Category: Health

  • Why healthcare strategy needs fresh thinking

    Why healthcare strategy needs fresh thinking

    By : Sola Solarin

    The ultimate test of the functionality of our health care system is if a pregnant woman in the remote town of Gashua in Bornu State goes into labour by 1,00a.m. (in the early morning) of any day, she is able to get attention in good time  from a trained health personnel, and delivered of her baby uneventfully and safely. The baby gets the required post natal care and survives his/her first year. However, the reality in today’s Nigeria is different. Such a woman has the highest chance of any person in her condition in the world to die in labour, and if she’s lucky to survive the event and births the baby, the prognosis is equally dire for the baby. The chances of dying within the first year of life are equally high, one of the highest in the world!

    Read Also: Firm’s app ‘connects patients to healthcare providers’

    Little wonder then that the ailments related to pregnancy, and those that afflict infants disproportionately contribute to mortality in Nigeria. The highest causes of mortality and morbidity in Nigeria also include malaria, HIV/AIDS, road traffic accidents and pneumonia. A string that ties all these ailments together is the fact that they can all be vastly reduced through health education and behavioural change. Discourse on public health in Nigeria lately has been seized by those who push the narrative that the country’s healthcare is best served by investment in ‘world-class tertiary healthcare facilities.’ I think our policymakers have bought into this argument. Most of the investments in that sector in the recent past have gone to sophisticated diagnostic centres and facilities for cancer care. The Nigerian Sovereign Investment Authority has rolled out a plan to build one tertiary cancer care centre in each of the geopolitical zones. The misalignment between what our objectives should be, and where we direct our resources cannot be starker.

     The sector needs fresh thinking, and that can only be brought about by a different leadership. All the agencies in charge of our healthcare are led by clinicians, from the ministries to hospitals and other extra ministerial departments. They have lived true to the popular maxim that when you have a hammer as your only tool, every problem looks like a nail. The most audacious attempt at solving our healthcare problems in the last 25 years had come from an economist. Professor Oyewo, during his tenure as health minister, gave us the National Health Insurance Commission and the National Health Act – initiatives that attempted to resolve financing for the sector and define the roles of different levels of governments in health provision. It appears we are reverting to the thinking that has kept our healthcare in the doldrums.

     If we are looking for countries to emulate to develop a healthcare system that will serve us, we should look in the direction of Cuba. In spite of being visited with the most stringent sanction regime for the past 60 years, it still boasts  as one of the best performing health systems in the world. Cuba’s per capital income is only 15 per cent of that of the United States with many “world-class’ health facilities, but its health outcomes are as good, if not in certain instances better than what obtains in the United States. Its focus on public health, preventive care and education of the girl-child has ensured that diseases are most often prevented, and where they occur, are diagnosed and treated early. These have made Cuba’s health system one of the most efficient and highest performing in the world.

     The healthcare landscape is also being reshaped by innovation in information technology and biomedical engineering. Thirty years ago, I needed to dress up and go to a hospital to get my blood pressure measured. Today, a simple wrist-worn device will constantly generate data on many health indices including blood pressure, pulse rate and blood oxygen saturation level. Devices have been miniaturised such that asthma patients can carry nebulisers in their pockets, diabetics can dose themselves with insulin, and people who suffer life-threatening allergies can self-administer injection of epinephrine. The healthcare landscape has changed. The paradigm that requires that I go to a hospital to treat myself for malaria and other common ailments is not only expensive, but has become unsustainable. We need to rethink the healthcare system from first principles.

     Algorithms have been developed and trialled in clinical settings to perform the functions of physicians and pharmacists. IBM Watson performed better, and made fewer errors than humans performing these functions. We need to ask ourselves if we need a doctor that spent seven years in medical school is best deployed to the outpatient department of a hospital where 80 per cent of the cases he attends to can be better treated by an algorithm. The pharmacist in the community protects against drug misuse and watches out for errors in prescription. The bulk of the medicines he handles are not nearly as dangerous that a mechanical device that is AI-assisted cannot do just as well. He may well be deployed to manufacturing, and the handling of more sophisticated and dangerous medicines that when used wrongyly may cause grievous harm.

     Rethinking the way we deliver healthcare requires that we engage fresh minds, who have not been indoctrinated for seven years in the atavistic way that healthcare is delivered. Can we try a philosopher, an information technology specialist, a futurist, or an engineer in the Ministry of Health for a change? The mandate should be simple. Deliver 70-year life expectancy within four years without any budgetary increase to health. No rule or law is sacrosanct. If we must amend or jettison them to achieve the objectives, bring them on. Let us have a conversation.

    • Solarin is a fellow of the International Pharmaceutical Federation (FIP)
  • How voluntary blood donation saves lives, by experts

    How voluntary blood donation saves lives, by experts

    Despite the World Health Organisation’s standard practice requiring one per cent of citizens to voluntarily donate blood for medical support, Nigeria’s blood donating culture remains alarmingly poor. In this report, CHINYERE OKOROAFOR writes on the health benefits of voluntary blood donation

    The popular Cele bus stop along Oshodi-Apapa way was her regular stop before she would board another bus to the Oke Afa area of Lagos State. Just like every other day, Stella Obiagu (not her real name) walked on the pedestrian walkway towards the parked buses calling for Oke Afa passengers when two armed robbers attacked and snatched her handbag from her.

     With a stab wound on her neck, she ran as fast as she could for any available help but by the time she made it to the nearest hospital, a blood transfusion was required to replace the lost blood. Unfortunately, Obiagu later died as a result of severe hemorrhage; it was an emergency a lack of blood bank at the hospital made impossible to manage. Her painful death is one out of many Nigerians who have to die because of severe hemorrhage, which steady availability of blood bank can help to manage.

    Professor of Hematology and Transfusion Medicine at the College of Medicine of the University of Lagos and a Consultant Hematologist at the Lagos University Teaching Hospital (LUTH), Alani Sulaimon Akanmu, listed other situations where people hemorrhage to include ghastly accidents, obstetric causes of hemorrhage, among other medical causes of severe hemorrhage. For Nigeria, a country where demand for blood transfusion is very high, to get out of its low position in blood donation, the government needs to start a 100 per cent regular voluntary blood donation programme, he said.

    Read Also: Lagos to subsidise blood transfusion

     “The demand for blood transfusion in Nigeria is high, as the country has one of the highest maternal mortality rates globally and the prevalence of diseases such as malaria, which requires blood transfusion. Therefore, strategies aimed at promoting voluntary blood donation are needed in Nigeria to increase the availability of safe blood and meet the high demand for blood transfusion.

     “The unfortunate situation where someone has to die because of a lack of available blood for transfusion is painful and one that could be avoided if Nigerians should embrace the culture of volunteering for blood donation instead of paid one,” Prof Akanmu said.

     Condemning the practice of paid blood donation, he said individuals who engage in seeking remuneration before donating blood would lie during donor criteria questions because they are in dire need of money; unlike voluntary blood donor individuals who are doing it for humanity sake. “There is something spiritual about blood that makes it not good to be sold. Blood donation should be an altruistic endeavour, and the blood of volunteer donors is safe unlike that of paid donors. Paid donation is always unsafe because the majority of people who would request to be paid before they donate blood are people who can do anything for a living. They are the people who would collect the money and buy drugs and we don’t want to collect blood from such a group,” he said.

