Tag: Traditional

  • ‘Include traditional religion in curriculum’

    Traditional rulers in Lagos state have appealed to the state government to allow the teaching of African traditional religion known as Ifa in the public school.

    Association of African Traditional Religion Secretary-General, Chief Awodiran Agboola said: “It is important we catch them young, it is very unfortunate that our children when they go to public schools, they get converted to either Christianity or Islam, so we are trying to make bring to government’s attention.”

    He said traditional religion should not be over look in the society, considering that it contribute to the progress and development of the state.

    “This will help create awareness that will exist and also prepare us for the August 20 African traditional festival, this seminar is just to educate our people that traditional religion is not fetish and barbaric we are also righteous people,” he said.

    Lagos State Council of Arts Culture Director Mrs Saidat Otulana, said the event will give the public opportunity to know the importance of culture and tradition.

  • Who regulates traditional medicine?

    Who regulates traditional medicine?

    National Complementary and Alternative Medical Association (NACAMA) President Prof Peter Katchy answers the first question. The Chief Executive Officer (CEO), Towersea Nigeria Limited, Dr Solomon Abutoh, handles the second.

    The attention of the National Complementary and Alternative Medical Association (NACAMA) Nigeria has been drawn to allegations in some quarters that the Medical and Dental Council of Nigeria (MDCN) has been regulating traditional medicine practice in Nigeria.

    This is untrue and laden with falsehood, deceit and ignorance.

    The Medical and Dental Practitioners (Amendment) Act No. 78 of 1992 Or CP M8 2004 has the following interpretations that naturopathy, acupuncture, osteopathy and homoeopathy are under alternative medicine in Nigeria.

     

    What is alternative medicine?

    Alternative medicine generally refers to practice not typically used in allopathic practice or conventional orthodox medicine. What we consider alternative medicines are the different approaches to the management of ailments through the different practice groups that made up the alternative medicine. It has pharmaceutical processes, empirical values and pharmacopeia which are recognised across the world.

    The pharmaceutical processes taken from materials extracted from three rubric of nature, that is, liquid, dry soluble and insoluble materials. They are characterised by marvelous simplicity and perfection devoid of petrochemicals and synthetic substances. Alternative medicine preparation of remedies is different in details and specification in consonance with ailments and remedies.

    Preparation of drugs and dispensing of drugs are pharmaceutical duties applied to various fields of alternative medicine. The materials that are converted into alternative medicine are produced as tinctures, syrups, tablets, capsules, injections, infusions, creams, ointments, powders and insertions, among others.

    Over the years in Nigeria, patients interest in alternative medicine’s mode of treatment have increased tremendously and the public has come to appreciate and rely on alternative medicine therapeutics.

     

    What is complementary medicine?

    Complementary medicine is thought of as treatments used in addition to alternative medicine and conventional allopathic orthodox methods. For example, chiropractic, magnotherapy (drugless applications) and radionic (electronic medicine) are also integrative medicine. This is because they can be combined with alternative and conventional health care delivery.

     

    Why alternative medicine is not traditional medicine (TM)?

    The World Health Organisation (WHO) defined traditional medicine as “the total combination of knowledge and practices whether applicable or not used in diagnosing, preventing or dominating a physical or mental or social disease and which may rely exclusively on past experience and observation handed down from generation to generation verbally or in writing”.

    TM are the healthcare delivery methods and practice that are directly traceable or related to culture and ancestral heritage of the people. Traditional medicine is classified into three categories.They are herbalism, spiritualism and occultism, traditional orthopaedics and surgeries.

     

    Who is a traditional medicine practitioner?

    The WHO says he is a person recognised by the community in which he lives as competent to provide healthcare by using vegetable, animal and mineral substances and certain other methods based on social, cultural and religious background as well as the knowledge, attitudes and beliefs that are prevalent in the community regarding physical, mental and social well-being and causes of disease and disability. From the above, it can be clearly seen that TM practitioners go with little or no education based only on experience handed down mainly orally from generation to generation and occasionally in writing.But a homoeopathical medical practitioner is always grounded with sound professional training and medical curricular education for the course duration in a medical college and must subscribe to Homoeopathic practitioners oath prior to practice.

    In this milieu aided by modern invented and available medical equipment for diagnosis and treatment, homoeopathic medical therapeutics are neither guess work nor tools to be toyed with by charlatans and quacks.

    Let  it  be categorically stated that the Medical and Dental Council of Nigeria  (MDCN) is not regulating TM and does not have such mandate as to stifle its progress as alleged in some quarters.

