Category: Health

  • ‘Building trust, collaborative relationships key to preventing disease outbreaks’

    ‘Building trust, collaborative relationships key to preventing disease outbreaks’

    Dr Chikwe Ihekweazu, Assistant Director General, WHO Division of Health Emergency Intelligence and Surveillance Systems, says building trust and collaborative relationships is the first step to preventing diseases’ outbreaks.

    Ihekweazu said this at the second International Conference on Public Health in Africa (CPHIA 2022), in Kigali, Rwanda, in a plenary session themed: ‘The COVID-19 pandemic – Lessons Learned for Future Health Threats, Prevention, Preparation and Response.’

    The CPHIA 2022 aims to significantly advance efforts to strengthen research, innovation and emergency management in Africa.

    He advised the continent not to wait for the next pandemic and try to build collaborative systems during a crisis.

    Meanwhile, on building trust in National Public Health Institutes, he said it was about negotiating access to people, infrastructure and resources.

    “During my time as the Director-General of the Nigeria Centre for Disease Control and Prevention (NCDC), it was a feat that required me to build trust with various stakeholders.

    “Nigeria is not collaborating sufficiently with Chad, Cameron, Niger and Benin, our four neighbouring countries. To build trust, we need to look at ourselves first and ask where are the opportunities to collaborate to achieve our objectives,” he said.

    Ihekweazu said that every country needed to decide on its accountability framework for emergency preparedness and response. He stressed the need to build a collaboration mechanism that does not solely defend on legal instruments, but draws from and is responded to by all key players and is responsive to the urgency that epidemics came with.

    According to Prof. Christian Happi, Director of African Centre of Excellence for Genomics of Infectious Diseases (ACEGID), said during the COVID-19 pandemic, Africa became resilient.

    “It is a continent that can come together to be a key player, not only in the generation of knowledge but in using genomics for surveillance and Research and Development,” he said.

    Happi, a Professor of Molecular Biology and Genomics at Redeemer’s University, Ede, Osun State, said the global health inequity was very strong and the continent ”stands to lose if it does not change its mind-set of over-dependence on tools to respond and prepare for a future pandemic.”

    He said research and development should not be seen as a luxury. “It must be invested in if we must respond effectively to a pandemic and adequately prepare for a future outbreak,” Happi advised.

    Dr Ahmed Ogwell Ouma, acting Director, Africa Centre for Disease Control and Prevention, said the value of a national institution that was vested in the responsibility of the country’s health security was invaluable.

    Ouma said countries that had national public health institutions did much better than countries that did not.

    “If we must respond quickly during a pandemic, we must own the tools to end the pandemic. We struggled in many ways during the COVID-19 pandemic. One of those was our inability to use data to make decisions rapidly. The second area was in the development and deployment of vaccines. We have also not included thinking around how we deliver our clinical health services,” he added.

  • Lagos hospital to begin electronic medical record system

    Lagos hospital to begin electronic medical record system

    The management of Alimosho General Hospital, Igando, Lagos, has said its plan to introduce Electronic Medical Records (EMR) and an e-card system will help improve its healthcare services.

    The hospital’s Chief Medical Director (CMD), Dr Ayodapo Soyinka, stated this during the fifth stakeholders’ meeting at the premises of the hospital.

    He said: “The hospital organises stakeholders’ meetings annually to evaluate the performance of health workers in terms of quality service delivery by getting feedback from members of the public about the services rendered and getting to know how the hospital can improve.

    “The hospital plans to commence electronic medical records and an e-card system and commission some other projects that will improve the health care of the residents as these would demonstrate the government’s commitment to quality health care delivery.”

    He added that it is a mandate from the Lagos State government that residents get a qualitative healthcare.

    “The emphasis of Governor Babajide Sanwo-Olu is that residents, as part of the dividends of democracy, must reap from qualitative healthcare service delivery. And one of the ways we want to ensure that is to, from time to time, spend time with them, listen to their yearnings and their complaints, see how they appraise our services and take advices from them at the end of the day we’re going to pass resolution on what we have concluded today and I think is going to move the hospital forward. This is some-thing we do yearly, and has always been a fruitful venture.”

    Listing some of the new services of the hospital, Soyinka said  the hospital has air, nose and throat services, urological services, diabetic clinic, gynaecological endoscopy and endocrinology services.

