Wednesday, June 10, 2009

Keep Your Promises Campaign to hold Government Accountable A Story from India



Electioneering campaigns are fascinating combative theatres at which national and local political party players go over the top to lay out hydra-headed superlative promises to schmooze the electorate. But political promises are seduction with minimal cerebral character. So therefore governments tend to win elections on extraordinary back-stories of super-size promises. After elections, the electorate is left with the task of demanding for a payment of awesome promissory notes – accountability to deliver on promises.

As we deepen our democracy, we could learn lessons from others so we don’t waste precious time reinventing the wheel of ideas. So this week, this column publishes edited excerpts of a case study from India, touted to be the largest democracy in the world. An Oxford publication, it was written by Avinash Kumar and published at http://www.comminit.com/en/node/286214/348.

This case study explores Wada Na Todo Abhiyan (WNTA, also known as the Keep Your Promises Campaign), an ongoing effort to mobilise people in India to pressure the government to deliver on key promises, and to demonstrate the demand of people across India for social justice and a better future for all the nation's children.

By late 2008, WNTA had a federal structure reaching 23 states, with 3,000 networks and a core membership of 105 organisations. From the beginning, it was envisaged that in addition to creating a national advocacy agenda, emphasis would also be placed on decentralised state-level campaigns to ensure that local priorities were included.

Amongst its many programmes is the Nine Is Mine campaign for the allocation of 9% of gross domestic product (GDP) to health and education as promised in the United Progressive Alliance's election manifesto when it came into power in 2004. WNTA's core strategies include:

1). Mass Mobilisation: Repeatedly, WNTA organises events with a large and active public presence and extensive media coverage. For instance, the September 2005 People's Summit Against Poverty involved more than 12,000 people and resulted in a People's Charter calling for immediate action to meet the Millennium Development Goals’ commitments and end poverty.

On global Stand Up Against Poverty Day WNTA partners across 15 states organised a diverse set of actions involving 1,236,979 people from communities and local decision-making bodies, including students and government representatives.

WNTA's children's alliance mixes children from slums and wealthy cities, creating a cross-class alliance for social justice. These children play active roles in campaigning for health and education spending. After the campaign got schools across the country involved through grassroots mobilisation, a concert and a children's rally were organized.

When thousands of children – from the poorest slums and the most elite Delhi schools –attended the concert and rally, dancing together and marching side-by-side, the media rushed to cover this unusual social phenomenon. The day after the TV coverage, the Prime Minister's office invited the children to come and meet him.

When they met him, he accepted the 100,001st postcard petition and assured the children, on the record, that he would boost funding for schools and health centres. In the following year’s budget, he did just that, raising health spending by a quarter and education spending by a third in a budget in which defence spending went up by just nine percent.

2). Policy Audits and Citizens Reports: In order to press for the full implementation of the National Rural Employment Guarantee Scheme (NREGS), WNTA organised a March for the Right to Employment in 6 states. These marches were accompanied by People's Tribunals, where local officials were told about the inefficiencies and gaps in the implementation of the scheme.

Following this, a National Tribunal was held at the India Social Forum where over 50 representatives from 14 states spoke. The outcomes and verdicts of these processes were taken to different parliamentarians. The government showed its acknowledgment of the importance of the campaign by integrating the audits in its monitoring mechanisms and increasing the reach of the NREGS to 595 districts from the initial 200.

WNTA used the idea of Citizens' Report Cards to put constant pressure on the government and to hold them to account. In its first year, WNTA released a report focusing on the MDGs, particularly in relation to education, health and employment. A survey involving the local community was conducted in 1,514 villages. It was followed by a mid-term MDGs checklist and a status Report Card which was presented to the Prime Minister. Extensive media coverage ensued.

WNTA's annual review of the CMP checks on the major promises made by the government through a rigorous process wherein a Report Card is developed and the resulting report presented and passed through various state networks to get their feedback and assent before it is finally released. An elephant bearing a sign reading "CMP Promised" standing next to a goat with sign "CMP Delivered" (illustrating the difference in scale) became a popular image widely used by the media.

3). Budget Tracking and Advocacy: The Centre for Budget and Governance Accountability, a member of the WNTA alliance, organises a national consultation each November (when the government's budget-making process for the following year begins). What results is a People's Charter of Demands, which looks at various aspects of the social sector like agriculture, education and health from the perspective of marginalised groups. This is forwarded to various ministries of the government.

Experts weigh in, followed by a public discussion where government, policymakers, civil society groups and media representatives come together to evaluate the implications of the Charter for economically poor people. Results? The campaign is promoting the right to be heard in an innovative way, where policy analysis from the top has led to grassroots mobilisation from the ground.

A key theme running throughout WNTA's work is direct engagement with marginalised groups such as women, indigenous peoples, children and people with disabilities. WNTA's approach involves harnessing the work these groups were already doing, thereby adding to their strength and capacity by including them in its quest to secure their economic rights.

WNTA also addresses gender in its own structures. In 2006, the WNTA steering group was expanded to ensure women made up 50% of members.

Following are key lessons learned:
1). Build alliances and overcome isolation without giving up one's identity, perspective and sensibility.

