Category: Health

  • Adolescents, young Nigerians demand improved access to quality healthcare

    Adolescents, young Nigerians demand improved access to quality healthcare

    The African Network of Adolescent and Young Persons Development (ANAYD) has said that adolescents and young people in Nigeria are eager to take responsibility for their health and work with the government to improve access to critical services for their health needs.

    The demand came on the heels of the presentation of ANAYD’s adolescents and young persons-tailored program implemented in Anambra, Benue, Kaduna, and Cross River States, supported by Initiative Sankofa d’Afrique de l’Quest (ISAQ) at a national stakeholders roundtable hosted by the National Agency for the Control of AIDS (NACA) on Tuesday.

    According to Aaron Sunday, ANAYD Executive Director (ED), from extensive science-based interactions carried out with key stakeholders, concerns and demands of the targeted young key populations, otherwise referred to as persons who abuse drugs, young female sex workers, young men who have sex with men, and also the transgender.

    He pointed out that in addition to persons with special needs as well, adolescent girls and young women, the project also aims to ensure adolescents can access services like sexual and reproductive health education, HIV testing, family planning, and gender-based violence support without discrimination, regardless of their diversity.

    In the course of the project that aims to promote and integrate public health-related services for adolescents and young people in their diversity, the ED noted that findings exposed the concerns of the targeted population on access to quality healthcare services, while stigma and discrimination remain a huge challenge to their mental health.

    “Adolescents and young people have special needs and these are vulnerable groups that oftentimes might not be able to go to the facility to take services without out-of-pocket expenditure, and most times, they rely on their parents.

    “So, irrespective of where these services are offered, whether at the community, Local government, or even within the urban setting, we just want to ensure that the health service providers are equipped with the knowledge and the right skills to be able to offer them services without discrimination and also without being judgmental to them”, Sunday said.

    Given the prevailing economic situation, Sunday stressed the importance of continuous support and resource allocation, saying, “The government has already made commitments to address key issues, but we must extend these efforts beyond the initial four states.

    “We are seeking additional resources and collaboration to ensure a health system that is accessible and available for all young people.”

    He, however, expressed optimism that changes might not take long to begin to manifest with NACA showing commitment to engage the stakeholders on some specifics while some State governments have already made commitments based on the project’s findings, such as Anambra that pledged to set up a youth-friendly health centre.

    Read Also: Support govt on quality healthcare, Olu Alo urges Nig

    On her part, while highlighting the findings of the report, Agnes Dogara, Programme Lead for ANAYD, however, said consultations with young people revealed they are more than willing and ready to take charge of their health and are calling on the government to scale up strategies to improve healthcare access in their communities.

    One key area that needs more support is addressing the negative attitudes and stigma from healthcare providers when serving adolescents, especially vulnerable groups like young key populations, said Dogara.

    She emphasised the need for continuous training and retraining of providers to address this issue, saying, “It would be beneficial for the government to focus on continuous training and retraining of healthcare providers to address stigma and discrimination”.

  • Makinde’s wife seeks promotion of menstrual hygiene

    Makinde’s wife seeks promotion of menstrual hygiene

    Wife of Oyo Governor, Mrs Tamunominini Makinde on Tuesday appealed for the collaboration of stakeholders in promoting menstrual hygiene among girls and women in the State.

    She said poor menstrual hygiene can hinder women’s daily activities, saying fear of leakage or embarrassment can prevent many girls from engaging fully in their regular routines.

    Speaking in Ibadan at a programme tagged: “A day out with the Girls of Oyo State,” Mrs Makinde, who was represented by Head of Service (HoS), Mrs Olubunmi Oni, said inability of girls and women to manage menstruation can lead to shame, embarrassment and low self-esteem.

    She urged stakeholders to be committed and take action to resolve the embarrassment.

    She said: “We must ensure that all women and girls have access to affordable and environmentally friendly menstrual products.

    “We must promote comprehensive menstrual education to break silence and stigma surrounding menstruation and create awareness among ourselves, it is only when this is done that we can overcome the prevailing challenges.

    “We must empower women and girls to make informed choices about menstrual health and well being, its also important to advise our girls that through advocacy, education and collaboration, we can create a world where every woman can manage their menstruation with dignity and pride.

    “Let’s consider our efforts in promoting menstrual hygiene, support women and girls in their menstrual health journey and work toward a future where menstruation is no longer a barrier but a natural and expected aspect of woman life.

    “We can make a difference and ensure that every woman and girls have the right to manage their menstruation.

    Read Also: Makinde swears in 33 LGA bosses in Oyo

    “Today, we come together, raise awareness, break taboo and promote good menstrual hygiene for the well being of woman and girls worldwide.

    “Menstrual hygiene is not just a matter of cleanliness but a fundamental aspect of women’s health and dignity for preventing infection, maintaining physical and mental well being and ensure that women and girls are fully participate in daily activities without shame or discomfort.”

    “If you allow what you allow learnt today to go down with you and practice it, we shall have a together period friendly.

    “There some challenges you face as girls and women, despite importance of menstrual hygiene, it remains challenges for many women and girls globally such as lack of access to sanitary products, inadequate sanitation facilities, cultural taboos and limited education of menstrual health contribute to difficulties faced by millions of individuals month.”

  • Cervical cancer: No husband will lose wife again in Anambra, say Soludo’s wife

    Cervical cancer: No husband will lose wife again in Anambra, say Soludo’s wife

    …as WHO says Africa has highest issue of cervical cancer

    Dr. Nonye Soludo, the wife of the Anambra state governor, has said that cervical cancer would soon be eradicated in Anambra State through the introduction of the Human Papilloma Virus (HPV) vaccine, aimed at protecting girls and future leaders from the disease.

    Speaking in Aguleri, Anambra East local government area, at the launch of the HPV vaccine on Tuesday, May 28, Mrs. Soludo assured that no husband would lose his wife, nor any child be rendered motherless due to cervical cancer in the state.

