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Family Planning Leads To Healthier Children – Expert

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A Professor/Consultant Obstetrician and Gynaecologist, College of Medicine, University College Hospital (UCH), Ibadan, Prof. Christopher Aimakhu says families that use family planning usually have stronger and healthier children, while  young people that embrace family planning have the likelihood of remaining in school longer than those who do not.
Aimakhu in a lecture entitled: “Analysis of Family Planning Budget in Nigeria”, at a Rotary Online Training of Journalists explained that family planning is an important tool in the prevention of child and infant deaths, unintended pregnancies, risky births, unsafe abortions, and maternal mortality deaths.
Noting that Nigeria has a population of about 201,000,000 with a modern Contraceptive Prevalence Rate (mCPR) of 12 per cent and a fertility rate of 5.3, he expressed worry that by 2050 Nigeria’s estimated  population  would be 543 million if not checked.
He said if all unmet needs for modern contraception in Nigeria were satisfied, unintended pregnancies would drop by 77 per cent from 2.5 million to 555,000
“If a full provision of modern contraception were combined with adequate care for all pregnant women and their newborns, maternal deaths would drop by 68 per cent from 61,000 to 19,000 per year) and newborn deaths would drop by 85 per cent from 255,000 to 38,000 per year.
“As a result, the annual number of unplanned births would decrease from 885,000 to 200,000 and the number of abortions would drop from 1.3 million to 287,000.
Another expert and Consultant Obstetrician/Gynaecologist, Dr Olagunju Ayodele has emphasized that access to contraception will help Nigeria to curb population explosion, reduce its high fertility rate and ultimately balance the country’s demography.
Ayodele who spoke in an interview with Good Health Weekly explained that access to family planning means the human resource will become optimal while material resources and human resources will be balanced.
Noting that too many children means much load and burden on the working population, Ayodele who is also the Chef Executive Officer, Purple IVY Medical Consultants Hospital, Ibadan, said the situation will worsen poverty in the environment, especially in a country with one of the highest fertility rate in Africa.
“Imagine our fertility rate as high as 5.6 per woman, meaning that an average Nigerian woman is likely to deliver about 5 to 6 children, which is very high compared to countries like Sweden where their fertility rate is 1.
Ayodele said unchecked fertility rate will lead to population explosion, escalation of crimes, increased poverty, and conditions will get worse while Nigeria will not be able to manage its natural resources that will become too little for the population.
“It will also mean that the little educational packages we have will not be able to take the population, job challenges will increase because more people will not have jobs and more will be searching for jobs if we don’t have access to contraception.”
He said it was also necessary to pay special attention to the contraception needs of adolescents that will grow into becoming the country’s reproductive population.
“It is important for the country to improve adolescents’ contraceptive package so that challenges of abortion will go down.  As we speak now, in Sub-Saharan Africa, the top five killers of women is haemorrhage meaning any condition that results in excessive bleeding.
Number two are hypertensive disorders like eclampsia, and the third is unsafe abortion which means that effective contraception will reduce it, and in addition, reduce morbidities from the procedure.
He stressed the need for Nigeria to remove the human interface between contraception and adolescents for effective family planning services.
“The services here in Nigeria are so complicated such that when you go to a facility to buy condoms it is usually kept close to the cashier and they will give them grudgingly with an attitude showing that why are they having sex?   These attitudes discourage people from accessing contraception.
“Contraception will benefit the country because it will reduce maternal mortality if done effectively.  It will give the country better outcomes because in future the adolescents will be the ones that will now grow into the reproductive population of the country.  If  a lot of them come down with sexual dysfunction it will affect the economy of the country.    They will be spending money on treating their sexual dysfunction, dropping from work and will not contribute optimally to the services of the country,” he stated.

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Lagos Trains Health Workers On Handling SGBV Cases

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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.

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Nch Technical Session Reviews 35 Memos …Sets Stage For Council Deliberations

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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.

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Police Hospital Reports More Malaria Incidence

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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.

 

Favour Umunnakwe, Victory Awaji, Excel Nnodim

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