Tag: healers

  • Adewole advises healers on cancer treatment

    Adewole advises healers on cancer treatment

    Do you have a cure for cancer? If yes,  contact the Federal Ministry of Health, Abuja. The ministry is ready to engage natural health practitioners and explore traditional medicine and alternative treatments in cancer treatment.

    Minister of Health, Prof Isaac Adewole made the appeal at a seminar at the Lagos University Teaching Hospital (LUTH). The seminar was organised by his ministry to address the rising cases of cancer across the country.

    Speaking on the topic: ‘’Cancer in Nigeria: Screening, diagnosis, treatment and data collection’’, with ‘’Building a team of policy makers, providers and users of healthcare’’ as sub-theme, Adewole said only research would enhance the understanding of cancer and help find and develop better effective treatments, adding that only a global search for answers will help us get to find a cure this disease.

    He said: “There are no parts or organs of the body that cancer cannot attack- except three – nails, teeth and hair. It is crucial to remember that cancer is not one disease – it is more than 200. All are different, unique diseases, which require different approaches for treatment. Treatments that work for some cancers don’t work for others and sometimes those treatments simply stop working.  Thanks to decades of research, survival from cancer has doubled in the last 40 years.”

    He identified breast cancer, cervical cancer and ovarian cancer as the commonest among women while prostrate, liver, colorectal cancer, also known as bowel cancer, colon cancer or rectal cancer, which is cancer (a growth, lump, tumor) of the colon and the rectum (CRC) and connective/soft tissue as rampant among men.

    Adewole said: “Just as in the global world, great researchers and sponsors are encouraged, we, also at the Ministry of Health, are saying, if we believe a project can make a difference in the fight against cancer, then we will award a grant to make it happen. We are not interested in national borders or any kind of geographical bias, just the most promising proposals. And that’s the very reason we are asking for the brightest and best practitioners from around the nation to bring their work to us.”

    He said cancer treatment is not only about drugs, but also about getting the diagnosis right. “But cancer also needs to be diagnosed, and treatment needs monitoring – so there are huge efforts underway to improve and speed up cancer diagnosis and to find ways to monitor the success – or failure – of treatment. For example, almost every week, we see a new paper that finds a new potential biomarker to detect cancer, and all of these need to be followed up in larger research studies. Our ultimate goal is seeing no life cut short by cancer, and we are exploring all fronts to ensure that,” Adewole said.

    He continued: “Understanding what causes cancer, who gets it, and why, is a huge area of research. For example, we know that our diet is very important in determining our risk of cancer; yet, we are still very much in the dark as to how. Huge studies are going on across the world looking at how diet and other lifestyle choices can affect our risk of the disease. And answer will emerge someday.

    ‘’The World Health Organisation (WHO) recognises traditional medicine (TM) and we will not jettison that. So, anybody that has an answer to the disease should contact the cancer unit of the Ministry. Contact person is David Atuwo- 08033113070, email- datuwo@yahoo.com. Or twit me @IsaacFAdewole, @fmohnigeria or @akinolaboade.”

    To forestall cases of cancer, the Minister appealed to Nigerians to stop lifestyles that promote the disease, especially smoking – primary or secondary.

    “The most common risk factors for cancer include aging, tobacco, sun exposure, radiation exposure, chemicals and other substances, some viruses and bacteria, certain hormones, family history of cancer, alcohol, poor diet, lack of physical activity, or being overweight,” he said.

    Dr. Bola Oyeledun of Centre for Integrated Health Programmes (CIHP) Nigeria, who spoke on: ‘’Cancer epidemiology in Nigeria: Where we were … and getting to where we need be’’, said all hands should be on deck to ensure that Nigeria eradicate the disease.

    “We are doing all to capture the rate but there are so many unreported cases that just die off. There are three types of cancer registries. Population-based cancer registries monitor new cases within well-defined populations over periods of time and have been recognised as useful sources of information on the incidence, prevalence and mortality from cancer in various populations worldwide. The data they generate is particularly useful for cancer prevention, early detection, determination of cancer rates and trends, research and evaluation of cancer control efforts. Hospital-based cancer registries, on the other hand, collect data about diagnosis and treatment of cancer within a hospital or group of hospitals. They are, therefore, suitable for comparison of cancer care infrastructure (personnel, resources and logistics) and treatment outcomes. The third type of cancer registries are special cancer registries that are devoted either to specific cancers or groups of cancers, e.g. pediatric cancer registries, gastric cancer registries, etc. Such registries are valuable for research and public, patients and professional educational purposes.”