    She lamented that cervical cancer, a growing societal scourge, is becoming one of the leading causes of death among women, affecting about 12,000 women and claiming 8,000 lives annually in Nigeria.

    She said: “This disease destroys the lives of these women taking them away from their families just as they reach the prime of their lives, leaving husbands without wives, children without mothers and families in financial ruins.

    “The women of our future generation no longer have to wait and hope that “cervical cancer will not be their portion.

    “Human Papillomavirus (HPV) Vaccine is here to provide lasting protection for our girl child aged 9-14 years before they get exposed to the virus that is the primary cause of Cervical Cancer!

     “Cervical cancer is going to become a thing of the past in Anambra state! With this Gardasil4 HPV vaccine, we will protect our girls and future leaders from this disease.”

    The first lady who hinted at her offering of free cervical cancer screening and treatment at some health facilities in the state through her healthy living initiative, charged residents to take advantage of the opportunity to get themselves and their daughters from 25 years and above screened to ascertain their health status.

    Southeast zonal coordinator of the World Health Organisation, Dr Chukwumuanya Igboekwu said Africa had the highest burden of cervical cancer in the world, but noted that the government was introducing the HPV vaccine into routine immunization as one of the strategies to reduce the burden.

    Chairman House Committee on Health at the State Assembly, Mr Anthony Muobike advised parents to encourage their girl-child to get vaccinated.

    Read Also: Anambra ranks lowest in out-of-school children in Nigeria – Soludo

    Earlier, the commissioner for Health, Dr Afam Obidike urged residents to support Governor Chukwuma Soludo-led administration as he strives to safeguard the health and well-being of residents.

    Executive Secretary of ASPHCDA, Mrs Chisom Uchem described HPV as the most common viral infection of the reproductive tract which causes more than 95 percent of cases of cervical cancer.

    “HPV vaccine will be provided in schools, within the community, and in health facilities over the next few days. Together, we can eliminate cervical cancer in Anambra state and Nigeria,” Uchem said

  • Ministry denies Presidency’s NIPRD DG appointment

    Ministry denies Presidency’s NIPRD DG appointment

    The Ministry of Health and Social Welfare has described the announcement of Idowu Goodnews Oluwaseyi as the Director-General of the National Institute for Pharmaceutical Research and Development (NIPRD) as false and baseless by mischief makers.

    The ministry, in a statement by its Director of Information and Public Relations, Patricia Deworitshe on Monday, May 27, said Obi Adigwe remains the substantive DG of the Institute contrary to a statement purportedly signed by the special adviser to the president on media and publicity, Ajuri Ngelale.

    Read Also: NIPRD launches strategic plan for research, development of phytomedicines, others

    The statement reads: “The attention of the Federal Ministry of Health and Social Welfare has been drawn to a State House press release, making rounds in the media, purportedly signed by the Special Adviser to the President on Media and Publicity, Chief Ajuri Ngelale, by mischief-makers, stating that President Bola Ahmed Tinubu has appointed Mr. Idowu Goodnews Oluwaseyi as the Director-General of the National Institute for Pharmaceutical Research and Development (NIPRD).

    “The Federal Ministry of Health and Social Welfare wishes to let the general public know that the Press Statement is false and baseless and did not originate from the Presidency.

    “Dr. Obi Adigwe remains the substantive Director-General of the National Institute for Pharmaceutical Research and Development.

    The general public is hereby advised to disregard such fake news, as the Management of NIPRD has not been changed.”

  • Self-injection contraceptive boosts family planning in Nigeria, says SFH

    Self-injection contraceptive boosts family planning in Nigeria, says SFH

    …health ministry expectant of expansion

    The Society for Family Health has said that the introduction of Depot Medroxyprogesterone Acetate (DMPASC), a self-injectable contraceptive, has significantly expanded the options available to Nigerian families for controlling the number and spacing of their children.

    According to family health advocates, DMPASC added to the array of modern family planning methods, enhancing the Federal government’s efforts to reduce maternal mortality in the country.

    The SFH’s managing director, Omokhudu Idogho, noted that self-care in family planning has led to progress in Nigeria, with the advent of DMPASC marking a notable increase in the prevention of unwanted pregnancies, an innovation that has made family planning more convenient and decisions regarding it easier to make.

    During the dissemination of the Delivering Innovations in Self-Care (DISC 1.0) project in Abuja, Idogho highlighted the success of the DISC project, which was initially piloted in Lagos, Oyo, and Niger states in 2020 and expanded to 15 states by August 2022 because of its impacts.

    Noting that the collaboration between the Federal Government, SFH, and other partners has started to strengthen the nation’s healthcare system, even at the grassroots level, he said: “Global reports have shown “flatlines” in its annual reports of reductions in maternal death.

    “Meaning that since 2016, the world has made little progress in saving women from preventable deaths in pregnancy and childbirth. Until a few years ago, one in four women could not make her own health-care decisions and nearly 1 in 10 are unable to make their own choices about whether to use contraception or not.

    “It is no news anymore that the prevention of unintended pregnancies in turn contributes to reduction in maternal mortality and with the advent of self-care, women have been empowered to cater to their sexual and reproductive health (SRH), reducing unnecessary burden for the healthcare worker and strengthening the healthcare system, even at the community level.

    “In Nigeria today, the wide range of modern family planning methods, especially the introduction of self-injection of the Depot Medroxyprogesterone acetate (DMPASC) now allows women and their spouse/partner attain the desired number of children they want and to determine the spacing of their pregnancies. We know this works.

    “Because the Society for Family Health in partnership with the Population Services International through the DISC 1.0 project funded by the Children Investment Fund Foundation (CIFF) has proven for the last 4 years the hidden power and capacity of the Nigerian primary health care system, the empowered health care provider and most importantly the capability of the average Nigerian woman to take charge of their SRH and better contribute to growing the economy and more importantly living healthier lives.”

