Opinion

Nigeria And Tuberculosis Burden

Published

3 years ago

April 12, 2023

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-drug 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 pooled 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 locales. 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 developing the disease 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 Muhammed 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 country 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.

By: Igbiki Benibo

Opinion

Time and Season Can Tell

Published

4 days ago

February 16, 2026

The Tide

Quote:”In matters of the heart, seasons expose what emotions try to hide.”

There is a silent crisis unfolding in modern relationships—one that many people endure quietly but rarely articulate. It is the experience of emotional attachment without clarity. Unlike betrayal, which announces itself loudly, or conflict, which forces confrontation, this crisis creeps in softly. It begins with warmth, grows through shared vulnerability, and then dissolves into silence. In my observation, some of the deepest emotional wounds are not inflicted by harsh words or dramatic endings. They are caused by something far subtler: the gradual withdrawal of affection without explanation. Silence in relationships is often mistaken for neutrality, but it is not neutral. Silence communicates—only it does so in a language of confusion. When someone slowly retreats without offering clarity, they leave the other person suspended between hope and reality.

There is no clear goodbye, no decisive closure—only distance. The unanswered messages. The reduced enthusiasm. The subtle shift in tone. Emotional ambiguity can be more painful than open rejection because it denies finality while sustaining expectation. It leaves the heart in limbo. In today’s world of instant communication and digital closeness, emotional intensity is frequently mistaken for love. When someone gives us attention, listens attentively, checks in consistently, and offers companionship during vulnerable moments, it is natural to assume that something meaningful is forming. After all, connection feels like commitment. But attention is not always intention. Closeness is not always clarity. In emotionally complicated relationships, there is often an imbalance that goes unnoticed at first. One person invests deeply—emotionally, mentally, even spiritually—while the other remains cautiously detached.

The connection may feel mutual, but the level of commitment is not. And when investment is unequal, pain eventually follows. One of the most dangerous consequences of such relationships is how subtly we lose ourselves in them. It does not happen overnight. It begins with small shifts. We check our phones more often. We rearrange our schedules. We replay conversations in our minds. Gradually, our emotional world begins to orbit around one person. Friends grow distant. Personal goals lose urgency. Self-worth becomes tied—quietly but firmly—to someone else’s presence and validation. When that person withdraws, the collapse feels catastrophic. Yet the devastation is not solely because love has ended. It is because identity has been shaken. We are not grieving only the person; we are grieving the version of ourselves that depended on them.

Silence, I have come to believe, can function as a form of power. When one person controls communication through distance—responding selectively, appearing and disappearing unpredictably—they unintentionally gain emotional dominance. The other person is left waiting, interpreting, hoping. They analyze every word, every delay, every change in tone. This imbalance may not always be intentional. Sometimes it arises from emotional immaturity or fear of confrontation. Yet its impact is undeniable. It reveals an uncomfortable truth: emotional availability is not guaranteed simply because connection exists. Chemistry does not equal commitment. Attraction does not equal accountability. With time, I began to understand that not every relationship is meant to last. Some people enter our lives not as permanent partners, but as temporary teachers.

They are not there to complete us, but to confront us—with our vulnerabilities, insecurities, and unmet needs. At first, this realization felt discouraging. It seemed to reduce love to a series of lessons. But eventually, it felt liberating. Emotional loss stopped looking like failure and started looking like revelation. Each experience—especially the painful ones—exposed areas where I needed growth. Where I needed stronger boundaries. Where I needed deeper self-awareness. Boundaries, I have learned, are not barriers against love; they are protections for it. Love without boundaries is not love—it is emotional exposure. Connection without clarity is not intimacy—it is uncertainty. Affection without commitment is not partnership—it is illusion. Healthy love requires mutual understanding, transparency, and intentionality. It demands that both individuals stand on equal emotional ground. Where one speaks, the other listens.

Where one invests, the other reciprocates. Where one withdraws, the other communicates. Time, more than emotion, reveals truth. In the beginning, feelings are loud. They rush, they excite, they overwhelm. But time tests what emotions promise. It exposes inconsistency. It clarifies intention. It separates temporary attraction from sustainable partnership. Seasons, too, teach us something essential about relationships. No season lasts forever. Some bring growth. Others bring pruning. Some relationships stay long enough to build a foundation; others stay just long enough to teach resilience. Neither is wasted. When we accept that relationships operate in seasons, we release the need to force permanence. We stop chasing clarity from those unwilling to give it. We stop romanticizing inconsistency. We stop equating intensity with depth.

Instead, we begin to value emotional safety over emotional excitement. We learn that peace is more sustaining than passion without direction. We recognize that self-worth must never depend on someone else’s attention.In matters of the heart, time and season always tell.They reveal who is consistent and who is convenient. They expose what is genuine and what is temporary. They show whether a connection is rooted in intention—or merely in circumstance. And perhaps the greatest wisdom is this: not every silence deserves to be decoded. Some silences are answers. When we understand that, we stop fearing endings. We begin trusting timing. We stop clinging to uncertainty and start choosing clarity.Because in the end, the heart may feel quickly—but time always tells the truth.

