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Achieving Healthy Society Through Family Planning

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The Chief Executive Officer of the Association for Reproductive and Family Health, Prof. Oladapo Ladipo, says planned family is cardinal to managing the present economic recession and sustaining healthy society.
“Get out of poverty by planning your family, the present economic situation in the country is telling us we should not have more than certain number of children we can cater for”, he advised Nigerians in an interview.
Ladipo noted that although previously, people had many children because of the need to have people to work for them, the situation had changed due to increasing scarcity of resources.
He said they believed that the number of children they had then, some of whom they used to work on farms or elsewhere, would also determine their wealth and influence in the society.
He cautioned that such arrangement could be wrong presently for a family who had limited resources for two children and gave birth to more than those he could actually cater for.
Ladipo, therefore, called on the government at all levels to provide access to free family planning so that people would not blame giving birth to multiple children they could not train on lack of fund to access family planning services.
“There is no reason women should not have access to family planning just like the children have access to free immunisation.
“We need the government to provide free family planning for women, this is important so as to enable them have the number of children they can cater for and as well enjoy their sexual life without inhibition,” he advised.
Ladipo noted that providing a free family planning services for Nigerians would go a long way in salvaging the country future economically and socially.
He stated that the Internally Displaced Persons (IDPs) should be also included in making provision for affordable family planning, adding that the situation they found themselves had made them more vulnerable to unhealthy sex life.
Sharing similar sentiments, Dr Ejike Orji, Chairman, Local Organising Committee, 2016 Nigeria Family Planning Conference, said those in IDPs need family planning to prevent unintended pregnancy that could place additional burden on the society.
He noted that there were those who would not ordinarily want to get pregnant but who were being forced into sex in camps, insisting that advocacy on family planning should be stronger in IDP camps.
Orji appealed to Federal Government to redeem its three million dollar-pledge to boost family planning services in the country.
He noted that the government was not doing enough in term of public health information campaign which he said was responsible for the poor approach of the citizenry to family planning issues.
Orji said woman’s ability to prevent, limit or space her pregnancy through family planning information and services could reduce maternal mortality.
He stated that family planning had been universally recognised as one of the key pillars and most effective means of achieving safe motherhood.
Orji said every two years, the Federal Ministry of Health and Association for the Advancement of Family Planning used to bring together stakeholders to a national family planning conference.
He said the conference would deliberate on persisting issues, review emerging issues and chart new directions for preventing maternal deaths across the country through family planning information and services.
Similarly, the Global Family Planning (FP2020) notes that Nigeria has averted 1,450,000 unintended pregnancies and prevented 9,000 maternal deaths through the use of modern contraceptives in 2015.
The organisers of FP2020 conference, nonetheless, commend Nigeria for adding 1,628,000 modern contraceptive users since 2012.
The participants at the conference noted that the progress rate was slow due to limited access to information about family planning.
According to the organisers, only 12.5 per cent of women in Nigeria are provided with information on family planning during their most recent contact with a health service provider.
“This is an indication that Nigeria must dramatically expand family planning counseling, observing a wide difference between the rich and the poor on the access to family planning services.
“Nigeria is also committed to increase the percentage of women and couples using contraceptives by two per cent each year to reach 36 per cent by 2018.
“It also has to increase its total financial commitment for reproductive health commodities from N1.9 billion to more than N7.4 billion over four years and train more than 3,700 community health workers to deliver a full range of contraceptives,” the organisers advise.
They urge health service providers to deliver quality family planning services, improve counseling and education to increase demand for contraceptives.
In the same vein, Mr Charity Ibeawuchi, Nigerian Urban Reproductive Health Initiative (NURHI), restated that the importance of family planning could not be overemphasised.
He said in a bid to ensure unhindered access to family planning services for the urban poor, NURHI undertook advocacy initiatives primarily at the states and local governments.
He observed that the states and local governments had committed increased budgetary support for family planning while the media advocacy had been more family planning-friendly.
According to him, with the support of various community leaders, there have been active advocacy in support of family planning services, especially in the first phase of NURHI campaigns in Ibadan, Ilorin, Abuja and Kaduna.
Ogunshola writes for News Agency of Nigeria.