    Expressing satisfaction with the impact of the innovative family planning option, the SFH chief noted that the success was achieved by expanding the project’s scope beyond demand creation to include service delivery and health system strengthening.

    Read Also: Ogun embraces guidelines on self-injection for family planning

    According to him, through digital solutions and social media awareness campaigns leveraging social media and other platforms, empathy-based counselling among other innovations, the project has empowered women to take greater control over their sexual and reproductive health.

    He said the initiative aims to increase the uptake and continuation of self-injectable contraception, ensuring that all women who choose this method have seamless access and support throughout their user journey.

    According to him, the initiatives have also been used to train numerous healthcare workers and family planning providers, enabling them to deliver community-based interventions across over 1,000 health facilities in the 15 states where the project is implemented.

    “Its Direct & catalytic impact has scaled National attention for SI markets, driving national SI impact from 13% to 40% as reported by the NHMIS, 2024”, he added.

    Anyanwu Lawrence, Director of Reproductive Health at the Federal Ministry of Health and Social Welfare, expressed the Federal Government’s appreciation for the country’s performance with the self-injection initiative while noting the government’s anticipation for the second phase of the initiative.

    “This success is indicative of what the nation can achieve with everybody working together as was the case in this first phase.

    “Our women of reproductive age need to be supported to take their well-being into their hands. The government is fully behind this initiative that puts self-care back into the hands of our women”, he said.

  • Exit of multinational pharmaceutical companies: An imperative for developing local production capacity

    Exit of multinational pharmaceutical companies: An imperative for developing local production capacity

    By Emmanuel Afunwa

    Significance of multinational pharmaceutical companies

    In the last quarter of 2023 two Multinational Pharmaceutical Companies, GSK and Sanofi, announced they were leaving the Nigerian market and were changing their business model in the country to be handled by a third party to sell their brands. This means they will not be directly involved in the marketing and promotion of their brands in Nigeria henceforth. In the wake of these announcements Procter and Gamble, another pharmaceutical and consumer goods producer also announced it is exiting the Nigerian market. These pronouncements have left many stakeholders in the pharmaceutical industry befuddled considering the roles multinational companies play in local economies in Africa and particularly in Nigeria. Many households rely on products from these companies to meet their health care needs daily and the fear is that these exits may cause disruptions in the steady supply of essential medicinal products which may lead to scarcity and increased prices. As troubling as this may be, it points to the need for us as a country to consider how to strengthen our capacity for local production of pharmaceutical products to ensure our medicines security as a country.

    Reasons for exit of pharmaceutical multinationals

     The multinational companies have cited difficulty in getting foreign currencies, poor power supply, congestion at the ports, multiple taxations, regulatory challenges, complex bureaucracies and dwindling profitability as some of the reasons for leaving the country. The Pharmaceutical giants are changing their models of doing business in Nigeria by appointing local vendors to ensure the availability of their products in the country. They claim that with the existing structure their business they were not profitable which necessitated their exit but it is instructive that this is not peculiar with Nigeria as reports also show they are exiting other African economies which they deemed as unprofitable just like in Nigeria.

    Impact of exit on local economies

     The exit of the multinational pharmaceutical companies will have a huge impact on the local economy. Firstly, there is bound to be job losses which will affect many families and their dependents. Also, shelves of retail pharmacies are already facing scarcity of popular brands of these companies like GSK’s Ventolin inhalers, Augmentin tablets and syrups which in some cases have risen over 100% above their normal prices. Given the fact that many Nigerians buy their medicines out-of-pocket without any support of healthcare financing to cushion the cost of their medicines may lead to poor health outcomes with many patients on medications not being able to afford the cost of their medicines. This may result in those medicines becoming accessible only to wealthy Nigerians who can afford them and unavailable to those who cannot.

     This creates some level of health inequity by design where healthcare is available to the wealthy and unavailable to some others. This defeats the essence of healthcare which should be a fundamental right and accessible to all patients. The scarcity of these medicines may also lead to patients travelling longer distances to buy their medicines which may result in increased indirect healthcare costs like those spent on transportation, especially with the attendant fuel hike in the country.

     For those who have chronic illnesses and are on long-term medications the cost of these medicines may become prohibitive leading to poor health outcomes due to poor adherence to their medicines because of cost.

    Importance of local production

     This exit may be painful but could be seen as a blessing in disguise. It might as well be pointing Nigeria towards a direction of opportunity which is to begin investing massively in local pharmaceutical production to meet its local needs for essential medicines. With the growing population, the attendant needs for essential medicines, closeness to growing neighbouring countries and with over 70% of our local pharmaceutical needs being presently imported there is a huge gap to be filled by embarking on local production of pharmaceuticals in Nigeria. Besides, as a signatory to the Universal Healthcare Coverage (UHC) nothing can be achieved with our current healthcare model without essential medicines to meet the medication needs of the citizens. 

    This approach will ensure safe, effective and affordable medicines are accessible to Nigerians and set us up on the path to medicine security as a nation. With the position of Nigerian in the West African sub-region and the yawning gap for medicines in those countries and opportunity for export will be created. This can set us the path of moving from consumption to production and increased foreign earnings to grow our economy. Borrowing from models adopted by India and China, who have become the global pharmacies where almost every country patronise for their medicines began by becoming intentional with their objective to become self-sufficient with their local drugs production and started exports thereafter. This is the path Nigeria needs to tow for it to meet its local drugs needs and then expand to exports even if it will begin with just the African markets.

    Overcoming inherent challenges

     For Nigeria to set out on this path it needs to fix its petrochemicals and power industries. With the current situation of these two industries, Nigeria will remain a sleeping giant. If the petrochemicals industry and the power sector are revamped there is bound to be an influx of investors who will build the needed infrastructure and modern technology that set the country on the path of production instead of consumption which is the level the country is for now.