     Explaining the benefit of blood donation, Akanmu said that blood donation is very good for everybody as long the individual is fit to donate and met other donation criteria. “I used to teach what I call medical advantages of regular voluntary returning blood donation. We say you are a regular voluntary returning blood donor if you donate blood at least twice a year for more than a period of 10 years. This will make an individual to benefit from what we call medical advantages of blood donation.”

     He explained that diseases that are related to excessive iron is far away from an individual who is a regular returning blood donor. “Number two is that what we call hinging of the bone marrow doesn’t happen to you because when we were born as a neonate, every part of our bone is making blood up to the age of two years; everywhere you touch is making blood, from the age of two years up to the age of 18 years when the part that is making blood begins to decrease.

     “By the time you are 18, the part of our bone that is making blood is now only confined to the bone that is covering our brain, the bones of the spine and then the bones of the shoulder and ribs but all the long bones have stopped making blood except at their tip ends. Those areas of the long bones tend to get converted to fatty tissues as we are aging. But we don’t see this happening in individuals who are regular voluntary returning blood donor; rather that long bone now containing fat tissues are still remaining as if they are still active. By the time an individual is 65 to 80 year-old, most part of the long bones are already fatty but if the individuals have been voluntary returning blood donors in their lives, the bone tissue you will find in them will be as if they are still 40-45year-old.

     “The bone marrow doesn’t age and therefore what we call the anemia of the elderly doesn’t happen to these people. We don’t have data for that here, but the data is available elsewhere where it has now been shown that the average lifespan of a voluntary returning blood donor is at least three to five years more than the average lifespan of people who have never donated blood.”

     With the theme, “Give blood, give plasma, share life, share often,” this year’s World Blood Donor Day campaign focuses on patients requiring life-long transfusion support and underlines the role every single person can play by giving the valuable gift of blood or plasma. The World Health Organisation (WHO) recommends that a country of Nigeria’s size should have a minimum of two million voluntary blood donations annually to ensure blood safety and availability for transfusion. Instead, only about half a million voluntary donations are made across all the country’s hospitals and blood establishments each year, leaving a shortfall of over 1.5 million blood units. But the country’s agency in charge of blood donation, National Blood Transfusion Service (NBTS, said it collects only 500,000 pints of blood every year, leaving a shortfall of about 73.3 per cent.

    According to the NBTS’ head of planning, research and statistics department, Adaeze Oreh, only about 25,000 blood units sourced exclusively from voluntary unpaid blood donors were screened, collected and distributed in 2019 and 2020. In countries like Nigeria, up to 65 per cent of blood transfusions are given to children under five years of age; whereas in high-income countries, patients aged above 65 years are the most frequently transfused. This further underlines the fact that in the Nigerian environment, younger populations are hardest hit by the lack of safe blood supplies.

     Mrs Oreh said recent available data showed that only eight per cent of Nigerians donate blood freely and that about 80 per cent of donors donate to relatives in need. “From the data available to NBTS, approximately 80 per cent of donations are from family members, which we call family replacement donations,” she said.

     Several studies revealed the reasons why Nigerians are hesitant to donate blood voluntarily and regularly. These hindrances include fears of infections, side effects such as weight loss, sudden death, sexual problems, high blood pressure, and convulsions, and additionally, various religious beliefs are frequently cited as reasons not to donate blood. Mrs Oreh said that developed countries with optimally structured health systems and robust blood transfusion services that are based on voluntary blood donation can meet their population demands for blood and blood products. Despite periodic or seasonal shortages, their patients are largely assured of access to safe blood when needed. Therefore, for developing countries like Nigeria, which are plagued by incessant incidents of shortages in safe, quality blood and blood products, harnessing the power of the country’s youthful population is key to tackling the unavailability of safe blood.

  • AXA unveils OneHealth in Nigeria; promises increased investment

    AXA unveils OneHealth in Nigeria; promises increased investment

    To provide what it called exceptional healthcare solutions in emerging markets, AXA,  a global leader in insurance and asset management, has launched the first in its series of medical centers for Nigeria. 

    The brand, “OneHealth by AXA”, will house the range of medical solutions that AXA seeks to Introduce into the Nigerian market. 

    The brand will also make healthcare an affordable, accessible, and above all, a convenient experience that everyone can enjoy.

      The OneHealth Hospital is a state-of-the-art multispecialty, secondary care hospital  in Ikeja , Lagos with more than 30 specialties and sub-specialties range of services in family medicine, cardiology, obstetrics, pediatrics, general surgery, ophthalmology, physiotherapy, and Internal medicine.

    On the  unveiling of the hospital in Lagos, it’s CEO AXA Africa Health, Khaled ElShaarany, expressed his immense delight at the launch of OneHealth in Nigeria, explaining that it marks the second country in Africa where AXA has introduced its world-class medical centres with a focus on medical excellence and patient convenience.

      He said: ‘’AXA’s pursuit to improve access to protection and healthcare in Nigeria and Africa drives us to innovate by introducing an integrated health model where Insurance and medical services synergize to give customers comfortable yet affordable access to the most competent doctors and medical staff”.

      “With an initial 25 million Euro Investment in Nigeria, we are excited to inaugurate this first medical center in Ikeja and are looking forward to further openings in the next 12 months as we are constantly on the lookout for new opportunities for investment in the healthcare sector”.

    Read Also: AXA Mansard, Airtel unveil digital Health Data Bundle

     Dr MisbahOleolo, Country Manager and Medical Director of OneHealthin Nigeria noted that the goal of OneHealthin Nigeria is to revolutionise the healthcare industry through seamless client experiences across Its physical branches and digital channels.

      “You may ask how we intend to do this. We will be rolling out more centers similar to this; characterised by very high quality, affordability, and easy access. It is that fusion of this high-quality hospital and premium hospitality with a pocket-friendly disposition, that I commit”.

      “To guarantee OneHealth Medical Center as a place of safety, we have carefully curated the size, made it multi-specialty, and fine-tuned our one-stop-shop offering. You will be able to find the service you require here when you are well and just need a health check or when you are ill and need medical attention”.

    “In addition, we are coming into the market with a team of highly skilled local and international medical professionals. Our goal is to set a standard that will not just raise the bar in service delivery, but standards that will accelerate the growth and maturity of our country’s healthcare sector for patients, clients, and practitioners”, Oleoloenthused.

      Also commenting on the significance of the launch, Rashidat Adebisi, Chief Client Officer, AXA Mansard said the opening of OneHealthIn Nigeria Is once again, a testament of AXA’s commitment to Nigeria as an investor and corporate citizen.

    She said; “What we are witnessing here today is another proof that AXA’s commitment to Nigeria is enduring. OneHealth and Its mission In Nigeriafit perfectly into our mission of continuous partnership with our customers.

      “The launch of OneHealth hospital In Nigeria Is to take healthcare and medical care delivery to international standard. This launch marks another milestone In the annals of Nigeria’s  health sector because just like AXA Mansard Health changed the Health Insurance landscape In 10 years, OneHealthwill soon becomes a cynosure of not just medical centres In Nigeria, but medical service delivery in Africa” she assured.

