HomeBusinessAFRICAN COCOA SUMMIT 2025: COFAAA CALLS FOR BOLD AFRICAN-LED REFORMS, FAIR PRICING...

AFRICAN COCOA SUMMIT 2025: COFAAA CALLS FOR BOLD AFRICAN-LED REFORMS, FAIR PRICING AND BOOST LOCAL PROCESSING TO SECURE THE FUTURE OF COCOA INDUSTRY.

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BEYOND EARLY DETECTION: WHAT HAPPENS AFTER A BREAST CANCER DIAGNOSIS? 

  Breast cancer awareness must go beyond pink ribbons, screening campaigns and calls for early detection. Ghana must also confront whether its health system is adequately prepared to care for those who receive a diagnosis. Every October, pink ribbons, awareness campaigns and screening activities remind us of the importance of early detection in the fight against breast cancer. Across workplaces, churches, communities and health facilities, women are encouraged to examine their breasts, attend screening programmes and seek medical attention when they notice unusual changes. These messages are important. Early detection can improve treatment outcomes and save lives. But after losing someone I cared deeply about to breast cancer, I have found myself reflecting on a question that deserves equal attention: What happens after early detection? Let me call her Abena. Abena was a woman in her late thirties, a working professional who had spent more than a decade advocating for breast cancer awareness. She organised screening activities within her church and workplace and encouraged other women to take their breast health seriously. She understood the importance of early detection and actively promoted it. In August 2023, she discovered a lump in her armpit. An initial ultrasound examination reportedly indicated that the finding was benign. However, the swelling persisted, and a month later she noticed changes in her left breast. Further investigations, including biopsy, eventually confirmed breast cancer in November 2023. What followed was a difficult journey through the healthcare system. The physician who requested the investigations had travelled outside the country by the time the results became available. Abena was asked to wait until the physician returned before a referral could be made to the next level of care. Eventually, a colleague facilitated the referral. At the oncology unit, she was informed that the workload was high and that an arrangement described to her as "intramural" payment could secure an earlier appointment. Without this payment, her first appointment would have been in February 2024. She paid and was seen that same day. Subsequent review visits also involved additional payments.   The financial demands did not end with securing appointments. Each chemotherapy session cost approximately GH¢2,000, while a supportive injection administered after each session cost about GH¢900 at the time. The medication was provided for administration by health workers at a nearby facility. Abena completed eight cycles of chemotherapy and was preparing for a total mastectomy. Throughout this period, her health deteriorated. She experienced significant complications, including loss of sight and speech, and eventually died in June 2024. Yet, even while battling the illness, she managed to complete her Master of Laws programme. Her determination to keep going remains one of the things I remember most about her. I share Abena's story not to suggest that every aspect of her care was inappropriate or that one experience represents the entire health system. Neither can I establish that the challenges she encountered alone determined the outcome of her illness. However, her experience raises difficult questions about access, affordability, referral coordination and the support available to patients navigating serious illnesses in Ghana. A diagnosis should mark the beginning of a coordinated response, not the beginning of another struggle to find care. BEYOND AWARENESS: EXAMINING THE HEALTH SYSTEM  Early detection is only one part of the cancer care pathway. Following a suspicious finding, patients need timely diagnostic investigations, clear communication of results, appropriate referral, specialist consultation, treatment and continuous follow-up. These services must work together. Delays at any point can create additional anxiety, financial pressure and uncertainty for patients. This is particularly important when viewed against Ghana's commitment to achieving Universal Health Coverage (UHC) by 2030. The Sustainable Development Goals, especially SDG 3, call on countries to ensure healthy lives and promote well-being for all ages. Target 3.8 specifically commits countries to universal health coverage, including access to quality essential healthcare services, affordable medicines and financial risk protection. These commitments must translate into meaningful experiences for people who seek care. Universal health coverage cannot be measured simply by the number of people who enter a health facility or the availability of screening services. It must also be reflected in whether patients receive the right diagnosis at the right time, whether referrals lead to actual access to care, whether treatment is affordable and whether continuity of care is assured. The question is not only whether we can detect diseases early, but whether our health system is prepared to respond effectively when we do. Patient navigation is one area that deserves greater attention in strengthening cancer care. Nurse navigators play an important role in helping patients move through what can be a complex and overwhelming healthcare pathway. They support coordination of appointments and referrals, facilitate communication between patients and healthcare providers, help identify financial and psychosocial barriers and promote continuity throughout treatment. Ghana has made efforts to introduce and strengthen patient navigation services. However, we must look beyond the existence of individual initiatives and ask questions about their reach and sustainability. How many breast cancer nurse navigators are available across the country? How many have undergone structured, competency-based training in patient navigation? Are these services accessible to patients outside the major tertiary hospitals? Do we have adequate systems for their deployment, supervision and continued professional development? A patient navigator should not merely direct a patient from one department to another. The role requires the knowledge and skills to coordinate care, anticipate barriers and help ensure that patients are not lost along the treatment pathway. Strengthening this service should therefore form part of our broader investment in cancer care. The challenges highlighted by Abena's experience are also not exclusive to cancer. Patients living with hypertension, diabetes, stroke, kidney disease and other chronic conditions face similar needs for timely diagnosis, appropriate referral, affordable medicines, regular monitoring and continuity of care. As the burden of non-communicable diseases continues to increase, the demands on our health system will become even greater. This is therefore a broader health-system concern. We need to examine how effectively our services are organised to support patients from the point of first contact through diagnosis, treatment, rehabilitation and follow-up. The ability to provide continuous, coordinated and person-centered care must become a central measure of the quality of our healthcare delivery. TURNING POLICY COMMITMENTS INTO PATIENT EXPERIENCES  Ghana's Free Primary Healthcare initiative presents an opportunity to strengthen access to essential services, improve early identification of health conditions and reduce barriers at the primary healthcare level. Similarly, the Ghana Medical Trust Fund offers an opportunity to address some of the financial challenges associated with serious and chronic illnesses. These are important interventions, but their impact will depend on how effectively they connect with the wider health system. Expanding access to primary healthcare must be accompanied by adequate diagnostic capacity, functional referral systems, specialist services, essential medicines and a health workforce equipped to provide quality care. Financial support must also translate into access to the actual services patients need and when they need them. We must be careful not to create a situation where patients are encouraged to seek early care but encounter delays, prohibitive costs or limited treatment options once a serious diagnosis is confirmed. Access to healthcare should not end at the point of screening or diagnosis. It must extend throughout the patient's journey. This also calls for deliberate investment in the health workforce. Nurses and midwives are central to patient education, early identification, care coordination, treatment support and follow-up. Their capacity must be strengthened through appropriate training, adequate staffing, supportive working environments and the resources required to deliver quality care. Patient navigation, for instance, should not depend solely on isolated projects or the commitment of a few individuals. It should be deliberately integrated into the organisation of cancer services. BEYOND OCTOBER: A CALL FOR NATIONAL REFLECTION  Breast cancer awareness should not end when October ends. Screening campaigns and public education remain essential, but they must be matched by a health system that can respond to the needs of those who receive a diagnosis. Abena's story is a reminder that behind every diagnosis is a mother, a family and a future that may depend on how effectively the health system responds. It is also a reminder that the success of our health policies should ultimately be judged by the experiences and outcomes of the people they are intended to serve. As a country working towards UHC by 2030, we must move beyond counting the number of people screened, educated or reached through awareness campaigns. We must also ask whether those who need further investigations can access them promptly, whether referrals are completed, whether treatment is affordable and whether patients receive the support required to complete their care. This reflection is in honour of Abena and the souls our health system might have failed. Their stories should challenge us to look beyond awareness and confront the gaps that patients encounter when they need care the most. Early detection is important. But what happens afterwards is equally important. And so, beyond the pink ribbons, the screening campaigns and the annual calls for early detection, I leave us with one question: WHAT'S NEXT AFTER EARLY DETECTION?  I hope this question will spark a much-needed national conversation among policymakers, healthcare professionals, health institutions, civil society, communities and every Ghanaian who depends on the health system. We must collectively examine whether our healthcare delivery system is adequately prepared not only to detect illnesses, but also to provide timely, affordable, quality and continuous care to those who need it. Maame Akosua Serwaa Gyening Email: masagg30@gmail.com  

