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Obio Hospital:How RSG, SPDC Set New Health Standard

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Prof Abiodun Ilesanmi and SPDC Regional Manager of Community Health, Dr Babatunde Fakunle, during  5 years celebration of Obio Cottage Hospital at Novotel  Hotel, Port Harcourt, recently.     Photo:  Obina Prince Dele

Prof Abiodun Ilesanmi and SPDC Regional Manager of Community Health, Dr Babatunde Fakunle, during
5 years celebration of Obio Cottage Hospital at Novotel Hotel, Port Harcourt, recently. Photo: Obina Prince Dele

The recent World Bank
rating of one of the cottage hospitals in Rivers, the Obio Cottage Hospital (OCH) in Obio/Akpor Local Government Area, as a model, in healthcare delivery not only in Nigeria but the world at large, was indeed a cheering news to the people and residents of the state and the nation.
World Bank said, a thorough investigation based on universal indicators on access to efficient and effective healthcare services to community members through sustainable operated healthcare facilities, Obio hospital came out with impressive result compared to what obtains in other healthcare facilities in Nigeria in particular and in the world at large.
Disclosing this at the fifth anniversary of OCH recently in Port Harcourt, Dr Olumide Okunola representing the International Financial Corporation/World Bank said the outcome of the research was heartwarming and attributed it to the approach of Community Health Insurance Scheme which gave the community people sense of ownership of the facilities.
“He said World Health Organisation (WHO) ranked Nigeria’s health system first out of 191 countries, with data indicating that Infant Mortality (110 deaths/1000 live births) and maternality (1500/100000 live births) rates being among the worst in the world.  More disturbing was the fact that 70 per cent of the health care expenditures are out of pocket expenses by those who could ill afford it.
Out of concern for the high cost of health services especially in the oil-rich Niger Delta, Communities under its 1A cluster, Shell Petroleum Development Company of Nigeria (SPDC), the Rivers State Government sought a more effective healthcare delivery for the people and residents of the IA Cluster communities and came up with Community Health Insurance Scheme (CHIS) and signed an operational Memorandum of Understanding (MoU).
Under this CHIS initiative, with a paltry N10,000 enrollment fee per person, per year, one enjoys comprehensive primary and secondary care, including caesarean section and in-patient care, home visit termed healthcare at the doorsteps as well as other numerous client support services.
This is a far cry of what obtains today in other health institutions, both private and public are considered.
The success story is that Obio Cottage Hospital which, like other public health centres, grew from a facility concerned with mere immunization centre has 45,000 enroled persons, 3488 safely delivered babies in 2014, with an average of 270 monthly as against 10 before the scheme. It also recorded 3,108 caesarean sections, 1243 surgeries and 100 per cent uptake of ante-natal care, HIV counseling and testing, amongst other impressive records.
Excited by the success of the scheme, the Executive Secretary, Rivers State Primary Health Care Management Board, Dr Claribel Abam described the feat as an amazing milestone in five years of uninterrupted community-based health insurance scheme implementation in the Niger Delta. She commended the stakeholders for making one of the state’s facilities take a pride of place not only in Nigeria but in the world.
Abam, in her comment at the occasion said, “with the community-based Health Insurance Scheme, Obio is now a reference point both nationally and internationally”, and stressed that since the inception of this scheme in 2010 the facility has recorded a progressive increase in the number of clients while the state government’s health personnel which form part of the effort have built capacity and become role models in efficient management of health systems.
Reactions from some international figures who paid visitations to OCH based on the wonderful record set, show expressions of satisfaction and amazement.
“Fantastic!! Great Ambience, Committed Staff, well stocked pharmacies, efficient record keeping and great public, private partnership. A model for Nigeria”, said a Senior Health Specialist of the World Bank, Dinerh Nav.
A Member of Parliament, in United Kingdom and Secretary All Party Parliamentary Group, Nigeria, UK Parliament, James Doddridge said, “I was amazed to see so much being achieved in one small site.  This clinic is truly a model for healthcare, not just in Nigeria but worldwide”.