    She said: “Cancer registration in Nigeria experienced significant setbacks in early 70s and 80s due to the economic and political challenges then. Data from the Ibadan Cancer Registry was no longer accepted for inclusion in Cancer inventory (CIV) and no new population-based Cancer Registry data of sufficient quality was generated. There was, therefore, no reliable source of information on cancer incidence, prevalence and mortality in the country during this period. Information about epidemiology of cancer were published as case series from clinical, pathology and autopsy records, which were often hospital-based, incomplete and reflected the resources and specialties available at the specific institutions. These sources of information were limited and could not provide information on cancer incidence, often over-represented cancers that were easy to diagnose, were biased by the resources at the specific institution and interests of the personnel reporting the data.”

    She said: “One-third of deaths from cancer are due to the five leading behavioural and dietary risks -tobacco smoking, alcohol consumption, physical inactivity, obesity, pollution. Vaccination against cancer causing infections could prevent 1.1 million cases per year (e.g. HPV, Hep B vaccinations). Only 14 percent of people in need of palliative care  receive it. Less than 30 percent of low-income countries reported that treatment services are available compared to more than 90 percent of high-income countries. Only one in five low- and middle-income countries have the necessary data to drive cancer policy.

    “Rising cancer incidence will strain limited heath care resources. To appropriately fund prevention, early diagnosis, curative and palliative care needs detailed knowledge of the burden of disease. Deaths due to communicable, maternal and neonatal causes   are decreasing globally while Non-Communicable Diseases (NCD) are rising.

    The medic said there are more international policies, such as the World Global Action Plan for the control of NCD 2013-2020, which have been integrated into SDGs  to address the gaps.  She said prevention and treatment of chronic infections, such as Hepatitis B and C, would reduce the incidence of liver cancers, adding that HPV vaccination would reduce cervical cancer incidence.

    On the way forward, she suggested evidence based-programming, high quality and functional regional cancer registries, cancer awareness and strategic behaviour change communication,, citing #BeseenGetScreened #Gettreatedintime.

    She said: ‘’Functional policies and guidelines on NCCP and tertiary health institutions need to be further strengthened, Private sector involvement and active participation in the prevention, diagnosis, management and end-of-life care (for profit and non-profit). And, importantly, the political commitment to make this happen is desired.”

  • Tips on mental disorders for healers, by don

    Tips on mental disorders for healers, by don

    A professor of Psychiatry   at the Lagos State University College of Medicine, Lagos State University (LASU), Abiodun Adewuya, has advised mentally ill-people healers to treat them with care.

    He gave the advice in an interview with The Nation.

    He said the role of traditional healers in psychiatry could not be overemphasised.

    “We, as professionals, take due recognition of these trado-medicine healers as complementary, but then, they have their limitations, hence they must know when to refer appropriately.

    “Aside that, one problem in the sector is the poor quality of care   given the sick. Stigma and discrimination can result in a lack of access to health and social services. The human body isn’t a simple machine with an easy solution for problems, especially those involving mood and mental health,” he said.

    Relying on the World Health Organisation (WHO) statistics, the notable medic said health systems had not been adequately being provided.

    As a result, the gap between the need for treatment and its provision is wide all over the world, he said.

    In low- and middle-income countries, he said, between 76 and 85 percent of people with mental disorders do not get treatment for their disorders. But not so in high-income countries, where those who have no access is between 35 and 50 percent.

    ‘’And that is the gap traditional healers in psychiatry have filled over the years,’’ he added.

    Adewuya, an Honorary Consultant Psychiatrist at the Lagos University Teaching Hospital (LASUTH) Department of Behavioural Medicine, pointed out that some plants are good for treating mental disorders. He listed these herbs to include Rauwolfia Vomitoria, Asofeyeje (Yoruba) akanta (Igbo language) and Wada (Hausa), an hypnotic that is good for reducing blood pressure.

    Rauwolfia is also good for treating insanity, anti-anxiety agent and is a good stimulant for the nervous system. This has been documented by Lambo J. O. (1975) Management of Hypertension in Traditional Medicine; in Sofowora A (ed) Antihypertensive Agents from Natural Sources: Ile-Ife, University of Ife Press, where it is reported that Asofeyeje has effect on the brain and will restore mental activities to normal.

