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Japa Syndrome Cripples Igbobi Orthopaedic Hospital

The National Orthopaedic Hospital Igbobi, Lagos (NOHIL) is barely limping along, as it contends with the exodus of a large volume of its personnel for better working conditions outside Nigeria.
In recent years, Nigeria’s health sector has suffered, and continues to suffer, from huge depletion of critical manpower fleeing abroad for more attractive conditions of service. The trend has been labelled Japa syndrome in local Nigerian parlance.
Checks revealed that NOHIL is particularly hit by Japa syndrome; as its operations have been greatly hobbled by acute shortage of personnel across many of the departments and units.
At the premier orthopaedic institution, which serves as a centre of the World Health Organisation (WHO), patients who do not make the cut for the day’s booking to be registered as fresh patients or for such procedures as X-ray or physiotherapy or be attended to by doctors, routinely resort to passing nights within complex at the mercy of the elements.
Patients and their relatives or other caregivers, according to findings, opt for such arduous nights in the open as an effective strategy for minimising logistics expenditures and other costs of booking the names of patients early enough for their various appointments.
It was learnt that the worst-hit by acute personnel shortages is the Radiology Unit, which, as early as 7:00am attains its daily count of 20 patients booking for X-ray, as any or all other persons reporting after that figure are firmly ordered to try out another day and subsequently dismissed.
It was observed, however, that staff of the hospital also indiscriminately smuggle in names of persons favoured based on familial or pecuniary relationships for X-ray services at the Radiology Unit.
There is also an X-ray centre operated besides that of the hospital’s by a private sector service provider, Crestview Radiology Limited, which was recently overwhelmed by huge demand when NOHIL’s X-ray machine broke down.
Notably, patients can only be attended to at the Crestview X-ray centre strictly based on request forms referrals endorsed by NOHIL doctors.
It was gathered that, in order to ensure that each of their patients get adequate care, physiotherapists at the Physiotherapy Unit have resorted to keeping the maximum number of patients they attend to daily at below 10.
Speaking under anonymity, a female outpatient, who is a resident of Ijoko in neighbouring Ogun State, lamented that she had suffered several misses while seeking to have her initial X-ray session.
She confessed with a hint of a victorious smile that she was only able to have that initial x-ray, having risen and reported at the Radiology Unit at 4:30 AM after she joined many others who did same in passing the night along the hospital’s corridors.
She disclosed that she had adopted the same strategy of sleeping over at the hospital in order to successfully keep up with the appointments for other X-rays and her physiotherapy sessions.
Explaining that bills for the various hospital services were high and already draining her purse, she noted that her finances, in the prevailing harsh economic conditions in Nigeria, had been dealt additional blows because she, until she settled for sleepovers at the hospital, has been expending so much on transportation to cover all what turned out to be fruitless trips between her Ijoko, Ogun State residence and NOHIL.
Affirming to have eased so much of the stress on her purse by passing nights at the hospital in order to meet appointments next mornings, the woman said that she was actively passing on the very beneficial advise that someone offered her for others to follow to access services at the hospital more promptly while keeping their costs in check.
Several other outpatients, all under anonymity, had spoken in a similar vein of resorting to passing nights at NOHIL in order to cut costs in accessing services promptly.
Located along the arterial Ikorodu Road, NOHIL, which is projected to accommodate 450 patients, reportedly had started as a Military Rehabilitation Camp for prisoners of war returning from the Second World War.
Following the recognition by the Colonial Medical Services in 1945, the institution had become a medical establishment known as Igbobi Orthopaedic Hospital.
NOHIL had undergone a number of name changes, including from Igbobi Hospital to Royal Orthopaedic Hospital and onto its current name.
At various times between 1945 and 1977, the institution had come under the administration of the Federal Government and Lagos State Government. Since 1977 to date, however, the hospital has remained a Federal Government health institution.
In its early days, according to website of NOHIL, “the sphere of influence of the hospital extended to other parts of the West African sub-region, Central Africa and Angola.”
The hospital further stated that the facility was a repository of materials and resources for students during the same period.
In the present times, except the Federal Government takes urgent remediation steps to arrest the exodus of NOHIL’s personnel for greener pastures abroad, the hospital may very soon be rendered comatose.
Checks confirmed that the Japa syndrome does not only cast a pallor on the bragging rights of NOHIL to the tag of “premier health institution”, but also poses an existential threat to the hospital.
By: Nkpemenyie Mcdominic, Lagos
News
I’m Committed To Community Dev – Ajinwo
News
RSG Tasks Rural Dwellers On RAAMP …As Sensitization Team Visits Akulga, Degema, Three Others