    Read Also: Exit of multinational pharmaceutical firms to raise Nigeria’s import bill

     With a population of over 200 million people, the market is here but with a low production capacity, the economy is below what it should be. With adequate investments in terms of infrastructure with modern technology and necessary regulatory reforms there is bound to be growth in the pharmaceutical industry.

    Promoting sustainable solutions: Public-Private Partnerships and capacity building initiatives

     With insights from India’s imports of pharmaceuticals into Nigeria in the business year 2021-2022 is close to $ 600 million there is a need to tap into opportunities inherent in the pharmaceutical industry and become another key player in the sector.

     The Nigerian government should make the environment conducive to all stakeholders for ease of investment by reforming the regulatory framework, creating production incentive schemes, bulk industrial and production drug parks and special loan schemes for pharmaceutical production.

    It could also intervene by funding pharmaceutical research and development, providing financial support for seminars, training, conferences and workshops on pharmaceutical technology upgrades and knowledge transfer to meet WHO-GMP standards, reducing pharma registration red tapes, public-private partnerships are ways the government can encourage small-medium scale players into pharmaceutical production to up their game to scale up their businesses to meet global standards and boost their production capacity initiatives towards achieving the target goals of meeting out local drug needs which is essential for sustainable health security of the country.

    Afunwa, a phamarcist and pharmaceutical policy analyst, wrote via emmafunwa1@gmail.com

  • Milnapath wins Bayelsa, Abuja & Lagos…Live Pure returns

    Milnapath wins Bayelsa, Abuja & Lagos…Live Pure returns

    Whether an economy is livid, languid, tumultuous, famishing or azure, lively, healthy, peaceful, uplifting and up-building, whoever will drown or float in it will do. It is not a question of the wickedness or of the friendliness of an economy. It is the degree of the heaviness or of the lightness or the player in it. Heavy persons tend to see no way out of harm’s way, whereas every way is an escape route from trouble for light persons.  From this premise, I want to tell two stories today. One of them appears to still be legally immature and, therefore, unsafe to tell. So, about it I say… Hush! The other concerns a Nigerian company which has successfully replaced many foreign herbal medicinal supplements with local ones in Bayelsa State and, from that humble beginning in Nigeria’s choking economy,  has made a brave go for Abuja,  Nigeria’s Federal Capital Territory (FCT), and Lagos, Nigeria’s economic and commercial nerve centre. That smacks of the proverbial mortal man fearlessly treading  over where  angels fear to fly. It is still about heaviness or denseness, that is sinking or drowning and lightness or floating and soaring and fluttering like a butterfly. Something is prompting me to tell a third story, to compensate for the first one which flew out of the window.

    Read Also: Majority of Nigerians will bet on Euro 2024, DashTickets research claims

    The second story is about Milnapath. The compensatory story is about Live Pure, a food supplement company from the United States, which had been here before, but, proverbially, put worms and maggots in the stomach of many of its affiliate distributors, threw them away like dirty, old socks or bras, and went back to America, only to  indirectly return to Nigeria for business  through Ghana, thereby making Ghanaians business bosses of Nigerians! 

    MILNAPATH

    Milnapath recently got my attention in Abuja, where it had just celebrated one successful year in business, handing brand new cars to key players in its multi-level marketing business. Car gifts may dazzle new market players, they do not turn the heads which have voyaged on many lagoons and oceans. Business durability is what matters to old cargoes.  Milnapath’s success wasn’t surprising to me. Its products are made from local raw materials and were, therefore, not intensely dollarised, making them cheaper than pharmaceutical products which were costing about 10 times more than they did a few months ago. Besides, many of the pharmaceutical products are now fake. Already, the authorities have shut down more than 300 patent medicine stores and pharmacies in Jos, the Plateau State capital, over this syndrome.

    Neither the climate nor the weather is faring well for the foreign herbs and food supplements’ sky-line. I could never have believed that Neprinol, the tumour breaker, which cost between N20,000 and N30,000 last year, would hit more than N200,000 this month.  Only last year, my favourite tea, the world’s first Alkaline Coffee made by Nature’s Way in the United States and marketed worldwide by Alliance in Motion Global (AIM GLOBAL or ALLIANCE) from the Philippines cost N6,000.But today, it goes for more than N20,000. What about Ubiquinol which rose from about N40,000 for 90 soft gels to more than N100,000? If I may describe as “shylock” economic forces behind Neprinol and Ubiquinol of today,  I would describe as “prodigal” the directors of the once-thriving foreign company, Live Pure, who are trying to stage a return to the Nigerian market they once bastardised.

    MILNAPATH

    The plant medicines from Bayelsa State made by a company named Milnapath, an acronym (Milellum Nature Path) is said by the company to be a “new way to nature’s abundance”.

    There are seven medicinal proprietary blends/products in its kitty, namely:

    GYNOCARE…

    For…”Female hormone balance, yeast infection and irregular menstruation”.

    NAKOM OIL…

    For…” Asthma therapy and to dissolve ovarian cyst”.

    DETOX PLUS

    For…”Body cleansing”.

    GLUCO CARE….”To keep pancreas active, to increase metabolism, for heart care and blood glucose level”.

    REJUVENATE STEM CELL

     For …”Wrinkles and stress, mental clarity, fight cancer, immune boosting, weight loss and to relieve arthritis pain”.

    CARDRDIO CARE

     For…” Brain health, blood circulation, Parkinson’s disease and seizures, heart attack and stroke and for cardio issues”.

    D-MAN

    For…”To  boost sperm count, libido, handles impotence and arrests premature ejaculation”.

    I hope that, sooner than later, it would be possible to review contents of these products, for the hood does not make the monk. In natural medicines, it is the content, not just the name, which tells us what a medicine may be up to.

