Ghana: A Call to Action - Addressing Breast Cancer in the Upper East Region of Ghana

A woman being screened for breast cancer with mammography (file photo).
30 October 2024
guest column

Breast cancer is one of the most significant health challenges facing women globally, and the Upper East Region of Ghana where I live is no exception. As we celebrate Breast Cancer Awareness Month in October, it is important to reflect on the current state of healthcare in this region and work towards improving outcomes for women affected by breast cancer.

The situation is more dire in regions like the Upper East, where healthcare resources are limited and often underfunded. Many women are either unaware of the signs and symptoms of breast cancer or are hindered by cultural stigmas that prevent them from seeking medical care until the disease has progressed to an advanced stage. This lack of awareness and delay in seeking treatment leads to poorer outcomes, including higher mortality rates.

A stark example of this can be seen when women have attended cervical screening exercises organized by local NGOs, such as my organization Mabia-Ghana. During these screenings, some women reported having breast problems and, upon further examination, were found to have advanced cases of breast cancer. This highlights the urgent need for increased education and awareness surrounding breast cancer, as early detection is one of the most effective ways to combat the disease. When breast cancer is detected early, the chances of successful treatment are significantly higher. However, this is a challenge in the Upper East Region due to the lack of widespread knowledge and understanding of the disease.

One of the most effective strategies for addressing breast cancer is through education. Community health education programs should be expanded and tailored to inform women about the importance of regular self-examinations and clinical screenings, such as mammography. Self-examinations, which can be done at home, provide an opportunity for early detection, while mammography remains the gold standard for identifying breast cancer in its early stages. These programs could be implemented through collaborations between local leaders, healthcare providers, and non-governmental organizations (NGOs) working within the region. By organizing workshops, outreach programs, and educational campaigns, these groups can work together to not only educate women about the disease but also debunk some of the myths and misconceptions surrounding breast cancer.

It is also critical to create an environment where women feel comfortable discussing their health and seeking medical help. Too often, cultural stigmas and fears surrounding breast cancer prevent women from coming forward with their concerns. In some cases, breast cancer is seen as a taboo subject, and women may be reluctant to seek help for fear of being ostracized by their communities. Educational campaigns must therefore aim to normalize conversations about breast cancer, reduce stigma, and empower women to prioritize their health. Community and religious leaders can play a key role in this by using their influence to foster open discussions and encourage women to seek medical attention without fear of judgment.

Access to healthcare is another major challenge in the fight against breast cancer in the Upper East Region. Many women face significant geographical and financial barriers that prevent them from accessing timely screening and treatment. The region's healthcare infrastructure is limited, with very few facilities equipped to provide comprehensive cancer care. For example, the region lacks mammography machines and other essential screening tools, making it difficult for women to undergo regular breast cancer screenings. Additionally, there is a shortage of trained healthcare personnel who can perform breast cancer screenings and provide appropriate care.

To address these issues, mobile clinics and community health workers can play a vital role in bringing healthcare services directly to women in underserved areas. These mobile units can travel to remote communities, providing not only breast cancer screenings but also education on early detection and follow-up care for women who may require further treatment. This would greatly enhance access to services for women who are unable to travel to healthcare facilities due to distance or cost. Moreover, advocacy for government support to improve healthcare infrastructure in the region is crucial. Government intervention can help ensure that essential services, such as mammography screenings, are both available and affordable, reducing the mortality rate associated with breast cancer in the region.

It is important to note that while breast cancer predominantly affects women, men are not immune to the disease. Although male breast cancer is much rarer, it still occurs, and raising awareness about this is essential. Many men are unaware that they can develop breast cancer, and as a result, cases in men are often detected at later stages. By including information about male breast cancer in educational campaigns, we ensure that all individuals are informed and can advocate for their health.

In conclusion, tackling breast cancer in the Upper East Region of Ghana requires a comprehensive, multifaceted approach. Education, access to healthcare, and community support must all work in tandem to improve outcomes for women diagnosed with the disease.

By raising awareness, increasing access to screening and treatment, and fostering a strong support network, we can create a future where early detection and treatment become the norm, and where no woman has to face breast cancer alone. Let us unite in our efforts to combat this disease and improve healthcare outcomes for all individuals affected by breast cancer in our communities.

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