2). For any large network to be successful in ensuring poor people's right to be heard, the priorities have first to be drawn from local, regional and national contexts and then draw on international frameworks.

3). The national framework has to take into account the perspectives and voices of groups that are marginalised in social and economic terms, as well as groups of differing gender and age in order to seek their support and build their capacity. The lobbying strength of the middle class should also be sought.

4). It is important not to organise separate or new fronts but to explore opportunities to bring isolated or disparate movements together on common ground, making them a unified and much stronger voice that cannot be ignored by the government.

5). The strong points of all constituents must be harnessed for the interest of the whole. Such strengths include grassroots groups providing input from the ground; policy groups providing macro analysis in a language that is informed by grassroots realities; media-based groups providing support for media advocacy.

6). It is possible to create excitement and enthusiasm for issues such as health and education. The key is to articulate these vital issues in a language people understand and want to respond to.

Wednesday, June 3, 2009

The Mathematics of Public Holidays

Ghana’s total GDP is 17 billion Ghana cedis. Excluding weekends and the 12 statutory public holidays out of the 365 days, we are left with 252 working days in a year. This gives an approximate figure of 68 million Ghana cedis per working day.

In other words, Ghana loses GH¢68 million each official working day we gleefully, for one reason or the other, decide not to work. When you don’t work, you don’t earn money so in effect, you lose money. Each of our estimated 23 million citizens loses GH¢3 each non-working day, good enough money for a meal, considering the fact that there are some of our citizens who live on less than one cedi a day!

Ghana takes 12 pauses every year in public holidays. We simply stop – and rest, and stare. And these holidays are supported by law – Act 601, the Public Holidays Act of 2001. There are offences and penalties for contravening this law. One becomes “liable on the summary conviction to a fine not exceeding one hundred penalty units or to a term of imprisonment not exceeding three months or to both.” Public-holiday observance is therefore a serious matter – it has a ‘compulsory-by-force’ clause.

What do people do on public holidays? Idle about, mostly. Overindulge in activities including alcoholism, over-eating, belching, over-sleeping and resting. Incrementally, indulgence in over-holidaying impacts on our attitudes, behaviours and national psyche, possibly resulting in the adoption of a culture of resting and laziness.

The rationale behind public holidays is to mark and remember something. An entire country does not need to take a pause just so that people would remember the significance of the day. For some of our public holidays, a commemoration should be adequate to memorialize the day while the country works.

Commemoration is a symbolism. It could include flag-raising ceremonies, media discourse and events. We can celebrate days which have true significance without piling up days just for people to hang around to perpetuate a culture of loafing about and of non-working. The national culture of public holidays is akin to the frighteningly growing dysfunctional culture of funerals. One death, and people stop and freeze – in grief, for as long as they can carry on.

Some reduction is called for in the vast public holiday landscape. Four public holidays which are so superfluous and are crying to be cut out to make room for national development are: Easter Monday, Boxing, Republic and Africa Day. Ghana loses GH¢272 million (68 million multiplied by 4 days) for those unnecessary holidays. This amounts to approximately GH¢12 per person.

Let’s touch on each of our public holidays.

New Year’s Day: The first day of the year should be a good day for reflections and planning – for a long look backwards and a bold look forward. It is worth GH¢68 million.

Independence Day: Pushing the colonialist away deserves a national and individual celebration and a resolve: “Never again!” Freedom! But the freedom must be applied appropriately or else the GH¢68 million cannot be justified.

Good Friday: Jesus died. On the cross. Nailed. In a brutal manner. If he should return now, people like you and I will crucify him – again. He might bring the cane into the public sphere of Government offices of the Castle, Ministries, Departments and Agencies, and especially all churches – and whip lots of people for various offences. With that, we would be so upset that at the least opportunity, we would crucify him – again!

But this is a predominantly Christian country so we should celebrate Good Friday even at the cost of GH¢68 million.

Easter Monday: That is the day after the Sunday when Jesus the Christ pulled a fast one on the women (led by Mary), by resurrecting and leaving the tomb empty – the quintessential “well-dodge event!”

So why is the Monday after Easter observed as a public holiday? Just so Ghanaians who can afford it would attend picnics. The celebration of Easter Monday results in two shortened weeks, back-to-back – four days for the previous week and four days for the following. And the cost to Ghana is GH¢68 million, a whopping total of GH¢136 million in two weeks.

Eid-al Adha Festival (Hajj) and Eid-al Fitr (Ramadan): For national cohesion, fairness and the tolerance of religious and cultural diversity, the two Muslim public holidays must be maintained at a total cost of GH¢136 million. But, won’t one Muslim holiday be adequate? Must it be two? OK, drop the Hajj holiday and save Ghana GH¢68 million!

Workers Day (1st May): Everyone works so a day of pausing to review the sinking stinky realities of workers is welcome and is worth GH¢68 million (sort of).

Africa Day (25th May): This holiday always catches me unawares because it has refused to register on my consciousness. This past one, I accidentally found out on the prior Thursday that Monday was a public holiday. So I asked two well-educated friends what the holiday was for. To my surprise, they didn’t know it was Africa Day. Africa is distant in the consciousness of many of us. ECOWAS is closer to us and touches our lives. Africa has little credibility, making the OAU and now the AU a gathering of leaders, some of whom are nothing but crack tyrants and glorified thieves.

