Issues
Status Nondisclosure, Major Challenge To HIV Control
Since 2016, the World Health Organisation (WHO) has recommended that all people living with HIV (PLHIV) be provided with Antiretroviral Therapy (ART); a prescription for controlling HIV, including children, adolescents, adults, pregnant and breastfeeding women, regardless of clinical status or CD4 cell count. Globally, about 27.5 million [26.5–27.7 million] people living with HIV received ART in 2020.
Health experts maintain that current Antiretrovirals (ARV) act mainly by antagonising various HIV enzymes necessary for viral replication. Regrettably, the major challenge facing most developing nations is nondisclosure of status when tested HIV-positive. From investigation in Nigeria, many are reluctant to undergo HIV tests, and when they eventually submitted, some that tested HIV-positive refused to open up for fear of stigmatisation.
Nondisclosure of status has continued to constitute a barrier in the fight to combat the spread of HIV and AIDS in Nigeria. The stigmatisation and discrimination that Persons Living With HIV (PLHIV) are subjected to after disclosure demands a national emergency for sensitisation. The way PLHIV are treated is critical and will always have adverse effects on other peoples’ disposition to go for tests or disclose their status. And many people are guilty of the oversights and misconceptions.
For emphasis, to encourage HIV diagnosis and disclosure of status by people that tested HIV-positive, there are practical things to do towards helping a loved one who has been diagnosed with HIV. The first is initiating lively conversations instead of isolation. To talk and be available for open, honest conversations about HIV with the person who is diagnosed with HIV is pivotal considering that the person may not always want to talk about it. It is recommended that showing them that they are still the same person despite the status and that they are more than their diagnosis is important.
Second, listening attentively to understand their challenges to be able to offer possible support rather than being judgmental or hypercritical will add values. In fact, to unremittingly bolster them that HIV is a manageable health condition and that with ART therapy, it can be managed and help them to stay healthy and live long, and also help build them up. All that is requisite is to learn from it. Educate yourself about HIV: what it is, how it is transmitted, how it is treated, and how people can stay healthy while living with HIV. Having a solid understanding of HIV is tremendously a big step forward in supporting your loved ones as that will eliminate discrimination or stigmatisation against them.
Third, encourage treatment by health experts; knowing that some people who are freshly diagnosed may find it difficult to take the bold step to HIV treatment. Your support and assistance at this critical moment certainly will be helpful. By getting linked to HIV medical-care early, starting treatment with HIV drugs, adhering to medication, and staying in care, people with HIV can keep the virus under control, and prevent their HIV infection from progressing to AIDS. So, support medication adherence and find out possible areas to support PLHIV in establishing a medication routine and sticking to it.
Incontrovertibly, HIV/AIDS has become a global epidemic. According to UNICEF, about 320,000 children and adolescents were infected with HIV in 2019, and traced to one in every 100 seconds. In 2020, approximately 56-100 million people were infected with HIV globally with 36.3 million total deaths recorded on account of COVID-19 pandemic which obstructed HIV medications. In Nigeria, 20,695 children below nine years were newly infected with HIV in 2020 or one child in every 30 minutes. And about 30 percent of AIDS-related deaths in 2020 occurred in children. Data also shows that only about 3.5 percent of the 1,629,427 Nigerians receiving ART are children, revealing a big treatment gap.
Alarmingly, UNICEF Executive Director, Henrietta Fore, said, “Unless we ramp up efforts to resolve the inequalities driving the HIV epidemic, which are now exacerbated by COVID-19, we may see more children infected with HIV and more children losing their fight against AIDS”.
Health specialists explained that HIV targets the immune system and weakens people’s defense against many infections and some types of cancer that people with healthy immune systems can get rid of. As the virus destroys and impairs the function of immune cells, infected individuals gradually become immunodeficient. The immune function is typically measured by CD4 cell count.
CD4 cell count is a test that measures the number of CD4 cells in the blood. CD4 cells, also known as T cells, are white blood cells that fight infection and play an important role in the human immune system. The most advanced stage of HIV infection is acquired immunodeficiency syndrome (AIDS), which can take many years to develop, if not treated. AIDS is characterised by the development of certain cancers, infections or other severe long-term clinical manifestations. The symptoms of HIV vary depending on the stage of infection.