    “Before I came here, there were services that were not being rendered, and I’ll give you examples of them. If I came here, there was no air, nose and throat service. Now we have an ANC consultant; we’re running full clinic. In fact, the clinic is oversubscribed already. Before I came here, we didn’t have urological services; we have urological service for male problems. We didn’t have a diabetic clinic; now we have a diabetic clinic and there is a building that is dedicated to that.

    “We also have endocrinology services. The GI endoscopy is a special test to look inside your intestine and see whether there are issues there and at the same time treat them. We’re doing further endoscopy for women now, gynaecological endoscopy, those were things were not doing before; we have private wards, and so on and so forth. So, there are a lot of new services that has been started since I came here. And I think that’s one of the hallmarks of my administration,” he said.

    Also, the Director of Clinical Service and Training, Dr Jane Bakare, urged the public to build more trust in government facilities.

    “We are always glad to receive feedback from our clients and I also want to assure the public that the general hospitals in the state have been well-equipped, developed, and better positioned to meet the health needs of the populace,” she said.

  • For men only: plan your funeral early in life!

    For men only: plan your funeral early in life!

    Nowadays, there seems to be nothing strange in a twenty something years old person in Nigeria thinking of his or her death and planning for the internment of his earthly remains. I did so at thirty five. It seemed an akward decision then, fired by spiritual inclinations. But that is not the only reason I consider it now necessary for men to place their hands on the plough very early in life.Vengeance seeking  Women would appear to be getting more brutal with their husbands in the latter years of marriage, when the men would have become old and spent and looking up to children for their upkeep. This would be just about when such women would have obtained from marriage whatever they wanted, notably children. When such children appear to have become formidable forces on their side, such women turn them against their fathers, even  in their death Chambers. In traditional Nigerian life, men see their children as old age security and custodians of their earthly remains. Many men do not win the war waged by their wives in which the children are mighty foot soldiers. They may end up in disgrace when they die and there is no child to honour their memory with a befitting funeral. This is what has led to the trend in which many wise men look far into the future even when they live in the present, planning for old age and their funeral. I know of some children who, recently would inadvertently have made their father a laughing stock among his friends and relations while his body lay in the morgue. But he would appear to have  sensed this coming. For he made all necessary preparations for his funeral and appeared smarter than they were because he planned his funeral without their knowledge with no need for them to spend a Kobo on it or to make personal appearances at the grave side.

    In my late twenties,  I had learned some reasons why death should be taken far more seriously than it was, the coffin opened for the last respects to be paid to the lifeless, cold body inside it, the coffin tossed up and down on the way from the church to the cemetery, trumpets blasting everywhere, the departed soon forgotten in a revelry of eating, wining, drumming and dancing only minutes after the coffin is dumped in the grave. Many people are oblivous of what is happening to the person they have just abandoned, stranded and alone! They think only of the cold lifeless body, not of the person who owned it, and who may still be attached to that body. It hardly occurs to anyone that the person thought to have departed  actually still  may be attached to his or her decaying body, unable to be freed from it because of all the distractions going on all around. There are many distractions which may help to imprison a departing soul in his or her decaying body. When mourners cried, the emotion in their agaitated souls may touch the departing souls. Often, the departing soul may be in a state of bewilderment. He or she sees and knows he or she is alive, yet knows that he or she is dead”, from what is going on all around his or her body. If he or she wishes to inform the mourners that he or she is still alive, he or she would have to use the intellect or frontal brain to communicate this message. This attempt will inexorably force the soul to be drawn back into the damaged physical vessel it has been helped to stand out of,  if there had been no complete serverance of body and soul. This is because the intellect through which the souls communicates with the material world resides in the frontal brain of the body. To use it for this communication, the soul has to return to the body. A silver cord connects body and soul as the umbilical cord joins the baby to it’s mother in the womb to make the baby depend on her. Quick and  easy or delayed and difficult severance of soul from body will depend on how readily or of how unwilling the soul is to depart from earthly existence. Emotional mourners in the death chamber may delay this process.So may be thought of mourners which the souls may easily pickup and find emotionally disturbing. Let us consider one or two examples of such disturbances as relations, friends, acquitances of the departing soul etc file past  its discarded body to pay their last respects. Does it occur to anyone that the last respects are not paid to the lifeless body before them but to it’s owner who may still be around in the chamber? What if the man now standing before the body, to pay its last respect, was a trusted family friend, but is now exposed as the Father of two of the soul four children? What if his death is now linked to one of the persons who has just paid glowing tribute to him?