    OneHealth is a world-class healthcare provider in Nigeria offering high-quality medical services alongside a unique client journey.

    With a global mindset aimed at elevating the client’s healthcare journey, OneHealth medical centers provide access to advanced diagnostics, laboratory equipment, and electronic medical records for all clients, which makes going to the medical center or consulting a doctor virtually, a medical experience like no other.

  • Why healthcare strategy needs fresh thinking

    Why healthcare strategy needs fresh thinking

    By : Sola Solarin

    The ultimate test of the functionality of our health care system is if a pregnant woman in the remote town of Gashua in Borno State goes into labour by 1,00a.m. (in the early morning) of any day, she is able to get attention in good time  from a trained health personnel, and delivered of her baby uneventfully and safely. The baby gets the required post natal care and survives his/her first year. However, the reality in today’s Nigeria is different. Such a woman has the highest chance of any person in her condition in the world to die in labour, and if she’s lucky to survive the event and births the baby, the prognosis is equally dire for the baby. The chances of dying within the first year of life are equally high, one of the highest in the world!

    Little wonder then that the ailments related to pregnancy, and those that afflict infants disproportionately contribute to mortality in Nigeria. The highest causes of mortality and morbidity in Nigeria also include malaria, HIV/AIDS, road traffic accidents and pneumonia. A string that ties all these ailments together is the fact that they can all be vastly reduced through health education and behavioural change. Discourse on public health in Nigeria lately has been seized by those who push the narrative that the country’s healthcare is best served by investment in ‘world-class tertiary healthcare facilities.’ I think our policymakers have bought into this argument. Most of the investments in that sector in the recent past have gone to sophisticated diagnostic centres and facilities for cancer care. The Nigerian Sovereign Investment Authority has rolled out a plan to build one tertiary cancer care centre in each of the geopolitical zones. The misalignment between what our objectives should be, and where we direct our resources cannot be starker.

    Read Also: Council gives free medicare

     The sector needs fresh thinking, and that can only be brought about by a different leadership. All the agencies in charge of our healthcare are led by clinicians, from the ministries to hospitals and other extra ministerial departments. They have lived true to the popular maxim that when you have a hammer as your only tool, every problem looks like a nail. The most audacious attempt at solving our healthcare problems in the last 25 years had come from an economist. Professor Oyewo, during his tenure as health minister, gave us the National Health Insurance Commission and the National Health Act – initiatives that attempted to resolve financing for the sector and define the roles of different levels of governments in health provision. It appears we are reverting to the thinking that has kept our healthcare in the doldrums.

     If we are looking for countries to emulate to develop a healthcare system that will serve us, we should look in the direction of Cuba. In spite of being visited with the most stringent sanction regime for the past 60 years, it still boasts  as one of the best performing health systems in the world. Cuba’s per capital income is only 15 per cent of that of the United States with many “world-class’ health facilities, but its health outcomes are as good, if not in certain instances better than what obtains in the United States. Its focus on public health, preventive care and education of the girl-child has ensured that diseases are most often prevented, and where they occur, are diagnosed and treated early. These have made Cuba’s health system one of the most efficient and highest performing in the world.

     The healthcare landscape is also being reshaped by innovation in information technology and biomedical engineering. Thirty years ago, I needed to dress up and go to a hospital to get my blood pressure measured. Today, a simple wrist-worn device will constantly generate data on many health indices including blood pressure, pulse rate and blood oxygen saturation level. Devices have been miniaturised such that asthma patients can carry nebulisers in their pockets, diabetics can dose themselves with insulin, and people who suffer life-threatening allergies can self-administer injection of epinephrine. The healthcare landscape has changed. The paradigm that requires that I go to a hospital to treat myself for malaria and other common ailments is not only expensive, but has become unsustainable. We need to rethink the healthcare system from first principles.

     Algorithms have been developed and trialled in clinical settings to perform the functions of physicians and pharmacists. IBM Watson performed better, and made fewer errors than humans performing these functions. We need to ask ourselves if we need a doctor that spent seven years in medical school is best deployed to the outpatient department of a hospital where 80 per cent of the cases he attends to can be better treated by an algorithm. The pharmacist in the community protects against drug misuse and watches out for errors in prescription. The bulk of the medicines he handles are not nearly as dangerous that a mechanical device that is AI-assisted cannot do just as well. He may well be deployed to manufacturing, and the handling of more sophisticated and dangerous medicines that when used wrongyly may cause grievous harm.

     Rethinking the way we deliver healthcare requires that we engage fresh minds, who have not been indoctrinated for seven years in the atavistic way that healthcare is delivered. Can we try a philosopher, an information technology specialist, a futurist, or an engineer in the Ministry of Health for a change? The mandate should be simple. Deliver 70-year life expectancy within four years without any budgetary increase to health. No rule or law is sacrosanct. If we must amend or jettison them to achieve the objectives, bring them on. Let us have a conversation.

    • Solarin is a fellow of the International Pharmaceutical Federation (FIP)
  • How voluntary blood donation saves lives, by experts

    How voluntary blood donation saves lives, by experts

    Despite the World Health Organisation’s standard practice requiring one per cent of citizens to voluntarily donate blood for medical support, Nigeria’s blood donating culture remains alarmingly poor. In this report, CHINYERE OKOROAFOR writes on the health benefits of voluntary blood donation

    The popular Cele bus stop along Oshodi-Apapa way was her regular stop before she would board another bus to the Oke Afa area of Lagos State. Just like every other day, Stella Obiagu (not her real name) walked on the pedestrian walkway towards the parked buses calling for Oke Afa passengers when two armed robbers attacked and snatched her handbag from her.

     With a stab wound on her neck, she ran as fast as she could for any available help but by the time she made it to the nearest hospital, a blood transfusion was required to replace the lost blood. Unfortunately, Obiagu later died as a result of severe hemorrhage; it was an emergency a lack of blood bank at the hospital made impossible to manage. Her painful death is one out of many Nigerians who have to die because of severe hemorrhage, which steady availability of blood bank can help to manage.

    Professor of Hematology and Transfusion Medicine at the College of Medicine of the University of Lagos and a Consultant Hematologist at the Lagos University Teaching Hospital (LUTH), Alani Sulaimon Akanmu, listed other situations where people hemorrhage to include ghastly accidents, obstetric causes of hemorrhage, among other medical causes of severe hemorrhage. For Nigeria, a country where demand for blood transfusion is very high, to get out of its low position in blood donation, the government needs to start a 100 per cent regular voluntary blood donation programme, he said.

     “The demand for blood transfusion in Nigeria is high, as the country has one of the highest maternal mortality rates globally and the prevalence of diseases such as malaria, which requires blood transfusion. Therefore, strategies aimed at promoting voluntary blood donation are needed in Nigeria to increase the availability of safe blood and meet the high demand for blood transfusion.

    Read Also: Club partners on blood donation

     “The unfortunate situation where someone has to die because of a lack of available blood for transfusion is painful and one that could be avoided if Nigerians should embrace the culture of volunteering for blood donation instead of paid one,” Prof Akanmu said.