Republic Day (1st July): I’ve asked a number of ‘all-knowing’ people this simple question: “What is a Republic? It’s not well known that it disconnected us from the mighty apron strings of the Queen of England’s monarchy. It sealed the kiss for Independence. So after 52 years, why do we continue to place the country on a GH¢68 million pause in memory of a kiss and the ugly gold-laced apron strings?

If we celebrate Independence Day, why must we take another day off to celebrate the Republic? Doesn’t Independence Day adequately represent what we are as a nation without having the entire country take another day off for the Republic?

Farmers Day (1st Friday in December): Farmers are workers too so why not consolidate their day with Workers Day? We import lots of food. Global trends suggest that as countries develop, the percentage of individuals in farming drop correspondingly. US figures are as low as 5%. So in future, we might be celebrating a day for a few people.

Christmas Day (25th December): OK, Christ was born! Let’s celebrate. But there should be two Christmas holidays instead of the current four. Christmas and Good Friday are enough.

Boxing Day (26th December): What box? Are we supposed to distribute Christmas gifts on this day? This day must be cancelled as a public holiday. Superfluous!

But that’s not all. A thirteenth public holiday, Founder’s Day, might soon be added, to celebrate ex-President Kwame Nkrumah, now of blessed memory – the same man we vilified for days, weeks, months and years after his violent overthrow in 1966. Every visible memory of his was destroyed through vandalism and hateful vengeance. Now he has been ‘resurrected’ and we’re looking for his vandalised head and arm to attach to his ill-reputed statue that was left in sorrowful abandonment at the Museum in Accra.

What irony! Another GH¢68 million will be flushed down the drains in Nkrumah’s memory and to further slow us down on the rocky path of development and economic independence! This public holiday should replace the Republic Day or just forget it.

dorisdartey@yahoo.com; dorisdartey.blogspot.com

Tuesday, May 26, 2009

The Ecomeny Slips into National Comedy

I slip a lot – slips of tongue, that is! Carpenters slip. Comedians slip. Labourers slip. Lawyers slip. Medical Doctors slip. Painters slip. Pastors slip. Plumbers slip. Politicians slip. Presidents slip. Professors slip. Secretaries slip. Tailors/Seamstresses slip. Teachers slip too. So, we all slip. Big deal! But when a Professor who is also a President slips on an issue that is biting the world where it matters the most, then it raises matters onto the level of high-octane slippage.

I’m a lover of a good-old ding-dong humour because life is short and we should not take ourselves too seriously. So when a comical audio clip of professorial presidential character which also doubles up as remix for mobile phone ring-tones came along recently, I couldn’t resist hugging it. I’ve saved it on my phone and periodically, when I’m low, I play-back to listen to my Daddy the President as he fumbled and slipped over the not-so-complex word, economy. In his juicy presidential mouth, the word degenerated into ecomeny, repeatedly. Why, I don’t know.

I confess that I do listen to the clip with warm laughter-tears dripping from my eyes, throat-suckling, cackling and chuckling, with laughter seeping out my very pores. Result? Every time I listen to the tape, I end up with rib-cake slum-dunk laughter. President Mills is jamming funny.

Yet, I’ve no malice whatsoever toward my President. But admittedly, the recording of his slip of tongue and his unstoppable comedy of errors when delivering his 1st State of the Nation Address are so hilarious that it should constitute a crime if we are criticized for laughing at the raw jokes. My children and grandchildren laugh at me endlessly over my numerous slips and fumbles. So why can’t I laugh at my President?

Yet, a pious school of thought that is making the rounds maintains that laughing at the ‘ecomeny’ slip of President Mills is disrespectful. The reason given is that our African culture demands that we revere our leaders. Revere, as in worship? Why? That school of thought implies that the President is King. But the leader of a democracy is not and should not be perceived as King of the land. He is only a leader because the people said so through the combined-force of beautiful, crooked and ugly ink-stained thumbs. No big deal!

Such a school of thought also implies that we should be robbed of our right to laughter. When humour and one’s right to laugh freely is taken away, freedom is lost forever. We might be damned broke, struggling to make ends meet, wondering how to work the magic of living on meagre means. But we should never lose our right to laugh – even at our President. Laughter is decisively therapeutic in a period of global economic crunch that is decisively on our doorstep.

The most ridiculous school of thought is that those who consider the President’s ecomeny slip as hilarious are definitely anti-government and anti-NDC. In our highly polemic Third World African politics, by extrapolation, this also translates to being anti-country and anti-Ghana. Disturbingly, nowadays, one is either considered NPP or NDC, with no room whatsoever for a middle-ground. Even laughter appears to have political colouring. This is sickening, beyond measure.

Such an attitude leaves people (including me), who genuinely cannot find any compelling reason(s) to align to either the NPP or NDC, hanging precariously in the balance. Undoubtedly, such people are in love with Ghana, which is the most important entity in this quagmire.

In such a time, the President deserves appreciation for providing perfect and rich bloopers for laughter. He is in clear competition with KSM as far as stand-up comedy goes. So long as we can laugh about something, we would be unlikely to cry over it. The global economic downturn is a serious crying matter but flipping it into President Mills’ funny ecomeny bloopers soften the harsh hit.

