Health
20% of African Nations Lack Access to Cancer Treatments
By Dipo Olowookere
On Sunday, February 4, 2018, the World Cancer Day was marked to create awareness for the disease, which is fast killing many across the world.
A non-profit company and a subsidiary of Merck KGaA Germany, Merck Foundation, marked the ‘World Cancer Day 2018’ to create awareness around cancer and build cancer care capacity with the aim to increase the limited number of oncologists across Africa and developing countries.
In June 2017, BIO Ventures for Global Health (BVGH), and the African Organization for Research and Training in Cancer (AORTIC), released a white paper on the African continent’s emerging cancer crisis.
It was disclosed that over 20 percent of African countries have no access to cancer treatments at all, while access is limited and sporadic in other countries.
Later-stage diagnosis in African patients contributes to poorer outcomes. For example, 5-year female breast cancer relative survival rates are 46 percent in Uganda and 12% in The Gambia, compared with around 90 percent in developed countries.
CEO of Merck Foundation Dr Rasha Kelej, recently visited Muhimbili University of Health and Allied Science, Tanzania to meet the alumni of ‘Merck Oncology Fellowship Program’ with the aim to evaluate the impact of the one and two-year medical oncology fellowship programs conducted in Tata memorial center in India.
Through ‘Merck Oncology Fellowship Program’ foundation has trained the first medical oncologist in Tanzania, Dr. Christina V. Malichewe.
During her visit to Tanzania Dr. Rasha Kelej emphasized, “We strongly believe that building professional capacity is the right strategy to improve access to quality and equitable cancer care in the continent. Dr. Christina is one of the 59 future oncologists, Merck Foundation has committed to train for Africa.”
The first medical oncologist in Tanzania, Dr. Christina V. Malichewe said, “I can now make difference for my patients. We don’t have medical oncology to manage patients through chemotherapy, we only have clinical oncologists and radiotherapists. Thus, one-year medical oncology fellowship in India has enabled me to save many lives, every day. Thanks to Merck Foundation for this opportunity in Tanzania.”
During her meeting with Dr. Christina, Dr. Rasha Kelej said “I’ve enjoyed every moment with her, witnessing the great impact she makes every day on her patients’ lives. Through her, we transform people’s lives every day.”
Sarah Opendi, Uganda Minister of State of Health said, “Merck Foundation and ministry of health of Uganda have been partners for a very long time, we have been working together on various issues with special focus on cancer and infertility. We appreciate the efforts of Merck Foundation in building cancer care capacity in Uganda and other African countries, and we hope soon we would have world class cancer facilities and expert locally in our beloved country.”
The first fellow for ‘Merck Oncology Fellowship Program’ from Uganda Dr. Sekitene Seei Buwambaza said, “Merck Oncology Fellowship program is very important to me because it is giving me an opportunity to learn and improve on the way, I have been doing things concerning the management of cancer patients. It is also ushering me into the new trend that cancer care and research is taking in this 21st century. A bond with Merck Foundation as an alumnus is going to keep me updated with new developments in cancer care.”
Fellowship Program’ from Uganda, Dr. Musana Othiniel, an obstetrician and gynaecologist from Uganda, “Uganda as a country lacks a national cancer screening program yet cervical cancer and breast cancer remains the most common cancers and accounts for the highest proportion of cancers requiring treatment. The country also has a shortage of good gynae-oncology clinicians, researchers and educators in Uganda hence limiting access for women with cancer to screening, diagnostic and treatment services.”
He further added, “The ‘Merck Oncology Fellowship Program’ will expand my knowledge on the selection of appropriate clinical and research methodology used in gynae-oncology. I hope to improve my skills in carrying out appropriate and evidence-based clinical diagnosis and treatment but also empower me with excellent clinical education skill to mentor other young health workers in gynae-oncology.”
While Appreciating the efforts of Merck Foundation, Dr. Damas Dukundane, Merck Foundation oncology fellow from Rwanda said “When the right people are in charge then the right things happen. I am so excited to be part of this journey of change makers, where the history will remember us as the Merck Foundation fellows, who improved the lives of people with cancer in Africa, in the 21st century.”
