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The core distinction many miss is between benign prostate enlargement and prostate cancer. Enlargement is a growth of the gland itself, which can obstruct urine flow and disrupt daily life. Cancer involves uncontrolled cell growth that may spread if not caught early. This difference matters because it changes how we assess risk and choose interventions. Yet both conditions share overlapping symptoms, which is why timely checks, clear information, and honest conversations at home are so important for men over 40 and for the partners and families who support them.

Age, ethnicity, family history, and lifestyle are the big four risk drivers. Incidence rises after 50, and men of African descent face a higher baseline risk globally. If your father or brother had prostate cancer, your risk climbs further, so knowing your family history is ESSENTIAL.  Diet and inactivity compound that risk. High-fat, meat-heavy meals, processed foods, and obesity create a chronic inflammatory environment around the prostate. Long days in cars and offices without a daily walk or gym session become quiet contributors. These forces do not act in isolation; they build over years, nudging the gland toward enlargement and, in some men, malignant change. 

Screening opens a path to earlier action, but access and trust shape whether men use it. The PSA blood test can flag increased risk, MRI and biopsy confirm a diagnosis, and a digital rectal exam can identify irregularities. Each method has limits, from false positives to variability across individuals, and that fuels scepticism. The answer is not to avoid screening, but to approach it with informed consent, second opinions, and a plan that weighs personal risk factors. In Ghana, late presentation is a major driver of mortality. Limited diagnostic centres, cost barriers, and cultural stigma delay help until pain or urinary issues force a visit. Breaking that pattern means normalising prostate conversations, bringing mobile screening to communities, and creating clear, low-cost pathways to follow-up care.

Symptoms should prompt action, not panic. Difficulty starting or maintaining urine flow, frequent night urination, blood in urine or semen, pelvic or back pain, and erectile challenges are all signals to check in.

We examine the pros and cons of mainstream treatments, and a full set of lifestyle levers you can pull today. Think vegetable-forward plates, Ghana’s rich fruits, tomatoes for lycopene, daily walks or short cardio, and cutting down red meat, processed foods, smoking, and heavy drinking. We explore natural options like green tea and pumpkin seeds rich in zinc and selenium. 

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 Cervical cancer in Ghana stands at a difficult intersection—technically preventable, yet disproportionately affecting Black women. The primary culprit is persistent infection with high-risk strains of human papillomavirus (HPV), especially HPV-16 and HPV-18. Health officials advocate for vaccinating girls before their sexual debut, citing dramatic reductions in future risk. But beneath this clinical rationale lies a deeper, more complex story—one shaped by unequal access to screening, delayed diagnoses, systemic bias, and a legacy of medical mistrust. When public health initiatives target young girls’ bodies, trust becomes as critical as data. Ghana’s HPV vaccination campaign raises pressing questions about safety, sovereignty, and community agency. 

Historical Shadows and Present-Day Fears

Medical history casts a long shadow. The Tuskegee syphilis study remains a symbol of state-sanctioned betrayal, while works like Medical Apartheid document systemic exploitation across the African diaspora. More recent controversies—such as coerced Depo-Provera injections among Ethiopian women in Israeli transit camps—have heightened anxieties around reproductive autonomy. Even COVID-19 vaccine campaigns, despite their public health intent, left many feeling coerced rather than empowered. These episodes, whether directly comparable or not, shape how communities perceive today’s HPV vaccines. When people ask “what’s in the vial?” they’re also asking “who decides, who benefits, and who bears the risk if things go wrong?” 

Sovereignty and the Vaccine Supply Chain

Ghana does not produce its own HPV vaccines. Instead, it relies on global supply chains, international regulators, and partnerships with organizations like the WHO. This can be a strength—ensuring shared standards and safety protocols—but also a vulnerability if local trust is lacking. Without transparent ingredient lists, independent testing facilities, and open reporting of side effects, official reassurances compete with rumours and lived experiences. The result is polarization: advocates highlight reduced HPV prevalence and future cancer prevention, while critics see a programme targeting future mothers without sufficient community consent or African-led research 

Beyond the Needle: Traditional Knowledge and Holistic Health

Seeking alternatives isn’t about rejecting science—it’s about expanding the conversation. African traditional medicine offers a rich pharmacopeia of antiviral, anti-inflammatory, and immune-supporting plants: neem for  for cleansing, moringa for hormonal balance, African basil for microbial support, Sutherlandia for immune modulation, hibiscus for antioxidants, and baobab for vitamin C–rich repair. 

