Dr. Ayine acknowledged the severity of the situation after personally traveling along the stretch, describing scenes that underscored the urgency for intervention.

“The dust levels are just intolerable,” he said. “If you are asthmatic and exposed even for a few seconds, you could collapse.”

The Bolgatanga–Bawku highway, a critical route in the Upper East Region, has long been plagued by dust pollution, potholes, and uneven surfaces, conditions that worsen during the dry season.

Residents of the Bolgatanga East District recently took to the streets to demand immediate government intervention, citing health risks, reduced visibility for drivers, and daily hardship for commuters. Dr. Ayine admitted that while he initially questioned the timing of the protests, his firsthand experience changed his perspective.

“When I saw a woman on a motorbike struggling to shield her child from the dust, I realized there is a real problem that needs urgent attention,” he recounted.

The Bolgatanga East District Assembly has attempted short-term measures such as watering the road to reduce dust levels. However, Dr. Ayine described these efforts as insufficient. “Watering the road is only a temporary measure. We need a permanent solution,” he emphasized.

He revealed that the issue has already been escalated to key stakeholders, including regional authorities, and assured residents that concrete steps will be taken.

Rather than dismissing the demonstrators, Dr. Ayine commended them for drawing national attention to the issue. “I sympathize with them and thank them for bringing public attention to this matter,” he said.

The protests, largely driven by young people in the area, have reignited conversations about infrastructure disparities in northern Ghana and the pace of road development projects. The demonstration has also sparked political debate, with some questioning why similar protests were not staged during previous administrations. Dr. Ayine, however, chose to focus on the present reality rather than political comparisons.

“What matters now is that there is a problem and we must fix it,” he said.

For residents along Kulaa and commuters on the Bolgatanga–Bawku corridor, the Attorney General’s assurance offers a glimmer of hope.

A1 Radio | 101.1 MHz | Samuel Adagom | Bolgatanga

“System we are building is even more rigorous” – Ayine explains new legal education reforms

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Ghana’s Minister for Justice and Attorney General, Dr. Dominic Ayine, has mounted a robust defense of sweeping reforms to the country’s legal education system, rejecting claims that the changes will flood the profession with underqualified lawyers.

In an exclusive interview with A1 Radio, Dr. Ayine described the reforms as a necessary intervention to dismantle long-standing structural barriers that have, for years, prevented thousands of law graduates from advancing into professional legal practice.

“This is about breaking a bottleneck that has denied opportunity to many qualified Ghanaians,” he said.

At the heart of the reform is the dismantling of what the Attorney General calls a “monopoly” held by the Ghana School of Law. For decades, the institution has served as the sole gateway to the legal profession, admitting only a limited number of students each year despite a growing pool of LLB graduates from universities across the country.

Dr. Ayine revealed that at one point, nearly 7,000 law graduates were unable to progress due to capacity constraints at the professional level.

“Let them take the bar exam and fail if they must, but at least give them the opportunity,” he argued.

Under the new framework, accredited universities offering LLB programmes will also be required to run a one-year Law Practice Course. This course will focus on the practical aspects of legal training, including courtroom procedures, drafting legal documents, and litigation skills—areas critics say were previously underemphasized.

Graduates who successfully complete this stage will then be eligible to sit for a national bar examination focused strictly on practical competencies.

“We are not going back to test theory again. We are testing whether you can actually practice law,” Dr. Ayine explained.

To address concerns about declining standards, the Attorney General emphasized that the reforms will be backed by a stringent accreditation regime. Not all institutions currently offering LLB degrees will qualify to run the Law Practice Course or prepare students for the bar.

The accreditation process will be jointly overseen by the Council for Legal Education in collaboration with the Ghana Tertiary Education Commission.

“If you do not meet the criteria, you will not be accredited. And if you are not accredited, your students cannot proceed to the bar,” he stated.

According to him, this market-driven accountability will compel institutions to improve standards or risk losing relevance.

One of the most persistent criticisms of the reform is the fear that expanding access will dilute the quality of legal professionals. Dr. Ayine dismissed this as a “fear of the unknown,” insisting that similar systems have been successfully implemented elsewhere.

Drawing on his own experience as a legal academic, he argued that professional competence is developed more in practice than in the classroom. “Law is a vocation. You learn more when you are practicing than when you are in school,” he said. He further assured the public that the government has no intention of compromising the integrity of the legal profession. “We will not train half-baked lawyers. The system we are building is even more rigorous than before.”

The Attorney General disclosed that preliminary assessments of law faculties across the country are already underway, led by the Director of Legal Education, Raymond Atuguba.

This evaluation process, he noted, will ensure that only institutions with the required infrastructure, faculty strength, and training capacity are approved to participate in the new system.

For thousands of aspiring lawyers who have long been locked out of the system, the changes represent a long-awaited opportunity.

For critics, however, the true test will lie in implementation.

As Dr. Ayine sees it, the reform is not just about education, it is about fairness.

“We are creating a system where every qualified Ghanaian has a fair shot at becoming a lawyer,” he said. “That is the essence of justice.”

A1 Radio | 101.1 MHz | Samuel Adagom | Bolgatanga