Category: Health

  • 2022 Valentine: Love secrets of our daughters

    2022 Valentine: Love secrets of our daughters

    The aroma of love and semblance of it such as infatuation and co quetry is in the air everywhere. Any wonder Monday, February 14 is Valentine’s Day? It is the day in the Gregorian calendar all sorts of people world-wide declare all sorts of love or request it, or re-affirm it. I am not on the train. For my understanding of love is… doing benefit to him or her. Nevertheless just to test the waters, I teased a 15-year-old girl to be my val! I received a flat and unmistaken no for an answer. And when I asked why, she gave me a small mirror from her school bag. She meant, politely, to tell me that 70 calendar years plus have railroaded me out of the season! I began to write this column on  January 9, 2022, ahead of February14, using her as a tour guide into a world I had long exited and almost forgotten about. By 7:35, the baby fat girl, Better Effiong Happiness, my foster daughter, interrupted me, to say I had an urgent message on my telephone.

     

     She read it out:

    “Please I just want  to  hear from you before I die. I am an old  man of 92 years,” the message began, indeed with a lot of urgency. “I read  Thursday, The  Nation  Newspaper because of you”.

    I called him immediately on 08060755615. He is Pa A. A. Adedigba of Ibadan. The last column he read which prompted his message was… Dementia: Olu Jacobs down, what lessons for us all? of December 30, 2021. Pa Adedigba wanted to know if the column had been published into a book. I told him it had not, that he could read them all in www.olufemikusa.com.That looked like a mount Everest as he wasn’t on WhatsApp, bang “a poor man”typical of her, Better told me afterwards…”I wish I had money”.

    That is Better for you, ever so kind irrespective of some of her tempestuous teenage exhibitions which often unsettle her guardians. Deep within her, there is love, that type of love which meets your needs and not necessarily your wants, much of which will be on exhibition on April 14. Before I proceed to the kernel of this column, I will mention two of her kind and love deeds which touched my heart.

    One day, I sent her to purchase something for me in a nearby store. It was quite a load she couldn’t push home in a cart by herself. She asked one of the young workers there to help her. He said he had not had breakfast and had no energy. His pay could not support him, and he did not help himself with company resources as the other fellows were doing to raise their heads above water. Better gave him N200 and, right there, a true friendship began. Near our house were two girls aged eight and 16. They are two of the four children of a welder I’d known for about 15 years. Their mother had left their father. The two girls always sighted her passing by their house on her way to school. On her way from school one day, the two girls pleaded for some money for food. They had not eaten all day, they said. Better had no money on her. But she felt like helping. So, she approached a gentleman who stood in front of an office near the residence of the girls with a plea that he give each of the girls N500. The man asked no questions and obeyed. The girls thanked him, ate, became his friends as well as Better’s. I wasn’t surprised that Better turned down my Valentine request. She is an out-door person with friends almost everywhere she goes, whereas every other member of the household is an indoor person. She wants to “catch fun”, but we fear for her. She wants to bring her friends home. But we say “books first”. She says we are bottling her up and that the house, like us is “boring”. I do not have biological daughters, so my understanding of teenage girls is limited to my teen years about 50 years ago. But my spiritual understanding of the conception Child kept pulling me by the shirt collar, admonishing me to be her friend and not her  Intimidator  and/or Inquisitor. Intimation and Inquisition are two of the four Human Dramas through which we humans impact  one another to subdue the weak one, steal his or her psychic energy to grow ours, leaving the assaulted person devitalised and conquered.James Redfield postulated ideas of The Four Human Dramas in his celebrated book, Celestine Prophecy.

    As I stated, the words which ring out during Baby Blessings where I worship keep ringing in my ears. The child is not the property of his or her parents but “A Gift To The Right Mother” who is to be a “faithful guardian” of his or her paths. A child has not come to the Earth for the first time. In many cases, children may be older human spirits than their parents. They are merely old ones in young bodies  in a new earthly environment through which they are to be guided until they are able to safely navigate their paths. Gibran, author of The Prophet, says it another way when he likens children to Arrows we fire from a Bow. This shows they are distinct personalities on their own merely trained and guided by us until they can fly on their own. The fired arrow never returned to the bow. Every child has a purpose for being on Earth which may be different from the parents’. In my time as a child, it was much difficult as it is today to tear away from the family bond and bondage for self expression and fufillment outside the fold. School cartels, sex cartels, sex education at school, consuming social media and mainstream media have all conspired to take the child out of the control of the parents. Thus, a parent who would be like a “faithful guardian ” of the paths of a child must first learn to think like the modern child, understand his or her ways to make safe passages out of today’s thicket of thorns in which young people are growing.

    We are back to Better Effiong Happiness and 2022 Valentine’s Day. Her father and mother departed in their thirties. At 71, I am standing as  a father, grateful to the Most High for the priviledge of being a guardian to this unique human soul. I have begun, through her , to learn the vocabulary of the modern teenager. Every parent should do this , in my view. For the language is what we adults or the children  are. It is like the food we eat. We cannot flee from our shadows. We are our language. We brought it about. We are it.

     

    Teenage Slangs

    Which generation does not have its own slangs? I remember my grandmother always falling into depression whenever I was going to a party and I told her Mo Nlo J’Ebo(I am going to eat sacrifice!)Ebo was my generation’s slang for a party. We did not know the effects of words which our tongues rolled out. Better Effiong Happiness taught me today,’s slang such as Bestie. A Bestie is a special friend one can share one’s innermost secrets with. Parents have become distant persons. The Bestie is one’s collar bones. Boys and boys and girls and girls do “Besties”. But boy and girl besties are the commonest. There is school bestie, street bestie, neighbourhood bestie. There are two basic types of besties…the non benefit bestie and the benefit bestie.

    The bestie benefits may or may not date. Many do not date. The benefit in the bestie is that if the girlfriend of a party is not available for sex, he can ask his girl bestie benefit and she would be obliged to give him. She, too, can likewise ask him for sex. Dating teenagers always let their partners know that they have Bestie Benefis so that sex leaks do not cause trouble. The bestie is a social cult which has engulfed the teenage generation.

     

    Joy Giver

    The rule of the game here is that, however angry or saddened someone else must have made you, you must smile and be happy in the presence of your Joy Giver. Sometimes, teenagers saddened by strictures at home sneak out to their Joy Givers to regain their balance. They may stop over on the way from school if they are day students Both may go on joy trips. It would not matter if school bags are searched to prevent them from taking home clothes to school. They can always borrow a home dress from a friend or from a friend’s friend. And there will always be an explanation for coming home late from school.

    Miamor

    This  is  a person who offers protection against all sort of vicissitudes…other boys, financial challenges etc. Imagine that your daughter comes home late from school, too late for comfort and, angrily , you ordered her back to where she was coming from! What is a mi amor for? She may have not only broad and muscular shoulders to cry on but a cosy bed as well for the night or until the coast is clear at home!

     

    Other Half

    This is expected to be a relationship with prospects of growing towards marriage

     

    Best Bite

    This person has a high opinion of you, hardly sees your faults, and says only good things about you to everyone everywhere.

