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Okeho General Hospital: Another Morbid Secondary Healthcare Institution

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Okeho General Hospital

By Olutayo Irantiola

Okeho, as a community, has been renowned to be a part of the history of the colonial and post-colonial Nigeria.

There are certain factors that showed that we are a very crucial part of the politics of Oyo State. The area was firstly known as Okeho/Iganna district council, which was created in 1955 with 36 wards in the defunct western region of Nigeria.

In 1976, Kajola local government was created, with headquarters at Okeho as a result of the local government reforms. The local government is one of the 33 local governments in Oyo State, the major towns in Kajola LG are Ilero, Ilua, Ayetoro-Oke, Isemi Ile, Iwere-Oke, Ilaji-Oke and other hamlets.

In 1987, the Oyo State Hospital Management Board was inaugurated. The board has three zonal offices at Ibadan/Ibarapa, Oyo/Ogbomoso and Oyo North managing 51 health outlets within the state.

Okeho General Hospital Administrative block

Okeho General Hospital Administrative block

The board is expected to provide an all-encompassing health care that is accessible, affordable and high quality with a view to restoring, transforming and repositioning our health sector. Other health facilities within Oyo North are located at Saki, Iseyin, Iwere, Iganna and Ado-Awaye.

Few weeks after the board was inaugurated, the General Hospital, Okeho, was commissioned by the then Military Governor of Oyo State, Colonel Adetunji Olurin, on June 11, 1987. As such, this showed that the hospital was one of the pioneer General Hospitals in the state.

While going through the facilities, it was seen that the administration of the late Governor, Alhaji Lam Adesina, also commissioned projects, such as the female/children’s ward and the mortuary block in the year 2000.

Unfortunately, within the space of 33 and 20 years of commissioning all these facilities respectively, the hospital has become a morbid secondary healthcare institution.

Okeho General Hospital ambulance

Okeho General Hospital ambulance

The hospital, being one of the oldest General Hospitals in the state, with the best structure, is grossly underutilised and wasting away. Located on a large expanse of land at the entry of the town cum junction that leads to other neighbouring communities, the hospital has become a shadow of itself.

In fact, the people of Okeho and environs can attest to the fact that this hospital does not provide affordable, accessible and high quality medicare. People have either of these two choices- visiting private health service providers within their localities or move to the state capital, Ibadan- when they need medicare.

At the moment, the two major storey buildings within the hospital, the administrative and Female/Children’s Ward, have their roofs blown off. When I attempted to climb the stairs, I was almost stung by wasps and on getting upstairs, bats flew out of one of the rooms. What sort of equipment would be in an uncovered building?

Okeho General Hospital Female and Maternity Ward

Okeho General Hospital Female and Maternity Ward

Going further into the premises, one would see that the mortuary is no more functional. The whole building is equally abandoned. It’s quite disheartening to see that nothing can be preserved in its current state.

Prior to this time, people usually believe that drugs given to patients in any government health facility is always genuine. However, the Pharmacy of this hospital is not well-stocked, inversely, patients would be required to get their drugs from any private pharmacy in town.

From what I saw, the laboratory in this hospital is working but one can be sure that it is just the basic tests that would be carried out here. All of these attest to the overall “commitment” of the government to the welfare of her citizenry. Equally, the waste disposal method is also sordid, it’s all emptied in a shoddy pit and burnt periodically. It should not be too much to build an incinerator for proper disposal.

Having said all these, there is no ambulance in the entire hospital. The physically present vehicle is no more serviceable. While querying further, I was told the other ambulance is abandoned in Ibadan because it was not fixed after developing a fault. This shows that the hospital cannot provide emergency care for any patient within this locality.

Okeho General Hospital Mortuary

Okeho General Hospital Mortuary

Asides the dilapidated buildings, there are also a lot of uncompleted buildings. The truth be told, if this sort of facility was located in any urban area, it would have been overtaken by hoodlums. I would agree that indigenes and residents of Okeho might not be able to pay heavily, but if they get value for their money, they would definitely pay up their bills.

It’s rather unfortunate that we are experiencing two forms of economic wastage with this abandoned facility- the hospital’s inability to generate employment and the abandoned structure that has not been profitable to either the government or the community. There is a need for successive governments to complete all projects regardless of party affiliations or not.

I would want to acknowledge the selfless service of the members of staff working in this very unconducive environment. It is only committed individuals that can give their best in this type of working environment. At this point in time, wherein professional are exiting the country for better working environment.

We need to start with at least a very functional building well equipped. We deserve more in Okeho, our relevance should transcend every four years when the political class are jostling for office.