     Condemning the practice of paid blood donation, he said individuals who engage in seeking remuneration before donating blood would lie during donor criteria questions because they are in dire need of money; unlike voluntary blood donor individuals who are doing it for humanity sake. “There is something spiritual about blood that makes it not good to be sold. Blood donation should be an altruistic endeavour, and the blood of volunteer donors is safe unlike that of paid donors. Paid donation is always unsafe because the majority of people who would request to be paid before they donate blood are people who can do anything for a living. They are the people who would collect the money and buy drugs and we don’t want to collect blood from such a group,” he said.

     Explaining the benefit of blood donation, Akanmu said that blood donation is very good for everybody as long the individual is fit to donate and met other donation criteria. “I used to teach what I call medical advantages of regular voluntary returning blood donation. We say you are a regular voluntary returning blood donor if you donate blood at least twice a year for more than a period of 10 years. This will make an individual to benefit from what we call medical advantages of blood donation.”

     He explained that diseases that are related to excessive iron is far away from an individual who is a regular returning blood donor. “Number two is that what we call hinging of the bone marrow doesn’t happen to you because when we were born as a neonate, every part of our bone is making blood up to the age of two years; everywhere you touch is making blood, from the age of two years up to the age of 18 years when the part that is making blood begins to decrease.

     “By the time you are 18, the part of our bone that is making blood is now only confined to the bone that is covering our brain, the bones of the spine and then the bones of the shoulder and ribs but all the long bones have stopped making blood except at their tip ends. Those areas of the long bones tend to get converted to fatty tissues as we are aging. But we don’t see this happening in individuals who are regular voluntary returning blood donor; rather that long bone now containing fat tissues are still remaining as if they are still active. By the time an individual is 65 to 80 year-old, most part of the long bones are already fatty but if the individuals have been voluntary returning blood donors in their lives, the bone tissue you will find in them will be as if they are still 40-45year-old.

     “The bone marrow doesn’t age and therefore what we call the anemia of the elderly doesn’t happen to these people. We don’t have data for that here, but the data is available elsewhere where it has now been shown that the average lifespan of a voluntary returning blood donor is at least three to five years more than the average lifespan of people who have never donated blood.”

     With the theme, “Give blood, give plasma, share life, share often,” this year’s World Blood Donor Day campaign focuses on patients requiring life-long transfusion support and underlines the role every single person can play by giving the valuable gift of blood or plasma. The World Health Organisation (WHO) recommends that a country of Nigeria’s size should have a minimum of two million voluntary blood donations annually to ensure blood safety and availability for transfusion. Instead, only about half a million voluntary donations are made across all the country’s hospitals and blood establishments each year, leaving a shortfall of over 1.5 million blood units. But the country’s agency in charge of blood donation, National Blood Transfusion Service (NBTS, said it collects only 500,000 pints of blood every year, leaving a shortfall of about 73.3 per cent.

    According to the NBTS’ head of planning, research and statistics department, Adaeze Oreh, only about 25,000 blood units sourced exclusively from voluntary unpaid blood donors were screened, collected and distributed in 2019 and 2020. In countries like Nigeria, up to 65 per cent of blood transfusions are given to children under five years of age; whereas in high-income countries, patients aged above 65 years are the most frequently transfused. This further underlines the fact that in the Nigerian environment, younger populations are hardest hit by the lack of safe blood supplies.

     Mrs Oreh said recent available data showed that only eight per cent of Nigerians donate blood freely and that about 80 per cent of donors donate to relatives in need. “From the data available to NBTS, approximately 80 per cent of donations are from family members, which we call family replacement donations,” she said.

     Several studies revealed the reasons why Nigerians are hesitant to donate blood voluntarily and regularly. These hindrances include fears of infections, side effects such as weight loss, sudden death, sexual problems, high blood pressure, and convulsions, and additionally, various religious beliefs are frequently cited as reasons not to donate blood. Mrs Oreh said that developed countries with optimally structured health systems and robust blood transfusion services that are based on voluntary blood donation can meet their population demands for blood and blood products. Despite periodic or seasonal shortages, their patients are largely assured of access to safe blood when needed. Therefore, for developing countries like Nigeria, which are plagued by incessant incidents of shortages in safe, quality blood and blood products, harnessing the power of the country’s youthful population is key to tackling the unavailability of safe blood.

  • Inauguration: Guard your health, six mafia ‘wars’ likely (2)

    Inauguration: Guard your health, six mafia ‘wars’ likely (2)

    Please grant me one minute to talk about The Key to Peace And  Happiness. I coined this title from the advice of a wise one to suffering people who did not know their condition was caused by their thoughts. The Wise One said: “Keep the hearth of your thoughts pure. By so doing, you will bring peace and happiness”. The hearth of any thought is the foundation of that thought. In my speech making days,THE KEY TO PEACE AND HAPPINESS was my favourite subject for turning upward the listener’s gaze. I reasoned that keeping the thoughts pure at this time would be a Balm of Gilead when petrol price is above the roof and instigating a riot of other prices under its canopy.

    Before I proceed, please excuse another minute to quickly detour to the second of six mafia ‘wars” I mentioned last week  (June 8, 2023) were likely to follow the inaugural speech of President Bola Ahmed Tinubu on May 29, 2023. This second battle field is the abrogation of the foreign currency black market.

     Currency war

    To avoid the currency war, there are three options…

    • Expand foreign currency earning,

    • Curtail foreign currency expenditure,

    • Confront the cabal or mafia which has created a black currency market out of the official currency market.

    Read Also: Why healthcare strategy needs fresh thinking

    I have been imagining for more than 20 years a bone breaking “war” in this area. This may involve hundreds of thousands or millions of persons who are knee deep in “black currency” business. Government success in this” war ” should enable foreign  companies who do business with Nigeria to have easier access to foreign currency on better terms. But it will be despised by Nigerians abroad who “sow” little foreign currency into the Nigerian economy but reap “bumper harvests” from them , in the local currency, the naira. Many of them emigrated just to be able to return in a few years to take commanding heights of the economy. Of what benefit will be their suffering abroad if their home  remittances amount to little or nothing? should the US Dollar begin to exchange for, say, N250, their dependants at home, too, may not wish the naira well. What about the bank managers who round trip foreign currencies? Can we forget those young Nigerians back home who, unemployed for years, have learned to do internet businesses which pay them in foreign currency? There are several armies the President is going to do battle  with within this sector. They all want Nigeria to become better. But do they realise that Nigeria becoming better means that the naira has to be rescued from the strangulation of other currencies and that, doing so, will pull the carpet from under their feet?

    About 32 years ago, I had the privilege of having lunch with Gen Aliyu Gusau (rtd) then national security adviser (NSA).

    I was Editor of The Guardian newspaper. Soon, Gen. Shehu Musa Yar’adua (rtd) showed up in the room. Gen Gusau introduced us. I knew they wanted to sound me out over election- season promises of presidential candidate, one of whom was  Gen. Yar’adua. The economy was in distress and the “black market” was a major cause of it. Was he ready to take on the “black market?” If he was, would he accept my suggestions? The police and the armed forces should hatch a secret crack down plan as follows:

    • Principal operational zones of the “black market ” nationwide should be pre determined

    • At zero hour nationwide, security operatives should crack down on them

    • Black market currency hawkers should be arrested, handcuffed and bundled into police Black Maria and other vehicles.