    FOREIGN SUPPLEMENTS

    We should not deceive ourselves. Foreign food supplements companies are in Nigeria for enlightened self interest, not on charity or on humanitarian grounds. They price their products well above market values at about N2,000 to the U.S. Dollar, pay their affiliate marketers bonuses rated at about N1000 to the USD, instead of about N1,400 or more on this publication date of May  23, 2024,  keep the balance  for re-orders or future import budget, thereby making no additional investment to keep the business running. When there is going to be a hitch, they quietly leave the market as Live Pure did about one or two years ago. That is why the products are scarce and shelf prices are outrageous today. The trend was predicted towards the end of the 1990s, when I began my newspaper reports promoting multi-level marketing (MLM), a job creator for a growing army of unemployed Nigerians. We had been dependent on government and multi-national companies for jobs which were no longer forthcoming. Now, we had to learn to become independent workers. Many MLM companies trooped in from abroad. Among them were G.N.L.D, Tianshi, Forever Living Products (FLP), Tasly, Green World, Nutri Health, Kedi, Fohow, Longrich, Norland, Edmark, Tahitian Noni, Dynapharm, Nature’s Gift For Life (NG4), and Eternal, among others. Some of them, like Tiansh, sold small dosages for the price of larger dosages. I still recall my shock at discovering that I had to swallow 12 tablets of Tianshi Zinc for only 15mg of this mineral whereas Nature’s Way, a direct sales company from the U.S. sold one 50mg of zinc capsule or tablet for a price much less than Tianshi’s 15mg. Alliance products were often no more than 10 capsules per blister pack at prices that, equated to 90 capsules or softgels for one month’s order, far exceeded the prices of  standard packaging.

    My defence of such anomalies then was that we had to pay a price to learn, to grow and to become our own masters. I gained this insight from my first visit to Europe in 1979.  I was lucky to visit the site of a stone storey building where Bethoven was said to have written his music and directed his orchestra. I visited, also, another building where Handel was said to have written and directed The Messiah between August 22nd 1741 and September 17th 1801. These were great classical musicians. I thought about the state of housing in my village then. Had the missionaries not come, would we have been able to live in the types of houses in which we live today? In Lagos today, there are houses better than Buckingham Palace, home of the King and Queen of England, and 10 Downing Street, official residence of the Prime Minister of the United Kingdom. I was privileged to live on Femoy Street, London, where two bedrooms shared an only bathroom and water closet. I haven’t lived in such a house since 1990! There is no doubt forces of religion, business, and politics exploited the civilising mission of the envangelising  missionaries and fighters of slave trade such as William Wilberforce. The bottom line, nevertheless, shows a profit balance in the ledgers of our  people.

    That was how I foresaw the onslaught of MLM in Nigeria of the 1990s. It taught us to remember our traditional medicines and to build our own MLM around them. It took me almost one week to register with Katine Communications under the bridge at Ikeja, Lagos, to sell cosmetic products called Carrot, which were made from Diatomaceous Earth (DE or Diatom). Katine Communications, a previous recharge card selling business, took Carrot products all over Nigeria, selling a million units of the products every day, before differences with the producing company killed the business. After Katine and Carrot came several others, including Friends of Nature which was domiciled at Gowon Estate, near Ipaja, Lagos. The CEO killed the promising business in my view,  by reneging on agreements. One of them was that a distributor could earn the moon, even the sun, with the personal purchase of only one product every month.

    One of the affiliate distributors, Edith Njoku, had no marketing gift but was a great organiser for recruiting marketers…. She disappeared as it were to the Southeastern  states and to Port Harcourt in the Southsouth and grew down-lines by the thousands.  When the cheque for her bonus was written and the CEO discovered she bought a product valued at only N200 for the month, he developed cold feet about paying her almost half a million naira. I remember him asking if anyone had heard of N200 yielding N500,000 anywhere on earth. The woman, a house girl all her young life, became agitated, tampered with some computers, and the police were called to take her away for a few days. All the affiliate marketers quit in protest, and the company failed.

    MILNAPATH HOPE

    My hope is that Milnapath will not let us down. Nigeria is a huge traditional and alternative medicine market. There are many plant medicines in the bushes, thickets and forests than  we  can identify for generations. Diatom is abundant in Bayelsa State and in the Southeast. It is not purified before it is eaten, and that is dangerous. It is called Nzu. In the days of the Goodluck Jonathan administration, this column suggested this would be a great gift he would give his people if he helped them to set up factories to conveniently mine and purify Nzu, which could then be marketed world-wide.  At that time, the Canadians wished to sell theirs in Nigeria.  I declined to be a party to that. All that we lack in order to seize the initiative is technology.  Money is abundant.  The only trouble is that politicians who are afraid to invest in Nigeria, money that they stole from Nigeria, believe other thieves like them will consume their investment. I once toyed with the idea of a small freeze drying machine in the U.K. It cost about €3 million then. With it, anything can be turned into powder with long shelf life and marketed everywhere. Name them – orange, orange peels, plantain, plantain peels, tomato, corn, okra, carrot, garden eggs, yam, mushroom, bitter leaf, ewedu (jute mallow), vegetables,  peppers, cassava, nuts, etc. Are the governors listening?

    Live Pure returns

    Live Pure never really came to Nigeria, although it was in this country and did business with us. It ran on a business model which many MLM companies employ to minimise cost and maximise profit, The Independent Business Developer (IBD). This fellow is like the ‘Property Developer’ we are familiar with. He develops your property,  shares the rent with you for a while  and then goes his way when his purse is well stuffed. Ben Peter may have been an IBD for Live Pure in Nigeria.

    An IBD in Nigeria protects the business owners far away against capital risks in an unknown terrain. He sets up the “company” with his own money. He is not a stupid fellow though. He appoints stockists of his products among Nigerians. These are the fellows who really fund operations. He gives them mouth-watering commissions for interfacing as wholesalers between him (and the company abroad) and the retailers (independent marketers or distributors).  The IBD receives commission on every item sold in the country. He may lower business terms to speedily achieve his goal or, hand the business over to his principal and move on to open newer national markets.  In Nigeria, the Live Pure IBD omitted Annual Subsciption in the terms of business to quickly grow the business. The subscription is compulsory in many Euro- American MLM businesses. At the end of the business year, the independent distributors “drop something” as we say in Nigeria, to continue to be in business with  the company  for another year. This may be as little as $100 USD. It may be a little drop of water in the U.S. where many of them make a “mighty profit ocean” but it is a big deal in a poor country. Imagine a company with one million distributors worldwide. $100 a year will amount to $100 million or N1,400,000,000,000 at Nigeria’s current exchange rate of about N1,400 to one USD. This is “profit after profit “or second-level profit.