    The problem of CAM practice and NACAMA is wanton deceit and misrepresentation that CAM is Trado Medicine. Except a fraudster, no registered CAM nor NACAMA member will mingle with such group of no defined professional nomenclature.

  • How to improve traditional medicine, by board chair

    How to improve traditional medicine, by board chair

    Lagos State Traditional Medicine Board Chairman Dr Bunmi Omosehindemi has decried the lack of legal framework for traditional medicine regulation despite last year’s passage of the Health Bill. The bill recognises traditional medicine as part of the National Health System.

    Omosehindemi was addressing delegates from Akwa Ibom State Ministry of Health that came to understudy his board’s management of Traditional Birth Attendants (TBAs). It was a consensus stakeholder meeting.

    The team included former Health Commissioner, Dr. Emem Bassey; Director Public Health, Dr. Ebuk; Dr. Udoh of  Public Health department; Director PRS, Dr. Emmanuel Ekong; SAPC AKSASCP, Dr. John Markson; PMTCT focal person AKSASCP Mrs. Emem Xavier; PHC Director, Uyo, Mrs. Ubong Abasi Victor; Director Med Services HMB, Dr. Adiakapan; Technical Advisor MSH, Iboro Nelson; Technical Advisor MSH; Lami Samaila; Senior Technical Advisor MSH, Salami Musa and Associate Director MSH, Funmi Esan.

    Speaking on “Engaging traditional birth attendants for improved Maternal Newborn and Child Health (MNCH) Services-Lagos State Experiencee,”  Omosehindemi said, his board derived its legal backing from the Health Sector Reforms of 2006.

    He said: “The vision of our Primary HealthCare (PHC) System in Lagos State, which is the closest to the people, is to develop a sustainable system where health promotion and disease prevention are emphasised and quality of life is enhanced through integrated services. Lagos State has formally recognised the value of traditional medicine in health systems, particularly in relation to the PHC System in particular and the overall healthcare system in general.

    “But the challenges faced include The Traditional medicine healthcare sector is somewhat challenging to regulate due to the following: Absence of uniform structure and standard protocol; lack of human resources in building the capacity of TBAs; inadequate funding for development of traditional medicine; lack of institutional framework to the development of traditional medicine and socio-cultural barriers and lack of cooperation from conventional health practitioners.

    Dr Omosehindemi said that despite these challenges, the board was able to train 4,780 TBAs; collaborating with PATHS-2 (Partnership for Transforming Health System 2) a DFID sponsored project aimed at improving maternal and child outcome in Lagos State to develop a database of all registered TBA facilities.

    “Indications for database are ante natal care (ANC) attendance; maternal deaths; immunisation; and a three-way referral – HIV screening, Pallor cases (deemed useful in the evaluation of patients suspected of anemia) and complications. As part of the strategies to reduce maternal mortality, the State is developing an incentive-based relationship with the TBAs to attend ANC Clinics with their clients or ‘permit’ their clients to attend ANC clinics in the PHC Centres and also encourage prompt referral of challenging deliveries. One of the incentives considered is the upgrading and furnishing of their clinics to create an enabling environment for the practice of Traditional Medicine.”

    “Identified best practices include Legislation Section 125 subsection 8 and section 126 subsection 161 of the Health Sector Reform Law allows linkages with relevant health institutions. The role of TBA in reducing maternal and infant mortality cannot be overemphasised. Hence there is need to build the capacity of the TBA in order for them to perform this essential role. There is need for proper integration of the TBAs into the mainstream Health Care System as provided for in the Health Bill of 2014,” stated Dr Omosehindemi.

    He encouraged the Akwa Ibom State government to sustain its interest in the development of traditional medicine because, “A larger percentage of Nigerians reside in rural communities where we lack properly trained hands in modern medical practices. The TBAs are usually their first point of contact. However, Traditional Bone Setters, Herbalists, Traditional Birth Attendants etc., already exist in our rural communities providing care for our people at affordable prices. In addition, Traditional healers have the ability to build more trust in the entire healing process due to the high depth of cultural competence applied and the close proximity to the patients.”

    The participants expressed their satisfaction over the weeklong event as they were able to visit the Lagos State General Hospital Agege to observe internship sessions and training of TBAs at hospital; review the 10-week internship/training curriculum and timetable and obtain copies and speak to the TBAs regarding their assessment and rating of the internship and the implications on their services.