    At thirty five, I decided how I wanted my earthly remains interned because, in my late twenties, I  learned about the need to not disturb a passing soul with all of the frivolities which attended funeral ceremonies of that time. At twenty, surprisingly from hindsight, I had been following death and funerals, especially on the obituary pages of The Daily Times, my father’s choice newspaper. I  brought this subject up today in addition to the foregoing, because of the disquiet in many Senior Citizen families I have been privileged to lately listen to. The trend now appears to be that when women have obtained whatever they wanted in a marriage, notably children, they turn their grown up children against their fathers who may end up dying in ripe or unripe old age, as we say, without children to bury their remains. Many departed souls may find this disgraceful in a belief system where children are worked and lived for as old age security and as custodians of one’s earthly remains when the final call comes. In this series, I will summarise a few of the cases which led me to suggest that it is no longer out of place to begin to plan for one’s departure from this Earth just as one plans for old age security or retirement from work.

    I do not know why french president Charles de Gaulle wanted only his wife, children and priest at the graveside in one of  the simplest funerals ever in France, when the country wished to reward his illustrious service with the loudest funeral ever. So popular was he as a world war and post world leader of France that, when he passes in 1970 when I was 20, many commentators remarked that France was widowed. President de Gaulle recognised that the armed forces of France will not let him go in peace. They would have wanted to bring out the troops, the tanks and the war planes. He accommodated them halfway. He agreed they could stage processions in his memory only if those processions would be nouseless. I guess now that he knew he may have detached and gone away from his body and, perhaps, from the earthly  viscinity by the time they would do all of that. But, nevertheless, it appealed to me.

    Nowadays, many funerals I have heard of which follow the pattern of the living planning his or her funeral were compelled by a distancing of children from their aged parents. Some children who fled from Nigeria’s economy which they thought was lifeless and suffocating arrived overseas only to discover they had in vain tried to flee from their shadows. They soon find it increasingly difficult to re connect with home and became like the MICHAEL in William Wordsworth’s MICHAEL. One of the tragic poems I read for “O” level in 1968. Michael was a pastoral farmer who, with his wife, had an only child, a son named LUKE . Michael was a man of dignity. He stood surety for someone who became dishonourable. So, Michael sent Luke to the city to work and raise money to pay off the debt. Michael’s wife was not a marriage seperatist. She did not turn Like against her husband, Michael. Luke, 18, was lured away from his responsibilities to his parents by scintillating city life. By the time Luke returned home, it was to a lifeless home in which his parents, pulmetted by hunger, had lain on the floor holding hands while they awaited  death, as their skeletons revealed.

    In many trending cases in Nigeria, many women turn their children against their fathers for whatever reasons.

    CASE ONE

    I have a client who just couldn’t get his prostate gland markers down, however hard he tried. Everytime we met, I found his diet was getting more pro-inflammatory despite the counselling rituals. Last week, he opened up, saying “it is a long story”. He was close to death in his marriage by the time he had to flee from home, he said. He had been about eight years away . He said there were many of his friends who had no place to flee from their vengeful and tormenting wives and who were dying in the housing estate where he lived. He tried to return home from hibernation when he learned that his wife, too, had left home. When one of his sons learned of his plans, the young man sought his father out where he was in hiding to warn him never to try it. His other children, too, either did not wish to see him or did not no longer care about him. Here was a man who, in his hey days, was a great electricity generator whizkid who calls a 3,000 kva generator in a”baby generator”. He was educated in Indian universities where he had no fewer than two masters degrees in engineering and had worked in top flight engineering companies abroad. With his wife, he has five children all educated to at least a masters degree level. Today, he hangs out in a single room apartment and eats frequently on the go. He was a typical Yoruba man who saw children as old-age assets of their parents, bore five of them and saw them all through second degree education before his limbs at seventy-something, became too old for work.

    When he said one of his sons came to warn him to not return home, I wondered about what could be going on in the head of this young man. Did he not remember how he went to school, to university, and became a man? Did he know how his father made the money to build his house? Would he be happy if his own son chases him away from the house he built, when he is old and spent and has not enough fire to fight back? What kind of mother love is this?  I asked my friend if he offended his wife in anyway such as causing her infidelity pain many women bear in silence until their children grow up and can be set against their father in sweet revenge. This man said no such thing happened in his marriage, that, infact, the tables were turning on the other side. Somehow, the congregation of his church got the impression that he was unfaithful to his wife, and many of them, especially the women, held him in low esteem. So, he left the church or they wanted him out. It was only recently, according to him, that the truth began To be revealed. Some young men made confessions regarding their closeness to his wife, and the pastor upon such revealations, sought him out to personally apologise to him.

