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Saving Babies From HIV Through PMTCT

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As part of efforts to combat the spread of HIV/AIDS, especially to unborn babies, the National Agency for Control of AIDS (NACA) instituted a special programme for expectant mothers, tagged Prevention of Mother-to-Child Transmission (PMTCT).

The programme ensures that pregnant mothers, who are diagnosed with HIV, as so managed to deliver their babies free from the disease.

Officials explain that under the programme, expectant mothers receive free treatment, after a CD4 and WHO staging tests have been conducted on them, to determine their viral loads, so as to enable an appropriate anti-retroviral management.

Prof. John ldoko, the Director-General of NACA, says that women’s participation in the PMTCT programme is improving, as over 23 per cent of mothers infected with HIV had keyed into it.

“Our coverage has improved. By December 2009, we had only 11 per -cent coverage, but that more than doubled to 23 per cent in 2010.

“This shows that we are making some progress. We need to do more, so as to be able to hit a 60 per-cent level,” Idoko says.

Medical experts say that the drugs, Zidovudine and Nevirapine, are usually administered on expectant mothers from their 28th week of pregnancy up till the time of labour, while in some instances; referrals are made for the triple therapy called HAART.

The experts add that babies delivered by such mothers undergo treatment with Zidovudine and Nevirapine syrups within six and 72 hours after birth, while the need for any extended treatment depends on the adequacy of treatment received by the mothers before the delivery.

Such management, they note, reduces the risks of passing on HIV from mother to child during delivery.

According to Idoko, it is government’s expectation that more expectant mothers who are HIV­ positive will key into the PMTCT, which is available in government and private hospitals across the country.

He says that faith-based organisations will be involved in a renewed sensitisation campaign that will be initiated soon, so as to boost pregnant women’s participation in PMTCT.

The director-general discloses that as at date, about 23,000 children had been placed on anti­retroviral drugs under PMTCT, out of the over 100,000 children who required treatment.

On his part, Prof. Barnabas Mandong, Plateau State’s Commissioner for Health, advises that mothers diagnosed with HIV should breast-feed their babies for at least the first three months, so as to give them a head start in life.

Such an act, he says, poses no danger whatsoever to the newly born babies by reason of research findings recorded the world over.

“Breast milk not only provides all the nutrients a baby needs; mothers through it also pass on antibodies, which help to protect the little ones from diseases as diarrhea and pneumonia,” Mandong stresses.

He explains further that the treatment of pregnant women, nursing mothers and infants with triple anti-retroviral drugs drastically cuts down transmission of HI V to babies during pregnancy and delivery.

“In one study, a combination of anti-retroviral drug therapy given to pregnant and breast-feeding women in Botswana kept all but one per cent from contracting the infection during the first six months of breast-feeding,” the commissloner reveals.

Some women, who had benefited from the PMTCT, applaud the scheme and advise other expectant mothers to embrace the programme, so as to safeguard the nation’s future.

They confirm that the programme helps expectant mothers to give birth to HIV -negative children.

Mrs Comfort Musa, petty trader and mother of three, says that two out of her three children were born HIV-free, having assessed PMTCT drugs during her pregnancies.

She recalls that before the PMTCT took off, HIV – infected mothers experienced a lot of troubles with neighbours, mothers-in-law and friends, who variously advised them not to breastfeed their babies.

“The inability to breastfeed babies was a ready sign for people to identify HIV -positive mothers. “I did not breast feed my first child but he was still positive, as my status was only known after I had delivered the child.

“People who visited me after delivery tried to find out why I was not breastfeeding the child; I continued to lie until I could not lie again.

“I told them I had a breast disease and was advised by the doctor not to breast feed my baby but my mother-in-law did not believe me,” Comfort recalls.

She says that after her first child, PMTCT made it possible for her to breastfeed her other babies for six months, adding that this confused her mother-in-law, friends and neighbours, who had wondered at her earlier claim.

Hajiya Fati Usman, a housewife, who lost her first husband five years ago to AIDS, says that her last child was HIV-negative because she went through PMTCT.