  • Traditional rulers as Jonathan’s salesmen

    I was quite appalled to recently read in the media the astonishing news that President Goodluck Jonathan, in his desperate bid for re-election in the last Saturday’s presidential election, recruited eleven teams of traditional rulers to woo the support of their colleagues across the country for his re-election campaign. Neither the presidency nor those traditional rulers mentioned has denied the report. Yet, the traditional rulers utilised for this purpose are communal leaders of no mean stature. Many of them are men of long standing good reputation that are unfortunately risking their hard earned reputations on a risky venture that may ultimately prove worthless.

    Some of those allegedly spearheading the president’s cause in this regard include His Royal Majesty, Major General Felix Mujakperuo (Rtd), Orodje of Okpe; Oba S.O. Oyediran, Onipetu of Ijeru; HRM Kevin Aliyu Danesi, Aidonogie of South Ibie, Oba Kehinde Olugbenle, Olu of Ilaro; His Eminence, Edidem Ekpo Okon Abasi, Obong of Calabar, King Alfred Diete- Spiff; King Dr, Edmund M. Daukaru, Mingi XII of Nimbe; Emmanuel E. Sideso, Ovie of Uvwie; Eze C.I. Ilomuanya, Obi of Obinugwu; King Dandeson Douglas Jaja-Jeki, Amanyanabo of Opobo; Alhaji A.S. Momoh, Olukare of Ikare; Barrister Malla Sasime, Ebenibe Igwe and Oba Ayodele Adetunji Ajayi, Arinjale of Ise. Most of these names are unquestionably illustrious and accomplished Nigerians who had made their marks in diverse spheres of life before electing to preside over the traditional heritage and affairs of their people.

    This is, of course, only a partial list of the prominent traditional rulers reportedly engaged to carry the transformation gospel across the country to their various royal colleagues. Of course, traditional rulers are human beings even if they have blue blood running through their veins. They will, therefore, naturally have their political preferences. However, wisdom dictates that such preferences be kept subtle and private. This is because the traditional ruler is expected to be father of all. He represents an institution that transcends partisan, religious and other sectional divisions. The greater the distance between the traditional ruler and the partisan political fray, the muddy terrain of politics, the greater will be the confidence and support enjoyed by the traditional ruler among a broad cross-section of his people or subjects if you like.

    Should traditional rulers agree to be the points- men of any politician? This writer does not think so. Such a role can only diminish the traditional ruler and erode the royal mystique that is the unique hallmark of the traditional institution.

    However, we can only assume that traditional rulers who agree to lobby their colleagues to support President Jonathan’s re-election are already committed to the president’s cause. They are, therefore, presumably acting out of conviction and not for any selfish motives. But that is exactly where the problem lies. The media has been replete with stories of the Jonathan presidential campaign doling out astounding sums of money in dollars to various individuals and groups particularly during the period in which the elections were, ab initio, shifted forward by six weeks at the instance of the country’s security chiefs. Jonathan’s campaign team has not emphatically and credibly denied these reports. This raises serious questions as regards the moral integrity of the affected traditional rulers. Indeed, as a result of the widespread reports of ‘dollar rain’ on traditional rulers and other influential individuals and groups by the Jonathan campaign team, anybody, including traditional rulers, who seek to advocate support for his re-election risks being seen as only working to justify the largesse he or she has collected.

    The problem then is that the traditional rulers currently engaged to sell Jonathan’s candidacy to their colleagues nationwide may have serious difficulty convincing sceptical Nigerians that they are doing this only as an honest patriotic gesture. Their credibility and integrity are, therefore, at stake even if they are performing their role gratis. It is my view that the President has enough men and women in his party from across the country that can be his sales persons. They are in a better position to sell the merits of his candidacy beyond narrow circles of traditional rulers or religious clerics to the general populace that will constitute the bulk of the voting electorate. These aides of the President include his array of Ministers, Special Advisers, Senior Special Assistants in government and the countless others who are not formally in government but have benefitted from patronage, which they should now be willing to invest in the re-election of their benefactor.

    This writer agrees completely with the assertion by the Awujale of Ijebuland, Oba Sikiru Adetona, that while traditional rulers can give any aspiring politician who visits them royal blessings, it is improper for them to campaign for the election of any candidate. Indeed, the Awujale ranks among the class of honourable, courageous and credible traditional rulers who have never hesitated to stand for the good and best interest of their people against all odds. We will recall that even under military dictatorship, the Awujale refused to hobnob with the military dictators of the day.

