Opinion
RSG’s Fight Against Tuberculosis
Igoni, a native of
Omelema community in Abua/Odual Local Government Area of Rivers State has been coughing ceaselessly and decided to seek medical attention in one of the primary health facilities in the state. She had earlier submitted samples of her sputum to the facility’s laboratory, where it was confirmed that she had tuberculosis.
Even though she had started receiving treatment for the dreaded disease, she is worried about the future, she is also battling with how to manage the information, should she tell her husband? What about her head teacher at the primary school where she has secured a teaching job? How will people react? Although there are drugs to help her condition, is it possible that those around her could also have been infected by the virus?
Ibeka, a clinical nurse (one of the few men found in a female dominated profession) seems to be happy with his job and is quite under pressure in his health facility in Oyigbo. At home, his wife is not comfortable with his job especially the fact that he handles tuberculosis patients and often complains that he spends more time in the clinic than at home.
The above scenarios highlight the problems and challenges posed by tuberculosis. Though awareness is on the increase, people identified with the disease are often marginalised and isolated by the society.
Tuberculosis, an ancient disease caused by a bacterium called micro bacterium tuberculosis which affects the lungs of an infected individual generally presents with cough of two weeks and above, low grade fever as well as tiredness, body weakness and weight loss.
According to statistics from the state Primary Health Care Management Board department of disease control, a total of 2,592 T.B cases were detected and placed on anti-T.B. drugs in 2012 and a treatment success rate of 79.5% and cure rate of 72.5% was recorded. Also a total number of 674 cases were detected in the first quarter of 2013 with recorded treatment success rate of 86% and cure rate of 80%
Even though such marked success has been recorded in the treatment of the disease, the state government, with the support of the German Leprosy and Tuberculosis Relief Association (GLRA) has made free treatment of the disease available in over 112 D.O.T.S centres and one in-take centre in Emohua.
At a training session, organised for Local Government Area Tuberculosis/Leprosy supervisors and Primary Health care facility focal persons recently in Port Harcourt, Executive Secretary of the Board, Dr. Claribel I. Abam urged the TBL Local Government Desk Officers to be more committed to their duties so as to increase case detection rates of the disease in various communities from the present 17% to a set target of 50% before the end of 2014.
Dr. Abam said “more is expected of the health workers to reduce the statistics, we all know that the disease (TB) we are talking about here when there is multiple drug resistance, we are talking about death, not just death of the person carrying the disease but death of all the people around there”.
In addition to improvement of case detection rates, Dr. Abam gave assurances of the Board’s commitment to improve treatment success rate and total reduction of defaulter rates (those who stop treatment halfway) from the present 9% to 3% by the end of 2014.
Meanwhile, the Director, Disease Control Services at the Board, Dr. Roland Obed Whyte, believes that with proper health education of patients, families and communities as well as training and supervision of health care personnel at all levels of treatment, the burden of TB can be reduced in line with the Millennium Development Goals.
On his part, Dr. Whyte said “treatment is available in all primary health care centres, all general hospitals and even some private hospitals are partnering with us and the good side of it is that it is free, you don’t need to pay”.
He noted that a facility based survey carried out by his department, shows that HIV infection makes treatment outcome of TB worse and the prevalence of tuberculosis among HIV positive people in the state stands at 27%.
However, Dr. Whyte thinks that with training and retraining of health workers along with community volunteers, the low case detection would greatly improve.
Though, the war against tuberculosis seems to be making appreciable progress in the state, Mr. Messiah Mozan, the state focal person TB Network, an N.G.O. involved in the eradication of the disease in the country thinks that more could be done in the area of sensitization and awareness creation.
“We have in the last one year trained over 160 volunteers in eleven pilot L.G.A’s so that they can go into the communities, create awareness and sensitise the people on TB and they have been working in these areas but we need to scale up to the 23 LGA’s and the volunteers need to be encouraged and motivated with some financial reward, to be able to do the job very well” Mr. Mozan said.
As for Enume Joshua, the TBL supervisor for Ogu Bolo Local Government, she is grateful to the state government for the refresher training course for DOTS focal persons on how to handle TB cases in line with global best practices and encouraged other health workers who are not TB focal persons to be warm and receptive in managing TB patients and not stigmatise them stressing that the job is not only for the TBL focal person.
