Skip to main content
Part of complete coverage on

How TV show could save women, babies, in Ghana

By Dr. Kwesi Owusu, Special to CNN
March 25, 2013 -- Updated 1112 GMT (1912 HKT)
A mother with her child at the Princess Marie Louise Children's Hospital in Accra.
A mother with her child at the Princess Marie Louise Children's Hospital in Accra.
  • Every year in Ghana 4,000 women die and over 200,000 are disabled during pregnancy
  • Dr. Kwesi Owusu launched a television and radio campaign to highlight the issue
  • Maternal Health Channel radio show broadcasts in a range of Ghanaian languages

Editor's note: Dr. Kwesi Owusu is executive producer of the Maternal Health Channel television series. Born and raised in Ghana, he is a postgraduate from the London School of Economics, a filmmaker and the author of four books on culture published by Routledge.

(CNN) -- When Charity Agbameva went into labor last year there were complications. Realizing she needed medical attention, she traveled from Nigeria, where she was living, to a hospital in Keta, in the Volta Region of her native Ghana.

Despite being one of just two hospitals serving the entire municipality, the hospital had only two doctors, each serving 29,000 people, and one nurse for every 1,500 patients. It had no special facilities for women and children.

When Charity reached the hospital, medics realized she needed a blood transfusion, but the hospital had no blood bank, and no ventilator to give her oxygen. Charity died in hospital.

Dr. Kwesi Owusu
Dr. Kwesi Owusu

Last month, her story was broadcast on GTV and TV3, Ghana's leading TV station, to an estimated 8 - 10 million people across the country. It provoked strong reactions in Keta and prompted a major debate on four radio stations lasting several days --- bringing attention to Ghana's staggering incidence of maternal deaths

Ghana has a reputation as a beacon of democracy in Africa. That reputation has been boosted by a rapidly growing economy, and the discovery of oil on our western coastline. So strong are the economic indicators that analysts at the World Bank have conferred upon us that most cherished of things -- Middle Income status.

Read more: What Ghana can teach the rest of Africa about democracy

If pregnancy is not a disease or death sentence, why are so many women (in Ghana) dying or maimed in the process of giving birth?
Filmmaker and campaigner Dr. Kwesi Owusu

But within government and civil society we know that positive headlines don't tell the full story.

One of the biggest challenges -- a real litmus test for Ghana -- is whether we can significantly reduce maternal deaths across the country. In Ghana, 4,000 women die every year and over 200,000 are disabled due to pregnancy related complications. These figures are among the highest in the world. If pregnancy is not a disease or death sentence, why are so many women dying or maimed in the process of giving birth?

So how can a country that basks in so much international acclaim be failing its expectant mothers and their children so badly, and what can we do to improve the situation?

For a start we have to better understand the social and cultural dimensions of maternal healthcare in Ghana and similarly under-developed countries. And we must respond to them.

To make a real difference our awareness campaigns must be aimed at changing the mindsets of our people, especially those living in the rural areas. While doing my research I noticed that previous campaigns were predominantly urban centered and driven by "professional" imperatives. They failed to include the voices of women and the poor, marginalized communities -- those that actually bear the brunt of the maternal tragedy.

"Solar suitcase" saving moms
Ending violence against women
Woman's struggle to not get pregnant
Making every woman count

As a result key concerns have not been addressed. For example, most pregnant women in rural communities rely on traditional birth attendants to deliver their babies. However, following a WHO directive, the Ghana Health Service discouraged this, urging pregnant mothers to give birth in the hospitals instead. But instead of getting skilled care these women have experienced overcrowded hospitals, poor facilities and an acute shortage of qualified staff.

Read more: Too many mothers still dying

There is also the issue of infrastructure. Bad roads and poor transport links, exacerbated by the lack of ambulances also mean that pregnant women in emergencies cannot get to the hospital on time. Many are carried by motor bikes and local taxis over considerable distances and die en route.

In 2009, I directed "The Lights Have Gone out Again," a documentary that contributed powerful new testimonies to Ghana's maternal health debate. I was so moved by what I saw in the remote, isolated villages that I was determined to "humanize" the maternal death statistics and highlight concerns that are so often excluded from the regular health debate.

