Health
Understanding Insomnia And Its Consequences
Insomia is a sleep disorder characterised by the inability to
obtain an adequate amount or quality of sleep. The inability can be in falling asleep or both. People with insomnia do not feel refreshed when they wake up. Insomnia is probably one of man’s most common complaints that may be caused by many conditions, diseases or circumstances. However, there are many types of insomnia, one of which is in primary form.
Primary insomnia is when a person is having sleep problems that are not directly associated with any other health condition or problem. It is often caused by a temporary situation in a person’s life, such as an argument with a loved one or jetlag. Also lack of nutrients like calcium and magnesium can cause one to wake up after a few hours and not be able to return to sleep, and this situation results from eating close to bed time. When the situation is resolved or the precipitating factor disappears, the condition goes away, usually without any treatment. Insomnia can also vary in terms of duration and how often it occurs. It can be acute (short-term) or chronic insomnia (long-term). Acute insomnia can last from one night to a few days. Insomnia is called chronic when a person has sleeplessness at least three nights a week for a month or longer.
Most people suffer from acute insomnia when faced with a particular situation that causes them anxiety or great excitement. Significant life stress such as change/loss of job, divorce, death of a loved one, moving to a new town, financial situations, may all affect sleep. Environmental factors like noise, light or extreme temperatures (hot or cold) also cause acute insomnia. Interference in normal sleep schedule (switching from a day to night shift), for example and alcohol and drug abuse also interfere with natural sleep cycles.
In chronic insomnia, pain or discomfort at night, chronic stress and many of the systemic disorders already mentioned are causative factors. Generally, people with insomnia have one or more of the following symptoms: (a) difficulty in falling asleep (b) waking up often during the night and having trouble going back to sleep (c) sleepy during the day, (d) waking up too early in the morning, (e) problems with concentration or memory, (f) feeling tired upon waking and general weaknesses and (g) irritability
Just as many factors give rise to insomnia, so also are the consequences of sleep disorder. Decreased ability to perform creative or repetitive tasks, deterioration in overall performance can even result in mild personality changes. If chronic, inadequate sleep compromises productivity, creates problems in relationship and can contribute to many health problems, already mentioned.
A lot of money is thus spent on sleeping pills, special beds, and a variety of mechanical gadgets to aid in sleeping.
However, there are things that can enhance sleep without using sleeping pills. Primary of such things is, lettuce. Lettuce is beneficial in the treatment of insomnia as it contains a sleep-inducing substance called ‘letucerium.’ The juice of this vegetable has been likened in effect to the sedative action of opium without the accompanying excitement. A ¼ tumbler is taken preferably 30-60 minutes before bedtime. 0.25 grams of the root powder is mixed with warm water and taken once daily. In chronic conditions, taking such mixture two times a day, till symptoms are cleared is advised.
Honey induces sleep. It should be taken with water, before going to bed. Take 1-2 tablespoon in a cup of water. Other factors that can enhance sleep include making ones bedroom comfortable. Be sure that it is dark, quiet and not too warm or too cold. Remove every source of distraction like noise, light. Instead of pills, follow a routine to help you relax before sleep. Read a book, listen to music, or take a bath.
Avoid using over-the-counter sleepy pills for insomnia, because they may have undesired side effects and tend to lose their effectiveness with time. It is also important to practice good sleeping habits. Try to go to bed at the same time each night and get up the same time each morning. Also try not to take naps during the day, because naps may make you less sleepy at night.
Caffeine and nicotine are stimulants that can keep one from falling asleep. Alcohol can also cause waking in the night and interferes with sleep quality. Avoid eating a heavy meal later in the night. A light snack before bedtime, however, may help you sleep.
Get regular exercise but try not to do so close to bedtime, because it may stimulate you and make it hard to fall asleep.
Osuji is a medical student of Abia State University, Uturu.
Priscillia Osuji
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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