Health
Assault: The Albatross of LASUTH Healthcare Workers
By Olutayo Irantiola
The spate of physical violence in our society has increased tremendously, daily; the media is inundated with the news of all forms of assaults. It seems as if people have not taken lessons from all this reportage as it keeps rising astronomically. Unfortunately, this ugly trend has not spared healthcare workers and this is a dangerous position that must be discouraged.
The World Health Organization (WHO) defines workplace violence as, “Incidents where staff are abused, threatened, or assaulted in circumstances related to their work, including commuting to and from work, involving an explicit or implicit challenge to their safety, well-being, or health.”
WHO considers both physical and psychological harm, including attacks, verbal abuse, bullying, and both sexual and racial harassment, to be workplace violence.
In a study conducted by the New England Journal of Medicine, there are 4 types of violence that can occur in the workplace. The first type is by perpetrators who have no association with the workplace or employee.
In the second type, the assailant is a customer or a patient of the workplace or employee. The second type of violence, usually committed by the patient, their families, or their friends, is most prevalent against healthcare workers.
A third type is when the attacker is a current or former employee of the workplace. The fourth type occurs when the perpetrator has a personal relationship with the employee but not with the workplace.
Also, in an article published by BMC Health Services Research titled Manifestations of verbal and physical violence towards doctors: a comparison between hospital and community doctors by Tamar Nevo et al, doctors often are a target for workplace violence.
About a quarter of emergency room doctors reported that they were the victims of physical abuse over the previous year. In a study conducted at Michigan University, 89% of the violent incidents were by patients, 9% by family members, and 2% by friends of the patient.
The primary reasons for violence directed at the medical staff are long waiting times, dissatisfaction with treatment, a hurtful comment by a staff member, or the influence of drugs and alcohol on the attacker.
According to the US Department of Labour, 12% of the injuries sustained by registered nurses are from violent acts. These injuries can be deadly.
Last year in Nigeria, the former National President of Nigerian Association of Resident Doctors (NARD), Dr Aliyu Sokomba, Secretary-General, Dr Bilqis Muhammed, and Publicity and Social Secretary, Dr Egbogu Stanley, the association condemned the recent attack on members who were performing their legitimate duties in Maitama District Hospital, Abuja and Nnamdi Azikiwe University Teaching Hospital, Nnewi.
The recent happening at the Lagos State University Teaching Hospital (LASUTH) wherein the relative of a patient, who was presented with a gunshot injury, assaulted the staff has brought the discourse to the fore again.
In the process of trying to resuscitate the patient, the relative attacked 3 nurses and a doctor in the line of work. In fact, one of the nurses had a deep cut on the head, while one was almost stripped naked. However, the security personnel of the hospital later got him apprehended and arrested.
With the significant rise in the population of Lagos, both in numbers and in age, the waiting time to see a doctor gets longer in both the emergency room and the wards. These frequent acts of violence against employees can have on their morale over time.
“Emergency care is one of the specialties that do have a high burnout rate. How many other places do you go to work, and it’s commonplace and almost accepted that people are going to swear and scream at you? Eighty per cent of the emergency physicians say that patients threaten them or threaten to return to the emergency department to harm them. The cumulative effect of both kinds of violence does wear and it creates burnout. I think it’s contributing to nurses leaving the profession.”
Although the hospital has put up “zero tolerance” signs, patients and their relatives do not adhere to this instruction. With the various ways of escalating the pain of patients and their relatives to the hospital management, people still find it easier to be violent rather than engage with the management team. Every day across the country, people are verbally and physically abusing staff.
The apprehended relative of the patient has been taken to court and the law would take its due course. All hands are on deck waiting for the verdict. It is wise to state that everyone needs to be calm even in the face of utmost provocation and seek other methods of dispute resolution rather than resorting to violence.
According to the Chief Medical Director of the hospital, Professor Adetokunbo Fabamwo, with the level of innovative solutions that LASUTH is bringing to Lagosians through its dedicated healthcare workers, it can only be done in an atmosphere free of chaos and agitation.