 

Femi Ogunshola

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Lagos Trains Health Workers On Handling SGBV Cases

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To address the increasing number of rape and defilement cases in Lagos communities, the State Ministry of Health has trained healthcare workers on the prevention and management of sexual assault cases.
The Director, Public Affairs in the ministry, Tunbosun Ogunbanwo, in a statement on Monday said the training equipped health workers with the knowledge and skills to provide professional, compassionate, and timely care to survivors.
Dr Folasade Oludara, Director, Family Health and Nutrition, State Ministry of Health, said the growing number of rape and defilement cases in Lagos communities necessitated the upskilling of healthcare workers who are often the first responders to survivors.
Oludara, represented by Dr Oluwatosin Onasanya, Deputy Director, Child Health, said the government recognised the critical role of health professionals in both clinical management and legal documentation of sexual assault cases.
She explained that the training was designed to ensure healthcare workers are adequately equipped to identify, document, and manage sexual assault cases effectively.
According to her, the training will strengthen Lagos’ coordinated health system response to gender-based violence.
She disclosed that the state government had already provided equipment and specimen collection tools to health facilities, noting that the training complemented this investment by building the competence of personnel handling such sensitive cases.
Oludara explained that doctors and nurses at the primary, secondary, and tertiary levels who serve as first contact points for survivors were carefully selected from all 57 LGAs and LCDAs, particularly from areas with higher incident rates.
The SGBV Programme Manager, Lagos State Ministry of Health, Dr Juradat Aofiyebi, emphasised that the capacity-building initiative was a strategic step toward improving survivor-centred healthcare delivery and prosecution outcomes.
Aofiyebi added that the training underscored the government’s commitment to reducing the prevalence of sexual assault through a robust, multi-sectoral approach.
“The training provides healthcare workers with the knowledge to properly identify survivors, document findings accurately, and provide comprehensive care, all of which contribute to justice delivery and prevention of repeat offences.
She said the ministry would sustain such training to ensure that every survivor who presented at a Lagos health facility received quality, non-judgmental care.
Mrs Adebanke Ogunde, Deputy Director, Directorate of Public Prosecutions (DPP), Lagos State Ministry of Justice, highlighted the importance of medical documentation in sexual assault trials.
She explained that most convictions hinge on the quality of medical reports and forensic evidence provided by healthcare professionals, noting that medical reports served as vital corroborative evidence in court, particularly in cases involving children.
“Your medical reports are crucial; they can determine whether justice is served or denied,” she said.
Ogunde reminded health workers of their legal duty to report suspected sexual assault cases to the police or the Lagos State Domestic and Sexual Violence Agency (DSVA).
Similarly, Dr Oluwajimi Sodipo, Consultant Family Physician, Lagos State University Teaching Hospital (LASUTH), underscored the importance of timely medical attention, psychosocial support, and non-stigmatising care for survivors.
Sodipo explained that immediate presentation within 72 hours of assault improved chances of preventing infections and collecting viable forensic evidence.
He commended Lagos State for sustaining its inter-agency collaboration and continuous professional training on SGBV.

Sodipo, however, called for the strengthening of DNA and forensic capacities, improved insurance coverage, and better remuneration for healthcare workers.

“We must sustain motivation and continuous retraining if we want to retain skilled professionals and enhance justice outcomes,” he added.

Also, Mrs Margret Anyebe, Claims Officer, Lagos State Health Management Agency (LASHMA), said domestic and sexual violence response had been integrated into the ILERA EKO Health Insurance Scheme.

Anyebe explained that survivors of sexual and domestic violence are covered for medical treatment, investigations, and follow-up care under the state’s Equity Fund for vulnerable groups.

“Hospitals are to provide first-line care, document, and refer survivors appropriately, while LASHMA ensures prompt reimbursement and oversight,” she said.