And oh, he has had other not-so-proud and not-so-glorious fumbling moments in his four month presidency. Take the case of his swearing in into office at the Independence Square on January 7. I held my breath, on the wings of serious prayers, when he nearly tripped over his ceremonial Kente. On the sheer strength of my positive goodwill, he did not fall. Just imagine ….. if he had tripped …… and fallen …flat on his face ….. on that day……. Eh!! Tofiakwa!

Then came the actual swearing in, when he made so many errors in repeating the oath of office! That should have qualified him for a national award. But over time, we have shelved that matter away. But the ecomeny slippage must stay for the fun of it. It appears that our President has verbal bloopers down to the level of an art form. Like me!

Here are a few reasons to laugh at President Mills’ fumbles over the ‘ecomeny’ being resilient. His slips take part of the painful crunch out of the global credit crunch. His bloopers are raw comic relief to lighten the burden of the tension of the global economic downturn. His slips put such painful matters into the safe realm of humour.

But most especially, his slips humanize him. Here is a man who is touted to be ‘a whole professor’, most learned, most knowledgeable; all-knowing, all-that, and more. In our part of the world, title holders are held up highly to the clouds and are the equivalence of our super-humans. In our neo-colonialist country where the elite, our new colonial masters, wield so much power and clamour to be decorated with titles even when they don’t deserve it and by that, raise their shoulders so high expecting the lowly to worship them.

In our society, Pastors, the so-called men-of-God also wield combine-titles of Doctor-Doctor Apostle-Bishop Prophet-Messiah Arch-Bishop – and pretend that with such, they become better qualified to ferry sinners across to heaven, right into the cushy bosom of God.

The most humorous exploitation of our country’s unquestioning love for titles and for senseless adoration is occurring everyday at the grass-roots. For very good effect, all sorts of political and quasi-political characters in the nooks and cronies of the land wield titles of Honourable. With near stupid adoration, individuals who have ever paraded the offices of the Metropolitan, Municipal and District Assemblies throughout this land are forever referred to by the titles Honourable. Sheepishly, they encourage the use of the title long long after their terms of office have expired. Some die with the titles, taking them far into the grave. This is abusive.

Here is free advice to the Anyidoho-Ayariga Disparate Communications Company Inc. (AADCC). Once a year, organize a light-hearted event that is not a press conference, but a fun time at which the President simply chats and jokes about issues. Specifically, he should select his own bloopers and slippages committed during the year under review and make light of them.

He should even pick on errors committed by Anyidoho/Ayariga and his ministers and ridicule them openly. Of course, they should invite the media. On the invitation list, there should be no victimization by visibly eliminating names of ‘enemy’ journalists. Ghana is for all of us. We are all pro-Ghana even if some are decisively knuckle-headed crack-head rock-bottom anti-NDC and anti-NPP folks. But that’s OK too. That’s the beauty of democracy.

dorisdartey@yahoo.com; dorisdartey.blogspot.com

Thursday, May 14, 2009

Go mental and see

The ground rule for reading this article is to read it out loud, in sober reflection. Allow the message to sink in and then, go mad at the ‘authorities’. But don’t stay mad for too long though. Rather, use whatever strategies that will evolve from positive energy to help effect change on the national level.

Wherever you read my name, insert your own name because this matter is not about me. It’s about all of us. Imagine that I, Doris Yaa Dartey (insert your name) lose my mind – go mental. Many things can drive someone to the edge. My/your heart gets entangled in an amorous relational break-up. I/you lose someone very dear through death and can’t get over the trauma. I/you inherited the mental break-down genes in my/your essential DNA.

Then, I/you begin to unravel. My/your foundation shake. I/you might behave funny and talk to my/yourself. I/you might enter the dark place of life where I/you might hear loud giggling or angry quarrelling in the head and so set out to outwardly behave accordingly in response to the infirmities of the mind. Fact: If I/you go mental, we would receive the hyena treatment of personal isolation from family/friends and fearful avoidance by motorists and onlookers some of who will throw things, insults and mockery at us.

I/you might set off and go hey-wire. Act 1: The stripping to lose my/your aesthetic self and leave things bare to show strange oddities. My/your (if you’re a woman) mighty headgear will drop off, and nappy African hair will become nappier. My eye-glasses which are like permanent furniture on my face will be lost. Then, kaba and brazier will be abandoned and I/you will walk around with tired old sorry mangled hanging breasts. Imagine! If the stripping continues, my/your slit and dross will drop off too and my/your low-lying parts will, in unison, join the high-rise essential body parts to just hang – in reckless abandon.

Act 2: I/you might become a great collector of things and wear as much clothing as possible in the tropical heat. People will gossip about me/you guessing why I/you went mental. Periodically, those who know me/you will make me/you the centre-piece of conversation. The chit chat about me/you will go something like this: “Eh, have you heard? That fine man/woman has gone mad.” “Who did this to him/her?” “Hmm, this life!” Such stream of conversation will soon end and the matter and me/you will rest – forgotten about.