Violence against healthcare workers is unacceptable. It harms the psychological and physical well-being of the staff but also affects their job motivation.
“The management of the hospital, under any circumstances, would not tolerate any assault against her staff going forward. The hospital provides for checks and balances within the hospital which is available to treat situations if they occur, and the hospital on several occasions appealed to aggrieved members of the public to seek redress through various channels.
“The hospital is committed to providing quality healthcare services to our patients and their relatives and we urge everyone to cooperate with our staff to facilitate their care,” he added.
As a responsible workplace, LASUTH has continued to investigate workplace violence incidents, risks, or hazards; provide training and education to employees who may be exposed to workplace violence hazards and risks; meet record-keeping requirements; and prohibit acts of discrimination or retaliation against employees for reporting workplace violence incidents, threats, or concerns.
It has become expedient, therefore, for policymakers, hospital managers, and supervisors should work collaboratively to minimize workplace violence and ensure the safety and psychophysical stability of all healthcare workers in Lagos and the nation at large.
Olutayo Irantiola is an astute PR Consultant and Public Affairs Analyst. He can be reached via [email protected] and he blogs on www.peodavies.com
By Modupe Gbadeyanka
As part of its efforts to safeguard public health in Nigeria, the National Agency for Food and Drug Administration and Control (NAFDAC) has strengthened its regulatory framework for blood and blood products.
A statement signed on Thursday by the Director General of NAFDAC, Prof Mojisola Adeyeye, disclosed that to achieve its goal, the agency will collaborate with relevant authorities and stakeholders to establish a robust regulatory framework that promotes the availability of safe, quality-assured and efficacious blood and blood products, while strengthening public confidence in Nigeria’s healthcare system.
NAFDAC said it intends to partner with government institutions, healthcare providers, blood establishments, development partners and other stakeholders for the robust oversight.
Mrs Adeyeye disclosed that already, her organisation has received the support of the Minister of Health and Social Welfare, Prof Ali Pate.
According to her, NAFDAC has been given the mandate to regulate blood and blood products in line with global best practices and the World Health Organisation (WHO) recommendation that these products be subject to oversight by National Regulatory Authorities (NRAs) for medicines.
She said blood and blood products are classified as essential medicines and must be consistently available with assured quality, safety and affordability, stressing that the aim is to protect patients throughout the blood transfusion chain.
Effective regulatory oversight will support the quality and safety of blood products from donor assessment and collection through testing, processing, storage, transportation and use, the NAFDAC chief noted.
Several African countries, including Egypt, Ghana, South Africa, Tanzania, Zimbabwe, Senegal and Rwanda, have already established regulatory oversight of blood and blood products by their NRAS, she added.
Mrs Adeyeye pointed out that NAFDAC’s renewed regulatory preparedness builds on its broader transformation into a modern, science-based regulatory authority.
Already, it has attained WHO Maturity Level 3, completed WHO Global Benchmarking ML3 re-assessment, obtained WHO prequalification for its drug laboratory, and established internationally accredited laboratory and quality management systems. These capabilities provide a strong foundation for the effective regulation of blood and blood products.
As part of its preparedness, NAFDAC has established a dedicated Vaccines, Biologicals and Medical Devices Registration and Regulation Directorate to oversee the registration and regulation of these products.
The agency established a Vaccines, Biologicals and Medical Devices Laboratory Services many years ago, but became a Directorate in 2024, responsible for quality control, including laboratory testing and lot release, while the Directorate of Evaluation and Research provides oversight of Good Manufacturing Practices. An ultra-modern laboratory facility is also being developed to further strengthen its capacity for the assessment and quality control of vaccines and biologics.
By Modupe Gbadeyanka
An organisation known as GoMed Nigeria is offering free reproductive health services to Nigerian students through a digital self-care platform.
This is being delivered through a partnership with the United Nations Population Fund (UNFPA) and the Lagos State Government.