Moreover, 50 future oncologists either joined or will join one, two or three years ‘Merck Oncology Fellowship Program’ from many sub-Saharan African countries out of which, countries such as Gambia and Liberia never had oncologists.
Merck Foundation will provide eight doctors from both Uganda and Tanzania with one -year medical oncology fellowship program. Furthermore, together with university of Nairobi, Merck Foundation established the first two-year medical oncology fellowship program for Sub-Saharan Africa.
By Adedapo Adesanya
The National Health Insurance Authority (NHIA) says the number of Nigerians enrolled in health insurance has risen to more than 22 million.
The Director-General of NHIA, Mr Kelechi Ohiri, said this resulted from the implementation of the mandatory health insurance, which has gained momentum nationwide.
He said this on Wednesday at the Annual General Meeting of the Nigerian Association of Insurance and Pension Editors (NAIPE) in Lagos.
Mr Ohiri said enrolment had increased to 22.03 million, representing a 35 per cent year-on-year growth, attributing this to stronger collaboration with state social health insurance agencies, ministries, departments and agencies, organised labour, employers, the private sector, and the gradual implementation of the mandatory health insurance provisions of the NHIA Act.
He said that the country had moved beyond policy formulation to delivering measurable improvements in healthcare access, service quality and consumer protection in line with the federal government’s health sector reform agenda.
According to him, Nigeria already has the necessary policies and legislation to achieve Universal Health Coverage, positing that the key challenge was effective implementation.
“The decisive variable is now implementation- consistent, rigorous and accountable execution that converts political commitment into healthcare access for real Nigerians,” he said.
Mr Ohiri said that the transition from the former National Health Insurance Scheme to the NHIA had strengthened regulation, consumer protection, accountability and strategic purchasing, while providing the legal and operational framework for achieving Universal Health Coverage.
He added that improving the experience of enrollees remained central to the Authority’s reform agenda.
According to him, NHIA has strengthened its complaints management system, introduced faster resolution timelines, and intensified compliance monitoring of Health Maintenance Organisations (HMOs) and healthcare providers.
He further added that NHIA had sanctioned facilities that failed to meet the required standards, adding that his organisation had resolved 3,878 complaints, representing an 87 per cent resolution rate, while 95 per cent of the cases were concluded within prescribed timelines.
Mr Ohiri noted that more than N14.2 million had been refunded to enrollees, while non-compliant healthcare facilities had been sanctioned.
He said NHIA had also introduced service standards, including a one-hour treatment commencement target for enrollees requiring urgent care, to improve access to timely and quality healthcare services.
The NHIA boss further disclosed that capitation payments to healthcare providers had been increased by 93 per cent.
He said fee-for-service reimbursements rose by 378 per cent to enable providers to invest more in personnel, equipment and infrastructure.
According to him, 7,592 healthcare facilities have been assessed under the SafeCare quality framework as part of efforts to institutionalise continuous quality improvement across the country.
Mr Ohiri also highlighted interventions targeted at vulnerable groups, including support for more than 48,500 pregnant women, expanded maternal and newborn healthcare services, the Vulnerable Group Fund, and improved access to healthcare for pensioners and retirees.
He said Universal Health Coverage could only be achieved if every Nigerian, regardless of income or location, had access to quality healthcare services.
By Modupe Gbadeyanka
The new one-hour authorisation response time ultimatum policy introduced by the National Health Insurance Authority (NHIA) has received the full backing of SUNU Health Nigeria Limited.
This policy was introduced by the agency to ensure enrollees get prompt approval codes to access care.
Healthcare service providers have been urged to report any Health Maintenance Organisation (HMO) that violates this initiative through an email, with the HMO in copy and a timestamp attached as evidence of the request. They may proceed to offer services to enrollees thereafter.
Speaking at the company’s second-quarter Providers’ Forum for the Lagos-Ogun region in Lagos recently, the chief executive of SUNU Health, Dr Moyosore Olomola, expressed optimism that this policy would improve healthcare delivery in the country, especially for enrollees, who crave quality service.