Last, but not the least, a key step to encourage disclosure of status when tested HIV-positive is to acknowledge with cheers. Always acknowledge, if someone has disclosed their HIV status to you to be trustworthy with their private health information. This builds their confidence to keep hope alive. Care is a potent tool. Ensure that the person is uplifted to a significant measure to prevent any regrets after disclosure. Essentially, reassure through words and actions, that their HIV status does not change your relationship or classification about them.
These steps will not only build confidence but will also encourage them on taking medications and, by extension, ardently motivate them to be part of the fight against the spread of HIV/AIDS. Again, it must be re-emphasised that HIV cannot be transmitted by handshakes, hugging, playing together or other casual contact except unprotected sexual intercourse, blood transfusion or percutaneous actions. This infers that the discrimination against PLHIV is uncalled for. Always bear in mind that their encounter is a stimulus needed to encourage newly diagnosed persons.
By: Carl Umegboro
Umegboro is a public affairs analyst.
Issues
Is Okocha A Happy Man Being Perpetual Hireling?
The man Tony Okocha, the devastated tattered ragtag remnant Rivers APC factional, but Caretaker, Chairman, is known for being notoriously a hireling willing to play in the mud just for the pay or settlement. To Rt Hon Chibuike Rotimi Amaechi, he did against Chief Nyesom Wike. To Senator Magnus Abe, he did against Rotimi Amaechi. To Chief Nyesom Wike, he did against Magnus Abe. Having maintained such unbefitting character trait, it is not surprising to see him at his demeaned best showing off his tainted skill of grandstanding and loquaciously struggling fruitlessly almost every day to castigate the popular Rivers people’s Governor with very glaring false, bogus and unsubstantiated claims such as:
1. That Governor Fubara is wasting state fund in the name of thanksgiving across 23 Local Government Areas.
2. That Governor Fubara has withheld Local Government funds.
3. That Governor Fubara runs the government without input from the State Executive Council.
4. That nothing is happening in the State with respect to governance.
To the above false claims of Tony Okocha, every reasonable, right thinking and well-meaning Rivers person would effortlessly puncture all as rascality and mendacity taken too far.
Apart from the fact that Governor Siminalayi Fubara had said he is not sponsoring the massive SIMplified Movement Thanksgiving events across the Local Government Areas of the State being organised by elated Rivers people who feel liberated from an era of overbearing and suppressive form of leadership in the State, Tony Okocha should be asked to prove his false claim with indisputable facts and figures. Until then, let Tony Okocha respect himself and learn to keep quiet as an elderly person who is saddled with such a responsible position as Rivers State Representative in the Niger Delta Development Commission (NDDC) Board. A position that places a huge responsibility on him to ensure that the core objectives of the commission are actualised in the State, by not only ensuring that Rivers State gets its fair share of its dues in terms of projects, programmes and activities, but by synergising with the state government on development matters concerning the state vis-a-vis the responsibilities of NDDC to the State. In summary, the SIMplified Movement is all about a happy and joyful people of Rivers State who have decided to stand and stick together to defend and uphold their common heritage and patrimony. It is a voluntary venture, not sponsored by the government.
To his claim that the Governor has withheld Local Government funds, Mr Tony Okocha should also be asked to prove that with facts and figures and explain why the Governor would do such. More so, what is Tony Okocha’s business, assuming, but not conceding, that a PDP Governor withholds money against PDP-led 23 Local Government authorities? Did Local Government workers across the state complain to Okocha, the meddlesome hireling, an acclaimed APC Caretaker Committee Chairman in Rivers State?
On his ignorant and false claim that the Governor runs the government without input from the state exco, Okocha, the busybody wannabe should explain how he was employed or engaged as the spokesperson of members of the Rivers State Executive Council. He should also tell us his source of information to that effect, if it is not just a proof that he is making himself known as a perpetually irredeemable hireling notoriously good for playing the spoiler’s role.
