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Addressing Inadequate Number Of Doctors In Nigeria

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Governor Nyesom Wike admires a child born during the inspection tour of General Hospital, Bori.

Governor Nyesom Wike admires a child born during the inspection tour of General Hospital, Bori.

Concerned Nigerians
note that the number of doctors in the healthcare centres across the country is inadequate considering the nation’s population estimated at more than 170 million.
They opine that the Nigerian situation in this regard does not represent the recommendation of the World Health Organisation (WHO) that there should be one doctor, at least, to every 600 patients.
Expressing concern about the inadequate number of doctors, the Medical and Dental Council of Nigeria, says that no fewer than 35,000 medical doctors are presently practising in the country in spite of the size of its population.
But medical experts insist that massive exodus of medical professionals from Nigeria in search of greener pastures in foreign countries is the cause of the shortage of medical doctors.
The Chairman Association of General and Private Medical Practitioners of Nigeria, Lagos chapter, Dr Anthony Omolola, noted that the brain-drain problem could be checked if the government improved on the welfare package of doctors in the country.
He admitted with an analyst’s view that, “there is a disproportionate concentration of medical professionals in urban areas.”
Omolola also advised that Nigerian government should give more attention to primary healthcare to reduce disease burden in the society.
Sharing similar sentiments, the former National President of Nigerian Medical Association (NMA), Dr Osahon Enabulele,  said poor human resources planning and unsatisfactory working conditions, among others, were responsible for the dearth of medical personnel.
According to him, because of inadequate infrastructure and remuneration packages, a sizeable number of physicians, nurses and other medical professionals are moving out of the country in droves.
“Most of these doctors are presently working in U.S., UK, South Africa and other neighbouring African countries, where medical personnel are treated better,” he observed.
“In addition, more than 100,000 applicants show interest in studying medicine and surgery annually but less than five per cent gets admission.
“Universities cannot admit more than a certain quota based on the policy of Nigerian University Commission (NUC).
“This is due to lack of infrastructures in our universities but the onus lies on the government to increase funding for education to put in place requisite facilities.
“This in turn would increase the number of applicants admitted to study medicine, increase the number of medical graduates and reduce the current doctor-patient ratio,” he said.
Enabulele urged the Federal Government to increase budgetary allocation for residency programme of young doctors and improve salary and welfare packages of medical personnel to make those that are qualified stay in the country.
He said Nigeria had shortage of specialist doctors because the appropriate authorities placed little or no importance on training of doctors and other health professionals.
“The ratio of patients to doctors in Nigeria is appalling. It is about one doctor to 8,000 people; in U.S. and UK, it is one doctor to 100 people,” he said.
Expressing concern about shortage of doctors in Nigeria, a consultant neurosurgeon, Dr Biodun Ogungbo, said there were 50 neurologists and 40 neurosurgeons in the country — doctors who specialise in the diagnosis and treatment of conditions affecting the nervous system.
“This shortage of neurologists means that Nigerians do not have access to neurological services. Even if they do, it will be expensive and unaffordable to most people,” he said.
Further to this, observers note that there is only one diagnostic centre in the country at the University College Hospital, Ibadan, where the elderly –aged 65 and above — can receive specialist attention.
They note that Nigerian medical doctors also prefer popular areas of medicine such as obstetrics, gynaecology and surgery, the development, they believe, has contributed to inadequate personnel in healthcare.
But a gynaecologist in Abuja, Dr Nathaniel Adewole, gave other reasons for shortage of medical doctors
“Many students study the profession against their desire, so some went into business after the training.
“Also, some female doctors, due to marital issues, could decide not to practise medicine as it would affect the family life,” he observed.
He also decried lack of space in the government hospitals, insisting that none availability of enough accommodation had posed problem for some young doctors to do internship.
“Space is the major barrier for graduated doctor to do their internship, once there is space they will be taken; so it is done batch by batch,” Adewole explained.
This, notwithstanding, analysts opine that to meet the recommendation of WHO, Nigeria needs 283,308 additional doctors to maintain standard healthcare of its population.
Medical experts, therefore, appeal to the three tiers of government to address the deteriorating working conditions of doctors and dentists in primary and secondary healthcare by upgrading facilities in their domain.
Nwachukwu writes for News Agency of Nigeria (NAN)

 

Jacinta Nwachukwu

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RSG Plans Fresh Training For TBAs

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Plans are in the works by the authorities in the Rivers State Ministry of Health to conduct training for Traditional Birth Attendants(TBAs) in the State.
State Commissioner for Health, Dr. Adaeze Oreh gave the hint while chatting with newsmen recently in Port Harcourt.
She said the training has become crucial to school the TBAs on methods and measures to complement in maternal health care.
In her words,”  We are aware of of their roles, but we need to be confident that they can still play that role, especially the skills set needed to complement what government is doing.’’
Dr. Oreh explained that maternal and child care has evolved, hence, the TBAs need to be schooled,” we want them to scale up their skills, especially on high risk pregnancies.”
She continued, “ We want to make sure that our system mops up those high risk pregnancies, because we know that many of them carry out clandestine activities they are not helping us.”
Assuring of improved manpower in the State health sector, Dr. Oreh said the Governor Siminalayi Fubara administration has embarked on fresh recruitment exercise for health workers to meet current challenges.
She assured that once the recruitment exercise is completed, the various health centres and hospitals will be staffed with qualified manpower to provide efficient health services in the State.