Tracing the origin of the CHIS, the Chairman 1A Cluster Development Board, Chief Joseph Amadi, said the beginning was tough and challenging especially with the board not knowing where to raise fund.  “But with the little we had, the people were enthusiastic and Shell was a willing technical partner and great support from the Rivers State Government”.
Amadi expressed joy that just like a mustard seed, the initiative began to grow from grass to grace such that today it has become one initiative viewed by even the World Health Organisation as a model and the way to go in the effort of delivery quality and efficient healthcare services to the people.
The board chairman explained that provision of standard healthcare particularly to the poor rural people is a challenge in view of the high cost of medical services today and stressed that the CHIS idea is a clear proof that such rural people can be assured of quality health services if they pool their little resources under Community Health Insurance System.
“It requires an all inclusive involvement of the people, the government and other partners and a clear understanding of the importance of dependence of one another is paramount for the success of any such scheme. I am happy so also the people and other partners that today the scheme is a total success worth emulating”, he stated.
The Regional Community Health Manager, Community Health Department SPDC, Dr Babatunde Fakunle said as part of SPDC’s commitment to the quality health of its host communities (Shell Industrial Area (1A) it partnered with the  people, Obio/Akpor Local Government and the Rivers State Government to launch Niger Delta’s first Community Health Insurance Scheme (CHIS) was introduced for indigenes and non-indigenes resident in the 1A communities consisting of Oginigba, Rumuobiakani, Rumuomasi and Rumuozeolu, using Obio Primary Healthcare Centre as the healthcare provider for the scheme.
Fakunle said Obio Cottage Hospital through the CHIS has become a big success and that the scheme has proved itself a wonderful initiative and we are interested in getting it replicated in our other host communities to boost healthcare in the Niger Delta.
The Chief Medical Director of Obio Cottage Hospital, Dr Umejiego Chigozie said the success so far recorded is not the end point because it is about quality, noting that when you set a high standard, the challenge is how to sustain the record set so that you do not fall back.
He said Obio is extending services to other centres around with surgeries and other complex services to enable them enjoy the quality services as found in OCH.
On those poor persons who still are unable to afford the N10,000 enrollment fee, the CMD said there is Indigenes Committee put in place and that the committee investigates such complaints and if actually such people are unable to afford, a special fund set aside annually would be used to complement the shortfall from those who are unable to afford the official  enrollment fee of N10,000 per person per year.
He also disclosed that the centre is undergoing expansion in terms of structure and facilities to contain the growing number of persons enrolling and for improved services.
To complement the regular power outages in public electricity supply, the CMD also revealed that wind and solar energy systems have been installed.
“The green energy project is an economically friendly, power dependable and efficient solution to modern day hospital requirement for our environment.  It ensures an uninterrupted power supply 24 hours as Analysts believe that with the over one hundred primary health centres built across Rivers State by the Governor Rotimi Amaechi’s administration, the Community Health Insurance initiative could be a wonderful complete to high quality and efficient healthcare service delivery.
Chuma Akazie advised the Rivers State Government and other state governments in the Niger Delta region to include the Community Health Insurance in their system.
Akazie, a business consultant said the people especially the low income earners would enjoy same high quality healthcare as provided by OCH if they pool their resources and risks together in the insurance scheme.
“Today, large number of the poor masses besiege spiritual homes, unorthodox practitioners for their health challenges because of the high cost of drugs and other health services.  And this systems have resulted in many avoidable deaths which could otherwise by resolved through the Community Health Insurance initiative.
The impact of the initiative has elected the Obio Cottage Hospital to a medical research centre as record shows that both Braithwaite Memorial Hospital (BMH) and University of Port Harcourt Teaching Hospital (UPTH) have signed Memorandum of Understanding with OCH in research relating to attitude of staff while not less than 20 publications and abstracts at various levels of medical researches including PHD students are so far recorded.