On Mr Okocha’s assertion, probably, borne out of lack of more convincing lies, that nothing is happening in the State with respect to governance, is sure a proof that the man is only acting a bad and an unsellable script to justify the reward of expected gratifying filthy lucre, which is the compelling reason for condescending so low and evilly so. How else is governance measured, if not by executing meaningful and impactful projects, giving hope, inspiring and putting smiles on the faces of the people with joy of fulfilment in their hearts, both civil servants and everyone living and doing business in the State? Is Okocha blind to see and deaf to hear of the good works of the Governor Fubara led Rivers State Government? Civil servants are happy, teachers are highly elated. Several projects are ongoing. Investors are trooping in. The health sector, education, agriculture, sports have been highly boosted under Governor Fubara-led administration. To Okocha, there’s no governance in the State because patronage of free money is not getting to him from the Governor but from other sources that are likely against the Governor.
Let Tony Okocha weep more. Rivers State is breathing fresh air already and is liberated.
Let Tony Okocha tell us how he has, so far, as Rivers State Representative in the Niger Delta Development Commission (NDDC), clearly effected development in the State through the NDDC, and why he lied that there was Cholera outbreak with deaths recorded in Soku in Akuku-Toru Local Government Area with the intent of raking in about ¦ N5billion for non-existent mitigation programmes?
Odike is Special Assistant to Rivers State Governor on Social/New Media .
Bernard C. Idike
Issues
Day Asari-Toru Declared Massive Support For Fubara
Franklin Delano Roosevelt, commonly known as FDR, was an American statesman and politician who served as the 32nd President of the United States from 1933 until his death in 1945. He was a member of the Democratic Party and is the only United States President to have served more than two terms.
In one of his popular quotes, he said, “The creed of our democracy is that liberty is acquired and kept by men and women who are strong and self-reliant, and possessed of such wisdom as God gives mankind – men and women who are just, and understanding, and generous to others — men and women who are capable of disciplining themselves. For they are the rulers and they must rule themselves.”
This explains the recent gathering of creme la creme of Asari-Toru political gladiators converged at the inauguration of the Simplified Movement, ASALGA chapter to reiterate their unflinching support for the Rivers State Governor, His Excellency, Sir Siminalayi Fubara whose mantra revolves around liberation.
The event which took place at the Autograph in Port Harcourt on the 1st of March, 2024, to galvanise strong support for Governor Fubara attracted over 500 members of the Simplified Movement from the Asari-Toru Local Government Area of Rivers State.
The gathering of supporters of Governor Fubara’s government, under the umbrella of the Simplified Movement, the ASALGA chapter led by an astute politician, former member of the Federal House of Representatives and two- time member of the Rivers State Executive Council as Commissioner, Chief Hon. Paworiso Samuel Horsfall comprised both the old and young generation political helmsmen drawn from all the 13 Wards of the local government area.
The nerve-““““““wracking gathering had the likes of the 1999 democratic system pioneer Chairman of Asari-Toru Local Government Council and former two-time Special Adviser to ex-Governor Nyesom Wike, Hon. Opakirite Mackson Jackreece; former member of the House of Representatives, Hon. Adokiye Young-Harry; former member of the State House of Assembly, Hon. Daisy West and former Special Adviser to ex-Governor Nyesom Wike, Chief Hon. Iboroma Norman Wokoma.
Others were the incumbent Vice Chairman of Asari-Toru Local Government Council, Hon. (Mrs.) Tekena Wokoma; former Commissioner of the Rivers State Independent Electoral Commission, Hon. Dr. Hope Barango; the South-West Vice Chairman of the Peoples Democratic Party (PDP), Dr. Sule Amachree and the Secretary of the Local Government chapter of the Peoples Democratic Party (PDP), Hon. Cladious Princewill; former Chief of Staff of Council, Hon. Ajumogobia West and former Chairman of Peoples Democratic Party (PDP), ASALGA, Hon. Onari Awo Tariah.
Also present at the event were past caretaker committee chairmen of the Local Government Council including, Hon. Waite Harry, Hon. Dawari Hamilton Ibinabo, Hon. Wright Warmate and former Deputy Mayor of the Port Harcourt City Council, Hon. Adokiye Horsfall amongst others. My humble self belongs to the movement. The list is inexhaustible.
