HomeBusinessTVET Is the Solution to Poverty – Eric Saforo

TVET Is the Solution to Poverty – Eric Saforo

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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 Youth Employment and Skills (YES) Chapter of the Pan-African Coalition for Transformation (YEARS PACT) has called on Ghanaians, particularly parents and young people, to change their perception of Technical and Vocational Education and Training (TVET), describing skills development as one of the surest pathways out of poverty.
The YEARS PACT Coordinator at the Youth Opportunity and Transformation in Africa (YOTA), Mr. Eric Saforo, said TVET should no longer be viewed as an option reserved for young people who could not succeed in traditional academic education.
According to him, the growing demand for practical skills, technology and entrepreneurship has made TVET increasingly important to Ghana’s economic development and the future of young people.
He said technical and vocational training equipped young people with practical skills that could enable them to establish their own businesses, secure decent employment and improve their livelihoods.
Mr. Saforo therefore urged parents to abandon the mindset that academic education was the only respectable route to success and instead encourage their children to consider TVET as a valuable and potentially rewarding career pathway.
He stressed that the inability of a young person to excel in the traditional academic system should not be interpreted as failure, arguing that many young people possessed talents and abilities that could flourish better through practical and technical training.
“TVET is not for people who could not make it in education,” he said, urging society to recognise skills development as an essential component of education and national development.
He said YEARS PACT was committed to supporting the Ghana TVET Service and the Ministry of Education to strengthen skills development and employment opportunities for young people.
The organisation, he explained, worked with government by identifying gaps in policy implementation and supporting efforts to address them through partnership and constructive advocacy.
Mr. Saforo said YEARS PACT brought together policymakers, regulators, private-sector representatives, civil society organisations and youth-focused groups to contribute their expertise and resources towards effective implementation of skills-development policies.
He said the organisation was particularly interested in the Ghana TVET Service’s Workplace Experience Learning strategy, which provides young people with opportunities to gain practical experience in industry.
Such exposure, he noted, could help trainees acquire the competencies required to secure wage employment or establish sustainable businesses of their own.
He also identified job fairs as an important avenue for connecting trained young people with employers and helping them transition from training into employment.

Mr. Saforo further called for greater attention to young people with disabilities, saying they must not be excluded from opportunities in technical and vocational education.
He said YEARS PACT was working with the Ministry of Education and the Ghana TVET Service to promote learning environments that adequately accommodated students with special educational needs.
He advocated the retrofitting of classrooms and other educational facilities with appropriate infrastructure to make them accessible to students with visual, mobility and other forms of disabilities.
His comments come as the Ghana TVET Service intensifies efforts to reposition TVET as a major driver of national development, with a focus on skills development, digitalisation, inclusion and stronger collaboration with industry and the informal sector.
The Acting Deputy Director and Head of Corporate Affairs at the Ghana TVET Service, Madam Hephzibah Ama, said the upcoming National TVET Week would provide an important platform for stakeholders, learners, parents, industry players and the general public to engage on the future of TVET.
She said the programme would also showcase innovations and opportunities emerging within the sector while helping to motivate learners and change public perceptions about technical and vocational education.
Madam Ama stressed that TVET was not limited to formal institutions, explaining that the Ghana TVET Service was also working closely with artisans, trade associations and other operators within the informal sector.
She said the Service had a dedicated division responsible for providing training and retraining to informal-sector operators based on government-approved standards.
According to her, informal-sector practitioners also contribute to curriculum development, while the Service continues to strengthen collaboration between formal TVET institutions and informal training providers.
She disclosed that the Service was preparing to undertake public sensitisation and registration of public and private TVET institutions, including informal training providers, across the country.
She urged informal-sector operators unfamiliar with the registration process or standards governing TVET delivery to contact the Ghana TVET Service for guidance.

Madam Ama also challenged the perception that TVET was restricted to traditional trades such as fashion, carpentry and woodwork.
She said modern TVET was increasingly embracing digitalisation, artificial intelligence, robotics and other emerging technologies that were shaping the future of work.
She cited innovations such as solar-powered incubators and traffic-light systems being developed by learners at some TVET institutions as evidence of the practical and technological capabilities being nurtured within the sector.
She said the public must therefore understand that modern TVET goes far beyond traditional craftsmanship and offers opportunities in emerging areas of technology and innovation.
“TVET Is Not for Dropouts”
Madam Ama strongly rejected the long-standing notion that TVET was designed for students who could not succeed in traditional academic education.
“TVET is not an area for the dropouts,” she stressed, noting that intelligent, talented and ambitious young people were increasingly choosing technical and vocational education.
She said the National TVET Week would help showcase the abilities, creativity and innovations of TVET learners while encouraging the public to take a fresh look at the sector.
She called on parents and society to change their perception and begin to regard TVET as a first-choice pathway to education, employment, entrepreneurship and national development, rather than a second option for those who could not make it academically.
With Ghana facing growing pressure to create jobs and sustainable livelihoods for its youthful population, Mr. Saforo maintained that the country could not afford to underestimate the power of practical skills.
He said expanding access to quality TVET, linking training to industry and changing societal attitudes towards vocational education could give thousands of young people the tools to earn decent incomes and break the cycle of poverty

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