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More Than 9,000 Ghanaian Children Have Been Treated for Clubfoot, Yet Many More Are Still Being Left Behind

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Article by Nana Afua Adutwumwaa Adjetey, Program Manager, Ghana Clubfoot Program (CHAG–Hope Walks Ghana)


As Ghana joins the global community to commemorate World Clubfoot Day on June 3, there is an important story that deserves national attention.

It is the story of thousands of Ghanaian children who have been given the opportunity to walk, run, play, attend school, and pursue their dreams because they received treatment for clubfoot.
It is also the story of many other children who continue to miss that opportunity because of delayed diagnosis, stigma, misinformation, and lack of awareness.

Clubfoot is one of the most common congenital disabilities affecting children worldwide. It is a condition present at birth in which one or both feet are twisted inward and downward. If left untreated, a child may face lifelong challenges with walking, education, employment, and social inclusion.

Yet clubfoot is also one of the most treatable childhood disabilities.
When identified early and treated correctly, children born with clubfoot can live healthy, active, and productive lives.

A Hidden Challenge Affecting Hundreds of Ghanaian Families

In Ghana, an estimated 1,000 babies are born with clubfoot every year.

Many of these children are born into families who have never heard of the condition. Others are born in communities where myths, misconceptions, and stigma still surround childhood disabilities.

Some parents are told their child will eventually “grow out of it.”
Others are encouraged to seek traditional remedies before medical care.
In some cases, families hide affected children for fear of judgment and discrimination.

Unfortunately, these delays come at a cost.
Clubfoot treatment is most effective when started soon after birth. Every week and month of delay can make treatment more difficult and increase the risk of long-term disability.

The Cases We Meet Every Day
Across our clubfoot clinics in Ghana, we meet families whose stories reveal the challenges that still exist.

We meet mothers who travel long distances after hearing about treatment through a friend, church member, radio programme, or social media post.
We meet caregivers who have spent months searching for answers because they did not know where to go for help.
We meet children who arrive years after birth because no one identified the condition early enough.

Most concerning, we continue to encounter situations where clubfoot was not recognised at birth or families were not informed that treatment was available.

Many parents tell us they were never referred. Others say they were unaware clubfoot could be treated at all.
These experiences remind us that awareness remains one of the greatest barriers to eliminating disability caused by clubfoot.

The Good News: Treatment Works; And It Is Free


Despite these challenges, there is tremendous reason for hope.

The Ghana Clubfoot Program, implemented by the Christian Health Association of Ghana (CHAG) in partnership with Hope Walks, has been transforming lives since 2008.

Most importantly, treatment is provided completely free of charge for children under five years of age at CHAG–Hope Walks partner clinics across Ghana.
No child should be denied the opportunity to walk because of a family’s inability to pay.

Over the past 18 years, more than 9,000 children born with clubfoot have received treatment and care through the programme.
That means more than 9,000 children now have the opportunity to walk with confidence, attend school, participate in sports, and live productive lives.

Behind every number is a story:
A child who can now run with friends.
A student who can walk to school.
A parent whose fears have been replaced with hope.
A family whose future has been transformed.

The treatment follows the internationally recognised Ponseti Method, which uses a series of gentle casts to gradually correct the position of the foot, followed by a brace to maintain correction and prevent relapse.
When treatment begins early, success rates are extremely high.

These successes demonstrate a simple but powerful truth:
Clubfoot is treatable. Treatment is available. And treatment is free.

The Critical Role of Health Professionals
World Clubfoot Day is also an opportunity to celebrate the dedication of health professionals who change lives every day.

Midwives, nurses, doctors, physiotherapists, orthopaedic specialists, community health nurses, and Parent Advisors all play a vital role in ensuring children receive treatment early.

For many children, the journey begins with a health worker who identifies clubfoot at birth and makes a referral.
A few moments of observation can change the course of a child’s life forever.