    ‘’It should, however, be moderately used as it sometimes weakens the patient. Notable side effects of Rauwolfia alkaloids are depression and parkinsonia syndrome. according to Okpako D.T. ‘Principles of Pharmacology: A Tropical Approach: New York, Cambridge University Press (1991). Odugbemi T. in: ‘A Textbook of Medicinal Plants from Nigeria: Lagos, University of Lagos Press (2008) and Adodo Anselm in ‘Nature Power: Benin, Generation Press’.

    Adewuya continued: “As good as this plant and others are, they have their limitations and I will encourage healers to update themselves on their practice and treat patients accordingly. Every drug is plant- based, so as professionals we are not throwing away the traditional art of healing mentally sick but we are rather asking that the healers should identify their limitations, and refer when necessary.”

    He said the era of beating, starving or even chaining mentally ill people had gone, urging practitioners to improve on their practice.

    “The healers have their plus. And they are commended for that. But they should just know that the archaic way of maltreating people with mental illness is phasing out. The healers should not chain them to bed, shackle or punish them for being ill. They should know when to refer. Most of the healers inherited the art from their fathers or forefathers but it is high time they introduced civility into their skill.

    ‘’When they do the referral, it does not dent their image; nobody will laugh at them or allege that they are not good at their trade. It does not translate to their not knowing their salt either. It is not an admission of failure on their part.  Rather, they would have done professionally well, and praised. The place where they treat should also be hygienic. When they do not refer to the appropriate hospital promptly, some serious damages would have been done to the patient and they come in, highly damaged. Trado healers should see us as working together because of the patient involved and not as rivals,” Adewuya added.

    He noted that there are various forms of mental disorders, that required various treatments but it has been observed that healers apply the same format in handling their patients.

    “There are different mental disorders, with different presentations. They are generally characterised by a combination of abnormal thoughts, perceptions, emotions, behaviour and relationships with others.

    “Mental disorders include depression, bipolar affective disorder, schizophrenia and other psychoses, dementia, intellectual disabilities and developmental disorders including autism. There are effective strategies for preventing mental disorders such as depression. There are effective treatments for mental disorders and ways to alleviate the suffering caused by them. Access to health care and social services capable of providing treatment and social support is important,” he explained.

    Adewuya said he had analysed  the herbal plants and other ingredients used by the healers. He said he could only advise on regulation of the dosage to avoid more damage being done. ‘’As scientists we are promoting what we have around here, we are not throwing out the bath water with the baby,’’ he added.

    He described schizophrenia as a severe mental disorder, affecting about 21 million people worldwide. Psychoses, including schizophrenia, are characterised by distortions in thinking, perception, emotions, language, sense of self and behaviour. Common psychotic experiences include hallucinations i.e. hearing, seeing or feeling things that are not there and delusions fixed false beliefs or suspicions that are firmly held even when there is evidence to the contrary. The disorder can make it difficult for people affected to work or study normally.

    “Stigma and discrimination can result in a lack of access to health and social services. Furthermore, people with psychosis are at high risk of exposure to human rights violations, such as long term confinement in institutions.

    ‘’Schizophrenia typically begins in late adolescence or early adulthood. Treatment with medicines and psychosocial support is effective. With appropriate treatment and social support, affected people can lead a productive life, be integrated in society. Facilitation of assisted living, supported housing and supported employment can act as a base from which people with severe mental disorders, including schizophrenia, can achieve numerous recovery goals as they often face difficulty in obtaining or retaining normal employment or housing opportunities,” Adewuya added.

  • Minister: emulate traditional healers

    Minister: emulate traditional healers

    There is the need for orthodox medicine practitioners to borrow a leaf from traditional medicine practitioners.

    This view was expressed  by the Minister of Health, Prof Isaac Adewole, when he briefed Health Editors in Lagos to mark one year in office, saying  traditional healers show empathy to their clients and their services are accessible and affordable.

    Adewole said there were many things Nigerians  could benefit from traditional medicine. Some of them, according to him, are bone setting and healing with herbal plants, saying that his ministry will explore how to assist herbal healers on how to improve their practice, especially in standardising their products.

    ‘’That will help us as a country to export them, instead of the plethora of foreign herbal products that have taken over the market. We have a lot to learn from China and even Ghana, but gradually we are getting there. The way traditional medicine is now can’t be compared with what obtained some centuries ago,” Adewole said.

    He said Nigeria was in the forefront of research and development of herbal plants. “A quick search into NIPRID shows how indigenous herbal-plants have been researched, developed and packaged into life-saving products, so we have a lot to boast of in that sector. We only need to hone the skill of the practitioners,” he said.