    It is difficult to decipher the merit of the Jonathan administration trying to reach the people through the medium of traditional rulers. There is hardly any traditional ruler that can convince his people to vote for an administration that has had little or no impact on the daily condition of their lives. This is particularly so in the Southwest where the Yoruba have cultivated a high degree of political consciousness, sophistication and discernment. The task of the traditional rulers spearheading Jonathan’s cause is made more onerous by the perception, rightly or wrongly, that the Jonathan campaign has been spending money as if the commodity is going out of fashion.

    These traditional rulers will have to convince their people that the Jonathan administration has performed and that the lot of their people is better today than it was before the advent of the Jonathan presidency. Any traditional ruler who canvasses this view is obviously out of touch with the existential living realities of his people. It is a gross error of judgment on the part of the Jonathan administration to believe that catering for traditional rulers, who will then convince their people to vote for his re-election, can substitute for pursuing the welfare of the people in fulfilment of its electoral social contract with the people. In this day and age no traditional ruler, not even in the most illiterate society, can simply order his people to vote for a party or candidate and expect them to comply unthinkingly.

    This writer urges all traditional rulers to leave politics to the politicians. They should bless all those who come to seek their royal blessings but leave the politicians to go and woo the electorate directly by showcasing their performance in office. A traditional ruler who openly canvasses support for a politician who eventually loses the election would have lost a substantial degree of prestige, respect and public confidence among his people. The moral authority that is the bedrock of the traditional institution would have been badly eroded. The traditional rulers should remain as fathers to all irrespective of the political camps they belong to. As for the Jonathan presidency, it should have sufficient substantial achievements to show for its four years in power. This is what it should be show casing to win electoral support rather than drawing clerics and traditional rulers into the murky terrain of politics. It is unfortunate that the Jonathan administration is likely to go down in history as one that has done the greatest damage to the integrity and efficacy of formal and informal institutions just because of its desperation to remain in power at all costs.

    • Olumide Dahunsi is a Lagos based public affairs analyst

     

  • How to get grants for traditional medicine care

    How to get grants for traditional medicine care

    Prof Olukemi  Odukoya, Dean, Faculty of Pharmacy, College of Medicine, University of Lagos (UNILAG) and  leader of the research team in the Department of Pharmacognosy, answers the question below:

    The Lagos State Research and Development Council (LRDC) is a Lagos State Government initiative to drive research and innovation in Lagos State. Part of the objectives of the LRDC are to develop an economic and business climate that rewards innovation; develop and support initiatives that takes innovative ideas to implementation; enabling legislation and policies for innovation; develop human, physical and technological resources for innovation; create strong networks to facilitate the flow of ideas, expertise and knowledge for innovation; develop policies and incentives to encourage private-sector investment in innovation and research and development and also invest in research and innovation via grants, equity funding and match funding.

    The team at the Department of Pharmacognosy, Faculty of Pharmacy, University of Lagos (UNILAG) identified that there is a dearth of access to primary health care. And where available, may not be affordable. We made a proposal on this, i.e, making healthcare more accessible to Lagos residents. The proposal was successful and the project we proposed is already ongoing.

    It is a Model herbal clinic for the Department of Pharmacognosy in collaboration with the Lagos State Traditional Medicine Board (LSTMB)with the aim of teaching, research and direct community assistance purposes where herbal medicines with proven efficacy through thorough, verifiable and reproducible research as a contributor to the primary health care of people. The project will translate the experience gained from the model herbal clinic located within the building of the Faculty of Pharmacy, University of Lagos and equipped with formulations from the research efforts of the academic staff to model clinics within designated primary health centres in Lagos State.

    The title of the Research project is: Translational research from gown to town: Development of model herbal clinics and medicinal plants regeneration centres in Lagos State. I am the team leader while other members are Dr. Bunmi Omoseyindemi; Dr. (Mrs) Glory Ajayi; Dr. Abimbola A. Sowemimo; Dr. Joy I. Odimegwu and late Prof Gbemisola A. Agbelusi.

    The amount received from the Lagos State Research and Development Council is Two million, two hundred and fifty six thousand, two hundred and fifty naira (N2, 256,250).

    It is good Lagos State Traditional Medicine Board has several success stories to its credit. They have been able to successfully retrain Traditional Birth Attendants (TBA) for effective use within the community hence reducing maternal mortalities. They have also put in place a good referral system to the primary health centres. Also, it has been recorded that the dropout rate for immunisation within the state at TBA facilities has been found to be lower than at government hospitals.

     

    Stated project objectives

    •Transformation of laboratory research work to practical everyday use for Lagos communities for better health for all.