We need hospitals that are adequately equipped in Okeho and Oke-Ogun in general. There is no need rushing people to tertiary healthcare facilities in Ogbomoso or Ibadan before they can have quality medicare.

Dipo Olowookere is a journalist based in Nigeria that has passion for reporting business news stories. At his leisure time, he watches football and supports 3SC of Ibadan. Mr Olowookere can be reached via [email protected]

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Why Creativity is the New Infrastructure for Challenging the Social Order

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Professor Myriam Sidíbe

By Professor Myriam Sidíbe

Awards season this year was a celebration of Black creativity and cinema. Sinners directed by Ryan Coogler, garnered a historic 16 nominations, ultimately winning four Oscars. This is a film critics said would never land, which narrates an episode of Black history that had previously been diminished and, at some points, erased.

Watching the celebration of this film, following a legacy of storytelling dominated by the global north and leading to protests like #OscarsSoWhite, I felt a shift. A movement, growing louder each day and nowhere more evident than on the African continent. Here, an energetic youth—representing one-quarter of the world’s population—are using creativity to renegotiate their relationship with the rest of the world and challenge the social norms affecting their communities.

The Academy Awards held last month saw African cinema represented in the International Feature Film category by entries including South Africa’s The Heart Is a Muscle, Morocco’s Calle Málaga, Egypt’s Happy Birthday, Senegal’s Demba, and Tunisia’s The Voice of Hind Rajab.

Despite its subject matter, Wanuri Kahiu’s Rafiki, broke the silence and secrecy around LGBTQ love stories. In Kenya, where same sex relationships are illegal and loudly abhorred, Rafiki played to sold-out cinemas in the country’s capital, Nairobi, showing an appetite for home-grown creative content that challenges the status quo.

This was well exemplified at this year’s World Economic Forum in Davos when alcoholic beverages firm, AB InBev convened a group of creative changemakers and unlikely allies from the private sector to explore new ways to collaborate and apply creativity to issues of social justice and the environment.

In South Africa, AB inBev promotes moderation and addresses alcohol-related gender-based violence by partnering with filmmakers to create content depicting positive behaviours around alcohol. This strategy is revolutionising the way brands create social value and serve society.

For brands, the African creative economy represents a significant opportunity. By 2030, 10 per cent of global creative goods are predicted to come from Africa. By 2050, one in four people globally will be African, and one in three of the world’s youth will be from the continent.

Valued at over USD4 trillion globally (with significant growth in Africa), these industries—spanning music, film, fashion, and digital arts—offer vital opportunities for youth, surpassing traditional sectors in youth engagement.

Already, cultural and creative industries employ more 19–29-year-olds than any other sector globally. This collection of allies in Davos understood that “business as usual” is not enough to succeed in Africa; it must be on terms set by young African creatives with societal and economic benefits.

The key question for brands is: how do we work together to harness and support this potential? The answer is simple. Brands need courage to invest in possibilities where others see risk; wisdom to partner with those others overlook; and finally, tenacity – to match an African youth that is not waiting but forging its own path.

As the energy of the creative sector continues to gain momentum, I am left wondering: which brands will be smart enough to get involved in our movement, and who has what it takes to thrive in this new world?

Professor Sidíbe, who lives in Nairobi, is the Chief Mission Officer of Brands on a Mission and Author of Brands on a Mission: How to Achieve Social Impact and Business Growth Through Purpose.

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Why President Tinubu Must End Retirement Age Disparity Between Medical and Veterinary Doctors Now

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Tinubu Türkiye

By James Ezema

To argue that Nigeria cannot afford policy inconsistencies that weaken its already fragile public health architecture is not an exaggeration. The current disparity in retirement age between medical doctors and veterinary professionals is one such inconsistency—one that demands urgent correction, not bureaucratic delay.

The Federal Government’s decision to approve a 65-year retirement age for selected health professionals was, in principle, commendable. It acknowledged the need to retain scarce expertise within a critical sector. However, by excluding veterinary doctors and veterinary para-professionals—whether explicitly or by omission—the policy has created a dangerous gap that undermines both equity and national health security.

This is not merely a professional grievance; it is a structural flaw with far-reaching consequences.

At the heart of the issue lies a contradiction the government cannot ignore. For decades, Nigeria has maintained a parity framework that places medical and veterinary doctors on equivalent footing in terms of salary structures and conditions of service. The Consolidated Medical Salary Structure (CONMESS) framework recognizes both professions as integral components of the broader health ecosystem. Yet, when it comes to retirement policy, that parity has been abruptly set aside.

