The birth of a baby by a mother can trigger a mixture of powerful emotions, from excitement and joy to attachment, anxiety, and protectiveness.
The first cry of her child makes her the happiest woman and releases all her pain after a child is born.
The bonding between a mother and her child is beyond words to describe.
The connection is natural, and the feeling is joyful.
On 7th November 2022, Nigerian National Petroleum Corporation Exploration and Production (NNPC E&P) and Natural Oilfield Services Limited (NOSL) organized an event to honor the ‘Spud babies’ through its healthcare awareness.
To spread awareness about the healthcare best practices, reduce the infant mortality rate and enhance the health of the mother and child, NNPC E&P and NOSL have taken the initiative to felicitate the ‘Spud babies’.
Spud babies are the children born on the same day when the company starts spuddingoil well, so it becomes a moment to cherish.
87 Spud babies from the Local Government Areas of Eastern Ebolo and Onna were felicitated at the ceremony.
Ms. Atim Asuquo Ulo, Director of Physical Health Centre (PHC), Eastern Obolo who talked about the immunization regime of a child said, ‘The women and staff of PHC, Eastern Obolo owe their gratitude to the management and staff of NNPC E&P and NOSL for the human gesture and magnanimity shown to our mothers and their babies’.
Although childbirth is a natural process and incorporating good antenatal care for the well-being of the mother and the child is extremely crucial.
Antenatal care helps prevent many diseases like HIV transmission from mother to child, and malaria.
It strengthens a mother’s mental health as she stays informed about the well-being of her child throughout the process.
This is the second edition of Spud baby event and during the occasion, Group Captain (retd) Etete Ekpo, Base Manager expressed, ‘The NNPC E&P and NOSL have taken the responsibility to economically support the child’s postnatal care through its healthcare programs.
Good postnatal care can protect the child from various diseases through on-time vaccination and regular breastfeeding’.
Healthy children are the hallmark of a developed society.
NNPC E&P and NOSL have strived towards increased health awareness and have achieved excellence in creating a disease-free and healthy community.
Health Minister Dr. Osagie Ehanire says the country has not yet met its commitment to allocate 15 percent of the annual budget to health.
Ehanire had this to say in Abuja when he appeared at the Nigerian News Agency's ministerial forum in Abuja.
reports that the 2001 African Union (AU) meeting in Abuja, which hosted heads of state, pledged to devote at least 15 percent of their annual budgets to the health sector.
However, even with the increase in the health allocation from N9 billion in 2022 to N1.58 trillion in the projected budget for 2023, the target is not achieved, as it does not reach 15 percent of the country's budget as promised. .
The minister therefore explained that there are many competing priorities, as there are many things that need to be addressed.
He said that budgets for issues that have to do with education, sanitation and hygiene, among others, were not added to the health budget, because those issues were handled by the Ministry of Education or the Ministry of Agriculture and Environment.
He, however, said that “we are pleased to have an increase in this year's budget allocation compared to last year.
Health Minister Osagie Ehanire (M) flanked by
crew on the forum
“We also know that other health expenses do not necessarily add up, for example, what are the state budgets?
“If you want to know how much Nigeria spent on health, you have to look at the federal and state budgets, and look at other spending that is not necessarily directly captured in the allocation to the health sector.
"The allocation to education to train nurses and doctors, for example, is also part of health spending."
Regarding the Fund for the Provision of Basic Medical Care (BHCPF) established in 2014 under the National Health Law as catalytic financing to improve access to Primary Health Care, he said that the fund is supposed to serve the health of the vulnerable segment of the population in the country. .
The BHCPF, he added, serves as a fund for the Basic Minimum Package of Health Services (BMPHS) aimed at increasing fiscal space for health, strengthening the national health system, particularly in PHCs for the cost of routine daily operation and guarantee access to health care for all, particularly the poor.
The minister therefore said that the direct flow of funds to the facility was ongoing and the ministry is still monitoring the situation.
He said the ministry is still learning with every move as more than a million Nigerians have signed up so far.
According to him, the ministry also expects more funding as the new law begins to roll out for the National Health Insurance Authority (NHIA).