    •Promoting research for solutions to common-but-difficult to solve ailments e.g. obesity, fertility, sickle cell anemia, cancers, malaria, microbial infections etc.

    •Introducing and training Pharmacy students and teachers on real-life solutions proffered by herbal medicines in disease management and eradication to be applied to public health systems.

    •Regeneration of medicinal plants in common use to tackle the ever-present problem of their depletion and encourage use of materials that are locally sourced from our local environment.

    •Introducing to the environment what has been taken from it in an eco-friendly manner.

    •Encouraging cultivation of medicinal plants as a means of supporting the economy and raising the current low standard of living of the medicinal plant farmers.

    •Provide dividends of democracy through the integration of herbal medicines into primary health care.

    The team has done the following to date: Acquisition of machines/equipment/consumables; purchase of an automated tea bag packing machine to measure, fill and seal herbal medicinal teas; tea packaging filters; plastic containers and UV Light air steriliser for the processing laboratory.

    In addition, the project has been able to do a collection of plant materials.

    The collection, drying and grinding and bagging of plant materials is on-going.  The demand is being documented by the research assistant. The team has also visited the Lagos State Traditional Medicine Board Medicinal Plant Propagation site at Itoikin and the Board already committed a portion of the land to construction of ‘Green house’ for cultivation.

     

    Preliminary impact of grant

    Indication of preliminary impact of the project as executed so far: The automated tea bag packing machine can automatically complete such functions as bag-making, filling, measuring, sealing, thread feeding, labeling, cutting and counting, thus reducing labor expenses and improving production efficiency and sterility. Thus the Faculty can boast of a well-equipped herbal processing laboratory set to provide researchers and students with specialised skills on the formulation of herbal teas. It is the first to be recorded in any University across the nation.  It will assist in the practical training of Pharmacy students and teachers on formulation of real-life solutions proffered by herbal medicines in disease management and eradication to be applied to public health systems.

    The team in collaboration with the Lagos State Traditional Medicine Board team is set to support the takeoff at two designated sites, for the model herbal clinic (Onikan, and Ikorodu). The Onikan clinic is in the process of renovation by the research team.

    Clinic dates have been scheduled out for consultation and management of disease states with the Traditional Medicine Board as follows: Mondays- stress; Tuesdays- Hypertension; Wednesdays- Diabetes; Thursdays- General consultation, including Sickle Cell anaemia and then Fridays are for antenatal and infertility.

    Visited the Lagos State Traditional Medicine Board Medicinal Plant Propagation site at Itoikin and the Board already committed a portion of the land to Construction of green house for cultivation.

     

    Constraint/Limitation

    The team waited for a long time for the supply of the automated tea bagging machine; infrequent power supply affecting the grinding of the plant materials. We are able to proffer solutions to the identified problems with the supply of the machine and team awaiting supplies of other machines for the next phase and the purchase of a power generator.

     

    Evaluation:

    The level of project completion against the stated overall targets/performance indicators is 65 percent completed.

  • Traditional rulers sued over land dispute

    An Ogun State High Court, sitting in Shagamu, has adjourned till January 12, next year, the trial of two traditional rulers in Mowe, Ogun State over a disputed land in Alahun, Shagamu.

    The court, presided by Justice E.A. Osinuga, ordered the defendants, the Baale of Mowe, Chief Babatunde Ojelade and his counterpart at Imedu-Nla, Chief Jimoh Adebayo and other parties, “the named and the un-named”, to maintain the status quo pending the hearing and determination of the substantive suit filed against them by the claimant,.

    In an application filed before the court by his counsel, Yemi Omodele, the claimant, Chief Olorunjuwonlo Bankole Otasanya and the traditional ruler of the disputed land, sought  injunctive reliefs against the defendants.

    He asked the court for an order of perpetual injunction restraining the defendants from trespassing on the  disputed land.

    He asked for an order of the court to declare that the defendants, their servants, agents and/or privies do not have any portion of the land covered by survey plan no. AP1245 dated 12/08/1985, the land being at Alahun Village Sagamu Local Government Area (LGA).

    He averred that the defendants have caused a lot of confusion in Mowe and its environs by turning to land speculators.

    He alleged that the defendants facilitated his being charged to the Magistrates’ Court in Sagamu on a frivolous charge that their family, Otasanya Bankole, as the owner of the land in dispute from time immemorial,

    He claimed that the defendants were chased from Abeokuta and came to his community to disturb him.