    According to World Health Organisation (WHO),  traditional medicine is the sum total of the knowledge, skills, and practices based on the theories, beliefs, and experiences indigenous to different cultures, whether explicable or not. It is used in the maintenance of health as well as in the prevention, diagnosis, improvement or treatment of physical and mental illness.

    “To ensure that this sector is regulated, WHO came up with the International Regulatory Cooperation for Herbal Medicines (IRCH). It has 33 member states. Nigeria is not inclusive.

    “International Regulatory Co-operation for Herbal Medicines (IRCH) is a global network of regulatory authorities responsible for regulation of herbal medicines, established in 2006. Its mission is to protect and promote public health and safety through improved regulation for herbal medicines.

    “Membership is open to any national regulatory authority responsible for the regulation of herbal medicines and regional/sub-regional bodies responsible for the regulation of herbal medicines.”

    It is on record that Nigeria was aware of the first WHO Congress on traditional medicine, otherwise called “Beijing Declaration”. The Beijing Declaration serves to promote the safe and effective use of traditional medicine, and called on WHO member states and other stakeholders to take steps to integrate TM/CAM into national health systems.

    It required that member states should share national experiences and information in five areas, which would aid countries in taking further action in the future in: National Policy on TM/CAM; National Regulation of Traditional and Herbal Medicines; TM in Primary Health Care; National Regulation of TM/CAM Practice and Research on TM/CAM.

  • Minister: emulate traditional healers

    There is the need for orthodox medicine practitioners to borrow a leaf from traditional medicine practitioners.

    According to the Minister of Health, Prof Isaac Adewole, who briefed Health Editors in Lagos to mark one year in office, traditional healers show empathy to their clients and their services are accessible and affordable.

    Adewole said there were many areas of traditional medicine that more Nigerians could benefit from. Some of them, according to him, are bone setting and healing with herbal plants, saying that his ministry will explore how to assist herbal healers on how to improve their practice, especially in standardising their products.

    ‘That will help us as a country to export them, instead of the plethora of foreign herbal products that have taken over the market. We have a lot to learn from China and even Ghana, but gradually we are getting there. The way traditional medicine is now can’t be compared with what obtained some centuries ago,” Adewole said.

    He said Nigeria was in the forefront of research and development of herbal plants. “A quick search into NIPRID shows how indigenous herbal-plants have been researched, developed and packaged into life saving products, so we have a lot to boast off in that sector. We only need to hone the skill of the practitioners,” he said.

    According to World Health Organisation (WHO),  traditional medicine is the sum total of the knowledge, skills, and practices based on the theories, beliefs, and experiences indigenous to different cultures, whether explicable or not. It is used in the maintenance of health as well as in the prevention, diagnosis, improvement or treatment of physical and mental illness.

    “To ensure that this sector is regulated, WHO came up with the International Regulatory Cooperation for Herbal Medicines (IRCH). It has 33 member states. Nigeria is not inclusive.

    “International Regulatory Co-operation for Herbal Medicines (IRCH) is a global network of regulatory authorities responsible for regulation of herbal medicines, established in 2006. Its mission is to protect and promote public health and safety through improved regulation for herbal medicines.

    “Membership is open to any national regulatory authority responsible for the regulation of herbal medicines and regional/sub-regional bodies responsible for the regulation of herbal medicines.”

    It is on record that Nigeria was aware of the first WHO Congress on traditional medicine, otherwise called “Beijing Declaration”. The Beijing Declaration serves to promote the safe and effective use of traditional medicine, and call on WHO member states and other stakeholders to take steps to integrate TM/CAM into national health systems.

    It required that member states shared national experiences and information in five areas, which would aid countries in taking further action in the future: National Policy on TM/CAM; National Regulation of Traditional and Herbal Medicines; TM in Primary Health Care; National Regulation of TM/CAM Practice and Research on TM/CAM.

  • Healers or dealers? (2)

    •Bedside hostility, forced circumcision and criminal extortion at General Hospital, Oke-Odo, Agege, Lagos

    Few Lagos tragedies fully measure to the grotesque proceedings at the General Hospital, Oke-Odo, Agege, Lagos. Even as you read, the travesty of healthcare and humaneness persists like the tragic nuance in Shakespeare’s Macbeth. The tragedy at the hospital is hardly the finale to the morbid serials staged across the coastal city’s General Hospitals but it unarguably represents an obscene, poignant burlesque characteristic of the incumbent administration’s health policy.