The minister said this would increase fiscal space for health and also the involvement of partners and donors looking to increase the number of people covered by insurance.
He added that “we have many lessons that we are learning in the flow of BHCPF funds to care for both the vulnerable and the poor.”
The minister also explained the task of the National Emergency Medical Treatment Committee (NEMTC), which is responsible for starting the pilot phase of the National Emergency Medical Service and Ambulance System (NEMSA) to facilitate access to first aid and medical care. in life-threatening situations. .
According to him, the committee will implement a public-private ambulance service system for Nigeria to join other countries in the world that have a national emergency medical service.
He said Nigerians who need emergency medical attention can call a three-digit number: 112 and receive an answer immediately.
He added that “the ministry is working with the private sector on the pay-for-work principle.
“For every classification that is made, whether it is from the sector or from the public sector ambulance, payment for the service is not required immediately, because it is done through the NHIA.
“We are working closely with the NHIA to put together a platform to determine the accredited ambulances and accredited hospitals to work with.
“We will develop a template to reimburse those who provide services so that the patient is not asked to pay anything at the point of care.”
Ehanire said the system has taken off in the Federal Capital Territory (FCT) in a pilot study, adding that the NEMTC is preparing to start in four other states.
He said he could not determine the number of ambulances available at this time, but both state and federal ambulances would participate.
He added that “ambulances are accredited for mechanical strength and for the training of paramedics.
“In the FCT there are about 60 ambulances, of which about 20 are from their own sector. The rest are federal and state ambulances. The private sector is a bit wary of trying to see how it works, but it's worked pretty well so far.
“Some clips have shown that they have made an exemplary collaboration between the private and private sectors. The public sector has been tested and validated, ”she said.
Source Credit: NAN
Health Minister Dr. Osagie Ehanire says lack of access to healthcare is the main factor contributing to the country's high maternal, infant and under-five mortality.
He added that “it is embarrassing when you go to conferences and see that your country has one of the worst rates and that is one of the reasons why this administration is looking to extend medical care to areas where we have problems.
“The area where you see this maternal mortality the most is in rural areas where they don't have access to health care and where you will see that, despite preaching inclusion, many people are actually excluded from the provision of health services.
“That is why we are pushing for the expansion of primary health care. If you look at the causes of this high maternal mortality and also infant mortality and under-five mortality, you will find that most of it is due to lack of access.
“There is no hospital there. Most women who give birth do so without skilled midwives, but once you have skilled midwives, maternal mortality drops dramatically."
According to him, once the Basic Health Centers (APS) are up and running, with one in each ward, they should also be cared for.
He also said that the Federal Government was working with state governments to ensure that staff complemented each PHC because state and local governments are responsible for all staff at PHCs, as they were the custodians of the PHCs.
“If you have enough nurses and midwives, you will be able to offer service at all times. We are now pushing for PHCs to be open 24 hours not only the dispensary can open PHCs will now be open 24 hours.
“The new model we have established will have staff accommodation, independent solar power from the electricity grid, water supply and will be able to offer community service day or night, so anyone ready to deliver will not have a long way to go. To go.
“So that is a very important part of reducing maternal and infant mortality.
“The other part is official access. It makes no sense when they get there, they have no money and then they are ignored.
“So that's where health insurance comes in and then the Basic Health Care Provision Fund ensures that even someone who goes to PHC in an emergency with no money in their pocket will still receive care because the provider will have the security of payment .
“So, you have physical access, and then you also have official access. Now, it's just to improve the quality of healthcare.
“We have enough nurses and enough drug supply chain and digital technology that allows a nurse in a rural PHC to communicate with the doctor at the local government headquarters or a specialist at the teaching hospital to give advice on what to do if they have complications. ”
Ehanire explained that such an intervention would ensure access to an experienced physician at all times, as at present, it may not be possible to have a physician at every PHC.
Regarding emergencies, the minister said that there are people who, despite giving birth at home safely, suffer complications.
She said some may bleed heavily, while others may have obstructed labor and are unable to deliver and wait until the next day to get to a capable treatment center, which would be dangerous.
However, he added that the National Emergency Medical Service and Ambulance Services (NEMSAS) was created to deal with this type of emergency.