     

    Butter Biscuit

    Many girls do not like this fellow. He is thought to be too soft for the male figure they desire.

     

    Cuddle Cakes

    This is a boy or a girl his or her partner enjoys cuddling with. This is different from Cuddly Bear, which is a person with a bigger frame, a feature which makes cuddling more exciting to some girls.

     

    Candy Lips

    He is liked because he is a terrific kisser. In my teenage years, my generation adored a bit music entitled: Lucky Lips by Cliff Richard who said “lucky lips are always kissing, lucky lips are never blue”…It amazes me that people are still kissing these days of HIV and COVID-19.

     

    Street Auntie

    A double edged sword, this is often a single , grown role model woman for teenage girls. Her dressing is upbeat and her mannerisms may be foreign. Sometimes, she has money to throw around. She may be a work class or hook up woman. As a hook up woman, she probably lives alone in her apartment,  the rent paid by men in her life. There is no way her street nieces would not pick up some of her nuances, which may include lesbianism, as is often reported. This is why mothers need to pay serious attention to the women their daughters interface with. The lives of young girls are not necessarily protected by older women in the street than they are by street uncle’s.

     

     Street Uncle

    Many young girls are money lovers and status concious too early in life . They flaunted Black Berry phones when this brand was the Vogue but their parents could not afford it. Now, there is a new song…I Phone. Many parents do not ask how their sons and daughters in high school come by phones which cost as much as N100,000 a piece. The girls exchange their bodies for it. So do the boys if they fall into the hands of gay street uncles. It is incorrect to assume that the horizon of the Junior or Senior high school girl today in respect of the street uncle is limited to three school drop outs who found their ways into “hand work” such as painting, tiling, bricklaying, air conditioner and generator repairs, electricity fixing and plumbing. They come to puberty much earlier these days, are more wordly wise than their mothers and prefer men of whatever age who can pick their bills.

     

    Street Mother

    She is a mother role model for the street daughters.The term ‘street’ here and elsewhere in the teenager’s vocabulary is not necessarily a dirty, negative word. It refers to not the ghetto or to the slum and their nuances. The street means anywhere outside one’s own home. Thus, a girl who lives in Banana Island may have a street mother or friend. The hazard in the street mother for a girl as well as for her biological mother is that someone else is sharing with the biological mother the duties of bringing up the girl. A child is a gift to the right mother who is to be a faithful guardian of her paths. She has to learn to combine these traits with friendship with her daughter to not lose her to the street mother. Friendly mothers are playing, listening mothers. Teenage people are still in the Sanguine and early melancholy age brackets. The first of her seven years were spent in groundedness, when they were showered with love by their parents to make them feel self confident or inwardly secure. The next seven years (age 8 to 15) features development of the sexual characteristics. Puberty sets in . Boys wish to grow tall and muscular and be a hit with girls. The girls wish to have big breasts and buttocks, both instruments of coquetry among women. They want special clothes, shoes and bags. They are now moving away from him shorts, which caused terrible crisis in many homes to Big Shows. The big show is an oversize polo top which may cover up to the mid thigh or the knee. The show is that there is no knicker or bum short under it. There is only a panty or non at all. school still does not permit outlandish hairstyles. But they are mindful of quality skin complexion and texture and facial looks. They are ready to take on men of any age. If they cannot discuss their sexual experiences or the men who talk to them with their biological mothers who still see them as hardly out of the womb, the street mother will give them listening ears . But who are these street mothers? They may be fickle women on the broad way. Lucky is that baby girl whose street mother is an upswinging or upward looking woman who can lead her aright as though she is her own child sent to her. The conceptions existence of the street mother should challenge all biological mothers to deepen their understanding of the real and true meaning of  “Mother” and “The Child”.

     

    Street Daddy

    When a parent hear that his or her daughter has a street daddy, the tendency is to assume that he is a man who honours fatherhood. These girls are smart they have merely replace the Sugar Daddy of old for Street Daddy. The sugar father lavishes money on his sugar daughter in exchange for her body. It was a mutually benefitting symbiotic exchange for both parties. The girl had financial leverage into an upland world her income capacity could not take her. The ebbing street daddy received a second wind for his life through renewal of his animistic energy. It was a demand and supply market deal. So it still is  today in the age of the street daddy.

     

    Conclusion

    Mothers and daddies, we cannot exhaust the lexicon. You can expand the database by paying more attention to the conversations of your teenage children and those in their 20s. By their 30s, when they should have graduated from melancholia into choleric age, pursuing bread and butter for their estate in life, they should have simmered in that new season or become softened by it. Didn’t all of us? The long and short or the bottom line, as we say, Who is your daughter going out with on Monday, February 14, Valentine’s Day 2022? Her boyfriend, Bestie, Bestie with Benefit, Street Friend, Street Daddy, Street Uncle… who? And how much of her coded language can you decode?

    When my girl would not tell me how February 14 will be like, I teased her that she will not go to school that day. She fired back that she will then know she lives in a prison. When I reminded her of the various outdoor activities I oblige her, she agreed the house was not a prison but a mini-prison. I look forward to February 14, trusting that she will tell me how it goes.

  • Lagos commits healthcare providers to service charter

    Lagos commits healthcare providers to service charter

    The Lagos State Office of Transformation, Creativity and Innovation (OTCI) has emphasised the importance of effective customers’ relationship between the Lagos State Health Management Agency (LASHMA) and its customers, saying that the agency must ensure customers’ satisfaction.

    Speaking at ILERA EKO Service Charter Development Workshop organised for LASHMA and health providers, the Permanent Secretary, Lagos State Ministry of Tourism, Arts and Culture, Princess Adenike Adedoyin-Ajayi, who is also a service charter champion, said that the state government is concerned about service delivery for its agencies, particularly agencies that interact with members of the public on daily basis. According to her, the sensitisation programme was in line with the state government’s effort to transform the healthcare system, by putting in place measures that will enhance productivity and add more value to services rendered.

    Adedoyin-Ajayi said that the event will enable the state government and its partners in the private sector to have uniform knowledge on the standards set in Lagos on service delivery. She explained that the service charter, an initiative of the state government, is an instrument that creates a measurable standard of delivering services to customers, adding that it helps to manage the process of service delivery by making it more tangible, timely, quality, standard and professional.

    “Service charter is a document that outlines an MDA’s services and the commitments to provide such services under specific service level agreements (SLAS) and service standards. As a matter of fact, the main objective of all government Ministries, Departments and Agencies (MDAs) should be on how to deliver a delightful service to customers at every point of contact,” she said.

    The PS charged service providers within government employment to be customer-centric in their approach to members of the public. “As a customer service, you must know who your customers are, what makes them happy and what makes them dissatisfied. In service delivery, your attitude matters at all times, you must be professional and have integrity, possess excellent customer service communications skills. You must be courteous, thoughtful, have integrity, be available, friendly and professional.”

