Ghana Health Partners

On Tuesday, the mission and vision of our Ghana Health Partners organization, which had previously been words on a piece of paper, came to life.

Our mission is to foster collaborative consulting, teaching, and service partnerships with NEA’s Leyaata Hospital. Our vision is for the Leyaata Hospital to be a fully equipped and sustainable centre of excellence in Northern Ghana. Now let me tell you what happened.

Tuesday morning, the midwives and I sat down to complete one final module in the Helping Babies Survive course called “Essential Care for Every Small Baby.” This course trains health professionals in low-resource settings to care for preterm babies. According to the WHO, preterm birth complications are the leading cause of death among children under five years of age, responsible for 1 million deaths in 2015. Three-quarters of these deaths can be prevented with current, cost-effective interventions.

No sooner had we opened our books when Dr. Ben announced an emergency, and you probably guess where I’m going with this. A woman with severe, life-threatening preeclampsia needed an emergency caesarean section. She was not due to deliver for 6-8 weeks. He asked our team to immediately prepare for twin premature babies. Instead of sitting in a classroom learning the course with a premature mannequin, Leyaata midwives had hands-on training with two real-life preterm babies needing help. Every bit of training they received last week with Dr. Anne and me was put to the test to save these babies. The equipment that we were trained on by Daniel and Charles (our Biomed team) was all set to use — incubators to keep the babies warm and CPAP machines to help the babies breathe. Daniel and Charles made multiple trips to the NICU (neonatal intensive care unit) to support the medical team and ensure every piece of equipment (being used for the first time) was working perfectly for these delicate babies. Our pharmacy partners were on site, too, helping calculate doses of life-saving medications. Dr. Anne, back home in the UK, was on my speed dial and through WhatsApp video, she was able to coach us during some critical moments.

At about 9:00 pm, I sat with our exhausted team — Dr. Ben, Dr. Mercy, Abraham, and Ernestina to review the current situation. Leyaata midwives are doing their job — resuscitating babies and recognizing danger signs in the first hours of life. The Leyaata NICU is well-equipped thanks to Tim Beacons’ team at Medical Aid International in the UK. Leyaata midwives and medical staff are so smart and so motivated that they are quickly learning how to use this life-saving equipment to support dying babies. Leyaata is already becoming a centre of excellence here in Northern Ghana, and they have barely opened their doors.

Those who read my book will recall my professional nightmare ten years ago when working in a large hospital in Ghana (Chapter 18: Who Am I?) It involved a baby just like the babies we cared for today. It involved a hospital ill-equipped and ill-trained to deal with a critically ill baby. It involved a horrific ambulance transfer with a dying baby to a regional hospital that was no better prepared to help. Dr. Ben and I were working together that fateful day — a decade ago — and today, we are standing shoulder to shoulder with one monumental difference. We are now standing in the Leyaata NICU with a partnership team that is growing by the day.

My breath feels stuck in my chest when I realize the magnitude of what is happening here. The vision is crystal clear to all of us. I am so grateful to my GHP team, who are stepping way outside their comfort zone every day in the lab, the pharmacy, the biomed, and the nursing wards to support and learn from our incredible colleagues here. The commitment of this international group of healthcare professionals inspires me, gives me courage, and helps me continue to find answers to the question, “Who Am I?” Even today, Dr. Charlie (who returned home to work on Monday) presented Grand Rounds over Google Teams for our Ghanaian colleagues. He had barely landed in Canada and is back with us virtually to transfer knowledge and skills.

I have one more story from today, but I cannot bear to tell it yet. I pray that circumstances will soon allow me to conclude this 2023 GHP mission by sharing this tale with you.

“I cry because of the young midwife I am becoming,” said Doris as she dried her tears and began her speech during the Saturday morning graduation ceremony for the seven Leyaata midwives. Our entire team, Dr. David Mensah, the senior management team and the medical staff were all in attendance. After the presentation of two certificates for each midwife, Doris stood to begin. Her tears started to fall as she described how these training programs had given her and her team the confidence and the skills they so desperately wanted. Dr. Anne and I watched on like very proud (and emotional) mothers watching their kids graduate. In a loud and confident voice, Doris concluded her speech by saying, “We are ready, and I hope you are too!” The crowd stood with applause.