Usman recalls that she was only two months’ pregnant when her husband died and was afterwards confirmed to be HIV -positive.

“It was after his death that I learnt his first wife had died of AIDS. I was advised by the family doctor to attend PMTCT programme to enable me have HIV-free baby.

“The first wife was sick when I married him. She died fourteen months later. After I had my first baby, my husband fell sick and died seven months later.

“Being just two months pregnant when he died, I was advised to go for HIV test, which I did, and I was confirmed positive. Immediately, I started the PMTCT for my baby to be born HIV­ free,” she says.

She commends the Federal Government for initiating the programme and advises pregnant HIV ­positive women to avail themselves of the opportunity to bear HIV -free babies.

Health analysts say that aside from the PMTCT, specially directed at expectant mothers, other measures put in place by the Federal Government over the years to combat HIV appear to be paying off.

For the first time since 1986 when the first case of HIV/AIDS was confirmed in a Lagos hospital, records show that there had been a steady decline in the prevalence of HIV in the country.

A report by UNAIDS in 2010 listed Nigeria as one of the 33 countries in the world, and the 22nd in Africa, where the HIV incidence had declined by more than 25 per cent between 2001 and 2009.

The report attributed the decline to HIV prevention efforts.

According to the report, data from ante-natal care centres in Nigeria show a decline in HIV infections in the rural and urban areas, as well as a decrease in the number of people who are exposed to sex by the age of 15.

While it puts HIV prevalence in Nigeria at 3.6 per cent, it also reveals that about 26 per cent of males and 24 per cent of females are aware of HIV prevention methods.

It further says that about 20 per cent of males and five per cent of females engage in high-risk sex, while about 70 per cent of males and 30 per cent of females use condom.

However, officials point out that the Round Nine of global funding for HIV, through which Nigeria will access about 320 million dollars in the next five years, represents a significant boost to the fight against HIV I AIDS in Nigeria.

An additional three million dollars, they add, had also been released to the country, to boost the PMTCT.

In a related development, the World Bank has also recently offered a credit of 225 million dollars to Nigeria for four years, with which to fill funding gaps, identified as the bane of the national response to the scourge of HIV.

Notwithstanding the UN General Assembly’s Special Session Country Progress Report, which says that HIV situation in Nigeria had improved due to greater attention by government, Idoko says that much needs to be done.

He notes that the number of adults and children, who received anti-retroviral drugs in the country stood at 400,000, although the target for 2011 is 850,000.

President Goodluck Jonathan, on his part, reiterates the need to scale up the fight against HIV/AIDS, regardless of the gains recorded so far.

He gives the assurance that his administration will create a special budget to enable all ministries to join the fight but he, nonetheless, urges Nigerians, who have yet to know their HIV status, to go for HIV tests.

Jonathan reiterates that there is an urgent need to scale up universal access to comprehensive prevention, treatment, care and support to the fight against HIV/AIDS before 2015.

“Statistics have shown that only 14 per cent of Nigerians have ever been tested for HIV. “Ideally, everybody needs to know his or her HIV status, so as to take appropriate measures on whichever way the report goes,” he says.

While many analysts applaud the PMTCT initiative, they, however, call on all expectant mothers to avail themselves of the opportunities offered by the programme to know their HIV status and ensure their delivery of HIV – free babies.

Franca Ofili

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 Malaria Burden And Public Health In Nigeria 