 

Chris Oluoh

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Oil & Energy

Hedge Funds Turn Bearish On Oil, Bullish On Natural Gas

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Traders have not been this bearish on oil in months or so bullish on United States natural gas in years.
The latest data on money managers’ positioning in the WTI and Brent crude and U.S. natural gas futures showed two contrasting trends—speculators are betting that oil prices would remain low or go even lower while increasing the bets that natural gas prices would continue marching higher.
So far this year, geopolitical and supply and demand factors have been increasingly bearish for the oil price outlook and increasingly bullish for natural gas prices.
In the oil market, hedge funds and other portfolio managers have been slashing their bullish bets since the end of January, when the U.S. sanctions on Russia’s oil trade were the primary bullish driver of managed money to bet on a tightening market.
With U.S. President, Donald Trump, now in office, the sentiment has quickly soured amid the president’s insistence on lower oil prices, his efforts to broker an end to the war in Ukraine, and – most of all – the enormous uncertainty about on-and-off tariffs and tariff threats and their potential impact on the American economy.
As a result, market participants are preparing for lower oil prices, even amid expectations of declining oil supply from Iran and Venezuela due to President Trump’s hawkish policy toward these OPEC producers.
Speaking of OPEC, the wider OPEC+ group has just said it would begin increasing supply as of April, adding further downward pressure on prices.
Faced with all these bearish drivers, money managers have been reducing their bullish bets on crude oil futures, with the U.S. WTI Crude hitting the lowest net long position – the difference between bullish and bearish bets – in 15 years at the end of February.
In the week to March 4, the latest reporting week with data released on March 7, speculators bought WTI amid a major selloff in all other commodities except for U.S. natural gas.
The net long in WTI rebounded from the 15-year low, but it wasn’t because the market suddenly started betting on higher prices going forward. The rise in WTI buying and the net long was the result of short covering in the U.S. crude futures contract.
In Brent, hedge funds cut their bullish-only bets in the week to March 4 for the biggest decline in longs since July 2024.
Unlike in crude oil, money managers have become increasingly bullish on U.S. natural gas after inventories dipped this winter to below the five-year average as demand surged in the coldest winter for six years.
The net long in natural gas further swelled in the week to March 4, as the number of new bullish bets was four times higher than the new short positions.
“Natural gas continues to benefit from rising demand, both domestically in the US and towards exports via LNG,” Ole Hansen, Head of Commodity Strategy at Saxo Bank, said, commenting on the latest Commitment of Traders report.
At the start of the winter heating season in November, U.S. natural gas inventories were higher than average for the time of the year as America entered the season with stocks at their highest level since 2016.
These stocks, however, were quickly depleted during the coldest winter for six years, with demand for space heating and power generation soaring. A month before the end of the winter heating season, U.S. natural gas inventories have now slumped to below the five-year average and well below the levels from the same time in 2024, at the end of a mild winter.
The lower inventories and the higher demand – both for domestic consumption and LNG exports – have pushed prices higher, encouraging producers to boost gas output this year. Traders bet that prices will go even higher as demand from LNG plants is set to accelerate with the ramp-up of new U.S. export plants.
Paraskova writes for Oilprice.com.

By: Tsvetana Paraskova

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Oil & Energy

Renaissance Finalises Acquisition Of  SPDC

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Renaissance Africa Energy Holdings says it has successfully completed the acquisition of 100 percent equity holding in the Shell Petroleum Development Company of Nigeria (SPDC).
Spokesperson of the company, Tony Okonedo, who disclosed this in a Press Release, Last Thursday, said Renaissance has completed all processes for the full transfer of ownership of SPDC to the consortium, adding that it will now operate as Renaissance Africa Energy Company Limited.
“Renaissance Africa Energy Holdings today announced that it has successfully completed the landmark transaction between itself and Shell for the acquisition of the entire (100%) equity holding in the Shell Petroleum Development Company of Nigeria (SPDC).
“This follows the signing of a sale and purchase agreement with Shell in January 2024 and obtaining all regulatory approvals required for the transaction. Going forward, SPDC will be renamed as ‘Renaissance Africa Energy Company Limited.
“Going forward, SPDC will be renamed as ‘Renaissance Africa Energy Company Limited’.
“Renaissance Africa Energy Holdings is a consortium consisting of four successful Nigerian independent oil and gas companies: ND Western Limited, Aradel Holdings Plc. FIRST Exploration and Petroleum Development Company Limited and the Waltersmith Group, each with considerable operations experience in the Niger Delta, and Petrolin, an international energy company with global trading experience and a pan African outlook”, the statement reads.
Speaking on the acquisition, the Managing Director/CEO, Renaissance Africa Energy Holding,Tony Attah, said Renaissance Africa Energy Company Limited has a vision to be the leading oil and gas producer in Africa and to help the continent achieve energy security.
Attah expressed gratitude to the Federal Government for its support and pledged the company’s commitment to the Petroleum Industry Act.
“We are extremely proud to have completed this strategic acquisition. The Renaissance vision is to be ‘Africa’s leading oil and gas company, enabling energy security and industrialization in a sustainable manner’.
“We and our shareholder companies are therefore pleased that the Federal Government has given the green light for this milestone acquisition in line with the provisions of the Petroleum Industry Act”, he said.
The CEO acknowledged the contributions of Nigeria’s Minister of Petroleum Resources, the Nigeria Upstream Petroleum Regulatory Commission (NUPRC), and the Nigerian National Petroleum Company Limited (NNPCL) in facilitating the deal.
He said, “we extend our appreciation to the Honourable Minister of Petroleum Resources, the CEO of the Nigeria Upstream Petroleum Regulatory Commission (NUPRC), and the CEO of Nigeria National Petroleum Company Limited (NNPCL) for their foresight and belief, paving the way for the rapid development of Nigeria’s vast oil and gas resources as strategic accelerator for the country’s industrial development”.
The Statement further revealed that Renaissance partner companies collectively have an asset base of more than $3 billion and currently safely produce approximately 100,000 barrels of oil per day (bpd) from 12 oil mining leases and operate two functioning modular refineries in Nigeria’s Niger Delta.