    Is the state’s Commissioner for Health, Jide Idris, aware of the organised fraud being perpetrated at the General Hospital, Oke-Odo, Agege, among other state hospitals? Is he aware of the bestial treatment meted to pregnant women and other patients calling in at the public health centre? Does he know of the subtle and brazen extortion methods perpetrated by the clinic’s authorities, like ‘over-prescription’ of drugs and medical provisions? Too many husbands are often forced to purchase more than the drugs and medical provisions they need for their pregnant wives’ treatment at the hospital’s dispensary. At the end of their ordeal, clinic staff persuade husbands of newly delivered mothers and relatives of convalescing patients who are about to be discharged, to give up the excess drugs and supplies. Then they sell to new patients at prices too close or similar to the dispensary’s.

    Is Jide Idris aware of ‘Megalek,’ an agency within the state’s General Hospital, forcefully recommended by the hospital authorities to perform circumcision on newborn sons, against their mother’s wishes. For the unsolicited service, mothers are forced to pay N4, 000. And no mother’s heartfelt complaint to the hospital’s Medical Director could protect her from the insolent tentacles of the internal extortion ring.

    Does Jide Idris know that, after reading the first part of this article, the Medical Director, General Hospital, Oke Odo, summoned an emergency meeting whereby the fraudulent charges on circumcision and other deceptive fees were promptly cancelled – at least till the noise blows over?

    The Lagos health commissioner is probably aware that there aren’t enough beds for pregnant women and other patients in the hospital’s crowded wards. And he probably knows of the several travesties being perpetrated in the hospital’s wards, he is simply too busy to care. Perhaps because the victims are far removed from the elite segment of Lagos’ high society.

    In fairness to the personnel of General Hospital, Oke Odo, Agege, they, like their colleagues across the state’s General Hospitals, have to function in parlous conditions. They are forced to ration fuel for electricity power generators because the state refuses to provide adequate budget for electricity supply. The hospital, like all others, is understaffed, and plagued by boorish staff with atrocious bedside manners. The medical staff  and auxiliary teams are overrun by a flippant, disgruntled, desperate breed. Save a very few whose respect for life and human dignity is borne of good breeding from childhood, self taught or acquired under the tutelage of Nigeria’s vanishing league of true health practitioners – zealots of a golden medical era –  the General Hospital, Oke Odo and so many others would become too hellish for comfort.

    Notwithstanding, a visit to the medical facility is like a journey to hell. Besides the inadequate medical facilities, staff shortages and its tiny car park, a dark pall of fear and uncertainty settles on patients and their relatives every time they call in at the hospital. Ask Citizen Afolake who had to wait 24 hours, in painful labour, on a wooden chair, to get a bed space that she lost as soon as she was wheeled into the hospital’s labour room. Ask Citizen Mo who was almost killed by the hospital’s medical staff because her vitals were taken by hospital cleaners posing as nurses while she attended antenatal clinic. Ask those who have lost loved ones to the hospital’s dysfunctional system but whose miseries are too inconsequential for the state to care about.

    Governor Akinwumi Ambode has definitely got his work cut out for him. He should know that budgeting N46.9 billion to the health sector in the state’s 2016 budget is never enough to emphasise his commitment to the alleviation of the citizenry’s health problems and elevation of the state’s cancerous health system.

    “The Y2016 budget of N662.588bn will enable our government focus on the present challenges of security, traffic gridlock resolution including physical and social infrastructural developments which have thrown up new challenges quite different from our past experience,” said Ambode while presenting the budget at a brief but impressive ceremony at banquet hall of the Lagos House.

    He called it his administration’s article of faith with Lagosians and promised that the budget would be faithfully implemented in line with his determination to make Lagos work for all, irrespective of age, gender, tribe or status.

    It is about time Ambode made Lagos truly work for Lagosians. It is about time he heeded the birth and death cries of mothers and underprivileged Lagosians respectively, who are persistently subjected to the serrated blades of the coastal city’s dysfunctional anti-citizenry health system.

    Of course, overzealous aides and cronies would readily tell Governor Ambode to dismiss this piece as yet another rant by a journalist seeking to make a noise like thunder over the city’s calm waters, but the Lagos governor would be doing himself a lot of good by paying good mind to the issues raised by the first and second installment of this piece.