    Also speaking, the Director General of OTCI, Mr Toba Otusanya, said that the event is aimed to expose healthcare service providers to the importance which the state government attaches to effective customer service delivery. According to him, the essence of the service charter initiative is to represent all that Lagos truly stands for, adding that the document aims to increase public confidence in governance through effective and efficient service delivery, promote professionalism in the state’s public service, promote transparency, accountability, ensure customer relationship management and service delivery.

    “Service charter will be the first face of Lagos State, interfacing with the customers and raising the quality of professionalism, efficiency, courtesy and excellent public service delivery that meets international standards. Our vision is to be a 21st century public service delivery and management driven by high performance staff. A service charter is an instrument that sets out the basic rights and principles governing the provision of services to the citizens.  These principles include quality of service, equal access, affordable prices, social, cultural and environmental acceptability.

    “It outlines government commitment to service delivery, and ensures improved service delivery in line with the state development strategies, empowers citizens by increasing awareness of public services, challenges and promotes the citizens as customers,” Otusanya said.

    While explaining the rationale behind the sensitization exercise, LASHMA GM, Dr Emmanuella Zamba, said the mission is to ensure residents of Lagos get quality customer service delivery from ILERA EKO health providers.

    “We are in the business of providing health insurance and quality customer service delivery to residents of Lagos State. Our gathering here is to be able to come up with a service charter document that will be for the agency and our healthcare providers, so that we can all work with a particular standard that ensures all our customers have good experiences in all our facilities. We will ensure that we meet up with our responsibilities as expected from us in the service charter document.”

    She urged ILERA EKO health providers to embrace the service charter initiative in their various facilities, saying it would make their hospitals a destination of choice for all.

     

  • ‘Surgery not only option for uterine fibroid’

    ‘Surgery not only option for uterine fibroid’

    A consultant gynaecologist/obstetrician and Managing Director, Nordica Fibroid Care Centre, Lagos, Dr Abayomi Ajayi, has advised women to be conscious that therapy for uterine fibroid patients should be tailored towards individual needs. He said patients should look at the options available, as there is no one-size-fits-all approach.

    Ajayi, who made this known at a briefing, held recently in Lagos, said findings from credible research showed that 70 per cent of all women will have uterine fibroids in their lifetime.

    Accurate national data are not available but experts say millions of women in Nigeria battle a common, often unspoken medical condition known as uterine fibroids, which practically dictate their lives.

    Uterine fibroids are benign growths that commonly develop in the uterus, ranging from the size of a pea to a watermelon. Although some women never experience symptoms at all, others struggle to get through the tasks of daily life. It often comes with heavy and prolonged menstruation between or during periods, which can lead to fatigue, pain during intercourse, frequent urination, constipation, pain in the pelvis or lower back, increased menstrual cramping, and stomach swelling, among others. Women are often diagnosed with uterine fibroids during their reproductive years and are considered at increased risk when a close relative such as mother or sister has fibroids.

    As cases in Nigeria have increased, leading experts worried and disturbed. Ajayi said women diagnosed with uterine fibroids should look out for individualised best treatment options, rather than rush into surgery, as there is no one-size-fits all treatment for the uterine fibroids. While insisting that it is not every fibroid that needs to be removed, he advised that it is important to let people know that there are ways of removing fibroids besides invasive surgery.

    The doctor said there was no need to rush into surgery because of the complications. “What we are saying to patients is that there are options available now, and you can look at the most suitable one for you. The point is that the best available option should be chosen for the patient. In my opinion, High-Intensity Focused Ultrasound (HIFU) – a non-invasive treatment that eliminates need for surgery – is the best option because the patient does not need to be cut at all.

    “However, available options may be combined. For instance, HIFU may be combined with hysteroscopy to see the inside of the uterus without invasive surgery. We have gone past the level of one-size-fits-all treatment. Nowadays, treatment is tailored for individual patients. There are many women in their 40s with large fibroids and not doing anything about it.

    “This is actually what it is drawing my attention.The ordeals of so many people within the health sector that are afraid of doing surgery. Fibroid surgery anywhere in the world has issues and that is why I went all out for HIFU, a non-invasive way to treat uterine fibroids. I have been a doctor for a number of years and what I have done throughout is to treat women. I stopped conventional obstetrics and gynaecology almost 20 years ago since I went into infertility treatment.

    “The majority of the problems with surgery have to do with bleeding and so many other things that can go wrong. In HIFU, we do not open you up; it is efficient and the fibroid that has been killed cannot come back. While you might not be able to kill all the fibroids at a sitting, we can split the procedure. Since there is no radiation, it can be repeated. While there can be growth of new fibroid, the killed fibroid cannot come back to life.”

    Stressing that many things can go wrong during open surgery, Ajayi said it is the high risk of complications women are afraid of; hence they often do not seek treatment for fibroids.

    “That is why we are seeing more women coming forward now that they have realised that they do not have to undergo surgery to remove fibroids.”

    Speaking about HIFU, he said it uses real-time ultrasound and high-intensity ultrasound waves to generate localised heat to specifically target individual fibroids to destroy the cells. He said using the treatment method, in conjunction with image guidance, heat can be used to destroy the fibroid tissue without damaging nearby tissue or the tissues that the beam passes through on its way to the target.

    Ajayi pointed out that most women suffering from fibroids are scared of the open surgery, but now Nigerians have a choice of minimal invasive services or the new-age non-invasive solution using HIFU.

    “We have looked at every patient and satisfied them all. We had to break for the year. However, before the end of January, we expect that we would have done 80 procedures. HIFU has been a good ride because we do our patient selection carefully and they keep to the rules. Relief is immediate for those that have been experiencing discomfort. Recovery time is short and patients can return to work and activities of normal life within 24 hours.

    “With HIFU, there is no risk of blood loss, damage to organs, and tissue. What we try to do is increase the quality of life of the fibroid patients. Uterine fibroid rarely cause infertility on its own, but it can disturb. HIFU is not to cure infertility; it improves the woman’s quality of life. For women with infertility, we monitor them carefully. We are trying to close the gap for those who need fertility treatment so that they can get pregnant as soon as possible after the fibroid removal.”

  • My vision for healthcare  delivery, by PSN President

    My vision for healthcare delivery, by PSN President

    The newly-elected President of the Pharmaceutical Society of Nigeria (PSN), Prof Cyril Usifoh, has unveiled a five-point agenda on how he intends to improve healthcare delivery in the country.

    He spoke at a press conference to announce the forthcoming presidential and fellowship investiture of the PSN, which holds on February 10.

    While promising to improve the health sector and make it deliver for Nigerians, Usifoh, a professor of pharmaceutical chemistry, said top on his list is the provision of a framework for healthcare that emphasises teamwork so that the competencies and skills of everybody can be harnessed to the benefit of the sector.

    The PSN chief promised to institutionalise the PharmD (Doctor of Pharmacy) programme and Consultancy Cadre agenda to enhance service potential and catalyse an increase in the ways of hospital and academic pharmacists.