At the event themed Improving Quality and Access to Care Through Stronger Provider Network, and held at the Nigerian Institute of Medical Research (NIMR) in Yaba, Lagos, Mr Olomola reaffirmed the HMO’s commitment to operating within legal and operational frameworks to guarantee adequate care for enrollees.
“Access to care and quality of care remain key priorities in our healthcare systems. We know quite well that deliberate collaboration, strategic partnerships, and a shared commitment to excellence are required to achieve these priorities.
“A strong provider network is doubtless the backbone of any effective healthcare system. It ensures that our mutual enrollees receive the right care, at the right time, in the right place, and at the right price,” Mr Olomola, represented at the programme by the organisation’s Chief Operating Officer (COO), Dr Faith Nwachi, stated.
He further assured that SUNU Health would strictly adhere to the one-hour authorisation limit, stressing that this aligns seamlessly with one of the organisation’s core values—promptness and its corporate slogan, Humanity is the centre of our initiatives.
In a bid to further improve access and quality of care, SUNU Health also demonstrated its new operational software and Mobile app, aptly named SUNU Legacy.
Also speaking at the event, the NHIA Lagos State Coordinator (Ikeja), Dr Bethuel-Kasimu Abraham, noted that the forum’s expected outcome is to significantly reduce delays in accessing medical care.
Other key expectations include ensuring continuity of care, improving patient outcomes, and strengthening accountability among HMOs.
Addressing specific pain points faced by enrollees, the NHIA Ogun State Coordinator, Mr Dare Adefeso, acknowledged that the agency had received complaints regarding out-of-stock drugs and the discrimination of enrollees by certain providers.
He affirmed that the NHIA is actively addressing these issues, stressing that moving forward, every facility must ensure enrollees are properly catered to regardless of their status, provided they have an active health insurance plan.
Corroborating the long-standing legacy of SUNU Health, the Ogun State Director of the National Orientation Agency (NOA), Mrs Aishat Tiamiyu, shared that her agency is responsible for public information dissemination and has been enrolled with SUNU Health for over 25 years.
Commending the HMO’s stellar service over two decades, she called for the immediate enrollment of new NOA staff into the scheme.
The Providers’ Forum remains one of the strategic channels employed by SUNU Health to consistently engage healthcare providers, understand their operational challenges, introduce new software updates, and solidify partnerships aimed at fostering premium healthcare delivery across Nigeria.
By Aduragbemi Omiyale
The National Agency for Food and Drug Administration and Control (NAFDAC) has announced the recall of a sexual enhancement product known as WAP Sensual Enhancement Capsules.
In a statement on Monday, the Nigerian agency disclosed that the recall is due to “undeclared pharmaceutical ingredients” in the product, whose country of origin is unknown, but is marketed and distributed online in the US through eBay.
It was emphasised that the recall is being “voluntarily” made by the manufacturer, Best Supplements Best Prices Company.
The detection of the undeclared pharmaceutical ingredients was made by the US Food and Drug Administration (FDA).
Laboratory analysis by the US FDA revealed that the product contained undeclared sildenafil, tadalafil, and flibanserin, which were not mentioned on the product label. Such substances may include phosphodiesterase type-5 (PDE-5) inhibitors or related compounds commonly used for the treatment of erectile dysfunction, the statement by NAFDAC stated.
Sildenafil and tadalafil are ingredients in FDA-approved prescription drugs used to treat erectile dysfunction.
It was noted that these undeclared ingredients may interact with nitrates found in some prescription drugs, such as nitroglycerin, and may lower blood pressure to dangerous levels. Consumers with diabetes, high blood pressure, high cholesterol, or heart disease often take nitrates.
Flibanserin is the active ingredient in an FDA-approved prescription drug used to treat low sexual desire in women. Flibanserin can cause drowsiness, sedation, dangerously low blood pressure, and fainting, especially when combined with alcohol.
Consumers have been encouraged to report compromised products (medicines or medical devices) to the nearest NAFDAC office, call 0800-162-3322, or send an email to sf******@********ov.ng.