    • Next day, they should appear in magistrates courts on holding charges, pending further investigations. They should state the sources of foreign currency found on them, and these “sources” should be immediately arrested for prosecution

    •Regular and unexpected mop up operations nationwide should continue indefinitely.

    • The foregoing should sanitise the banks and the currency market. But the government should expect a backlash from the unseen “hands of Esau”. These persons are the currency “black market” mafia.

    Understandably, Gen. Yar’adua did not warm up to the suggestions. Who would deliberately step on the tail of the cobra in his backyard? He looked at me, flashed a pretentious smile, nodding and puffing a cigarette and coughing.  Even garrulous President Olusegun Obasanjo, a retired army general, avoided the terrain as though it were a quagmire or minesfield. His successor, the younger Yar’adua was too sick to bell the cart. President Ebele Azikiwe Jonathan avoided brinkmanship and Gen Muhammadu Buhari, a retired general, was not a  man who could look his kinsmen or friends straight in the eyes and  square up with them. Bola Ahmed Tinubu is a “make or break man”. For 22 months as Governor of Lagos State, he defied the garrulous President Obasanjo who denied him of federal funds to run the state. But Tinubu found money elsewhere and Lagos State did not know a President Obasanjo existed in Abuja or in Nigeria! Was Lagos not robust enough to be a country? If it was, would it need  Obasanjo’s money outside its frontiers to survive? That is the man who, now as  President of Nigeria, has declared war on the “black currency” mafia! It is yet unclear if the suspension from office last Saturday of Central Bank Governor Godwin Emefiele had to do with other matters or a single market drive or both.

    Yet another interesting battle brewing is in the electricity sector. President Tinubu wishes to double capacities on electricity generation, transmission and distribution in a country where capacities are crashing almost everyday (more about this next week)

    The key to peace and happiness

    We are back to the advice to “Keep the hearth of your thoughts pure. By so doing, you will bring peace and happiness”. The HEARTH of your thoughts is the FOUNDATION of your thought.  This message is not original to me. It is the message of a wise one about 100 years ago to suffering people. It sprang from the knowledge that you are what you think. Many people erroneously believe that thoughts are free and that it is the tongue that we should always discipline. People who think like this may not realise that the tongue merely expresses abundance of the mind and that the starting point of any action, be it the spoken word or physical action, stems from the thought. There is fleeting thoughts which, like rolling stones, may gather no moss, as the English man says. There are also serious thoughts which may gather such large amounts of moss that they may become a VOLITION, the driving motif of one’s life, or a propensity which, like one’s shadow, may be difficult to detach from. I say “difficult” because propensities may also be the easiest things to knock off our lives if we understand them for what they are, where they come from, and if we have the courage and the will to shake them off.

    Many of us have the propensity for the blame game. We blame other persons for whatever befalls us. That is why the modern day priest smiles to the bank. If you listen to FM radio in Lagos from about 4.30am everyday, you may understand what I am saying. I never knew we would ever degenerate spiritually to the point that a so-called prophet would set up testimonials on radio, dictate his account number to listeners who want him to ask their Creator to expedite action on their prayers, even if they do not deserve what they are praying for. That’s not where I am heading.

    In the first part of this series, I outlined the possibility of the subsidy mafia exploiting the pains of pump price deregulation to defend their interests which is above N400 billion naira  every month.

    Thoughts

    We humans are wired up,  as though we are radio and television receiving sets or even the cell telephone sets on which we make wireless telephone calls or send text or voice messages. When we send astronauts to the moon, we communicate with them and they with us. This idea was borrowed from the universe, from worlds higher than ours.

    In the universe, there are several spheres of existence which we may call Power Centres. We may call them so because the nature or characteristic of everyone in a power centre is homogenous or similar. Thus, there is a concentration of likeness in everything everyone does there. Grumbletonians stick together. So do murderers, thieves, kidnappers etc. On earth, there is a mingling of propensities, although we may sense tendencies towards homogenuity in families, tribes and unpolluted nationalities.

    When we  think, we connect with power centres homogenous with the nature of our thought. It is like when we switch on our laptops and we call out to GOOGLE, WHATSAPP or to PLANET, ZOOM, and now, OTRACKER Or O CONNECT or O VARSITY. The laptop takes us to wherever we connect with. If the network provider is not playing funny, my cell phone cannot take me away from Jide Ogundele, who is on my contact menu, when I dial his number and connect me with John Smith, who does not know I exist and who is also unknown to me. Should this happen, it means mankind or the internet service provider has not perfected an idea it borrowed from higher regions of the universe.

    What I am saying in effect is that our thoughts link us with those regions of the universe we are homogenous with.

    Subsidy aches

    Petrol price deregulation is provoking different thoughts in all of us and, accordingly, connecting us all to different climes in the universe. There are some persons who believe the deregulation will crush them. Each time they so think, they would generate thought forms of their worries and fears and these would team up with similar, ugly thoughts generated by other persons. The combined thought forms will re-enforce one another and, together, they will be sucked up by homogeneous power centres in the universe. These power centers must be  negative power centres which, in turn, connect with the negative souls, feeding them with negative ideas about why and how they must find existence more difficult than hitherto. If they are hateful, the hate in their souls will be reinvigorated. Poor, fearful soul, a supposed Lord in the universe who has been  giving  dominion over everything, including petrol prices and paper money. The negative power centre will re-inforce the worries, ideas, fears and self-created helplessness of such negative persons through feedback. Thus, they would be trapped in the quagmire of their thoughts which, through intensification by the power centre, would become larger, stronger, self entrapping and socially disrupting. It is of such persons the Yoruba elders say:TI A BA  GUN IYAN NINU ODO, TI A BA N RO OKA NI INU EPO EPA ENI MAA YO A YO! (If we pound yam in a mortar and make eba in groundnut shell, whoever will have the stomach filled will  have it filled). So, while the negative person delimit their potentials and enlarge their physical encumbrances and psychic entanglements, positive persons will be connected to power centres which would dispense positive ideas to them. Whatever their situations, our forefathers did not diminish themselves with negative thought. They did not know about Norman Vincent Peale and his books, The Power of  Positive  Thinking  and Amazing Results of Positive Thinking, before they deducted their knowledge of survivalism from the universe based on their experiences. Why are we such indolent souls in our generation, always dependent, hardly able to find ways out of a quagmire, always playing the blame game? Do lizards, ants, birds or butterflies talk about subsidy problems?