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Trump's recent claims about paracetamol being dangerous for pregnant women has sparked fierce debate, but behind the controversy lies a deeper question: are pharmaceutical drugs truly compatible with Black bodies?

For thousands of years, African people relied exclusively on medicinal plants to treat everything from hypertension to diabetes. THE Father of medicine Imhotep documented treatments for over 200 ailments using natural remedies long before Western pharmaceuticals existed. This tradition of natural healing stands in stark contrast to our modern dependence on synthetic drugs - a shift that may have serious consequences for melanated people.

The alarming statistic that Black women in the UK are five times more likely to die during or after childbirth demands urgent examination. Similar disparities exist across the Americas, Caribbean, and throughout Africa. Could pharmaceutical interventions be contributing to these deaths? Research already shows that substances like cocaine affect Black individuals differently due to interactions with melanin. 

What if common medications prescribed during pregnancy interact similarly with melanated bodies? While medical establishments dismiss Trump's claims, we must consider whether there's merit to questioning the universal application of pharmaceuticals across different genetic backgrounds. 

Chinese traditional medicine continues to thrive alongside modern practices, recognizing that plant-based remedies often work harmoniously with the body without harmful side effects.

For Black communities worldwide, reclaiming knowledge of traditional healing practices might be crucial to addressing persistent health disparities. Rather than relying solely on a pharmaceutical system not designed with our bodies in mind, perhaps we should investigate the medicinal plants that sustained our ancestors for millennia.

What healing wisdom have we forgotten? How might reconnecting with traditional African medicine transform maternal health outcomes? Join the conversation about pharmaceutical compatibility with melanated bodies and share this episode if these questions resonate with you.

Sources:

Trump makes unproven claims linking autism to Tylenol use by pregnant women - BBC News

Feature: Racism & Health In US Medicine, A Conversation with Harriet A. Washington | Health Affairs

(1) Harriet Washington, "Medical Apartheid" author interview - YouTube

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President John Dramani Mahama of Ghana recently delivered a speech at the United Nations General Assembly that touched on two critical issues: how the global economy is rigged against Africa, and why the United Nations needs reform to include permanent African representation on the Security Council. While these points resonate with many Africans, they ultimately highlight deeper problems that require more radical solutions than simply pointing out systemic inequalities. The speech, well-intentioned as it may be, fails to address the fundamental reality that these international systems were never designed for African emancipation in the first place.

The global economic system that Mahama criticized has its roots in enslavement, colonialism, and neo-colonialism – precisely what Ghana's first president Kwame Nkrumah warned about decades ago. Institutions like the IMF and World Bank, despite their development rhetoric, often implement policies that keep African nations in subordinate economic positions. This isn't accidental but structural. The startling statistic that Africa possesses 60-70% of the world's mineral resources yet accounts for only 2% of global trade should serve as a glaring red flag. This disparity reveals that the current economic order is functioning exactly as designed – to extract wealth from Africa rather than to develop it.

Rather than lamenting this rigged system, African leaders should focus on solutions within their control. The African Continental Free Trade Area represents a positive step, creating the world's largest economic partnership, bigger than both the EU and NAFTA. What Ghana and other African nations need is to dramatically increase intra-African trade rather than continuing to prioritize economic relationships with the EU, America, China, and India. When goods, services, and means of production remain within Africa and move throughout the continent, they create opportunities, generate wealth, and provide jobs for Africa's burgeoning youth population. This approach doesn't require permission from global powers – it requires political will from African leadership.

Similarly, we question whether seeking inclusion in the UN Security Council addresses the real issues when conflicts in Sudan and Congo receive fraction of the international attention given to Ukraine or Gaza.