The documentary was televised and screened across the country, receiving critical applause. It enabled us to start a fresh dialogue on maternal health and triggered our determination to find an inclusive way of mobilizing Ghanaians around the need to reduce maternal deaths and improve maternal healthcare, more generally.

We decided to use television for this new campaign because of its widespread popularity as a news and entertainment medium in both urban and rural areas of Ghana. Many families and whole households usually gather round the box for most of the evening. We decided to complement television with a radio series in Ghanaian languages to further extend the educational reach of the project and to maximize its impact.

Read more: The American secretary who became a Ghanaian king

With funding from the Embassy of the Netherlands, a long standing supporter of the Ghana health sector and advice from the Ghana Health Service, UNICEF, Marie Stopes International, Ghana Coalition of NGO's in Health and others, the Maternal Health Channel Television and Radio Series was born at an impressive launch in Accra in February 2013.

The first two shows, telling the story of Charity Agbameva, provoked a huge response from viewers. Significantly, we also heard contributions from health leaders at the hospital where she died.

When the phone lines were opened, callers broadly agreed that a new partnership was needed between government, the hospitals, and the community, and that it was important to complement behavioral change with new policies. Critically, the hospitals urgently need more skilled personnel and improved facilities.

The media response has generally also been impressive with great coverage in the newspapers, on radio and television.

These are exciting times for the Maternal Health Channel but it's still early days as more people join the renewed debate about lifting Ghana's maternal health burden.

So, although we may miss the Millennium Development Goals to reduce the maternal mortality ratio by 75% by 2015, I firmly believe that by being more innovative in our campaigning we can start to turn the corner on this and so many other critical healthcare issues in the years ahead.

The opinions expressed in this commentary are solely those of Dr. Kwesi Owusu.

Part of complete coverage on
African Voices
October 13, 2014 -- Updated 1253 GMT (2053 HKT)
Through a variety of exhibitions including one signed off by the artist himself, Nigeria is presenting J.D. Okhai Ojeikere to the world one last time.
December 22, 2014 -- Updated 1239 GMT (2039 HKT)
With the help of an army of Tanzania's finest senior citizens, one woman is on a mission to put traditional foods back on the menu.
October 24, 2014 -- Updated 1212 GMT (2012 HKT)
U.S. response to Ebola is key for setting global example, writes global health advocate Idris Ayodeji Bello.
December 9, 2014 -- Updated 1339 GMT (2139 HKT)
Using his deep-rooted knowlege of herbs, savvy entrepreneur Alhaji Mustapha Oti Boateng had an idea to help his fellow Ghanaians.
October 21, 2014 -- Updated 1222 GMT (2022 HKT)
One of the most debilitating medical conditions in sub-Saharan Africa isn't fatal. In fact, it's easily curable.
December 8, 2014 -- Updated 1500 GMT (2300 HKT)
Nigerian architect Olajumoke Adenowo reveals her tips for success, mentorship and what she'd like to do next.
December 5, 2014 -- Updated 1119 GMT (1919 HKT)
Pius Adesanmi: Activist diaspora insists on her story of Africa -- and social media has enhanced its voice.
December 5, 2014 -- Updated 1119 GMT (1919 HKT)
Developers, designers and big thinkers gather together on the rooftop of the Co-Creation Hub in Lagos to discuss ideas.
Pius Adesanmi: Activist diaspora insists on her story of Africa -- and social media has enhanced its voice.
December 1, 2014 -- Updated 1048 GMT (1848 HKT)
Amos Wekesa has seen a lot of changes in his country. Today, the self-made millionaire oversees Great Lakes Safaris, one of the largest tour operators in Uganda.
September 23, 2014 -- Updated 0936 GMT (1736 HKT)
In the largely male-dominated world of the motorsport, South African superbike racer Janine Davies is an anomaly.
November 25, 2014 -- Updated 1848 GMT (0248 HKT)
Athi-Patra Ruga,
For anyone that needs convincing that African art is the next big thing, they need look no further than 1:54, the London-based contemporary African art fair.
December 1, 2014 -- Updated 1435 GMT (2235 HKT)
He's one of Malawi's best abstract artists and now the 40-year-old dreamer is revealing his journey in to the world of art.
Each week African Voices brings you inspiring and compelling profiles of Africans across the continent and around the world.