Don't be discouraged.
I applied under same NOC - 5243
Application received - June 27, 2018
AOR - August 14, 2018
Upfront medicals - Sept 25, 2018 (expiring Sept.27, 2019...few weeks away)
Still waiting...14 months since application
Visa ofice - Accra
status on Ecas changed to "in-process" about 3 weeks ago
Hoping for a miracle, worst case scenario - redo medicals
Awww! Thank you for encouraging me
14 months...?? Wow! I am Speechless! Mine is 10 months... ! I do hope we hear from them very very soon.