Editorial
2010: Meeting Rivers Health Target
Recent complaints of unethical conduct among medical personnel in public health institutions in Rivers State have created the aperture necessary to diagnose the state of that vital sector, with a view to prescribing urgent dialysis.
The concerns which range from questionable demands for gratification to irregularity of medical personnel, especially call doctors, at their duty posts, thus, leaving to their fate, patients with life-threatening afflictions in need of urgent attention, is everything but ethical.
Inundated with such reports, Rivers State Governor, Chibuike Rotimi Amaechi had at various times made unscheduled visits to public health institutions, particularly, the Braithwaite Memorial Specialist Hospital (BMSH) at odd hours, to personally witness the patients’ pains.
It is understandable that the medical corps of the BMSH should be facing one of the most challenging moments since the institution’s founding because of the number of patients they are forced to attend to being the only functional specialist hospital in Port Harcourt city. Frankly, medical staff are stretched beyond human limits, while medical doctors are forced to work a little less than 24 Hours daily in order to meet the ever increasing health demands of the people, notwithstanding the fact that many of the cases the Specialist Hospital is today being pressured to address are indeed responsibilities of primary health institutions.
We are aware also that the Rivers state government recently recruited additional 200 medical doctors, 150 of who are meant to man each of the primary health centres being built across the state. Although few are already in use, others are at various stages of completion. When and if properly equipped as promised, and put to use, the frequent complaints of poor medical services by staff of the existing ones would abate and make every institution pay maximum attention to the health needs of its manageable number of patients.
This is why The Tide calls on contractors handling either the construction or equipment of the Primary Health Centres to face their assignments with the urgency they deserve. On the other hand, the health Ministry must place more premium on proper monitoring and supervision of existing health institutions to check the under-hand activities of never-do-wells in their ranks.
We say so because, understandable as the patients’ upsurge on the BMSH and its attendant work load on the staff may be, it should not be an excuse for staffers to capitalise on the impatience of troubled patients, to demand questionable favours before providing treatment.
While The Tide considers these complaints most unbelievable, we none-the-less find their disturbing frequency worthy of an urgent probe, necessary to save the reputation of the health sector, into which huge investments have been made and still being made.
While this is on, we insist that the state government moves to sustain the positive attention which it has thus far given to the sector, by pushing a little but harder for the timely delivery and commissioning of the primary health centres being developed across the state.
Furthermore, government should consider as an urgent need, the building of the two Mother and Child hospitals mooted for parts of the city because we believe frankly, such a facility will reduce the weight now being suffered by the BMSH and other existing health institutions.
It does not require long-winding equivocation for a government to appreciate the importance of the health of citizens because in assessing the success or failure of any government, the people’s health is a vital yardstick. We so submit.
Editorial
That Oshiomhole’s Call On FG’s Road Projects
There are moments in the life of a legislature when plain speaking becomes a public service. Senator Adams Oshiomhole provided such a moment on the floor of the Senate when he accused the Minister of Works, Senator David Umahi, of manifestly neglecting critical federal arteries in Edo and Delta States, and implored his colleagues to prevail on the Minister to adopt a more equitable and genuinely national approach to road infrastructure delivery. It was blunt, it was uncomfortable, and it was necessary.
The specifics of his complaint deserve restating. Drawing attention to the recent approval of some 20 new road projects despite the parlous state of existing ones, the former Edo State governor lamented that Nigerians cannot travel from Benin to Warri, Benin to Asaba, Benin to Auchi, or Auchi to Okene without encountering severe distress. He alleged a deliberate omission of these corridors from the national budget in the last three years, save for palliative interventions directed by President Bola Tinubu through tax credit arrangements. His question — “What have we done wrong?” — resonates far beyond the chambers of the National Assembly.
We lend our full and unequivocal support to that call. The Auchi-Benin Road, for instance, has been in a deplorable and near-impassable condition for several years, turning what should be a two-hour journey into an all-day ordeal of broken axles, extortionate fares, and despondent commuters. The media have, on multiple occasions, chronicled the suffering of motorists, traders, and students who ply that route. To describe it as a federal road today is to stretch the meaning of the term beyond recognition.
