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Nigeria And Tuberculosis Burden

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The recent disclosure that the Africa region has achieved a 26 percent reduction in Tuberculosis mortality rate in six years is cheery.
With this development, the  region is on the verge of reaching a 35 percent Tuberculosis death reduction rate.
However, despite this landmark achievement, one million people are still living with tuberculosis in the region and have not been detected.
According to the Regional Director of World Health Organisation in Africa, Matshdiso Moeti, because of delay in diagnosis and testing there is a notable gap between the estimated number of new infections and case notifications.
40 percent of people living with TB did not know their diagnosis or not reported in 2021.
Another challenge is that TB has a link with HIV, as approximately 20 percent of people newly diagnosed with HIV are also living with TB. In Africa only 26 percent of all people living with multi-doing resistance are receiving appropriate treatment.
Nigeria however, managed to significantly increase national TB case funding by 50 percent in 2021 using innovative approaches such as the expansion of the daily observed transparent protocols, use of digital technologies, Community Active Case, Finding and Enlisting Public Private Mix Initiatives.
But it is disheartening that Nigeria does not make the list of countries with reduced death rate caused by preventable and curable disease, while South Africa and East African countries like Eswatini, Kenya Mozambique, South Sudan, Toga, Uganda and Zambia have pulled resources to free their countries from stranglehold of TB.
Tuberculosis is fast becoming one of the leading causes of death in the sub-Sahara Africa, including Nigeria.
Tuberculosis is airborne disease and is transmittable through ways that are air-related. The disease which was superstitiously associated with evil spirits was viewed as a bad omen by traditionalists and some locals. But modern science has revealed that it is preventable, treatable and curable when patients follow the prescribed drug administration or usage directions.
In recent times, the rate of Tuberculosis inflections and related deaths pose great concern to many people. This is despite  the advancement in medical research that has led to the manufacturing of drugs for the treatment of the disease.
The World Health Organisation (WHO) recently reeled out estimates and statistics on tuberculosis infection rate in Nigeria and Africa.
According to the statistics volunteered to Journalists, tuberculosis claimed 156,000 lives in Nigeria and afflicted about 452,000 in 2020.
The  World Health Organisation further said the global target of ending the disease by 2030 is being hampered by inadequate funding and investment in the control of tuberculosis which is an airborne disease.
Executive Director of Stop TB Partnership, Dr. Lucica Ditiu posited that more than 450,000 people in Nigeria are infected with TB yearly. According to him, the number of people infected increase every year. Besides, 28,000 of the tuberculosis fatalities are people living with Human Immuno-deficiency Virus (HIV). The Africa region is home to 17 of the 30 high burden Tuberculosis countries in the world. The estimated 2.5 million cases in Africa in 2020 accounted for a quarter of the global burden with more than half a million African lives lost to the curable and preventable disease. These, no doubt, are terrifying, startling and spine-chilling revelations.
To say the least, the disclosure is a dangerous phenomenon and a threat to public health, taking into cognisance the fact that tuberculosis is not just transmittable but can be contracted by air. Airborne diseases are potentially dangerous because air is free, always in public domain, thus is available to every body within an environment. So it is easy for an infected person to transmit the disease to others. It is a belief of most people that when air is infested a greater number of people are  affected than when water is polluted.
This is why the Federal Government must brace up to address this grave challenge at a time when Nigerians are going through the excruciating pains of unpopular economic policies of All Progressives Congress- led Federal Government.
