Opinion

Revitalising Primary Healthcare For Efficiency

Published

7 years ago

March 20, 2019

The Federal Government inaugurated the Primary Health Care (PHC) plan in the National Health Policy of 1988 to improve equity in access and utilisation of basic health services.
Because of its concept as a grassroots model for providing healthcare services to communities, former Minister of Health, Prof. Olikoye Ransome-Kuti, developed model PHCs in 52 local governments between 1986 and 1992.
However, some users have observed that PHC centres are faced with many challenges that have somewhat defeated the purpose of the programme.
Mrs Joy Adams, a resident of Dei-Dei, a suburb of Abuja, said that she severally noticed various challenges in accessing healthcare on the platform of PHC plan.
Problems, ranging from near-absence of drug when needed to inadequate health workers and poor condition of the health centre due to lack of maintenance, characterise the programme, some critics of the programme allege.
Similarly, Mrs Kemi Ariyo, a resident of Kwali in Abuja, said that accessing medical care at the PHCs had become a mirage in Kwali.
She alleged that “there is no facility to take care of patients, the health workers are not responsive and that they come to the centre at will’’.
Ariyo noted that the development might be as a result of what she described as discouraging state of some health facilities in the centre.
Concerned citizens similarly observe that health workers in most of the centres struggle everyday to attend to patients even when the facilities are in short supply.
The Executive Director of National Primary Health Care Development Agency, Dr Faisal Shuaib, admits that the state of PHC centres in the country is not appropriate.
She observes further that the country’s primary healthcare services are not working optimally as expected.
She, nonetheless, promises that NPHCDA is working to proffer solution to the poor condition of PHCs across the country to give the needed service to the people in the rural areas.
In an apparent response to this challenge, President Muhammadu Buhari inaugurated a revitalisation programme to revive PHC centres.
Inaugurating a model PHC clinic in Kurchigoro, Abuja, the president said that the Federal Government would revitalise 10,000 PHC facilities across the country in phases.
The president emphasised that the ultimate objective in revitalising the PHC centres was to ensure that quality basic health care services were delivered to Nigerians irrespective of their locations.
Buhari also said that the facilities would provide services at minimal or no cost and focus on people living in the rural areas as well the vulnerable populations.
Giving more assurance, Minister of Health, Prof. Isaac Adewale, says revamping the comatose PHC centres across the country will help strengthen and develop the nation’s healthcare system.
Similarly, the Commissioner for Health in Edo, Dr David Osifo, says the state government has trained no fewer than 200 nurses for the 20 pilot PHC centres across the state, urging other states to replicate.
Besides this, to ensure unhindered access to healthcare, the Nigeria Medical Association promises its collaboration with the Federal Government to boost the services of PHC centres in the country.
Dr Francis Faduyile, president of the association, notes that members of the association are doing a lot to ensure adequate support for healthcare services at the grassroots and improve the healthcare standard in the country.
According to him, the association has been working with the government at the grassroots to ensure that PHC centres are well developed.
“We have been calling on state governments saddled with the employment of doctors to deploy doctors to the PHCs across the country,’’ Faduyile says.
Observing the efforts of the Federal Government at revitalising the PHC centres across the country, the World Health Organisation (WHO) commends the Buhari-led administration.
Dr Tedros Ghebreyesus, the director-general, made the commendation when he visited one of the revitalised PHC centres at Kuchigoro, FCT-Abuja.
Ghebreyesus explained that the present government’s effort to revamp PHCs was in line with WHO’s programme to ensure every citizen accesses healthcare.
“I am glad to be in Nigeria and visited this PHC centre, what Nigeria is doing now is in line with global practice.
“I am also happy that the project is focusing on mobilisation which is commendable; a project of this nature cannot succeed without involving the people; and having the community as the owner is the right thing to do,’’ he said.
The director-general urged the government to speed up in the project to cover large parts of the country so that the impact could be felt.
He observed that WHO would continue to support the country to deliver quality health services to the people.
Concerned citizens nonetheless, observe that PHC will achieve better results if it is embraced more by the community.
They also note that tackling multifarious problems of the PHC requires an all-inclusive approach that goes beyond merely building model PHC clinics.
They suggest that the National Primary Healthcare Development Agency must be strengthened and encouraged to partner with other stakeholders to deliver on its mandate of supporting the implementation of the PHC guidelines.
According to them, the agency ought to be doing more than it is presently doing to provide the needed support for planning, management and implementation of PHC guidelines.
They also advise that intensive enlightenment campaign must be carried out by the government to educate all the stakeholders involved in PHC implementation on why all should work towards making the scheme successful.
Idris writes for the News Agency of Nigeria.