    He also planned to promote advocacy to fast-track the recognition of community pharmacies as primary care centres in accordance with the National Health Act 2014 and boost local capacity for manufacturing of essential medicines,s including vaccines; while ensuring availability of medicines which cannot be manufactured by the local industry for the health system

    In addition, Usifoh vowed to ensure significant improvement in R&D by looking for alternative source of funding apart from government sources to the National Institute for Pharmaceutical Research and Development (NIPRID), Faculties of Pharmacies, DRPU Centre for Drug Development and related platforms.

    “As President, I strongly believe in team work and will ensure that I delegate duties where necessary and monitor the implementation. Within the last two months, we have been able to collaborate with the appropriate agency and community pharmacies are now centres for COVID-19 vaccinations. The Pharmacy Consultancy Cadre has been firmly established. More schools of pharmacy are undergoing accreditation for the PharmD programme.

    Over the next couple of months, the following issues shall be in front burner under presidency of PSN: Ensure improved relationship with the government (both the executive and legislative) to ensure the right of every Nigerian to pharmaceutical care; institutionalising the PharmD programme; establishment of the National Post-Graduate College of Pharmacists to complement our consultancy cadre agenda, while also working with NAFDAC, PCN and relevant stakeholders; improve visibility of pharmacists and pursuit of the pharmacy tower project and all other business concerns of PSN.

    “I will provide a purpose-driven leadership for all technical and interest groups of PSN. I hereby solicit your cooperation my dear distinguished members of the fourth Estate of the realm the conscience of the people, guardians, formulators and expressers of the impressions and dispositions of humanity in this journey of improving healthcare delivery to Nigerians, especially with regards to pharmaceutical best practices. As you wild your pens, which are mightier weightier and more effective than the sword, I ask that you remain fair and firm. We hope to find veritable allies in you as we battle to improve the abysmal health indices of our nation.”

  • Hope for children with sickle cell, as LUTH opens first  Bone-Marrow Transplant Centre in sub-Saharan Africa

    Hope for children with sickle cell, as LUTH opens first Bone-Marrow Transplant Centre in sub-Saharan Africa

    Lagos State governor, Babajide Olusola Sanwo-Olu, recently commissioned the first Bone-marrow Transplantation centre to provide hope and cure for children born with the sickle cell disease. Gboyega Alaka reports.

    One in every four Nigerian has the sickle cell gene, making their chances of producing a child with sickle cell significant.

    About 150,000 children born every year in Nigeria is born with the sickle cell disease; and 100,000 of those children do not live beyond their 5th birthday.

    The above were some of the statistics reeled out by the Governor of Lagos State, Babajide Olusola Sanwo-Olu, at the commissioning of the Sickle Cell Foundation Nigeria/Lagos University Teaching Hospital Bone Marrow Transplant Centre held recently at the Lagos University Teaching Hospital campus, Lagos.

    Sanwo-Olu, represented by his Commissioner of Health, Prof, Akin Abayomi, stressed that these are shocking statistics, adding the sickle cell effects far also outweigh those of COVID-19, which has so far only claimed about a thousand lives in the whole of the country.

    “If you put into context, in the entire Nigeria, I think around a thousand have succumbed to COVID; and yet we have a hundred thousand children dying from a disease called sickle cell. Therefore, sickle cell has to become one of the major priorities of this government and of the federal government because it is a significant force that is wiping out our next generation.”

    The professor of Medicine, who was variously described by speakers at the event as a member of the LUTH community, also stated that “anybody who has managed a sickle cell patient, will know that it is one of the most horrendous diseases that you can have because you are born with it, and you live with it for the rest of your life, and it is a painful illness, which even the doctors and nurses that look after the patients can testify to its agony.”

    It is on the backdrop of this that he said the Lagos State government deemed it fit to fully support the project, despite LUTH being a federal institution.

    “LUTH is a part of the ecosystem of Lagos, even though it belongs to the federal government,” he said.

    Abayomi also had kind words for all who contributed to the realisation of the dream, including oil giant, Chevron Nigeria, which supported it with a whopping N40million.

    To confirm that Lagos State is not all about words but action as well, compere of the day, Abiodun Famojuro volunteered that, “they support the BMT centre with the sum of N200million.”

    National Director/CEO, Sickle Cell Foundation Nigeria, Dr. Annette Akinsete, who has been at the forefront of the awareness campaign and care for people living with sickle cell disease in Nigeria as well as this laudable project, said the Bone Marrow Transplantation Centre is a result of 11-year-long effort, which began with a technology transfer-based partnership with the Mediterranean Institute of Technology in Rome, Italy, where nearly 50 Nigerian children went through successful bone marrow transplantation.

    Although that laudable programme was abruptly terminated due to funding and other challenges, it nevertheless sowed the seed of determination in the LUTH management, as it “took the bull by the horns and entered into fresh partnership to establish a world-class BMT centre here in Lagos.”

    Read Also: Revelry as LUTH finds succour in corporate support

    She said, “The state-of-the-art facility will be the first ever comprehensive BMT centre for sickle cell disease in sub-Saharan Africa, spanning the entire value chain of the bone transplantation process.”

    A public private partnership, Akinsete said, “Our technical partners for this programme is the University of Vanderbilt Medical Centre, Tennessee, USA under the  watchful eyes of a supervisory consultant, Dr. Adetola Kazeem, a Nigerian born LUTH Alumnus, distinguished and internationally renowned Professor of Medicine and Haematology as well Head,  Centre of Excellence, the Sickle Cell Disease in Vanderbilt University, Nashville, Tennessee, USA.”

    More welcoming, according to Akinsete, is the fact that Nigerians will not “only cease travelling out to access cure, it will in fact be a new dawn for medical tourism into Nigeria, for safe, quality and more affordable Bone Marrow Transplantation.”

    Founder/Chairman of the Sickle Cell Foundation Nigeria, Prof. Olu Akinyanju OON, commended all who made the centre a reality and expressed hope that “the new facility will help solve a lot of our problems.”

    The Chief Medical Director, LUTH and chairman of the centre, Prof. Chris Bode, described the project as a “quadripartite collaboration between the Sickle Cell Foundation Nigeria, LUTH, Vanderbilt University, Tennessee, USA and the Lagos State Government.”

    He described Nigeria as the epicentre of sickle cell disease in Nigeria, with over 2million Nigerians suffering from it and said the event is a testimony to what happens “when people with good mind come together for a common purpose.”

    He said the governor’s presence in the person of the Honourable Commissioner of Health is a strong indication of his “firm commitment and encouraging gesture to us as an institution, and a testimony  to the fact that LUTH is a part of the Lagos Family.”

    Prof. Bode said the centre is poised to be the most advanced of its kind in West Africa, as the management would do all it can to make it a training centre for capacity building to benefit other centres.

    All speakers commended the support of Dr Adetola Kazeem, whose support and supervisory contribution to the centre is invaluable.