The colossal amount of 1.3 billion dollars required to effectively detect and control the disease according to WHO African Regional Director, further heightens the fear of Nigerians on an avoidable spread. Though Tuberculosis is preventable and treatable its prevention and treatability depend largely on the availability of funds.
Remove funding, all effort to curb spread and end the disease will, no doubt, translate to exercise in futility.
I am tempted to believe that the Federal Government is not being proactive enough in curbing the spread of the disease because of a funding that is disproportionate to the burden of the disease in Nigeria.
When will Nigeria, the Giant of Africa in population rank high in what is good even amid her abundant human and financial resources.
The Transparency International Corruption index on countries in the world, ranked Nigeria 150 out of 180 countries on the 2022 Corruption Perception index.
The Corruption Perception Index I learnt is the Transparency International’s tool for measuring the level of corruption in the system of the 180 countries of the world based on prevalent indices.
In 2021 Nigeria, obtained 154th position with a growing population of about 200 million people. Nigeria is one of  the  countries in the world where its citizens live below one dollar per day.
It is one nation that is yet to break the jinx of failed electoral systems since independence, despite a whopping amount of taxpayers’ money injected into the processes.
Power supply is near-zero. From the Chief Olusegun Obasanjo’s administration who promised to end the problem in one year, to the present administration of General Muhammadu Buhari, power supply is epileptic.
For any government that has the welfare of the people at heart, making her counterpart contributions to meet the World Health Organisation 2030 target of ending the Tuberculosis scourge is not too difficult a commitment to make.
Every project on human health and welfare is a priority. No amount of money is worth the value of human soul. In fact if roads, schools, are built for humans, then the people should be helped to remain healthy to enjoy those infrastructure and facilities.
Russian philosopher and educationist, Lao Russell once wrote, “In vain you build the city if you don’t first built the man”.
Every project should have the face of human because the ultimate beneficiary of any project are (or ought to be) the people. If human welfare is not factored into the policy and programme of government, then it is  anti-people. Government derives its legitimacy from the people. And those in government are stewards who by reason of the people’s mandate, should hold the resources of the people in trust.
The Federal Government and State Governments across the country should rise to the brazen challenge of the tuberculosis burden on Nigerians before we experience another wave of avoidable epidemic.
Already, the country and other African countries are not free from greater infection if there is no sustainable plans.
According to Dr. Matshidiso Moeti, World Health Organisation’s Regional Director for Africa, South Africa  has steadily increased her domestic funding to fight the disease by allocating 81 per cent of her financial resources while Zambia has increased her funding seven-fold since 2015.
However, the commitment of South Africa and less economic viable Zambia to end the threat of the disease gives a flicker of hope that the problem is surmountable if other African countries, including Nigeria  will borrow a leaf from South Africa and Zambia.
This is necessary so that World Health Organisation End TB Strategy which aims to reduce TB cases by 80 per cent and cut deaths by 90 per cent by 2030 is achieved.
It is pertinent to state that though the 2025 milestone seeks a 50 per cent reduction in cases and a 75 per cent reduction in death and that TB cases should drop by ten per cent every year, to meet the 2025 target, yet the current rate of decline in cases stands at only two percent. This statistics which reveal a snail growth in hitting the 2025 target is not good enough for the health of Nigeria’s citizens.

