Health
Health: Blazing The Trail
Governments all over the world are always seeking for ways and measures to improving the health services of its citizenry.
Nigeria and Rivers State in particular, were not left out in this trend, no wonder the National Health Bill was introduced and subsequently passed into law.
In time past, Nigeria’s healthcare was left primarily in the hands of herbalists (medicine men), now called traditional medicine practitioners, who prepared medicines from herbs, roots and tree barks.
To be fair to these traditional medicine practitioners, some of their preparations were believed to be effective, particularly the one popularly called “acum-shurrup”, made from a plant locally called “dogoyaro”, (neern plant), in the treatment of malaria. People had relief from malaria attacks when “acum-shurrup” is taken and it is still been used by some die-heard “old schools”. But their methods are unsafe, crude, unhygienic, and may also be the primary cause of resistant talciparum strains (malaria causing organisms).
According to experts, the commonest diseases affecting the health of Nigerians include malaria, hepatitis, typhoid, yellow fever, diphtheria, diabetes and tetanus.
But with the advent of modern technology and breakthroughs in medicine science, treatment, management and control of diseases are much easier, better, safer and more effective.
Healthcare services in Nigeria, is better equipped to handle most types of medicine challenges and the system is in three tiers, primary, secondary and tertiary healthcare systems.
Adequate healthcare delivery is so important that the United Nations in its declaration of the Millennium Development Goals (MDGs), in September 2011, gave the top shot to healthcare by dedicating three out of the eight goals to improving health of the people
In Rivers State, the zeal to provide adequate healthcare for the citizenry received prompt attention as the state governor, Rt Hon chibuike Rotimi Amaechi demonstrated when he came on board, in October 2007 and stated categorically that the policy objective on healthcare is to provide integrated healthcare services and adored on efficient primary healthcare delivery.
To execute this plan, the state government embarked on a number of projects some of which include the construction 160 Primary Health Centres (PHC) as a step towards rebuilding the entire health care system.
The completion, furnishing/equipping and handover of 60 of these PHCs to 60 communities, last year was indeed a first step towards transforming the health care delivery system in the state.
Today, according to information from the office of the state commissioner for health, Dr Sampson Parker, 120 of the 160 PHCs have be completed and furnished, and ready to be handed over to communities.
Dr Parker disclosed at the handover of the first 60 PHCs, that government decided on this massive campaign against poor and inadequate health care delivery due to revelations by health indicators that about 1,000,000, Nigerian children die before their fifth birthday and 52,900, Nigerian women die from pregnancy related complications annually. This trend, the government has undertaken to reverse, he added.
He also stated that the health centers were handed over to community leaders, whom he described as gate keepers to engender community support, participation and ownership of the facilities.
The Primary Health Care Scheme also ensures adequate referral policy.
To support the Primary health care scheme, which is a prerequisite to the success of the secondary and tertiary health care systems, an auto-disable syringe factory first of its kind in Africa, was acquired by the state government to reduce the spread of injection transmittable diseases and discourage injection reuse.
Secretary of Pan African Health Foundation, technical partners of the factory, Mr Amanye Wokoma said the factory has capacity to produce 1 billion syringes perday and currently produces five and two milliliter syringes. He said the factory would also in future produce intravenous fluids and other medical consumables.
The Free Medical Care Programme (FMCP) is another trail in the path to a successful health care delivery. The programme, which started in 2000, was given impetus when the present administration took over. The scope was expanded to and more centres including all the Primary Health Care (PHCs) in the 23 Local Government Areas of the state. The programmes offers free treatment including overseas referrals to persons who are 60 years and above and six years and below.
In addition, the government established the central medical stores, which ran a drug revolving fund account. The drugs are purchased and sold at a very minimal cost to patient. The drugs are absolutely free under the proposed new free medical care programme (FMCP), where healthcare services are to be given free to all categories of persons. To enhance this programmes, more fund has be allocated to the health sector, which now stands at N17 billion about 15 percent of the state’s 2011 budget, which also fulfills the MDGs recommendation.
The state plans to establish an ultra-modern drug manufacturing plant at Central Medical Stores (CMS) and to meet the drug needs of the state, government has purchased drugs to combat the most pressing health challenge, malaria, hepatitis and HIV/AIDs.
In the roll malaria programme, government has taken the “fight to the levels backyard”, so to speak as millions of long lasting insecticide Nets (LLINs) and thousands of doses of anternisimi-based combination therapy and distributed free to residents in the state.
Also plans are underway to build a Bio-larvicidal plant another first in this part of the world in the state where Bio larvicide’s are expected to be produced while area spraying of larvicides as well as indoor residual spraying of homes.
The vision of the Amaechi-led administration is enshrined in the commitment to providing effective, efficient improved and accessible health care services.
To this end, secondary health institutions, being the generate hospitals are being renovated and re-equiped to handle referrals from the PHCs.
The Brathwaitte Memorial Specialist Hospital (BMSH), was also remodeled and retooled to a tertiary health standard. Niger Hospital, now Kelsey Harrison Hospital and the Dental Maxilotional Hospital also received facelifts. Justice Adolphus Karibi-whyte Hospital, a specialist hospital expected to discourage seeking medical help abroad and a mother and child hospital, Burns and Trauma centres are projects on the drawing board.
The state emergency medical services units, is worthy of mention. The service, which originally started in the previous administration, had only eight functional ambulances.
Since them more ambulance including marine ambulances have been added to the unit, which has been upgraded to a central ambulance control unit where all the ambulances are kept under a controlling unit and dispatched as the need arises.
To ensure the sustainability of its health programmes, the state government introduced a social services level which has been passed into law by the Rivers State House of Assembly.
So far, about N18.3 billion has been spent on the construction, renovation and retooling of health facilities in the state while N075.5 million has been spent on free medicals.
Dr. A Okuyagu, Director, Primary Health Care, Rivers State Ministry of Health, remarked, that “the true wealth of the people is the good health of the people, hence the wealthiest people are the healthiest people”.
The new Primary Health Care Policy of the state is surely a step to turn around the fortune of the people. It is hinged on wide consultation and input by stakeholders.
The fact that this is backed by a legislative act is an indication of its sustainability.
Tonye Nria-Dappa
Health
Lagos Trains Health Workers On Handling SGBV Cases
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.
Health
Nch Technical Session Reviews 35 Memos …Sets Stage For Council Deliberations
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.
Health
Police Hospital Reports More Malaria Incidence
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.
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