    The defendants, in their statement of defence, claimed to be agents of the Redeemed Christian Church of God (RCCG).

    They averred that the church has bought the land in dispute from the claimant and his family.

    According to them, the RCCG paid money to the claimant in respect of the land.

    They said, in view of this, the claimant do not have land in the place, having sold same to the church and that they have the authority and consent of the RCCG to enter the land.

    In his reply to the defendants’ statement of defence, the claimant alleged that the traditional rulers  have turned their stools to land speculating avenue and do not respect their offices .

    He alleged that they have been duping people, who wanted to buy land in the area.

    The claimant also maintained that the defendants do not have any land in the disputed area and do not have any authority/ or consent from the RCCG to send him away from his father’s land.

    He stated that he was deceived to sign an undated MoU, which was attached to the defendants’ counter affidavit and their statement of defence.

    The RCCG, he stated, did not sign the document, but that the defendants brought it to him to cajole him, claiming that he collected money from the church.

  • ‘Training traditional birth attendants can reduce infant, maternal death’

    ‘Training traditional birth attendants can reduce infant, maternal death’

    Wife of Lagos State Governor, Dame Abimbola Fashola has said training traditional birth attendants (TBAs) is in line with the vision of the state to reduce infant and maternal mortality during childbirth.

    According to her, training of this cadre of healthcare professionals in modern and essential skills in child delivery will support the government to achieve its goals.

    Mrs Fasholoa spoke at the First Convocation of TBAs at the Lagos State College of Health Technology.

    She said TBAs play important roles in the communities, stressing that they should be valued because of the services they render.

    Nigeria, she said, is among countries with the highest rate of infant and maternal mortality, adding that this should not be.

    Mrs Fashola said: “One of the obvious reasons for high infant and maternal death ratio (IMDR) is that expectant mothers in the communities prefer the services of TBAs who do not have formal knowledge on the modern and essential skills in child deliveries and other precautions.”

    The training of the TBAs, she noted, would help to reduce infant and maternal death significantly, and even to “zero level” because the exercise will be done more regularly and across the country.

    She enjoined the beneficiaries to put to use the skills acquired during the training to ensure qualitative delivery.

    Special Adviser to Governor Fashola on Public Health, Dr Yewande Adeshina advised the TBAs to operate within the capacity of their job.

    She said the hospital remains the best place for delivery, adding that TBAs can be helpful by referring critical cases to health facilities where expectant mothers can deliver unharmed.

    Dr Adeshina warned them to know their limit because unnecessary delay can cause preventable deaths of mother and child.

    Chairman, Lagos State Traditional Medicine Board (LSTMB), Dr Bunmi Omoseyindemi said the TBAs were trained through collaboration between the college and the board.

    The TBAs, he said, have been classified as Community Based Health Workers (CBHW) by the National Primary Health Care Development Agency (NPHCDA), stressing that their training was a strategy to improve healthcare coverage in the communities.

    “This is in line with the World Health Assembly (WHA) strategy on development of traditional medicine to improve health care coverage. This made the World Health Assembly pass some resolutions to recognise the importance of traditional medicine to provision of essential health care, especially to populations with limited access to healthcare system.

    “Traditional medicine was recognised as one of the resources of primary healthcare (PHC) services that could contribute to improve health outcomes, including the Millennium Development Goals (MDGs),” he said.

    Omoseyindemi said the TBAs are involved in assisting in the birth of newborn in developing countries but they are largely self-taught or informally trained.

    “They provide additional services, practical help and education as well as counselling to women. Although they cannot substitute for skilled providers, they can contribute to the survival of mothers and newborns by facilitating access to needed information, clinical services and support,” he said.

    He said their role usually reflects the culture and social structure of the communities, adding: “In some communities, a TBA may be a full-time worker who can be called upon and who expects to be paid in cash or in kind.

    Omoseyindemi said 110 TBAs graduated from the college after successful completion of their programmes.

  • Ndigbo and the waning traditional institution

    Ndigbo and the waning traditional institution

    Kingship in Igbo land is a sacred and highly revered institution. Its awe-inspiring mysteries, myths, glamour and royalty have been major preoccupation among historians and experts in mores of the land. It is essentially a unifying factor and custodian of the people’s norms, beliefs and cultural heritage. Being a highly respected institution, a king’s life, in principle and practice, is significantly free from any form of blame.

    Kingship is almost mystic in Igbo land. For instance, a king is seen a representative of the gods and is restricted by norms and traditions of the people from doing certain things, of which he must diligently observe.

