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Health Insurance,Vehicle To Quality Healthcare – Expert

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The Country Director of an NGo, Palladium Health Policy Plus Project, Mr Ezire Onoriode, says health insurance remains the vehicle for quality healthcare and Universal Health Coverage (UHC) across the globe.
Onoriode told The Tide’s source yesterday in Asaba that the thinking of the Federal Government was to ensure that all the states establish a health insurance scheme with a functional primary healthcare system.
“I work with Palladium, a US service funded project, working in 17 countries of the world and in Nigeria; we are working with the Federal Ministry of Health.
“We work with the National Health Insurance Scheme (NHIS) and the National Primary Health Care Development Agency and their states counterpart to help them achieve UHC.
“At the state level, we are working in Eboyi, Osun, Abia and Federal Capital Territory (FCT). We provide technical support for states to develop their health insurance agency and health insurance scheme.
“Globally, if you want to achieve UHC and quality healthcare health insurance is the vehicle to do that this is because there were many who are so poor and cannot afford healthcare.
“Imaging in Nigeria today, out of pocket expenditure is one of the highest in the world at about 77 per cent compared to some countries, like Ghana which is less than 40 per cent out of pocket expenditure,” he said.
He said that health insurance takes the burden away from the poor and spread it across the entire population of the scheme with a minimal contribution to access quality healthcare without the catastrophe of poverty.
“We have currently developed health insurance scheme for Osun, Abia and Ebonyi States.
“Governor David Umahi of Ebonyi will be launching the state health insurance scheme before the end of September, to open it for the public to access healthcare services,” he said.
He said that theme of this year’s National Council on Health (NCH), “Consolidating the Journey Towards Achieving Universal Health Coverage (UHC)’’, which held in Asaba, was a pointer to the eight direction in Nigeria.
He said that the NHIS at the time it was set up was not made mandatory and as such many people could not get registered into the scheme, adding that it is part of the reasons why the coverage was low logged.
“The Federal Government is trying to make health insurance mandatory, besides when the NHIS scheme started its coverage hovered around federal staff and this constitutes a very small percentage of the entire population of the country.
“I am excited when I learnt that Delta Health Insurance Scheme has recorded over 630,000 enrollees in a scheme which started less than two years ago in a state with about four million people.
“So, imaging if every state can set up the scheme and register up to 10 per cent coverage, many more Nigerians will have access to quality healthcare compared to about five per cent coverage by the NHIS given the over 180 million population of the country.
“The solution is for all states to get their health insurance running and sustainable and from there we can talk of quality healthcare for every Nigerian.
“There is no reason why any woman should die giving birth to a life, this happens to most poor Nigerians because they cannot afford quality healthcare.
“The choice of going to unskilled birth attendance is obvious because they cannot afford the bills to access quality healthcare services and that is the major cause of death among pregnant women but with health insurance, we can stop that,” Onoriode said.
He said that the reality was that there were many families that cannot pay the premium, adding that that is where the government has to make social contributions and need to free resources to accommodate those vulnerable groups.
He said that government must increase the domestic funding for health, ensure efficiency in the use of these resources, particularly in the Primary Health Care systems, and no white elephant projects.
According to him, it is not a good use of resources for state government to build many secondary health facilities.
“Reverting to primary healthcare services is the most efficient way to deliver healthcare to the people with minimal funds which will be assessable to the people at the grassroots.
“If that woman that is pregnant at the community level can go to that primary healthcare to receive quality healthcare service, she may never get to a situation where she will need secondary care.
“So, by making our primary healthcare to be functional, by providing needed facilities, engaging enough human resources; nurses, midwives and doctors with the their basic salaries paid and operational allowances paid, they will produce tremendous results.
“With this our secondary facilities will never be crowded and then will provide specialised service that secondary and tertiary institutions need to provide,” Onoriode said.

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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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