    I let him go with suggestions that he begin to plan his funeral if he had not begun to do so.

    CASE TWO

    We reviewed the case of one of the my old acquaintances who passed recently, aged 85. It was after he passed that I learned he had a male child outside wedlock. The story I heard was that he set up his wife in business and she was making such good money that kept her so late out that his dinner was always late. Then, one day, he teased her.

    “Madam, if you do not return home before 7pm from next Monday, stay where you are”.

    Nothing untoward happened until that Monday evening. On Monday morning, he went to work, believing he was on top of the game. But when he returned home in the evening, he found a near empty home. For as soon as he left, she called in some trucks and moved her property elsewhere. For about three days, they did not worry about her whereabouts  or report her disappearance to the police, until his friends warned him of the implications. What if a disaster occured and his in-laws accused him of being behind it? So, he went to his inlaws. They hadn’t seen her and advised him to look her up in one of her houses.

    “One of her houses”? he repeated after the family head. He told me he had no idea his wife had built a house, not to mention houses. So, house after house, he combed the city of Lagos for her until he found her in the third. The die was cast. She was gone for good, one after the other, as children, too, turned away. But one, married, stood by him through thick and thin.

    When his daughter found his condition unbearable, she found him a widowed teacher to live with him. But she misbehaved. Another woman came with three children and, also, misbehaved. Their misbehaviour had to do with other men and thieving. Finally, I found him a young man to live with him who took care of him like a son.

    Soon, his earth years wore to a serious end, and he passed. His beloved daughter had, like his wife and another daughter, gone ahead. It appeared his funeral was going to drag because his surviving children were not so well financially committed to it. This man may have had a premonition of what may happen to his earthly remains. How reliably could children be trusted to do the needful after he was gone, if they looked not after him when he was with them? I knew Joy when the young man who lived with him called me on the telephone and announced that the place of worship of my friend had invited the children to a meeting and given them a date for the funeral. They were to pay no Kobo. They were to not even print invitation cards or obituary notices. Their father had paid for everything, including his coffin and the grave vault.

    I do not know if the feet of these children, like their souls, were not heavier as they walked out of the meeting and the funeral when they walked in. For they had through their conduct broken the cycle of a responsibility children have towards parents who brought them forth and safely saw them through adult life. Their father prevented them from disgracing him, a great lesson for many parents of disappointing children.

    There is a lesson or lessons in every human experience. We may all be called humans because we exist in human forms. We are not necessarily human beings. A human being is a balanced human. The starting point for balance is coordination between the frontal and the back brains and easy access of the indwelling concious human spirit with the back brain through which, using radiations of the blood, the spirit controls the intellect or the frontal brain, cerebrum. The human being is, therefore, connected consciously with both the spiritual world and the material world, and brings high spiritual values to the material world.The human being is incapable of hatred not to mention impelling one person to hate another, as we have seen in the cases of enstranged wives causing their children to hate their fathers, for whatever reasons. Now, we have many scenarios in which ugly seeds have been sown and the fruits must ripen for a robust harvest. We learn also that our children are not necessarily our friends although they carry deep within their bodies  seeds of their procreation from us. We do not know from where they have come to us. But we can sense that there is no accident in life and that we need to learn one or more lessons for our maturation from whoever comes to us as husband, wife or children. We need not be aggrieved when the marriage is not a bed of roses. What gives rise to a bed of thorns will be addressed in the second part of this series. Meanwhile, our watchword should be the Yoruba watchword…(T ‘OJU T’IYE L’APARO FI N R’IRAN) ( The sparrow sees with its eyes and its feathers). It is, therefore, not too early at an early age to for one’s death and funeral while the day is still bright, and fit into this saying.

  • Declare state of emergency in health, says Medical Guild

    Declare state of emergency in health, says Medical Guild

    Worried by the yearly crippling impact of loss of no fewer than 2,000 medical doctors to brain drain, the Medical Guild, an association of Lagos State Government employed medical and dental practitioners, has urged the state and Federal governments to declare a state of emergency in the health sector with a view to finding drastic solutions to the problem.

    The Chairman of Medical Guild, Dr. Sa’eid Ahmad, who stated that Nigeria loses about 2,000 medical doctors to brain drain yearly, lamented that the country only trains and produces barely half of this number. Ahmad has consequently urged governments at all levels to declare a state of emergency in the health sector to tackle the mounting problems bedevilling the public health system.