Ummul Idris

Opinion

Man and Lessons from the Lion

Published

3 days ago

September 22, 2025

The Tide

Quote:“Be not deceived; God is not mocked; whatsoever a man soweth so shall he reap also (Gal 6:7)”

The lion (Panthera leo) is a large carnivorous mammal belonging to the Felidae family. Though native primarily to sub-Saharan Africa, a small population also exists in the Gir Forest of India. Known as the “king of the jungle,” lions are iconic symbols of strength, courage, and majesty. Male lions are distinguished by their prominent manes, which vary in color and size. Their tawny coats help them blend into dry grasslands and savannas. Lions are apex predators, hunting mainly large herbivores such as zebras, antelopes, and buffaloes. They have been reverred in mythology, religion, and heraldry across cultures for millennia and they continue to feature prominently in literature, film, and national symbols around the world. Irrespective of how long the strongest lion lives and reigns in the animal kingdom, it inevitably eventually loses strength, becomes vulnerable and dies, miserably. That is the unavoidable harsh reality of this animal kingdom we call our world. As it is with the lion so it is with man and all mammals.

At the peak of the reign of the lion, it chases, catches, devours and gulps down the remains of other animals; it leaves the crumbs for hyenas in an act of generosity. However, in time, the inevitable natural occurrence takes place. The lion succumbs to the brutal reality of the aging process. It comes face to face with the realities of life after power: It can’t hunt, can’t kill or even defend itself. It roams on limbs enfeebled by time; the roars, which naturally came effortlessly thundering through the forest proclaiming its supreme reign, now require enormous effort to achieve; even a decibel audible enough to proclaim its kingship within the immediate surroundings has become a Herculean task. At this stage, the king of the jungle routinely climbs and takes refuge on trees during the day, away from hyenas that have become the predators. It is the existential reality of this stage in its life that informed the Igbo aphorism that translates thus: “Ukwu ji agu, mgbada abiaya ugwo” meaning when the lion is enfeebled, antelopes come to demand debts.

Everything it does now is with a lot of effort until it runs out of luck. The lion is cornered by a clan of hyenas that turns into a cackle with the mocking laughing-like vocalizations that characterize hyenas. The king is nibbled at and eaten alive by those it used to leave crumbs for. The hyenas won’t even let it die before they methodically dismember it thereby subjecting the “king” to the same treatment it subjected its preys during its reign. That is retributive justice. For both lion and man, life is short and physical beauty and strength are short-lived; they are ephemeral. Restated, as it is with the lion so it is with man especially those who rise to positions of great authority and enormous power in the affairs of man; more so with those who use it with reckless abandon without caring whose ox is gored. Everyone who lives long enough will naturally become weak, very vulnerable and, at some point, helpless. Therefore, let us be humble, simple and treat our fellow human beings with respect and compassion knowing that retributive justice is an immutable natural law.

Helena Blavatsky (1831–1891), the Russian philosopher and writer, who co-founded the Theosophical Society in 1875, and a key figure in introducing Eastern spirituality to the Western world, holds that every thought and act throughout life affect other members of the human family. A crime once committed and an evil thought sent out from the mind, are past recall; no amount of repentance can wipe out their results in the future. While repentance, if sincere, will deter a man from repeating errors, it cannot save him or others from the effects of those thoughts and actions; they will undoubtedly overtake him either in this life or in the next rebirth. Here lies the falsehood of vicarious remission of sins as touted in Abrahamic religions. The above highly spiritual deposition echoes the essence of the immutable law of nature, which applies to all, irrespective of station, location, color or creed. St. Paul admonished thus: “Be not deceived; God is not mocked; whatsoever a man soweth so shall he reap also (Gal 6:7).

Jesus informs thus: “I come quickly with my rewards in my hands. To give unto each man according as his works shall be (Rev. 22:12). The universality of these Biblical injunctions is found in their focus on “a man” and “each man”, respectively. Again, hinging on “soweth” and “works”, both admonitions emphasize DEEDS as the basis for salvation. History is replete with accounts of conquerors who captured vast lands, subdued millions of people and acquired stupendous wealth but who, eventually, went the way of the “King of the Jungle”. Is anyone listening? Is the roaring lion, whose thunderous voice currently permeates and sends the shivers across the length and breath of this tiny little minuscule corner of our planet, listening? Egbema people say that if a man fights different people during nine consecutive market days and his opponents are guilty every time, his kinsmen call him aside and advise him not to fight again irrespective of how right he is always.