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It is worrisome that Nigeria has  the largest  Malaria deaths in the world. According  to the  2022  World.Malaria Report, Nigeria  contributes about  27 percent of  the global burden of Malaria disease, and about 31.3 percent of deaths , the highest in the world.
Malaria accounts for 30 percent of childhood deaths,.60 percent  of outpatient visits to health facilities   across Nigeria.
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. While Nigeria  is struggling  with Malaria burden, Cape de Verde, today live Malaria-free, according to the
World Health Organization (WHO) certification  and rating.
This declaration by the global health Organisation about Cape Verde  is very cheery and means so much to me considering the economy, size and polity of the country.
Unlike Nigeria with more than 44 mineral resources spread across 500 locations  in the country,  Cape de Verde, has no natural resources. Its developing resources is mostly Service-oriented with growing focus on tourism and foreign investment.
My worry is that even with abounding natural and human resources of unimaginable quantity in Nigeria,  Malaria programmes are either grossly underfunded, misappropriated or   embezzled with impunity.
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.
Nigerian citizens still wallow in the orgy of leadership-induced pain, poverty and sorrow more than 63 years after political independence.
Malaria that is alien to the natural resources-barren Cape de Verde is endemic in Nigeria and is one of the leading causes of death of children under the age of six and pregnant women. Malaria is an household name in Nigeria so much so that 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, some time last year urged the Federal Government to declare Malaria an emergency in Nigeria as matter of urgent national interest. Because it is an ailment that only the poor and vulnerable suffer, that motion is treated with levity and perhaps consigned to the trashcan of not-feasible declarations.
Without any iota of doubt, Nigeria has the resources to fight and conquer malaria. If Cape de Verde could, Nigeria can as well if the leadership of the country is committed to do so.
At.an event organised  by.the Federal  Ministry of Health and Social Welfare recently,  themed “Ministerial  Roundtable  Meeting: Rethinking  Malaria Elimination in Nigeria “representatives of national and international  health organisations, analysed the country’s  anti-malaria strategies  over the past years.
Experts 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.
Adeyi of the John Hopkins Bloomberg  School of Public Health advocates increased internal funding.of all Malaria programmes to eliminate Malaria. 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  (W.H.O.),  African Region, Matshiddiso  Moretti, advised Nigeria  to accelerate  its efforts to end Malaria  by relying  on  adequate data for the implementation  of health policies.
It has been rightly  said that Nigeria is rich but its people are abjectly poor because of the abysmally poor leadership that has characterised governance in the country since the inception of self-rule.
If the millions of public funds stashed in private and foreign accounts, misappropriated and or embezzled are judiciously used, no doubt, the issues of malaria, unemployment, decaying and dilapidated infrastructure and marginal underdevelopment with the attendant multi-dimensional socio-economic challenges, would have since been addressed.
How will Nigeria ascribe to herself “Giant of Africa” when she has not been able to achieve the healthcare demands and requirements of Nigerians? How can Nigerian leaders audaciously lull its citizens to believe that they are working for the welfare of Nigerians when the seeming little things that matter are not attended to. Even welfare-oriented programmes are being truncated by greed and inordinate desire to amass wealth at the expense of the public.
The  anomaly of diversions, misappropriation, outright embezzlement, and several others are the reasons Nigeria’s present and successive governments could not win the fight against malaria which health and medical practitioners say  poses the greatest threat to life than the dreaded HIV/AIDS. This suggests to me that the mortality rate caused by HIV/AIDS is grossly disproportionate to deaths caused by malaria.
Malaria is commonly believed to be caused by mosquitoes which breed in  dirty environment, especially where there is stagnant water. A lot of communities in Nigeria even the Sandfilled area of Borikiri in Port Harcourt is so mosquito-infested that residents cannot sleep without nets. It is a nightmare to sleep without a net.
The Federal, State, and Local Government should initiate programmes to end malaria scourge in the country. They should intentionally and proactively channel the people’s money to their welfare. Malaria eradication is a public welfare-oriented programme so government at all levels must prosecute it with adequate funding that must be supervised and accounted for, to avoid the unfortunate incidents of the Humanitarian Affairs Ministry and several other Ministries, Departments and Agencies that have used programmes and projects as smokescreen to siphon public funds.
While there should be a dedicated funds to fight malaria and defeat it over  a period of time, environmental sanitation exercises, to clear the drains, gutters and grass should be stepped up. This consciousness should be cultivated and imbibed by all.
The legitimacy of any Government is derived from the people, so Government exists for the people. No amount of money spent on the welfare of the people is too much for them. After all, the people remain the benefactors that those in Government, who in an ideal situation are stewards, are supposed to be accountable to.
The administration of President Bola Ahmed Tinubu should ensure that no stone is left unturned in achieving this lofty and laudable project.