By: Isiocha Kate

Opinion

Why Adaeze Deserves A Second Chance

Published

4 days ago

February 16, 2026

The Tide

Quote:”If performance is the standard, then continuity in Rivers’ health sector is not a favour — it is a necessity.”

When the executive council was dissolved and political permutations began to dominate conversations across Rivers State, one sector stood out in the public debate, Health. In a state where access to quality healthcare remains both a social necessity and political responsibility, performance has become the most persuasive argument. And in those conversations, the name of Adaeze Chidinma Oreh consistently resurfaces. Her tenure as Commissioner for Health was marked not by ceremonial appearances but by visible system reforms that ordinary residents could measure in improved service delivery. From the outset, she placed primary healthcare at the centre of the state’s health strategy, reinforcing the idea that sustainable reform begins at the grassroots. Primary Health Centres across several local government areas witnessed structural upgrades, improved staffing coordination, and better supply chain management for essential medicines.

Under her supervision, Rivers State deepened participation in the Basic Healthcare Provision Fund, ensuring that federal health allocations translated into tangible services at community level. Health insurance enrolment expanded significantly during her time in office, broadening access to affordable care for civil servants, informal sector workers, and vulnerable populations. Public opinion often cites this expansion as one of the most impactful interventions of her administration. HIV service delivery also experienced notable scaling. More facilities were equipped to provide testing and treatment services, reducing travel burdens for patients and strengthening continuity of care. Her administration strengthened disease surveillance mechanisms, an important safeguard in a post-pandemic era where preparedness is as critical as response.Beyond expansion of services, she demonstrated regulatory firmness. Illegal and unlicensed medical facilities were shut down, sending a strong message that patient safety would not be compromised.

This crackdown on quackery earned her both commendation and resistance, but public health advocates widely supported the stance as long overdue. Emergency medical response systems received renewed attention. Ambulance coordination and referral systems were reviewed and strengthened, improving response time in critical cases. Maternal and child health programmes gained renewed emphasis. Immunisation campaigns were intensified, and advocacy for respectful maternal care became more pronounced within state facilities. Health workers frequently described her leadership style as consultative. Stakeholder meetings were not mere formalities; they were platforms for problem-solving and accountability. She engaged development partners strategically, aligning donor support with state priorities rather than allowing fragmented programme implementation.International partnerships brought in technical assistance, equipment upgrades, and training opportunities for healthcare personnel.

Transparency also became a visible feature of her administration. When misinformation circulated — particularly around admissions into health training institutions — she addressed the public directly, clarifying facts and protecting citizens from fraud. Within professional circles, she was regarded as technically sound, able to interpret data and translate policy into operational strategy. Her public briefings were often data-driven, reflecting measurable indicators rather than abstract promises. The Primary Healthcare Leadership Challenge saw Rivers State earn recognition during her tenure, reinforcing claims of structured reform. Community outreach was not neglected. Rural communities reported increased supervision visits and closer monitoring of local health facilities. Civil society organisations in Rivers State frequently acknowledged improved responsiveness from the Ministry of Health during her administration.

She maintained visible engagement with frontline workers, visiting facilities and interacting directly with staff and patients. Her approach to governance balanced policy reform with human engagement — a combination many observers believe strengthened trust in the health system. Under her watch, health insurance awareness campaigns improved public understanding of pre-paid healthcare models. She supported integration of technology into health administration, enhancing data reporting and accountability systems. Persons living with HIV/AIDS, women in rural communities, and economically disadvantaged families became central to programme targeting. In public discourse, she was often described as performance-driven rather than politically flamboyant. Awards and recognitions followed, but more importantly, measurable system improvements formed the basis of those honours. Healthcare professionals credited her with restoring a sense of direction to policy implementation.

Her tenure reflected continuity in reform rather than abrupt, cosmetic changes. Critics of political reshuffles argue that the health sector, more than many others, benefits from sustained leadership to consolidate gains. Many residents believe that reform in healthcare requires consistency, institutional memory, and steady administrative hands. As conversations around reappointments intensify, health stakeholders continue to emphasise competence over political balancing. In markets, professional associations, and community meetings, her name surfaces in discussions about measurable impact. The argument is less about sentiment and more about outcomes — expanded insurance coverage, improved primary healthcare structures, firmer regulation, and strengthened partnerships. Rivers State’s health sector remains a work in progress, but public opinion suggests that her administration laid foundations that require continuity rather than disruption.

In a political climate where appointments are often influenced by calculations beyond performance, her tenure stands as a case study in technocratic leadership. If governance is ultimately about service delivery, then health remains one of its clearest tests. And if performance, regulatory courage, grassroots impact, insurance expansion, strengthened disease control systems, and improved public trust are the criteria, then let Adaeze Chidinma Oreh be the person.

By: King Onunwor

Opinion

Empowering Youth Through Agriculture

Published

2 weeks ago

February 9, 2026

The Tide

Quote:”While job seeking youths should continuously acquire skills and explore opportunities within their immediate environment as well as in the global space through the use of digital platforms, government, corporate/ multinational organizations or the organised private sector should generate skills and provide the enabling environment for skills acquisition, through adequate funding and resettlement packages that will provide sustainable economic life for beneficiaries”.

