Opinion
Toward Achieving MDGs
Among the contemporary international development yardsticks which the Federal Government is striving at attaining, one that stands out clearly in the transformation agenda of the Jonathan administration is the achievement of the Millennium Development Goals (MDGs) by the year 2015.
The first of the eight MDGs which were officially established after the millennium summit of the United Nations in 2000 following the adoption of the United Nations Millennium Declaration include the eradication of extreme poverty and hunger, which entails cutting by half by 2015 the number of people living on less than $1.25 a day. Other goals are; achieving universal primary education, promoting gender equality and empowering women, the reduction of child mortality rates and improving maternal health.
In fact, since the appointment of Dr (Mrs) Precious K. Gbeneoel as the Senior Special Assistant to President Goodluck Jonathan, the SSA has left no stone unturned in the drive towards the administration’s objective of raising the standard of living of people at the grassroot particularly the most vulnerable, women and children in the rural areas. Thus, in recognition of the commitment of the Presidency toward achieving the MDGs, the President, Dr. Goodluck Jonathan was recently honoured by the Food Agriculture Organisation, (FAO) in recognition of the country’s effort at reducing the number of people who are suffering from chronic hunger. But the President was also quick in noting that in achieving other millennium goals, the combating of HIV/AIDS, malaria and other diseases, ensuring environmental sanitation, improving maternal health and reducing child mortality were needed to be done.
In fact, the millennium development agency under Dr. Precious Gbeneoel has adopted innovative strategies aimed at reaching out to women in rural areas. For example, one fantastic prospect of the Millenium Development Agency (MDA), aimed at bringing people out of poverty is the Conditional Cash Transfer (CCT) through which people received some stipend following the fulfilment of laid down conditions. One of the MDA requirements insists that parents should send their children to school as a pre-condition for receiving monthly stipend. Pregnant women are encouraged to attend anti-natal clinics before getting their monthly stipend, while mothers are expected to take their babies for immunisation before they get their monthly stipend. The MDA also encourages farmers by training them and giving as much as N100,000 to a farmer for investment in agriculture to help boost food production and engender good nutrition.
But one snag that obviously the MDA must work hard to surmount in conjunction with the Federal Government is the input of medical personnel toward realising the millennium development goals. This is crucial because the acute shortage of medical personnel at all levels of society causes great concern if available statistics are anything to go by.
At a press briefing which preceded her 53rd Annual General Conference and delegates meeting tagged “Eko 2013,” President of the Nigeria Medical Association, (NMA), Dr Osahon Enabulele noted that low budgetary allocation for health, shortage of human resources, lack of clear-cut provisions in the country’s constitution and non-existence of functional primary healthcare services constituted major impediments in the health sector and can constitute a road-block in achieving Millennium Development Goals. To punctuate this assertion, Enabulele reeled out troubling figures on the medical sector that must bother any Nigerian who cares about improvement in healthcare delivery services.
According to him, of the 65,000 medical doctors registered by the Medical and Dental Council of Nigeria (MDCN), only 25,000 (38.46%) are currently practicising in the country, which means that 40,000 (61.54%) have gone abroad for greener pastures. The NMA President did not mince words in asserting that following the low budget for health and shortage of human health resources, the country cannot achieve any of the Millennium Development Goals (MDGs) by 2015.
This position which is rooted in the fact that most rural communities do not have doctors, aside from the inadequacy in the city, a situation which has helped in no small measure in the preponderance of quacks, has impacted negatively on the ineffective health care delivery in the country.
“There is poor primary and secondary healthcare delivery in this country. A trip round our country shows that primary care in Nigeria is virtually non-existent. If that sector that takes responsibility of over 70 per cent of the country’s population is not functioning, that means people have resulted to quacks and have besieged the tertiary health care facilities for cases that should have been handled at primary and secondary level,” Dr Enabulele stated.
Without mincing words, our healthcare delivery system needs to be overhauled to meet the MDG’s. One way of doing this is to equip our hospitals to make them functional with adequate personnel.
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