    Charles Idehor

    In a long, long while, I haven’t listened to a positive interview as I did the Charles Idehor programme on Jordan FM radio in Lagos on May 4, 2023. Maybe the personalities of Gbola  Oba and Adeniyi Adesina made the difference. Gbola Oba is the son of a womanly fish seller now of blessed memory at the  Baba Oloosa Market in Mushin, Lagos. He has been the victim of kidnapping and spent several days in a forest. He supports principles, not persons or political parties. Adesina is the Editor of this newspaper, The  Nation.  Both were effervescent  and electrifying and positive, and the otherwise bellicose regular callers agreed with them. Adesina said we would never know why politicians take their decisions and challenged all of us to say our decisions are not survivalism propelled. Gbola Oba said we all needed to readjust our lives. He was spending  about N40,000 every week to entertain his friends at their Hangouts in Surulere. But since petrol prices went up , he had stuck more to his bed at the weekends. He challenged women in particular to adjust their lives. Nigerian women were spending as much as six billion U.S. dollars every year on Brazilian human hair. Indian women were cutting and selling their long hair for this market and regrowing them for more deals. To catch some of the market, says Gbola Oba, the Chinese are making artificial human hair from bamboo. The direction women are going is the direction the nation will follow. If Nigerian women are fashion spend thrifts and economy destroyers, women are no more than what men see in them and want of them.

    Beyond this, neighbourhood life is what we should encourage. Children should attend schools nearest to home, to cut transport costs. Young persons should find jobs that are walking distances from home. There is no point earning N40,000 a month 30 kilometers away, which transportation and stress will erode, when a N20,000 job is next door.

    Poor Charles Idehor

    He spends N17,000 in these subsidy days to arrange a telephone interview with Gbola Oba and Adeniyi Adesina. The credit finished midway and he had to recharge. I wondered if he had not heard of O connect from ONPASSIVE, which I have been informing my professional colleagues about. O connect is cost saving in these times. It is a telephone conference application which can host about one million persons or more. The credit purchase is once for life because the application is self crediting. O connect is so designed because Onpassive, the newest, biggest and best internet business company in my view, shares 50 per cent of its profit with users of its applications and recharges for them from this account. Therefore, subscribers to O connect would not only earn bonuses every month from ONPASSIVE, they would never have to recharge the credit from out of their pocket once they have purchased this application.

    Self confession

    I admit to being negative until 1994 when Gen Sanni Abacha upset my apple cart. I was director of publications/Editor-in-chief of The Guadian newspaper. Gen Abacha shut it for one year on claims of anti-government publications. I had three school age children and a wife to look after. She worked as an academic at the Lagos State University (LASU) which was on ASUU strike, one of the longest ever, during which she earned no pay. I was on half pay, and had to sell egg, chewing stick, ice block and palm oil, largely to mallams, for survival. I was helped by the story of Bhudah, the Prince who lost his throne and became a happier and more successful person as a truck pusher and snake charmer in foreign lands. Whenever I lost a customer or two, I had sleepless nights. Then, one day, the thought occured to me that there were more than 180 million Nigerians. Why should I be unable to sleep over one or two of them? I learned to pray to be connected to persons who needed my services. Mrs. Beatrice Oloyede, one of my family friends since then, introduced me to piggery. In under one year, I raised about 300 pigs and piglets. I sold about 300 crates of eggs every week to mallams who sell bread and tea at road junctions. I bought vegetable from farms and sold them to market women. I sold honey from Obudu Town and from Ago Are, near Shaki. I began to sell herbs, starting with Patminger, Bitterleaf, Vervain and Lemon grass which I grew in the backyard of my residence. Whenever I took my children back to their boarding house at Kankon Model College, after Badagry, I picked up coconut which I sold in the Lagos Market. What did I not sell? I learned from this experience that the average Nigerian worker needed a second stream of income. Many people are inwardly immobile or are too status concious to make them explore survivalism in the informal market. My children were never sent home on account of school fees. We ate whatever we desired and to cap it all, I began to build a house before General Abacha released The Guardian newspaper from under his jack boot.

  • Researcher urges national campaign to strengthen awareness, stewardship of children’s health data

    Researcher urges national campaign to strengthen awareness, stewardship of children’s health data

    Across Nigeria, the accelerating digitization of health services presents an unprecedented opportunity to improve child health outcomes, but only if the nation acts now to safeguard and manage children’s health data with precision, responsibility, and public trust.

    Patrick Okooboh, a leading health researcher, is calling for a coordinated, nationwide campaign to build awareness of the rights, risks, and responsibilities that surround the collection, storage, and use of child health information.

    He warns that without urgent, comprehensive action, the promise of digital innovation could be undermined by avoidable problems and widening inequities.

    “We must treat child health data as a public trust,” Mr. Okooboh says. “A national campaign is essential. We need clear, ethical standards, strong technical protections, and a public conversation that empowers parents, caregivers, health workers, and researchers to use data responsibly for the health of every child.”

    His message is both a rallying cry and a practical roadmap as awareness without systems is hollow, and systems without awareness will fail to protect those that it is intended to serve.

    The campaign Mr. Okooboh envisions would do more than raise headlines. It would knit together policy reform, technical investment, professional training, and community engagement into a single, sustained effort.

    Central to that effort must be transparent, age-sensitive consent practices that recognize the rights of children and the duties of caregivers. It must also prioritize secure, interoperable data systems designed to minimize risk through data anonymization, secure access controls, and rigorous audit trails. Such infrastructure is the foundation upon which high-quality research, effective public health interventions, and equitable service delivery can rest.

    The campaign should make stewardship a shared responsibility. Government ministries, health facilities, academic institutions, civil society, technology companies, and communities must all play defined roles. Health professionals require ongoing education in ethical data practices.

    This means that researchers must adopt standards that protect identity and dignity while enabling lifesaving insight and technology providers must meet clear benchmarks for privacy, security, and accountability. Above all, families must be front and center, and be well-informed about the tangible benefits that well-managed data can deliver. These benefits include earlier detection of health trends, more precise vaccine safety monitoring, personalized care plans, and more effective responses to outbreaks and chronic disease burdens.

    Mr. Okooboh stresses that trust is the currency of any successful data initiative. “Trust is earned through transparency, respect, and demonstrable benefit,” he says. “a national campaign should show, in concrete ways, how data use translates into better clinics, safer treatments, and healthier futures for our children.” To build that trust, the campaign must include clear public reporting on how child health data are used, who has access to them, and what data protection measures are in place. Independent oversight, community advisory boards, and robust grievance mechanisms are essential instruments for accountability.

    The costs of inaction are real and immediate. The mismanagement or exploitation of this data can lead to discrimination, breach of privacy, loss of public confidence in health systems, and missed opportunities for targeted interventions that could save lives.

    Conversely, a successful national campaign would unlock the full potential of Nigeria’s health information assets for better-targeted maternal and child health programs, evidence-driven policymaking, and research partnerships that respect ethics and human dignity.

    Mr. Okooboh calls on political leaders, professional bodies, community elders, educators, and media to adopt a unified stance that children’s health data must be handled with the same level of care we give to their education and nutrition.

    He urges immediate steps, a formal national strategy, funding for capacity-building and secure infrastructure, and a public communications plan that explains data practices for ordinary citizens. “We owe it to our children to create systems that protect them today and empower them tomorrow,” he asserts.

    Nigeria stands at a pivotal moment. The choices made now about how to govern child health data will shape the health and rights of an entire generation.

    By mobilizing a national campaign that is ethical, practical, and inclusive, the country can transform digital health into a tool of justice and opportunity rather than a source of risk. Patrick Okooboh’s appeal is blunt and uncompromising because the future of Nigeria’s children depends on it.