The pilot scheme will be available to students of the University of Lagos. They will enjoy easier and more private access to essential health products, accurate information, and professional support.
Young Nigerians face some of the highest rates of unintended pregnancy and unmet need for contraception in the world.
Cost, distance, stigma, misinformation, and fears about confidentiality routinely stop students from seeking the products and guidance they need, with consequences that include unintended pregnancy, unsafe abortion, sexually transmitted infections and interrupted education.
The self-care platform is designed to remove each of these barriers. Through the platform, students receive free contraceptives and other sexual and reproductive health commodities provided through the Lagos State Ministry of Health and UNFPA, exclusive discounts on health essentials, and fast, discreet delivery directly to campus and student hostels.
Students can also access trusted sexual and reproductive health information and services through UNFPA’s SoftLife 247 and U-Plan platforms. Through U-PLAN, they can chat directly with qualified Family Planning Service Providers to receive accurate information and address their concerns. They can also confidently engage with GoMed’s registered pharmacists for confidential, judgement-free guidance on medicines and other health products.
“Students should be able to get reliable health information and essential products without cost, distance or fear of judgement becoming barriers.
“This platform brings free sexual and reproductive health commodities, other affordable health products and professional guidance together, with discreet delivery directly to students on campus,” the chief executive of GoMed Nigeria, Mr Anthony Edeki, said.
Also speaking, UNFPA in Nigeria Resident Representative, Muriel Mafico, said, “As the UN agency mandated for “Sexual and Reproductive Health and Rights”, we are committed to reducing preventable maternal deaths and addressing the unmet need for family planning, including by providing and overseeing access to life-saving commodities worldwide.
“Working alongside our partners, we’re helping roll out the digital Self-Care Platform—so that vital, life-changing information can reach more people, more easily. Together, we want to empower Nigeria’s next generation to make informed health choices and achieve stronger health outcomes and a brighter future.”
By Modupe Gbadeyanka
A financing framework to accelerate the electrification of health facilities nationwide has been approved by the federal government.
The approval was announced at the third meeting of the Inter-Ministerial Steering Committee (IMSC) of the Nigeria Power for Health Initiative (NPHI), a presidential programme jointly coordinated by the Federal Ministries of Power and Health and Social Welfare.
The committee was constituted to ensure reliable electricity in at least 30 per cent of Nigeria’s health facilities by the end of 2027.
At the meeting, chaired by the Minister of State for Health and Social Welfare, Mr Isiaq Salako, and co-chaired by the Minister of Power, Mr Joseph Tegbe, members of the Inter-Agency Technical Committee (IATC) presented the recommendations under consideration.
Speaking at the meeting, Mr Salako said the Steering Committee approved a financing framework to mobilise investment for healthcare electrification, alongside a facility energy management framework requiring participating hospitals to build sustainable systems for managing their energy infrastructure.
He said the committee also cleared eight (8) private sector proposals for further engagement, drawn from about 70 submissions received during the National Healthcare Electrification Investor Matchmaking Week in Lagos.
The Health Minister added that Energy Management Teams are already in place at federal tertiary hospitals, with state governments being encouraged to set up similar structures. The initiative will now be institutionalised through dedicated budgetary provisions and a full-time Project Coordination Unit to oversee implementation.
On his part, Mr Tegbe declared that the initiative must now move from announcements to actual project delivery.
Describing the NPHI as one of the President Bola Tinubu administration’s flagship programmes, he said the emphasis should shift towards commissioning completed projects that Nigerians can see for themselves, rather than further groundbreaking ceremonies and public messaging.
He emphasised the need for teaching hospitals, state hospitals, and primary healthcare centres to be fully energised, noting that the Rural Electrification Agency has already energised 5 Federal Teaching Hospitals and several other health facilities nationwide.
He also tied the initiative directly to patient outcomes, arguing that dependable power would end hospitals’ reliance on emergency generators, and pledged that the Ministry would continue to prioritise the initiative’s funding needs while ensuring value for money.