A major difference between man and the lion is that man knows when to sheathe his sword and let peace reign. Peace is priceless and development thrives only in peaceful environments.

By: Jason Osai

Opinion

Marked-Up Textbooks:A Growing Emergency

Published

3 days ago

September 22, 2025

The Tide

Quote:”Every term that passes sees more textbooks ruined, more students misled, and more families drained financially. The impact is cumulative, and irreversible in many cases”.

In homes across Nigeria, a silent but damaging practice is taking root, one that threatens the academic future of millions of children in primary and secondary schools. The act seems harmless on the surface. Older siblings completing their homework directly inside their school textbooks. But this seemingly minor convenience is creating a dangerous ripple effect. It’s a quiet academic crisis that has now become a source of distress to countless parents, a stumbling block for students, and a ticking time bomb for the education system. What used to be a normal practice—siblings reusing textbooks year after year to ease the financial burden on families—has now turned into a nightmare. The textbooks passed down from one child to another are no longer clean, usable, or even educational. Instead, they are filled with written answers, classwork, and hastily jotted notes, making it nearly impossible for younger children to engage meaningfully with the content.

For many families, especially those living on minimum wage or below, buying new textbooks every school year is simply not an option. In Nigeria’s public schools, where education is meant to be “free,” the cost of textbooks still falls heavily on the shoulders of parents. Textbook reuse within families has long been a cost-saving strategy, but that strategy is failing fast. Marked-up textbooks don’t just present a cosmetic problem—they sabotage the very essence of learning. Younger siblings are now handed materials that have already been “solved.” They are discouraged from thinking critically, because the answers are already there, inked across the margins. In some cases, these children simply copy the answers, assuming they’re correct. In other cases, they skip lessons because the mess inside the book makes learning impossible.

Teachers, already stretched thin by overpopulated classrooms and insufficient materials, now have to deal with students who cannot follow along because their textbooks are rendered useless. The result? Classroom gaps widen, performance suffers, and students lose confidence. The situation is even more dire in rural and low-income urban areas where textbooks are shared not only among siblings but also between neighbors and classmates. A single defaced textbook can mislead multiple students. The damage multiplies. Consider the experience of the Musa family in Kaduna. With four children in public school, they rely heavily on hand-me-down books. Their youngest son, Hassan, recently failed a mathematics test not because he didn’t study, but because the textbook he used was filled with incorrect, scribbled answers from an older brother. “We didn’t realize until the damage was done,” said Mrs. Musa. “Now we have to spend money we don’t have to get new textbooks.”

It’s not just an inconvenience it’s criminal negligence. When students are forced to rely on damaged or misleading learning materials, their right to quality education is fundamentally violated. Parents who struggle to provide for their children now face another burden: replacing textbooks that should have lasted for years. This practice must stop immediately. The Federal Ministry of Education cannot continue to overlook this creeping crisis. Urgent directives must be issued to all primary and secondary schools across the country: homework and assignments must never be executed inside textbooks. This should become a standing rule, enforced at every level. There should be nationwide awareness campaigns involving Parent Teacher Associations (PTAs), school boards, local government education offices, and the media. Families must be educated on the long-term damage of using textbooks for assignments.

Students should be taught, from the earliest stages, that textbooks are reference materials not notebooks. To aid enforcement, schools should conduct textbook audits at the beginning and end of every term. Teachers should examine textbooks for signs of misuse and educate both students and parents on proper usage. Penalties for repeated violations must be considered not to punish, but to drive home the seriousness of the issue. Furthermore, the Ministry must consider subsidizing the production and distribution of standardized exercise books, which can be used for classwork and homework. If students have ample writing materials, the temptation to write in textbooks diminishes. Publishers also have a role to play. Textbooks could come with detachable worksheets or companion workbooks, separating practice materials from the core text.

Digital textbook solutions—where affordable should be encouraged in urban areas, to allow more families access to reusable content. But technology is not a silver bullet. In rural communities, the solution must still center on preserving the lifespan of print textbooks. Ministries of education at the state level must integrate textbook maintenance into their basic education policies, alongside infrastructure, teacher training, and curriculum development. This issue speaks to something bigger than books. It exposes how fragile the support systems around education have become. If Nigeria is to meet its targets for literacy, school enrollment, and youth development, it must address not only the big problems but also these smaller, dangerous oversights that quietly poison the learning process.There is no time to waste. Every term that passes sees more textbooks ruined, more students misled, and more families drained financially. The impact is cumulative, and irreversible in many cases.