    Prof. Akin Abayomi, who in his closing remarks described Dr. Kazeem as an instance of ‘brain gain’ rather than the much touted ‘brain drain’, also announced that the Lagos State government in its bid to ensure that patients continue to get adequate care, will be establishing sickle cell day-care centres across the ibile zones of Lagos. This, he said, is in recognition of the fact that  patients require prompt professional response once they check into health facilities.

  • Foods that ease menstrual pain for women

    Foods that ease menstrual pain for women

    The menstrual cycle is a natural phenomenon for womanhood. As they release blood every month, it depicts maturity and is healthy for them.

    But the menstrual cycle is a painful moment every woman wishes to escape from.

    Dr Rohini Patil, nutritionist and founder of Nutracy Lifestyle, said: “Menstruation doesn’t hurt itself, but the cramps or other symptoms may be uncomfortable. During this time, girls should take extra care of their diet and sanitation.”

    That is why a healthy diet will go a long way in managing cramps and other symptoms during the period.

    Here are some food items women should take during menstrual pain:

    1. Water

    Staying hydrated can reduce the chance of getting dehydration and headache, which are common symptoms of menstruation. Water is an important element in human life.

    2. Nuts and dark chocolate

    Nuts and dark chocolate
    Nuts and dark chocolate

     

    According to Nutritionist, nuts and dark chocolate is rich in magnesium and iron, which is good for body growth of a lady. Nuts are rich in n Omega 3 fatty acids and are a great source of protein.

    3. Chicken and fish

    Chicken and fish

     

    Both are great sources of iron and protein, which you need to be adding to your diet. Eating protein is essential for overall health and can help you stay full for a longer period of time. It is rich in protein and Omega 3 fatty acids. Consuming iron will counteract the dip in iron levels while menstruating.

    4. Fruit

    Fruit

    Water-rich fruits, such as watermelon and cucumber, are great for staying hydrated. Sweet fruits can help you curb your sugar cravings without eating a lot of refined sugars, which can cause your glucose levels to spike and then crash.

  • 2022 Outlook: New Age, Live Pure, Aim Global

    2022 Outlook: New Age, Live Pure, Aim Global

    TAHITIAN Noni is thundering this year into Nigeria’s nutritional or food supplements market in the same old bottle and label…but under a new owner, New Age, and a brand new marketing plan as well. Live Pure, like New Age from the United States, set for this year by discarding the wholesaler or stockist interface with its distributors last November, jerking prices up a little and finalising standardisation business procedures in Nigeria with those in America. Alliance In Motion, a.k.a Aim Global, continued a winning streak last year as predicted in this column would place it among the top notchers this year.

    Last Saturday, it jerked up registration fee from N50,000 to N80,000 ending a business promotion phase. The return of chymall e-commerce from the shackles of COVID-19 pandemic total lockdown in home country Malaysia was the fervent prayer of about three million Nigerians whose trades and trading capital have been out of business for one straight year. Leimall, springing in from Israeli and Egyptian backgrounds, is struggling to wriggle around the market with agriculture, medical and neutreceutical products. It is a networking company like the others. In agriculture, it aims to add its weight to the new farming consciousness, or to ignite a revolution.  It collects monies from subscribers promising a 100 percent yield in some cases over one year periods in fish pond farming and other farm activities Nationwide. Investors who splash N1 million per slot are promised a profit of N1 million. In medicine, leimall runs a surgery business. If a subscriber knows anyone who is sick and requires surgery, and the sick person can afford the bill, leimall flies in the specialist surgeon to carry out the operation. The finder of the business gets his or her own commission , of course. The food supplements aspect of the business is still weak, in my humble opinion. The products are largely duplicates of products already in the market but refreshed only with new names.

    The old, well known networks are still very much around. Forever Living products (FLP) and Edmark loom large in Ikeja area of Lagos with their palatial offices and wide range of nutritional products. Also moving on, irrespective of the economy are long rich, Nature’s Gift for life (NG4), eternal, FOHOW, Kasly, Dynapharm and Bell to mention a few. IAM nostalgic about three products from Kasly…Cardiotonic pill (for blood circulation), phytoestrogen for women tormented by excess of harsh human estrogens and bee Propolis syrup for gum, mouth and throat challenges especially. My heart goes to Dynapharm as it does chymall e-commerce. They are both from Malaysia which was severely stricken with covid 19 infections. With the whole country literally shut down, it became difficult for Dynapharm to easily obtain its star products. Some of them are liquid chlorophyll with guarana, dynatonic (for the liver and kidneys), goat milk, capuccino coffee and ganoderma powder, and red coffee with ginseng. The liquid chlorophyll  competed with edmark’s splina. Chlorophyll has the same same structure with haemoglobin of the human red blood cells except for their central atoms. The structure is Carbon, Hydrogen, Nitrogen and Oxygen. So, it helps oxygenation in its own ways. In chlorophyll, the central atom is magnesium which is needed by the muscles and quietens palpitations of the heart. In haemoglobin, the central atom is iron. Thus, with the consumption of chlorophyll, the body replaces the magnesium with iron and, literally speaking , the blood becomes “recharged” as with the recharging of a cell phone call credit.

    Generally speaking, except perhaps for outages such as Hemptonics which, I am told is struggling to return to the market, 2021 was not a bad business year for the industry, irrespective of the foreign exchange challenges.

     

    New Age

    This is a baby of the pandemic in the United States. Worldwide, everyone had been saying life on Earth will never be the same again after Coronavirus pandemic. For about 16 companies in the United States which prior to the pandemic individually pushed their businesses in their home country, nothing could be truer. They discovered that, individually, they could not easily or any longer achieve set goals in a severely stricken American economy, and that their survival in business lay in pushing together in a new super company which would not only subsume their identities but also market their products abroad, particularly in Africa. The consolidation achieved, New Age set for Africa and made South Africa its African headquarters. From there, it was expected to arrive in Nigeria last month or this one. From the look of things so far, the list of sixteen has shrunken to about six with a parade of several nutritional food supplements, two of which I immediately found interesting.

    The first is Tahitan Noni. The second is newcomer to Nigeria Hiro. By highlighting these two, I am not saying or predicting that the other products in New Age stable cannot be or are not destined to be fire crackers, too. Almost everyone in my generation has heard of or taken Tahitian Noni as a nutritional supplement. It came in through Ghana in the late 1990s after its introduction to the world in 1996. The Nigerian brand comprises Tahitian Noni juice, natural grape fruit juice and natural blue berry juice.It was imported into Nigeria by a company called Something New. The importation was taken over later by C.J. Frankin (Nigeria ) Limited. When the exchange rate became intolerable for this importer, it yielded way  to  vifest services limited which began to market it in Nigeria under the Unilevel networking business plan. The products literature of Tahitian Noni promotes it as an antioxidant, energy giver, immune booster, adaptogens, stress reliever, joint health and mobility, etc. Irrespective of the hundreds of independent studies on Noni fruit juice, the proprietaryTahitian Noni fruit juice which incorporate grape juice and blueberry juice is validated by no fewer than 8 human clinical trials.These clinical studies additionally promote it as a “perfect antidote to today’s stressful life”. With the change of management internationally, Noni has had to be rebranded abroad in a new glass bottle packaging amid with a new label to reflect the changes. But, in Nigeria, the product will be an old wine in an old bottle because of an anticipated huge cost of getting the changes approved or accepted by NAFDAC.