The Global President of the Cocoa Farmers Alliance Association of Africa (COFAAA), Comrade Adeola Adegoke, has called for an urgent and united African action to transform the continent’s cocoa industry from dependency to prosperity.
Speaking at the African Cocoa Summit and Awards 2025 held at the ISSER Conference Centre, University of Ghana, Accra, Comrade Adegoke described the summit as “a historic convergence of voices, a call for unity, and a solemn moment of truth for Africa’s cocoa sector.”
The two-day summit, organised by COFAAA in partnership with the Cocoa Roundtable Initiative (CORI), brought together government representatives, private sector players, researchers, development partners and farmers from across the continent under the theme “Building Sustainable Africa Cocoa Ecosystem: Unlocking Economic Potentials, Driving Inclusive Growth”.
In his passionate keynote address, Comrade Adegoke Adeola declared that Africa must move from being a mere exporter of raw cocoa beans to becoming a “producer of finished cocoa products and a controller of its own destiny.” “Cocoa is not just a commodity; it is a livelihood, a legacy, and a lifeline for millions of African families,” he said.
“If Africa produces 70% of the world’s cocoa, then Africa can and must claim its rightful share of value, dignity, and prosperity.”
Adegoke lamented the imbalance in the global cocoa economy where African farmers earn less than USD $2 per day while major multinational processors and chocolate manufacturers capture over 90% of the profits.
“This is not just an economic injustice; it is a moral one,” he stated. “The hands that grow the cocoa should not live in poverty. The same farmers whose sweat sustains a $130 billion global chocolate market must begin to share in that wealth.”
He warned that unless bold structural reforms are implemented, African cocoa producers risk losing their global leadership position to emerging competitors such as Ecuador and Brazil, who are rapidly increasing both production and value-chain integration. “The era of exporting 100% raw beans and importing finished cocoa products and derivatives to Africa for consumption must end. Africa’s cocoa story must be rewritten by Africans, for Africans,” Adegoke declared emphatically.
Mr. Nana Yaw Reuben Jr., Country Director of COFAAA-Ghana, added: “You cannot hold cocoa talks in Europe and expect Africa to benefit fully. Cocoa must be known as an African commodity, not a European one.”


