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Checking Maternal And Child Mortality

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Procreation remains a key characteristic of living
things including mankind. In fact, the Holy Bible in Genesis chapter nine verse seven commands mankind to be fruitful and multiply and replenish the earth among others.
Unfortunately, reproductive process particularly in man is not without health challenges. This is where maternal and child mortality as well as morbidity comes to mind.
It is pertinent to explain that maternal mortality has to do with pregnancy-related deaths in women of reproductive age. lt encompasses the death of women while pregnant and also death within forty-two days of termination of pregnancy.
Experts agree that maternal mortality could occur as a result of direct complications of pregnancy, delivery or management of both. On the other hand, maternal mortality could occur as a result of pre-existing health challenge unrelated to pregnancy.
This could be due to the presence of disease in mothers such as the case of malaria, tuberculosis and HIV/AIDS not detected early enough in pregnant women.
The concept of maternal and child morbidity is applicable to the presence of infections otherwise referred to as sepsis in pregnant women and new born children.
According to World Health Organization in its 2005 World Health Reports titled: “Make Every Mother and Child Count”, the major causes of maternal death include severe hemorrhage which accounts for twenty-five per cent infection, thirteen per cent; unsafe abortion, thirteen per cent also, eclampsia or convulsion related complication twelve per cent, obstructed labour, eight per cent.
This is not to undermine the challenges of lack of early antenatal care, teenage pregnancies, poor referral system, patronage of unskilled traditional birth attendants as well as lack of access to health care services and ruptured uterus.
Infant deaths occur largely in children within five years while more than half of total deaths in children truly take place in children under one year.
Doctor Roland Obed-Whyte of the Rivers State Primary Healthcare Management Board disclosed in an interview that over ninety-five per cent of the total death of children occur in developing countries including Nigeria.
It is also on record that pneumonia, diahorrhoa, toxaenia, malnutrition, malaria, preterm birth complications and birth asphycia account for child mortality.
Interestingly, maternal and child health have received global attention in the past decades.
For instance, maternal and child health form the crux of the United Nations MDG’s four and five.
Millenium Development Goals four (4) specifically emphasises reduction of child death while goal five (5) places emphasis on maternal health.
Today, maternal mortality ratio which deals with risks associated with pregnancy is largely described as obstetric risk and in some climes MDG indicator.
The joy of live birth otherwise regarded as successful expulsion or extraction from a mother of a product of conception irrespective of duration of pregnancy remains a thing of joy and one that evokes celebration by family members worldwide.
Available records by relevant international organizations show that all regions of the world have recorded significant progress in checking maternal and child mortality even though increased interventions are of utmost necessity.
In Nigeria, for instance, the Federal, State, and Local Governments are collaborating and working assiduouslv not only to reduce poverty but to make maternal and child mortality a thing of the past.
It is gratifying that the Federal and State Governments synergize efforts to providing routine immunization exercises nationwide to reduce child deaths in the country.
In Rivers State, government provides free medicare which accommodates pregnant women including free surgery for registered women under the scheme.
Besides, the avalanche of primary health centres across the State has provided access to healthcare delivery and in turn bridge rural- urban gap which hitherto existed.
No doubt, the setting-up of Rivers State Primary Health Care Board remains a proactive strategy to truly bring health care to the masses and to coordinate efforts of government and intervention agencies.
To this end, to check maternal and child mortality in Nigeria, all hands must be on deck.
Women particularly those who are pregnant and those of reproductive age must take advantage of various healtty care initiative of government at federal, state and local government levels to meet their health care needs.
There cannot be an overdose of awareness campaign to this effect.
Rivers State Government must make its free health care service truly free and efficient and must not wait for medical doctors and other health care workers to embark on industrial action to provide relevant funds.
Government must also provide relevant vaccines including tetanus toxoid which is reportedly lacking in some states including Rivers State.
Pregnant women should embrace orthodox medication by registering for antenatal care and reduce dependence on harmful traditional practices that may lead to death of mother and child as well as infection.
Mothers and guardians must present their children and wards for free routine immunization programmes available in the nation and save them from childhood killer diseases such as polio, tuberculosis etc.
Attention must be drawn to training and retraining of doctors and other health care workers to nib in the bud fatalities associated with incompence on their part while out-of-stock syndrome in public hospitals must be fought with a sense of responsibility.
Similarly, government must not politicise the procurement of hospital equipment to check irregular laboratory results in public hospitals.
Above all, the biblical injunction of “Go ye into the world and multiply” may be threatened if conscious efforts are not made to overcome maternal and child morbidity and mortality.
A stich in time saves nine.
Sika is of Radio Rivers, Port Harcourt.