“Just dial 112 and the ambulance with paramedics will come to where the patient lives, administer first aid and move to the nearest trained treatment center where the problem will be resolved.
“These are the measures that will reduce maternal mortality and the mortality of children under five years of age.
“When it comes to under-five mortality, the three leading causes of death for children are diarrhoea, malaria and pneumonia.
“If a child has acute pneumonia or acute diarrhea and you don't treat them quickly, there is a high risk, so we cannot wait two or three days.
“So if they get to a medical center or PHC early enough, an experienced nurse can fix that problem,” Ehanire said.
Source Credit: NAN
A non-profit organisation, Connected Development (CODE), has decried the poor state of Primary Healthcare Centres (PHCs) in the country and says they need urgent attention.
The State Lead of the project in Kano State, Mr Abass Adamu, relayed CODE’s position at Ungogo Local Government Area of Kano State on Tuesday at the presentation of Primary HealthCare Centres 2022 .
Adamu explained that the survey was conducted through the COVID-19 Transparency and Accountability Project, which was devoted to ensuring transparency and accountability in government spending in Africa.
He said the surveys were conducted in 783 healthcare centres across the federation, where it was discovered that the PHCs were operating below standard.
He said that data collected were analysed based on some thematic areas that include: Water, Sanitation and Hygiene (WASH) infrastructure, personnel, service delivery and COVID-19 vaccine administration.
Adamu noted that 297 PHCs out of the 783 PHCs visited were not connected to the national grid, for power.
He added that about 137 of them did not have alternative sources like solar or other means, but relied on kerosene lamps and torchlights.
According to him, only 64 per cent of the PHC’s visited had access to water; two of every 10 of them with access to water used wells, while majority had boreholes.
The 264 PHCs of the 783 PHCs visited also did not have separate toilets for male and female.
“Out of the 783 PHCs visited, 355 PHCs did not have pharmaceutical fridges for storage of COVID-19 vaccines, while 3 per cent of the fridges in those that have are not functional.
“Of the 783 PHCs visited, 44 per cent did not have Ward Development Committees, while about 60 per cent of them have lists of vulnerable population,’’ he lamented.
CODE urged governments at all levels to do everything possible to bridge the deficit gap in terms of staffing, manpower development, water and electricity.
Some of the participants at the presentation commended the organisation for its efforts at creating awareness.
They noted that the tracking of governments’ spending would bring about transparency and accountability.
They also noted that transparency would bring about development to the grassroots, particularly in the provision of basic amenities.
A Pan-African Nongovernmental Organisation, Connected Development (CODE) is to mobilise communities to support the Kaduna State Government to improve service delivery in health facilities.
CODE Team Lead in the state, Mr Abubakar Mohammed, made this known during a town hall meeting with community members of Unguwan , Kaduna metropolis.
Mohammed said that the goal was to involve community members on improving primary healthcare services across the 23 local government areas of the state.
He said that community mobilisation was under the COVID-19 Transparency and Accountability Project (CTAP) to generates information on how COVID-19 funds were being used by governments.
According to him, the information generated from tracking activities are being used to advocate to government and relevant stakeholders for social accountability and change.
“The goal is to improve infrastructural development in health centres, personnel, Water Sanitation and Hygiene, service delivery and COVID-19 vaccines administration, across all health facilities.
” He said that CODE was working to improve public governance in Nigeria and across Africa by empowering marginalised communities to demand high levels of accountability and transparency from the government.
He said that the CSO, through the Community Monitoring Teams, has tracked 24 health facilities in six local government areas of the state to assess the functionalities of the PHCs based on the aforementioned key indicators.
On infrastructure, he said, 17 out of the 24 facilities tracked have electricity supply; only six have ambulances representing 25 per cent, while 13 of the 24 PHCs have detached buildings.
“On vaccine storage, the tracking report shows that 18 of the 24 facilities have a fridge, 19 have temperature logs, and only eight have a cooling van, with a total of 234,065 vaccines administered.
“For service delivery, 92 per cent of the 24 facilities provide antenatal care services, 54 per cent have delivery rooms, 88 per cent maternity rooms, 92 per cent have Ward Development Communities (WDC).