Igbiki Benibo

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Curbing Substance Abuse Among Nigerian Youths

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In September 2023, a 24-year old lady had a birthday party in a South-West state where one of the guests offered to sell sachets of ‘Milo’ for N1,500 each. The guest, a young lady, had mixed marijuana with Milo and put same in Milo sachets, which had been so expertly sealed that no one would have suspected what the content of the sachets was. The guests at the party rushed the ‘Milo sachet’ and went on a binge, drinking and smoking themselves to get ‘high’. After getting high, fight eventually broke out among them and security operatives had to be brought in to maintain the peace. It was at that point that unsuspecting members of the public got to know that the party guests had gone on a marijuana trip. According to the World Health Organisation (WHO), substance abuse, or misuse, is the harmful use of psychoactive substances, including alcohol and illicit drugs. A psychoactive substance is a drug that affects how the brain works and causes changes in mood, awareness, thoughts, feelings, or behaviour. Examples of psychoactive substances include alcohol, caffeine, nicotine, marijuana and some pain relievers. Other substances abused by Nigerian youths include, ice, molly, cannabis, tobacco, cigarettes, cocaine, sedatives, kolanuts, analgesics, glue, heroine, energy drinks, miraa, tramadol, tranquillisers, cough drops,antimalarial and antibiotics.
Substance abuse is detrimental to health and wellbeing of those involved in it. A Nigerian singer, Joshua Iniyezo aka Solidstar, recently disclosed how substance abused nearly ruined him. According to him, he was introduced to a banned substance called Ice in 2021. He said the substance made him see himself as “a king’’ who didn’t have to pay for any item. One day he walked from Awoyaya in Lagos Mainland to the Oriental Hotel a distance of about 32 kilometres.  Another singer, Inetimi Alfred, popularly known as Timaya, said he was introduced to Molly, a synthetic drug with psychedelic effects. The drug initially brought him happiness but eventually led to detrimental effects on his health, including weight loss and financial struggles. His words: “When I took it, I did not understand myself. I was so happy that I dashed all the money in my pocket. So I wanted to just keep feeling like that. That was how I lost a lot of weight. I was not eating, I was just happy. When I said I was taking Molly, I was taking like three pills every day and it felt like medication. I got kicked out of jobs and contracts… people I was doing business with did not want to work with me again.”
So, substance abuse makes the youth to get ‘high’ but it does more than that. It can make them paranoid, it can precipitate heart attack or failure, stroke, seizures, sleep disorders, drowsiness, nausea, respiratory depression, fatigue, disorientation, impairment in memory, learning, concentration, and problem-solving, hallucinations, decline in academic performance, etc.  As seen in the case of Timaya, it can result in job loss and can pose a threat to relationships. There is also the tendency to engage in criminal activities when ‘high’. Substance abuse among Nigerian youth is nearing the status of a pandemic. According to the National Drug Law Enforcement Agency (NDLEA’s) statistics, about 40 per cent of Nigerian youths between 18 and 35 years are deeply involved in the abuse of drugs. What does the future hold for the country if 4 out of every 10 young people are engaged in substance abuse?
The media is central to our lives. The media shapes our perception of the world. The media is actually the gateway to the mind. The media accesses the mind through the eyes and the ears. So, media contents are food for the mind. The mind is where decisions are made and where opinions are formed. Since the media has access to the mind, the media subtly controls the mind and plays a major role in the decision-making process. So, when the media projects something as good many people in the society take a cue from the media and believe that it is good. In the same vein, when the media projects an act as evil, the society largely avoids it. The media never leaves anything it comes in contact with the same way; it always affects them one way or the other. The media affects individuals in six various ways.  The media can affect cognition, which is the mental process. By affecting an individual’s cognition, the media affects his perception to the extent that he begins to see a particular phenomenon in a new light. The media also affects beliefs. The Western media has consistently showcased the Western culture as being superior to the African culture and this, to a degree, has been absorbed by some Africans who try all they can to travel abroad for ‘greener pastures’ only to get there and find out that the grass is always greener on the other side.
The media also affects attitude. If a child is exposed to violence, he begins to see violence as an option and will be tempted to try same every now and then. Another media effect is affect. This has to do with feelings, emotions and moods. Seeing a scene on television or reading about an event can affect the mood of an individual throughout the day. Media also has psychological effect on its audience. This means the media can affectthe orientation of people. The media also affects the behaviour of its users. Behaviour is the culmination of all the effects of media exposure that have been listed. By the time cognition, belief and attitude are affected, behaviour will change. Ladies and gentlemen, in light of the above, I will like to submit that advertently or not, the media has been encouraging substance abuse. This is a global phenomenon and not a Nigerian thing. When a television ad presents a successful musician with a bottle of an alcoholic drink at the background, though the focus of the advertiser from all intents and purposes will be to draw the attention of the society to its alcoholic drink, but the loud message is that “To be as successful as the musician in the ad, take alcohol”. Or, “Successful people take this alcohol; don’t you want to be like them?”
