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Thursday, October 16, 2025
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Lessons from Ghana on How using graphic pictures to cut tobacco use

Ghana recently joined only a handful of countries in Africa to introduce the use of pictures in health warnings on tobacco products. The other countries include Burkina Faso, Cameroon, Chad, Djibouti, Egypt, Kenya, Madagascar, Mauritius, Namibia, Senegal and Seychelles.

Research shows that large, picture-based or pictorial health warning labels on tobacco packages are an effective strategy to reduce tobacco use. Several studies have shown that labels are effective if they communicate the health risks of tobacco use and increase knowledge.

A combination of these factors can influence future decisions about smoking. Additionally, large and pictorial health warning labels can encourage smokers to quit, discourage non-smokers from starting and keep ex-smokers from starting again.

Estimates of tobacco use in Ghana are lower than in other countries in the west African region. Nevertheless, tobacco use is still considered to be a public health threat. It’s estimated that between 5% and 8% of the country’s population smokes.

In 2004, Ghana was among the first few countries to ratify the World Health Organisation (WHO) Framework Convention on Tobacco Control. The treaty was developed to spearhead the global response to the tobacco epidemic. But the country has been slow to implement many of the articles in the convention. These include recommendations on excise taxes as well as the introduction of pictorial warning labels on cigarette packs.

It’s a welcome move that Ghana – even belatedly – has moved on at least one of the interventions recommended by the WHO: the introduction of warning labels. The WHO recommends the use of full-colour images. These include pictures depicting various body parts affected by diseases related to tobacco use.

We conducted a qualitative study in 2014 – prior to the introduction of pictorial warnings. The research was done by the Kwame Nkrumah University of Science and Technology’s School of Public Health along with colleagues from the Food and Drugs Authority. Our findings showed that both smokers and non-smokers felt a combination of both pictures and words was more effective than just words on their own or just pictures on their own in conveying the health dangers of tobacco.

What’s been done

Ghana’s tobacco control measures are governed by the Public Health Act of 2012. The act legislates several aspects such as smoking in public places, tobacco advertising as well as packaging and labelling.

In 2016 the country’s Food and Drug Authority made use of the act to compile the Tobacco Control Regulations. Provisions introduced under the regulations mandated the tobacco industry – tobacco product manufacturers, wholesale distributors and importers – to ensure that all tobacco packaging had health warning labels in the form of a picture and text.

The stipulation was that warnings must cover 50% of the front and 60% of the back of all packaging. The industry was given 18 months from January 2017 to comply with the new rules.

These regulations supplemented rules introduced in 2010 that required text-only warnings on cigarettes packages. All tobacco products sold in Ghana are now required to have pictorial as well as text warnings.

Ghanaian authorities are also taking special measures to ensure that pictorial health warnings are implemented successfully. For example, the Food and Drugs Authority embarked on successive nationwide sensitisation and training for all law enforcement agencies such as the police, customs, judiciary, Ghana Health Service, opinion leaders and all stakeholders involved in tobacco control to raise awareness of the pictorial health warnings.

Impact

The introduction of the pictorial warnings forms part of a new education campaign in the country to increase people’s knowledge about tobacco use.

It’s too soon to tell what difference the warnings will make to tobacco consumption, if any. But we were able to establish initial reactions to the new packaging by conducting interviews with stakeholders in tobacco control on the introduction of the pictorial warnings.

It is suggested that the new packaging could help Ghana curb the health, social, environmental and economic consequences of tobacco use.

Olivia Agyekumwaa Boateng, Head of Tobacco & Substance Abuse at the Food and Drug authority in Ghana, contributed to this article.The Conversation

Ellis Owusu-Dabo, Associate Professor, Kwame Nkrumah University of Science and Technology (KNUST) and Arti Singh, Phd Candidate, Kwame Nkrumah University of Science and Technology (KNUST)

This article is republished from The Conversation under a Creative Commons license. Read the original article.

