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Sunday, May 5, 2013

Pioneers in Ghana, West Africa: So that all may hear!


This is an article requested by the Africa West Area webmaster for the new website. It is a synopsis of the audiology program we have been working on. Thought readers might enjoy.  John Ribera



Much like the pioneers of the 19th century who crossed the plains of Northern America with nothing more than a handcart and some bare essentials, there are pioneers in the country of Ghana who are making a difference because they have a vision of what could and ought to be.
Audiology is an allied healthcare profession that focuses on the evaluation and rehabilitation of individuals with hearing and balance disorders. Currently in Ghana the population is estimated to be 25 million, whereas the number of audiologists is eight, all trained at institutions outside of Ghana.  Today there is a need for 1000 audiologists to provide needed services from newborn to the geriatric populations throughout Ghana.
Synergy has been defined as “The interaction of two or more agents or forces so that their combined effect is greater than the sum of their individual effects.” (http://www.thefreedictionary.com/synergy, 2013).  This was certainly the case when Emmanuel Kitcher, MD, (Ear Nose and Throat Specialist) at the KorleBu Teaching Hospital in Accra, Ghana (West Africa) met Dr. Isaac Ferguson, representative of LDS Charities, the humanitarian arm of the Church of Jesus Christ of Latter-day Saints.  Dr. Kitcher had a vision of audiologists dotting the country of Ghana in concert with Ear, Nose, and Throat specialists, providing needed hearing and balance clinical services. This encounter took place in 2003. Since that time there has been an ongoing effort to establish an academic program that would prepare Ghanaians in a post-graduate degree program as audiologists.
The third organization to partner with LDS Charities, and KorleBu Teaching Hospital was the University of Ghana, School of Allied Health Sciences. Dean of the School, Dr. Patrick Ayeh-Kumi exhibited the necessary leadership to ensure that the curriculum would be developed in order for students to matriculate and obtain the newly-formed Masters of Science (MSc) Degree. Shortly thereafter Dr. Anim Sampong was appointed Program Advisor, a position he currently holds.
 Help was sought to identify senior or retired audiologists who might be willing to volunteer their time and expertise in developing the needed program. There were many who answered the call, mostly from the western United States. LDS Charities provided the means necessary to support the efforts of these volunteers who came, sometimes for only a few weeks to provide necessary face-to-face training of students.  Eventually LDS Charities donated a video conferencing system to allow transmissions from the United States by volunteer faculty. In all, a dozen or so professionals have contributed to this program. Medical equipment and supplies have all been donated, in part by LDS Charities as well as other donors. The students have had no textbooks, although a library of used books has be established to which they have access.
The first students selected for the program began their post-graduate program of study in the fall of 2011. As of this date there are six students completing their 2nd year of study and four students completing their first year. The 2nd year students will complete their degrees and graduate in November 2013. These graduates will then spend a year in various internships throughout Ghana prior to being certified as professionals. New students are already applying for acceptance into the audiology program for this fall.
In May 2013, the University of Ghana graduate students in audiology are joining forces with graduate students and faculty in audiology from Utah State University (USU) in a 2-week humanitarian/training mission.  The combined group will travel throughout Ghana providing free audiological services at Abomosu and environs, Cape Coast School for the Deaf, Mompong Demonstration School for the Deaf, Adjei Kojo State School for the Deaf (Ashaiman), and the Christianborg Stake Center of the Church of Jesus Christ of Latter-day Saints (Accra). The humanitarian mission will consist of hearing evaluations, and where needed, the provision of hearing aids for those with significant hearing loss. In addition, the faculty and students from Utah State University will be providing specialized audiometric training for all 10 Ghanaian graduate students.
There will be a grand celebration in late July 2013 recognizing the efforts of all the stake holders in this venture. It will be the 10th anniversary since the inception of the program. There will be much to celebrate.
What does the future hold for audiology in Ghana? There are plans already in place for satellite clinics throughout Ghana that will provide a place for audiologists and ENTs to work side-by-side providing desperately needed services. New technology that enables testing of patients at a distance, known as telehealth, is being researched as a viable option. In addition the Ministry of Health has just acquired two mobile medical vans especially equipped for audiologists and ENT physicians to conduct clinical services, by traveling to remote areas. Within the past few months a new program has been initiated where all babies born in the KorleBu Teaching Hospital undergo a hearing screening test. This is the only testing of this type in all of Ghana.  Ghana is positioned to become the center of excellence in hearing evaluation and training of audiologists in all of West Africa!

All of this from one man’s vision. What will the next 10 years bring?

“Where there is no vision, the people perish.” (Proverbs 29:18)


Ghana’s first graduates in audiology
Back row: Graham Amposah, Elder John Ribera (USU visiting professor), Sesi
Akotey
Front row: Dr. Kofi Sampong (MSc Program Advisor)
Joyce Anomaob, Elsie Nyarko, Daniel Tumpi and Ramatu Alhassan


           















           Left: Dr. Patrick Ayeh-Kumi, Dean of the School of Allied Health Sciences,
University of Ghana
Right: Dr. Emmanuel Kitcher, Head of ENT Unit and Consultant ENT Surgeon at
KorleBu Teaching Hospital





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