Tuesday 30 April 2013

On African soil


May 6th is Ghana’s Independence Day. In 1957, workers were given the day off to celebrate, a tradition that continues. It’s not the best day therefore, to have an accident such as breaking your ankle, but this is what I managed to do, in Ho, Volta Region. Not only was it dislocated; it was also broken in three places. True to Ghanaian style, various staff were cheerful when called in on their public holiday in order to carry out x-rays and to plaster my leg. The man who un-dislocated my ankle did so with huge skill, and when he said, smiling, “I’m caressing your leg”, I did have to join him in smiling, despite a certain amount of pain. I was treated more speedily than I would have been if I was in an English accident and emergency room and I don’t believe it was because I was white. Well, maybe a visiting professor from the UK does get special privileges but the kindness and consideration with which I was treated can’t simply be turned on like a tap – they are there in Ghana anyway. My heartfelt thanks to all those who treated me so well.

Back in the UK and after a week’s stay and an operation in our district hospital, the clinicians  commended the excellent work of the bone setter in Ghana and when I said that the staff there were superb but the equipment was poor, old and much used, the doctor quipped that here in England it’s the other way round….

So my March didn’t include writing a blog. We were in Ghana to work in partnership with the new University of Health and Allied Sciences in Ho, one of two new universities being established to provide for currently under-served areas, (the other one being in Sunyani). It was a delight to meet up with so many Leeds Met alumni and a privilege to give public lectures in Kumasi, Accra and Ho, the latter one being from a sitting position, post-accident. The coming together of health promotion alumni and the discussion promoted by the lectures helped to regenerate discussion of the re-formation of the professional association for health promoters in Ghana. One of our alumni currently heads the national health promotion team in the Ministry and others have reached similar high positions.  It was fantastic to see so many doing so well. There’s a lot going for health promotion in Ghana! My lecture was intended to stimulate how health promotion can be driven forward in sub-Saharan Africa.

Ghana has a long history of good public health in its Universities, principally at Kumasi (Kwame Nkrumah University of Science and technology) and at the University of Ghana at Legon. What we will be offering in Ho is slightly different, with our Masters’ programme reflecting our social model of health, focusing on the social determinants of health and being taught by health promotion specialists. The course will start in the autumn of 2013 and is aimed at strengthening training for health promotion in a similar way to our work in Zambia and The Gambia. Hopefully by then my limbs will be intact. Having something wrong with a part of your body is always a humbling experience and reminds us how easily life can change (I was simply walking along a reasonable road and slipped after a rainy night), and of how lucky we are that we will recover.

Ghana is a country close to my heart and I have known Ghanaians since the 1960s. I heard first hand accounts of the coup that deposed Kwame Nkrumah. Shortly after my return, the great Nigerian Chinua Achebe died. He too was aware of the significance of Ghana’s independence. Jesse Weaver Shipley, in an appreciation of Achebe wrote:

“The most common misreading of his first novel, as Chinua explained to me, was to understand it as an idealized recollection of pre-colonial African life. This was exacerbated by the fact it was often included in American and European syllabi as a representation or token of Africa or non-Western expression, a sign of Africa for outsiders to imagine an authentic vision of its peoples and cultures. But if you listen to Chinua this simplistic nostalgia dissipates. He recalled that he was writing Things Fall Apart as Ghana became independent from British rule in 1957. The Pan-Africanism of Ghana’s first leader Kwame Nkrumah was especially influential on Chinua: “They were ahead of us [in Nigeria] so we were looking to Ghana to see the path to independence. It was an inspiring moment.” This novel and his other tales are stories of multiple encounters of loss and impossibility, humor and survival that point to the future; they are meditations on the experience of time. Things Fall Apart presents Ibgo life from multiple angles simultaneously forcing consideration of the question of cultural stability and its representation; it is a reflexive mediation on the possibility of storytelling itself to encapsulate history, memory, and new ways of life; it is an extended proverb in content and form. Chinua is the poet of encounter, a primary trope of 20th century life.”


Chinua Achebe wasn’t merely the ‘grandfather of African literature”. He was also an outspoken critic of misrule and corruption, calling for social justice and good governance. His novels and other writing certainly influenced me and now make me want to re-read them. His critique of for example, Conrad’s “Heart of Darkness” is essential for anyone wanting to move away from their learned (white, European) ways of ‘seeing’ Africa; he thunders about how dare we use Africa as a mere backdrop for  exploration of  white ideas and concepts.  Achebe wrote about the Biafra war of course, and the struggles of micro-nations to have their own independence after the colonial powers with their arbitrary boundaries created all sorts of divisions and alliances that made no sense to the communities living on the ground. These themes can be seen in younger writers such as Chimamanda Ngozi Adichie, whose ‘Half of a Yellow Sun’ is a devastating rendition of the Biafran conflict. Taiye Selasi, brought up in Britain, America, Ghana and Nigeria is another young writer who has written an essay called “Bye-bye, Babar: or, What is an Afropolitan?”, exploring the experience of Africans brought up in a cosmopolitan world of the middle class diaspora and who are asked the question, “where are you from?” In my new-found spare time whilst unable to walk, I am reading her latest novel, “Ghana must go” which is about a Ghanaian doctor who practices in the USA and returns to Ghana. Chinua Achebe of course spent much of his life outside West Africa, dying in Boston, USA.

Taiye Selasi also talks of how to “be herself” on African soil. My close encounter with African soil reminded me of how red it is. It’s silky after rain, a beautiful dark terracotta. When I look back to my accident, out walking alone, I see myself sitting on red earth, waiting for the inevitable person to appear out of the brushwood. I don’t recommend being brought abruptly to earth but slowing down and having to look carefully where you put your feet has its compensations.