“Also, 96 per cent have laboratories while 88 per cent have an in-patient ward,” he said.
Mohammed also said 38 per cent of the 24 facilities have medical officers, 63 per cent have community health officers, 67 per cent have pharmacy technicians.
He added that only 13 per cent of the 24 facilities have the required number of nurses and midwives, only 29 per cent have health attendants, while none of the facilities have junior community health extension workers.
“On WASH, 83 per cent have separate toilets for male and females, 54 per cent have visible signposts, and 88 per cent have access to water.
“Similarly, 97 per cent of the facilities have colour coded waste bins while 88 per cent have waste collection points and only 50 per cent have incinerators,” he said.
Responding, the Village Head of Unguwan , Alhaji Mohammed Ibrahim thanked CODE for mobilising community members to support the improvement of service delivery in health centres.
Ibrahim pledged the support of the traditional leaders in mobilising the needed resources and advocacies to government agencies to address the gaps in service delivery in the health facilities in the community.
Earlier, the Ward Development Committee Chairman of the community, Mr Garba Mohammed, who equally thanked CODE for the support said that the data would support evidence-based advocacy to relevant stakeholders.
The Nigerian Medical Association (NMA) has appealed to the three tiers of government to sustain efforts at revitalising primary health care (PHC) system in the country.
Dr Benjamin Olowojebutu, the Chairman, NMA Lagos Zone, made the appeal in an interview with the News Agency of Nigeria on Saturday in Lagos.
Olowojebutu said that although progress had been made, gaps in health coverage persist for those in the lowest income levels, marginalised population and those in hard-to-reach areas.
He said that for quality of lives to improve, the PHC system must move to incorporate people’s needs and preferences into their service delivery, especially in communities.
”What has happened in Nigeria in the last few years is that we have changed the focus of healthcare to specialised care, left the PHCs to disrupt operations at tertiary hospitals.
”We must domesticate PHCs as a vital tool in community participation and also have a robust referral system that ensures PHCs does their own job, the secondary and tertiary hospitals does theirs too.
”We know that as a nation, if the health indices decline, productivity, quality of lives and life expectancy would be impacted negatively,” he said.
Olowojebutu also said that ensuring access to primary health care would spur fast attainment of universal health coverage.
According to him, adequate financing of the centres will ensure quality service delivery, since the current PHC system does not adequately meet the needs of the vast population.
He advised citizens to intensify engagement with prospective leaders on plans and policies that would enhance the health sector as electioneering continues nationwide.
When Mrs. Olawale Damilola, a 40-year-old teacher, heard that her local health center was offering screening for early signs of cervical cancer, her mind flashed back to stories of women she had heard who had died from cervical cancer.
She immediately made a reservation to get a screening test at the health center, one of ten primary health care centers (PHCs) that offer cervical cancer secondary prevention program services in Ondo state in southwestern Nigeria.
“I had gone to the Comprehensive Health Center in Ilara-Mokin, Ondo State, for a family planning service when the nurse told me about the evaluation and immediately knew that she had to check my condition.
I jumped at the chance because I had always wanted to check my status, but the price of a Pap smear is high, 25,000 N.
Once she was lying on the examination table in the examination room, the nurse explained the simple process to her.
: Visual inspection with acetic acid (VIA) - which consisted of applying diluted acetic acid - a component of common vinegar - to the cervix and observed by the health worker with the naked eye.
The health care provider then looks for abnormalities in the cervix, which will turn white when exposed to the vinegar.
Before the test, the nurse counseled her about cervical cancer and told her that it could be prevented if caught early.
“Even though my result was negative, I started raising awareness about screening in my community because I heard health workers complain about the low participation of women.” So far, five women from my office have come forward for evaluation, she said.
A global strategy Cancer is the fourth most common cancer among women globally, with an estimated 604,000 new cases and 342,000 deaths in 2020.
In 2020, the World Health Assembly adopted the Global Strategy to Eliminate Cancer.