Textbooks are an essential part of the learning ecosystem. When they are misused, the entire structure begins to crack. What we’re witnessing is not just careless behavior, but a systemic failure to protect educational tools. Let us be clear: a child should never be punished academically because their sibling did math homework on the same page two years earlier. That is not just unjust—it’s unacceptable. Nigeria’s promise to provide quality education for all must include a guarantee that learning materials are used properly, preserved, and accessible to every student, regardless of birth order or economic background.It is time for a national textbook integrity policy a written commitment to stop this damaging habit and restore dignity to our learning environments. Let this policy be loud, binding, and immediate.Parents must be reminded of their responsibility to provide exercise books. Schools must be empowered to enforce textbook rules. State and federal governments must invest in campaigns, materials, and monitoring systems.

If we wait longer, more children will lose their educational footing—not because they didn’t try, but because the tools they were given were already broken. The handwriting is on the wall literally. It’s time to stop writing in the books and start writing the future we want for Nigerian education.

By: King Onunwor

Opinion

Humanity and Sun Worship

Published

3 weeks ago

September 8, 2025

The Tide

Quote:”In this, the solar messiah lives on—not confined to any one culture or doctrine, but as a timeless symbol of humanity’s deepest longing for light, life, and liberation”.

From when man became conscious of his environment and began to gaze into the velvety night skies for answers to the mystery and bewilderment of his existence, his imaginative sensibilities took his thoughts in every conceivable and inconceivable direction. His observations of the visible cosmos informed speculations and conjectures that birthed beliefs. Naturally, this differed from community to community and reflected the peculiarities of peoples across the ethnocultural mosaic of humanity. Obviously, the most visible sky body that impacted and still impacts man’s everyday life is the sun. Stealthily, it sneaks up from the eastern horizon without a sound and chases away the dread of cold and darkness of the night, warms the body and provides illumination for man’s daily survivalist activities until darkness sets in and swallows it at the west end of the horizon. With time, man realised the positive effect of the sun on animals and crops, man’s source of sustainability. Thus commenced the belief in the sun as the giver and sustainer of life, hence sun worship across the world. What a benevolent mysterious entity in the clouds! What a worshipful entity! Beliefs are imbibed through acculturation and insipid indoctrination handed down from antiquity through customs, tradition, folkways and more. Generally, beliefs are accepted as given, without question; so, they are based on delusions and illusions. Confronted with facts, beliefs are either discarded or morphed into knowledge inforrmed by education, empiricism and science; most beliefs yield to new knowledge just as theories respond when confronted by facts in the Hegelian tradition. . For instance, it was believed that planet earth is flat until Galileo Galilei (1564-1642) committed what was considered “heresy” by contending that it is spherical. On the orders of the Holy See, Galileo was tied to the stake until he recanted.

Eventually, science proved otherwise, thereby jettisoning the old belief and vindicating Galileo. Today, the spherical essence of the earth is elementary Geography. Hosea says that “my people suffer because of lack of knowledge”. Also, man is admonished to “ask, and it shall be given unto you; seek, and ye shall find; knock, and it shall be opened unto you”. These two Biblical injunctions categorically nudge man towards Gnosticism, which is, succinctly stated, knowledge. It therefore behoves humanity to consistently and persistently seek knowledge towards improving the human condition, and attaining atonement (at-one-ment) with God (whoever or whatever He, She, They or It is). A study of major world religions shows that from Horus of Egyptian mythology to Jesus of Christian theology, there were numerous messianic figures whose epic share instructive commonalities with that of Jesus; incidentally, these figures preexisted Jesus with the minimum of five centuries. A chronology of these religious figures is as follows: Horus (Egypt, 3000BC), Attis (Greek, 1200BC), Mithra (Persia, 1200BC), Krishna (India, 900BC) and Dionysus, (Greek, 500BC). The commonalities in the epics are that they were (1) of mysterious birth (born of virgin), (2) born on December 25, (3) visited at birth by three star-guided wisemen/kings, (4) survived infanticide, (5) child prodigy at twelve, (6) had twelve followers, (7) known by the same gestural names such as “Lord of Lords”, “Prince of Peace”, “Savior” etc., (8) performed wondrous works, and ((9) killed, buried and resurrected on the third day. Specifically speaking, an incisive look at the above phenomenon shows that the epic of Jesus is a replica of Horus who was baptised by Anup the Baptizer (John the Baptist?) at the age of thirty years, raised El-Azur-us (Lazarus?) and had the same sobriquets: “The way, the truth, the light”, “the Messiah”, “God’s anointed son”, “Son of Man”, “the good shepherd”, “lamb of God”, “the Word”, “the morning star” and “the light of the world”.