    To get New Age going, the Chief Executive Officer of Tahitian Noni international, John Wodsworth, subsumed himself as a director on the board of New Age which is cheered by Brent Willis. The other companies which also came in town are Noni, Ariix, Limu, Zennoa, Mavie and Aliven Invel Alliance.

    I do not need to gaze on a crystal ball to know what questions will trouble the old distributors of Tahitian Noni as it comes under a new company and business plan. Will they maintain their old ranks in vifest services limited or are they starting afresh? No, they will not start afresh. Their new identification number will be preceded by alphabet “N” to stand for Nigeria But they will move to a new marketing plan…Multiline away from Unilevel. The Multiline is said to have more compensation benefits than either the Unilevel or the Binary level.

     

    Live Pure

    If you keenly watch a mother dog at play and in a row with her puppies, you may quickly catch the picture of policy changes in this company November last year. A South-western Nigerian saying captures it all: the set of teeth a mother dog at play tickles her puppies with is the set of teeth the mother dog, angry, bites them with. Live Pure has been in existence for over 11 years. It came into African market through Nigeria and began business in March 2019, pushing only about six of its products in the Nigerian market. These are Pure Organic Sulphur, Cleanse capsules, Daily Build, Purxcel and Goyin. Unknown to even many distributors of a networking business, it is not the company they are dealing directly with at startup. The company “officials” they see “on the ground” and relate with are business contractors. A contractor is hired to open up the market in Africa through Ghana, South Africa or Nigeria, for example. The contractor becomes the first “upline”. That is his/her “inheritance” or “aje mo’nu ti e ni yen” as we say in Yorubaland. Being the first upline is that, irrespective of the contract fee, he/she is entitled to bonuses for life from all purchases of the products. It is a case of “he who works at the altar must eat at the altar”. The contractor is mindful that purchasing power in Nigeria is weaker than it is in America and, so, steps down rigorous business terms in Nigeria. For example, where the minimum monthly order acceptable in America for a distributor to be entitled to bonuses from the purchases of downlines is N100,000 a month, the contractor may step it down to N50,000 in Nigeria. What the home head office expects is a blue balance sheet, not excuses for red prints.

    Live Pure behaved to terms at startup. Even the terms for company-paid foreign trips for top achievers were lowered because even the lower goals, were thought too hard to achieve. But the Nigerian entrepreneur spirit shocked the contractors. Far too many distributors than expected qualified, impacting pressure on a slim travel budget. So, literally speaking, the operations were wheeled into the theatre for surgical corrections of flabs and frills. The first major casualty was the stockist or wholesaler plan. The stockist was like a service center. The plan was costing the contractor huge bonus payoffs for taking sales pressure off the office. Now, the office would rather face the pressure and pocket the payoffs to reduce operational costs. And now that the stockist bridge to the distributor market has been removed, all distributors from last December were required to make direct online purchases from the company which is the business model in the United States. The orders are to be delivered through courier services. How easy for business this will be in Nigeria, only time will tell.

    When more Nigerian distributors than were expected qualified for foreign travels to the United States last year, Live Pure almost ran into a ditch. All distributors who qualified in every country were to congregate in the United States under the programme nicknamed “Unite”. But COVID-19 was still seriously on the rampage in that country.  Foreigners previously invited to Unite were asked to stay at home. This created quite a stir among prospective Nigerian “pilgrims” to Unite who were prepared to bear the health risks. In the end, the agitation was resolved when Live Pure paid each of the qualified distributors N500,000. Although this pay off could not purchase a return ticket for each person, not to mention hotel, food and local transport bills, it was half a loaf of bread better than none in the heated Nigerian economy. In any case, it was money for the pocket in Nigeria which the American economy would have drained through tourism. So, head or tail, Nigeria and the Nigerian distributors won. Hitherto, live pure did not pay cash bonuses in lieu of foreign travel.

     

    Aim Global

    There is no bigger dice than was stated in 2022 Outlook: Aim Global, Earn For Life (please see www.olufemikusa.com). The products are unique in many cases because of their alkaline, antioxidant and polyphenol thrusts. The I-Protect is about the slowest coach because of the packaging. It is a product said to destroy bacteria and viruses within three meters radius. That should excite the market in a COVID-19 pandemic season. To be honest, it did in the first packaging which was a metal bangle and a necklace. The present package which look every bit like a roped ID card hung from the neck lost the fashion appeal.

    It is possible Aim Global would have achieved bigger growth last year if it reformed its marketing theme. Much marketing appears to be done on radio with little time or none to answer enquiries. These are reserved for business plan presentations called “seminars”. The impression is inadvertently created in the marketing stunt that daily income earning would begin immediately one signed up with N50,000 to become a partner or distributor. Chasers of easy money become frustrated when they learn later that hard and consistent work bring plum daily earnings. It is difficult to blame the business plan presenters of deceit. The business plan provides for daily huge earnings, no doubt. The flaw in the presentations is that the would-be gold digger is not well advised that he has to dig out the gold to have it. Thus many of the prospective distributors who enrolled with high expectations of automatic earnings may have become inactive so soon after.

    Aim global products are unique and frontally confront the health challenges of today with the phyto nutrients which the research community says can vanquish them…antioxidants, alkaline and phenolic compounds. But big players in the distribution network have become, as in other unsuspecting networks, like huge fruity trees such as the mango which do not allow any folliage to thrive or to grow under them. Take the mango tree as an example. Does another tree grow under it? Does the cocoyam or the pawpaw tree permit vegetable seeds down under the shadow of their leaves to sprout and to grow? What IAM saying is that these big players mop up new product stocks whenever they arrive, making it difficult for the upcoming distributors to get products to buy without paying obeisance to their overlords, their hefty uplines. Thus, some infants drop off now and then. But the lion hearted soldiers on. Some in this category even restock their Nigerian stores from the Aim Global offices abroad, since the business is international . But how many can go through the stress and the manouvres? The company cannot be blamed for this. Nor can the big players. We are in a free market economy which subscribes to the conception of Warefare In Nature in which the strong overcomes the weak. But the company, playing the smart Maverick, can keep it’s lines growing by discouraging hoarding to create artificial scarcity. It can provide more stocks after each mopping.If the re-orders cycle is once in three months, it may be brought down to six or four weeks with some of the stock warehoused outside the main stores like grains of maize kept in silos to be released during market shortage.

    To do nothing worthwhile is to helplessly watch like Edmark when the big boys sold its products right at the gate of its offices in the heavy Opebi road traffic about a decade or more ago. Nutrihealth from South Africa fared no better before it bowed out. Bell is probably still on its feet today, and still generous with bonus pay offs, because it was able to gird its loins in good time. Hardly do I hear of green world, Keri, tianshi and other forerunners of today’s twinkling stars. They all had their fair tastes of the “Nigerian business factors”.