Kevin Nengia

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Viral Hepatitis Claims 3,500 Lives Daily -WHO

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The World Health Organisation (WHO) has raised an alarm on viral hepatitis infection that claims 3,500 lives each day.
According to the World Health Organisation (WHO) 2024 Global Hepatitis Report, the number of lives lost due to the viral hepatitis is increasing.
The disease is the second leading infectious cause of death globally — with 1.3 million deaths per year, the same as tuberculosis, a top infectious killer.
The report, released at the World Hepatitis Summit revealed that despite better tools for diagnosis and treatment, and decreasing product prices, testing and treatment coverage rates have stalled.
It, however, said, reaching the WHO elimination goal by 2030 is still  achievable, if swift actions are taken now.
New data from 187 countries show that the estimated number of deaths from viral hepatitis increased from 1.1 million in 2019 to 1.3 million in 2022. Of these, 83percent were caused by hepatitis B, and 17percent by hepatitis C. Every day, there are 3,500 people dying globally due to hepatitis B and C infections.
“This report paints a troubling picture: despite progress globally in preventing hepatitis infections, deaths are rising because far too few people with hepatitis are being diagnosed and treated,” said WHO’s Director-General, Dr Tedros Adhanom Ghebreyesus.
He added, “WHO is committed to supporting countries to use all the tools at their disposal – at access prices – to save lives and turn this trend around.”
Updated WHO estimates indicate that 254 million people lived with hepatitis B and 50 million with hepatitis C in 2022. Half the burden of chronic hepatitis B and C infections is among people 30–54 years old, with 12percent among children under 18 years of age. Men account for 58percent of all cases.
New incidence estimates indicate a slight decrease compared to 2019, but the overall incidence of viral hepatitis remains high.
In 2022, there were 2.2 million new infections, down from 2.5 million in 2019.
These include 1.2 million new hepatitis B infections and nearly one million new hepatitis C infections. More than 6,000 people are getting newly infected with viral hepatitis each day.
The revised estimates are derived from enhanced data from national prevalence surveys. They also indicate that prevention measures such as immunisation and safe injections, along with the expansion of hepatitis C treatment, have contributed to reducing the incidence.

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How Dates Boost Fertility -Research

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Now, researchers in a study, suggest that date palm is an arsenal to fight infertility in couples. They found that 1-month consumption of date palm has a positive impact on the sexual function of infertile couples.
The study to investigate the effect of date palms on the sexual function of infertile couples  was in the 2022 edition of the BMC Research Notes.
In a double-blind, placebo-controlled clinical trial conducted on infertile women and their husbands who were referred to infertility clinics in Iran in 2019, researchers found sexual function in females (arousal, orgasm, lubrication, pain during intercourse, satisfaction) in the intervention group was significantly increased compared to females in the control group that had no date palm.
Infertility and infertility management affects different dimensions of a couple’s life. Sexual dysfunctions can appear in both partners and might provoke problems in every stage of sexual response. Infertility negatively affects the sexuality of infertile couples.
Numerous studies show that infertile women have lower sexual function than fertile women. Sexual satisfaction is strongly affected by the consequences of infertility such as reduced self-esteem, feelings of depression and anxiety, and failed sexual relationships.
The intervention group was given a palm date capsule and the control group was given a placebo. The starch powder was applied to prepare the placebo capsules.
Also, all areas of male sexual function (erectile function, orgasmic function, sexual desire, intercourse satisfaction and overall satisfaction) significantly increased in the intervention group compared to the control group.
Infertility is not only a medical problem but also affects all personal dimensions and social life of most infertile individuals. Infertile couples are more prone to psychological problems (anxiety, depression, and stress), which may result in marital distress, social dysfunction (stigma, social exclusion, and feelings of failure), and reduced quality of life.
Infertility and infertility management affects different dimensions of a couple’s life. Sexual dysfunctions can appear in both partners and might provoke problems in every stage of sexual response. Infertility negatively affects the sexuality of infertile couples.
Numerous studies show that infertile women have lower sexual function than fertile women. Sexual satisfaction is strongly affected by the consequences of infertility such as reduced self-esteem, feelings of depression and anxiety, and failed sexual relationships.
Dates palm is known to have come from what is now Iraq. In Nigeria, dry and soft date fruits are sold out for consumption. However, in the northern part, they are added to the locally brewed alcoholic beverage to help reduce the intoxicating power.
Dates are a good source of energy and vitamins and important elements such as phosphorus, iron, potassium and a significant amount of calcium. It is also rich in phenolic compounds possessing free radical scavenging and antioxidant activity.
Since ancient times, the date palm has been used in Greece, China and Egypt to treat infertility and increase sexual desire and fertility in females. There are few studies on the effect of date palms on male and female sexual function in human beings.
Besides, studies have shown that the various parts of its plant are widely used in traditional medicine for the treatment of various disorders which include memory disturbances, fever, inflammation, paralysis, loss of consciousness and nervous disorder.
Culled from Tribune online.

 

The researchers suggested that the improvement in male and female sexual function can be due to active ingredients and increased levels of sex hormones following the consumption of date palms since studies indicated that increasing sex hormones are effective in sexual function.

They, however, recommended more studies with a longer duration on the use of date palms on sex hormone levels in infertile couples.

Previously, a study revealed that using date palms in postmenopausal women for 1 month had a positive and significant impact on sexual desire and arousal.  Another suggested that using date palms had a positive impact on orgasm, satisfaction and lubrication in women and also reduced pain during intercourse in women.

In the laboratory, administering date palms to male rats and measuring their sexual behaviours, researchers showed that sexual behaviour parameters (number of ejaculations, number of intercourse) increased compared to the control group.

 

 

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