 

Baridorn Sika

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Opinion

Nigerian Banks And Customers’ Burdens

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The banking system in Nigeria has been a burden to the banking public over the years. Some banks do not give adequate attention to their customers. They rather abandon the customers’ complaints or request without cogent reasons.
Customer complaints are inevitable, no matter how streamlined one’s business may look they must always be acknowledged and dealt with efficiently. By ignoring or dismissing the complaints or requests of customers, the bank is telling the public that their opinion and patronage don’t matter. Many business owners see complaints or demands management as time consuming and frustrating to an efficient system, whereas such complaints can be resolved quickly and easily.
When a customer first lodges a complaint, there is need for the authority to take bold step in order to tackle such problem confronting the complainant. It can be difficult to remain impassive in the face of criticisms, but an emotional response will only serve to irritate the customer further.
The authorities are expected to give their customers full attention as desired and carefully listen to the whole problem before responding. Put yourselves in their shoes, if you had a problem you would want someone to listen and solve it.
Appearing disinterested or attempting to argue to discourage the customer based on the complaint lodged will only exacerbate the situation. There is no need to jump the gun, rather one should deal with such complaints on a regular basis, of which many have handled similar cases before now. However, complaints of esteemed customers are usually unique to the bank staff because resolution of such often attract financial gratification.
Treating their cases as important individuals requires listening to their problems in full, which will go a long way to strengthen the relationship existing between banks and their customers only when attention is given to complaints or demands from customers at our various banks. It is easy to be defenseless, particularly if the management doesn’t believe they are at fault. However, they have to put themselves together and feel the pains of their customers, especially when they are at the receiving end of such experience; would they personally be satisfied? If the blame lies on a particular member of staff, it is often best to remove the customer from their presence.
Always use one’s initiative when dealing with customers’ complaints. This can defuse tension and emotion, and help customers to re-evaluate their anger.
However, never pass the customer around from person to person as each complaint or demand should ideally be handled by a particular staff. Therefore, such person should always ensure that the staff assigned to the case has the impetus to deal with the situation.
Once the customers had aired their grievances, the staff on duty should immediately give a sincere apology. Sometimes, apology is all it takes to placate an angry customer; sometimes, a complaint should be followed by a request for compensation, typically through a refund or a voucher. In this premise, the staff remains calm when dealing with a complaint or demand even if the customer becomes irate or confrontational, the ultimate aim would be to turn the\ bankers’ negative experience into a positive one, but arguing back will only make the situation worse.
Customer complaints should always be resolved as quickly as possible and allow sympathy to be the watchword once you have listened to their concern, in order to quell the heat of the matter for better result.
As a public servant, a bank staff should be able to create a bond between him and the customer, so that they know you have heard their concern and are going to work with them to resolve the impasse. The bank should offer solution to their customer’s burden, provide feedback to such problem and execute the solution, instead of creating more difficulties in the life of the complainants.
Customers are made to be treated with care, kindness, love and respect. The banking system in Nigeria should learn how to manage issues effectively, especially those that emanate from their banks, where they are expected to provide suitable machines that will accommodate the needs of the customers; example, the Automated Teller Machine (ATM), because the banks cannot function well without the customers’ patronage and contribution.
Customers are the reason for the banking system in Nigeria.

By: Kpobari Barizaa
Barizaa wrote in from Bori.