First ladies in Africa: A Close Look at How Three Have Wielded Influence

Jo-Ansie van Wyk, University of South Africa and Chidochashe Nyere, University of Pretoria

The role played by the wives of heads of state in Africa has been largely ignored. In a bid to contribute to this under-researched area we analysed the political role, influence and activities of First Ladies in a number of countries on the continent.

We put together the African First Ladies Database to analyse the functions, roles, strategies and agency of some of Africa’s most influential First Ladies. Our focus was mostly on southern Africa. But our research also covered East and Central Africa. We included first ladies in our database based on their proximity to the executive and other decision-makers.

Three emerged as particularly influential. These were Janet Museveni, wife of Uganda’s Yoweri Museveni; Grace Mugabe, the wife of Zimbabwe’s former president Robert Mugabe; and Denise Nkurunziza, wife of Burundi’s President Pierre Nkurunziza. All have been politically ambitious and actively supported their husbands’ rule.

Our paper addressed their political agendas, roles, influence and accountability. We found that they were influential political actors who were active domestically, regionally and internationally. This enabled them to influence relationships and to extract political support, as well as financial gain through tenders and government funding.

Our findings raise questions about the accountability of first ladies, and the transparency of their public duties and private interests. But Africa’s first ladies aren’t on their own. Similar accusations have been made against others elsewhere. For example, during the presidential tenure of her husband, Hillary Clinton was often described as interfering with White House politics and Capitol Hill decisions. Similar accusations were made against, among others, Imelda Marcos of The Philippines.

First Ladies as political activists

We found that the first ladies acted as power brokers and members of an inner circle. They actively mobilised support for their spouses. They used strategies such as their personal narratives, their country’s liberation history, religion and culture. They supported their husbands’ campaigns and downplayed, denied or simply remained silent on the failures of their husbands’ governments.

Grace Mugabe: Her political career spanned a mere three years (2014-2017) when she was elected as the President of the ZANU-PF Women’s League. This role meant that she automatically became a member of the party’s Politburo. She was successful in gaining support for her husband’s tenure as well as her own political ambitions from religious leaders, youth and the Women’s League, traditional leaders, and minority apostolic churches.

She made some noteworthy claims of support for her husband. For example, she publicly stated that even if he were to be incapacitated, Zimbabweans would vote for him because he was God-ordained.

Besides addressing religious rallies, she used nationwide “Meet the People” tours to brand herself, and the President.

Grace Mugabe often welcomed and hosted foreign Heads of State and Government at her Harare home, and at State House. Her close proximity to the President gave her access to influential political networks that she exploited to buy properties and run businesses.

Denise Nkurunziza: She led the Burundi ruling party’s Women’s League (the Abakenyererarugamba). Like other African First Ladies, she used religion to endorse and support her husband’s rule. She is also an ordained Reverend.

Christians are a significant audience for the Nkurunzizas. They often hold prayer groups and wash the feet of members of the congregation. In 2017, the ruling party promoted President Pierre Nkurunziza as the “Supreme Everlasting Guide” (“Visionary”), adding to the personality cult that had been emerging around him. In 2018, Pierre Nkurunziza established Thursdays as a national Burundian Day of Prayer devoted to Christ and to fasting with prayers “without exception” for the ruling party.

Another key constituency for Denise Nkurunziza was influential women who held senior positions across the political and military spectrum.

The office of the First Lady was also used to bolster diplomatic relations between Burundi and the international community.

Janet Museveni: She was appointed as Minister of State for Karamoja by her husband in 2009. The Karamojong saw the move as as a sign of the President’s affection for them.

She also served as a member of Parliament representing Ruhaama County in Ntungamo District between 2006 and 2016 and is currently the minister for education

Beyond her career in politics she is revered by some as the “Mother of the Nation” thanks to her social outreach on maternal health.

In 2014, the Global Decency Index (GDI), invented by Decent Africa, an African fashion brand, announced that she was “the most decent African First Lady”.

Her pious, nurturing image contributes to her husband’s credibility locally and internationally.

Like her counterparts in Zimbabwe and Burundi, Janet Museveni believes that Museveni was ordained by God – as does he.

