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October 2022 marked a pivotal expansion of the Summer Health Foundation's mission. After a successful first year of general health screenings, we identified two areas where focused intervention could have outsized impact: maternal health and breast cancer detection.
The statistics were sobering:
We could make a difference. We had to make a difference.
Pregnancy should be a time of joy and anticipation, not anxiety and risk. Yet for many Ghanaian women, particularly in rural and peri-urban areas, prenatal care remains inaccessible or unaffordable.
Our maternal health screening program provides comprehensive first-trimester and ongoing prenatal assessments:
Initial Prenatal Assessment
Risk Stratification We identify high-risk pregnancies requiring specialized care, including:
Education and Support
Referral Network Every pregnant woman in our program is connected to a healthcare facility for delivery and ongoing care. We've partnered with hospitals and birthing centers across our service areas to ensure smooth referrals.
Early prenatal care saves lives:both mothers and babies. Our program specifically targets first-trimester screenings because this is when many complications can be predicted and prevented.
Preeclampsia Prevention: We identified 34 women with elevated blood pressure in our first three months, connecting them with care to prevent preeclampsia: a leading cause of maternal death in Ghana.
Anemia Management: Over 40% of pregnant women in our screenings showed signs of anemia. Iron supplementation and dietary counseling can prevent severe anemia, which contributes to maternal mortality and poor birth outcomes.
Infection Control: STI screening and treatment in early pregnancy prevents congenital infections that can cause blindness, deafness, and developmental delays in babies.
HIV Prevention: Mother-to-child HIV transmission is preventable with proper antiretroviral therapy. Our screening connects HIV-positive mothers with treatment, reducing transmission risk from 25% to less than 2%.
Breast cancer screening in Ghana faces multiple barriers: cost, awareness, availability of facilities, and cultural stigma. Our program addresses all of these.
Clinical Breast Examination (CBE) Trained nurses and doctors perform thorough breast examinations for all women aged 30 and above. CBE can detect many breast cancers and costs nothing to the patient.
Risk Assessment We use a standardized risk assessment tool to identify women who need more intensive screening:
Breast Self-Examination Training We teach women how to examine their own breasts monthly, empowering them to detect changes early. We provide illustrated guides in multiple local languages.
Ultrasound Referrals Women with suspicious findings on CBE are referred to partner facilities for breast ultrasound. For those who cannot afford it, our foundation subsidizes the cost.
Mammography Access For high-risk women over 40, we facilitate access to mammography through our partner hospitals, with subsidies available for those facing financial barriers.
Navigation Support A breast cancer diagnosis can be overwhelming. Our patient navigators help women access treatment, understand their options, and connect with support services.
In many Ghanaian communities, cancer carries significant stigma. People whisper about it. Families hide it. Women delay seeking care because they fear the diagnosis or the social consequences.
Our program actively works to change this narrative:
Community Education: We conduct talks in churches, mosques, schools, and community centers about breast cancer:emphasizing that it's treatable, especially when caught early.
Survivor Testimonies: We work with breast cancer survivors who share their stories, showing that diagnosis is not a death sentence.
Male Engagement: We educate husbands and partners about supporting women through screening and treatment, reducing household resistance to care-seeking.
Privacy and Dignity: All screenings are conducted in private spaces by female healthcare providers, respecting cultural sensitivities.
Grace, a 47-year-old seamstress from Kasoa, came to our breast cancer screening event because her friend convinced her. "I didn't think I needed it," she told us. "I felt fine."
During the clinical breast exam, our nurse detected a small lump in Grace's right breast. She was referred for ultrasound, which showed a 1.5cm mass. Biopsy confirmed early-stage breast cancer.
Today, after surgery and treatment at our partner oncology center, Grace is cancer-free. "If I had waited until I felt sick, until the lump was visible, it would have been too late," she says. "This screening saved my life."
Ama, a 23-year-old first-time mother from Ashaiman, didn't know she was pregnant until her second trimester. She couldn't afford the hospital registration fees for prenatal care.
When our mobile maternal health team visited her community, Ama was 14 weeks pregnant. Our screening revealed:
Without intervention, Ama faced serious risks: preeclampsia, hemorrhage during delivery, stillbirth, or congenital syphilis in her baby.
We immediately:
We subsidized her care costs and followed up throughout her pregnancy. Ama delivered a healthy baby boy at 39 weeks. Mother and child are thriving.
"I didn't know pregnancy could be dangerous," Ama told us. "I thought you just wait and then have the baby. You taught me so much, and you saved us both."
Our maternal and breast cancer programs leverage technology for maximum impact:
Mobile Data Collection: Tablet-based screening forms allow real-time data entry, automatic risk scoring, and immediate identification of urgent cases.
Patient Registries: Cloud-based systems track every woman screened, ensuring follow-up and longitudinal care continuity.
SMS Reminders: Automated text messages remind women of follow-up appointments, ultrasound referrals, and delivery dates.
Telemedicine Consultations: For women in remote areas, we offer teleconsultations with obstetricians and oncologists through our partner hospitals.
Data Analytics: We analyze screening data to understand disease prevalence, identify high-risk communities, and optimize resource allocation.
Our expanded screening programs are possible only through strategic partnerships:
Ghana Health Service: District health directorates help us identify underserved communities and integrate our programs with existing maternal health services.
Teaching Hospitals: Korle Bu Teaching Hospital and Komfo Anokye Teaching Hospital provide specialist referrals and subsidized care for high-risk patients.
Private Hospitals: Partner facilities like Motherlove Care Hospital and Agnes Ofori Community Hospital offer discounted diagnostic services for our patients.
Pharmaceutical Companies: Donations of prenatal vitamins, iron supplements, and medications support our programs.
International NGOs: Organizations like the Ghana Breast Cancer Foundation provide training, resources, and advocacy support.
In our first year of focused maternal and breast cancer screenings (October 2022 - September 2023):
Maternal Health Program
Breast Cancer Screening
No program is without challenges. Ours taught us valuable lessons:
Many women didn't complete recommended follow-up tests, especially when they required travel or cost.
Solution: We implemented a patient navigation system with dedicated staff who help women access care, arrange transportation, and secure financial assistance when needed.
Some communities were resistant to breast cancer screening, viewing it as unnecessary or inappropriate.
Solution: We increased community engagement beforehand, working with local leaders, using local languages, and employing female healthcare workers from the communities we serve.
Demand exceeded our capacity, especially for subsidized ultrasounds and specialist care.
Solution: We expanded our fundraising efforts, created tiered subsidy systems based on need, and built more healthcare partnerships to increase referral capacity.
Success brings responsibility to reach more women. Our expansion plans for 2024-2025:
Women's health is family health. When mothers are healthy, children thrive, families prosper, and communities grow stronger.
But too many Ghanaian women still face preventable deaths from pregnancy complications and late-stage cancer diagnoses. We can change this.
For Healthcare Professionals: Join our volunteer network. Your skills can save lives.
For Corporate Partners: Sponsor screening events in your employees' communities or support our subsidy fund.
For Community Leaders: Bring our programs to your area. Help us reach the women who need us most.
For Individuals: Spread awareness. Encourage the women in your life to get screened. Support our work.
Every woman deserves to experience pregnancy safely. Every woman deserves access to cancer screening that could save her life. These shouldn't be privileges: they're fundamental rights.
The Summer Health Foundation's maternal and breast cancer programs are steps toward that future. Through technology, partnerships, and community-centered care, we're making it real, one woman at a time.
The Summer Health Foundation provides free health screenings and subsidized care to underserved communities across Ghana. Learn more about our programs or support our mission at Summer Health.
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