We therefore encourage all healthcare professionals to make clubfoot screening part of every newborn assessment and to ensure every identified child is referred promptly for treatment.

Breaking the Stigma


As a nation, we must confront the stigma that continues to surround disability.

Clubfoot is not a curse.
It is not caused by wrongdoing.
It is not a punishment.
It is a medical condition that can be treated successfully.

Families should never feel ashamed to seek help.
Communities should support parents rather than judge them.
Children born with clubfoot deserve the same opportunities, dignity, and inclusion as every other child.

A National Call to Action
As we commemorate World Clubfoot Day 2026, we call on all Ghanaians to become part of the solution.

We call on health workers to identify and refer clubfoot cases immediately after birth.
We call on parents and caregivers to seek treatment as early as possible.
We call on religious leaders, traditional leaders, and community influencers to help raise awareness and eliminate stigma.
We call on media organisations to continue educating the public about clubfoot and the availability of free treatment.
We call on policymakers and health stakeholders to strengthen support for early detection, disability inclusion, and child health services.

Many families are still unaware that clubfoot treatment is available free of charge in Ghana. This lack of awareness continues to delay treatment for children who could otherwise receive life-changing care at no cost.

Over the past 18 years, the Ghana Clubfoot Program has demonstrated that clubfoot can be treated successfully.
Our challenge now is to ensure every child born with clubfoot is identified early enough to benefit from that treatment.

No child should be denied the opportunity to walk because of lack of information.
No family should suffer in silence because they do not know help is available.

This World Clubfoot Day, let us commit to one simple but powerful message:
SEE EARLY. TREAT EARLY. WALK FREELY.

For information on free clubfoot treatment in Ghana:
Ghana Clubfoot Program (CHAG–Hope Walks Ghana)
📞 024 487 9948

“Over 9,000 children have already been given the chance to walk through treatment. Our challenge now is to ensure that no child is left behind because of late detection, stigma, or lack of information.”
Mrs. Nana Afua Adutwumwaa Adjetey, Program Manager, Ghana Clubfoot Program (CHAG–Hope Walks Ghana)

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A Borderless Insurgency, a Divided Response: The ECOWAS–AES Security Dilemma

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In this article, researcher Joseph McCarthy analyzes the security dilemma created by the withdrawal of Mali, Burkina Faso, and Niger from ECOWAS to form the Alliance of Sahel States (AES). As the jihadist insurgency led by groups like JNIM becomes increasingly transnational and expands toward coastal nations like Ghana, Benin, and Togo, the regional mechanisms for combating it are fracturing. The author argues that the AES’s shift toward Russian security guarantees (via the Africa Corps) fails to address the core challenge of cross-border intelligence sharing and pursuit, substituting firepower for regional trust. This growing divide makes the borderlands more porous for militants and brings the threat directly to the doorsteps of West African coastal states.


A Borderless Insurgency, a Divided Response: The ECOWAS–AES Security Dilemma

By Joseph McCarthy

Mali, Burkina Faso and Niger’s withdrawal from ECOWAS, and their construction of a rival security framework under the Alliance of Sahel States (AES), has produced a troubling paradox just as the insurgency’s geography expands toward the coast. The three juntas have compounded that paradox by turning to Russia and its mercenary formations, first Wagner and now the state-run Africa Corps, as their principal security guarantor, trading regional partnership for a patron with no border in West Africa, no seat at ECOWAS and no proven record of containing the threat. For Jama’at Nusrat al-Islam wal-Muslimin (JNIM) and allied groups, there is no AES border and no ECOWAS border.

There is only territory to penetrate and communities to influence. As the threat becomes more regional, the mechanisms for confronting it are becoming more divided, and Moscow’s growing footprint is deepening rather than resolving that divide, a fact that should concern Accra as much as Abuja or Niamey.

