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Health Of The State

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The Rivers State Government has since the Governor Amaechi-led administration, taken healthcare delivery a notch higher than its predecessors.

The healthcare policies of the State have been expanded to make healthcare delivery accessible to and affordable by all residents of the State since the last one year of Governor Amaechi’s second term in office.

Whereas the State operated free medical service to children of six years and below and adults of 60 years and above in his first tenure, the programme is now open to all residents of the State who can show prove of residency and tax payments. Under this scheme, residents, irrespective of whether they are indigenes or not could register and enjoy the services without any hitches.

Also, of the 160 Primary Health Centres that the administration promised as provide in the State, 118 have been completed and inuse after the first 60 were commissioned in the governor’s first tenure.

According to the Director Public Health, of the State ministry of Health, Akuro Okujagu, each of the healthcentres have one doctor with the health centres in high density areas having two or three as the case may be.

Under the Amaechi-led administration, the emergency response service called the Emergency Medical Service has also being given a boost since the last one year. The EMS comprises of ambulances which are centralized with the base at Braithwaite Memorial Special Hospital (BMSH) while the ambulances are located at specific points across the State which when a call is put through to the base an ambulance closest to the victim is dispatched.

The State has also put marine ambulances at strategic positions across the riverine areas to cover the difficult to reach places to deliver quality and affordable healthcare to the people.

During the recent outbreak of lassa fever, the State rapidly put together 20 member rapid response team to sensitise and educate the public on the dangers the situation posed.

The State also sponsored and equipped a ward at UPTH to secure victims of the lassa rats. Also equipment and personal protection equipment were bought for health workers to wear as well as vehicles.

In its bid to eliminate mosquito from the State, serious interventions against the vector has intensified where the State concluded in collaboration with Cuban authority plans to build a bio-larvicidal factory where the larvicide could be produced to destroy mosquitoes.

The State was embarked on aerial spraying and the distribution of long lasting insecticidal nets and billions of bottles of bio-larvicides to kill the vector larval stage.

In all the Rivers State Health Sector, has witnessed revolutionary changes since the advent of the government of His Excellency Rt. Hon. Chibuike Amaechi in October 2007.

Vision of The Amaechi Government

The State Government under the leadership of Rt. Hon. Chibuike Amaechi has adopted a system of health-care whose thrust is anchored on Primary Care with the following specific objectives:

Provision of quality and standard health facilities, provision of efficient, effective and affordable health services, availability of well qualified and motivated staff at all health facilities, provision of health services to vulnerable groups at government cost, co-ordinated State Health Plan supported by appropriate budgetary allocation, in order to ensure that any health policy adopted is implemented, the State has made adequate budgetary provision for health.

Strategies for Implementation of Vision

In order to implement the vision of Government, the following strategies were adopted, Health Summit for all Stakeholders in health was held on 5th & 6th February 2008, Governor Chibuike Amaechi held meeting with Doctors in the State on the way forward in the health sector. So far, three other such meetings have been held during the period under review, Health Insurance Conference to determine the best option in its implementation (27th & 28th May 2008), budgetary allocation to Health meeting WHO standard for the first time in the history of the State, adoption of Public-Private Partnership in health resulting the several projects being carried out simultaneously for the first time in the State.

These strategies yielded results, some of which are tabulated below as follows:

To ensure proper service integration among all levels of health care through the establishment of a Primary Health Care Board, Manpower development programme should be put in place, Public-Private-Partnership (PPP) is accepted and workable especially in areas of scarcity and deficiencies. Government should commit to the funding and implementation of all aspects of PPP in health on a continuous basis, there should be sustained maintenance culture of all infrastructure and equipment, Infrastructural Development for health, development of a Co-ordinated State wide Health Plan, government should take responsibility for the health of the vulnerable in the society.

As a result, the following steps have been taken.

Re-orientation workshop for Heads of health establishments (Ministry, Hospitals, health units in LGA) held from 4th – 8th August 2008 as a first step, re-training of all categories of staff is being planned, recruitment of Staff to address the severe manpower shortages is ongoing, Construction of Justice Adolphus Karibi-Whyte Mega Hospital at a site within the Greater Port Harcourt is being undertaken at the cost of $150million on a PPP basis, maintenance contracts are being instituted for different equipment in the Hospitals, government has embarked on massive infrastructural development especially Primary Health Centres and Hospitals.

Other Strategies Employed for Implementation of Vision include:

Employment of doctors, nurses and other health workers to man the primary health centres, provision of Social Insurance through the Free Medical Care Programme and overseas treatment programme, expansion of Emergency Medical Services with the provision of a Base Station and call center with emergency telephone services to cater for all emergencies, strengthening of existing special programmes as follows:

Creation of the State Agency on HIV/AIDS, presentation of Executive Bill on the establishment of Primary Health Care Development Board, World Bank supported Malaria Control Booster Project.

Integrated Mother, Neonatal & Child Health (IMNCH) strategy inaugurated in partnership with the Institute of Child Health in UNIPORT), constitution of Task Force on Health and Allied Health Institutions, establishment of a Reference Medical Laboratory in BMSH, provision of Standard accommodation for Medical Interns, re-accreditation of the Department of Family Medicine for post-graduate training, an Auto-disabled Syringe factory, which will also manufacture intravenous fluids has been completed and commissioned with technical partnership from Pan African Health Foundation. The factory shall be expanded in the next few years to serve the total syringe needs of the country and West   Africa.

 

Tonye Nria-Dappa

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Lagos Trains Health Workers On Handling SGBV Cases

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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.

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Nch Technical Session Reviews 35 Memos …Sets Stage For Council Deliberations

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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.

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Police Hospital Reports More Malaria Incidence

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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.

 

Favour Umunnakwe, Victory Awaji, Excel Nnodim

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