    According to him, this call has become necessary because “we cannot address an existential problem through the same ineffective ‘normal’ bureaucratic routines that led us here.”

    He made the call at a press conference to announce the Annual General Meeting and Scientific Conference of the Medical Guild, which took place in Lagos. This year’s Medical Guild AGM and Scientific Conference is themed, ‘Existential Challenges of Medical Personnel Retention and Resources Management in an Emerging World-Class Health System: The Real Issues and the Lagos Panacea.’

    In his keynote address, Prof. Akin Abayomi, Lagos State Health Commissioner, said the country needs to adjust next year’s budgetary allocation to the sector to meet the World Health Organisation (WHO) minimum of 15 per cent of the total allocation if it really wants to address the numerous problems plaguing the health sector, as advocated by the chairman of Medical Guild.

    Rather than spend this budget on constructing new health institutions, Ahmad stressed that existing ones should be upgraded with emphasis on medical human resources retention strategies.

    “Drugs don’t prescribe themselves and surgeries are not performed by concrete and project sign-posts; doctors and humans do! While acknowledging the strides of Lagos State over and above all others, we hereby call for a deliberate ‘budget of health system redemption’ in the coming year, which will have direct incentive provisions for doctors and other health workers.

  • HIV/AIDS care: U.S. contribution to Nigeria hits $7.8b

    HIV/AIDS care: U.S. contribution to Nigeria hits $7.8b

    •Envoy lauds Fed, Lagos govts for steadfastness

     

    The United States government has invested $7.8 billion in Nigeria through the President’s Emergency Plan for AIDS Relief (PEPFAR), Ambassador to Nigeria, Mary Beth Leonard, has said.

    This, according to her, is to ensure that Nigerians living with HIV/AIDS have comprehensive access to quality HIV prevention, care, and treatment services.

    She said this at a reception to mark World AIDS Day in Lagos.

    This investment translates into over 1.9 million Nigerians accessing antiretroviral treatment (ART), Ambassador Leonard said.

    “Today, Nigeria is on the cusp of HIV epidemic control and is approaching the global 95-95-95 goals, which means that 95 per cent of people with HIV know their HIV status, 95 per cent of those with diagnosed HIV infection are accessing ART, and 95 per cent of those receiving ART have achieved an undetectable viral load.’

    The envoy praised the Federal  and the Lagos State governments for their partnership and steadfastness.

    ‘’We commend the Government of Nigeria, especially Lagos State officials represented here, for your steadfast leadership and our implementing partners who continue to innovate and apply for new scientific advances,’’ Leonard said.

    “Nigeria’s position as a regional leader in HIV/AIDS programming is possible because you trusted in the power of partnerships, your collective willingness to listen to beneficiaries, and your meaningful engagement with civil society. The U.S. government’s theme for World AIDS Day this year is, Putting Ourselves to the Test: Achieving Equity to End HIV. When I reflect upon how this theme applies to Nigeria, I believe the over 1.9 million lives saved are a tangible reminder of our enduring commitment to reach disproportionately affected, and often marginalised, communities.

    “While today’s reception intends to celebrate all of you, I also want to challenge us to think about what it will take to achieve full equity in access to HIV services in Nigeria. In June, I held a reception to honour the work of the Nigerian Human Rights Commission in protecting LGBTQI+ rights. I will never forget the heart-wrenching stories from victims, who because of their sexual orientation or engagement in sex work experienced gender-based violence, or the unlawful incarceration of 57 men gathered for a party in August 2018, who were denied legal services and access to healthcare, including ART.

    “I am also inspired by the stories shared by adolescents born with HIV who navigate through societal stigma and discrimination.

    “Nigeria’s ability to reach and sustain HIV epidemic control will be compromised if we remain silent to the real issues faced not only by key populations, but also adolescent girls, young people, and communities that are isolated from quality health care services due to geography or insecurity.”

    This year, PEPFAR identified and initiated 6,309 HIV-positive pregnant women on ART. “Unfortunately, we also screened and identified 335 HIV-exposed infants who tested positive.There is nothing more heart-breaking than meeting a child born with HIV. We have long had the tools to prevent mother-to-child transmission and we cannot allow ourselves to accept children born today with HIV. These experiences are not limited to Nigeria but are also occurring in the U.S.

    “Last year, over 34,000 Americans were newly diagnosed with HIV, but disparities persist in identifying new cases among African American and Latino communities. We also still have a lot of work ahead of us in the United States to ensure that marginalised and disadvantaged individuals have access to HIV testing and diagnosis opportunities. There are real costs to society when a significant segment is excluded from health care, social benefits, and social protection. This year’s theme is a call for all of us to be inclusive and to guarantee that no one is denied equal opportunities or access to healthcare.