     

    A Forward Match

    The business weather is still roughened by economic uncertainties. But the hope of a bright future is never in want in any mangled Nigerian economy. The population is still rapidly growing, providing a huge market for business than in any African business hub.  Politics should as usual throw up some cash this year, a pre-election year. An aging population means more business for the health sector. A growing craving for nutrition in the prevention and management of health discomfeitures means more patronage for Alternative Medicine services.

    The Nigeria market is still too weak to make home-grown medicines. It cannot make garlic oil from garlic bulbs, although it is one of the biggest garlic bulb growers worldwide. The market cannot make lemon grass oil although it can grow lemon grass from Lagos to Ibadan. We grow palm fruit, but can we extract tocopherols and tocotrienols from it? We make coconut oil from coconut. But can we make coconut milk powder from it? Euro Americans will exploit this weaknesses and a vacuum. Nigerians will tickle them to come over with networking. Aren’t we already expecting encapsulated bitter leaf and okra imported from the United States for sale through network? We live in an ever mobile world, in obedience to nature’s law of perpetual motion under which stagnation brings collapse or ruin. Year 2022 will, therefore, not be a stagnant year. We will all be a part  of its forward match. So, guard your loins. The safety valve is to not join or risk business with a network without deep intercontinental roots.

     

  • ‘How my wife, children and I were attracted to study medicine’

    ‘How my wife, children and I were attracted to study medicine’

    Dr. Celestine Ugochukwu Chukwunenye is the Chief Medical Director/Chief Consultant, Optimal Specialist Hospital, Surulere, Lagos. His wife and two children also studied medicine. JOSEPH ESHANOKPE reports.

    Background
    I was born on March 31, 1960 to Chief and Mrs Alphonsus O. Chukwunenye in Ebute Meta, Lagos. My parents are from Izi-Achi in Imo State.

    Growing up
    The early years were ok until the war broke out in 1967 and we had to return to the village where our standard of living dropped. I remember
    that we had to fetch water and wood, things that I had not done. Yet, I considered them very interesting.
    My daddy, who had a Standard Six certificate, started life as a shipping clerk at a Greek shipping company. From here he veered off
    into trading. When he discovered that it was more lucrative, he stayed put and made it big as he became one of the major distributors of
    Nigerian Breweries, Guinness and Coca Cola Company, among others.
    He also went into long-distance haulage. The father of the late Chief Emeka Odumegwu Ojukwu, a notable haulage merchant in those days, I
    learnt, had a great impact on my father. In those days, unlike now, the Ibo in Lagos belonged to one group. It was there that they met.

    My mother
    After attaining Standard Three, she got married and came to Lagos.
    Initially, she was a full-time house wife who assisted her husband in his business. Later, she built a bakery, Christy Country Bakery and
    for many years a producer of the popular brand of Agege Bread until her old age.

    Education
    I attended St. Paul’s Primary School, Costain, Lagos, continued at the village and returned to the school after the war to complete my
    education. I didn’t like going to school because of the early morning cold bath. I remember crying to school. But I did well. I topped the
    class in primary six with distinction in the Primary School Leaving Certificate Examination.
    I proceeded to Baptist Academy, Obanikoro, Lagos. I was there from January 1973 to 1977. On the first day I was left in the dormitory. It
    was a fearful night. I didn’t want to stay because I was in the midst of strangers. I woke up in the morning into a regimented life but
    gradually I adjusted. At the end I emerged the best graduating student with Grade One, Aggregate Seven.
    Despite this achievement, however, none of us was made a prefect as the school’s management felt we were too rarefied or ‘’too hot to
    handle’’ as they termed us. But, we called ourselves the great set as we set a record.
    For my university education, I was at the then University of Ife (UNIFE), now Obafemi Awolowo University (OAU) where I studied
    Medicine. Earlier I had fallen in love with the University of Ibadan (UI). But at OAU, we had beautiful reports about the campus, and the
    great lecturers such as Professor Wole Soyinka. We also had strong academic programmes.
    One reason I loved UNIFE then was that it had no age limit in its admissions policy unlike other universities. Once you are good and you
    are 14 years old, the university would admit you unlike other universities that would not admit a student except he is 17 years old.
    That criterion really attracted me to Ife.
    Without being modest, I was one of the university scholars in the six of my seven-year programme. It was later taken over by the Federal
    Government and put under its scholarship scheme.

    Why I chose Medicine
    I was attracted by the white dress that medical students wore which I saw on TV. I was qualified to read anything anyway. When my parents
    learnt of the course of study I chose, they were very happy and encouraged me.
    School life was fine. We worked hard, yet played well. Indeed we played little students politics. We had measured interest in politics
    and philanthropic activities. I narrowly missed a first class in Medicine. One big achievement of our set was that we changed the
    seven-year medical programme at OAU to six. We fought for it, arguing with what was happening in the medical schools in other universities.
    Thankfully, the Senate of our university agreed.
    After university education, expectedly I went for youth service and worked as a junior doctor before I returned to Ife to specialise in
    obstetrics and gynaecology. This was around 1989 and 1995. In 1996, I worked at Imperial Medical Centre, Ebute Meta and Motayo General
    Hospital before I became a consultant.
    Happily, I was one of the students offered lectureship by the then University of Ife. But I turned down the offer. However, I had to beg
    to be let go.
    At the Lagos University Teaching Hospital (LUTH), a similar scenario played out as I was also offered a lectureship position. I have been
    in private practice since 1997 when we established the Optimal Specialist Hospital. We can look back and say in the last 24 years, we
    have done well as no woman has died there.

    My wife
    I met my wife during housemanship at Ilesha. She too studied medicine.
    But she specialised in pediatrics. Three years later, we were married in Ibadan her home town.

    Children
    We have two sons Uzoma and Nonso. Initially, they said they would not study medicine. However, when the first son bought the Joint
    Admissions Matriculation Board (JAMB) form, I was surprised that he filled in medicine. They have always followed each other. So, when
    the first one filled in medicine, I knew that the second would also go for medicine.

    Plan
    When they return from their fellowship training this year, I would retire.

    Advice
    I am grateful to God for the achievement. For the young ones, I will advise them to be obedient to their parents, guardians and teachers.
    They should also listen to their advice. Those things are profitable in life.
    For the adults, it is time to make fundamental changes to leave Black Africa in a better state than we met it. Africa and blacks practically
    have no reckoning in the scheme of things. I feel it is our duty to reverse the trend. By doing this, things would change. It is high time
    we encouraged oneness of various black people and indeed the world and down play the things we think that divide us.