By: Igbiki Benibo

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Opinion

Nigeria’s Poor Economy And High Unemployment Rates

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Nigeria, often referred to as the “Giant of Africa”, is endowed with vast natural resources,
a large population and a youthful workforce.
Despite these advantages, the country faces persistent economic challenges, most notably high unemployment rates over the years. Successive governments remain a central issue contributing to poverty, social unrest, and underdevelopment. The economic wellbeing of a nation is significantly tied to her employment levels.
In Nigeria’s case, high unemployment has become a key driver of its poor economic performance affecting everything from productivity and income levels to crime and political instability.
Unemployment in Nigeria has assumed a multidimensional nature, characterised not just by joblessness but also underemployment, informal employment and precarious working conditions.
The Nigeria National Bureau of Statistic (NBS) said the youth with over 60 percent of Nigeria’s population under the age of 30 percent youth unemployment is a time bomb threatening the nation’s future.
Many graduates leave universities and polytechnics annually with little or no hope of securing decent jobs.
This structural unemployment is the result of a mismatch between skills and labour market needs, inadequate industrialisation, and a weak private sector.
Unemployment affects an economy in numerous direct and indirect ways.
In Nigeria, it leads to a reduced consumer base, when large sections of the population are not earning steady incomes, they have limited purchasing power which in turn affects the production and growth of businesses. Companies produce less, invest less and hire fewer people, leading to a vicious cycle of low economic growth.
Moreover, high unemployment translates to lower tax revenue for the government with fewer people paying taxes. The government has fewer resources to fund infrastructure, education, healthcare, and other public services that stimulate economic development.
This fiscal weakness forces Nigeria to rely heavily on foreign loans, which leads to rising debt levels and economic vulnerability.
Furthermore, infrastructure deficits including inadequate power supply, poor road networks and limited access to credit make it difficult for small and medium sized enterprises (SMEs) to thrive, yet SMEs are the bedrock of employment in many developed nations. Nigeria’s weak support for SMEs stifles innovation and job creation.
Another tragic consequence of high unemployment is the mass exodus of Nigerian talent to foreign countries in search of better opportunities. The brain drain weakens the country’s human capital base and deprives it of professionals who could contribute meaningfully to national development.
The “Japa” phenomenon-a slang used to describe young Nigerians fleeing the country reflects deep disillusionment with the system. Doctors, nurses, software engineers and other professionals are leaving in droves. The cost of training these individuals is absorbed by Nigeria, but their expertise benefits foreign economics. This dynamic further deepens the economic challenges as the country loses its best and brightest minds.
Addressing unemployment in Nigeria requires a multifaceted approach, first.
Secondly, industrialisation must be prioritised. The government should create an enabling environment for local manufacturing by improving infrastructure, reducing Bureaucratic bottlenecks and offering tax incentives reviving the agricultural sector with modern techniques and supply chains can also absorb a significant portion of the unemployed.
Thirdly, Governments at all levels must be held accountable for implementing job creation programmes transparently and effectively. Public-Private Partnerships (PPPs) should be encouraged to drive innovations and employment in ICT, renewable energy and logistics.
Finally, Nigeria must diversify its economy away from crude oil and invest in sectors that generate mass employment. Tourism, education, healthcare and creative industries such as film and music hold immense unlapped potential.
With genuine commitment from leaders, strong institutions and the active participation of the private sector and civil society, Nigeria can turn the tide on unemployment and chart a path toward sustainable economic prosperity.
Idorenyi, an intern with The Tide, is a student of Temple Gate Polytechnic
Abia State.

