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Autopsy Practice in Ghana - Reflections of a Pathologist.

J T Anim1

  • 1Department of Pathology, University of Ghana Medical School, College of Health Sciences, Korle Bu, Accra, Ghana.

Ghana Medical Journal
|September 5, 2015
PubMed
Summary

Ghana

Area of Science:

  • Forensic Medicine
  • Public Health Policy

Background:

  • Autopsy services in Ghana are inadequate, with limited public understanding of death categorization and autopsy requirements.
  • All deceased individuals are stored in hospital mortuaries, straining facilities and diverting pathologists from diagnostic duties.
  • Ghana lacks public mortuaries for bodies awaiting coroner's inquests.

Purpose of the Study:

  • To clarify the Coroner's Act of 1960 regarding autopsy practices in Ghana.
  • To differentiate between hospital and coroner-related autopsies and personnel responsibilities.
  • To propose improvements in training and manpower development for medico-legal investigations.

Main Methods:

  • Review of the Ghanaian Coroner's Act of 1960.
  • Analysis of current autopsy practices and mortuary facility usage in Ghana.
Keywords:
Coronerautopsyforensicpathologistpublic mortuary

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  • Comparative assessment with international medico-legal investigation systems.

    • Main Results:

    • Hospital pathologists are overburdened with autopsies, impacting their diagnostic roles.
    • The Coroner's Act permits registered medical officers to perform coroner's autopsies, but specialized training is recommended.
    • There is a need for distinct facilities and trained personnel for medico-legal autopsies.

    Conclusions:

    • Ghana's autopsy system requires reform, including clear delineation of responsibilities and improved infrastructure.
    • Implementing specialized training for forensic physicians/medical examiners is crucial for effective medico-legal investigations.
    • Addressing manpower development is essential to enhance the investigation of deaths under the Coroner's jurisdiction.