Friday 17 January 2014

In which I tell Ben's story...



It’s a bit vague…trying to get detailed information from anybody is difficult.  Nevertheless the story is worth telling…

Ben is approximately 13/14 years old; I don’t think anyone knows his age exactly (we came across a case recently where the birth certificate failed to tally with any other official documents e.g. health insurance card…and I don’t think everyone has a birth certificate).

Ben suffers from sickle-cell anaemia and stunted growth.  Until 2012 he also had a very large, disfiguring, abdominal hernia.

From an early age Ben’s development was slow.  His father was convinced that the child was a curse and Ben lived under the constant threat of “not living” (to write that his father wanted to kill him feels extremely brutal though it is nonetheless true).  Ben’s mother feared for his life to the extent that she took the precaution of taking him to live with his grandparents here in Zebilla – a journey of about 10 hours by coach from Kumasi, where they lived in her husband’s family home.

Thereafter, Ben lived, hidden away, with his grandparents.  He did not attend school; he did not really leave this family compound.  Disability and curses are things to be hidden away.

In 2012, the District Special Educational Needs Officer (SPED) from the Ghana Education Service (GES), together with the VSO officer, visited Ben’s village where they happened upon Ben’s grandparents and their secret.  They were extremely shocked when they saw Ben; both his physical and his mental condition were a cause for great concern.  Immediate action was required.  Of course, “immediate” in Ghana can take considerable time!

Arrangements were made and Ben was taken to the hospital in Bolgatanga for assessment and eventually a hernia operation.  This was not an easy task given that neither parents nor grandparents had money to finance this.  There is a National Health Insurance Scheme which covers basics (you have to opt into it and pay a minimal fee which most families now do) but transport costs became a barrier.  In addition, the operation required a medical mesh (see note below) to strengthen the abdominal wall which was not included in the health insurance and cost 150 Ghana cedi.  Determined not to fall at this hurdle, the team at the Education Office pleaded the case at the District Assembly and also arranged a whip round in the Office.  With this support, the operation was completed successfully.

Ben was now in a much better physical condition.  I’m not sure how the stunted growth or sickle cell anaemia were treated but since they are much less visible Ben’s appearance became within the “normal” range.  It was suggested that he might start attending school.  This was an enormous mental challenge for a boy who had spent his life almost as a recluse.  By way of encouragement a bicycle was bought (again through generous donations) and gradually the challenge was faced and overcome.  Ben now attends his local Primary School and is currently in Year 5.

I have never met Ben.  However, his story is widely told and is regarded as a great success story here in Zebilla.  And it is a great success.  My concern is that it seems to be a fairly isolated success.  When will all these children with disabilities be acknowledged and loved?





Medical Mesh

Since our arrival in Ghana we have read about a surgeon who has been very successfully using mosquito nets as the mesh for strengthening the walls around hernias.  This is very cheap and readily available but possibly not yet widely known.  Here in Ghana the “mesh” is the property of the doctor and therefore you buy it from him before the operation. He, of course, will have to buy and keep his own stock of it in readiness.  I’m sure a supply of mosquito nets would be much more easily available.  However, the cynic in me (based on my observations of Ghana), suspects that the doctor might be making a profit from selling the mesh and I wonder whether he would be willing to forfeit this source of additional income?  Let’s hope so!

 

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