    In the past, a king cannot be seen beyond his palace. This, however, had to be reviewed to allow the king the luxury of carrying out his wider responsibilities, which cannot satisfactorily be done within the confines of the palace.

    It is also a tradition in Igbo land that before a person aspires to become a king, his father must have been dead, for the simple reason that a king must not be subjected to the control of any person. He must be of impeccable character and free from all charges such as robbery, covetousness, indebtedness and drunkenness, among other crummy lifestyles.

    The king embodies all virtues and the people see him as a symbol of purity. This is outwardly confirmed by the fact that kings in Igbo land always wear white regalia.

    There are certain modes of behaviour which are characteristic of kings in Igbo land. For example, the king’s mouth cannot be seen while he is eating; neither does he eat in public places. He is regarded as a representative of the ancestors, who is above human errors and as such, is seen as an embodiment of truth and justice.

    Apart from being a secular ruler, the king is also imbued with spiritual powers and authority. He is the High Priest, and therefore at the head of all traditional religious functions in the community.

    The priestly duties of the king start in the early hours of the morning when the royal gong is sounded. He wakes and offers sacrifice to the gods on behalf of the people. After this, he retires to the palace to discharge his duties and receive homage from his subjects.

    In the yesteryear, the royal household is usually administrated by three servants known as Ngbaloto Eze meaning the naked servants .They are responsible for the king’s needs and must be naked while attending to him. They are usually very young boys who are considered virgins. Their heads are uniquely shaved in a traditional manner. One serves as the king’s interpreter while the other two are always in attendance during an audience; standing at both sides of the king bearing the royal sword.

    The wives and children of the king live apart from him. While he can see the children at all times, he can only see the wives only during the day. The king can marry as many wives as he desires, and cannot be asked to pay bride price for his would-be wife, though his in-laws are accorded great respect throughout the kingdom.

    They are also secluded from the public and are restricted to their royal quarters, but friends and relations can pay visits to them. Male visitors can only see them during the day with the permission of the king and guided by one of the palace guards.

    The process of being a king in Igbo land is extensive as it is expensive. In most communities, the kingship stool is rotational among royal families who take turns to produce the kings. But the age-long practice has often led to prolonged litigations that had torn most communities apart.

    In the past, potential contenders to any throne were brought before the Chief Priest who consults the gods to know the best person to be crowned king and the outcome is accepted by all without complaint for fear of the anger of the gods.

    In keeping with the tradition of secrecy that surrounds the affairs of the king, his illness and eventual death is kept secret from the public for a long time to allow the performance of all traditional rituals that precedes his burial to be performed.

    The news of the king’s death is broken to his subjects in a metaphor-laden linguistic expression such as igwe ejiri or igwe ejiele, meaning the steel or iron is broken.

    The Igwe’s second in command, the Onowu or traditional Prime Minister immediately assumes the office of the late king as a regent until a new king is appointed.

    But with the advent of civilisation, the concept of kingship in Igbo land has changed. In our day, it is no longer the revered institution it used to be. Gone are the solemnity, sacredness and royalty of the throne. The process of selecting a king now is manipulated by politicians who can also depose any king at will.

    There are also more reported cases of kingship tussle resulting from faulty selection processes than it used to be when the procedure was guided by established norms and traditions.

    Kings have also abandoned their hallowed palaces to hobnob with politicians thereby desecrating the traditional institution. With more political roles trusted to kings, the original role of providing leadership at the community level has been abandoned, resulting in increased impunity among the people.

    For instance, in Imo State, traditional rulers are no more restricted to their palaces from where they administer their kingdoms but are now given a new role that warrants them to participate in the day-to-day running of the government.

    Their new role, encapsulated under the newly created Traditional Parliament of Imo State has given the monarchs the opportunity to collaborate with the government and the people in the process of development and improving the well-being of their subjects.

    Commenting on the ‘dying’ traditional institution in Igbo land, Chief Ibeku Uzoaru, lamented that the once-revered institution has been hijacked and desecrated by politicians and money bags, stressing that except something urgent is done, Ndigbo will continue to grapple with kingship tussle.

    The octogenarian said: “What you hear in Igbo land today is that Igbo enweghi eze, meaning Igbo does not have a king. This belief results from the republican nature of Igbo land where every male adult that has attained the age of 18 has the right to contribute or air his view at a community gathering at the village square.

    “It was not so at the beginning but when people with questionable characters found their ways to the traditional throne using their wealth, the traditions of our people were destroyed.