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Opinion

OurStateOurResponsibility: An Insight

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The slogan #OurStateOurResponsibility# is an eloquent government advocacy campaign for patriotism among residents and citizens of Rivers State. Flagging off the campaign on the 31st of July, 2019,the former Permanent Secretary of the Sate Ministry of Information and Communications and current Commissioner for Information and Communications, Pastor Paulinus Nsirim, declared as follows: “Our Patriotism needs to be channelled to uphold our State, a lot of good goes on here, outweighing the bad, let us value it”.
The background to this declaration was the recognition that so much of negative narratives about the State were going viral in the media space. The opposition which never gave the state government, under the leadership of Nyesom Wike, a chance to succeed, contrived negative campaigns to wish away all the breakthroughs that the government of the day was making in the areas of infrastructure and human capital development. I recall that when the campaign train came to the Rivers State Television, the then Permanent Secretary Stated that the “people of Rivers State must see the State in the right perspective”.
According to him, this is a State where so much good have transpired in all sectors of development under Governor Wike’s Watch.
The vision and mission had a clear focus, as the state traded the New Rivers Vision which is a blueprint for sustainable development of Rivers State. The government of the day did not leave any one in doubt that it was ready and committed to provide the dividends of democracy to all parts of the State. The populace were therefore expected to show not only support but to speak well of the government as a show of patriotism and gratitude in the spirit of citizen-government reciprocity.
Most importantly, the message of the campaign was for all institutions, NGOs, individuals and the media to blow the trumpet very loud, that so much is happening in the state, so that good will ultimately outshine negative propaganda.
The ultimate message of #OurStateOurResponsibility# is that “there is a shared prosperity to protect”. Every stakeholder must stand up to protect the interest of the State in their respective endeavours. The campaign has moved to the doorsteps of all stakeholders in the public and private sectors including military and paramilitary organisations, that is, Army, Police, Nigeria Security Civil Defense Corps, NSCDC.
The vocal advocacy has also knocked on the door steps of religious groups, the Rivers State House of Assembly, as well as private and state-owned media, labour institutions including professional and labour unions.
Pastor Paulinus Nsirim, now the Honourable Commissioner for Information and Communications, has flagged off the second phase of the campaign.
We can see in him the vigour, zest and passion of the former Information and Public Enlightenment guru, Professor Jerry Gana, in his MAMSER campaign of 1987.
The Mass Mobilization for self Reliance and Economic Recovery was blessed with Professor Jerry Gana as Chairman and Ken Saro-Wiwa, Dr. Jonathan Zwingina and others as board members. There has never been a time earlier in Nigerian history that we have seen a gathering of eminent Nigerians for an ethical reorientation campaign.
The campaign was focused on a theme, “Shun Waste and Vanity, Shun all Pretenses of Influence in Life Style”.
MAMSER propagated the need for the citizens to eschew all vices in public life including corruption, dishonesty, electoral and census malpractice as well as ethnic and religious bigotry.
Professor Jerry Gana would say, if you are a Director, direct well, a Professor, profess well and like a “Troubadour”, he traversed all the corners of Nigeria with the sing song for all Nigerians to change their life styles and tastes in order to enthrone economic prosperity and reform the institutions.
Pastor Paulinus Nsirim in his second phase of #OurStateOurResponsibility campaign is riding on a horizon of vision, power, passion and compelling euphoria similar to Professor Gana, to reach the very essence of our psyche as a people, to handle our state with due patriotism.
It is expected of us as a people, who strive in our daily activities to earn a living, to realise and understand that no one pulls his house down because it is leaking in the roof. A sensible man mends his roof and keeps his home safe.
Rivers State is a prosperous State, a tourist’s destination with abundant opportunities and potentials for economic investments. The state has its challenges, and the most sensible thing to do is not to dwell on the negatives but to embrace all the prospects for a prosperous society, irrespective of political, ethnic affiliations and beliefs. The new phase of the campaign mantra #OurStateOurResponsibility has not lost the vibrancy of the first, but has new promises of reaching out to a larger space and focus.
The Honourable Commissioner for Information and Communications, Pastor Paulinus Nsirim while addressing journalists in his office reminded them that the initiative is aimed at mobilising persons who live and do business in Rivers State to promote the giant strides “recorded by Governor Nyesom Wike in the last six years”.
He expressed joy that in the last two years, there has been an overwhelming buy in by residents and people of Rivers State.
The second phrase promises a new vista as the Ministry has introduced a reward system to the programme for persons within the ages of 16 and 25 to propagate the essence of the campaign through Essay competitions, in the minds of the younger generation of Rivers State in a sustainable manner.

