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Addressing Inadequate Number Of Doctors In Nigeria

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Governor Nyesom Wike admires a child born during the inspection tour of General Hospital, Bori.

Governor Nyesom Wike admires a child born during the inspection tour of General Hospital, Bori.

Concerned Nigerians
note that the number of doctors in the healthcare centres across the country is inadequate considering the nation’s population estimated at more than 170 million.
They opine that the Nigerian situation in this regard does not represent the recommendation of the World Health Organisation (WHO) that there should be one doctor, at least, to every 600 patients.
Expressing concern about the inadequate number of doctors, the Medical and Dental Council of Nigeria, says that no fewer than 35,000 medical doctors are presently practising in the country in spite of the size of its population.
But medical experts insist that massive exodus of medical professionals from Nigeria in search of greener pastures in foreign countries is the cause of the shortage of medical doctors.
The Chairman Association of General and Private Medical Practitioners of Nigeria, Lagos chapter, Dr Anthony Omolola, noted that the brain-drain problem could be checked if the government improved on the welfare package of doctors in the country.
He admitted with an analyst’s view that, “there is a disproportionate concentration of medical professionals in urban areas.”
Omolola also advised that Nigerian government should give more attention to primary healthcare to reduce disease burden in the society.
Sharing similar sentiments, the former National President of Nigerian Medical Association (NMA), Dr Osahon Enabulele,  said poor human resources planning and unsatisfactory working conditions, among others, were responsible for the dearth of medical personnel.
According to him, because of inadequate infrastructure and remuneration packages, a sizeable number of physicians, nurses and other medical professionals are moving out of the country in droves.
“Most of these doctors are presently working in U.S., UK, South Africa and other neighbouring African countries, where medical personnel are treated better,” he observed.
“In addition, more than 100,000 applicants show interest in studying medicine and surgery annually but less than five per cent gets admission.
“Universities cannot admit more than a certain quota based on the policy of Nigerian University Commission (NUC).
“This is due to lack of infrastructures in our universities but the onus lies on the government to increase funding for education to put in place requisite facilities.
“This in turn would increase the number of applicants admitted to study medicine, increase the number of medical graduates and reduce the current doctor-patient ratio,” he said.
Enabulele urged the Federal Government to increase budgetary allocation for residency programme of young doctors and improve salary and welfare packages of medical personnel to make those that are qualified stay in the country.
He said Nigeria had shortage of specialist doctors because the appropriate authorities placed little or no importance on training of doctors and other health professionals.
“The ratio of patients to doctors in Nigeria is appalling. It is about one doctor to 8,000 people; in U.S. and UK, it is one doctor to 100 people,” he said.
Expressing concern about shortage of doctors in Nigeria, a consultant neurosurgeon, Dr Biodun Ogungbo, said there were 50 neurologists and 40 neurosurgeons in the country — doctors who specialise in the diagnosis and treatment of conditions affecting the nervous system.
“This shortage of neurologists means that Nigerians do not have access to neurological services. Even if they do, it will be expensive and unaffordable to most people,” he said.
Further to this, observers note that there is only one diagnostic centre in the country at the University College Hospital, Ibadan, where the elderly –aged 65 and above — can receive specialist attention.
They note that Nigerian medical doctors also prefer popular areas of medicine such as obstetrics, gynaecology and surgery, the development, they believe, has contributed to inadequate personnel in healthcare.
But a gynaecologist in Abuja, Dr Nathaniel Adewole, gave other reasons for shortage of medical doctors
“Many students study the profession against their desire, so some went into business after the training.
“Also, some female doctors, due to marital issues, could decide not to practise medicine as it would affect the family life,” he observed.
He also decried lack of space in the government hospitals, insisting that none availability of enough accommodation had posed problem for some young doctors to do internship.
“Space is the major barrier for graduated doctor to do their internship, once there is space they will be taken; so it is done batch by batch,” Adewole explained.
This, notwithstanding, analysts opine that to meet the recommendation of WHO, Nigeria needs 283,308 additional doctors to maintain standard healthcare of its population.
Medical experts, therefore, appeal to the three tiers of government to address the deteriorating working conditions of doctors and dentists in primary and secondary healthcare by upgrading facilities in their domain.
Nwachukwu writes for News Agency of Nigeria (NAN)