This inconsistency is indefensible.

Veterinary professionals are not peripheral actors in the health sector—they are central to it. In an era defined by zoonotic threats, where the majority of emerging infectious diseases originate from animals, excluding veterinarians from extended service retention is not only unfair but strategically reckless.

Nigeria has formally embraced the One Health approach, which integrates human, animal, and environmental health systems. But policy must align with principle. It is contradictory to adopt One Health in theory while sidelining a core component of that framework in practice.

Veterinarians are at the frontline of disease surveillance, outbreak prevention, and biosecurity. They play critical roles in managing threats such as anthrax, rabies, avian influenza, Lassa fever, and other zoonotic diseases that pose direct risks to human populations. Their contribution to safeguarding the nation’s livestock—estimated in the hundreds of millions—is equally vital to food security and economic stability.

Yet, at a time when their relevance has never been greater, policy is forcing them out prematurely.

The workforce realities make this situation even more alarming. Nigeria is already grappling with a severe shortage of veterinary professionals. In some states, only a handful of veterinarians are available, while several local government areas have no veterinary presence at all. Compelling experienced professionals to retire at 60, while their medical counterparts remain in service until 65, will only deepen this crisis.

This is not a theoretical concern—it is an imminent risk.

The case for inclusion has already been made, clearly and responsibly, by the Nigerian Veterinary Medical Association and the Federal Ministry of Livestock Development. Their position is grounded in logic, policy precedent, and national interest. They are not seeking special treatment; they are demanding consistency.

The current circular, which limits the 65-year retirement age to clinical professionals in Federal Tertiary Hospitals and excludes those in mainstream civil service structures, is both administratively narrow and strategically flawed. It fails to account for the unique institutional placement of veterinary professionals, who operate largely outside hospital settings but are no less critical to national health outcomes.

Policy must reflect function, not merely location.

This is where decisive leadership becomes imperative. The responsibility now rests squarely with Bola Ahmed Tinubu to address this imbalance and restore coherence to Nigeria’s health and civil service policies.

A clear directive from the President to the Office of the Head of the Civil Service of the Federation can correct this anomaly. Such a directive should ensure that veterinary doctors and veterinary para-professionals are fully integrated into the 65-year retirement framework, in line with existing parity policies and the realities of modern public health.

Anything less would signal a troubling disregard for a sector that plays a quiet but indispensable role in national stability.

This is not just about fairness—it is about foresight. Public health security is interconnected, and weakening one component inevitably weakens the entire system.

Nigeria stands at a critical juncture, confronted by complex health, food security, and economic challenges. Retaining experienced veterinary professionals is not optional; it is essential.

The disparity must end—and it must end now.

Comrade James Ezema is a journalist, political strategist, and public affairs analyst. He is the National President of the Association of Bloggers and Journalists Against Fake News (ABJFN), National Vice-President (Investigation) of the Nigerian Guild of Investigative Journalists (NGIJ), and President/National Coordinator of the Not Too Young To Perform (NTYTP), a national leadership development advocacy group. He can be reached via email: [email protected] or WhatsApp: +234 8035823617.

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N4.65 trillion in the Vault, but is the Real Economy Locked Out?

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CBN Gov & new Bank logo

By Blaise Udunze

Following the successful conclusion of the banking sector recapitalisation programme initiated in March 2024 by the Central Bank of Nigeria, the industry has raised N4.65 trillion. No doubt, this marks a significant milestone for the nation’s financial system as the exercise attracted both domestic and foreign investors, strengthened capital buffers, and reinforced regulatory confidence in the banking sector. By all prudential measures, once again, it will be said without doubt that it is a success story.

Looking at this feat closely and when weighed more critically, a more consequential question emerges, one that will ultimately determine whether this achievement becomes a genuine turning point or merely another financial milestone. Will a stronger banking sector finally translate into a more productive Nigerian economy, or will it be locked out?

This question sits at the heart of Nigeria’s long-standing economic contradiction, seeing a relatively sophisticated financial system coexisting with weak industrial output, low productivity, and persistent dependence on imports truly reflects an ironic situation. The fact remains that recapitalisation, by design, is meant to strengthen banks, enhancing their ability to absorb shocks, manage risks and support economic growth. According to the apex bank, the programme has improved capital adequacy ratios, enhanced asset quality, and reinforced financial stability. Under the leadership of Olayemi Cardoso, there has also been a shift toward stricter risk-based supervision and a phased exit from regulatory forbearance.