  • Seven things to know about cardiac arrest

    Seven things to know about cardiac arrest

    Cardiac arrest occurs when the heart suddenly stops beating properly. It is a medical emergency that requires immediate treatment.

    Read Also: FIFA/CAF Doping Control Officer died of cardiac arrest – NFF

    Here are seven facts about cardiac arrest:

    1. Cardiac arrest can happen to anyone, regardless of age or overall health.
    2. The most common cause of cardiac arrest is a heart attack.
    3. Other causes include heart disease, electrocution, drowning, drug overdose and trauma to the chest.
    4. Symptoms of cardiac arrest include sudden loss of consciousness, no pulse and difficulty in breathing.
    5. Cardiopulmonary resuscitation (CPR) and defibrillation are the most effective treatments for cardiac arrest.
    6. Survival rates vary depending on the response time, location, and quality of care provided.
    7. Early recognition and intervention are crucial in improving the chances of survival.

    It is important to know the risk factors and warning signs of cardiac arrest and to seek immediate medical attention if they occur. Health is wealth, stay safe always. 

  • Christianah Diyaolu advances postpartum care through practical mhealth design

    Christianah Diyaolu advances postpartum care through practical mhealth design

    By Larry Anwansedo

    The postpartum period demands digital tools that are secure, reliable, and easy to use. At the intersection of public health and engineering, Christianah Omolola Diyaolu has led the design of a postpartum care application that aligns technical choices with clinical needs.

    Her objective is to deliver a platform that supports self-care, timely help, and trustworthy data practices at scale. The application, MamaWell, is built with a cross-platform stack so updates reach all users consistently and quickly.

    Diyaolu framed this decision around speed to iteration and uniform user experience across devices. She explains the tradeoff plainly: “A single codebase lets us ship improvements faster and keep the interface consistent across phones. For core features like forms, charts, and messaging, cross-platform performance meets our needs without complicating maintenance.”

    Privacy and security requirements shaped the backend from the start. The system uses Supabase on PostgreSQL for authentication, encrypted storage, and role-based access with row-level security, so each mother sees only her own records. Diyaolu ties these controls directly to user trust and clinical safety.

    “Health data must be protected at every step. Encryption, strict access rules, and audit trails are not extras. They are the foundation that makes any feature credible for postpartum care.”

    Functionally, the product is organised around a simple journey. Onboarding captures a brief risk screen to tailor resources; the dashboard surfaces mood trends, tasks, and learning prompts; the journal supports daily reflections; community features reduce isolation; and telehealth links users to counsellors when needed.

    Diyaolu describes the intent behind this flow as reducing friction to early support. “We guide the mother from first login to practical actions. If mood entries show a concerning pattern, the app nudges her toward resources or a consultation before issues escalate.”

    Interoperability was planned for future growth rather than treated as an afterthought. The architecture prepares for standards-based exchange so postpartum data can move securely to external systems when consented.

    Diyaolu views this as essential to continuity of care. “Mothers should not have to repeat their story in every setting. Preparing for standard APIs means journals or telehealth summaries can be shared responsibly with care teams when the user wants that connection.”

    Scalability considerations run through the stack. Stateless React components call secure client libraries, while the cloud database scales as usage increases. This keeps operating overhead low and allows the team to focus on content quality and outcome tracking.

    Diyaolu is pragmatic about what scale should be enabled. “As more mothers use the app, performance cannot slip, and privacy cannot bend. Scaling should strengthen reliability, not dilute it.”

    Quality assurance combines technical testing with content review. Data flows and permissions are verified, and health materials are updated for clarity and accuracy. Telemetry highlights where users stall, which informs refinements to onboarding, reminders, and education modules.

    Diyaolu links this loop to real-world impact. “Every improvement is measured by whether it shortens time to help, improves understanding, or makes follow-through easier for the user.”

    By uniting secure cloud infrastructure, cross-platform delivery, and a user journey anchored in public health, Christianah Omolola Diyaolu has produced a practical workflow for postpartum support.

    The MamaWell project shows how disciplined engineering and evidence-based design can translate maternal health research into accessible, everyday tools for new mothers.

  • How ovarian rejuvenation improves pregnancy chances, by expert

    How ovarian rejuvenation improves pregnancy chances, by expert

    Due to recent advances in fertility medicine, there is now hope for women with low ovarian reserve, poor egg quality, premature ovarian insufficiency, and even early menopause to have babies using their own eggs. In this special report, Dr. Jean Nassar, a medical doctor who has practised for more than 15 years in In-Vitro Fertilisation in France, Belgium, Lebanon, and currently in Nigeria, discusses how ovarian rejuvenation, a new fertility treatment, offers hopes of pregnancy for women nearing or experiencing early menopause. Associate Editor ADEKUNLE YUSUF

    Many fertility clinics have always told women they can only get pregnant using donor eggs. This is not true anymore! There is now hope for women with low ovarian reserve, poor egg quality, premature ovarian insufficiency, and even early menopause to have babies using their own eggs – thanks to latest advances in fertility medicine. This good news for women battling infertility issues is possible through platelet-rich plasma (PRP) ovarian rejuvenation, a new fertility treatment for women nearing or experiencing menopause, since post-menopausal women carry up to 1,000 dormant eggs within their ovaries.

     According to Dr. Jean Nassar, a medical doctor who has practised for more than 15 years in in-vitro fertilisation in France, Belgium, Lebanon, and currently in Nigeria, PRP is a cutting-edge regenerative therapy that utilises the body’s own blood to accelerate healing at the injection site. For decades, this method has been used for hair loss, joint injuries, dental treatment, facial rejuvenation and other conditions. As it pertains to fertility, he explained that PRP injections are given vaginally; directly into the ovaries, with the guidance of an ultrasound – a therapy typically offered alongside the more traditional in-vitro fertilisation (IVF), which has been shown to improve egg quality and quantity, and increase the thickness of the uterine lining, thus improving endometrial receptivity and the chance of pregnancy.

     Because the success of fertility treatment often hinges on the number and quality of oocytes (developing eggs), medics explain that this poses an enormous challenge in women with diminished ovarian reserve. Despite the development of modern IVF techniques that have overcome male infertility factors, options for women with oocyte issues are limited to either doing repetitive treatments or resorting to donor oocytes.  While poor numbers and quality of the oocytes is mostly associated with advancing age, fertility experts add that it may also affect younger women, with one per cent of women of reproductive age estimated to have severe decrease in ovarian reserve, thereby contributing to intractable infertility.

    What ovarian rejuvenation means and its potential benefits for women

    Ovarian rejuvenation is the latest technique that aims to improve the function of the ovaries in women by injecting platelet-rich plasma PRP (PRP) into the ovaries. “The procedure involves extracting blood from the patient; that’s why it is a safe procedure. The blood is processed in a centrifuge machine to separate the platelet-rich plasma from the other components of the blood. Platelets contain various growth factors that stimulate the growth and development of ovarian follicles, potentially improving ovarian function,” Dr Nassar said.