Jihadists move through a cross-border environment rather than within a single state. ACLED research shows JNIM expanding into northern Benin, particularly around the W-Arly-Pendjari complex spanning Benin, Burkina Faso and Niger. The terrain and thin state presence make the area hard to hold. A border difficult for a military to cross is often easier for an insurgent network to slip through, because a state must respect sovereignty and a militant need not. Burkina Faso’s forces may pursue militants to their own frontier, but cannot follow them into Benin without authorisation.

The Burkina Faso–Benin–Togo borderlands also contain trading and kinship networks predating the modern state. A herder crossing to trade livestock attracts no attention, but a militant moving through the same channels can exploit that familiarity. The border becomes a social network as much as a physical one, a gap that widens when relations between neighbouring capitals sour.

This is no longer a purely Sahelian story. JNIM’s push has already reached Benin and Togo, and Ghanaian security officials have repeatedly flagged militant reconnaissance and recruitment activity along the northern frontier with Burkina Faso. The Africa Center for Strategic Studies records militant Islamist-linked fatalities in north-western Nigeria rising from zero in 2024 to 136 in 2025 and 506 in 2026, a 268 per cent jump in a single year, as JNIM and Islamic State Sahel Province appear to collaborate with Boko Haram’s Sadiku faction, Ansaru, Lakurawa and assorted criminal groups. That is the transition from a Sahelian insurgency to a West African one, and coastal states from Ghana to Togo sit directly in its path. It is a spread that Russian-backed forces, thinly deployed and focused on holding capitals rather than contesting rural borderlands, are poorly positioned to check.

The deeper issue is coordination across political, military and intelligence systems, and ECOWAS has acknowledged as much. Its July 2026 communiqué described the regional security situation as deteriorating and directed leadership to engage AES states on a “pragmatic security cooperation mechanism.” Containing terrorism depends on knowing where militants are, who commands them and where attacks are being planned, information that must move quickly across borders.

But the AES breakaway complicates that. Niger and Nigeria share a long, vital border yet sit in different blocs; intelligence sharing now leans more on bilateral goodwill than on a common regional mechanism. A 2026 Institute for Security Studies analysis argues the ECOWAS–AES fragmentation weakens collective security and recommends restoring direct contact between the two blocs’ general staffs. Russia is no substitute for that channel. Moscow sits outside every regional early-warning system ECOWAS has built, including the frameworks Ghana, Togo and Benin actually rely on, so intelligence gathered by AES-aligned forces has no automatic route into them.

Early warning depends on information moving fast: a tip from northern Burkina Faso could prevent an attack in Benin, just as intelligence from Niger could help Nigeria anticipate militant movement. But when JNIM fighters flee a Burkinabè operation toward Benin, pursuit cannot simply continue across the line. The militants gain a tactical advantage at the border itself, an advantage that hot-pursuit and cross-border agreements could close, but that a Moscow-oriented security architecture, answerable to Russia rather than any regional body, has no mandate to broker.

Beyond the military mechanics lies a diplomatic obstacle. The AES accuses ECOWAS of interfering in domestic affairs and using sanctions as pressure; ECOWAS defends constitutional governance as non-negotiable. Terrorism is indifferent to which narrative prevails, and the mistrust that pushed the AES from ECOWAS also makes cooperation against militancy harder.

This is where dependence on Russia turns autonomy into isolation. Since Wagner’s dissolution after Prigozhin’s 2023 death, Russian deployments in Mali, Burkina Faso and Niger have been absorbed into the Ministry of Defence’s Africa Corps, a leaner but by most independent accounts no more effective force. West Point’s Combating Terrorism Center and other analysts find little evidence the transition improved outcomes, and JNIM inflicted some of the juntas’ heaviest losses around the handover. Africa Corps garrisons in Niger and Burkina Faso number only in the low hundreds, a fraction of what securing that territory demands, while allegations of atrocities against civilians, including proceedings before the African Court on Human and Peoples’ Rights, continue to mount. A security partnership built on a discredited mercenary outfit’s state-run successor does not project regional legitimacy; it substitutes firepower for trust, at the exact moment trust is what a transnational campaign most requires.