    Live Pure IBD let go annual subscription in the business to encourage business growth and hammered it into the business when the “cooking” was done with. It was a third major blow for independent Nigerian distributors before the company crashed out of business in this country. The first major blow was the abandonment of foreign tours for high flyers among them. The IBD did not envisage rapid business growth. About three times more distributors than were anticipated qualified. Happily, for the IBD, this was in COVID 19 season which was an opportunity to down scale foreign trips of the value of more than N5 million per person in cash or travel expense to about N500,000 per person. “Hungry” Nigerians jubilated nevertheless and enjoyed the crumbs. The next major blow was the abandonment of the STtockist business model.  I am aware of a stockist who invested about N10 million on Live Pure warehousing. Imagine about 1,000 of such persons nation-wide. That must have meant about N10,000,000,000. That may have amounted to N10 billion cheap business capital provided the IBD by stockists.

    Suddenly, the IBD abrogated the stockists’ position to directly interface with the market on an electronic platform backed with a grandiose motor bike courier delivery logistics programme. Stockists were stuck with stocks that could expire in their warehouses should they not drop prices.  On top of all those financial problems for stockists, the IBD suddenly packed bag and baggage, and was gone. The Live Pure business in Nigeria collapsed. Surprisingly, the IBD tried, but failed, to introduce to Nigeria new products from another company believed to be theirs.

    Now, the Live Pure business is on a rebound, however, from Ghana. It is possible the IBD has gone to open the Ghanaian market which is expected, through remote control, to drive the much bigger Nigerian market and make commission on every Live Pure product brought into Nigeria. This would also make Ghanaian up lines of Nigerians who would have to reregister under Ghanaians to do Live Pure business in Nigeria. Worst still for Nigerians, Ghanaians, buying and selling less in Ghana, would now earn biggers  bonuses from the labour of Nigerians. In order words, Nigerians are going to be financial slaves of Ghanaians. This will be one of the drains on Nigeria’s U.S. Dollar earnings and push down the value of the Naira. As of today, the old-time Nigerian stockists are heading to Ghana to stock up Live Pureproducts from Ghanaian stockists, making the head become the foot, as we are wont to say  in a YORUBA adage.

    LOCAL PRODUCTS

    It is against a background such as this that I found exciting the information that a sprouting of local  Nigerian food supplements has erupted again, with MILNAPATH appearing to take the lead. I asked my wife, who lives in Abuja, to watch many of them, and give me an idea of what is happening up there.

    She reports:

     1) The Spice House Ltd, Olive Estate, Satellite Town, Lagos:

    •Bay Leaves •Ceylon Cinnamon •Moringa Leaves Powder

    2) GOTEA,  Ilupeju Industrial Estate: •Cholesterol Reducing Tea •Immunity Tea •Eyebright Herbal Tea •Arthritis Herbal Tea

    •Blood Sugar Balance Tea

    3) Jamdah Worldwide Ltd, Sharada Phase 2, Industrial Area, Kano: •DAHIR Curry Powder •Black Seed Powder

    4) Off Abacha Rd, Nasarawa State: •DIOGO Pure Soya

    5) Rice Mill Rd, Gboko, Benue State: •Turmeric Powder

    6) National Technology Incubation Centre, Farm Centre, Tarai LGA, Kano State: •Thyme

    7) Toa Agro Allied Services Ltd, Dawanau Mkt, Katsina Rd, Kano: •Black Pepper Powder

    8) Little Mayfield, Jos: •GOTEA-Antidiabetic Tea •Organic Kidney Tea

    9) Vital Quest Nigeria Ltd, Yusuf Doma St, Kaduna: •Premium Black Tea

    10) Home Affairs Organic Products, Mbubu Industrial Area, Imo State: •Mistletoe Tea

    For this column, I thank my wife for linking me up with Zainab Ademola who works with Milnapath in Abuja. Zainab is herself a distributor of the products. This is indeed a critical time, hopefully, for an opportunity to monitor the growth of these new Nigerian plant medicines MLM company at a time we seriously need many of them in the economy. We should encourage them.

  • NLCC rededicates to providing quality, affordable cancer care

    NLCC rededicates to providing quality, affordable cancer care

    By Emmanuel Chidi-maha

    The NSIA-LUTH Cancer Centre (NLCC) in Idi-Araba has reaffirmed its commitment to enhancing service delivery, offering accessible and affordable cancer care in Nigeria. Since its inception in 2019, NLCC has emerged as a leading institution in cancer treatment across West Africa, significantly reshaping the landscape of oncology in the region. Over the past five years, NLCC has been a vital resource for thousands of patients, setting new benchmarks in cancer care and research.

    At the core of NLCC’s mission lies its comprehensive patient care approach. In just half a decade, the centre has provided treatment for over 12,000 patients, administering 6,733 chemotherapy sessions, 8,528 radiotherapy treatments, and 215 high-dose rate 3D brachytherapy treatments. These statistics underscore NLCC’s dedication to making advanced cancer treatments locally available, reducing the need for patients to seek treatment abroad.