    “I urge you to continue working with communities to identify pregnant women who face barriers in accessing services that would prevent mother-to-child transmission of HIV. I urge you to partner with traditional birth attendants and integrate treatment literacy messages so that unreached individuals receive accurate knowledge. Finally, I urge you to stand up for marginalised communities, including key populations, adolescents and young people and help guide all in need of safe spaces, healthcare, and legal services.

    “We appreciate you – and those of you who are working within the community to improve healthcare for the vulnerable. PEPFAR represents the best of American values. I am proud of the successful partnerships we have forged with the government of Nigeria through the National Agency for the Control of AIDS, the Ministry of Health’s National HIV Programme, the Human Rights Commission, the Lagos State government, the Global Fund, and civil society,” she added.

  • NNPC E&P, NOSL using public health drive to foster ‘culture of well-being’

    NNPC E&P, NOSL using public health drive to foster ‘culture of well-being’

    High-quality health services involve the right care at the right time. A healthy society is also a sustainable society.

    This, perhaps, explained why the Nigerian National Petroleum Corporation Exploration and Production (NNPC E&P) and Natural Oilfield Services Limited (NOSL) have launched a healthcare drive to uplift the people of host communities and monitor their health matters to address specific health issues.

    At Tevoli Hotel, Eket, Akwa Ibom State, NNPC E&P and NOSL distributed sonography machine, mosquito kit, malaria testing kit, diabetic testing kit/glucometre & strip, RDT kit, portable machine, weighing scale, and basic antibiotics in the community Primary Health Centres of Eastern Ebolo, Onna, Ikot Abasi, Mkpat Enin, and Ibeno.

    The medical equipment are provided to 30 community Primary Health Centres (PHCs) in Iko, Okoroette, Ikonta/Obianga, Amauka, Okoroinyang, Emeroeke, Amadaka, Atabrikang 1, Abat, Ikwe, Ikot Udo, Ikot Nkan, Edemaya, Essene, Ikot Ekera, Ikot Okwo, Ikot Akpaden, Ibekwe Akpan Nya, Ikot Akata, Ikot Idiong, Ukpenekang, Atabrikang, Ntafri, Akata and Okpolum.

    The Group Captain (retired) Etete Ekpo, NOSL Base Manager, said: “The medical equipment distributed will help people streamline their lifestyle. These medical items will not only add value to everyone’s life, but also send out a positive message to all the local government areas. Such initiatives also create health awareness among people, and I look forward to more such events. A healthy society is a happy society.”

    Delivering quality healthcare services is a long-term vision of NNPC E&P and NOSL. Both NNPC E&P and NOSL strive to upgrade the condition of the community PHCs for achieving excellence in delivering a healthy regime to the people of its host communities. Ms. Atim Asuquo Ulo, Director of Physical Health Centre (PHC), Eastern Obolo said: “Access to healthcare services is essential and I thank the management of NNPC E&P and NOSL for supporting the local PHCs with the medical equipment. This is a genuine gesture and I appreciate the culture of well-being they are encouraging through this initiative.”

  • Why there’s need to invest more in nursing, by LASUTH CMD

    Why there’s need to invest more in nursing, by LASUTH CMD

    The Chief Medical Director (CMD), Lagos State University Teaching Hospital (LASUTH), Prof. Adetokunbo Fabamwo, has underlined the importance of life-long learning and research for nurses to set the country on a recovery path and curb the brain drain in the health sector.

    The CMD said this during the Nurses’ Conference at the hospital premises.

    While addressing the migration of health professionals who seek greener pastures abroad, Fabamwo said: “Of course, you will recall that we have talked about re-engaging retired nurses who still want to work. We have a budget for that. In two weeks or so, we’re going to screen the first few people that will be coming to work. If you are retiring and you still fit and think, you can work on contract, we will take you.

    “Also, if you are single-qualified, we could employ you as the governor has kindly waved the provision, which says that you must spend two years and be confirmed before you can go for any course. So, if we employ you as single-qualified even before the two years that you are due for confirmation, you can pursue your additional course. In addition, we’ve systematically engaged the cadre of staff of the lower level otherwise known as Ward Assist to train them to do certain services, for example, changing bedsheets, birthing of patients and other pedestrian work. We have about 75 wards that are deployed to various wards to take burdensome loads off our nurses.