    The Lagos health sector is comatose and in great deal of financial and administrative aid. Governor Ambode should rededicate himself to the sanitation of the state’s health facilities. Given that a greater segment of the state’s citizenry fall within the bracket too poor and unable to patronise the overpriced health services of the state’s boutique specialist hospitals, Governor Ambode should endeavour to take more active interest in the state’s health sector.

    Currently, tragedy plays a desperate game across the state’s public health centres – a game invented by the government’s administrative clumsiness thus blunting the incumbent governor’s overhyped competence and devotion to the state’s vulnerable divide.

    The battle for the soul of the state’s floundering health system can only be won by a governor who is ready to march in virtual lockstep to his claims of competence and empathy without airs. Nigeria is currently afflicted by the scourge of turncoat governors and other public officers who have betrayed the trust and exhausted the hopes of the electorate whose goodwill and votes earned them their cozy seats and mansions across the country’s political landscape.

    It would be really nice and refreshing to see Governor Ambode truly rise up as a man and defender of the rights of the poor, helpless folk whose votes, goodwill and passion for real ‘Change’ got him into power.

    Let him not act like his peer who got too drunk and blinded by power soon after their ascent the seat of power. Too many of Ambode’s peers skew stewardship by their disruptive relation with power and the citizenry’s trust. These are the tragic freaks and hostages to power. They are less moral and humane than the quintessential statesman. Their will to power is naked. Their actions are mired in chthonian cloud. They are a conduit of the irrational, exposing governance to mutations of the barbarism that the All Progressives Congress (APC) swore to shut out at its birth.

    Let the case of the General Hospital, Oke Odo, Agege and other state public health centres become Governor Ambode’s vehicle for testing and purifying his mettle and much hyped competence, before it renders his government yet another tragedy that Nigeria is trying to correct.

  • Healers or dealers? (1)

    •Bedside hostility, forced circumcision and criminal extortion at General Hospital, Oke-Odo, Agege, Lagos

    The depravity of its ‘excellent’ nature is coastal Lagos’ dirty secret. Despite its haughty  claim as Nigeria’s “Centre of Excellence,” Lagos groans under the tedious weight of mediocrity and its tragic sense of life. There is no gainsaying the commercial hub of Nigeria profits by a hard-worn, romanticised imagery of brilliance, bracing industry and entertainment. At the backdrop of this fantasy and specious proceedings however, Lagos pulsates in hazardous ugliness.

    This ugliness resonates across the coastal city’s landscape; it subsists in its neglected bad roads, cratered by-passes, hostile state agencies, infinitely devious and overzealous staff. It seeps through the mediocrity and crass inhumaneness of establishments like the General Hospital, Oke-Odo, Agege, Lagos.

    At the hospital, bestiality dons a joyful sneer and saunters through its hostile wards and administrative offices, every day. The General Hospital, Oke Odo, sets itself up against the true nature and essence of the Hippocratic Oath, by descending into infamy and organised extortion. Medical and administrative staff of the hospital seem driven by bile and institutionalised aggression. Thus every patient suffers a cruel and unusual form of punishment simply by calling in sick, appearing for consultation or birthing a newborn within the cold ambience of the public health centre.

    As you read, Citizen Afolake, a teacher, is still traumatised following her nasty experience in  the hands of the hospital’s insouciant staff. On her first day in the hospital, Afolake suffered a gruesome birthing process; she was made to labour in extremity. She experienced no reprieve from pain. No medical staff came around to offer kind words to her and fellow pregnant women even as they were forced to sit through the night on a hard wooden chair while they queued for ‘bed space.’

    When the pain became unbearable at midnight, Afolake, like her peers, had nowhere to go and no one to turn to. She could not leave the hospital because it was dark and she could not stand from her seat lest she loses it to another pregnant woman craving a seat while waiting for the ever elusive ‘bed space.’

    Impatiently but with calm resolve, Afolake braved through the night, praying that a ‘bed space’ became available to her by daybreak. But none would be available to her at dawn. Thus she writhed in agony from 9 am on Monday, October 10, 2016 to 9 pm on Tuesday, October 11, 2016 when she eventually found ‘bed space.’ It is instructive to note that Afolake, like her pregnant mates, waited on the hard wooden chair for 24 hours.

    After she put to bed, she had to wait on a long queue to bath herself and her baby. She also had to put up with very hostile nurses and flippant cleaners. Thus after delivery, Afolake could hardly wait to escape the hospital’s human and structural extremities. But Afolake would experience more misery by the hospital’s staff as they insisted that she let ‘Megalek,’ an agency within the hospital, perform circumcision on her newborn son, against her wish. For the unsolicited service, they forced her to pay N4, 000.

