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Immunisation: No More Failure

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Fresh alarm raised recently by two United Nations agencies about the failure of immunization inNigeria calls for urgent need by the three tiers of government and stakeholders in the health sector to redefine their strategies for a sustainable immunisation programme.
The World Health Organisation and United Nations Children’s Fund, which gave strong signal of Nigeria’s deteriorating health indicators at an African Vaccination Week said, diseases are escalating in the country because immunisation programmes are handled with levity.
Putting it in proper perspective, UNICEF said, “Ignorance, religion, culture and rumour are some of the reasons for the failure of nursing mothers and pregnant women to complete their immunisation schedule….” Immunisation, a bulwark against deadly diseases such as tuberculosis and diphtheria, is also failing in Nigeria because of inadequate funding and corruption.
According to UNICEF,Nigeria has the world’s second highest number of deaths in children under five, losing around 2,700 every day from a ratio of 120 per 1,000 in 2016, although it has declined since 2003, down from more than 200 per 1,000. Only one out of three babies is delivered in a health facility. The poorest among Nigeria’s population continue to be most in peril, whatever their age. While there have been drops of 31 per cent and 26 per cent in under-five and infant mortality rates, respectively, over the last 15 years, the decline in deaths of newborns over the same period is just 20 per cent, highlighting an urgent need to scale up interventions targeting the youngest in the country.
The indices indicate that the uptake of routine immunisation remains poor and full immunization coverage has failed to gain traction as only one in four children are fully vaccinated. The situation for rural children causes greatest concern – only 16 per cent are fully immunized, compared to 40 per cent of children in urban areas. Measles vaccination coverage has now fallen below 50 per cent.
Despite making significant progress in the eradication of polio, which led to Nigeria being declared polio-free in 2015, insurgency in the northeast and the resultant insecurity is beginning to reverse these gains: four new cases of wild poliovirus (WPV) re-emerged in Borno State.
Diseases such whooping cough, tuberculosis, diphtheria, polio, chicken pox and measles, some of which have been totally eradicated in several parts of the world, are still wasting away lives here because of the failure of immunisation. A disturbing May 2017 survey by the Abuja-based coalition, the Association for the Advancement of Family Planning, concluded that 90 per cent of women in northern Nigeria delivered their children at home because they did not have access to antenatal care, hospital and transport fees.
Immunisation was developed to prevent diseases, not to cure them. It protects children from contracting a broad range of dangerous diseases, including hepatitis and cervical cancer. Described as one of the greatest breakthroughs in modern medicine, British health authorities say “no other medical intervention has done more to save lives and improve quality of life.” For instance, small pox, which killed thousands of Europeans in the 18th century, was wiped out in 1980 through vaccination. If it were still common, it would have led to two million deaths annually.
WHO says that through immunisation, two to three million children are saved from vaccine-preventable deaths annually? The global measles mortality has declined by 79 per cent from 651,600 deaths in 2000 to 134,200 in 2015 as a result of immunisation. In 2016, a 22-year strategy saw the United States becoming the first country to eradicate measles. Finland’s determined immunisation drive has wiped out measles, mumps and rubella. With extensive vaccination, only Afghanistan, Pakistan and Nigeria still had cases of polio as at 2016.
The challenges before Nigeria are tough: First, vaccines are expensive. According to WHO, a dose of MMR costs £200. The National Primary Healthcare Development Agency, at the height of the meningitis outbreak, a disease which had killed 813 from 8,000 infections as at 2017 April, said that Nigeria required $1.1 billion to procure vaccines to stem the person’s fatalities. This is enough to call on government at all levels to allocate more resources to the sector, and also manage the funds more transparently, devoid of corruption that allows officials to sell vaccines, meant to be distributed free to those in need, at exorbitant prices.
It is on this premise The Tide welcomes the recent move by the Rivers State Government in collaboration with other agencies to address the challenges of immunization in the State. We believe that such a synergy will not only assuage the financial burden of getting children immunised, but will also encourage easy and unimpaired accessibility.
We equally urge other states of the federation to emulate the Rivers example and get serious about the political, social and technical constraints bedeviling immunisation campaigns. Efforts should be stepped up to make vaccines widely available and to motivate health workers to penetrate the rural areas. Research has linked immunisation to politics, lifestyle, religious beliefs, culture and trust of authority, in conjunction with access. There is therefore the need to disabuse the minds of the people who still feel that some vaccines are capable of causing sterilisation and other ailments.
While we commend the integrated awareness crusade currently put together by the Rivers State Government to sensitisethe people of the benefits of immunisation, the joint effort should target and weave the campaign around health organisations, religious leaders, educational institutions, the media and traditional institutions to achieve maximum impact.
Heartwarmingly, the world of medical science is developing new vaccines to combat diseases. One of such is the malaria vaccine, which should have been put on clinical trial in three African countries between 2018 and 2020. Through collaboration, all stakeholders have to key in to such projects, and also develop the local capacity to produce vaccines in partnership with our research institutions and the universities.
We also enjoin parents to take advantage of the efforts of government and their collaborators to ensure their children within the specified ages are brought forward for immunization. The fight against child killer diseases must be total and won now.