This pattern of sidelining is not confined to Edo or Delta. Even here in Rivers State, the disposition of the Federal Ministry of Works has left much to be desired, particularly along the Eleme axis of the East-West Road. That road, which ought to be a flagship of federal presence in the Niger Delta, has remained in a wretched state for long. Those who use it daily — workers at the Eleme Petrochemical Complex, the two refineries, Onne Port, and the countless ancillary industries — can attest to its deterioration. Work has proceeded in fits and starts without the sustained urgency such a strategic road demands.
The Eleme stretch is not a mere intra-state byway. It is the gateway to the nation’s economic jugular. According to the Federal Ministry of Works and Housing’s 2023 Highway Condition Survey, only about 35 per cent of the country’s 36,000 kilometres of federal roads are rated as being in good or fair condition, with the remainder classified as poor or very poor. The East-West Road, conceived in the 1970s to bind the entire Niger Delta, remains unfinished in critical sections more than four decades after. If it had been treated as a priority, the perennial gridlock, carnage, and economic loss on the Eleme-Refinery junction would have long been consigned to history.
The irony is as painful as it is glaring. The Niger Delta remains the goose that lays the golden eggs. Data from the Nigeria Extractive Industries Transparency Initiative [NEITI 2023 Oil and Gas Audit] show that the region still accounts for over 78 per cent of Nigeria’s federally collected export earnings and about 65 per cent of total government revenue. The National Bureau of Statistics [NBS Foreign Trade Report Q4 2024] similarly confirms that crude oil continues to dominate export receipts. By every metric of equity and economic logic, a region that sustains the national purse deserves first-rate consideration in the allocation of infrastructure, not afterthoughts and tokenism.
Road infrastructure is not largesse to be dispensed by favour; it is the skeleton upon which commerce, cohesion, and citizenship hang. When contracts are concentrated in one geopolitical zone while other zones are left to contend with craters, it erodes trust in the federation itself. The World Bank’s Nigeria Development Update [June 2023] estimated that poor transport connectivity inflates the cost of moving goods by up to 40 per cent and costs the Nigerian economy an estimated $1.5 billion annually in lost man-hours and vehicle maintenance. If we profess to be one country, then equity must be the compass that guides key institutions before any project is executed. Development must spread round, not pool in one place as though other regions do not matter.
There is also a grave security dimension that can no longer be ignored. The deplorable condition of federal roads has become a veritable enabler of criminality. The NBS Crime Experience and Security Perception Survey reported over 2.5 million incidents of kidnapping-related occurrences nationally, with transport workers identifying bad road spots as prime ambush points. When vehicles are forced to crawl at 10 kilometres per hour through failed sections at Auchi, Sapele Road, or Eleme, they become sitting ducks for armed gangs. Fixing bad roads, therefore, is not merely about convenience; it is about safeguarding lives.
By his intervention, Senator Oshiomhole has hit the nail on the head and reminded Minister Umahi of a fundamental constitutional truth: public office is held in trust. The Ministry of Works is not a personal estate where contracts are awarded according to whim or political convenience. It is a national institution funded by the collective resources of Nigerians, including the oil and gas rents from the very communities whose roads are now neglected. The Minister must demonstrate balance, transparency, and a pan-Nigerian outlook in the distribution of projects that impact the daily existence of citizens. Selective neglect breeds suspicion, and suspicion is corrosive at a time when the nation is preaching unity, oneness, equity, and justice.
Consequently, the National Assembly must go beyond rhetoric and assert its oversight powers with vigour. Sections 88 and 89 of the 1999 Constitution [as amended] empower the legislature to investigate and expose any maladministration in the execution of federal projects. If an office holder is not acting rightly, it is the duty of the Senate and the House of Representatives to call him to order. Oversight must not be reduced to budget approval ceremonies; it must translate to field verification, public hearings, and insistence that the Federal Character principle, as enshrined in Section 14(3) of the Constitution, reflects in road awards.
Let the Auchi-Okene, Benin-Warri, Benin-Asaba, and Eleme East-West gangways be restored to motorable dignity. Let priority be given to completing existing, economically vital roads before embarking on new ones. If those who, through their resources, sustain the federation are sidelined in the distribution of tangible dividends, it tells poorly of our nationhood. Bad roads must be fixed, and they must be fixed now, with fairness as the guiding standard.
Editorial
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