Reacting to the uncanny commonalities in the multiplicity of theological posturing across religions, Thomas Paine (1737-1809) opined that “the Christian religion is a parody on the worship of the sun in which they put a man called Christ in the place of the sun and pay him the adoration originally payed to the sun”. Again, it is worrisome that the disciples of Jesus and virtually all biblical characters bear English names rather than Jewish or Palestinian names. Given this and the fact that they do not bear Roman names since Palestine was under Roman imperialism at the time, is telltale of strong English influence in the Christian scripture; this view is furthered by the fact that Shakespeare is carefully and craftily obfuscated in Psalm. With the above, a thawed mind would certainly agree with Paine who, in rejecting the doctrines of institutional religion, averred that “my country is the world and to do good is my religion”. Obviously, the epic of these messianic figures is a reenactment of the same old astro-theological account of the sun’s annual journey on the equinox, the Winter Solstice. Undoubtedly, from Horus to Jesus, man has been neck deep in the practice of sun worship. The multiplicity of belief systems with broad philosophical diversities and sometimes contradictory and conflicting tenets impress the individual with discerning mind that humanity is groping in the dark with each religious group claiming to be the right way. Perhaps, this informed the averment of Nobel Laureate, Wole Soyinka thus: “I am not a Christian or Muslim; neither am I an Atheist. I am a humanist; I believe in Humanism”; this is an echo of Thomas Paine. B From the falcon-eyed Horus of ancient Egypt to the crucified and risen Christ of Christianity, the motif of the solar savior has echoed across civilizations as a profound symbol of renewal, hope, and cosmic order.

Each figure—whether Mithras emerging from the rock, Dionysus reborn from death, Krishna revealing divine light, or Zoroaster proclaiming truth against darkness—embodies a facet of the sun’s eternal cycle: birth, death, and resurrection. These stories are not merely religious doctrines but reflections of a deeper mythological and psychological archetype rooted in the human experience of nature, time, and the search for meaning. The sun, in its rising and setting, becomes a metaphor for life’s cyclical nature, and the messiah—a figure who overcomes death to bring light—becomes the vessel for humanity’s spiritual aspirations. While the names, cultures, and theologies may differ, the archetypal solar messiah remains constant: a divine figure who brings order out of chaos, light out of darkness, and life out of death. Recognizing these shared motifs does not diminish the unique identities of these traditions; rather, it reveals a universal spiritual grammar through which humans, across time and space, have sought to express the inexpressible.

The eternal return of the solar savior is not just a religious myth—it is a mirror of the enduring human hope that after every night comes dawn, after every fall comes rising, and after every death, a possibility of rebirth. In this, the solar messiah lives on—not confined to any one culture or doctrine, but as a timeless symbol of humanity’s deepest longing for light, life, and liberation. The spirituality of the Torah, Bhagavad Gita, the Holy Bible, the Noble Quran and literature of other religions is absolutely in no doubt; they are indubitably, Books of Life. However, man must study them with his intellect switched on in order to discard the numerous fairytales and authorial biases. This thawed state of mind enables the true seeker to burrow beneath the narratives and unearth the deep meanings that are obfuscated in allegories, parables, metaphors and other “dark sayings”.

Humanity should realise that regardless of geology and ideology, we share the same biology; therefore, we should jettison the mind control beliefs in vicarious remission of sins, the promise of multiple voluptuous virgins etc. and work towards the brotherhood of man. Imagine a world without the divisive and destructive doctrines of institutional religion; where there is nothing to kill or die for; a world where people do to others as they wish others do unto them; where humanity returns to pre-Babelian linguistic singularity or communicates by telepathy; a world that eschews greed and men look out for each others’ need; a world in which global cohesion is such that the races (Black, Red, Yellow, and White) coalesce into one colour and humanity becomes a race of tan. Utopian? It is realizable if only man embraces the consciousness of the Divine, devoid of the man-made doctrines of institutional religion. That would be the Biblical Land of Canaan and St. Augustine’s City of God, which is governed by King Solomon’s “the righteous” and Plato’s “philosopher king”.

By: Jason Osai