Patriarchy still rules

Despite their own political experience, ambitions and influence, we found that the three women we studied remained subordinate to the patriarchy in their societies. A few gender biases were evident.

One was in expectations of the role of the First Lady. They were expected to be spouse, mother, caregiver and nurturer of the sick, young and elderly. Another was that the Offices of the First Lady were fully directed from within the President’s office. This meant that the flow of information about them was skewed to project as ideal woman, trophies and a trailblazer for issues stereotyped and associated with women.

In addition, none of the constitutions of the countries we examined referred to the position.

This, in our view, reflects an impression that the role isn’t important – because it is, by and large, held by women. It also undermines democratic accountability.

We believe there should be constitutional clarity and accountability – which would herald accountability – on the formal role, powers and functions of First Ladies.

Arina Muresan was a co-author of this piece. She is a member of our team.The Conversation

Jo-Ansie van Wyk, Professor in International Politics, University of South Africa and Chidochashe Nyere, Lecturer, University of Pretoria

This article is republished from The Conversation under a Creative Commons license. Read the original article.

Kenya’s UHC roll out commended as World Health Assembly kicks off in Geneva

The ongoing roll out of the Universal Health Coverage (UHC), now in the pilot phase, has received global recognition at the World Health Organization’s (WHO) 72nd World Health Assembly meeting which kicked off in Geneva, Switzerland

Speaking during the opening ceremony attended by hundreds of world leaders among them First Lady Margaret Kenyatta and Health Cabinet Secretary Sicily Kariuki, WHO Director General Tedros Adhamon Ghebreyesus cited Kenya as a leading crusader of UHC.

“Last year I mentioned Kenya’s ambitious plan to implement a new UHC scheme with support from WHO. In December, I had the honour of being with President Uhuru Kenyatta for the launch of that programme in Kisumu,” Dr Tedros informed the World Health Assembly.

The WHO Director General said UHC has already started producing results in Kenya and gave the example of Immaculate Otene, a 33 year old unemployed mother of four whose health burden has been lifted through access to free healthcare services.

“Immaculate is unemployed and her husband often goes without work. But thanks to Kenya’s new UHC plan designed with support from WHO, her family can now access free health services,” the Director General said.

Kenya is currently implementing the pilot phase of UHC in the four counties of Kisumu, Nyeri, Isiolo and Machakos.

The WHO Director General encouraged other countries to emulate Kenya’s commitment and scale up the provision of healthcare to their citizens by implementing UHC.

Dr Tedros urged WHO member states to promote access to quality primary healthcare, saying strong primary healthcare is the frontline defense to re-emerging diseases like cholera, polio and ebola.

“There will be no UHC without primary healthcare. Primary healthcare is where the battle for human health is won or lost,” Dr Tedros said emphasizing that through primary healthcare that countries are able to prevent, detect and treat non-communicable diseases.

During the meeting, participants were urged to endorse actions that will ensure no one is left behind in the quest to provide quality healthcare through UHC.

Court Extends Orders to Stop Uhuru’s planned 1.5% Housing Tax

BY PRUDENCE WANZA – The court has extended the orders barring the government from taxing the both from the public n private sector 1.5% housing levy.

This is after over five other organizations came up to be enjoined in the case.
The matter which was coming up for hearing today will now be heard on monday, 27th May, 2019 for consolidation purposes.
Speaking outside courts, Trade Union Congress of Kenya Secretary General, Charles, said that the matter has so much public interest and that is the reason why so many parties are seeking to be enjoined as interested parties and their stand to oppose the levy from kenyan workers still stand.
The case was before Lady Justice Maureen Onyango at the Labour Relations court.

Could the Fake Gold Scam be the Fault in Matiang’i that Everyone was Looking for?

He is unwavering in terms of execution of his duties, a dear to Kenyans and at one point a potential aspirant for the top seat, as dreamt by Kenyans. He is Dr. Fred Matiang’i

Being summoned in Committees to respond to his aggressive behavior and directives, The Interior National Government minister has not bowed to any pressure to stop him from execution of his duties.