    “We don’t have any problem with any of our staff who wants to have additional academic qualifications but if you are going to spend government funds, then we implore you to seek for training that will give you advanced skills and function at an advanced level in a tertiary institution. That put you at a high pedestal than other people.The Ministry of Establishments, Training and Pensions has asked hospital management to send their application for such training that they will approve and give money come next year.

    “I will like to urge you to go back, do your research and look for advanced training that will equip you with tertiary skills that you can do, apply to us we will push it. Some of you could find your way to India, South Africa, Dubai and other countries for training. We are collaborating with some of the seven-star hospitals in Lagos, including Duchess International Hospital, in Ikeja.”

    The keynote speaker, Prof. Olanrewaju Sowunmi, noted that there is a global shortage of nurses and midwives who represent more than 50 per cent of the shortage in health workers. The largest needs-based shortages of nurses and midwives are in Africa and Southeast Asia, she added.The World Health Organisation (WHO) affirms an additional estimate of nine million nurses and midwives for countries to achieve Sustainable Development Goal 3 on health and well-being.

    “Nurses should achieve higher levels of education and training that promote seamless academic progression. They should practise to the full extent of their education and training and engage in policy decision-making and must engage in individual and collaborative researches that will provide evidence to practice,” she said.

    On her part, the Head of Department, Nursing LASUTH, Adebola Aina said there is a need for more inclusion of Nurses in policy formulation, implementation and invest heavily nursing workforce to prevent shortage of about 4.6 million Nurses worldwide by the year 2030.

    Aina also highlighted some challenges of nursing service which including a shortage of nurses at the bedside with great numbers relocating and retiring from service, unqualified personnel working as nurses, nurses working with declined resources (improvising syndrome) in settings where they often feel in competition with other health care providers as well as poor hazard allowance.

  • WHO recommends ‘mpox’ as new name for monkeypox

    WHO recommends ‘mpox’ as new name for monkeypox

    The World Health Organisation (WHO) has recommended new name “mpox” for Moneypox in the wake of reports of racist and stigmatising language surrounding the name of the disease. The decision followed a series of consultations with global experts. Both terms will be used simultaneously for a year before the monkeypox name is phased out. “This serves to mitigate the concerns raised by experts about confusion caused by a name change in the midst of a global outbreak,” the UN health agency said in a statement.

    Mpox is a rare viral disease that primarily occurs in tropical rainforest areas of Central and West Africa, but outbreaks emerged in other parts of the world this year. There have more than 80,000 cases, and 55 deaths, with 110 countries affected. When the current outbreak expanded, WHO both observed and received reports of racist and stigmatising language online, in other settings and in some communities. “In several meetings, public and private, a number of individuals and countries raised concerns and asked WHO to propose a way forward to change the name,” the agency said.

    The monkeypox name was given in 1970, some 12 years after the virus that causes the disease was discovered in captive monkeys. This was before WHO first published best practices on naming diseases in 2015. These guidelines recommend that new disease names should aim to minimise unnecessary negative impacts on trade, travel, tourism or animal welfare. They should also avoid offending any cultural, social, national, regional, professional or ethnic groups.

    WHO assigns names to new and, very exceptionally, existing diseases, through a consultative process. Medical and scientific experts, representatives from government authorities from 45 countries, as well as the general public, were invited to submit their suggestions. Based on the consultations, and further discussions with WHO Director-General Tedros Ghebreyesus, the agency has recommended adoption of the mpox synonym. Considerations included rationale, scientific appropriateness, extent of current usage, pronounceability, usability in different languages, absence of geographical or zoological references, and the ease of retrieval of historical scientific information.

  • Experts seek inclusion of fertility treatment under health insurance

    Experts seek inclusion of fertility treatment under health insurance

    Fertility Support Group Africa, an online community network, has called for the inclusion of treatment for Persons Trying to Conceive (TTC) under national health insurance coverage. The group made the call on Saturday in Abuja during its fifth anniversary and celebration of 16 days activism on Gender Based Violence (GBV).

    The theme of the event is, “Unite Against Stigmatisation of TTC Moms.” Hajiya Saratu Kassim, Chief Executive Officer, Fertility Support Awareness and Aid Initiative, said the National Health Insurance Authority should accommodate women trying to conceive and undergoing fertility treatment. Kassim urged government to provide awareness on fertility issues by educating young girls and gather data to tackle the problem of infertility.