 

Jacinta Nwachukwu

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RSU To Commence Entrepreneurship School

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The authorities of the Rivers State University (RSU) have disclosed plans to unveil a full Department of Entrepreneurship Studies , the Vice Chancellor has said.
The Vice Chancellor of the university, Prof NlerumOkogbule made the plans public while playing host to the State Council of the Nigeria Union of Journalists (NUJ) led by it is Chairman, Comrade Stanley Job Stanley during this year’s World Press Freedom Day Celebration.
Prof. Okogbule said already the plans are in advanced stages, as the lnstitution is now putting emphasis on business skills as a way of empowering its graduates.
The vice chancellor observed that entrepreneurship remainS a sure path to transform society,” the purpose is to empower our graduates and make them self reliant…and we recognise the importance of our graduates to having employable skills.”
Acknowledging the importance of the media in advancing society, the Rivers State University vice chancellor opined that no society grows without information, hence, the institution accords recognition to the media.
He reiterated the position of the university to partner with the NUJ in areas of training, and human resource development.
Already he noted that the former Mass Communication Department formerly with the Faculty of  Management Sciences has now been unbundled and made a full Faculty of Media Studies with departments in various aspects of Mass Communication.
Earlier, Chairman of the State NUJ, Comrade Stanley Job Stanley lauded the university for its commitment to human capital development and research.
He said the NUJ has always been a friend and partner of the university, leading to the pioneering and founding of the Department of Mass Communication in the Institution.

The State NUJ Chairman while urging the university to maintain its high standard emphasized the need to focus on producing manpower that are self reliant and contribute to society.

Comrade Stanley said lack of skills has made many graduates to go into crime and as such the need to refocus on self reliance education.

By: Kevin Nengia

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Malaria Accounts For  30 % Of Childhood Deaths-NMEP

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The National Malaria Elimination Programme(NMEP) has reported that Malaria accounts for 60 per cent of outpatient visits to health facilities across the country and 30 per cent of childhood deaths.
Globally, there are an estimated 249 million Malaria cases and 608,000 Malaria deaths among 85 countries.
Nigeria’s Ministry of Health and Social Welfare made the statistics at the key health players and experts to reevaluate its approach and strategies.
The event themed, “Ministerial Roundtable Meeting: Rethinking Malaria Elimination in Nigeria,” featured representatives from national and international health organisations, who analysed the country’s anti-malaria strategies over the past years.
Over the years, Nigeria has made continuous attempts to reduce its malaria burden to zero, however, the country still has the highest burden of malaria globally.
According to the 2022 World Malaria Report, Nigeria contributes about 27 per cent of the global burden of the disease, and about 31.3 per cent of deaths, the largest globally.
Experts speak recommending new approaches to fighting the epidemic, stakeholders and experts present at the event urged the government to reduce its dependence on external funding and improve government financing.
According to them, Nigeria needs to accelerate its effort to eliminate malaria by increasing the funds allocated to the malaria elimination programme annually.
A Senior Associate at the Johns Hopkins Bloomberg School of Public Health, Soji Adeyi, said Nigeria should begin to increase internal funding for malaria elimination.
“Whether you turn to Premium Times for daily updates, in-depth investigations into pressing national issues, or entertaining trending stories, we value your readership. It’s essential to acknowledge that news production incurs expenses, and we take pride in never placing our stories behind a prohibitive paywall. Would you consider supporting us with a modest contribution on a monthly basis to help maintain our commitment to free, accessible new drugs. “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,” he said.
Similarly, Abdu Muktar, the National Coordinator of the Presidential Healthcare Initiative, called for the local production and manufacturing of medical supplies and for reducing the country’s dependence on drug 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.
The Regional Director of the WHO, African Region, Matshidiso Moeti, advised the country to accelerate its efforts to end Malaria by relying on adequate data for the implementation of health policies.
She urged the Nigerian authorities to increase data availability and access for the government agencies at national and subnational levels, and also for the use of the public.
Ms Moeti maintained that Nigeria must invest in data to get a clear understanding of the health issues in its rural communities