By: Bon Woke

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Opinion

Leakages In Nigeria’s Economy

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During his tenure as Nigeria’s head of state, retired General Ibrahim Babangida confessed that he was surprised why the Nigerian economy had not collapsed, with all the bashing and buffeting from various quarters. What the retired General did not tell us or express any surprise about was what roles the military played in the precarious state of the nation’s economy during his tenure. Anyone who has read Major-General Jibril Musa Sarki’s work: Born to Rule (1999), would appreciate the roles of the military in Nigeria’s current state of affairs.
While recriminations and pointing of fingers would not take us anywhere, it is needful that on-going leakages and profligacies in the Nigerian economy be examined with honesty. We should also remind ourselves of Oliver Goldsmith’s prophetic poem: “Ill fares the land, to hastening ill, a prey, where wealth accumulates but men decay”. Perhaps, it is too late to remind ourselves of our wrong doings and negligences of the past, because we are not predisposed to doing anything to correct them.
It would be unnecessary to remind ourselves that Nigeria has worn the sad tag of corruption, but what is needful would be to examine the subtle ways that it is practised. Corruption goes beyond taking and giving bribes to get things done or to escape justice. Rather, corruption would include taking undue advantage of the trust, confidence, ignorance, docility and loop-holes of the masses and the social system, to cheat by those who manage the affairs of the nation. Leadership is a trust and those who abuse such trust lack integrity necessary for leadership. Must leadership be synonymous with cunning?
It is corruption and failed leadership where those who lead the masses would grow pot-belly through gourmandism while the masses grow lean and die because of starvation and unemployment. Crime rate increases where the masses are impoverished, with no alternative means of earning a legitimate living.
So much had been said and heard about looting and plundering of the nation’s wealth by various clever people, which was why General Babangida expressed surprise at the resilience of the economy. Of all heads of state, it was late General Sani Abacha who was called a looter while others are innocent patriots. Even the loots said to have been recovered end up being relooted by some smart alecks and smooth operators. Surely, only a small fraction of the plunderers and looters of the nation’s wealth come to light or get penalised. There is also the politics of plea-bargaining and joining the party in power to have a clean slate.
The milk-cow providing the enormous wealth fit to be plundered and looted, oil and gas resources of the Niger Delta, also run into the lair of Ali Baba. Thanks to Land Use Act and the Petroleum Industry Act (PIA), the people of Niger Delta can be content with sharing 3% annual allocation of oil profit with other communities where oil pipelines pass through. Who would say that oil pipelines, as well as the oil and gas industry, are not clever sources of economic leakages in Nigeria? Are such leakages not facilitated by some technical and legal jargon and ambiguities too hard for other stakeholders to understand?
Leakages in Nigeria’s economy can be described as haemorhage with regards to profligate spending of public funds on non-profit-yielding foreign travels by state officials. From pilgrimages to medical tours, the ways that funds have been lavishly spent in the past have not been fair to the declining state of the nation’s economy. What can be quite annoying in this regard is the lip service we pay to the concept of patriotism and accountability, whereby those supposed to manage the affairs of the nation with utmost prudence become hypocritical.
Even more annoying is the attitude of political office holders in not showing genuine concern over the state of the nation’s economy, if we use the current exchange rate of the Naira as a measure. When Chrysler, a leading American company, was close to bankruptcy in 1980, chief executive of that company, Lee Iacoca, among other measures, reduced his salary and allowances by 90% as a sacrifice to save the company. Iacoca did not feed fat or engage in foreign travels when his company was in crisis.
Here in Nigeria, Babangida as a military President, introduced a similar sacrifice to save the Nigerian economy. He declared a 20% cut in his salary and those of state governors under his regime, but average Nigerians knew that the measure was a window-dressing. Today, there is Ibrahim Badamasi Babangida University (IBBUL) in Lapai, Niger State, asking for increment of tuition fees. Neither is Babangida alone in the ownership of private universities. Yet, Nigeria ranks as second poorest in food affordability, according to UK-based Institute of Development Studies.
Next to profligate and unmerciful squandering of public funds is the scandalous and unjustifiable remunerations packaged for political office holders by the out-gone military regime (1999). According to the Academic Staff Union of Universities (ASUU), a Nigerian senator earns four times the salary of the President of the United States of America. Senator Shehu Sani disclosed that each senator gets N13.5 million monthly as running cost and N700,000 as salary, while there are several other allowances, plus N200 million as constituency allowance.
Then comes tax evasion and frauds by which the Nigerian nation loses enormous revenue annually. There are available research documents in various university libraries and archives, revealing clever ways that corporate tax evasions and frauds take place, such that even forensic auditors can be hood winked and out-witted. If the above listed sources of leakages and several others that we know little about are blocked, Nigeria may not go borrowing money here and there, as if we are a poor nation.
Honest and patriotic Nigerians are alarmed and uncomfortable about current borrowings and rising debt profile which place the future of this nation in a precarious position. What have we done with loots said to have been recovered over the years and what are we doing with the money being borrowed here and there? Perhaps, building of rail lines and feeding of school children take huge chunk of borrowed money and recovered loots. Meanwhile, the image of Nigeria and the current regime demand serious attention, with reference to pensions for governors, etc.

By: Bright Amirize
Dr Amirize is a retired lecturer from the Rivers State University, Port Harcourt.

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