{"id":47441,"date":"2020-05-07T10:42:56","date_gmt":"2020-05-07T09:42:56","guid":{"rendered":"https:\/\/blogs.bmj.com\/bmj\/?p=47441"},"modified":"2020-05-14T10:21:32","modified_gmt":"2020-05-14T09:21:32","slug":"covid-19-is-hitting-communities-in-ghana-hard","status":"publish","type":"post","link":"https:\/\/blogs.bmj.com\/bmj\/2020\/05\/07\/covid-19-is-hitting-communities-in-ghana-hard\/","title":{"rendered":"Covid-19 is hitting communities in Ghana hard"},"content":{"rendered":"<p><span style=\"font-weight: 400\">The coronavirus pandemic has hit<\/span><span style=\"font-weight: 400\"> communities in Ghana hard, either directly or indirectly through fear and panic of <\/span><span style=\"font-weight: 400\">infection and the economic consequences of lockdown<\/span><span style=\"font-weight: 400\">. <\/span><\/p>\n<p><span style=\"font-weight: 400\">As of<\/span> <span style=\"font-weight: 400\">30 April, 2020, 2,074 people in Ghana had tested positive for covid-19 and 17 people had died<\/span><span style=\"font-weight: 400\">. The<\/span> <span style=\"font-weight: 400\">majority<\/span><span style=\"font-weight: 400\"> of cases have been in <\/span><span style=\"font-weight: 400\">the Greater Accra and Greater Kumasi\u2014<\/span><span style=\"font-weight: 400\">the two<\/span><span style=\"font-weight: 400\"> areas where the bulk of economic activities in Ghana take place\u2014<\/span><span style=\"font-weight: 400\">and the government put these areas into lockdown for three<\/span><span style=\"font-weight: 400\"> weeks on 30 March<\/span><span style=\"font-weight: 400\">, 2020. <\/span><span style=\"font-weight: 400\">Schools <\/span><span style=\"font-weight: 400\">across the country <\/span><span style=\"font-weight: 400\">had already been closed<\/span><span style=\"font-weight: 400\">, and<\/span><span style=\"font-weight: 400\"> public events and large gatherings banned.\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400\">In Ghana, p<\/span><span style=\"font-weight: 400\">eople infected with covid-19 and their families face stigmatisation, isolation, rejection and discrimination. Societal norms coupled with misconceptions and misinformation about the pandemic and lack of resources has increased vulnerability.<\/span><\/p>\n<p><span style=\"font-weight: 400\">The government has put in place various national, public health and economic measures to prevent and contain coronavirus, but these do not adequately cater for marginalised people who live at the edges of society. This includes women and girls in rural and urban slums, street girls, women in the informal economy, such as vendors and caregivers, people with disabilities, HIV and AIDS, and other chronic illnesses.<\/span><\/p>\n<p><span style=\"font-weight: 400\">In deprived communities there is inadequate access to hygiene facilities, such as water, soap and sanitizer, and to health facilities. The most vulnerable and poor people cannot afford face masks, which have been made compulsory. The self-employed, particularly market women, hairdressers, petty traders and street vendors,<\/span> <span style=\"font-weight: 400\">have been hardest hit by the economic consequences of lock down, and the incidence of intimate violence during the period of lockdown and restriction of movement has been alarming.<\/span><\/p>\n<p><span style=\"font-weight: 400\">Ghana\u2019s economy is poor and the health system is weak. Lockdown and restriction of movement has reduced community interaction, is disrupting people\u2019s already fragile access to health and other essential services. Sexual and reproductive health (SRH) and others health services may be diverted to pandemic response, leading to increased morbidity and mortality and deterioration in other health outcomes (malaria, HIV\/AIDS, cholera, diabetes, etc) as has been seen in previous epidemics. Restrictions on movement have decreased overall access to food supplies and markets and have also increased prices for food, increasing risk of malnutrition and starvation among poor and marginalised groups.