Health
Where Are The 3.5m Nigerians Infected With HIV/AIDS?
By Dimos Sakellaridis
The intention of the title is not to scare or stigmatize any reader but to generate an intelligent discussion about the scourge of HIV/AIDS in Nigeria.
In a country of 189 million people, 3.5 million may seem like an insignificant number. However, I know of some countries with population less than 3.5 million people and I cannot imagine what the future of such a country would look like if all their citizens were infected with HIV/AIDS.
The picture of such an imagination would be a monumental tragedy of devastating proportions! Horrendous statistics in Nigeria pegs the HIV/AIDS infected population at 3.5 million and either way you look at it, it is no mean figure.
HIV is spread when blood, semen, or vaginal fluids from an infected person enter another person’s body, usually through sexual contact, from sharing needles when injecting drugs, or from mother to baby during birth.
Many reasons have been adduced for the increasing scourge. One of the top reasons is poor needle and condom use.
In the current harrowing economy, sexual pleasure will be a top recreational activity and that possibly means increased unprotected sex for individuals seeking short term pleasure to long-term economic struggles.
If such a large number of Nigerians are infected with HIV/AIDS according to National Agency for the Control of AIDS (NACA), then a larger population of Nigerians must be interacting with them one way or the other.
Some of the 3.5 million may be married to someone or be related to another as son, daughter, cousin, in-law, brother, sister, niece, nephew, aunt or uncle. The infected ones may be relating to other people as friends, neighbours, customers, clients or colleagues. One way or the other, we are all connected to them.
Some others tragically may be relating to these infected ones as sèxual partners. When you look at 3.5 million holistically, then you realize that it is not a strange distant figure in another city or territory.
It is very close to home and that is scary! If these infected people are Nigerians, then other Nigerians are connected to them one way or the other. So, when experts advise individuals to stay safe especially in sexual relationships, sharp people are smart to listen and adhere.
In retrospection, I am positive that if any of these individuals were infected through unprotected intercourse, they would wish they had done something differently. By something, I mean use a condom every time they had sèx.
So many people find condom use boring. Others believe that condom use gets in the way of full sèxual pleasure or excitement. I understand their reservations especially if they have never heard of the Fiesta Premium condoms available in 12 different variants of colours, textures, shapes, flavours, thickness and sizes, so that individuals can enjoy a different, exciting and pleasurable experience every time they have sèx.
Fiesta condoms puts the ‘F’ in Fun and is backed by DKT Nigeria’s symbols of excellence; ‘Effective, Safe, Affordable and Quality’ (ESAQ).
Fiesta premium Condoms are great choice because they can prevent both pregnancy and sexually transmitted diseases (STDs), so whenever you use Fiesta condoms, you get double protection combined with pleasure every time.
I have heard of so many reasons behind people not using condoms. Top on the list is condoms reduce pleasure. I believe this reason is given because they don’t know about Fiesta Ultra-Thin brand that is as close to skin as you get without that “rubber” taste that can be a real turn off.
When another person says using condom is boring, it is because they have not used the Fiesta dotted condom with more than 500 pleasure dots on the surface to increase stimulation for both partners or the Fiesta ribbed condom with more than 50 pleasure rings to increase stimulation for both partners.
A favourite with Nigerian men is the Fiesta Original Black (a.k.a. Baba dudu) condoms which are gently lubricated, black condoms to increase pleasure for you and your partner and give you a real ‘Black man’s condom experience’.
There is even a Fiesta Glow condoms popularly called ochu uzo (Pathfinder) because it is luminous and glows in the dark even defying power failure to find its target.
Sèx does not have to be risky and dangerous especially where there is the grave potential that one’s sèxual partner may already be infected with HIV/AIDS. Condom use must be encouraged.
Fiesta Premium condoms distributed nationwide by DKT Nigeria have twelve exciting variants including stimulating variants enhanced with chocolates, strawberries and Prolong for extended phantasmagoric levels of pleasure.
The number of ladies engaged in commercial sex workers may increase because the challenging economy could push many promising young girls into the tackiness of prostitution.
Many of them would choose the horrendous career path unaware of the tragedies that are embedded within especially the risk of sexually transmitted diseases and death! It is very unfortunate. But that is the plain truth.
Women and young girls suffering under the agony of poverty may soon choose the ‘easy’ way out through prostitution and they may not know that they can even protect themselves although in very unpalatable profession.
These women or girls are related to people. They have families and friends who may not be aware that they are related to a person within the enemy lines of infection with HIV/AIDS.
This is a tragedy especially when you imagine the number of people living with HIV/AIDS in Nigeria. This is not to stigmatize the PLWHA but any population of people living with HIV/AIDS should be treated with the utmost importance especially as the global community celebrates World AIDS Day on December 1st, 2016.
I am positive that engaging in positive sèxual behaviours including the use of condoms to prevent STDs will greatly reduce the increasing scourge of HIV/AIDS in Nigeria.
If awareness can be created to alter behavior change, I am positive that the scourge of HIV/AIDS can be stemmed on several fronts especially the youths who are the major victims of the scourge.
Dimos Sakellaridis is the Country Director of DKT International Nigeria.
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.