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Nch Technical Session Reviews 35 Memos …Sets Stage For Council Deliberations

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The technical session of the ongoing National Council on Health (NCH) meeting on Monday reviewed 35 out of the 82 policy memos submitted ahead of full Council deliberations scheduled for later in the week.
Dr Kamil Shoretire, Director of Health Planning, Research and Statistics, disclosed this on Tuesday during the Technical Session of the 66th Regular meeting of the NCH ongoing in Calabar, Cross River.
He said that 10 of the memos considered were recommended for Council’s approval, eight were noted, and 18 stepped down for further work.
According him, two additional memos were deferred and will be re-presented after revisions are made.
At the reconvening of the session, Ms Kachallom Daju, Permanent Secretary, Ministry of Health and Social Welfare, said that there were five memos from the Coordinating Minister of Health, adding that they were all related to the Department of Food and Drugs.
Daju said that the memos were stepped down on Monday and scheduled for re-presentation.
She also provided clarification on the previously contentious healthcare waste-management memo, explaining that the N3.5 million requests tied to the proposal had already been repurposed by the Global Fund.
“I have followed up, and I am informed that the funds have been reprogrammed. Just so we put it to rest, we will not be discussing that memo anymore,” she said.
She also said that the final memo considered on Monday was the proposal for the inclusion of telemedicine services under the National Health Insurance Authority (NHIA).
“The next memo scheduled for presentation is the proposal for the establishment of Medipool as a Group Purchasing Organisation (GPO) for medicines and health commodities in Nigeria.
Meanwhile, Dr Oritseweyimi Ogbe, Secretary of the Ministerial Oversight Committee (MOC), formally notified the Council of the establishment of Medipool, a new public-private GPO created to strengthen the procurement of medicines and health commodities nationwide.
Presenting an information memorandum at the technical session, Ogbe explained that Medipool was the first nationally approved GPO designed to leverage economies of scale, negotiate better prices, and ensure quality-assured medicines.
He said this was beginning with primary healthcare facilities funded through the Basic Health Care Provision Fund (BHCPF).
According to him, Medipool was established after a proposal to the Ministry of Health, followed by appraisals and endorsements by the Project Implementation and Verification Committee (PIVAC) and the Ministry of Finance Incorporated (MOFI).
“It subsequently received Federal Executive Council approval, with MOFI now owning 10 per cent of the company’s shares. The Infrastructure Concession Regulatory Commission has also approved its operations.
“Under the model, Medipool will work with Drug Management Agencies (DMAs) in all states to aggregate national demand and negotiate directly with reputable manufacturers to obtain competitive prices and guaranteed-quality supplies.
“The platform will function as a one-stop shop for DMAs, who will then distribute medicines to health facilities through existing state structures.”
Ogbe added that while Medipool will initially focus on BHCPF-supported primary healthcare centres, it was expected to expand to other levels of care nationwide.
“The organisation will provide regular reports to the ministry of health and participate in national logistics working groups to ensure transparency, oversight, and technical guidance,” he said.
The News Agency of Nigeria (NAN) reports that Day One of the 66th NCH technical session opened with a call reaffirming the Ministry’s commitment to advancing Universal Health Coverage under the theme “My Health, My Right”.
“The delegates also adopted the amended report of the 65th NCH, setting the stage for informed deliberations.
The implementation status of the 19 resolutions from the previous Council was also reviewed, highlighting progress and gaps.

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Police Hospital Reports More Malaria Incidence

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The authorities of Police Clinic in Port Harcourt have reported high cases of Malaria in its facility.
The revelation was made by Mrs Udoh Mba Robert, a Chief Superintendent of Police and senior medical personnel in the Clinic.
She told The Tide that,”the Hospital admits sixty (60) to seventy (70) patients in a month”.
On how the facility runs, she stated that the hospital is under the National Health Insurance Scheme as most patients are treated almost free.
She maintained that staff of the hospital have been trained professionally to manage health issues that come under the purview of the National Health Insurance Scheme.
Mrs. Robert explained that malaria treatment also falls under NHIA, as patients are expected to pay only 10 per cent for their treatment while the government takes care of the outstanding bills.
NHIA, she further stated covers treatment and care for uniform personnel like the police force, military men, civil servants and all others working for the government.
Urging the public to seek professional medical attention, Mrs. Robert said the facility is open to workers in the federal services, especially police staff.

 

Favour Umunnakwe, Victory Awaji, Excel Nnodim

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