I/you will lose dignity and become simple objects. Losing dignity is tantamount to losing humanity to live on the fringes of society where no one really cares. When human beings are counted, I/you will be left out. Who needs to consider me/you in a population census or in family meetings? After all, I/you will be nothing but a caste away from society. Periodically, someone will extend compassion to me/you. But for the most part, I/you will become the object of fear. I/you will even lose my/your name and simply become, ‘’the mad one’’.

After a while, when no one sees me/you in the areas where I/you were often spotted, they will forget all about me/you and probably assume that I/you simply went away – died. If that happens, I/you will be unmourned by loved ones because my/your very existence was such a deep embarrassment so death constitutes a blessedly good riddance. My/your grave will be unmarked. In our culture, our attitude toward mental ailment can at best be described as medieval. A mentally-ill person is considered a non-person although before going mental, he/she had lovers. We forget that there is a thin line between a person and a non-person. All it takes is a little trigger to cross over.

Worst of all, we have a medieval horror we shamelessly refer to as a mental health system. Undoubtedly, we have a national crisis in psychiatric treatment and care. Here are a few sad, sorry sordid facts about the state of psychiatric resources and care in Ghana.

(1) Our approach toward psychiatric care is institutionalization. This means that if you go mental, you must necessarily be locked-up, like a criminal, away from society and loved ones. This approach is antiquated and uncivilized. This inhumane psychiatric care model has long evolved globally to that of community care that incorporates mental sickness into overall health care. The institutionalization approach comes from a place of fear of the other, and a pretence that we who have not gone mental (yet!) are better than those who, through no fault of theirs, have.

(2) The human resource situation with regard to psychiatric care should frighten every Ghanaian. Currently, 52 year-old Ghana has five (5) psychiatric doctors in active practice within the Ghana Health Service system. Two of them teach at Korle Bu’s Ghana Medical School, leaving three in true active practice. Eleven others are tired and retired but yet, remain in practice as and when they can. Nationally, there are 600 psychiatric nurses. A simple calculation paints the grim picture with clarity.

Of our estimated 23 million population, there is one out of the five psychiatric doctors for every 4.6 million people and one psychiatric nurse for every 38,333 people. The picture is no better for the other core psychiatric personnel. For instance, there is no psychiatric occupational therapist in Ghana. This means, in very simple terms, that once I/you go mental, there are no plans to rehabilitate me/you.

How about facilities? There are three psychiatric hospitals, all located at the Atlantic coastline – two in Accra and one in Ankaful – as if it’s only in southern Ghana that one can go mental! If anyone should lose it anywhere else in Ghana, the choices include taking off into the bushes, climb trees or get onto the highway to begin a long arduous walk toward the Atlantic Ocean either naked or over-clothed. And, these three facilities are despicable places. Go mental and see!

Enduring questions: To what extent does the Ministry of Health appreciate the importance of mental health care for Ghanaians? How does the Ministry justify the woefully inadequate personnel, antiquated facilities and the fixation on the outmoded paradigm of institutionalizing psychiatric patients?

As a people, we suffer deeply from disease stigma. But when it comes to psychiatric ailment, stigmatization flies through the roof. The stigma even extends to psychiatric personnel who are objects of ridicule. Any wonder psychiatric health care is not attracting new personnel?

This is a grim picture of mental health care in Ghana. You think you’re inadequate now and have many problems? Wait until you go mental and enter the twilight zone. We must therefore move this matter from gutter-front humour into government house to be wrapped tightly in progressive policy and big forward-looking actions.

Three or so years ago in The Gambia, an NGO is said to have sued the government for abusing the human rights of mentally sick people by institutionalizing them in congested hospitals. The NGO won. The almighty pus-for-a-brain government was embarrassed. Result? Some changes were effected. (I’m researching this case further). In Ghana, a Mental Health Bill has been crawling on the corridors of power since 2006. This bill must become law as a matter of urgency before I/you go mental! As a people, we must speak to and deal with this repulsive national truth.

dorisdartey@yahoo.com; dorisdartey.blogspot.com

Go mental and see

The ground rule for reading this article is to read it out loud, in sober reflection. Allow the message to sink in and then, go mad at the ‘authorities’. But don’t stay mad for too long though. Rather, use whatever strategies that will evolve from positive energy to help effect change on the national level.


Wherever you read my name, insert your own name because this matter is not about me. It’s about all of us. Imagine that I, Doris Yaa Dartey (insert your name) lose my mind – go mental. Many things can drive someone to the edge. My/your heart gets entangled in an amorous relational break-up. I/you lose someone very dear through death and can’t get over the trauma. I/you inherited the mental break-down genes in my/your essential DNA.

Then, I/you begin to unravel. My/your foundation shake. I/you might behave funny and talk to my/yourself. I/you might enter the dark place of life where I/you might hear loud giggling or angry quarrelling in the head and so set out to outwardly behave accordingly in response to the infirmities of the mind. Fact: If I/you go mental, we would receive the hyena treatment of personal isolation from family/friends and fearful avoidance by motorists and onlookers some of who will throw things, insults and mockery at us.