    Doctor-to-patient ratio
    We have never had enough doctors. At the rate we are going, in the next 25 years, we will not. That is the truth. It is wrong for the
    government to peg admissions into medical schools. The problem is not in the numbers. But in providing the enabling environment for the
    industry to prosper. For example, if we produce as many doctors as Europe demanded and enough to meet local demand, the problem of brain
    drain would not be there. The first problem is finance. You shouldn’t leave the health industry to be struggling. Unfortunately, it can’t be
    commercialised like the banking and brewing sectors. Healthcare is largely socially humanitarian. To solve the problem, the government
    should create special funds or banks for the health sector. There should be low interest loans or grants for thriving hospitals. At the
    end, it is the people would benefit from it.
    Another aspect is the National Health Insurance Scheme (NHIS). It should be unacceptable to the government that since 2005 when the
    Obasanjo government started it, it has less than five per cent coverage. The tariff of NHIS is not encouraging. There is the need for the Health Maintenance Organisations (HMOs) to have a strong health maintenance that can reach out to the people.

  • Abiodun to launch Ogun Health Insurance Scheme

    Abiodun to launch Ogun Health Insurance Scheme

    Gov. Dapo Abiodun of Ogun will launch the Basic Health Provision Fund and the Health Insurance Scheme in the state on Thursday.

    This indication is contained in a statement by the Chief Press Secretary, Mr Kunle Somorin, on Wednesday in Abeokuta.
    It said that the programme would be flagged off on June 12 at the State Cultural Centre.

    According to the statement, the implementation of the scheme would begin with the vulnerable groups, including children, nursing mothers, the aged and the physically challenged.

    “The present administration in Ogun, having understood the prevailing economic constraints in the country, is aligning with the global and national agenda.

    READ ALSO: Ogun targets drivers, Okada riders for N4,000 monthly health insurance scheme

    ”This is for the pursuance of the goal of Universal Health Coverage by the year 2025, thereby establishing the Ogun State Health Insurance Scheme.

    “The Ogun State Health Insurance Agency will be responsible for mobilizing financial resources for the scheme, pooling of risks, purchase of health care services for the beneficiaries and performing general oversight functions, the statement read in parts.

    It further noted that the basic benefit package of the scheme would cut across both preventive and curative health services.
    “We have taken into cognizance the prevailing local morbidity and mortality profile, including pre-and post-natal care, as well as normal delivery.

    “Beneficiaries of the insurance scheme will be able to access basic healthcare in primary, secondary, and tertiary facilities,” it added.

    (NAN)

  • Experts laud research to strengthen cleft and surgical care in Nigeria

    Experts laud research to strengthen cleft and surgical care in Nigeria

    Medical experts have expressed optimism that the hybrid research training initiated for middle and senior-level researchers by the National Surgical, Obstetrics, Anaesthesia and Nursing Plan (NSOANP) for Nigeria in collaboration with Smile Train (a cleft charity organisation) and SearchAnWrite (a research and innovation organisation) will unravel more effective protocols of cleft care and other surgical conditions in the country.

    The experts who spoke separately in Abuja during the ongoing 2nd edition of the 5-day training all stressed importance of research in healthcare.

    Recall that the Federal Government of Nigeria through the Federal Ministry of Health had signed a Memorandum of Understanding with Smile Train to train researchers in medical fields as well as offer grants for research with a view to generating reliable data.

    Research has over the years not received the desired attention in Nigeria to guarantee effective intervention in any sphere. Experts say foreign organisations are mostly relied upon to access basic data. However, improved funding and scaling up of skills of the indigenous researchers could change this narrative.

    Dr. Gbenga Olorunfemi, an Obstetrician/Gynaecologist, and Research Methods and Biostatic Consultant, who served as one of the faculty/facilitators stressed that medicine evolves and the only way to better the practice is through research.

    “As medical doctors and consultants, every day we see and manage patients but for us to be able to get the next set of innovations, and the next set of things to do for the patients, we need to go back and review what has been done before and subsequently improve on what we have done before. That is research but most of us don’t have the skillsets for good research.

    “This is what has made the difference between the high-income countries and the developing countries like Nigeria. In developed countries, there is a high level of research that goes into healthcare every day to renew the level of whatever they do. And most times, we just borrow technology from them. Unfortunately, these borrowed technologies are not locally contextualized and don’t fit into what we do here due to financial constraints and social perception. So we need to come up with research skills to review what we do here and be able to come out at international conferences and say this is what we have been able to do and they could even learn from us”.

    “The essence of this training is to enlighten participants on the need for quality data generation. Trainees here are supposed to do a step-down and retrain their respective constituents. After this programme, they are expected to write grant proposals”, says Dr Gbenga.

    Also speaking on the importance of research, Prof. Emmanuel Ameh, a chief Consultant Paediatric Surgeon at National Hospital Abuja, and coordinator for the training agreed that it is a step in solving the challenge of data which is essential in providing quality surgical care.

    “One of the challenges we have in this country is that we really do not have reliable and complete data which has been a problem over the years. And without data, even policymaking is a problem. So what we are trying to do is to train not only doctors but all those involved in comprehensive cleft care. Here, you will see obstetricians, maxillofacial surgeons, plastic surgeons, anaesthetists, nutritionists, nurses, and ENT surgeons, so it’s a mix of different groups and specialities”, Prof. Ameh added.

    “The aim is to train them to do good research, so that at the end of the day they will be able to generate reliable data that can be translated into improving the quality of cleft care, finding solutions to some of the causes of the problems we have, designing ways of reducing the incidence of these surgical problems, and eventually influence government and policymakers to allocate more resources to surgical care since you can’t ask for more resources when you don’t know what is on the ground,” Prof Ameh noted.

    READ ALSO: Smile Train inaugurates e-registry for cleft care services

    He further disclosed that the benefits of the first training were already manifesting adding that more training centres would be added.

    “The first training was quite successful because we achieved all the objectives we set out to achieve. And after the first training, Smile Train put up a call for grant proposals, and six of the eleven people we trained submitted grant applications, three of them were awarded out rightly. The remaining three were asked to just make some corrections. So all of them were successful in winning the grants which address one of the major problems we have because most researches done by healthcare professionals in this region are self-sponsored”.

    “One of the other things that we set out to achieve was to begin to gradually expand our research capacity. One of the participants at the last training is now one of the resource persons because of her exceptional performance. We hope that more trainees will become trainers in their respective places”.

    Smile Train Vice-President and Regional Director for Africa, Mrs. Nkeiruka Obi, earlier while declaring the training open restated the organization’s commitment to developing comprehensive cleft care.

    To this end, Mrs. Obi explained that Smile Train has set aside a significant amount of money to fund grants and research on cleft care adding that data was critical.

    “Research is a spectrum, so we are looking at the preventive measures, treatment models/protocols, the rehabilitative aspect of cleft care given the fact that the moment a baby is discovered to have a cleft, research will pick it through prenatal diagnosis, when the child is born, then the child will undergo surgery and so on”

    She further explained that as a demonstration of Smile Train commitment to research around clefts it has supported the Federal Government in developing a cleft and surgery e-registry, designed to capture comprehensive data on clefts and other surgical conditions in the country.

    According to her, the e-registry which happens to be the first on the African continent, would provide a good referral and surveillance system to ensure early detection and identification of clefts or other congenital conditions in children, create a robust platform to track cases of clefts especially in communities and afford families the opportunity to access adequate information on available treatment options.