    A particularly notable achievement of the NLCC is its dedicated pediatric radiation oncology team, the only one of its kind in Nigeria. This team has treated over 200 children, providing specialised care that addresses the distinct needs of younger patients. This focus on pediatric oncology ensures that even the youngest cancer patients receive the highest standard of care, underscoring the centre’s holistic approach to cancer treatment. “Innovation has been a cornerstone of the NLCC’s operations. The centre has introduced pioneering treatments such as 3D intensity-modulated radiotherapy (IMRT) and volumetric arc therapy (VMAT) to Nigeria. These advanced techniques have significantly improved the precision and effectiveness of cancer treatments, leading to better patient outcomes. Furthermore, the NLCC is the first facility in the country to offer total body electron beam therapy, an essential treatment for certain types of cancer.

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    “The NLCC’s commitment to advancing cancer treatment extends beyond clinical care to include robust research initiatives. As a hub for cancer research, the centre is currently conducting several clinical trials focused on prostate and breast cancers. These research efforts not only contribute to global cancer knowledge but also ensure that the NLCC remains at the forefront of treatment innovations, continually improving patient outcomes.”

    To mark these achievements and reflect on its journey in the last five years, the NLCC organised a week of celebrations for its 5th anniversary. The festivities began with a cake-cutting ceremony attended by key figures such as Dr. Lilian Ekpo, the Centre Director; Tolu Adewole, Board Chairman and MD of Medserve; Prof. Wasiu Adeyemo, Chief Medical Director of LUTH; Prof. Francis Duronsinmi Etti, the Chief Liaison Officer of NLCC; Dr. Muhammed Habeebu, Chief Clinical Coordinator; Prof. Anthonia Sowunmi, Head of Oncology; and Dr. Adedayo Joseph, Head of Research. This event was a moment of pride and reflection, recognizing the collective effort that has driven the centre’s success. Throughout the anniversary week, the NLCC hosted a series of webinars for its staff, covering topics such as mental health, financial management, diet and healthy living, and cancer prevention. These sessions aimed to promote the well-being and professional development of the centre’s staff, ensuring they are properly equipped to continue delivering high-quality care. Additionally, free health checks were offered to staff members, fostering a culture of health and wellness within the organisation.

    Reflecting on the NLCC’s journey, Prof. Adeyemo, CMD of LUTH, highlighted the transformative impact the centre has had since its inception. He recalled the early days when the centre started with just a few patients and expressed pride in its growth into the best-equipped cancer treatment facility in West Africa. Prof. Adeyemo emphasised that the NLCC’s success is a testament to what can be achieved with dedication and the right support model. He also announced that President Bola Ahmed Tinubu, impressed by the NLCC’s achievements, has included plans for more cancer centres in the national budget. The government aims to replicate the NLCC’s model across Nigeria, ensuring that advanced cancer care is accessible to more people. The LUTH boss stressed the need for further expansion, particularly in the nuclear medicine centre, to provide even more comprehensive cancer management. He expressed optimism about the future, envisioning a time when all Nigerians can access the highest standard of cancer care within their own country.

    Prof. Abayomi Durosimi-Etti, the Chief Clinical Oncologist, expressed his gratitude for the centre’s accomplishments while also acknowledging the challenges that remain. He noted the escalating costs of treatment and the financial burden it places on patients. To address this, the NLCC has implemented an indigent patient scheme to assist those who cannot afford treatment. Prof. Durosimi-Etti also stressed the importance of early diagnosis, which allows for curative treatment. He urged the public to seek medical attention early to improve their chances of survival.

    Dr. Lilian Ekpo, NLCC Director, praised the integrated programme with the pediatric oncology department. She expressed her joy over the centre’s success in treating thousands of patients, noting that the high number of chemotherapy and radiotherapy treatments administered speaks volumes about the expertise and resources available at the NLCC. Dr. Ekpo emphasised that the centre’s achievements are a collective effort, made possible by the dedication and hard-work of the entire team.

  • Fact vs. fiction: Debunking misconceptions on abortion issues

    Fact vs. fiction: Debunking misconceptions on abortion issues

    In a world where abortion remains a deeply divisive issue, sparking intense emotions and impassioned debates, the ongoing 3-day training for journalists in Lagos, organised by the Media Health and Rights Initiative (MRHI), shines a light on the necessity of clarity. Experts in media, health and legal advocacy emphasise the importance of discerning between fact and fiction surrounding abortion – all geared towards unravelling the truth, fostering informed discussions and empowering individuals to make decisions rooted in accurate information and understanding.

    Myth 1: Abortion is always unsafe and risky. Fact: While unsafe abortions do pose significant health risks, legal and medically supervised abortions are safe procedures with low complication rates. According to the World Health Organisation (WHO), legal abortions performed by trained healthcare providers under appropriate medical conditions are safer than childbirth. Access to safe abortion services reduces the incidence of maternal morbidity and mortality, highlighting the importance of ensuring women’s access to reproductive healthcare.

    Myth 2: Women choose abortion casually and without consideration. Fact: The decision to have an abortion is often complex and deeply personal, influenced by a variety of factors such as financial instability, health concerns, relationship status, and personal beliefs. Contrary to the stereotype of women choosing abortion on a whim, many individuals carefully weigh their options and consider the potential consequences before making a decision. It’s essential to respect the autonomy and agency of individuals facing unplanned pregnancies and provide them with compassionate support and access to comprehensive reproductive healthcare services.

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    Myth 3: Abortion is used as a form of contraception. Fact: Abortion is not a substitute for contraception and is typically sought as a last resort when contraception fails or is unavailable. The vast majority of individuals who have abortions were using contraception at the time of conception. Factors such as contraceptive failure, inconsistent use, access barriers, and sexual assault contribute to unintended pregnancies. Comprehensive sexual education, access to affordable contraception, and reproductive healthcare services are essential in preventing unintended pregnancies and reducing the need for abortion.

    Myth 4: Abortion is only performed for sex selection. Fact: While sex-selective abortions do occur in some parts of the world, the majority of abortions are sought for reasons unrelated to the sex of the fetus. In reality, most individuals who seek abortions do so for reasons such as financial instability, inability to care for a child, health concerns, or personal circumstances. Restricting access to abortion based on concerns about sex selection undermines women’s reproductive rights and fails to address the complex factors driving the demand for abortion services.