When a musical video glamourises boozing and smoking, what is the message to the society? A song like ‘FotiFoyin’ (brush your teeth with alcohol) encourages the youth to consume alcohol, while a musical video like ‘Asake Loaded’ celebrates smoking. The producers of these musical contents are role models in the society. Some of them are even brand ambassadors. If, as we said, the media is the gateway to the mind, what is the message of these media contents to the society?   The media has to be alive to its social responsibility if Nigeria will win the war against substance abuse by the youth.  The social responsibility theory of the media mandates the media to put the societal wellbeing at the centre of its activities.
This theory says that the media has a responsibility to the society and should always work in the interest of the society. While a media outfit may be a business organization that must make returns to its shareholders, the operators of the business must realize that they will only continue in business if the society survives. If the society is destroyed, the business outfits operating in it will also go down. The easiest way to destroy a society is to destroy its youths.
If the media understands this responsibility and upholds it, it will be clear that the future of the youth who are being exposed to substance abuse is of more importance than the immediate pecuniary gain they will make by pushing out deleterious contents that will push the youth into seeking substances that would make them high.
The media is a major factor in the wellbeing of the society because it plays a major role in what is permissible or prohibited. This is done through what it promotes or refrains from promoting.
As part of its social responsibility, the media should embark on sensitisation of the public on the dangers inherent in substance abuse. This should be continuous and sustained as the media’s contribution to the wellbeing of society.
The government is the most important factor in curbing substance abuse because government is a change agent. Whatever the government permits gains prominence and whatever it prohibits is frowned at.
Government can curb substance abuse through orientation and reorientation. By deploying its massive resources, the government can get across to all strata of the society on the ills of substance abuse and why it is pertinent for it to be spurned by the youth. By making use of all channels of communication and all media outlets, the government can drive home the point on why substance abuse should not be embraced by the youth.
Another means the government deploys to curb the spread of substance abuse is regulation. The Federal Government has, over the years, come up with various regulations to reduce substance abuse in the country. These include:
The Indian Hemp Decree No. 19 of 1966.
The Indian Hemp (Amendment) Decree No. 34 of 1979.
The Indian Hemp (Amendment) Decree, and the Special Tribunal (Miscellaneous Offences) Decree No. 20 of 1984.
The Special Tribunal (Miscellaneous Offences) (Amendment) Decree of 1986 and the National Drug Law Enforcement Agency Decree No. 48 of 1989 (as amended by Decree No.33 of 1990, Decree No 15 of 1992 and Decree No. 62 of 1999). These laws were harmonized as an Act of the parliament, CAP N30 Laws of the Federation of Nigeria (LFN) 2004. This Act established the NDLEA.
The government also fights substance abuse through Enforcement.
The National Drug Law Enforcement Agency (NDLEA) is the agency of government primarily saddled with the enforcement of substance abuse laws. The agency, which is under the Federal Ministry of Justice, is charged with eliminating the growing, processing, manufacturing, selling, exporting, and trafficking of hard drugs. The agency was established by Decree Number 48 of 1989. (1) The NDLEA is present in international airports, seaports, and border crossings.
The last leg is prosecution.
Section 11 (a) of NDLEA Act makes it an offence for a person, who having no lawful authority to do so, to engage in the importation, production, manufacturing, processing, growing and planting of cocaine, heroin, LSD or any other drugs of similar nature. The offence is punishable on conviction with life imprisonment. Section 11(b) and (c) also spell out punishments for those who contravene NDLEA laws. The import is that NDLEA is the primary agency with prosecutorial powers on substance abuse. The Nigeria Police Force can also prosecute.
Of the four legs to combating substance abuse, it is only orientation and reorientation that involve the three tiers of government. The remaining three, regulation, enforcement and prosecution are within the ambits of the federal government. How can NDLEA be on top of the situation of those smoking igbo at Igbo Ora or those sniffing Kushy at Kishi?
The point here is that substance abuse among Nigerian youths is on the rise because the strategy is wrong. Every criminality is local. Therefore, criminality is best fought or combated at the local level. Nigeria cannot successfully overcome the challenge of substance abuse among the youth unless the states and local government authorities are fully involved in it. That brings us again to the issue of the elephant in the room: restructuring.
We need to restructure the policing system as well as the substance abuse regulation and enforcement systems to defeat substance abuse among the nation’s youth.
The media and the government have critical roles to play in reducing substance abuse among the youth. The media needs to take its social responsibilities seriously and ensures that it projects values that would make the society better and stronger.
The government needs to take its sensitization and orientation responsibilities very seriously. Then, the system of government that makes the fight against substance abuse more of a matter of the federal government needs to be tinkered with so that all tiers of government can own the battle and deliver our youths from the jaws of substance.
Olanrewaju is Special Adviser (Media)/Chief Press Secretary to Oyo State Governor.