    Predictably, Afolake protested; “I told them I didn’t need them to circumcise my son. I told them we have a family doctor who does the circumcision on male children in my family but they ignored my explanation,” she lamented.

    Thus Afolake sought the hospital’s Medical Director (MD) and complained to her but to her chagrin, the MD said she (Afolake) must pay the N4, 000 even though she did not want the circumcision done on her son. “I had already paid N29, 200 as medical bill but she said I must pay an additional N4, 000 for an unsolicited circumcision which I declined,” said Afolake.

    The hospital staff made her understand that, if she failed to pay the N4,000, she would not be discharged. But Afolake was too eager to leave the hospital. Before she put to bed, she had been sleeping on a chair and immediately after delivery, she was forced to share a narrow bed with a heavily pregnant woman because she lost her ‘bed space’ immediately she was wheeled into the labour room.

    Eventually, Afolake paid N4, 000 for a circumcision that was never performed on her son. A separate receipt was issued for the unsolicited service while another was issued for her medical bill. Both receipts bore the logo and name of the General Hospital, Oke-Odo, Agege, Lagos.

    With a heavy heart, Afolake left the hospital ruing the complex yet methodical network of extortion foisted on her by the hospital. She lamented the hell she went through birthing her son at the public health centre and wondered how the hospital’s medical and administrative staff mutated into such pitiless characters.

    No doubt, Afolake is luckier than Citizen Mo. In 2011, the latter almost lost her life even after losing her child due to the negligence of the medical staff at the General Hospital, Oke-Odo, Agege, Lagos. Citizen Mo, a journalist, was rushed to the clinic after her blood sugar level hit the roof. She had been attending antenatal clinic at the hospital but all along, the hospital assigned cleaners to attend to her and her pregnant peer. Unknown to her, the menial workers who had been taking her medical records, had virtually no knowledge and training about how to run an antenatal clinic, yet they attended to her and other pregnant women. Eventually, they committed serious blunder recording wrong details of Citizen Mo’s health vitals. Consequently, she didn’t get the treatment that she actually deserved.

    Citizen Mo was rushed to the hospital when her blood sugar level skyrocketed with devastating impact on her health. She was seven months pregnant. At the hospital, the doctors did not discover that she was having contractions until dusk. Even so, there was little they could do; they wheeled her into the theatre and delivered her of her child prematurely. Subsequently, discrepancies caused by wrong administration of drugs and medical aid caused Citizen Mo to slip into coma. She was in coma for two days because the doctors treated her based on wrong vitals (medical information) taken of her, by the hospital’s cleaners and other menial workers. Sadly, Citizen Mo stirred from coma to a tragic reality: her child died because there was no functional incubator in the hospital’s labour room. There was no incubator at the General Hospital, Oke-Odo, Agege, Lagos.

    More severe cases abound of unpardonable acts committed by the hospital’s medical staff. But the fault is never entirely the fault of the hospital’s medical personnel. Like several other health facilities across Lagos, they are forced to function with a lean team and mean resources. Thus the hospital’s ‘bed spaces’ are never enough among other inadequacies.

    But that is no excuse for the hospital staff to mortgage patients’ health and risk their lives on a whim. For a state allegedly presided over by a ‘no-nonsense’ governor, the state of the General Hospital, Oke-Odo, Agege is an eyesore. Governor Akinwumi Ambode projects himself as a revolutionary in the saddle. His media team works assiduously to establish him as a grassroots politician and statesman with a heart that skips for the interest of Lagos’ poor, vulnerable divide. Yeah, he is rehabilitating bad roads and building new ones but does he have the courage, and administrative will to save lives?

  • Trauma healers trained in Jos

    Trauma healers trained in Jos

    Survivors of violence need more than drugs and sympathy. An agency of the European Union has trained counsellors to heal unseen wounds of trauma victims in Plateau State, reports YUSUFU AMINU IDEGU

    The European Union (EU) has started the second phase of its peace building and rehabilitation project in Plateau State, organising training programmes on trauma healing and skill acquisition for victims of Jos crisis. The EU made an initial commitment of €4.5 million in the phase, which is being implemented through its agency, Apurimac Onlus, a faith-based non-governmental organisation in Jos, the state capital.