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Editorial

NASS: Beyond Okorocha’s Proposal

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Barely two days after Nigerians marked the 59th Independence Anniversary of the country in a razzmatazz of angst over rising insecurity, economic disparity and inflated cost of governance; amid political leaders’ charge for more sacrifices from the impoverished population, the Chairman, Senate Committee on Culture and Tourism, Owelle Rochas Okorocha, raised the hope of many when he lamented that the cost of running the government was too high, and proposed a cut in the number of legislative representation for each state at the National Assembly to only one Senator and three House of Representatives members.
The former Imo State Governor, who said this while contributing to the debate on the report of the 2020-2022 Medium Term Expenditure Framework (MTEF) and Fiscal Strategy Paper (FSP) at plenary, noted that the reduction from each state will help cut cost and ensure effective representation. He reasoned that what three senators and several Reps members can do for a state (presently), the four lawmakers he is advocating for can do (even better if they are serious about representing the interests of their constituents).
“We can’t keep doing the same thing and expect different thing to happen… There is need for constitutional amendment. Rather than engaging many people in politics, we can have few in the National Assembly while others can venture into other sectors… I will present a bill on it based on the mood of the National Assembly. Whether it starts now or later, we must do things differently”, Okorocha argued.
The Tide completely agrees with Okorocha that reducing the number of Senators to 37 and Reps members to 108 from the existing 109 and 360, respectively, would significantly reduce the cost of governance and free scarce revenues for government to invest into other sectors such as agriculture, education, health, among others, to boost economic growth, without diminishing the legislature’s contributions to good governance and national development.
Every well-meaning Nigerian agrees that the allocation of N125 billion (previously N150 billion) is annoyingly unreasonable for 469 lawmakers in a country where that same amount constitutes the budget of no fewer than two states, with a combined population of about 10 million. This is even more disturbing when it is realised that the country has N10.3 trillion in the 2020 national budget just submitted by President Muhammadu Buhari to the lawmakers to provide infrastructure in 36 states plus FCT and other services for over 195.6 million people. This is why Okorocha’s proposal feeds into the argument in some quarters that politicians are the main reason why Nigeria is not advancing in many areas and poverty is wiping away the middle class and eating deep into the larger population, with 469 lawmakers alone pocketing about 1.21 per cent of the budget while allocations to education stand at N159.79 billion and health a mere N90.5 billion.
Of course, the National Institute of Legislative Studies’ recent disclosure of the mind-boggling emolument of National Assembly members justifies our support for Okorocha’s proposal. According to NILS, a senator’s annual basic salary is N2,026,400,00, while a Reps member gets N1,985,212, 50 per year, in addition to a bouquet of allowances which hike a senator’s salary to N12, 902, 360.00 and a Reps member’s to N9,525,985.50 annually, thus, forcing the Federal Government to spend N1, 406,357,240.00 on basic salary of 109 Senators and N3,428,994,780.00 on 360 Reps members in four years.
Beyond that, the lawmakers earn special amount in every four-year period on accommodation, vehicle loan/fuelling/maintenance, constituency staff, furniture, domestic staff, personal aides, entertainment, utilities, newspapers/periodicals, house maintenance, wardrobe, estacode, duty tour, and severance allowances, to the tune of N24,090,000.00 per Senator and N23,822,000.00 each Reps member, forcing the government to spend additional N2,625, 810,000.00 on 109 Senators and N8,575,920,000.00 on 360 Reps members. This brings the total expenditure on each Senator to N33, 992, 360 and N33, 347, 985, 50 on each Reps member, most of whom may not even sponsor one bill or motion in parliament. This is unacceptable in a country where over 91.8 million, representing 46.4 per cent of the population live in extreme poverty.
Indeed, playing Okorocha’s script means that the lawmakers will reduce to 145, representing 69.1 per cent cut in the present number, and allowing about 324 redundant politicians to venture into other sectors. This will significantly reduce expenditures on politicians, and give government room to invest in critical sectors that will add value to the economy, improve security of lives and property, and boost national development. Realising this will be a game-changer. We, therefore, urge Okorocha to present the bill as quickly as possible, and also challenge the lawmakers to pass the bill with the urgency it deserves.
However, while cutting down the number of lawmakers could reduce the cost of governance, we also think that a constitutional amendment that provides for part-time legislators will give fillip to Nigerians’ quest to restructure the government in such a way that it becomes more responsive to the yearnings of the people, particularly the minorities. We believe that a legislature that has the interests of Nigerians at heart would have the will and capacity to make constitutional amendments and legislation to give the people what they truly want to co-exist in peace, unity and prosperity, without necessarily leaving too many behind in anguish and bitterness. For us, this is just one bite of a large chunk but it will help in the long run.