By: Sulaimon Olanrewaju

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Curbing Substance Abuse Among Nigerian Youths

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In September 2023, a 24-year old lady had a birthday party in a South-West state where one of the guests offered to sell sachets of ‘Milo’ for N1,500 each. The guest, a young lady, had mixed marijuana with Milo and put same in Milo sachets, which had been so expertly sealed that no one would have suspected what the content of the sachets was. The guests at the party rushed the ‘Milo sachet’ and went on a binge, drinking and smoking themselves to get ‘high’. After getting high, fight eventually broke out among them and security operatives had to be brought in to maintain the peace. It was at that point that unsuspecting members of the public got to know that the party guests had gone on a marijuana trip. According to the World Health Organization (WHO), substance abuse, or misuse, is the harmful use of psychoactive substances, including alcohol and illicit drugs. A psychoactive substance is a drug that affects how the brain works and causes changes in mood, awareness, thoughts, feelings, or behaviour. Examples of psychoactive substances include alcohol, caffeine, nicotine, marijuana and some pain relievers. Other substances abused by Nigerian youths include, ice, molly, cannabis, tobacco, cigarettes, cocaine, sedatives, kolanuts, analgesics, glue, heroine, energy drinks, miraa, tramadol, tranquillizers, cough drops,antimalarial and antibiotics.

Substance abuse is detrimental to health and wellbeing of those involved in it. A Nigerian singer, Joshua Iniyezo aka Solidstar, recently disclosed how substance abused nearly ruined him. According to him, he was introduced to a banned substance called Ice in 2021. He said the substance made him see himself as ‘’a king’’ who didn’t have to pay for any item. One day he walked from Awoyaya in Lagos Mainland to the Oriental Hotel a distance of about 32 kilometres.  Another singer, Inetimi Alfred, popularly known as Timaya, said he was introduced to Molly, a synthetic drug with psychedelic effects. The drug initially brought him happiness but eventually led to detrimental effects on his health, including weight loss and financial struggles. His words: “When I took it, I did not understand myself. I was so happy that I dashed all the money in my pocket. So I wanted to just keep feeling like that. That was how I lost a lot of weight. I was not eating, I was just happy. When I said I was taking Molly, I was taking like three pills every day and it felt like medication. I got kicked out of jobs and contracts… people I was doing business with did not want to work with me again.”