Perhaps most importantly, we examine how the African Union has lost its way since the death of Muammar Gaddafi in 2011. Once financially independent, the AU now relies on funding from the very powers that have historically exploited the continent. What Africa needs is not a seat at someone else's table but to build its own table – a reset of the African Union that makes it truly representative.

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Today marks Kwame Nkrumah Memorial Day in Ghana, a time to reflect on the profound legacy of a man whose vision for African unity and sovereignty continues to reverberate across the continent. Nkrumah's dream of a united, self-sufficient Africa free from Western interference remains as relevant today as it was during his leadership of Ghana from 1957 to 1966. His overthrow by a CIA and MI6-backed coup exemplifies the lengths to which Western powers will go to prevent African unity and self-determination.

The parallels between Nkrumah's era and contemporary Ghana under President John Mahama are striking and worthy of close examination. Since his inauguration in January 2024, Mahama has strategically strengthened ties with the Alliance of Sahelian States (AES) – Burkina Faso, Mali, and Niger – countries that have rejected French imperialism and Western military presence. This alliance echoes Nkrumah's Casablanca Group formed nearly 65 years ago, which similarly threatened Western hegemony in Africa. When Ibrahim Traore of Burkina Faso attended Mahama's inauguration, he received the loudest cheers from Ghana's youth, demonstrating growing pan-African sentiment among new generations.

Ghana's economic strategies under Mahama also mirror Nkrumah's vision of self-reliance. The country has established a Gold Board to retain more of its gold resources within the country, moving away from previous arrangements where approximately 95% of Ghana's gold went outside the country. This significant shift has allowed Ghana to build substantial gold reserves, strengthening the Ghanaian cedi and reducing dependency on International Monetary Fund (IMF) conditionalities. The cedi has appreciated by approximately 23% since January, reflecting the impact of this policy shift despite recent fluctuations.

These moves toward economic sovereignty are precisely what made Nkrumah a target for Western intervention in the 1960s. When Nkrumah declared independence and sought to lead a united, self-sufficient Africa, Western powers panicked. He launched industrial projects to make Ghana a model for Africa's industrialization, rejected IMF dependency, and amassed reserves of $250 million by 1957 using cocoa receipts that had previously enriched Britain. These funds fueled Ghana's development through projects like the Akosombo Dam, Ghana Airways, Tema Harbour, and numerous industries.

More threatening to Western interests was Nkrumah's continental vision: an African Investment Bank, an African High Command for security, a single African currency, and steadfast support for liberation movements across the continent. These initiatives directly challenged Western dominance in global politics – the same way Ghana's current alignment wi

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Ghana's currency, the cedi, has recently experienced significant fluctuations that have captured the attention of economists, business owners, and everyday Ghanaians alike. After appreciating by an impressive 50% against the US dollar between January and June 2025—making it the world's best-performing currency during that period—the cedi has since lost approximately 13% of its value in just one month. This sudden reversal has raised questions about the stability of Ghana's economy and the effectiveness of current monetary policies.

The depreciation of the cedi can be attributed to several interconnected factors. Foremost among these is the seasonal surge in dollar demand for imports, particularly as businesses prepare for the lucrative Christmas market. Between September and late November, Ghanaian importers typically require substantial amounts of foreign currency to purchase goods. This creates a significant pressure on the cedi as businesses scramble to secure US dollars for their operations.

Another crucial factor has been the Bank of Ghana's reduced intervention in the forex market. Earlier in the year, the central bank actively supported the cedi by purchasing dollars and injecting them into the economy. However, in alignment with IMF commitments, the Bank of Ghana has now adopted a more cautious approach, scaling back its direct market interventions.

Despite these challenges, it's important to note that the cedi's performance isn't all negative. When viewed in a broader context, the currency is still up by 23% year-to-date, which represents a relatively strong position compared to January 2023. Furthermore, Ghana's international reserves reached a three-year high of $11.1 billion in June, providing a potential buffer against excessive currency volatility. 