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Editorial

Before The Toll Gates

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Ostensibly exploring ways and means of expanding its revenue profile and capital inflow, the Federal Government’s recent pronouncement to re-introduce toll gate scheme on federal highways, with its inherent inflationary implications on prices of goods and services may not necessarily be the panacea to the nation’s economic woes. Rather, it will further impoverish the masses who, from all indications and current realities, are already groaning and battling with life – no thanks to public policies that have made life nightmarish and gruesome.
Obviously, Nigerians are over-burdened and this perhaps informed the reason why the country is currently rated as “World’s poverty capital” with over 100 million people living in less than one United States (US) dollar per day. Instead of government to decisively initiate welfare policies that could cushion the effects of near-strangulation of the masses, especially the middle class, it is rather opting for the worst.
It is against this backdrop that the proposed re-introduction of toll gates on our highways becomes curious, vexatious and unacceptable to all well-meaning Nigerians. Indeed, it is an over-kill on the masses as prices of goods and services will shoot up without commensurate palliatives to cushion the effects on the citizenry.
Worse still, the 2020 federal budget now before the National Assembly has failed to capture the controversial fuel subsidy, implying that pump price of petroleum products may be increased in the 2020 fiscal year. In essence, motorists, particularly commercial transporters will be forced to pay more – courtesy of toll gates and high fuel prices. What is more, the budget also jerked Value Added Tax (VAT) from five percent to 7.5 percent on non-oil tax revenue from which government expects N1.81 trillion in the next fiscal year.
While The Tide may not be totally against government initiative of funding the budget so as to reduce excessive borrowing which is impacting negatively on the nation’s economy, it is our candid view that the Muhammadu Buhari-led administration must place the interest and well-being of Nigerians above other considerations. There, indeed, can be no country without its citizens. All public policies must, therefore, be tailored towards making the citizens vibrant, resourceful and self-sufficient.
Perhaps, that is why analysts and stakeholders think that government should take another look at the toll gates plan with a view to jettisoning the scheme till a later date. The Tide, indeed, agrees with this school of thought.
We recall that at the end of last week’s Federal Executive Council (FEC) meeting, the Minister of Works and Housing, Babatunde Fashola said: “We expect to return toll plazas and have concluded designs for them”. Though, Fashola did not give further details, it is quite understandable that in this era and time, when virtually all federal highways are in shambles, the right path to go should be to put these roads in good shape before executing the scheme.
The toll gate system was in place when the country’s highways were in good shape but the administration of former President Olusegun Obasanjo stopped it in 2004 due mainly to corruption that rocked the scheme. And we think that for toll gates to resurface, government must ensure that all mechanisms are in place to ensure that the scheme will not go the way the last one went.
Whereas we subscribe to bolstering non-oil revenue base to finance critical sectors of the economy, especially addressing the country’s huge infrastructural deficit, we think that it must be done with a human face. The poor, like the rich and wealthy all have natural rights that must be protected always as guaranteed by the 1999 Federal Constitution (as amended).
Let the return of toll plazas not be another platform for corruption, misappropriation and mismanagement of public funds. The sad experience of the scheme in the past is still very fresh in the consciousness of Nigerians and that was why former President Obasanjo scrapped it.
We wonder how President Buhari’s self-professed inclination of lifting 100 million Nigerians out of poverty will work when the toll system will negatively impact on poor people who depend on goods and services for survival.
The major concern of any government worth its salt is the welfare of the people. The present administration should, therefore, prove to critics and cynics that it is not paying mere lip service to its social intervention programmes. Its welfare policies should not be seen as a Greek gift and this is why we say ‘No’ to the toll system for now.
Government should strive to block all leakages of revenue generation, particularly from wealthy Nigerians, to mop up funds for the public good. Moreso, deliberate efforts must be made to cut down on cost of governance through merging of some Ministries, Departments and Agencies (MDAs), some of which have duplicated responsibilities and functions, instead of the government deliberately over-burdening the citizenry through the toll system or other policies which are inimical to the public good.
Most importantly, the Buhari administration should leverage on expert advice on how to diversify the economy without much stress on the populace.