After the ceremony, while work continued in all departments, our Ghana Health Partners leadership met with the Leyaata leadership for a discussion and some systems planning. We are honoured to be invited to the Leyaata table as they strive to become a model hospital. We are humbled by their trust in us and the depth of this partnership. After dinner, we were invited to the Mensah home, where we enjoyed a fun evening of fellowship and food. David had some fascinating stories to tell to his captive audience! As a gift, he gave each of us a little bag of “kuli kuli” to take home. These are long, thin, pretzel-like snacks made from ground peanuts that are baked, rolled into these thin strips, and then fried. The oil is removed during the process, so they are hard and crunchy. I seriously doubt any of these delicious morsels will make it home to Canada!

Sadly, we had to say goodbye to our UK partners and Charlie this morning as they are all due back to work on Monday. As I write, we are thankful they had a safe and uneventful trip to Accra and are boarding their planes home. We miss them already. The rest of us went to the Carpenter church, which was full of colour, singing, dancing, and inspiration. David gave a thought-provoking sermon which prompted an interesting follow-up discussion under our gazebo. The afternoon was spent sleeping, relaxing, and playing games. Erin and Tracey made beautiful necklaces that we will give to some of the women who have looked after us so well.

This evening, we invited Peter, the artisan, to join us for Sunday dinner. Peter owns a shop in Tamale, and on every mission, he brings wares (baskets, jewellery, carvings, etc.) to sell to us, eager shoppers. I’m so happy that we could purchase almost all of his stock. Over dinner, he explained that the income he gains from our team will help him complete the floor and windows in the two-room home he is building for his wife and three children.

It has been a wonderful weekend of work and rest, and we are feeling primed and focused on making the most of our final four days at the Leyaata Hospital.

We, too, are ready!

On Thursday morning, the Leyaata and NEA staff filled the NEA gazebo for joint devotions. Six members of our team are departing on Sunday, and so the staff wanted to thank them. It was a moving time as we heard testimonies about the mentorship impact that Charlie, Dr. Anne, Dr. Jo, Dr. Karen, Jody, and Nicki had in one very intense week. Our team shared the impact that the Leyaata staff had on their lives, and Jodi said, “See you in November!” Sounds to me like the next GHP mission might just have been announced! The depth of friendship and mutual respect that continues to develop amongst our partners brought tears to my eyes.

David stepped up in front of the large group and shared one simple sentence from the Bible found in Colossians 4:17: “Tell Archippus: “See to it that you complete the ministry you have received from the Lord.” He spoke of how, when the pressure builds, and the load of leadership gets heavy, it is so easy for us to want to retreat. “Don’t check out!” he repeated over and over. In the way only David can do, he inspired every soul under that thatched roof to push on and complete the task that they have been called to.

We hustled off to the hospital with an extra spring in our step, and it was a good thing as the most critical situation was waiting for us. A pregnant woman, not due to deliver for seven weeks, was experiencing serious complications that required an emergency caesarian section. The surgical and anaesthesia team had spent the week preparing the maternity theatre and its processes and equipment, and the midwives had spent the week preparing to resuscitate babies at birth, but now it was time to put all that training into action. And so, for the first time, the Maternity Theatre opened its doors, and a Ghanaian team with their international partners walked through the doors to do everything possible to save the lives of a mom and a baby. 

Dr. Ben, fellowship trained in Obstetrics and Gynaecology, performed a masterful surgery under a highly-skilled anesthesiologist supported by his theatre and maternity teams. Dr. Anne, Dr. Karen, Nicky, Jodi, Ernestina and I cheered them along every step of the way. By God’s grace, this young woman survived and the first baby boy was born in the Leyaata Maternity Theatre — a designated theatre that is always available so that no mom will ever die waiting for an operating room to open up.

When the first cry of this premature baby filled the room, echoing off the glistening white walls, all 16 of us let out a massive cheer as our heart rates settled back down to normal. Our midwives were beside themselves with joy — confident and equipped to resuscitate a baby in trouble. As they counselled the family on how to care for a premature baby, Dr. Anne and I felt like proud parents and couldn’t hold back our tears watching this young, equipped team shine. The future is so bright.

Leyaata’s blood bank program is now up and running, and many of our teammates have made a decision to donate to the cause before going home. Dr. Anne was the first donor, and no sooner had the needle come out of her arm when a young woman with a critically ill hemoglobin level needed blood…and they were a match! Anne’s blood never made it into the blood bank fridge — it went straight into the arm of the young woman. 

It has been a great, full, and challenging day at Leyaata. The task before the Leyaata team is massive. The task before us — their international partners — is becoming more clear to me with each day we spend here. I pray we can continue to rally the people and the resources to complete our part in this task so that the Leyaata Hospital can become a model hospital — not just here in Ghana — but in all of West Africa.