The AES’s search for autonomy has grown more costly as the threat it faces has grown more transnational, and dependence on Moscow does not offset that isolation so much as formalise it. Militants are becoming more regionally integrated precisely as the states fighting them, and the external patrons they have chosen, grow more divided. For Ghana and its coastal neighbours, that divide is no longer a distant Sahelian concern. It is arriving at their own borders.

Joseph McCarthy is an analyst and researcher specialising in governance, security and political transitions in the Sahel. He writes on geopolitics, development and African diplomacy. joecarthy30@gmail.com

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‘The Sahel Juntas and the Crisis of Legitimacy’ by Joseph McCarthy

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Between 2020 and 2023, military juntas seized power across Mali, Burkina Faso and Niger, promising to defeat jihadist insurgencies that civilian governments had failed to contain. Years later, the security situation has deteriorated rather than improved, with insurgents breaching heavily fortified installations and expanding territorial control. Meanwhile, elections have been indefinitely postponed under the pretext of insecurity, and military rulers have deepened their alignment with Russia to escape external pressure for democratic transitions. This analysis examines the legitimacy crisis facing the Sahel’s juntas, arguing that governments which justify their rule solely through security outcomes cannot survive when those outcomes fail to materialize. This article explores the fragility of military authority in the absence of electoral mandate, the geopolitical calculations driving alignment with Moscow, and the consequences for millions of citizens living with displacement, closed schools and expanding insurgent control.

The Sahel Juntas and the Crisis of Legitimacy

By Joseph McCarthy

When soldiers seized power across the Sahel between 2020 and 2023, they offered strikingly similar justifications. Civilian governments, they argued, had failed to protect their citizens from the advancing threat of Jama’at Nusrat al-Islam wal-Muslimin (JNIM) and the Islamic State Sahel Province (ISSP), despite years of support from France, the United Nations, the European Union and the United States. Military rule, the argument went, would succeed where democratic politics had not: it would restore state authority, defeat the insurgents and, only then, return power to civilians. Years later, the region’s security landscape raises an uncomfortable question. Has military rule delivered on that promise, and what happens to a government’s legitimacy when it has not?

The pattern of coups was remarkably consistent. In Mali, Assimi Goïta removed President Ibrahim Boubacar Keïta in August 2020, citing the army’s inability to control large parts of the north and centre. In Burkina Faso, Paul-Henri Sandaogo Damiba overthrew President Roch Marc Christian Kaboré in January 2022 on similar grounds, only to be removed himself eight months later by Ibrahim Traoré, who argued that Damiba’s own counterterrorism record was too slow. In Niger, Abdourahamane Tiani deposed President Mohamed Bazoum in July 2023, insisting that a new approach to security was needed despite Bazoum having achieved relative gains against jihadist groups. In each case, the message was the same: only military leadership could act with the speed and decisiveness that civilian rule could not.

L-R: Leaders of Mali, Niger and Burkina Faso

The record since then complicates that claim. In June 2026, JNIM fighters breached Diori Hamani International Airport in Niamey. This is one of Niger’s most heavily fortified installations, housing the air force, military drones, the headquarters of the Alliance of Sahel States’ joint force, and Russian personnel. In April, coordinated attacks across Mali, including in Kati, revealed an insurgency that has grown more sophisticated rather than less, even as military governments have intensified their campaigns. Large swathes of northern and central Mali, eastern Burkina Faso and western Niger remain outside effective state control. Millions of people are displaced, schools and clinics have shut down across rural areas, and food insecurity continues to rise. Perhaps most tellingly, JNIM has moved beyond pure military operations in parts of the territory it contests, reportedly collecting taxes, mediating local disputes and enforcing its own rules, functions that amount to governance. For juntas that justified their rule by promising to restore the state’s authority, this is a difficult reality to reconcile.