Biana Idorenyin

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Opinion

Ending Malaria Menace For Improved Health

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April 25 every year is World Malaria Day. It was instituted by the World Health Assembly in 2007, “to highlight the progress made in Malaria control, the ongoing challenges that persist and the urgent need for sustained investment and innovation”. This year’s theme, “Malaria Ends with Us: Reinvest, Reimagine and Reignite”, is apt considering the loss of lives incurred and money spent to treat and prevent Malaria. The theme is a clarion-call to intentionally end the malaria scourge through robust commitment of human and financial resources.
That is why one of the best policies, of the suspended Sir Siminalayi Fubara’s administration in Rivers State, was the avowed commitment to check the malaria menace and its multiplier consequences on the residents of the State, through its “Free Malaria Testing and Treatment” innovation.
Rivers State is a microcosm of Nigeria in terms of residents; thus the secularity of the State makes the programme’s beneficiary all-inclusive.
No doubt, the Rivers State Government has by this initiative reinforced value placement on the lives of the people, especially the less-privileged in the State. Residents in Rivers State can now be tested and treated free for Malaria in any Rivers State Government- owned hospitals and healthcare centres across the 23 Local Government Areas of Rivers State. This is a lofty and laudable programme because of the prohibitive cost of malaria drugs and conducting tests at a time majority of Nigerians hardly have a meal to eat, because of the prevailing economic hardship in the country.
Malaria and Typhoid, according to medical and health statisticians are the commonest ailments people suffer as a result of dirty environment, absence of good drainage, lack of potable water. The State Government’s Malaria programme is, therefore, not just a big financial relief but also a life-saver for the teeming poverty-ridden population of Nigeria resident in Rivers State.
According to statistics reeled out by the Federal Ministry of Health and Social Welfare, “Globally, there are an estimated 249million malaria cases and 608,000 malaria deaths among 85 countries”. Such reports leave much to be desired in a nation so blessed with natural resources and manpower. This is why the Rivers State Government should be commended for defying the huge financial implications to drive the lofty programme for Nigerians and foreigners in Rivers State who are availed the privilege of accessing the largesse in all State Government health and medical facilities.
As the Rivers State Government deemed it necessary to initiate the Free Malaria Testing and Treatment programme, nothing stops the Federal Government from doing the same. But even with abounding natural and human resources in unimaginable quantity in Nigeria, Malaria programmes are either grossly underfunded, or funds for the programmes are misappropriated or embezzled with impunity.
In Nigeria, malaria is one of the leading causes of death of children under the age of six and pregnant women. Malaria is a nightmare in Nigeria so much so that price of its drugs and treatment have skyrocketed like a phoenix and outrageously outside the reach of the teeming less privileged citizens of Nigeria. The situation was so alarming that the National Assembly, in 2023 urged the Federal Government to declare Malaria an emergency in Nigeria as a matter of urgent national interest. I am not sure that has been done by the Federal Government because it seems to be in the interest of the common citizens.
Experts have recommended new approaches to fighting the malaria epidemic in Nigeria which seems to have defied continuous attempts to reduce the Malaria burden in Nigeria to zero.
According to a Senior Associate at the John Hopkins Bloomberg School of Public.Health, Soji Adeyi, Nigeria should begin to increase internal funding.for malaria elimination.
According to him,, “Each year reliance on external funding needs to be reduced. I looked at the summary of Malaria reports from 2008 till now and what has been common is the complaint about the lack of funding. If this is a recurring problem, what should be done is to find a new approach “.
In his view, Abdu Muktar, National Coordinator of the Presidential Healthcare Initiative, called for the local production and manufacturing of medical supplies as well as reducing Nigeria’s dependence on drugs imports.
According to him, the local production of anti-malaria and.related.medication will consider.the peculiarity of the country’s terrain, population and burden and.would improve access to effective treatment.
For his part, the regional. Director of World Health Organisation (WHO), African Region, Matshiddiso Moretti, advised Nigeria to accelerate its efforts to end Malaria by relying on adequate data for the implementation of health policies.
Malaria is an epidemic more devastating than the dreaded HIV/AIDS. Malaria triggers high blood pressure and places HIV/AIDS patients on a critical condition. The Federal and sub-national governments should therefore declare Malaria an emergency and prioritise attention to its treatment, production and importation of drugs and vaccines to stem the malaria menace.
The Federal Government should also improve incentives and remuneration of medical and health workers to end their exodus abroad in droves, for greener pastures.