This more balanced approach to currency management has coincided with positive developments in Ghana's inflation rate. August's inflation figure of 11.5% represents a four-year low since October 2021. Food inflation has also shown modest improvement, declining from 15.1% in July to 14.8% in August. These figures suggest that while the cedi's depreciation presents challenges, the overall economic situation is gradually stabilizing 

Looking ahead, Ghana has several options for strengthening the cedi and building a more resilient economy. In the short term, finalizing external debt restructuring, enforcing stricter forex market regulations, could help stabilize the exchange rate. More fundamental solutions include boosting local production to reduce import dependency, expanding non-traditional exports such as textiles, improving domestic revenue collection, and renegotiating more favourable terms for gold, oil and Lithium.

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This week's edition of Ghana in Focus takes a critical analytical eye on Foreign Direct Investment (FDI)  This is centered around two significant recent events: the Pakistan Rice Roadshow in Accra and President Mahama's visit to Japan to court investment in energy, agribusiness, and manufacturing.

The Pakistan Rice Roadshow, facilitated by Ghana's Ministry of Agriculture, ostensibly aimed to foster collaboration in rice production through technology transfer and knowledge sharing around premium rice varieties like basmati. 

What's particularly troubling about this partnership is the historical context. Pakistan has a documented history of discrimination against its own African population, the Siddi people, who have resided there for over 600 years yet face severe marginalization. This raises legitimate concerns about whether such a country would genuinely pursue an equitable trading relationship with Ghana or simply view it as a market to exploit.

We state this is a missed opportunity for Ghana  to engage with African Americans who possess deep ancestral knowledge of rice cultivation. During the transatlantic slave trade, Africans from regions including present-day Ghana, Liberia, and Sierra Leone were specifically targeted for enslavement due to their expertise in rice cultivation. 

African Americans collectively represent an economic powerhouse with a net worth of approximately $3 trillion - equivalent to the fifth richest country globally if they were an independent nation. This economic strength, presents an ideal opportunity for meaningful partnership rather than depending on countries with questionable motivations toward African development.

Similarly, President Mahama's recent visit to Japan to promote his "Big Push" initiative at the Tokyo International Conference on African Development (TICAD) follows the same problematic pattern. Japan, like many Asian and Western nations, views Africa as a "final frontier" for market expansion as their domestic growth slows and population ages. By 2040, half of Japan's population will be over 65, creating urgent pressure to secure external markets and resources.

The fundamental problem with these foreign partnerships is that profits generated in Ghana ultimately flow back to investor countries, enriching their economies rather than building sustainable wealth within Ghana. Instead of courting foreign investors, the Ghanaian government could support local entrepreneurs like Papa Kwesi Nduom, who has built a multi-sector empire including banking, media, real estate, and hospitality. Supporting Ghanaian businesses would create jobs, generate wealth that remains in the country, and provide tax revenue that can be reinvested.

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Financial dynamics in African relationships can either build strong foundations or lead to devastating breakups. This eye-opening discussion was sparked by a viral story of a South African doctor who suffered financial abuse at the hands of her husband, who manipulated her into funding his luxury lifestyle complete with Mercedes Benz vehicles. The doctor's experience reflects a concerning pattern across the continent where relationships are sometimes formed with financial agendas rather than genuine partnership.

Money matters within African marriages often present unique challenges. Some men experience deep insecurity when their wives earn more, leading to manipulation or financial exploitation. Meanwhile, many women across Ghana and the continent pursue relationships with financially well-endowed men, seeing marriage as a safety net rather than a true partnership. These transactional approaches to relationships contradict the fundamental purpose of marriage as a union where "two become one" – a partnership designed to weather life's ups and downs together.

For couples seeking healthy financial relationships, communication is key. We explore practical approaches like establishing both joint accounts (for family expenses like rent, school fees, and utilities) and separate accounts for personal spending. With economic pressures mounting across Africa, particularly in Ghana where cost of living remains high despite recent improvements, financial transparency has become essential for relationship survival.

 By aligning on financial values and long-term goals early, couples can avoid exploitation and build partnerships based on mutual support rather than transactional benefit. Remember: true partnership transcends financial status and creates a foundation where both partners can thrive regardless of who earns more

Want guidance on navigating business opportunities in Ghana? Book a consultation with me to learn about essential requirements like the Ghana card, phone contracts, and more. Subscribe to Ghana Africa Focus on YouTube and Spotify to continue exploring crucial topics affecting African relationships and lifestyles.

