Nigeria needs additional 155,000 doctors at the ratio of one doctor to 1,000 people to achieve the Universal Health Coverage (UHC), Prof. Usman Ahmed, Provost, College of Medicine and Health Sciences, Federal University, Dutse has said.
According to World Health Organisation (WHO), Universal Health Coverage aims to ensure that all people have access to the needed services of sufficient quality without exposing persons (recipients) to financial hardship.
Ahmed, who is also a Professor of Health Sciences, University of Manchester, UK told newsmen on Tuesday in Abuja that data from the Federal Ministry of Health shows that there were 45,000 doctors registered and practicing in Nigeria, which is a ratio of one doctor to 4008 people.
“Even if we take it as one doctor to 4000 people and we want to have UHC, meaning a minimum of one doctor to 1000 people, we will need to have at least 200,000 doctors in Nigeria today.
“ It also means that we will need nearly a million nurses because for each doctor we need several other nurses, physiotherapist, occupational therapist, audiologist etc. and we don’t have them complete in Nigeria,’’ he said.
He said Nigeria should realise that WHO recommended one doctor to 600 people, adding that “if we use WHO’s recommendation, we may need more than 155,000 doctors today.’’
The don recommended one doctor to 1000 people to replicate a model used in India, adding that India had 840,000 doctors in a ratio of one doctor to 1800 people.
He said the Indian Universal Health Care Commission recommended that the country should migrate from one doctor to 1800 people to one doctor to 1000 people to UHC .
“They call it Modicare. Therefore to achieve that they need additional 200, 000 new doctors to add to the existing 840,000 doctors; they also plan to achieve the required doctors in 10 years by opening more medical schools,’’ he said.
Ahmed said: “If we want to look after ourselves, we need to be serious about UHC through remodelling the National Health Insurance Scheme Act and the National Health Act 2014.’’
He said the transformation of the two Acts and establishment of pilot universities of health sciences would provide a good framework for UHC in Nigeria.
The Tide reports that on Sep 21, Minister of Health, Prof. Isaac Adewole, during 38th Annual General Meeting and Scientific Conference of the National Association of Resident Doctors of Nigeria (NARD) at Ibadan, Oyo state, said there was “no serious shortage” of doctors in Nigeria.
“The data obtained from the Medical and Dental Council of Nigeria shows that as of May 30, only 45,000 are currently practicing and that gives us a ratio one doctor to 4,088 persons,” he said.
Adewole noted that what was perceived as a shortage of doctors was actually the uneven distribution of practicing doctors within the country.
According to him, the ratio of one doctor to 4,088 patients in Nigeria is better compared to other African countries.
“Compared to many other African countries the ratio is not bad, for example, in South African it is one (doctor) to 4,000; in Egypt it is one to 1235;
“in Tanzania it is 1: 14,000; in Ethiopia, it is one to 1 to 118,000, in Kenya, it is one to 16,000 and in Cameroon it is one to 40,000,” he said.
COVID-19: Body Charges Rivers On Thorough Hand Washing
Amidst fears associated with the dreaded Coronavirus, which has been detected in most states, the Rivers State Rural Water Supply and Sanitation Agency (RUWASSA), says it has taken necessary precautionary measures to combat the Coronavirus, also known as COVID-19.
Speaking while fielding questions from journalists, the General Manager of the Rivers State Rural Water Supply and Sanitation Agency (RUWASSA), Mr. Napoleon Adah, said such measures were aimed at raising awareness on proper and regular hand washing, and the use of alcohol base hand sanitiser.
“As an agency saddled with the responsibility of hand washing and personal hygiene, we are working in collaboration with the United Nations Children’s Fund (UNICEF) and Rivers State Ministry of Health in order to carry out adequate advocacy and sensitisation to the communities on the inherent dangers of COVID-19,” Adah said.
He further commended the Rivers State Governor, Barr. Nyesom Wike for his effective leadership to curb the spread of the virus in Rivers State.
According to him, there are several committees set up by the Governor to create adequate awareness in the area of COVID-19. This, he said has invariably made the state to be Coronavirus free.
The RUWASSA boss, who is also an environmental disaster risk management expert, noted that the agency in collaboration with UNICEF is currently working out modalities to provide automatic hand washing facilities to the various LGAs of Rivers State.