Achieving that goal rests on three key pillars and corresponding targets: Immunization: 90% of girls are fully vaccinated with the HPV vaccine by the age of 15; Screening: 70% of women had a high-throughput screening before age 35 and again at age 45; Treatment: 90% of women with precancerous lesions treated and 90% of women with invasive cancer managed.
To achieve the goal, the World Health Organization (WHO), with funding from the Susan Thompson Buffet Foundation, is providing catalytic support to Ondo, Kebbi, Niger, Ekiti and Ondo states for breast cancer screening and treatment.
The goal is to screen at least 5,000 women in the first phase of the program.
The disease can be prevented through regular screening with VIA, Pap smears, and human papillomavirus (HPV) tests to find pre-cancers and treat them.
The disease can also be prevented with vaccinations.
In Ondo State, the state government, in collaboration with the WHO and the Clinton Health Access Initiative (CHAI), has been raising cancer awareness among the population by implementing a secondary cancer prevention program cervical screening to increase cancer prevention, detection and treatment and the need to support cancer.
patients The screening service is being implemented in 10 PHC centers in the state of Ondo. It began on July 22 and as of September 30, 2,239 women have been screened for cervical cancer and 9% received treatment.
High participation Ms. Ilemobayo Wuraola, a health worker at the Arakale health center, one of the PHCs where the service is offered, said that the center has been seeing a high participation of women due to the awareness campaigns of the health workers.
“In September, we screened 182 women using the VIA procedure, and 36 had suspected cases of cervical cancer and were referred to Akure University of Medical Sciences Teaching Hospital (UNIMEDTH) for further consultation.
The whole process is free.
I usually take advantage of the family planning program and prenatal and postnatal days to raise awareness about cervical cancer screening,” she said.
On the road to elimination Meanwhile, Ondo State Health Commissioner Dr. Banji Ajaka said: “The campaign against cervical cancer is a deliberate effort to ensure that our people (especially vulnerable women and girls) know about the disease, undergo detection tests and those that are positive are treated The figures registered in the last three months are encouraging.
We are optimistic that the state will replace the 5,000 women screened for cervical cancer within six months (July through December), he said.
Emphasizing the importance of intervention, WHO's Dr. Kelias Msyamboza noted that intervention is crucial to reducing the burden of cervical cancer in the country.
Nigeria records an estimated 12,075 cases of cervical cancer and 7,968 deaths per year.
WHO has supported the Ondo state government with equipment and supplies, tools for monitoring and evaluation, and training of 100 health workers to implement the programme.
The trained health workers include eight educators from LGA Health and 92 community mobilizers trained in creating demand for cervical cancer screening, she said.
To raise awareness of the program, WHO is supporting the broadcast of radio jungles on cervical cancer screening in media outlets across the state.
WHO is also providing technical support for data validation as well as supervisory assistance to the state to monitor and evaluate screening activities at the 10 healthcare facilities.
Gov. Aminu Tambuwal of Sokoto State says the N2.5 billion AbdulSamad Rabiu (ASR) Initiative’s infrastructure projects will bridge health sector manpower shortfall in the state.
Tambuwal said this on Thursday during groundbreaking ceremony for construction of Administration Block at Sultan Abdulrahman College of Health Technology in Gwadabawa Local Government Area of Sokoto State.
The governor, who was represented by the Commissioner for Health, Dr Ali Inname, said that the projects would augment government efforts in producing required manpower needs in the state’s health sector.
Tambuwal said the state has about 800 Primary Healthcare Centres (PHCs), 30 general hospitals and comprehensive healthcare centres and specialists hospitals, with about 3,000 manpower shortfall in PHCs alone.
He listed projects to be executed under the ASR Initiative to include the construction of College of Medical Science at Sokoto State University and construction of Administrative Building and School Clinic at College of Nursing Sciences located at Tambuwal Local Government Area. He said the infrastructure intervention projects would enhance the graduation of manpower needs and improve healthcare service delivery across the state.
According to him, the ASR Africa Initiative led by former Minister of Health and Foreign Affairs, Dr Aliyu Idi-Hong, presented intervention award to the state government on Aug. 25, 2022. He described the support as “hallmark achievements toward improving peoples’ wellbeing” and urged other corporate bodies and industries to emulate the gesture.
