HomeBusinessPresident Directs Zoomlion To Open Transfer Stations To Ease Waste Disposal

President Directs Zoomlion To Open Transfer Stations To Ease Waste Disposal

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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  

 

President John Dramani Mahama has directed the immediate operationalisation of all the waste transfer stations managed under Zoomlion Ghana Limited to accelerate refuse evacuation and strengthen waste management systems in the Greater Accra Region following the recent floods.
Addressing residents during the second and final day of the National Clean-up Exercise at Alajo, Accra, on Saturday, July 11, he said the transfer stations, constructed more than nine years ago, had never been operationalised, forcing waste collectors to make costly trips to disposal sites far from the city.
“Unfortunately, they were not put into operation. So, we have asked the contractor, Zoomlion, to open the transfer stations so that the Aboboyas and others can take the garbage to the Transfer Stations,” President Mahama said. “They don’t need to go all the way to Amasaman to the IRECOPs,” he noted.
The President described the initiative as an important step towards building a more sustainable waste management system for Accra, stressing that effective sanitation requires both functional infrastructure and responsible behaviour from citizens.
Under the arrangement, Zoomlion will deploy heavy-duty trucks to move waste accumulated at the transfer stations to approved treatment and final disposal facilities, reducing pressure on collection systems and improving efficiency in waste evacuation.
The six transfer stations, located at Achimota, Teshie, Kpone, Ashaiman, Pantang and Adipa, will serve as temporary collection points where waste can be compacted before being transported to final disposal sites. These disposal sites include the Accra Compost and Recycling Plant (ACARP) and the Accra Integrated Recycling and Compost Plant (IRECOP).
Zoomlion has confirmed that the stations are now operational and receiving waste generated during the exercise.
“We Will Bounce Back Better”
The President praised the turnout on both days of the exercise, describing it as “fantastic” and “very good,” while appealing to those still indoors to join the effort.
“Today the turnout is very good but I am calling on those still in their houses to come out and come and join us so we clean the city after the flood,” he pleaded.
He stressed that previous cleanup exercises had failed because waste removed from gutters was left by the roadside, only to be washed back in during rains. “Today we are going to concentrate on scooping all the garbage we took out of the gutters into these big trucks so that they take them to the dumpsite,” he said.
Acknowledging that two days would not be enough, the President announced that the military and other agencies would continue until all waste taken from drains is cleared.
“Ghana is a resilient country, Accra is a resilient city and we will bounce back better than before,” he said.
Responding to the President’s directive, the Executive Chairman of the Jospong Group, Dr. Jospeh Siaw Agyepong, welcomed the move and reaffirmed Zoomlion’s commitment to supporting government efforts to restore environmental sanitation after the floods.
He explained that the second day of the exercise had shifted into a major waste evacuation operation, with large volumes of refuse removed from homes, drains and public spaces requiring significant logistical support.
He said Zoomlion, in collaboration with the Environmental Service Providers Association (ESPA), Metropolitan, Municipal and District Assemblies (MMDAs) and other stakeholders, had expanded its operations across the Greater Accra Region to ensure effective waste removal.
Dr Siaw Agyepong disclosed that the exercise involved about 150 haulage trucks, 30 compactors, road sweepers, more than 2,000 tricycle waste operators and over 1,000 Zoomlion operatives, with an additional 60 long-haul trailers deployed on the second day to increase evacuation capacity.
According to him, the operation was being carried out simultaneously across all 29 Metropolitan, Municipal and District Assemblies in the Greater Accra Region, with teams deployed to communities affected by the floods.
He said collected waste would be channelled through designated transfer stations before being transported to approved treatment and disposal facilities, ensuring that debris removed from drains and streets does not remain in communities.
Dr. Siaw Agyepong also appealed to residents to support sanitation efforts by adopting responsible waste disposal practices, noting that much of the refuse removed during the exercise had accumulated over several years.
Following the President’s directive, the Minister for Local Government, Chieftaincy and Religious Affairs, Hon. Ahmed Ibrahim, undertook a follow-up assessment of the waste management chain, including visits to some transfer stations and the Accra Integrated Recycling and Compost Plant (IRECOP), to ascertain their readiness and capacity to support the clean-up exercise.
He expressed appreciation to President Mahama for authorising the opening and utilisation of the facilities, noting that the move would significantly improve waste collection and transportation across the Greater Accra Region.
He also commended Dr. Siaw Agyepong for providing the infrastructure and facilities needed to support government’s sanitation agenda, describing the partnership as an important contribution towards addressing the country’s waste management challenges.
According to the Minister, the transfer stations have the capacity to operate continuously, including on a 24-hour basis, to receive waste from communities and support the evacuation process whenever the need arises.
He cautioned that preventing sanitation-related challenges was far cheaper than treating the health consequences associated with poor environmental conditions, adding that resources spent on medical interventions could be reduced significantly when citizens maintain cleaner surroundings.
At the Accra IRECOP facility, officials were taken through the process of how collected waste is received, sorted, recycled and converted into useful resources rather than simply being sent to landfill sites.
The Technical Manager of IRECOP, Ing. Joseph Owusu Sarkodie, explained that the facility treats waste as a resource, using mechanical and manual sorting systems to separate plastics, metals, paper and organic materials.
He said recovered plastics are processed into raw materials for plastic industries, metals are packaged for steel companies, while organic waste undergoes composting to produce materials suitable for agriculture, landscaping and other uses.
The engagement highlighted government’s renewed focus on moving away from a disposal-only approach towards a circular waste management system where waste recovery, recycling and composting become key components of sanitation management.
The National General Clean-Up Exercise attracted the participation of the Minister for Local Government, Chieftaincy and Religious Affairs, the Greater Accra Regional Minister, the Mayor of Accra, security agencies including the Ghana Armed Forces, Ghana Police Service, Ghana National Fire Service and Ghana Immigration Service, as well as thousands of residents and volunteers.
As the exercise concluded, stakeholders expressed optimism that the activation of transfer stations, increased logistics deployment and stronger collaboration between government and private sector partners would improve waste management and contribute to building a cleaner and more resilient Accra.

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