I/you might set off and go hey-wire. Act 1: The stripping to lose my/your aesthetic self and leave things bare to show strange oddities. My/your (if you’re a woman) mighty headgear will drop off, and nappy African hair will become nappier. My eye-glasses which are like permanent furniture on my face will be lost. Then, kaba and brazier will be abandoned and I/you will walk around with tired old sorry mangled hanging breasts. Imagine! If the stripping continues, my/your slit and dross will drop off too and my/your low-lying parts will, in unison, join the high-rise essential body parts to just hang – in reckless abandon.

Act 2: I/you might become a great collector of things and wear as much clothing as possible in the tropical heat. People will gossip about me/you guessing why I/you went mental. Periodically, those who know me/you will make me/you the centre-piece of conversation. The chit chat about me/you will go something like this: “Eh, have you heard? That fine man/woman has gone mad.” “Who did this to him/her?” “Hmm, this life!” Such stream of conversation will soon end and the matter and me/you will rest – forgotten about.

I/you will lose dignity and become simple objects. Losing dignity is tantamount to losing humanity to live on the fringes of society where no one really cares. When human beings are counted, I/you will be left out. Who needs to consider me/you in a population census or in family meetings? After all, I/you will be nothing but a caste away from society. Periodically, someone will extend compassion to me/you. But for the most part, I/you will become the object of fear. I/you will even lose my/your name and simply become, ‘’the mad one’’.

After a while, when no one sees me/you in the areas where I/you were often spotted, they will forget all about me/you and probably assume that I/you simply went away – died. If that happens, I/you will be unmourned by loved ones because my/your very existence was such a deep embarrassment so death constitutes a blessedly good riddance. My/your grave will be unmarked. In our culture, our attitude toward mental ailment can at best be described as medieval. A mentally-ill person is considered a non-person although before going mental, he/she had lovers. We forget that there is a thin line between a person and a non-person. All it takes is a little trigger to cross over.

Worst of all, we have a medieval horror we shamelessly refer to as a mental health system. Undoubtedly, we have a national crisis in psychiatric treatment and care. Here are a few sad, sorry sordid facts about the state of psychiatric resources and care in Ghana.

(1) Our approach toward psychiatric care is institutionalization. This means that if you go mental, you must necessarily be locked-up, like a criminal, away from society and loved ones. This approach is antiquated and uncivilized. This inhumane psychiatric care model has long evolved globally to that of community care that incorporates mental sickness into overall health care. The institutionalization approach comes from a place of fear of the other, and a pretence that we who have not gone mental (yet!) are better than those who, through no fault of theirs, have.


(2) The human resource situation with regard to psychiatric care should frighten every Ghanaian. Currently, 52 year-old Ghana has five (5) psychiatric doctors in active practice within the Ghana Health Service system. Two of them teach at Korle Bu’s Ghana Medical School, leaving three in true active practice. Eleven others are tired and retired but yet, remain in practice as and when they can. Nationally, there are 600 psychiatric nurses. A simple calculation paints the grim picture with clarity.

Of our estimated 23 million population, there is one out of the five psychiatric doctors for every 4.6 million people and one psychiatric nurse for every 38,333 people. The picture is no better for the other core psychiatric personnel. For instance, there is no psychiatric occupational therapist in Ghana. This means, in very simple terms, that once I/you go mental, there are no plans to rehabilitate me/you.

How about facilities? There are three psychiatric hospitals, all located at the Atlantic coastline – two in Accra and one in Ankaful – as if it’s only in southern Ghana that one can go mental! If anyone should lose it anywhere else in Ghana, the choices include taking off into the bushes, climb trees or get onto the highway to begin a long arduous walk toward the Atlantic Ocean either naked or over-clothed. And, these three facilities are despicable places. Go mental and see!

Enduring questions: To what extent does the Ministry of Health appreciate the importance of mental health care for Ghanaians? How does the Ministry justify the woefully inadequate personnel, antiquated facilities and the fixation on the outmoded paradigm of institutionalizing psychiatric patients?

As a people, we suffer deeply from disease stigma. But when it comes to psychiatric ailment, stigmatization flies through the roof. The stigma even extends to psychiatric personnel who are objects of ridicule. Any wonder psychiatric health care is not attracting new personnel?

This is a grim picture of mental health care in Ghana. You think you’re inadequate now and have many problems? Wait until you go mental and enter the twilight zone. We must therefore move this matter from gutter-front humour into government house to be wrapped tightly in progressive policy and big forward-looking actions.

Three or so years ago in The Gambia, an NGO is said to have sued the government for abusing the human rights of mentally sick people by institutionalizing them in congested hospitals. The NGO won. The almighty pus-for-a-brain government was embarrassed. Result? Some changes were effected. (I’m researching this case further). In Ghana, a Mental Health Bill has been crawling on the corridors of power since 2006. This bill must become law as a matter of urgency before I/you go mental! As a people, we must speak to and deal with this repulsive national truth.

dorisdartey@yahoo.com; dorisdartey.blogspot.com

Wednesday, May 6, 2009

Everybody plays the fool, sometime – while sanitation suffers

I don’t know how it goes with you but with me, periodically, some old songs replay in my head, for no particular reasons at all. I may just be a pathetic case of a yet-to-be-diagnosed crazy, but well…… This past week, an oldie by Aaron Neville rushed through my tender mushy tissues –brain. Come on, sing along with me. Snap your fingers and break into a gentle dance:

“Everybody plays the fool, sometime;
There’s no exception to the rule.
Listen baby, it may be factual, may be cruel,
I ain’t lying, everybody plays the fool.”