She said: “For Nigeria to accelerate its efforts, it needs to invest more in data from local communities across the country to know exactly what is going on there.

“We need to be sure that the data we have is viable, so we need to invest, starting from the local level. This will improve efficiency and reduce fragmentation.

“We have technology today that can help us improve some of the ways we are dealing with data in the health sector. We can use data to identify the location that needs intervention. This calls for collective intervention.”

Some of the stakeholders suggested that the country should improve its leadership and coordination to efficiently capture every corner of the country burdened by mosquito-borne disease.

According to the Director of Public Health, Chukwuma Ayandike, Nigeria, with proper coordination and leadership, will be able to achieve its target of zero malaria.

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What we are doing- Minister
The Coordinating Minister of Health and Social Welfare, Mohammed Pate, said more needs to be done to fight malaria in the country.

He said the country is deploying tools that are available, safe, and effective for the population to improve their health.

Mr Pate said: “This is in line with the president’s agenda. We intend to deploy all tools that can control the spread of malaria; we intend to deploy nets, testing, and treatments of malaria. We also intend to provide affordable antimalarial drugs”.

Mr Pate further disclosed that the government also intends to use political and traditional leaders and private sector leaders in the fight against malaria in remote parts of the country.

“The country also needs to prioritise the use of a driven approach to accelerate progress, as well as better financing and better partnership to eliminate malaria with private organisations,” the minister added.

Malaria in Nigeria
Malaria transmission within the country is high and even higher in rural communities situated by the banks of major rivers and water bodies.

The disease is caused by tiny parasites called Plasmodium, often found in mosquitoes.

When an infected mosquito bites a person, it transfers these parasites into the bloodstream. The parasites then travel to the liver and multiply. After a few days, they reenter the bloodstream and infect red blood cells, causing the symptoms of malaria, such as fever, chills, and flu-like illness.

The National Malaria Elimination Programme(NMEP) reported that Malaria accounts for 60 per cent of outpatient visits to health facilities across the country and 30 per cent of childhood deaths.

Globally, there are an estimated 249 million malaria cases and 608,000 malaria deaths among 85 countries.

The African region carries a disproportionately high share of the global malaria burden.

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RSG Plans Fresh Training For TBAs

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Plans are in the works by the authorities in the Rivers State Ministry of Health to conduct training for Traditional Birth Attendants(TBAs) in the State.
State Commissioner for Health, Dr. Adaeze Oreh gave the hint while chatting with newsmen recently in Port Harcourt.
She said the training has become crucial to school the TBAs on methods and measures to complement in maternal health care.
In her words,”  We are aware of of their roles, but we need to be confident that they can still play that role, especially the skills set needed to complement what government is doing.’’
Dr. Oreh explained that maternal and child care has evolved, hence, the TBAs need to be schooled,” we want them to scale up their skills, especially on high risk pregnancies.”
She continued, “ We want to make sure that our system mops up those high risk pregnancies, because we know that many of them carry out clandestine activities they are not helping us.”
Assuring of improved manpower in the State health sector, Dr. Oreh said the Governor Siminalayi Fubara administration has embarked on fresh recruitment exercise for health workers to meet current challenges.
She assured that once the recruitment exercise is completed, the various health centres and hospitals will be staffed with qualified manpower to provide efficient health services in the State.

Kevin Nengia

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