These are necessary reforms. A stable banking system is a prerequisite for economic development. However, the truth be told, stability alone is not sufficient because the real test of recapitalisation lies not in stronger balance sheets, but in how effectively banks channel capital into productive economic activity, sectors that create jobs, expand output and drive exports. Without this transition, recapitalisation risks becoming an exercise in financial strengthening without economic transformation.

Encouragingly, early signals from industry experts suggest that the next phase of banking reform may begin to address this long-standing gap. Analysts and practitioners are increasingly pointing to small and medium-sized enterprises (SMEs) as a key destination for recapitalisation inflows, which is a fact beyond doubt. Given that SMEs account for over 70 per cent of registered businesses in Nigeria, the logic is compelling. With great expectation, as has been practicalised and established in other economies, a shift in credit allocation toward this segment could unlock job creation, stimulate domestic production, and deepen economic resilience. Yet, this expectation must be balanced with reality. Historically, and of huge concern, SMEs have received only a marginal share of total bank credit, often due to perceived risk, lack of collateral, and weak credit infrastructure.

Indeed, Nigeria’s broader financial intermediation challenge remains stark. Even as the giant of Africa, private sector credit stands at roughly 17 per cent of GDP, and this is far below the sub-Saharan African average, while SMEs receive barely 1 per cent of total bank lending despite contributing about half of GDP and the vast majority of employment. These figures underscore the structural disconnect between the banking system and the real economy. Recapitalisation, therefore, must be judged not only by the strength of banks but by whether it meaningfully improves this imbalance.

Nigeria’s economic challenge is not merely one of capital scarcity; it is fundamentally a problem of low productivity. Manufacturing continues to operate far below capacity, agriculture remains largely subsistence-driven, and industrial output contributes only modestly to GDP. Despite decades of banking sector expansion, credit to the real sector has remained limited relative to the size of the economy. Instead, banks have often gravitated toward safer and more profitable avenues such as government securities, treasury instruments, and short-term trading opportunities.

This is not irrational. It reflects a rational response to risk, policy signals, and market realities. However, it has created a structural imbalance in which capital circulates within the financial system without sufficiently reaching the productive economy. The result is a pattern where financial sector growth outpaces real sector development, a phenomenon widely described as financialisation without productivity gains.

At the centre of this challenge is the issue of credit allocation. A recapitalised banking sector, strengthened by new capital and improved buffers, should theoretically expand lending. But this is, contrarily, because the more important question is where that lending will go. Will Nigerian banks extend long-term credit to manufacturers, finance agro-processing and value chains, and support scalable SMEs, or will they continue to concentrate on low-risk government debt, prioritise foreign exchange-related gains, and maintain conservative lending practices in the face of macroeconomic uncertainty? Some of these structural questions call for immediate answers from policymakers.

Some industry voices are optimistic that the expanded capital base will translate into a broader loan book, increased investment in higher-risk sectors, and improved product offerings for depositors; this is not in doubt. There are also expectations that banks will scale operations across the continent, leveraging stronger balance sheets to expand their regional footprint. Yes, they are expected, but one thing that must be made known is that optimism alone does not guarantee transformation. The fact is that without deliberate incentives and structural reforms, capital may continue to flow toward low-risk assets rather than high-impact sectors.

Beyond lending, experts are also calling for a shift in how banking success is measured. The next phase of reform, according to the experts in their arguments, must move from capital thresholds to customer outcomes. This includes stronger consumer protection frameworks, real-time complaint management systems and more transparent regulatory oversight. A more technologically driven supervisory model, one that allows regulators to monitor customer experiences and detect systemic risks early, could play a critical role in strengthening trust and accountability within the system.

This dimension is often overlooked but deeply significant. A banking system that is well-capitalised but unresponsive to customer needs risks undermining public confidence. True financial development is not only about capital strength but also about accessibility, fairness, and service quality. Nigerians must feel the impact of recapitalisation not just in improved financial ratios, but in better banking experiences, more inclusive services, and greater economic opportunity.

The recapitalisation exercise has also attracted notable foreign participation, signalling confidence in Nigeria’s banking sector. However, confidence in banks does not necessarily translate into confidence in the broader economy. The truth is that foreign investors are typically drawn to strong regulatory frameworks, attractive returns, and market liquidity, though the facts are that these factors make Nigerian banks appealing financial assets; it must be made explicitly clear that they do not automatically reflect confidence in the country’s industrial base or productivity potential.

This distinction is critical. An economy can attract capital into its financial sector while still struggling to attract investment into productive sectors. When this happens, growth becomes financially driven rather than fundamentally anchored. The risk, therefore, is that recapitalisation could deepen Nigeria’s financial markets, but what benefits or gains when banks become stronger or liquid without addressing the structural weaknesses of the real economy.