Yes, although factual, it may be cruel to put it this bluntly. The state of our country’s environmental sanitation is a sign that we are playing games with finding a permanent solution to a problem that affects and threatens our health, the survival of our economy and our very existence as a people.

It appears that everybody is playing the fool, at least sometime, through our actions and inactions. Some people play the fool, all the time! Our leaders as well as We the People, severally and jointly, are all guilty in this fool-play through throwing garbage around by-heart, and worst of all, by not being vigilant to stop those who indiscriminately trash our country. What role have you, me and we played for us to get to where we are today in disgusting filth?

Sanitation is probably our most challenging national problem, standing firmly between us and survival, on our journey to develop. Clearly, whatever we have been doing so far to solve this problem is not working; not even making a dent in addressing the problem. Rather, things continue to move from bad to worse and further from worse to senseless ridiculousness. Our 52-year old Ghana looks as if it is a quiet helpless victim of cruel and endless vandalism that is unstoppable by even the laws we have put in our books to take care of such. Collection and proper disposal of garbage is a problem. Plastic garbage is taking over our landscape.

Yet, we proudly pronounce our intent to become a middle income country by 2015, six very short years away. What a joke! I’ve drawn a blank so please help me with the ending of this nursery rhyme: “If wishes were horses……” Knowledge gaps exist! Whatever a middle-income country looks like, one can boldly maintain that it must not look anything like this. Let’s face it, filth is engulfing us but we are not taking any concrete steps to change directions. We could try to get other things right but if we are unable to clean up this national mess, 2015 will come and go and we’ll still be wallowing in filth. “If wishes were horses, beggars would ride!”

Meanwhile, administratively, sanitation is orphaned within a small department in the Ministry of Local Government. As part of the rationalization of the ministries, I had expected the President Mills’ administration to isolate sanitation as a ministry so it will receive the needed attention.

A certain theory I picked up during life’s journey is Broken Windows Theory, which for convenience, will be referred to here as BWT (referred to previously in this column). The theory simply posits that brokenness attracts more brokenness. Slums are created because little bits of brokenness are tolerated until over time, brokenness becomes the norm. A major implication of the theory is that when the appropriate measures are taken to promptly fix manifestations of brokenness, one could deter low-level anti-social behaviours as well as major crimes, and keep society on its toes.

Once upon a time, New York City Mayor Rudy Giuliani of September 11 terrorist attack fame, adopted BWT as part of general reform measures to clean up the then scary crime-ridden and filthy financial capital of the world, which was fast losing its shine because of anti-social behaviours of the likes of crime, filth and graffiti, as well as public intoxication, nuisance and urination. (Hahaha to Ghanaian men who shamelessly urinate in public – by the road-side!)

As part of the measures, the city authorities first zoomed in to symbolically solve some of its challenging problems including regular cleaning up of graffiti. Next, it began to enforce the laws, even laws for petty offences, if just to convey a symbolic message. The result of the initiative was the reduction of both petty and major crimes. The message was clear: no foolishness tolerated. And the message sank in with people who had hitherto, been disrespectful of the society, its laws, its morality and everything else it stood for.

Some of the enduring lessons and implications for us from BWT is that we should stop waiting forever before we clean up our acts. Everyday should be a sanitation day. If we clean up everyday, the filth will not mount. It is dangerous to start and stop, start and stop because it only worsens what is already bad. We should enforce our laws.

Brokenness is costly. Brokenness is ugly. Brokenness is filthy. Brokenness leads to more brokenness. Fact is: we are not on our toes in the matter or environmental sanitation and that is why we spit our laws in the face with impunity.

Picture these two scenarios in our own society:

Esi, an eight year old girl takes out the family garbage to fulfil her family obligation of chores. She finds no one looking so hurriedly, out of habit, dumps the bucket filled with funky household trash by the roadside and moves on. The trash stays. A few week’s after, the garbage mound grows because others added to it. Esi’s little first bucket-full of garbage on the spot conveyed this clear message: “Garbage is welcome here.” In effect, her act was symbolic – the first little broken window. Because it was not checked, it resulted in the creation of an unplanned community garbage-dumping site where everybody can literally play the fool, unchecked.

Next comes Honourable Nana Professor Yoofi, a grown man, looking very respectable – clearly, an important person in society, driving the newest series Mercedes Benz through the Nkrumah Circle in Accra. He casually rolls down his car window and absent-mindedly throws out a plastic waste and corn cob, and quickly rolls up the window and continues his drive in air-conditioned comfort and bliss. The garbage is out of his hands and beautiful car so it has gone away. Not!

He knows for sure that there would be no repercussions for his actions. So although he would not throw garbage around in his personal space at home or office, he drops anything anywhere in town. Woe besides anyone who dares to challenge him. He will fly off his mighty high horse with insults in a fit of self-importance because he is well connected. He is clearly untouchable; not prosecutable. He might boldly ask, with chest out: “Do you know who I am?” The matter rests! Others join in because it is a garbage-party and all are welcome. Children learn the bad habit because it appears right. No one cares.