Earlier, Alhaji AbdulSamad Rabiu, the Founder of ASR Initiative Africa, represented by Dr Ubon Udoh, the Managing Director of the initiative, explained that the ASR Africa is the brainchild of Rabiu, who is dedicated to the development of Nigeria and African continent as a whole.
He said “ASR is committed to helping Africans to look inward and solve their problems, while implementing solutions to such challenges.
” He observed that Sokoto State met some criteria, which ensured the institutions to benefit from the projects.
He assured that the best contractors have been engaged to ensure commitment and standard execution according to international quality, as well as timely completion of the projects.
He said 40 per cent mobilisation had already been paid.
The District Head of Gwadabawa, Alhaji Lawal Zayyanu, and the local government Chairman, Alhaji Aminu Aya, lauded the ASR Initiative and urged managements to ensure proper utilisation to achieve the desired results.
The News Agency of Nigeria reports that Udoh, Inname, along with other delegation inspected the ongoing construction at the Sokoto State University site.
Meanwhile contractors expressed committment to complete the projects according to specifications, ensure standard and timely completion.
NAN further reports that construction of the College of Medical Science building at State University will gulp N1.8 billion, to be handled by Calder Construction Company, while the Administrative Building at Sultan Abdulrahman College of Health Technology, Gwadabawa, will cost N1.66 million, to be handled by Paydirt International Limited.
The Administrative Building and School Clinic at College of Nursing Sciences, Tambuwal, will cost N243 million, contracted to Mann’s Chaft Nigeria Limited.
Cross River Government has vowed to sanction Primary Healthcare (PHCs) facilities that charge more than N3,000 for delivery.
Dr Janet Ekpenyong, the Director-General of the Cross River Primary Healthcare Development Agency (CRSPHCDA), said this during an integrated meeting with PHC Ward Focal Persons and the State Basic Healthcare Provision Scheme in Calabar.
Ekpenyong said that the agency had received complaints that some PHCs charge as much as N10,000. She explained that “the PHCs are supposed to charge just N3,000 for delivery to purchase consumables and this is only when they don’t come with their own consumables as stated on the list initially given to them.
“We are looking at ways to encourage pregnant women to patronise health facilities instead of Traditional Birth Attendants (TBAs).
“While we totally condemn these actions, we have set up a team headed by the Permanent Secretary in the Ministry of Health to ensure that culpable PHCs and personnel are adequately penalised.
” She said that out of the 196 PHCs in the state, more than 130 have been accr
Gov. Ahmadu Fintiri of Adamawa says his administration has built six cottage hospitals, with more than 40 primary health care (PHC) facilities also remodeled and renovated in the state.
The governor made this known at the “Adamawa Physicians’ Week 2022,” organised by Nigerian Medical Association (NMA) in Yola on Tuesday.
The News Agency of Nigeria reports that the theme of the event was: “Nigeria’s Healthcare Delivery System and 2023 Democratic Transition: A Time to Change the Narrative.
” Fintiri, who was represented by the Commissioner for Health, Prof. Abdullahi Isa, said that the medical equipment for the facilities had already started arriving from the United States of America.
According to him, his interest in healthcare delivery has also encouraged some partners to do more for the state.
NMA Chairman in the state, Dr Solomon Bulus, lauded the government for the infrastructural development recorded in the state and called for more, especially in the area of health workers’ welfare.
He decried the shortage of manpower and the challenges being faced by health workers in the country generally, adding: “doctors are being underpaid, overworked and targeted by kidnappers.
” Bulus called for the review of doctors’ salary structure, which, he said, had been overdue since 2014. He also urged Nigerians to intervene over the review of the new salary structure in order to improve the welfare of health workers.
Speaking, Dr Hayatu Ahmad, a Consultant Peadiatrician at Federal Medical Centre, Azare, Bauchi State, decried the challenges of manpower in the health sector.
He particularly cited a state with seven general hospitals but without medical doctors to provide the needed services.
Ahmad, who stated that World Health Organisation (WHO) had recommended one doctor to 1,000 patients, urged governments at all levels to do the needful in order to salvage the situation.