    Myth 5: Abortion causes long-term physical and psychological harm. Fact: The overwhelming majority of individuals who have abortions do not experience long-term physical or psychological harm as a result. Research studies have consistently shown that legal and medically supervised abortions are safe procedures with low complication rates. The psychological effects of abortion are also generally positive or neutral, with most individuals reporting relief and a sense of empowerment following the procedure. Stigmatizing abortion and perpetuating myths about its harms only serve to undermine women’s access to safe reproductive healthcare.

    Myth 6: Criminalising abortion reduces its incidence. Fact: Criminalising abortion does not eliminate the demand for abortion; instead, it drives it underground, leading to an increase in unsafe, clandestine procedures. Restrictive abortion laws disproportionately harm marginalized communities, forcing women to seek unsafe abortions that endanger their lives and health. Evidence-based strategies, such as comprehensive sexual education, access to contraception, and safe abortion services, are far more effective in reducing the incidence of unintended pregnancies and the need for abortion.

    Myth 7: Abortion is used as a form of birth control. Fact: Abortion is not a method of birth control and is typically chosen as a last resort when contraception fails or is unavailable. Individuals who seek abortions often do so due to factors such as contraceptive failure, lack of access to contraception, financial constraints, health concerns, or personal circumstances. The decision to have an abortion is complex and deeply personal, and portraying it as a casual form of birth control undermines the diverse reasons why individuals may seek abortion care.

    Myth 8: Abortion is always traumatic and regretted. Fact: While some individuals may experience emotional challenges after an abortion, the majority do not report long-term regret or psychological harm. Research studies have consistently shown that most individuals who have abortions feel relief and a sense of empowerment following the procedure. Feelings of sadness or grief are typically temporary and often related to the circumstances surrounding the decision rather than the decision itself. Providing compassionate support and access to counseling services can help individuals navigate their emotions and make informed choices about their reproductive health.

    Myth 9: Abortion is only sought by young, unmarried women. Fact: The need for abortion spans across age, marital status, and socioeconomic background. Women of all ages and circumstances may seek abortion care for a variety of reasons, including financial instability, health concerns, relationship status, and personal beliefs. Restricting access to abortion based on stereotypes about who seeks abortion care ignores the diverse experiences and circumstances of individuals facing unplanned pregnancies. Ensuring access to safe and legal abortion services is essential for all individuals who may need them.

    Myth 10: Abortion endangers future fertility. Fact: Legal and medically supervised abortions do not pose a significant risk to future fertility. The procedures used in safe abortion care are designed to minimize the risk of complications and preserve reproductive health. Infections or complications that may arise from unsafe abortions are the primary concern for future fertility. Access to safe abortion services is crucial in preventing these risks and protecting individuals’ reproductive rights and health.

    Myth 11: Abortion is morally wrong and should be illegal. Fact: The moral and ethical considerations surrounding abortion are complex and subjective, with diverse perspectives across cultures, religions, and belief systems. While some individuals may personally oppose abortion for moral or religious reasons, it is essential to respect the autonomy and agency of others in making decisions about their own bodies and lives. Upholding reproductive rights and access to safe and legal abortion services allows individuals to make choices consistent with their own values and beliefs, without imposing moral judgments or restrictions on others.

    Myth 12: Abortion is only performed in late-term pregnancy. Fact: The majority of abortions occur in the first trimester of pregnancy, with the vast majority performed within the first 12 weeks. Late-term abortions, typically defined as those performed after 20 weeks of gestation, are relatively rare and usually involve serious fetal abnormalities or risks to the pregnant person’s health. Restrictive laws targeting late-term abortions often fail to account for these medical complexities and can hinder access to necessary medical care for individuals facing difficult circumstances.

    Myth 13: Abortion is only about women’s rights. Fact: While abortion rights are central to women’s reproductive autonomy and bodily autonomy, they also intersect with broader issues of social justice, equality, and public health. Access to safe and legal abortion services is essential for gender equality and women’s empowerment.

  • Nurses frown over NMCN’s refusal to back down on verification requirements

    Nurses frown over NMCN’s refusal to back down on verification requirements

    Nurses under the aegis of the Nursing Group Administrators (NGA) have expressed disapproval of the Nursing and Midwifery Council of Nigeria (NMCN) for refusing to back down on the recently imposed requirements for nursing verification.

    The NGA’s reaction followed the adjournment of the lawsuit against the NMCN over the new verification guidelines to July 12.

    The group described it as an unreasonable burden on practising nurses, noting that the new guidelines undermine the rights and career prospects of nurses.

    Speaking at a press briefing in Lagos, a representative of the Nursing Group Administrator, Nurse Edike Osemeke disclosed that his colleagues are demanding the immediate repeal of the policy.

    Osemeke, said the new policy is arbitrary, lacks transparency and overlooks the genuine challenges facing nurses, and is poised to impede enhancement of nursing skills, professional advancement, and investments in the nursing profession.

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    The group further called on the NMCN to immediately reverse the policy, and engage in meaningful dialogue with nursing associations and relevant stakeholders to “develop a more equitable, inclusive, and efficient verification process that upholds the integrity of nursing practice.”

    He said: “It is evident that these rules serve no purpose other than to exert arbitrary control and authority over nursing professionals.

    “They do not enhance nursing practice standards or protect patient interests. Instead, they create unwarranted obstacles that impede the dedication and effectiveness of the nursing workforce in delivering essential healthcare services, particularly during unprecedented health crises.

    “We demand immediate action from the NMCN to revoke these unjust rules and engage in genuine consultation with nursing professionals and relevant stakeholders. The continued enforcement of these regulations will exacerbate the crisis in healthcare delivery, leading to dire consequences for both nurses and patients.”

    The group further released 15-point actionable policy recommendations including implementation of competitive remuneration and compensation packages for nurses.