Imagine how different these scenarios would have played out and shaped up if these acts of brokenness had been nipped in the bud just when they occurred through bold strategies including law enforcement, naming and shaming, and general community-wide intolerance of brokenness.

Dear readers, chew on this. We are sitting on a national sanitation time-bomb that is ticking very fast. We will return to this matter. But until then, keep singing the song – “Everybody plays the…..”

Tuesday, May 5, 2009

Advancing the Media in Ghana

2009 Global Press Freedom Day
News Commentary for the Ghana Broadcasting Corporation

Every May 3rd is observed as World Press Freedom Day. It is a day set aside by UNESCO to celebrate journalism, to reflect while calling the world’s attention to the key issues facing the profession. This year’s celebration is under the theme, “Media, Dialogue, Mutual Understanding and Reconciliation.” This theme stresses the enormous potential of the media in providing a platform to dialogue and foster mutual understanding and reconciliation in society. On the flip side, the theme underscores the other potential of the media – to cause harm through irresponsible practice by dividing society and inflaming passions instead of being the glue that can keep society together.

Not surprisingly, this year’s World Press Freedom Prize is to be awarded posthumously to the Sri Lankan Journalist, Lasantha Wickremantunge, for his notable contributions in the defence of freedom of expression in his war-torn country. Although he paid the ultimate prize with his life in January 2008 for what he believed in, even in death, he stood tall. In an article published three days after he had been gunned down by government forces, he predicted his death while defending the profession of journalism. For him, journalism “is the call of conscience.”

Without a doubt, journalism in Ghana won a great battle in getting out of under the thumbs of various political regimes who granted the media limited freedoms. Then came the 1992 Constitution with enshrined freedoms of expression to the citizenry and of press freedom. The task now is how to grow the media alongside the development of Ghana.

The image of Ghana is that of a beacon of stability in a region characterized by chaos, unrests, wars and senseless bloodshed. Ghana has survived in the midst of failed states. The Ghanaian media is in no doubt, a pace-setter on the African continent. In the 2008 Global Press Freedom Rankings, Ghana placed second after Mauritania in Sub-Saharan Africa and 27th in the world.

Despite the apparent presence of freedom for the media, problems persist. Freedom does not solve all problems. The just-ended General Elections exposed the vulnerabilities of our democracy with an unrestrained vibrant liberal media and a weak regulatory institution. During the heat of the elections that was characterised by irresponsible volatile commentaries, rumours and media wars between FM radio stations with political party allegiances and/or ownerships, the National Media Commission appeared helpless.

In the 100-day Rwanda genocide in 1994, an estimated 800,000 minority Tutsis were massacred by Hutu militia. It was later established that intolerant FM radio stations were the major tool used to ignite and fan the flames for social tension. However, when it mattered the most during our election crisis, Ghana did not appear to have learned the lesson of Rwanda. National cohesion and survival was not paramount.

On the surface, this country appears to have moved on from the election tension. But beneath the surface, ethnic tension, which is sharpened by political party allegiance, is apparent. The media can play an important role in promoting mutual understanding among different ethnic groups and through that, enhance the chances of reconciliation and cohesion, which are fundamental needs for national development.

In present-day Ghana, journalists are not running away for dear life. Together with the rest of the citizenry through a liberal media with its characteristic call-in radio shows, the mass media are wallowing in the hard-earned freedom. Freedom of expression for society and press freedom for the media as enshrined in the 1992 Constitution should provide opportunities for the media to shift focus on pressing developmental issues.

However, the focus of journalism and the citizenry appear to be stuck in politics. Reviewing media content does not suggest that ours is a developing country in which many live on less than one Ghana cedi a day.

Journalism can provide the leadership and focus on urgent developmental issues as a way of advancing not just the democracy of Ghana but its social development. It can do this by relentlessly keeping the searchlight on developmental challenges like poverty, corruption, sanitation, environmental pollution, indiscipline, education, roads, healthcare and inequities in the distribution of development projects.

There is also the need for tolerance and an inclusive coverage of all segments of society and different shades of opinions and values. The media should at this time, shift the focus of reportage from the minority urban, elite and privileged and to throw its powerful searchlight on the poor, disenfranchised, rural, peri-urban and non-literate majority. The best journalism is one that is not driven by agenda that is set by news sources, especially that of the privileged political elite. The media must therefore be bold to pursue and set an agenda that benefits society.

Through FM radio, local language broadcasting is flourishing. It is a new phenomenon in the Ghanaian media landscape. Unfortunately, it is characterized by exaggerations, proverbs and distortions of news through translations and commentaries. The danger in the extremities of local language broadcasting lies in the tendency for embellishment, misinformation and irresponsibility.

Worst of all, Ghana’s media play into the polarization of our society along political party lines. Unfortunately, it is easy to identify some journalists and media houses as either NPP or NDC, an echo of the poisonous polarization of our country on political party lines. This is a situation that can potentially get in the way of basic journalistic standards of objectivity, accuracy, fairness and ethics.

Owing to its power, if practiced inappropriately, the mass media can potentially become a security risk and by that, a threat to our democracy.