Speaking at the inauguration, the member representing Asari-Toru/Akuku-Toru Federal Constituency and leader of the Asari-Toru political family, Hon. Boma Goodhead assured the people of the commitment of the Rivers State Governor, Sir Siminalayi Fubara to extend visible dividends of democracy to the people of ASALGA.
The federal lawmaker who spoke through her representative, Dr. Sule Amachree, said Governor Fubara means well for Rivers people, particularly the people of ASALGA and urged them to remain calm, peaceful and resolute in their support to the administration of the State Governor.
“His Excellency, Sir Siminalayi Fubara is the Governor ordained by God to liberate Rivers people from the snares of poverty and oppression. He is God-sent to bring visible and even development to Rivers State and Asari-Toru people are on the top of that agenda of development,” she said.
Hon. Goodhead reiterated her confidence in the capacity of the leader of the Simplified Movement, ASALGA chapter, Chief Hon. Paworiso Samuel Horsfall to mobilise massive support and a huge source of encouragement for the Government of Sir Siminalayi Fubara to succeed.
“I urge you to continue to stand firm with our Governor. Be rest assured that His Excellency, Sir Siminalayi Fubara is a man of peace, focused and determined to deliver on the mandate given to him by the people of Rivers State. He will not fail you,” she said.
In his speech, the leader of the ASALGA chapter of the Simplified Movement, Chief Hon. Paworiso Samuel Horsfall described the movement as a child of necessity born out of the hunger of Rivers people for a paradigm shift from oppression to liberation.
“As witnessed across the length and breadth of Rivers State, the Simplified Movement is a child of necessity, born out of the hunger for a paradigm shift from oppression to liberation, with one core objective to promote and defend the interests of Rivers State and her people. It is on this account, we stand as dependable allies giving strong support to the Executive Governor, His Excellency, Sir Siminalayi Fubara in his pursuit of peace and commitment to the genuine development of Rivers State.
“It is our position that with the elections come and gone, it is practically a time to face governance and to ensure deliverables of dividends to the people of Rivers State in the atmosphere of peace, security and stability,” he said.
Chief Samuel Horsfall explained that Rivers people saw the leadership qualities needed to achieve the sole objective to genuinely defend and promote the interest of the State in Governor Fubara, hence the spontaneous massive support expressed in the birth of the Simplified Movement.
He recounted avalanche of achievements made by Governor Fubara within six months in office. “We appreciate the Governor of Rivers State, His Excellency, Sir Siminalayi Fubara for his resilience and determination to make a difference. It is on record and attestable by all, the numerous projects being executed by his administration.
“Such as the ongoing construction of the gigantic Port Harcourt Ring Road project, the 20,000 housing units for low income earners, the Ogoni-Andoni-Opobo-Nkoro Unity road, the near completion of the 10km Old Port Harcourt-Bori road, the Emohua-Kalabari road, the 6.5km Woji-Alesa-Refinery link road and the inclusion of the remaining part of the Trans-Kalabari road project in the 2024 budget. “Moreover, the promotion of the State civil servants, first time in history payment of N100,000.00 Christmas bonus to civil servants across board, approval of promotions and implementation of N30,000.00 minimum wage for local government workers and the N4 billion single digit interest loans facility for Small and Medium Scale business operators in Rivers State. All these achievements within six months in office are eloquent testimonies of Governor Fubara to deliberately improve the welfare of Rivers people.
“We are convinced that such a proven great mind and well experienced, tested and trusted administrator/technocrat, Governor Fubara has demonstrated the capacity to deliver effectively the needed democratic dividends to Rivers people. It is on this convention we are gathered here for the umpteenth time to reaffirm our unalloyed support and commitment to his administration,” Chief Samuel Horsfall declared.
He disclosed that the gathering was to put in place citizens mobilisation strategy to forge a collaborative bond with the Governor to foster partnership for the development of ASALGA and the State. He, therefore, advised those he called detractors of Governor Fubara’s administration to desist forthwith and allow the Governor to remain focused in his quest to deliver on his mandate.