    “Today once a man makes enough money, he returns home to buy the traditional throne of his people, even though he was an ex-convict, who has questionable means of livelihood. This has cost the confidence of the people on the traditional institution. It was a taboo to see kings indicted in serious crimes such as robbery and kidnapping. In the past, kings were men of impeccable characters.”

    Chief Uzoaru further criticised the polarisation of the institution. “It is now common in Igbo land to have a king in every village of few persons and this has weakened the once-powerful institution. The present-day kings are no less errand boys to politicians who assemble them to add colour to every little political gathering,” he said.

    For Nze Njoku Anthony, the collapse of the traditional institution in Igbo land is responsible for the high rate of criminal activities in several communities.

    “In the past, we never heard about crimes such as robbery, kidnapping, rape or any other heinous crime because they were regarded as sacrilege with serious consequences. But today, we are no longer guided by our traditions.

    “What you have as kings today are mere ceremonial heads who do not even know the traditions of the people. This is so because there are interferences in the manner the kings are selected.

    “For instance, if a community elects a king in line with their tradition, the government could have preference for another person who will be officially recognised as king and present Staff of Office to him,” he said.

  • Ondo to prosecute erring traditional birth attendants

    Any traditional birth attendant and mission house operator who record deaths of pregnant women during child delivery will henceforth be prosecuted by the Ondo State government.

    They are therefore advised to refer all pregnant women that came to them to give birth to government hospitals.

    This was part of the resolutions reached at a health seminar tagged “The Role of Traditional Birth Attendants in Maternal Health and Child Survival” organized by Hala Nigeria.

    Participants were drawn from the health sector for one common goal of redefining the roles of traditional birth attendants and mission houses.

    The state Commissioner for Health, Dayo Adeyanju who believes in the efficacy of prayers, however said the lives of the pregnant women should not be put in the hands of operators of mission houses.He warned operators of such centers to desist or face the full wrath of the law.

    In order not to render them useless, the Commissioner mandated them to refer pregnant women to government hospitals.

  • Traditional ruler decries arrest of staff school principal

    The traditional ruler of Okahia Community in Obingwa Local Government Area of Abia State, His Royal Highness, Eze Okey J. Ananaba, has condemned the leadership tussle among the six governing members of the National Institute for Nigerian Languages (NINLAN), Aba.

    Eze Ananaba, while addressing journalists in his palace, condemned the use of policemen by a faction of the institute’s governing board to arrest Mr. Chukwudi Adibe (newly appointed principal for NINLAN Staff Secondary School). The action, he said, would have brought chaos in his community if not for the intervention of some members of his community and the Aba Police Area Commander, ACP Peter Wagbara that exhibited professionalism and sound judgment on the matter.

    He said: “I am condemning the invasion of NINLAN city campus by police officers from Aba Area Command, who were led to the school to arrest the school principal by a faction of the governing board members. When they came, they were thought to be gunmen who came to abduct the principal. If not for the prompt intervention by some elders in the community, the story would have been different from what we are talking today.

    “I am a land donor and a stakeholder in the institute. We don’t want trouble in our community and cannot fold our arms to watch things go wrong in a school sited by the Federal Government in my community.

    “The reason why I called for this press conference is to call on the Federal Government and the Minister of Education, Mallam Ibrahim Shekarau, to wade into the leadership crisis in NINLAN to avoid further harassment of the institute staff by any faction of the governing board.”

    On ways to end the leadership tussle, the traditional ruler suggested complying with the Umuahia Federal High Court judgment with suit no FHC/UM/CS/84/2007, which calls for the reinstatement of Prof. Ben Elugbe to complete his tenure as the executive director of the institute to avoid contempt of the court, He added that if there were reasons why the judgment of the court would not be obeyed, the Minister for Education should send directives which everybody including the governing council members should obey.

    The Nation gathered that since the squabble among the governing council members grew out of proportion, members of the staff of the institute have continued to express worries over the development and will appreciate moves by the Federal Government to end the prolonged leadership tussle which, they said, has affected academic and administrative activities in the institute negatively.

    A member of NINLAN academic staff who spoke anonymously was optimistic that a united governing council would provide the enabling ground for an executive director that understands the institute’s mandate which is to preserve Nigerian Languages.

    The NINLAN, four years after it was proscribed and ceded to the University of Nigerian (UNN), Nsukka, by former President Olusegun Obasanjo’s administration, regained its autonomy after the Federal Government through the Ministry of Education in October 2013 reinstituted it as an independent institute; but leadership tussle has since prevented the school from hitting the ground running.