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Oil & Energy

Oil-Rich Communities Must End Infighting To Access Dev Funds – FG

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The Federal Government has cautioned oil-rich communities against infighting and disruption of oil production, saying it could hinder their access to the Host Community Development Fund.
Minister of State for Petroleum (Oil), Heineken Lokpobiri, made the appeal while speaking at the KEFFESO Stakeholders Forum, in Yenagoa, Bayelsa State.
Lokpobiri noted that the Petroleum Industry Act (PIA) was enacted to bring stability to the oil sector and address longstanding grievances about underdevelopment in host communities.
He lamented, however, that internal disputes among stakeholders have made it difficult for these communities to access and utilize the funds meant for their development.
Lokpobiri insisted that host communities must overcome internal conflicts that hinder their access to the funds.
“This KEFFESO Stakeholders Forum is to see how host communities can maximize the benefits from the Host Communities Trust Funds as prescribed by the PIA.
“If oil production is disrupted, everyone loses — the Federal Government, oil companies, and the host communities themselves. That is why host communities must collaborate with the government and oil companies to ensure smooth operations” Lokpobiri stated.
The Minister called on Host Community Development Trusts (HCDTs) in the Niger Delta to effectively utilize the 3%  operational funds allocated to them under the PIA 2021 to drive sustainable development.
He further called that oil-producing communities should take ownership of the oil and gas facilities within their domains and work with relevant stakeholders to ensure sustainable benefits.
“As stakeholders who have their respective stakes in oil and gas operations in the country, we should work together to ensure that we maximize the benefits of oil and gas.”
The minister also emphasized the global push for cleaner energy, warning that the relevance of fossil fuels depends on their extraction and marketability.
“Don’t forget there is a global campaign against the continuation of production of fossil fuel.
“Fossil fuel will never go away. Fossil fuel will not have any value unless you bring it out of the ground or from the sea to the market, that is why we need this collaboration,” he said.
In his remarks, the Executive Secretary,  Nigerian Content Development and Monitoring Board (NCDMB), Engr. Omotsola Ogbe, reaffirmed the board’s commitment to leveraging the provisions of the Nigerian Oil and Gas Industry Content Development (NOGICD) Act.
Represented by the Board’s Director of Legal Services, Naboth Onyesoh, Ogbe noted that the NCDMB’s Community Content Guidelines were designed to ensure sustained community engagement as local content is prioritized throughout the oil and gas value chain.
Ogbe praised the KEFFESO Host Community Development Trust for its efforts in ensuring that oil revenues benefit local communities.
Also speaking, the Managing Director and Chief Executive Officer, First E & P, Ademola Adeyemi-Bero, described the KEFFESO Stakeholders Forum as a crucial platform for discussing and strategizing solutions to the challenges facing marginalized communities in the Niger Delta.
He reiterated the company’s commitment to fostering meaningful and sustainable development in the region.
The forum, themed “Envisioning Sustainable Community Development in Niger Delta Host Communities: Identifying Challenges and Actualising The PIA Paradigm Shift,” brought together key stakeholders to discuss strategies for maximising the benefits of the Petroleum Industry Act(PIA).

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