<\/span><\/p>\n<p><span style=\"font-weight: 400\">School closures can increase and exacerbate inequities and vulnerabilities for children and can increase the likelihood of early or forced marriage, gender-based violence and adolescent pregnancies. Prolonged school closures will increase the risk of girls dropping out of school and that risk will grow the longer they stay at home.<\/span><\/p>\n<p><span style=\"font-weight: 400\">The 3Ts method (trace, test and treat) is being used to identify and isolate infected people to contain the spread of the virus. As at 20 April 2020, 86,000 contacts had been traced, of which 68,591 had<\/span> <span style=\"font-weight: 400\">been tested and 1,042 (1.5%) confirmed positive for covid-19. Of these, 212 have recovered and been discharged, and 930 have been isolated either in their homes or in treatment facilities. Some 18,000 tests results are yet to be received.<\/span><\/p>\n<p><span style=\"font-weight: 400\">The majority of people infected in Ghana have mild or<\/span> <span style=\"font-weight: 400\">no symptoms. A very small number have required hospital treatment and only nine people, all with underlying ailments, have died.<\/span><\/p>\n<p><span style=\"font-weight: 400\">Drones are being used to hasten <\/span><span style=\"font-weight: 400\">transport of samples to laboratories so confirmed cases can be quickly identified, isolated and treated. D<\/span><span style=\"font-weight: 400\">omestic production of personal protective equipment has been scaled up. <\/span><span style=\"font-weight: 400\">S<\/span><span style=\"font-weight: 400\">cientists at the University of Ghana have successfully sequenced genomes of the virus responsible for the covid-19 from 15 confirmed cases to strengthen surveillance for mutations of the virus and to aid tracing the sources of infections in people with no known contact with a confirmed case.<\/span><\/p>\n<p><span style=\"font-weight: 400\">While l<\/span><span style=\"font-weight: 400\">ockdown was lifted on the 16 April<\/span><span style=\"font-weight: 400\">, all educational facilities remain closed, <\/span><span style=\"font-weight: 400\">public and large gatherings remain banned, and <\/span><span style=\"font-weight: 400\">wearing face masks has been made compulsory to reduce the person-to-person spread. <\/span><span style=\"font-weight: 400\">Businesses and other workplaces can operate with strict observation of social distancing and hygiene protocols.<\/span><\/p>\n<p><em><strong>Alex Adusei<\/strong><span style=\"font-weight: 400\"> is the Executive Director of the Women\u2019s Hope Foundation in Ghana and <\/span><span style=\"font-weight: 400\">World Health Organisation <\/span><span style=\"font-weight: 400\">Patients Safety Programme, Patients for Patient Safety Champion.<\/span><\/em><\/p>\n<p><em><strong>Competing interests:<\/strong> none declared.<\/em><\/p>\n","protected":false},"excerpt":{"rendered":"<p>The coronavirus pandemic has hit communities in Ghana hard, either directly or indirectly through fear and panic of infection and the economic consequences of lockdown. As of 30 April, 2020, [&#8230;]<\/p>\n<p><a class=\"btn btn-secondary understrap-read-more-link\" href=\"https:\/\/blogs.bmj.com\/bmj\/2020\/05\/07\/covid-19-is-hitting-communities-in-ghana-hard\/\">More&#8230;<\/a><\/p>\n","protected":false},"author":1,"featured_media":47452,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[263,5749],"tags":[],"class_list":["post-47441","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-global-health","category-patient-perspectives"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v27.5 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>Covid-19 is hitting communities in Ghana hard - The BMJ<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/blogs.bmj.com\/bmj\/2020\/05\/07\/covid-19-is-hitting-communities-in-ghana-hard\/\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Covid-19 is hitting communities in Ghana hard - The BMJ\" \/>\n<meta property=\"og:description\" content=\"The coronavirus pandemic has hit communities in Ghana hard, either directly or indirectly through fear and panic of infection and the economic consequences of lockdown. 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