So, substance abuse makes the youth to get ‘high’ but it does more than that. It can make them paranoid, it can precipitate heart attack or failure, stroke, seizures, sleep disorders, drowsiness, nausea, respiratory depression, fatigue, disorientation, impairment in memory, learning, concentration, and problem-solving, hallucinations, decline in academic performance, etc.  As seen in the case of Timaya, it can result in job loss and can pose a threat to relationships. There is also the tendency to engage in criminal activities when ‘high’. Substance abuse among Nigerian youth is nearing the status of a pandemic. According to the National Drug Law Enforcement Agency (NDLEA’s) statistics, about 40 per cent of Nigerian youths between 18 and 35 years are deeply involved in the abuse of drugs. What does the future hold for the country if 4 out of every 10 young people are engaged in substance abuse?

The media is central to our lives. The media shapes our perception of the world. The media is actually the gateway to the mind. The media accesses the mind through the eyes and the ears. So, media contents are food for the mind. The mind is where decisions are made and where opinions are formed. Since the media has access to the mind, the media subtly controls the mind and plays a major role in the decision-making process. So, when the media projects something as good many people in the society take a cue from the media and believe that it is good. In the same vein, when the media projects an act as evil, the society largely avoids it. The media never leaves anything it comes in contact with the same way; it always affects them one way or the other. The media affects individuals in six various ways.  The media can affect cognition, which is the mental process. By affecting an individual’s cognition, the media affects his perception to the extent that he begins to see a particular phenomenon in a new light. The media also affects beliefs. The Western media has consistently showcased the Western culture as being superior to the African culture and this, to a degree, has been absorbed by some Africans who try all they can to travel abroad for ‘greener pastures’ only to get there and find out that the grass is always greener on the other side.

The media also affects attitude. If a child is exposed to violence, he begins to see violence as an option and will be tempted to try same every now and then. Another media effect is affect. This has to do with feelings, emotions and moods. Seeing a scene on television or reading about an event can affect the mood of an individual throughout the day. Media also has psychological effect on its audience. This means the media can affect the orientation of people. The media also affects the behaviour of its users. Behaviour is the culmination of all the effects of media exposure that have been listed. By the time cognition, belief and attitude are affected, behaviour will change. Ladies and gentlemen, in light of the above, I will like to submit that advertently or not, the media has been encouraging substance abuse. This is a global phenomenon and not a Nigerian thing. When a television ad presents a successful musician with a bottle of an alcoholic drink at the background, though the focus of the advertiser from all intents and purposes will be to draw the attention of the society to its alcoholic drink, but the loud message is that “To be as successful as the musician in the ad, take alcohol”. Or, “Successful people take this alcohol; don’t you want to be like them?”

When a musical video glamourises boozing and smoking, what is the message to the society? A song like ‘FotiFoyin’ (brush your teeth with alcohol) encourages the youth to consume alcohol, while a musical video like ‘Asake Loaded’ celebrates smoking. The producers of these musical contents are role models in the society. Some of them are even brand ambassadors. If, as we said, the media is the gateway to the mind, what is the message of these media contents to the society?   The media has to be alive to its social responsibility if Nigeria will win the war against substance abuse by the youth.  The social responsibility theory of the media mandates the media to put the societal wellbeing at the centre of its activities.

This theory says that the media has a responsibility to the society and should always work in the interest of the society. While a media outfit may be a business organization that must make returns to its shareholders, the operators of the business must realize that they will only continue in business if the society survives. If the society is destroyed, the business outfits operating in it will also go down. The easiest way to destroy a society is to destroy its youths.