This eventually led Matiangi to develop strong enemies, enemies who target faults in his execution because they lacked any hitch in his execution of duties.

But is this it? The one domino that changes the game forever? The controversial ‘Leaked telephone call’ between Wetangula and Dubai business men tied to the Dubai prince?

Wetangula is currently under investigations over an alleged gold scam and in the leaked phone call he happened to mention some powerful people in government, the deeply romanced duo, Uhuru and Raila Odinga.

Matiang’i, Raila, Uhuru mentioned in Wetangula Fake Gold Scam

However Matiangi was also mentioned in the phone call.

In the snap of a finger politicians opposing the very able Dr. Fred, are up and running, calling for the Resignation of the said minister citing he should be investigated. Same politicians that ran around screaming ‘mtu wetu’ when members of their clan were implicated in corruption cases.

Kenyan politicians have an interesting trend of handling corruption cases that makes it harder and harder to take them seriously. It is a high time that Kenyans be woke and sober when heading to the polls; to avoid electing these slay queen politicians and drama kings.

The ODPP has directed that the leaked phone call shouldn’t be shared, as it would jeopardize the ongoing case.

Could the Fake Gold Scam be the Fault in Matiang’i that Everyone was Looking for?

He is unwavering in terms of execution of his duties, a dear to Kenyans and at one point a potential aspirant for the top seat, as dreamt by Kenyans. He is Dr. Fred Matiang’i

Being summoned in Committees to respond to his aggressive behavior and directives, The Interior National Government minister has not bowed to any pressure to stop him from execution of his duties.

This eventually led Matiangi to develop strong enemies, enemies who target faults in his execution because they lacked any hitch in his execution of duties.

But is this it? The one domino that changes the game forever? The controversial ‘Leaked telephone call’ between Wetangula and Dubai business men tied to the Dubai prince?

Wetangula is currently under investigations over an alleged gold scam and in the leaked phone call he happened to mention some powerful people in government, the deeply romanced duo, Uhuru and Raila Odinga.

However Matiangi was also mentioned in the phone call.

In the snap of a finger politicians opposing the very able Dr. Fred, are up and running, calling for the Resignation of the said minister citing he should be investigated. Same politicians that ran around screaming ‘mtu wetu’ when members of their clan were implicated in corruption cases.

Kenyan politicians have an interesting trend of handling corruption cases that makes it harder and harder to take them seriously. It is a high time that Kenyans be woke and sober when heading to the polls; to avoid electing these slay queen politicians and drama kings.

The ODPP has directed that the leaked phone call shouldn’t be shared, as it would jeopardize the ongoing case.

Two Men have been arraigned in Milimani Courts for Stealing 800 Bibles

BY PRUDENCE WANZA – Two men have been charged with obtaining goods by false pretense from Bible Translation and Literacy East Africa.

Reuben Rogoi Maina and John Mapesa Andulu are accused that on May 16th May, 2019 at Bible Translation and Literacy (EA) in upper Hill with intention to defraud Faith Mawia Mulunga 300 pieces of New Kings James Bibles , 200 pieces of Good News Bibles and 300 pieces of New International Version Bibles all valued Ksh 900,000.

Two men have been charged with obtaining goods by false pretense from Bible Translation and Literacy East Africa. | PRUDENCE WANZA

Prosecution alleged that the two also on May 17, at around 1300hrs at Bible Translation and Literacy (EA) in upper hill area, Nairobi, used their motor vehicle, Toyota Fielder red in colour to carry out the theft of 800 pieces of different versions of Bibles all valued at Kshs. 680,000.

According to their lawyer, two are said to be taxi drivers and that is how the bibles were in their vehicle.

They pleaded not guilty before Milimani Chief Magistrate Francis Andayi. The two were released on a cash of Sh. 200,000 and bond of Sh. 500,0000.

The hearing has been set on 1st July, 2019.