Igbiki Benibo

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Opinion

Respecting The Traditional Institution

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The traditional institution is as old as human society. It predates the advent of modern organised society. Before the emergence of modern justice system of dispute resolution and political system of administration, the traditional institution has existed long ago. In fact, it was so revered and regarded as sacred because of the mythological conviction that it was the “stool of the ancestors”. Consequently, judgment given was deified as many people especially the traditionalists believe it was the mind of the gods revealed. Perversion of justice , in the pre-modern justice system was alien and considered uncommon. Chiefs and traditional rulers though may not have generated knowledge formally (through the four walls of a classroom), yet they embody and exemplify knowledge. They hold fast the virtue of integrity and honour, fairness and relative impartiality, partly because they believed that the stool they occupy was ancestral and traditional as act of indiscretion can court the wrath of the gods at whose behest they are on the traditional saddle of authority.
The Compass of Life stated unequivocally that “the throne is preserved by righteousness”. Where righteousness, integrity and honesty are savoured,and valued, perversion and miscarriage of justice is an anomaly. The judgments of traditional rulers and chiefs were hardly appealed against because they were founded on objectivity, fairness, truth and facts beyond primordial sentiment and inordinate interests or pecuniary benefits. Judgments were precedent. Traditional rulers and chiefs, therefore carved a niche for themselves, earning the respect of, and endearing themselves to the heart of their subjects. Is it the same today? Some traditional rulers and chiefs are administering their communities in exile; they are diasporic leaders because they have lost the confidence of the people through self-serving, raising of cult group for self-preservation, land grabbing and other flagrant corrupt practices.
When truth is not found in the traditional institution that, in my considered view, constitutes the grassroots government, then crisis is inevitable.In most African societies before advent of the Christian Faith, and consequent Christening of the traditional stools in many communities in recent times, ascent to the traditional institution was a function of a traditional method of selection. It was believed that the gods make the selection. And whoever emerges from the divination processes eventually is crowned as the king of the people after performing the associated rituals.Whoever lacked the legitimacy to sit on the throne but wanted to take it forcefully, traditionalists believed died mysteriously or untimely. Traditional rulers wielded much influence and power because of the authority inherent in the stool, the age of the person designated for the stool notwithstanding. The word of the king was a law, embodied power. Kings so selected are forthright, accountable, transparent, men of integrity, did not speak from both sides of the mouth, could not be induced with pecuniary benefits to pervert justice, they feared the gods of their ancestors and were consecrated holistically for the purpose dictated by the pre and post coronation rituals.
Some of those crowned king were very young in those days, but they ruled the people well with the fear of the gods. There was no contention over who is qualified to sit or who is not qualified to. It was the prerogative of the gods. And it was so believed and upheld with fear.Kings were natural rulers, so they remained untouchable and could not be removed by a political government. If a king committed an offence he was arrested and prosecuted according to the provision of the law. But they have immunity from sack or being dethroned because they are not political appointees. However, the people at whose behest he became king reserved the power to remove him if found guilty of violating oath of stool. The traditional institution is actually the system of governance nearest to the people. And kings were the chief security officers of their communities. So indispensable are the roles of kings and traditional rulers to the peaceful co-existence of their people, ensuring that government policies and Programmes were seamlessly spread to the people that many people are clamouring for the inclusion of definite and specific roles in the Constitution for the traditional institution.
Traditional rulers are fathers to every member of their domain. So they are not expected to discriminate, show favouritism. By their fatherly position traditional rulers, though can not be apolitical, are also expected to be immune from partisan politics. This is because as one who presides over a great house where people of different political divide or interest belong, an open interest for a political party means ostracisation of other members of the family which could lead to disrespect, conflict of interest, wrangling and anarchy. Traditional rulers are supposed to be selfless, preferring the interest of their people above their personal interests following the consciousness that they are stewards whose emergence remains the prerogative of the people. The position is essentially for service and not for personal aggrandisement and ego massaging. So they should hold the resources of the people in trust. However, in recent past the traditional institution has suffered denigration because of unnecessary emotional attachment to political parties and political leaders. Some traditional rulers and kings have shown complete disregard to the principle of neutrality because of filthy lucre and pecuniary gains, at the expense of the stool and people they lead. Sadly some traditional rulers have been influenced to pervert justice: giving justice to the offender who is rich against the poor.
Traditional leaders should be reminded that the “throne is preserved by righteousness”, not by political chauvinism, favouritism, or materialism.Traditional rulers should earn their deserved respect from political leaders by refusing the pressure to be subservient, beggarly, sycophantic and docile. Traditional leaders have natural and permanent leadership system, unlike the political leadership that is transient and tenured.They should be partners with every administration in power and should not be tied to the apron string of past leaders whose activities are aversive to the incumbent administration and thereby constituting a clog in the development of the State and the community they are to woo infrastructure development to. It is unpardonable error for a traditional ruler to have his conscience mortgaged for benefits he gets inordinately from any government.It is necessary to encourage kings and traditional rulers to not play the roles of stooges and clowns for the privileged few, political leaders. Political leaders are products of the people, even as every government derives its legitimacy from the people.
No doubt, the roles of traditional rulers are so necessary that no political or military government can operate to their exclusion. This is why the 10th National Assembly mulled the inclusion of Traditional institution in the proposed amendment of the Constitution of the Federal Republic of Nigeria.Traditional rulers and chiefs should, therefore, be and seen to be truthful, forthright, bold, courageous, honest and people of integrity, not evasive, cunning, unnecessarily diplomatic and economical with truth.The time to restore the dignity of the traditional institution is now but it must be earned by the virtuous disposition of traditional rulers and chiefs.

Igbiki Benibo

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