Rivers State Head of Service, Dr (Mrs) Inyingi Brown, has called on rural communities in the State to embrace the Rural Access and Agricultural marketing project (RAAMP) with a view to improving their living conditions.
This follows the ongoing sensitization campaign by the State Project Implementation Unit (SPIU) visits to Degema, Abonnema, Afam headquarters of Degema, Akuku Toru and Oyigbo Etche and Omuma local government areas respectively.
Dr Brown who was represented by the Deputy Director, Special Duties in her office, Mrs Dein Akpanah, said RAAMP was initiated by the Federal Government and World Bank to economically empower rural dwellers.s
She said the World Bank understands the plights of rural farmers and traders in the State, and therefore came up with the programme to address them.
According to her, RAAMP will improve the conditions of farmers, traders and fishermen, and therefore, behoves on every rural communities in the State to embrace the programme.
The Head of Service also said the programme would support the youths to be gainfully employed while bridges and roads will be built to link farms and fishing settlements.
Also speaking, the State project coordinator, Mr Joshua Kpakol, said the programme has the potential of creating millionaires among farmers and fishermen in the State.
Kpakol who was represented by Engr. Sam Tombari, said RAAMP would help farmers and fishermen to preserve their produce.
According to him, the project will build cold rooms and Silos for preservation of crops and fishes while access roads will also be created to link farmers and fishermen to the market.
He, however, warned them against any act that will lead to the suspension of the projects by the World Bank.
Kpakol particularly warned against acts such as kidnapping, marching ground, gender based violence and child labour, adding that such acts if they occur may lead to the cancellation of the project by the World Bank.
During the visit to Oyigbo local government area, Mr Joshua Kpakol, said the team was there to let them know how they will benefit from the Raamp.
The coordinator who was personally at Oyigbo said the World Bank introduced the project to check food insecurity in the State.
He said already 19 states in Nigeria are already benefitting from the project and called on them to embrace the project.
Meanwhile, stakeholders in the three local government areas have commended the World Bank for including their areas in the project.
They, however, complained over the incessant attacks by pirates on their waterways.
At Degema, King Agolia of Ke kingdom said land was a major problem in the kingdom.
King Agolia represented by High Chief Alpheus Damiebi said many indigenes of the kingdom are willing to go into farming but are handicapped by lack of land.
Also at Degema, the representative of the Omu Onyam Ekeim of Usokun Degema kingdom, Osoabo Isaac, said Degema has embraced the programme but needed more information on the implementation of the programme.
Similarly, while High Chief Precious Abadi advised that the project should not be narrowed to only crop farming, a community women leader, Mrs Orikinge Eremabo Otto, called for the construction of cold rooms in all fishing settlements in the area.
At Abonnema, Mr Diamond Kio linked the problem of the area to incessant piracy along waterways.
He also expressed fears over the possibility of the project being hijacked by politicians.
Also at Abonnema, a stakeholder, Ikiriko Kelvin, called on the World Bank to design an agricultural project that will suit the riverine environment, while at Oyigbo, HRH Eze Boniface Akawo expressed satisfaction with the project.
John Bibor
News
Senate Replaces Natasha As Committee Chairman

The political mudslinging between the Senate leadership and Senator Natasha Akpoti-Uduaghan continued yesterday as the Senate named Senator Aniekan Bassey as the new Chairman of the Committee on Diaspora and Non-Governmental Organisations.
Senate President, Godswill Akpabio, announced the appointment during yesterday’s plenary, confirming Bassey’s replacement of Senator Natasha Akpoti-Uduaghan, who is currently on suspension.
Akpoti-Uduaghan was reassigned to the Diaspora and NGOs Committee in February after she was removed as Chair of the Senate Committee on Local Content during a minor reshuffle.
Bassey is the senator representing Akwa Ibom North-East Senatorial District.
Although no reason was given for her removal yesterday, the change is believed to be connected to her unresolved suspension.
In May, Justice Binta Nyako of the Federal High Court ordered her reinstatement and directed her to tender an apology to the Senate.
However, the Senate has insisted it has not received a certified true copy of the court judgment.
Akpoti-Uduaghan who represents Kogi Central, has yet to resume her legislative duties despite a recent court ruling that voided her suspension.
In a televised interview on Tuesday, Akpoti-Uduaghan said she was awaiting the Certified True Copy of the judgment before officially returning to plenary, citing legal advice and respect for institutional process.
Although the Federal High Court described her suspension as “excessive and unconstitutional”, a legal opinion dated July 5 and attributed to the Senate’s counsel, Paul Daudu (SAN), argued that the ruling lacked any binding directive to enforce her reinstatement.
Akpoti-Uduaghan, one of only three female senators in the current assembly, said the continued delay in allowing her return was not only a denial of her mandate but also a blow to democratic representation.
“By keeping me out of the chambers, the Senate is not just silencing Kogi Central, it’s denying Nigerian women and children representation. We are only three female senators now, down from eight,” she said.
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