“All detractors should desist from further attacks on the Governor and the Chief of Staff, Government House, Rt. Hon. Edison Ehie and allow the Governor to focus on the delivery of the good policies and programmes to Rivers people. We unequivocally condemn attempts by disgruntled Abuja politicians to employ intimidation antics against the former Speaker of the 10th State Assembly and current Chief of Staff, Government House, Rt. Hon. Edison Ehie and others who are standing on the path of justice and good conscience for the collective good of Rivers State.
“We equally urge the Nigerian Police and other security agencies to be discreet in the discharge of their constitutional responsibilities in the State and not to allow themselves to be used by selfish individuals who do not mean well to fuel political crisis in Rivers State.
Chief Samuel Horsfall also commended the federal lawmaker, Hon. Boma Goodhead for her doggedness and resilience in supporting Governor Fubara since the wake of the political crisis in the State.
Several other personalities spoke to express their support to the State Governor and urged the people to ASALGA to maintain their peaceful disposition and remain steadfast in the Simplified Movement to give the state government maximum support to continue to render good governance to Rivers people.
Highlights of the event were the inauguration of the elders and stakeholders of the Simplified Movement for the 13 Wards as well as the executive committee of the movement in Asari-Toru Local Government Area.
Amieyeofori Ibim
Issues
Human Capital Development …Panacea For Poverty Reduction In Nigeria
Experts have over time emphasised the relationship between Human Capital Development (HCD), poverty reduction and good standard of living. They view human capital development in the light of increasing the number of persons who have skills, education and experience that are required for the economic growth and development of a nation. They also view it as a people -focused plan of action aimed at providing knowledge, skills and productivity for the development of a nation. The World Bank in its publication, “The-Human-Capital-Project-in-Sub-Saharan-Africa-Stories-of-Progress”, states that “Human capital, which is the sum of a population’s health, skills, knowledge, and experience, accounts for the largest share of countries’ wealth globally. “It allows everyone to reach their full potential and is increasingly becoming recognised as a primary driver of a nation’s economic growth.”
The World Bank in analysing how countries have fared with regard to HCD, stated that based on a new index, countries in Sub-Saharan Africa saw major reductions in under-five mortality between 1990 and 2015. It however, stated that “the number of children who die under the age of five mostly from avoidable causes such as complications related to respiratory infections, diarrhea, or malaria, is still high at about 2.9 million every year. “Countries such as Somalia, Chad, Central African Republic, Sierra Leone, Mali, and Nigeria have child mortality rate above 100 deaths per 1,000 live births, one of the highest in the world.” Also, according to the World Bank, Nigeria ranked 152 in the 2018 Human Capital Index (HCI). In furtherance of Nigeria’s poor rating, the World Bank 2020 HCI indicates that, “a child born in Nigeria just before the pandemic will be 36 per cent as productive when she grows up as she could be if she enjoyed complete education and full health.
“This is lower than the average for the Sub-Saharan African region (40 per cent) and Lower Middle Income countries (48 per cent).
Nigeria’s poor rating is corroborated by the United Nations Educational, Scientific and Cultural Organisation (UNESCO), global data on out-of-school children, which indicated in 2022 that Nigeria has about 20 million out-of-school children. In the same vein, the United Nations Children’s Fund (UNICEF) said a new global maternal mortality report showed that 82,000 women in Nigeria die from pregnancy and childbirth-related cases annually. Part of the fallout of the Nigeria’s poor Human Capital Index unfortunately is the current surge in human capital export popularly called “Japa”, which has led to huge manpower gap in various sectors of the Nigerian economy. This capital export, which has seen doctors, nurses, teachers and other professionals leaving the shores of the country in droves, has also led to shortage of skilled manpower. This development has further affected critical sectors of the economy that are key to measuring the level of human capital development like the health and education sectors.
To find lasting solution to the problem of poor HCI, the World Development Report (WDR) 2019 stated that “investing in human capital must be a priority for governments in order for workers to build the skills in demand in the labour market. It further stated that, “governments need to enhance social protection and extend it to all people in society irrespective of the terms on which they work.” To fund these investments in human capital and social protection, the report offers some suggestions as to how governments can mobilise additional revenues by increasing tax base. In view of this reality and as part of efforts to change the narrative, the National Economic Council in March 2018, inaugurated the Human Capital Development (HCD) Programme in Nigeria. The programme is designed in recognition of the critical role human capital development plays in addressing poverty and ensuring sustainable economic growth. It is also aimed at increasing investments in the Nigerian people, thereby improving Nigeria’s human capital development indices.