    “We call on government to include fertility treatment as part of the health insurance, as the scheme covers only the man, wife and four children, but for the couple trying to conceive their major problem is to get a child. The government should consider at least preliminary testing or a percentage of health procedures women who are trying to conceive need to carry out,” she added.

    According to her, there is also the need for reproductive health education so that girls would know when they are most fertile is the time they may likely get pregnant. Kassim said there should also be concerted efforts to gather data on fertility issues for effective planning. “Emphasis, programmes, everything has always supported family planning. If we do not have data, how do we plan,” she said.

    The CEO expressed concern over the continued torture women go through from the society, in-laws and family members due to their inability to conceive. “Create awareness on the issue, as this is the government responsibility to stop the stigma and pressure on TTC women. With awareness, people will no longer see infertility as the woman’s fault alone; we need people to know that infertility is a woman and man’s issue and not just the woman alone. Women who are trying to conceive are vulnerable in this part of the world; the emphasis is on women and they are being shamed. They are the ones that have been called names; they suffer domestic violence from their spouses, in-laws, and stigmatised,” she stressed.

    On his part, Dr Rais Ibrahim, a gynaecologist specialist at the National Hospital, urged government to enlighten people with infertility issues to seek for medical help. “People are suffering from infertility and the issue is being neglected. We are advocating that government should create awareness for people to seek for care and some form of support. A woman or a man who doesn’t have any child may not give his best if he is employed by government or any establishment and it can lead to low productivity,” he said

    He said infertility is caused by certain factors and a problem for both male and female. “Infertility is a general problem blamed most times on women, but men also contribute to it. Many of the factors that contribute to infertility in women include tubal factors, problem with ovulation, cervix infections and endometriosis. A new discovery is when a woman delays her reproductive career until she is way too old,” he said.

    Similarly, Dr Chris Danga, a preimplantation genetic diagnosis expert, decried the alarming prevalence of infertility in Nigeria. Danga attributed the prevalence to lifestyle issues bordering on the mind-set, toxins in the environment and other factors. Rabiat Jibril, a participant and a TTC, urged women to seek safe spaces where they can unburden and learn how to go about their normal life while trying to conceive. Jibril said those trying to conceive deserve empathy not stigmatisation, so as to reduce their anxiety and stress.

  • Cancer Society debunks claims that SSBs tax will lead to economic losses

    Cancer Society debunks claims that SSBs tax will lead to economic losses

    The Nigeria Cancer Society (NCS) has described the claims by the Manufacturers Association of Nigeria (MAN) that sugar sweetened beverages (SSBs) tax will lead to economic losses as unfounded. According to a statement signed by Dr. Adamu Umar, President of the NCS and co-chair of the of the National Action for Sugar Reduction Coalition (NASR), it stated that MAN has recently made claims that the 10 naira per litre excise tax, enacted through the 2021 Finance Act, will “kill” the beverage sector. It stated that MAN also claimed that the N10 per litre excise tax is “already having devastating effects” on consumers.

    The NCS, therefore, stressed that there is no evidence that the N10/litre tax has had any such effects on the industry. On the contrary, it noted that the N10 per litre tax is not sufficient to reduce consumption and consequently, the devastating diseases that result. “The National Action on Sugar Reduction coalition maintains that the current SSB tax rate must be raised in line with the good intentions of the government in order to achieve a significant impact on SSB consumption patterns and, ultimately, a decline in NCDs. Sugar sweetened beverages are loaded with refined sugars and contain very little or no nutritional value. Consuming them raises the risk of chronic illnesses like type 2 diabetes, high blood pressure and stroke and even cancers. These diseases are very expensive to treat, with humongous financial costs that weigh most heavily on low-income families.

    “The SSB tax is designed to reduce consumption of these harmful products, and ultimately prevent non-communicable diseases. Increasing SSB taxes will improve the health impact of taxation. Beverage industry arguments are unfounded, as indicated by the evidence from countries like South Africa, Mexico and the Philippines, where SSB taxes have been implemented. SSB taxes have not led to job losses and the industry continues to generate profits. SSBs, however, continue to increase the risk of chronic diseases that financially burden families and distress health systems.

    “SSB taxes can improve health by leading consumers to buy less and lowering the risk of non-communicable diseases. It has been scientifically proven that the global burden of NCDs has been on the increase. A key risk factor for NCDs is obesity, which has a direct link to sugar sweetened beverage consumption. Hence an appropriate tax rate on SSBs is an attractive measure to curb the rising trends of NCDs. Furthermore, if tax revenue is invested, it can relieve the overburdened health system and reduce healthcare costs.”