It is clear and explicit that the current policy direction of the CBN reflects a strong emphasis on stability, with tightened supervision, improved transparency, and stricter prudential standards. These measures are necessary, particularly in a volatile global environment. However, there is an emerging concern that stability may be taking precedence over growth stimulation, which should also be a focal point for every economy, of which Nigeria should not be left out of the equation.  Central banks in emerging markets often face a delicate balancing act, and this is putting too much focus on stability, which can constrain credit expansion, while too much emphasis on growth can undermine financial discipline, as this calls for a balance.

In Nigeria’s case, the question is whether sufficient mechanisms exist to align banking sector incentives with national productivity goals. Are there enough incentives to encourage long-term lending, sector-specific financing, and innovation in credit delivery? Or does the current framework inadvertently reward risk aversion and short-term profitability?

Over the past two decades, it has been a herculean experience as Nigeria’s economic trajectory suggests a growing disconnect between the financial sector and the real economy. Banks have become larger, more sophisticated and more profitable, yet the irony is that the broader economy continues to struggle with high unemployment, low industrial output, and limited export diversification. This divergence reflects the structural risk of financialization, a condition in which financial activities expand without a corresponding increase in real economic productivity.

If not carefully managed, recapitalisation could reinforce this trend. With more capital at their disposal, banks may simply scale existing business models, expanding financial activities that generate returns without contributing meaningfully to production. The point is that this is not solely a failure of the banking sector; it is a systemic issue shaped by policy design, regulatory priorities, and market incentives, which needs the urgent attention of policymakers.

Meanwhile, for recapitalisation to achieve its intended purpose and truly work, it must be accompanied by a deliberate shift or intentional policy change from capital accumulation to productivity enhancement and the economy to produce more goods and services efficiently. This begins with creating stronger incentives for real sector lending with differentiated capital requirements based on sector exposure, credit guarantees for high-impact industries, and interest rate support for priority sectors, which can encourage banks to channel funds into productive areas, and this must be driven and implemented by the apex bank to harness the gains of recapitalisation.

This transformative process is not only saddled with the CBN, but the Development finance institutions also have a critical role to play in de-risking long-term investments, making it easier for commercial banks to participate in financing projects that drive economic growth. At the same time, one of the missing pieces that must be taken into cognisance is that regulatory frameworks should discourage excessive concentration in risk-free assets. No doubt, banks thrive in profitability, as government securities remain important; overreliance on them can crowd out private sector credit and limit economic expansion.

Innovation in financial products is equally essential. Traditional lending models often fail to meet the needs of SMEs and emerging industries, as this has continued to hinder growth. Banks must explore new approaches, including digital lending platforms, supply chain financing, and blended finance solutions that can unlock new growth opportunities, while they extend their tentacles by saturating the retail space just like fintech.

Accountability must also be embedded in the system. One fact is that if recapitalisation is justified as a tool for economic growth, then its outcomes and gains must be measurable and not obscure. Increased credit to productive sectors, higher industrial output and job creation should serve as key indicators of success. Without such metrics, the exercise risks being judged solely by financial indicators rather than its real economic impact.

The completion of the recapitalisation programme represents more than a regulatory achievement; it is a defining moment for Nigeria’s economic future. The country now has a banking sector that is better capitalised, more resilient, and more attractive to investors. These are important gains, but they are not ends in themselves.

The ultimate objective is to build an economy that is productive, diversified, and inclusive. Achieving this requires more than strong banks; it requires banks that actively power economic transformation.

The N4.65 trillion recapitalisation is a significant step forward. It strengthens the foundation of Nigeria’s financial system and enhances its capacity to support growth. However, capacity alone is not enough and truly not enough if the gains of recapitalisation are to be harnessed to the latter. What matters now is how that capacity is deployed.

Some of the critical questions for urgent attention are as follows: Will banks rise to the challenge of financing Nigeria’s productive sectors, particularly SMEs that form the backbone of the economy? Will policymakers create the right incentives to ensure credit flows where it is most needed? Will the financial system evolve from a focus on profitability to a broader commitment to the economic purpose of fostering a more productive Nigerian economy and the $1 trillion target?

The above questions are relevant because they will determine whether recapitalisation becomes a catalyst for change or a missed opportunity if not taken into cognisance. A well-capitalised banking sector is not the destination; it is the starting point. The real journey lies in building an economy where capital works, productivity rises, and growth becomes both sustainable and inclusive.

Blaise, a journalist and PR professional, writes from Lagos and can be reached via: [email protected]

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