The Governor of Rivers State, Sir Siminalayi Fubara, recently urged youths in the Rivers State to take advantage of the vast opportunities available to become employers of labour and contribute meaningfully to the growth and development of the State. Governor Fubara noted that global trends increasingly favour entrepreneurship and innovation, and said that youths in Rivers State must not be left behind in harnessing these opportunities. The Governor, represented by the Secretary to the State Government, Dr Benibo Anabraba, made this known while declaring open the 2026 Job Fair organised by the Rivers State Government in partnership with the Nigeria Employers’ Consultative Association (NECA) in Port Harcourt. The Governor acknowledged the responsibility of government to create jobs for its teeming youth population but noted that it is unrealistic to absorb all job seekers into the civil service.
“As a government, we recognise our duty to provide employment opportunities for our teeming youths. However, we also understand that not all youths can be accommodated within the civil service. This underscores the need to encourage entrepreneurship across diverse sectors and to partner with other stakeholders, including the youths themselves, so they can transition from being job seekers to employers of labour,” he said. It is necessary to State that Governor Fubara has not only stated the obvious but was committed to drive youth entrepreneurship towards their self-reliance and the economic development of the State It is not news that developed economies of the world are skilled driven economies. The private sector also remains the highest employer of labour in private sector driven or capitalist economy though it is also the responsibility of government to create job opportunities for the teeming unemployed youth population in Nigeria which has the highest youth unemployed population in the subSahara Africa.
The lack of job opportunities, caused partly by the Federal Government’s apathy to job creation, the lack of adequate supervision of job opportunities economic programmes, lack of employable skills by many youths in the country have conspired to heighten the attendant challenges of unemployment. The challenges which include, “Japa” syndrome (travelling abroad for greener pastures), that characterises the labour market and poses threat to the nation’s critical sector, especially the health and medical sector; astronomical increase in the crime rate and a loss of interest in education. While job seeking youths should continuously acquire skills and explore opportunities within their immediate environment as well as in the global space through the use of digital platforms, government, corporate/ multinational organizations or the organised private sector should generate skills and provide the enabling environment for skills acquisition, through adequate funding and resettlement packages that will provide sustainable economic life for beneficiaries.
While commending the Rivers State Government led by the People First Governor, Sir Siminilayi Fubara for initiating “various training and capacity-building programmes in areas such as ICT and artificial intelligence, oil and gas, maritime, and the blue economy, among others”, it is note-worthy that the labour market is dynamic and shaped by industry-specific demands, technological advancements, management practices and other emerging factors. So another sector the Federal, State and Local Governments should encourage youths to explore and harness the abounding potentials, in my considered view, is Agriculture. Agriculture remains a veritable solution to hunger, inflation, and food Insecurity that ravages the country. No doubt, the Nigeria’s arable landmass is grossly under-utilised and under-exploited.
In recent times, Nigerians have voiced their concerns about the persistent challenges of hunger, inflation, and the general increase in prices of goods and commodities. These issues not only affect the livelihoods of individuals and families but also pose significant threats to food security and economic stability in the country. The United Nations estimated that more than 25 million people in Nigeria could face food insecurity this year—a 47% increase from the 17 million people already at risk of going hungry, mainly due to ongoing insecurity, protracted conflicts, and rising food prices. An estimated two million children under five are likely to be pushed into acute malnutrition. (Reliefweb ,2023). In response, Nigeria declared a state of emergency on food insecurity, recognizing the urgent need to tackle food shortages, stabilize rising prices, and protect farmers facing violence from armed groups. However, without addressing the insecurity challenges, farmers will continue to struggle to feed their families and boost food production.
In addition, parts of northwest and northeast Nigeria have experienced changes in rainfall patterns making less water available for crop production. These climate change events have resulted in droughts and land degradations; presenting challenges for local communities and leading to significant impact on food security. In light of these daunting challenges, it is imperative to address the intricate interplay between insecurity and agricultural productivity. Nigeria can work toward ensuring food security, reducing poverty, and fostering sustainable economic growth in its vital agricultural sector. In this article, I suggest solutions that could enhance agricultural production and ensure that every state scales its agricultural production to a level where it can cater to 60% of the population.
This is feasible and achievable if government at all levels are intentional driving the development of the agricultural sector which was the major economic mainstay of the Country before the crude oil was struck in commercial quantity and consequently became the nation’s monolithic revenue source. Government should revive the moribund Graduate Farmers Scheme and the Rivers State School-to-Land agricultural programmes to operate concurrently with other skills acquisition and development programmes. There should be a consideration for investment in mechanized farming and arable land allocation. State and local governments should play a pivotal role in promoting mechanized farming and providing arable land for farming in communities. Additionally, allocating arable land enables small holder farmers to expand their operations and contribute to food security at the grassroots level.
Nigeria can unlock the potential of its agricultural sector to address the pressing needs of its population and achieve sustainable development. Policymakers and stakeholders must heed Akande’s recommendations and take decisive action to ensure a food-secure future for all Nigerians.

By: Igbiki Benibo