If the media understands this responsibility and upholds it, it will be clear that the future of the youth who are being exposed to substance abuse is of more importance than the immediate pecuniary gain they will make by pushing out deleterious contents that will push the youth into seeking substances that would make them high.

The media is a major factor in the wellbeing of the society because it plays a major role in what is permissible or prohibited. This is done through what it promotes or refrains from promoting.
As part of its social responsibility, the media should embark on sensitization of the public on the dangers inherent in substance abuse. This should be continuous and sustained as the media’s contribution to the wellbeing of society.

**The government is the most important factor in curbing substance abuse because government is a change agent. Whatever the government permits gains prominence and whatever it prohibits is frowned at.

Government can curb substance abuse through orientation and reorientation. By deploying its massive resources, the government can get across to all strata of the society on the ills of substance abuse and why it is pertinent for it to be spurned by the youth. By making use of all channels of communication and all media outlets, the government can drive home the point on why substance abuse should not be embraced by the youth.
Another means the government deploys to curb the spread of substance abuse is regulation. The Federal Government has, over the years, come up with various regulations to reduce substance abuse in the country. These include:
The Indian Hemp Decree No. 19 of 1966.
The Indian Hemp (Amendment) Decree No. 34 of 1979.
The Indian Hemp (Amendment) Decree, and the Special Tribunal (Miscellaneous Offences) Decree No. 20 of 1984.
The Special Tribunal (Miscellaneous Offences) (Amendment) Decree of 1986 and the National Drug Law Enforcement Agency Decree No. 48 of 1989 (as amended by Decree No.33 of 1990, Decree No 15 of 1992 and Decree No. 62 of 1999). These laws were harmonized as an Act of the parliament, CAP N30 Laws of the Federation of Nigeria (LFN) 2004. This Act established the NDLEA.
The government also fights substance abuse through Enforcement.
The National Drug Law Enforcement Agency (NDLEA) is the agency of government primarily saddled with the enforcement of substance abuse laws. The agency, which is under the Federal Ministry of Justice, is charged with eliminating the growing, processing, manufacturing, selling, exporting, and trafficking of hard drugs. The agency was established by Decree Number 48 of 1989.[1] The NDLEA is present in international airports, seaports, and border crossings.

The last leg is prosecution.
Section 11 (a) of NDLEA Act makes it an offence for a person, who having no lawful authority to do so, to engage in the importation, production, manufacturing, processing, growing and planting of cocaine, heroin, LSD or any other drugs of similar nature. The offence is punishable on conviction with life imprisonment. Section 11(b) and (c) also spell out punishments for those who contravene NDLEA laws. The import is that NDLEA is the primary agency with prosecutorial powers on substance abuse. The Nigeria Police Force can also prosecute.

Of the four legs to combating substance abuse, it is only orientation and reorientation that involve the three tiers of government. The remaining three, regulation, enforcement and prosecution are within the ambits of the federal government. How can NDLEA be on top of the situation of those smoking igbo at Igbo Ora or those sniffing Kushy at Kishi?

The point here is that substance abuse among Nigerian youths is on the rise because the strategy is wrong. Every criminality is local. Therefore, criminality is best fought or combated at the local level. Nigeria cannot successfully overcome the challenge of substance abuse among the youth unless the states and local government authorities are fully involved in it. That brings us again to the issue of the elephant in the room: restructuring.

**We need to restructure the policing system as well as the substance abuse regulation and enforcement systems to defeat substance abuse among the nation’s youth.

The media and the government have critical roles to play in reducing substance abuse among the youth. The media needs to take its social responsibilities seriously and ensures that it projects values that would make the society better and stronger.

The government needs to take its sensitization and orientation responsibilities very seriously. Then, the system of government that makes the fight against substance abuse more of a matter of the federal government needs to be tinkered with so that all tiers of government can own the battle and deliver our youths from the jaws of substance.

Sulaimon Olanrewaju
Olanrewaju is Special Adviser (Media)/Chief Press Secretary to Oyo State Governor,

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