Source:

Dr Celiwe gets South Africa talking about financial abuse - BBC News

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We examine whether men should foot the bill on a first date.  In Ghana, this seemingly simple question reveals deeper cultural expectations and potential relationship dynamics that deserve exploration. The tradition in Ghana has typically leaned heavily toward men paying for everything on the first date—from drinks to dinner to transportation. This expectation stems from cultural norms where men are traditionally seen as providers and breadwinners.

However, as we examine this practice more critically, important questions emerge about what these financial dynamics on a first date might reveal about potential long-term compatibility. When a man from the diaspora dates in Ghana, he's often automatically perceived as wealthy, which can create an expectation that he will cover all expenses. This differs markedly from dating cultures in the UK, Europe, or North America, where women frequently offer to pay for part of the date, reflecting a more egalitarian approach to courtship that aligns with broader societal moves toward gender equality.

This distinction isn't merely about who picks up the bill; it potentially foreshadows how financial responsibilities might be shared in a future relationship. A woman who is willing to contribute financially on a first date may be signaling her approach to partnership—suggesting she views relationships as collaborative ventures where resources are shared. This quality might indicate someone who would make "good wife material" in terms of financial partnership, as she demonstrates from the outset that she doesn't expect the man to shoulder all financial burdens.

The dowry tradition in Ghana further complicates these dynamics. When a man marries a Ghanaian woman, he typically pays a dowry to her family—offering items like cloth, a Bible (for Christian families), rings, or even cattle. This cultural practice reinforces the expectation that men should be financial providers, potentially extending to the expectation that they will pay for everything on dates as well. However, Ghana has changed significantly in recent decades, with many more women entering the workforce and having their own disposable income, which raises questions about whether these traditional expectations still make sense.

The concern that emerges from these dating customs is whether they set up problematic patterns for future relationships. If a woman expects a man to pay for everything on a first date, does this suggest she might expect him to cover all household expenses in marriage—from rent to utilities to children's school fees? In an era where marriage is increasingly viewed as a partnership, these early financial interactions might serve as important indicators of compatibility. 

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 Ghana in Focus features a controversial topic that many discuss privately but rarely in public forums: addressing whether "size matters" in sexual relationships.

The conversation was sparked by a remarkable story circulating in Ghana about a woman who married a man despite knowing he had a smaller-than-average penis. After marriage, she began complaining about his size, prompting him to seek help from a local herbalist. The herbalist provided an ointment that successfully enlarged the man's penis, but this created a new problem – his wife now complained it was too big and refused intimacy altogether. 

This scenario exposes a concerning trend in modern relationships where superficial qualities override more substantial values. listeners are advised to consider what truly matters in a marriage: is it physical compatibility, or qualities like kindness, respect, thoughtfulness, and the capacity to be a good provider and parent? Many enter marriages with unrealistic expectations fuelled by stereotypes and media portrayals, particularly the harmful myth that African men naturally possess extremely large genitalia – a stereotype with troubling historical roots in slavery and the hypersexualization of Black bodies.

Scientific research indicates that the average penis size globally is approximately six inches when erect, regardless of ethnicity. This reality contradicts popular misconceptions and suggests that most men fall within a normal range that is perfectly adequate for sexual satisfaction. We emphasize that sexual compatibility involves much more than physical dimensions – technique, communication, and emotional connection play far more significant roles in sexual satisfaction than size alone.

Age-related changes in sexual function represent another important aspect of relationship dynamics that couples must navigate. For men, decreased virility and potential erectile dysfunction may occur with age, while women often experience changes in sexual desire, particularly after childbirth or during menopause. Understanding these changes allows couples to adjust their expectations and maintain healthy relationships,

The core message is that true commitment requires partners to appreciate each other holistically, recognizing that bodies change, desires fluctuate, and circumstances evolve throughout a lifetime together. The qualities that sustain marriages through these changes include mutual respect, emotional support and genuine care for one another's wellbeing.

Source:
Ghanaian man opens up about how his wife denies him sex due to s

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