    Okoko
    Okoko

    Country Director of Apurimac Onlus, Mr. Godwin Okoko said, “The NGO has been operating in Jos since 2008 in the areas of peace building, human development and social justice. We have so far established four vocational skill training centres, one in each senatorial zone as well as the state capital. We also established trauma healing centres in Jos North Local Government Area where victims of violence and bomb blasts received free medical treatment and trauma counseling.”

    While declaring the five-day training open for trauma counsellors in Jos last week, Mr. Okoko said, “In this particular programme, we are implementing the EU peace building project using our facilities for skill training and trauma healing for identified victims. Trauma healing because, the experience to victims are really traumatic, the heavy sound of bomb alone can affect somebody’s mental balance, especially being the first experience. And we’ve had several cases of bomb blasts in Jos city. Apart from the sound of the blast, the sight of charred human bodies, if you realise the impact of the bombs on human body alone can traumatise anyone that experienced it.

    “In the course of working with victims of bomb blast, we realised that victims who managed to survive bomb blast takes days for them to recover from the shock and disbelief, the psychological effect is massive on many people. Relations of victims who on realizing he lost loved ones through bomb blast and attacks by gunmen can go man, they are capable of contemplating revenge, especially orphans who will grow up to discovered how he lost his parents. So, in a conflict areas like Plateau state there are several reasons for residence to be traumatic.”

    Mr. Okoko said, “We identified such traumatic victims from hospitals, IDPs camps and from relations. We currently have 55,000 of them. Most of them after being discharged from hospital as a result of bomb blast will go back home with their trauma as they may not have the fund to remain in hospital for counseling. We locate them and offer them free trauma healing. We locate most of them from IDPs camp, where you will meet a woman or children who saw how their loved ones were shot or killed by machete. Some who managed to escape out of their house returned the next day after the attack to see the burnt bodies of family members. What a traumatic experience is that, there are several of them in Barkin Ladi, Riyom and Wase LGAs.”

    Due to the large number of victims that requires the trauma healing, the implementing agent, APURIMAN ONLUS will never have enough space to bring all of them together, hence the decision to train some community counsellors, who will then go back to their communities to train the victims. These community counsellors are selected medical workers, sociologists, psychologists, nurses and religious evangelists.

    Mr. Okoko said, “We selected nine of these professionals from each local government for a five-day training and after that we deploy them to the various IDPs camps to counsel these traumatic victims. We need to fine-tune their minds away from violence, we talk to them to divert their attention from what happened in the past; we have to take their memories away from the horrible things they may have passed through in the course of the violence. We have to do these so that we can turn them to peace ambassadors rather than allowing them to think of vengeance. We also use religious preachers to talk to them on the ways of God.”

    The NGO has identified three local governments with severe cases of trauma, they are Barkin Ladi, Riyom and Wase local government areas of the state. “The trauma healing has become necessary so as to forestall further conflict in the various communities, that is the center of the entire peace building because it is through that psychological headings that you can be able to achieve sustainable peace.

    The NGO organised its open day last week as a day set aside for the inspection of ongoing trainees in its training facilities in the state by the director general of Apurimac Onlus from Italy, Mr Vila Vittorio, as well as state government representative. The tour took the team to inspect the trauma healing center in Katako areas of Jos North LGA where it successfully trained 2,000 trauma victims in 2014.

    Mr Okoko said, “Apart from the trauma healing, we trained youths to acquire skills to enable them have means of livelihood that will take them away from been used in violence. We want to prevent idleness of the youths, hence, we have so far trained 14,000 youths in various skills like computer training, hair dressing, tailoring, knitting, leather works, aluminum works, wielding and fabrication, catering and event decoration. The training takes six months.

    “We have also trained over 5,000 educational actors in peace education and peace building, all these training are geared towards sustainable peace building and positive engagement of youths to make them productive, attain economic independence and make them useful to the society”

    Mr. Okoko restated the commitments of the EU and APURIMAC on the Plateau towards building social integration using various peace mechanism, and urged government, other stakeholders in the state to join hands in achieving sustainable peace in the state.

    At the end of the facility tour, the Chief of Staff to Plateau State Governor, Simon Lalong, Mr. John Dafan expressed government readiness to partner with any organisation to help in conflict prevention and peace building in the state. The government official said, “Government appreciates the efforts of Apurimac Onlus and other organisations working towards having a lasting peace in the state and government will not hesitate to assist the NGO and the European Union to make their peace building project a huge success.