None of this has produced elections. Goïta has repeatedly extended Mali’s transition, arguing that voting while the country remains insecure would undermine its credibility. Traoré has pushed Burkina Faso’s elections back to 2029. Tiani has likewise announced a prolonged transition in Niger, citing the need for stability before any return to civilian rule. In each case, insecurity, the very problem the juntas promised to solve, has become the justification for indefinitely postponing the democratic process that was meant to follow.

This is where the deepening alignment with Moscow matters. Russian foreign policy in the region, delivered first through the Wagner Group and now the Africa Corps, has emphasised sovereignty, executive authority and non-interference rather than electoral timetables. Unlike France and other Western partners, who after the 2020 and 2021 coups pushed for sanctions and rapid transitions back to constitutional rule through ECOWAS, Russia has attached no such conditions to its military assistance. That gives the juntas diplomatic cover and security backing without the external pressure that once accompanied Western partnerships, making prolonged military rule more sustainable in the short term.

But sustainability is not the same as legitimacy. Governments that seize power through force cannot draw on the ballot box or constitutional continuity to justify their authority. Instead, they rely on a narrower and more fragile bargain: deliver security, and the question of legitimacy can wait. That bargain depends entirely on results. It is not clear that the juntas are delivering them.

This is the vulnerability now facing Goïta, Traoré and Tiani. The argument that brought each of them to power, that civilian rule had failed to stop the violence and military leadership would not, is the same argument that can be turned against them if the violence continues to escalate under their watch. A partnership with Russia may insulate these governments from external pressure to hold elections. Still, it cannot insulate them from the judgement of their own citizens, who continue to live with displacement, closed schools and expanding insurgent control. If security remains the sole justification for indefinitely concentrating political power, then the failure to secure it becomes the sole justification for questioning that power. The Sahel’s juntas are not simply fighting insurgents. They are running out of time to prove that their original argument for seizing power still holds.

Joseph McCarthy is an analyst and researcher specialising in governance, security and political transitions in the Sahel. He writes on geopolitics, development and African diplomacy. joecarthy30@gmail.com

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What Ghana’s World Cup ‘juju man’ tells us about sport and spirituality in Africa

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a large ground of people at a football stadium cheering, a man in the crown blows white powder into the air
A Ghana fan blows white powder into the air during the Ghana-England match at the FIFA World Cup on June 23, 2026. (Thogden/YouTube)

Ayodeji Ogunnaike, McGill University

One of the most notable figures of the 2026 FIFA World Cup emerged during Ghana’s first match of the tournament: the “juju man,” Kailani Ibrahim Kpa, who was famously seen blowing white powder into the air during the game.

Another Ghanaian, Nana Kwaku Bonsam, went viral just before the match for claiming to have placed a curse on England’s captain, Harry Kane. Bonsam is a particularly media-savvy Twi traditional priest and one of the most recognizable faces of what is commonly called “witchcraft” or “juju” in African soccer.

Juju quickly became a topic of conversation and fascination for millions of soccer fans around the world, particularly after Kane failed to score and the match ended in a draw.

Although it may seem strange to westerners, soccer and esoteric rituals go hand in hand in Africa. One infamous video from Rwanda that regularly circulates on African group chats shows a striker failing to score, snatching a “charm” from inside the goal and subsequently scoring.

Ghanaians in particular have a long history of leveraging the spiritual side of sports. Former captain André Ayew scattered a ritual powder on the pitch in 2012, and Bonsam himself announced he cursed Portugal’s Cristiano Ronaldo ahead of the 2014 World Cup.

This blending of spirituality and sport can be easy for westerners to misinterpret or dismiss as simple superstition. This is particularly true when spiritual fraudsters try to make money by promising to help teams win and their predictions do not come true.

However, Africans are not backwards or simple-minded. Foreign academics and even colonial officials with first-hand experience with African spiritual arts have been surprised by how effective they are at achieving their intended results.

Fortunately, we also now have excellent written accounts from Africans about the power and logic behind Indigenous knowledge and ritual systems.