Participants agreed that true transformation must begin with policy dialogues led in producing countries, not in foreign capitals. They identified three key priorities, which are African-Led Cocoa Policy and Governance by ensuring that global standards and trade contracts reflect African realities; Local Processing and Industrialisation by encouraging governments to invest in domestic processing, provide tax incentives, and stimulate local consumption and Farmer Welfare and Sustainability, thereby addressing the effects of climate change, deforestation, ageing farms, and poor farmer income to guarantee long-term sector viability.
Also, the COFAAA Global President also addressed pressing issues such as child labour, deforestation, and gender inequality within the sector. “We cannot speak of sustainability when the farmers who grow our cocoa are hungry,” he said.
“Women contribute up to 70% of the labour on cocoa farms, yet own barely 25% of the land. Our reforms must be gender-responsive, youth-driven, and inclusive.”
He stressed that empowering women, engaging youth, and promoting cooperative leadership are key to building a sustainable and resilient cocoa future. “Africa’s next generation must not inherit ageing trees and failing farms. They must inherit thriving industries and profitable enterprises,” he urged.
The summit drew distinguished attendees from across EU countries, UK and Africa’s cocoa-producing nations. Representing the Government of Nigeria were: Dr. Marcus Olaniyi Ogunbiyi, Permanent Secretary, Federal Ministry of Agriculture and Food Security; Alhaji Bukar Musa, Director, Federal Department of Agriculture and Chairman, National Cocoa Management Committee (NCMC); and Ajayi Olutobaba, Deputy Director of Cocoa and Secretariat Head, NCMC. Development partners in attendance included: Samuel Noble Quaque, Technical Advisor, Sustainable Cocoa Initiative Programme – GIZ; Nana Akwetey, Representative, Lutheran World Relief / Corus International. Value chain stakeholders present were: Otunba Felix Oladunjoye (National President, Cocoa Processors Association of Nigeria – COPAN), Dr. Wisdom Kofi Dogbey (Managing Director, Cocoa Marketing Company – CMC, Ghana), Andrew Roland Obosu (Country Director, Dimitra, Ghana), Bakayoko Abdrahamande (Managing Director, CADESA Coop. CA, Côte d’Ivoire), Coulibaly Momadou (Sustainability Manager, LOCAGRI, Côte d’Ivoire), Gue Baba Jean Luc (Country Manager, TOUTOU SA, Côte d’Ivoire), Philippe Kouadio (Agroeconomist Engineer, INP-HB, Côte d’Ivoire), Bamba Badjeneba (Agronomy Engineer, DomNY SARL, Côte d’Ivoire), LOULONG W. Honorine (General Manager, CAFCAO Prestige, Cameroon) and a host of others.
Farmers and Farmers’ cooperatives from Côte d’Ivoire, Ghana, Nigeria, Cameroon, and other producing countries were also in high attendance, strengthening the summit’s grassroots representation cut across communities in Africa.
The event climaxed with the African Cocoa Awards, celebrating exemplary institutions and corporate cocoa actor that have advanced the continent’s cocoa development agenda.
Ghana’s COCOBOD, Nigeria’s NCMC, Cameroon’s ONCC–NCBB, and Côte d’Ivoire’s Conseil du Café-Cacao were honoured with the Africa Cocoa Institution Development Champion Award for their leadership and innovation in promoting sustainable cocoa policies and sustaining Africa cocoa production leadership despite prevailing challenges in the industry.
In the private sector category, Sunbeth Global Concepts Ltd received the Africa Cocoa Fair Trading and Sustainability Champion Award for its dedication to ethical sourcing and sustainability in Africa’s cocoa value chain as the only corporate organization in this category. “These institutions are not just recipients of awards; they are symbols of Africa’s determination to lead its own transformation,” Adegoke said. “They embody the spirit of unity and excellence that this summit represents.”
In his closing remarks, Comrade Adegoke reaffirmed COFAAA’s commitment to driving the continent’s cocoa agenda through its PPC Framework, which unites Producing, Processing, and Consuming Countries under one cooperative vision. “This summit is not a ceremonial gathering,” he declared. “It is a declaration of intent, to rewrite the story of African cocoa from survival to prosperity, from vulnerability to strength, and from isolation to collaboration.”
He concluded with a rallying message that resonated across the conference hall: “The value of cocoa is not only in the beans we export, but in the futures, we can build through unity, processing, and sustainability. The future of cocoa belongs to Africa and Africa must lead the way.”
The Cocoa Farmers Alliance Association of Africa (COFAAA) is a continental organisation committed to uniting cocoa farmers, applifying their voices, strengthening cooperative systems, promoting sustainability, and advocating for policies that ensure fair value distribution across the cocoa value chain.

E-signed:
Comrade Adeola Adegoke
Global President

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