COVID-19: ‘No Challenge In Community Sensitisation’
As the fight to prevent the rampaging Coronavirus from infecting Rivers people continues, part of the measures adopted by the United Nations Children’s Fund (UNICEF) in reaching out to communities has so far not experienced any notable challenges.
The Lead Coordinator for the State Rapid Response Team for COVID-19, Mr Modekai Ifemide Olowole, who made this known after a recent routine assessment of performance of the Rapid Response Team on sensitization in Obio/Akpor and Port Harcourt LGAs stated that the compliance level has been encouraging.
Olowole, who credited the success recoded so far to the existing mechanism in place, explained that the sensitisation team of the Rapid Response Team (RRT) works with Institutions on ground , adding that: ‘We have come together to offer our support.
“What we did was to sensitise the Civil Society Organisations (CSOs) to know how they can engage the communities in whatever they are doing.
“If while doing that they need some support from us, we have a Rapid Response Team (RRT) that are working on ground. They have mobility, they have everything,” he said.
According to him, each time any of the Civil Society Organisations has palliatives for instance, to give to members of any community, they use the opportunity to make presentations on COVID-19 preventive measures.
The RRT, sponsored by UNICEF in collaboration with the Rivers State Ministry of Health, and the Rivers State Rural Water Supply and Sanitation Agency (RUWASSA), he said, decided to adopt the method, knowing that many people in the communities are more bothered by how to overcome hunger than COVID-19.
“If you look at it economically, everybody is hungry. If you go to a community and tell them you want to sensitise them on how to wish hands, they will tell you they are hungry,” he said.
This, he explained further, is part of what Risk Communication entails, and is the platform through which UNICEF aims to support the state.
“UNICEF’s aim is to support the state wherever they are working to pilot a model that is of international best practices and present to the state. That is what we’re doing now,” he said.
By: Sogbeba Dokubo
HOW TO TRANSFORM SKINNY FAT TO FIT
If you are reading this post, you may be wondering if going from skinny fat to fit is an achievable feat. It is possible that you have come across a lot of testimonies from people that claimed that they have achieved this seemingly unattainable feat. However, any you may feel skepticism is understandable when you consider that you probably haven’t actually met anyone who has had success in this area yourself.
The truth is that you want to believe these stories because you desire to experience this transformation in your own body. Well, the good news is that it is totally achievable and the better news is that it is actually quite easy to achieve.
In this post, we will take you through some tips that will help you move from skinny fat to fit.
THE CONCEPT OF SKINNY FAT
The truth is that without proper understanding you may think that you have skinny fat when you don’t. This lack of knowledge may make you feel like the tips that will be provided below are not working. Hence, we have decided to help you first understand what skinny fat is.
When a person has a high percentage of fat in his body and still looks skinny when wearing clothes, the person is said to have skinny fat. Some features you will see with this person are a gut that is paunchy and in a few instances the person may even have what are commonly called man boobs.
You know that this person does not fall into the fat or obese category yet you cannot say that his body is fit. He often appears thin but has extra layers of fat in his body.
WHERE DOES SKINNY FAT COME FROM?
The best way to identify if a person has skinny fat or not is when they are without clothes. This is because it is difficult to tell when they are clothed. Click this link for a cool way to improve your body weight.
The major reason why people tend to have skinny fat is that they have terrible nutrition and exercise habits. A lot of people just go for cardio exercises whenever they feel like shedding off weight. They also perform these exercises alongside cutting down the number of calories they consume. As if that is not enough, they include fat-shredding supplements that are ineffective to the list.
The result of these combinations is often skinny fat. Though they have successfully shed some weight, they are deficient in calories.
TIPS TO GETTING RID OF SKINNY FAT
Here are a few tips that will help you get rid of skinny fat:
- BEST EXERCISING ROUTINES: If you have been hitting the gym a lot, it is ok to go for heavy-lifting. However, if this is your first time in the gym or you have been off weight lifting for a while, you should not start off like this. Start with movement routines then add weight lifting as time goes on.
- TAKE YOUR DIET SERIOUSLY: There is more to shedding skinny fat than exercise. Your diet also plays a crucial role in the equation. Cut down on calorie intake and eat a little over 1g of protein per weight pound. Consume about 0.45g of fat per weight pound. Compensate for calorie deficiencies by eating 10 g of fiber for every 1,000 calories consumed.
In conclusion, you will need to give yourself between 3 to 6 months to successfully get rid of that skinny fat.
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