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Editorial

Minimum Wage: Averting National Strike

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Nigerians, especially workers across the country, heaved a sigh of relief when President Muhammadu Buhari finally signed a new National Minimum Wage of N30,000 into law on April 18, 2019.
However, six months after the presidential assent that eventually ended nearly two years of gruelling negotiations (and about four years after it was due), threats and counter-threats, promises and broken promises and industrial actions that nearly shut down the economy of the nation, the implementation of the law has remained the subject of another long-drawn cat and mouse battle between organised Labour and the Federal Government.
Pissed by the government’s obvious lacklustre attitude towards ending negotiations and commencement of payment to workers, organised Labour, comprising the Nigeria Labour Congress (NLC) and the Trade Union Congress (TUC), after a meeting with the Joint National Public Service Negotiating Council (JNPS NC-Trade Union Side) on Wednesday, October 2, 2019, issued a clear warning to the Federal Government that it could no longer guarantee industrial peace and harmony in the country if workers’ demands are not met at the close of work on Wednesday, October 16, 2019.
In a statement jointly signed by NLC President, Comrade Ayuba Wabba, TUC President, Comrade Quadri Olaleye, the Acting Chairman, JNPSNC (Trade Union side), Comrade Simon An Chaver and JNPSNC Secretary, Comrade Alade Bashir Lawal, Labour demanded that the issue of consequential adjustment, which the government has used to delay the commencement of the implementation of the new minimum wage should be concluded within one week.
According to the statement, organised Labour insists on 29 per cent for workers on Grade Levels 07-14 and 24 per cent for workers on Grade Levels 15-17 while in the same breath rejecting government’s offer of 11 per cent for public service workers on Grade Levels 07 -14 and 6.5 per cent for officers on Grade Levels 15-17.
In the statement, Labour also demanded “the reconvening of the meeting of the committee negotiating the consequential adjustment with a view to concluding the process that started on May 28, 2019, within one week”, while noting that it had, out of its patriotic disposition, demonstrated a great deal of restraint, consideration and patience with government.
It further noted that since the last minimum wage of N18,000 came into effect and now, “the Naira had suffered devaluation from N150 to $1 in 2011 to N360 to $1 in 2019, a depreciation of 140 per cent” and accused the government of insensitivity to the plight of workers who ultimately bear the brunt of the negative economic climate in the country.
While labour leaders have since reiterated the resolve of workers to embark on an indefinite nationwide strike without further warning, the Federal Government, through the Minister of Labour and Productivity, Dr Chris Ngige, has only responded with a threat of a consequential retrenchment of workers if government must accede to Labour’s demand.
The Tide views as callous and insensitive the Federal Government’s response to Labour’s demand for a marginal improvement in the excruciating economic circumstance of the average Nigerian worker through the implementation of the new National Minimum Wage. In a country where politically exposed persons turn instant millionaires upon assumption of office, it is inexplicable that government would invent all manner of excuses and adopt absurd and ridiculous subterfuge to deny the suffering worker an enhanced living condition.
While we acknowledge that the full implementation of the N30,000 new minimum wage as demanded by Labour would significantly increase the recurrent budget profile of the Federal Government and others, we refuse to accept that government cannot rise up to the challenge and still remain afloat. We insist that with a little bit of creativity and diversification of the economy, government is very likely to raise more money to meet its capital needs as well.
In order to end this perennial cry of inadequate funds, government needs to cut its overall cost of governance while taking heed to expert advice on exploiting other sources of revenue to meet its obligations. Some well canvassed measures of reducing recurrent expenditure and conserving funds for other uses include downsizing the Ministries, Departments and Agencies of government, a downward review of the emoluments of elected and appointed political office holders, the abolition of constituency projects of lawmakers, among other steps.
The Tide is not completely in opposition to the idea of reducing the workforce of the government. However, government must be prepared to fully meet the financial requirements needed to settle all workers to be disengaged.
Finally, we think that the position of organised Labour for a quick resolution of implementation talks on the new National Minimum Wage is reasonable and should be attended to with all the urgency it deserves.
We also believe that the nation can ill afford another industrial action on the scale threatened by Labour as the present state of the economy is too tenuous to withstand such pressure. Government should, therefore, do the needful by immediately re-engaging Labour with a view to averting the looming strike, strengthening the prevailing industrial peace and giving the workforce in the country a reason to smile, even though government’s intention to increase Value Added Tax (VAT) and the re-introduction of toll gates, and sundry measures will significantly eat into the accruable benefits.

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