    The concept behind ovarian rejuvenation is to stimulate follicle growth by stimulating growth of dormant follicles in the ovary and promoting the development of new eggs. Adding to that, by injecting PRP in ovaries, it promotes the formation of new blood vessels; so it improves the overall function of the ovaries, including hormone production and ovulatory capacity. On other hand, the growth factors present in PRP improve the quality of oocytes by promoting their maturation and reducing oxidative stress. This, in turn, may increase the chances of successful fertilisation spontaneously or by in-vitro fertilisation.

    Who are the ideal candidates for ovarian rejuvenation and how it is performed?

    Since the goal of PRP is to improve fertility and restore ovarian function, every woman who has decreased ovarian reserve based on her age or she is experiencing early menopause is an ideal candidate for ovarian PRP, Dr Nassar,a renowned fertility specialist at One Wellness Centre, Lagos, said. Also, those who have experienced recurrent failed IVF cycles because of reduced quality eggs are ideal candidates for ovarian rejuvenation.

    Doctors said PRP, being a blood-derived product characterised by high concentrations of growth factors and chemokines that are known to be beneficial in the healing process, is produced by centrifuging a small quantity of the patient’s own blood and extracting the active, platelet-rich fraction, which is then introduced to the human body typically by injection. For long, PRP is said to have been quite useful for therapeutic purposes in different medical areas, ranging from orthopedics to plastic surgery, for its putative ability to stimulate and facilitate cell proliferation and thereby tissue differentiation and regeneration.

     But in the context of reproductive medicine, PRP has been proposed to increase pregnancy rates after uterine flushing in women with recurrent implantation failure or thin endometrium. Intra-ovarian injection of PRP has also been proposed to activate dormant ovarian follicles pre-IVF-treatment in cases of idiopathic low ovarian reserve, premature ovarian insufficiency or ovarian depletion because of advanced maternal age.

    “Based on consultation with a specialist, he will decide if she is a candidate of ovarian PRP. This procedure is done under light anesthesia so the patient will be asked to stay fasting at the same day of procedure. Her blood will be collected. This blood sample will be processed with a specific protocol to separate the platelets and growth factors from other components resulting in a concentrated PRP solution. Using ultrasound guidance, a thin needle is inserted into the ovarian tissue. The concentrated PRP solution is then slowly injected into the ovaries. The ultrasound helps guide the needle to the precise location within the ovaries.”

    Success rate and side effects associated with ovarian rejuvenation

    Since ovarian PRP is performed using the patient’s own blood, experts said no side effects are linked to it because it is considered a safe procedure. The only side effect that might be experienced for some women is discomfort at the injection site; it will typically resolve within 48 hours. Pain killer is advised to be taken in this case. “Ovarian rejuvenation and in-vitro fertilisation (IVF) are two distinct fertility treatments with two different methods aiming for a same goal: achieving pregnancy. Ovarian rejuvenation is still a new technique under studies that aims to improve ovarian function; it might be done for trying to achieve pregnancy spontaneously or by IVF. It is case by case decision. In-vitro Fertilization (IVF) is a widely used assisted reproductive technology that involves fertilizing eggs and sperm in the laboratory subsequently transferring embryos inside the uterus.

    Read Also: Serena Williams announces second pregnancy at Met Gala

    “The success rates of ovarian rejuvenation are still being evaluated, and the evidence is limited. The effectiveness of the treatment in improving fertility outcomes is not yet well-established because this technique is still newly practised in the ovarian tissue. But, up till now, it has promising results even in my own practice here in Nigeria. It is important to shed light on its safety for the patient even if it is still under research because it is performed with the patient’s own blood,” he said.

    While fertility doctors insist that ovarian rejuvenation doesn’t generally have an age limit, it is important to know that the response to treatment is based on the patient’s age. “So, it is better to be performed up to 50 years old patients after evaluating the patient of course. And to be honest, I will not recommend it for a patient after 50; I would rather recommend egg donation, which would be a better option in this case.”

    Nowadays, different treatments are available for infertility, depending on the case and mainly the reason(s) behind infertility. First, Dr Nassar, who is also the Head of the IVF unit at St. Georges Hospital University Medical Centre in Lebanon, advised that the couple should consult a specialist, after doing all the tests required, who will advise the treatment suitable for the couple. For example, intracytoplasmic sperm injection (ICSI) is the most used technique worldwide; it is based on injecting one competent sperm inside the cytoplasm of the egg and, by that, the fertilisation is being pushed to occur. Other than ICSI, there are a lot of treatments available like classical IVF, intrauterine insemination IUI, gamete donation, surrogacy, cryopreservation and pre-genetic diagnosis (PGD).

    Acceptability of ovarian rejuvenation globally and in Nigeria

    Definitely, it is acceptable and especially here in Nigeria. I realised during my practice here that couples seek help for infertility issues after 40s. Subsequently, ovarian PRP could be one of the treatments advised by the doctor due to its safety for the patient and it is a minimally-invasive procedure; the patient can continue her daily activities directly. In addition, the couple can try to conceive spontaneously in the meantime while doing PRP sessions.

     A healthy lifestyle helps improve egg quality and by that, I mean normal BMI, exercise frequently, avoiding smoking and alcohol and reduce stress. On top of that, the patient will be advised to take some specific vitamins to help us improve the quality of eggs. The goal of ovarian rejuvenation is achieving pregnancy. In some cases, patients achieved their pregnancy spontaneously right after ovarian PRP. In other cases, it might be done in parallel with an IVF/ICSI. In this case, ovarian PRP improves the quantity and the quality of the eggs, and ICSI will be done subsequently.

    Specific factors that may affect the success of ovarian rejuvenation

    While ovarian PRP is still under investigation, several factors may potentially affect its success. Generally, younger women have a higher chance to get better results. Of course, this procedure should be performed by a skilled professional physician who has a deep understanding of the procedure and its intricacies are more likely to achieve better outcomes. On top of that each woman’s response can be highly individual. Factors such as genetic predisposition, hormonal balance, and the specific condition being addressed may vary among individuals, impacting the success of the procedure.

     At the same day of ovarian PRP, the patient will be monitored in the recovery room until she is fully awake. After that, she will be advised to come for a follow up scan after four to six weeks after the PRP session. Based on her response and her plan, the physician will recommend a second session or not. This could be done up to three sessions. Every procedure at One Wellness Centre should start with a consultation with the physician and especially Ovarian rejuvenation. The patient must come for a consultation first. Based on her history, age, hormonal status, ultrasound and her intension, a tailored plan will be recommended after discussion with the specialist.

    Words of encouragement for couples battling infertility

    “For those who are still battling with infertility, I want to tell them that infertility can be a difficult journey but remember that miracles do happen. The first step to make your dream come true is by seeking help as earlier as possible. Maintain honest communication with your doctor. Share your feelings, fears, and hopes so he can help you to be on the right track.

     “If conventional methods haven’t provided the desired results, consider exploring alternative paths to parenthood. Options such as adoption, surrogacy, or fertility treatments like IVF may offer alternative paths to starting or expanding your family. Remember, you are not alone. Every journey is unique, and there is no one-size-fits-all solution. Stay positive and be patient; you can overcome the challenges and achieve your dreams.”