African knowledge systems

Western society has developed in a context that often seeks to define and establish separate religious and secular aspects of life. However, African knowledge systems generally treat what we might call science, religion, medicine and art as parts of a unified whole.

What westerners may call “religion” is often integrated into every aspect of African life, and it is more helpful to reconceptualize its relationship to sport as the reasonable engagement with the physical and metaphysical world toward a desired end.

When I studied with a priest and diviner in Nigeria, I helped him prepare many òògùn (a Yoruba term meaning simultaneously medicine, charm and technology) to heal and prevent injuries and harm.

Because all facets of their lives have a spiritual dimension, many Black and African players and teams regularly pray together before and after matches. Germany’s Jonathan Tah and Felix Nmecha made news by joining Curaçao’s team in prayer after their match.

From this perspective, a priest offering services to a team is just as legitimate as a sports psychologist, nutritionist or physiotherapist. Each draws on a long-standing tradition of experimentation, training and the application of different technologies to support favourable results.

For example, the Senegalese wrestling sport Laamb integrates marabouts (Muslim clerics) and amulets into competitions. The marabouts function much like boxing coaches, just also with power over immaterial forces.

Unlike in Laamb, spiritual intervention in soccer was not initially conceptualized as integral to the game, but it has, sometimes covertly, been integrated into the sport in Africa. https://www.youtube.com/embed/XvNIR0AIrPs?wmode=transparent&start=0 A clip about marabouts and Senegalese Laamb wrestling (Vice Media)

Accessing a nonphysical reality

A fundamental principle of Indigenous African spiritual systems is that all materials also have a nonphysical reality, and they can be used to effect change on that nonphysical level.

Powders, like those scattered by Ayew or Kpa seemed to blow, frequently contain dried, ground or burned natural substances with some characteristic related to the desired outcome.

These substances can be placed on or in a body, or important places such as a door frame or goal, to prevent things from entering. This is why the striker in the Rwandan example I mentioned removed the charm from his opponents’ goal while his opponents desperately tried to get it back.

Other common approaches include reciting incantations or soaking the body in ritual baths. Some also involve using flames to burn away or scatter dark and malevolent forces, like those I saw in a pot on the head of a Ghana fan at the 2010 World Cup.

Mischaracterization and prejudice

Europeans have often mischaracterized African ritual and knowledge systems as “black magic,” “witchcraft,” or “superstition” to justify a sense of religious, cultural and racial superiority over Black people. African religious practices and experts are also still frequently and pejoratively called “fetishism” and “witch doctors.”

The prejudice toward and dismissal of these practices and practitioners has driven many underground, but they are still ubiquitous in African society. Such pejorative attitudes were evident during Bonsam’s recent interviews in western media.

While I worked with the Nigerian diviner, people who might be considered “modern” and operating in secular spheres from a western perspective — such as university students, prominent business people and even politicians — regularly came for spiritual and professional help, which they understood as one and the same.

Athletes are particularly aware that talent and hard work are not always enough to ensure victory. Africans and non-Africans alike generally recognize that there are forces beyond their control at play, even if some might generically conceptualize those forces as “luck.” And even spiritual services are no guarantee of victory if the other side has access to them too.

It is unclear if Kpa’s powder was actually ritual material or simply a demonstration of cultural heritage, like Norway’s Viking row. However, after the goalless Ghana match, Kane did go on to score against Panama once Bonsam said he had “released” the Englishman.

Kpa and Bonsam unsurprisingly captivated African and non-African soccer fans, even if their actions may have been less legible to some. Beyond the World Cup, what may be more interesting is how both men represent an ancestral knowledge tradition that is thousands of years old, and they are merely a visible part of the invisible spiritual dimension of sport in Africa.

Ayodeji Ogunnaike, Assistant Professor of African Religions; Canada Research Chair (Tier 2) in the Globalization of African Religions and Yoruba Mythology, McGill University

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

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