The immediate past Vice President of Nigeria, Prof. Yemi Osinbajo, at a Peer Review meeting recently held for HCD State Focal Persons under the programme, said, Nigeria must accord attention to HCD to drive the desired economic growth. He emphasised that human capital development plays a critical role in addressing poverty and ensuring participatory and sustainable economic growth. The former vice president urged the focal persons not to relent in sensitising state governments to ensure the impacts of the programme were felt at the grassroots. “We have since inception made tremendous strides in the implementation of the programme at the national and sub national levels. “Notable achievements included the inauguration of the national HCD strategy, constitution of state HCD councils and technical working groups. “Others are the development of national HCD communication strategy and the organisation of regional HCD conferences as well as strategic partnerships and alliances being forged across several stakeholders’ groups,’’ he said. Osinbajo expressed optimism that the successes achieved so far would provide the needed confidence in implementing the third phase of the programme successfully.
“As we begin the third phase of the programme implementation, the objectives of this programme will be met and the 2030 HCD target will be achieved in all, across the three thematic areas (level of education, standard of living and health of humans).“This phase is crucial to national success as it would be taking HCD to the grassroots where change is most needed and advocacy critical in where the programme is adopted,’’ he said. Osinbajo said that the third phase includes the inauguration of the community-based demonstration of the HCD programme in its simplest form. He said that successes recorded could be replicated across various communities in each local government area across Nigeria. Also speaking, the Coordinator, Core Working Group, HCD in Nigeria, Ms. Yosola Akinbi, said that critical areas of the implementation and management of the programme must happen at the grassroots. While noting that HCD was the software of any development, Akinbi said “we must build a country where the skills will be retained.”
In the same vein, some of the focal persons during their state presentations, said that the core of the HCD drive was the empowerment of youths to have the capacity and skills needed in creating or seeking employment. A participant from Akwa Ibom, Mr. Isaac Uduak, narrated how Akwa Ibom State Government under the former governor, Emmanuel Udom, took labour force participation seriously through its industrialisation policy that leveraged a Public Private Partnership (PPP) to revolutionise industries in Africa. “The average Nigerian will agree that policy formulation has never been a problem, implementation is usually the challenge. “The administration of Governor Emmanuel Udom understood this and went beyond mere policy implementation to ensuring the effective execution of its industrialisation policies in creating wealth for its people,’’ Uduak said.
The Nasarawa State Focal Person, Mrs. Habiba Suleiman, said that the programme in the state was concentrating on youth development. According to her, the Nasarawa State Government through the HCD Office with OXFAM in Nigeria as funding partners had trained youths in courses such as Team Building, Work Ethics and Business Model Canvas. “Others are Problem Solving, Presentation Skills, Telephone Etiquette, Customer Service among others,’’ she said.
In the account of the Adamawa State delegate, Mr. Amos Nuhu, the state under the programme built the capacity of 1, 000 health workers while improving the utilisation of child health and nutrition. “In addition, we have 10 skills acquisition centres and we are providing technical knowledge to improve efficiency for Small and Medium Enterprises (SMEs) in shoes and bags making. “More so, the state has its priorities in education through training and retraining of teachers as well as operating free education at the basic level,’’ Nuhu said.
Meanwhile, working in line with the vision to develop human capital in the country, the immediate past governor of Delta State, Ifeanyi Okowa, had also pledged the state’s commitment to developing the human capital crucial in the growth of industries. He said, “we will work with the entire Nigeria to ensure that we develop the human capital which is needed for the growth of industries. Analysts have opined that the new leadership of the states and the nation should give prior attention to the issue of Human Capital Development, take the works of their predecessors in this regard to higher level and initiate some projects and programmes, where they are lacking, so that more Nigerians will be equipped to contribute to the development of their states and the country at large.
They said that leaders across the three tiers of government should play down on amassing public funds for themselves and generations yet unborn and rather use these monies to rebuild the various sectors of the nation’s economy so that Nigeria will be a better place to live in.
By: Calista Ezeaku
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