After Fifty four Years Exactly Fifty four years ago, Ghana became a republican state. Fifty four years down the lane the country still has challenges in the field of health, education, poverty alleviation and equality. A chunk of the country's labour force died due to health problems. It is against this back drop that Positive Ideas International Foundation, PIIF, has organized a medical care for the people of Oyoko in the Eastern Region. GBC: Source.