Kenya Railways Chairman reports Sunday Nation to Media regulator for Defamation

Nairobi Railway Station, Old Trains and a Cargo locomotive is seen snaking through the Railway terminal. |Uzalendo News

KENYA Railways Chairman Michael Waweru has moved to the Media Council of Kenya in a bitter war of words with the Nation Media Group.

In a letter addressed to the Media regulator, the former KRA Commisioner General claims that a Sunday Nation expose published on 12th May 2019 defamed him and now wants the nation compelled by the regulator to heal the damage( See attached copy of the complaint.

He said the Daily Nation had started a smear campaign to damage his reputation by purporting that he had a conflict of interest in his handling of the Kenya Railways pension management.

Waweru says the Sunday Nation went against it’s own stipulated regulations that bar its staff from quoting ghost sources.
He accuses the nation of propagating and causing the publication of innuendo, packaged as news.


First Lady Margaret Kenyatta Advocates for Mainstreaming of Adolescent Health in UHC programmes

The health needs of young people must be at the core of Universal Health Coverage (UHC) programmes for the interventions to be successful, First Lady Margaret Kenyatta has said.

The First Lady said the inclusion of the health needs of adolescents in policy formulation would ensure they are not left behind in accessing healthcare services.

She noted that the continued lumping together of adolescents and youth with women and children by global and national health strategies makes many assumptions that fail to address the health needs of this critical segment of the world population.

“Not surprisingly, this has resulted in numerous urgent calls to address adolescents healthcare because while they have been perceived as healthy, they face considerable risks of adverse chronic health issues,” she said.

The First Lady spoke on Monday evening in Geneva, Switzerland, on the sidelines of the 72nd World Health Assembly at an event dubbed ‘Adolescent health – the Missing population in Universal Health Coverage (UHC)’. The event focused on putting the needs of adolescents at the centre of efforts to achieve UHC.

She said the inclusion of young people in the global health agenda would help in harnessing the demographic dividend and maximize the contribution of this important segment of human capital to global growth

The First Lady expressed concern that available statistics showed higher rates of violence and injuries, addiction, depression and mental health issues among adolescents and the youth in general, an indication that their health needs required more attention

“We are told that one out of six of the world’s population are adolescents aged between 10 and 19 years. Therefore, recognizing adolescents as key partners in the realization of Sustainable Development Goals (SDG) targets is critical,” the First Lady said.

She said one of the major concerns, especially on the African continent, is the new surge of illnesses facing young people as a result of non-communicable diseases and HIV.

“We must not accept to reverse the gains we have made in health. We must encourage young people to access health services.  Our young people’s priority is not ill-health or disease, it is jobs, relationships and their future,” the First Lady said.

US Blacklists Huawei, Orders Google, Intel and other US Tech Giants to Withdraw Services

As a result of the Unending Trade Wars between United States and China, top corporations based in the U.S, from chipmakers to Google, have frozen the supply of critical software and components to Huawei Technologies.

Google’s move to stop licensing its Android mobile operating system to Huawei could deal a huge blow to the Chinese tech giant’s ambitions to become the top player in smartphones globally.

This means that Huawei can no longer license Google’s proprietary Android OS and other services that it offers. Huawei is now only able to use a public version of Google’s operating system through the Android Open Source Project. Future Huawei phones will not have the Google services that users have come to expect on Android devices.

Intel Corporation,Qualcomm and Xilinx have also announced that they will not supply Huawei till further notice. This in turn could hurt U.S. companies that are increasingly reliant on the world’s second largest economy for growth.

The U.S. ban, according to Tech analysts, “may cause China to delay its 5G network build until the ban is lifted, having an impact on many global component suppliers.”

However, Huawei is said to have stockpiled enough chips and other vital components to keep its business running. It’s been preparing for such an eventuality since at least the middle of 2018, and therefore claimed that this won’t adversely affect business in the World’s second largest mobile phone supplier.

Huawei Technologies has developed a proprietary OS as tensions between the company and the US government could impact the availability of the US-made operating systems used on Huawei devices, Huawei’s mobile chief Richard Yu Chengdong, said in an interview with German publication Die Welt.

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