Owhonda is RSPHC MB’s Information Officer
Joy N. Owhonda
Opinion
Professor Kamene Okonjo: A Life Beyond Motherhood
Quote “Professor Kamene Okonjo
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By: Sylvia ThankGod-Amadi
Opinion
On Ancestrial Worship: My Take
Quote: An African who invokes
This is the concluding part
… Given the fact that I was
At the end of the visit by the
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Under normal circumstances, yo
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Our ancestors have not gone fa
By: Jason Osai
Opinion
FG’s Transport Support And Rivers Workers
The Federal Government’s approval of a N70,000 monthly transport intervention for public service workers for six months, beginning in November 2026, offers hope to employees struggling with the rising cost of living. The agreement with the Nigeria Labour Congress (NLC), reached at a conciliation meeting in Abuja on October 27, is intended to cushion transport costs and ease pressure on workers’ incomes. But for public servants in Rivers State, it raises a familiar question: will the State Government key into the intervention and ensure that its workers benefit? The agreement provides for N70,000 monthly across all levels, for six months. The Federal Government also approved peculiar allowance arrears effective from May 1, 2026, to be paid in three equal instalments beginning in November.
The parties agreed to reconvene after one month to assess implementation. Ultimately, the value of these resolutions will be measured not by announcements but by whether eligible workers receive the money. Transport costs consume a substantial share of many civil servants’ earnings before they can meet household needs. Support for commuting is therefore not a luxury or political favour; it is temporary assistance to help workers remain at their jobs without sinking further into hardship. For lower-paid employees, transport costs can turn modest salaries into a daily exercise in difficult choices and sacrifice.
The agreement also urges State and Local Governments to participate and unions to press for implementation. The federal agreement does not automatically guarantee that every State and Local Government employee will receive the support. State authorities must clarify how it will apply to their workforce, make the necessary arrangements and publish a payment timetable. Rivers State must approach the arrangement with urgency and transparency. The Government should State whether it will implement the intervention and when payments will begin. Any administrative or financial question should be addressed promptly with organised labour, not allowed to become excuses for delay.
The concern is sharpened by the earlier N35,000 monthly wage award introduced by the Federal Government in 2023 after petrol subsidy removal. It was intended as temporary relief pending a new national minimum wage. While several States negotiated and paid wage awards or related sums, implementation nationwide was uneven. Reports in 2024 indicated that many States had failed to pay the federal award, while others provided different amounts. In Rivers, labour and media reports raised concerns about implementation of the N35,000 award for State workers, amid separate announcements and arrangements concerning Local Government employees.
The wage award was meant to ease the immediate effects of subsidy removal, yet workers faced uncertainty over whether the promised relief would reach them. In February 2024, the Rivers State Government announced approval of the N35,000 award for local government workers, but subsequent reports showed that implementation across worker categories remained a concern. The lesson is clear: approval and implementation are not the same. A declaration at a meeting offers little comfort to a worker whose account does not reflect the promised payment. For workers who travel to their offices daily, the implications of delayed support are significant. Transportation expenses compete with food, rent, school fees, healthcare and other essential household needs.
As fares rise, employees may be forced to reduce spending on necessities or borrow to sustain their families. A timely transport intervention would therefore provide practical relief and demonstrate that government understands the economic pressures confronting its workforce. Its temporary nature makes prompt implementation even more important. It is fair to acknowledge that this transport intervention is a new agreement and that its administrative details may require clarification. Rivers State should not be condemned in advance for a failure that has not occurred. Nevertheless, the earlier experience gives workers legitimate grounds to seek assurances before the November commencement date. The State should avoid allowing uncertainty to persist until workers begin asking why the promised assistance has not arrived.
The NLC and unions in Rivers State should engage the State Government immediately and seek a written commitment, an implementation plan and a process for reporting missed payments. If clarification from the Federal Government is needed, the State should seek it without abandoning the goal of providing relief. Labour leaders must also keep members informed about progress and insist that any agreed arrangements are applied fairly and transparently. The Rivers State Government should treat this intervention as an opportunity to rebuild confidence. Timely support would show that workers’ welfare is more than a talking point and that the State recognises the economic realities confronting its employees.
Silence, delay or selective implementation, by contrast, would revive frustration over earlier relief measures and weaken trust between government and labour. Every month lost to administrative delay leaves workers facing the same transport burden without the intended assistance. The State should consult labour, publish arrangements and pay eligible workers on time. Rivers workers should not have to wonder whether federal relief will reach them. The Federal Government has announced the support; now the State must make its position clear. We hope the N70,000 monthly transport intervention will not follow the troubling path of the earlier wage award. Rivers State should learn from that experience and ensure that this time, relief is not merely promised but delivered.
Sylvia ThankGod-Amadi
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