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Enhancing Maternal Survival by Committing to Agreed Global Health Policies

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Maternal Survival

By Isaac Oriafo Ejakhegbe

“Maternal health and wellbeing must remain a central goal, an investment priority in the sustainable development to ensure that progress continues and accelerates. Also, indigenous government must see that they play their part to agreed health policies for which we pledge commitment.”— Gynecologist in Benin City, Nigeria

The year 2015, which once seemed far off, has now passed.

With the Sustainable Development Goals (SDGs) adopted and the 2015 Global Maternal Newborn Health Conference and 2016 Women Deliver Conference behind us, the time is now to mobilize global and country-level commitment for ending preventable maternal mortality, including commitments to newborn, sexual and reproductive health.

Worldwide, the greatest disparities among human development indicators are in maternal mortality rates between high-income and low- and middle-income countries. The highest maternal mortality levels are found in Africa and Asia. In fact, in India, a woman dies of childbirth every 8 minutes, and Nigeria loses 145 women of childbearing age every single day.

Across many countries there have been short- and long-term policies to achieve tangible reductions of maternal deaths.

There is, of course, nothing wrong in expressing short- or medium-term health policy goals, or even far-reaching objectives to be achieved over a slated period of time. There is, however, in retrospect, a clear historic trend over nearly two decades that, despite progress, long-term maternal health policies have not fully attained success in the sub regions of many countries, leaving deep inequity not only between, but also within countries.

Stakeholders and country-level government should act early and sustain the zeal for maternal, newborn and reproductive health and rights ignited by the SDGs, since quality health care that reaches women on time could avert most of these deaths.

In 1977, “Health for all by the year 2000” was the well-known slogan at the estimable initiative of Alma Ata. Nearly 20 years later at the famous International Conference on Population and Development (ICPD) in Cairo, Egypt, delegates from 179 countries agreed that every country must reduce maternal mortality by half by the year 2000.

Despite these well-intentioned, yet lofty goals, the turn of the century passed with the beating hearts of childbearing women continuing to reach an idle stop every day. Millennium Development Goal 5 added upon Alma Ata and ICPD and enhanced the focus on efforts to decrease maternal mortality, with an even loftier goal to decrease 1990 maternal mortality ratios by three quarters by 2015.

Much of the progress that contributed to a 45% decrease in maternal mortality from 1990 to 2013 was the result of accelerated gain since 2000 and yet many of the countries in Africa and Asia were not able to achieve the benchmark target by the slated year 2015.

The dawn of the SDGs is a new era.

While the targets for maternal and newborn health are laudable, and could be achieved across the globe over the next 15 years, it is critical that local and national governments in developing nations act vigorously and sustain commitment to budget allocation and program implementation for quality maternal health care services within a global framework.

Isaac Oriafo Ejakhegbe is a Women Deliver Young Leader from Nigeria. He works in the nonprofit sector, with a focus on health promotion, maternal and child health, gender equality and climate change. Among others, he is passionate about civil engagement and health reporting of the SDGs and has written works in HIV, child labour, girls education, and climate change. He can be reached via email and Twitter.

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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Lagos Steps up Mandatory Health Insurance Drive

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Mandatory Health Insurance Drive

By Modupe Gbadeyanka

Efforts to entrench mandatory health insurance through the Ilera Eko Social Health Insurance Scheme in Lagos State have been stepped by the state government.

This was done with the formal investiture of the Commissioner for Health, Professor Akin Abayomi, and the Special Adviser to the Governor on Health, Mrs Kemi Ogunyemi, as Enforcement Leads of the Lagos State Health Scheme Executive Order and ILERA EKO Champions.

The Commissioner described the recognition as both symbolic and strategic, noting that Lagos is deliberately shifting residents away from out-of-pocket healthcare spending to insurance-based financing.

“We have been battling with how to increase enrolment in ILERA EKO and change the culture of cash payment for healthcare. Insurance is a social safety net, and this mindset shift is non-negotiable,” he said.

He recalled that Lagos became the first state to domesticate the 2022 National Health Insurance Authority (NHIA) Act through an Executive Order issued in July 2024, making health insurance mandatory. He stressed that the decision reflected the Governor’s strong commitment to healthcare financing reform, adding, “When Mr. Governor personally edits and re-edits a document, it shows how critical that issue is to the future of Lagosians.”

Mr Abayomi also warned against stigmatisation of insured patients, describing negative attitudes towards Ilera Eko enrolees as a major barrier to uptake. “If someone presents an Ilera Eko card and is treated as inferior, uptake will suffer. That must stop,” he said, pledging to prioritise insurance compliance during facility inspections. “The key question I will keep asking is: ‘Where is the Ilera Eko?’”

In her remarks, Mrs Ogunyemi, said the enforcement role goes beyond a title, stressing that the health insurance scheme is now law.

“This is about Universal Health Coverage and equitable access to quality healthcare for everyone in Lagos State,” she said, noting that ILERA EKO aligns with the state’s THEMES Plus Agenda.

She commended the Lagos State Health Management Agency (LASHMA) for aggressive sensitisation efforts across the state, saying constant visibility was necessary to address persistent gaps in public knowledge. “People are still asking, ‘What is Ilera Eko?’ ‘Where do I enrol?’ Those questions tell us the work must continue,” she said.

She urged all directors and health officials to mainstream Ilera Eko promotion in every programme and engagement, emphasising that responsibility for health insurance advocacy does not rest with LASHMA alone. “When people come with medical bills, the first question should be: are you insured?” she said, adding that early enrolment remains critical as premiums rise over time.

Earlier, the Permanent Secretary of LASHMA, Ms Emmanuella Zamba, said the investiture marked a critical step in positioning leadership to drive enforcement of the Executive Order across the public service.

“What we are undertaking is pioneering in Nigeria. All eyes are on Lagos as we demonstrate how mandatory health insurance can work,” she said.

Ms Zamba disclosed that enforcement nominees across Ministries, Departments and Agencies have been trained, with a structure in place to ensure compliance beyond the health sector.

According to her, “This initiative cuts across the entire public service, particularly public-facing MDAs, in line with the provisions of the Executive Order.”

She explained that the formal designation of the Commissioner and the Special Adviser as Enforcement Leaders was meant to strengthen compliance, alongside the Head of Service, while also recognising their consistent advocacy for universal health coverage. “This decoration is to amplify their roles and appreciate the leadership they have shown,” she said.

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Tinubu Transmits 24 Bills to Reduce Bloated Health Sector Boards to Senate

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Tinubu's Portrait

By Adedapo Adesanya

President Bola Tinubu has transmitted 24 bills for consideration of the Senate which seeks to reduce the country’s over-bloated board memberships in the health sector.

The bills were conveyed alongside a letter addressed to President of Senate, Godswill Akpabio, and read at plenary on Tuesday, in line with Section 58(2) of the 1999 Constitution of Federal Republic of Nigeria.

President  Tinubu said the proposed legislations followed a comprehensive review of existing health sector laws by the Attorney-General of the Federation and Minister of Justice.

He said the review, approved by the Federal Executive Council (FEC), was in collaboration with the Minister of Health and Social Welfare, Professor Muhammad Ali Pate.

According to the President, the bills aims at streamlining governance structures across health institutions by reducing over-bloated board memberships.

This, he said, would improve efficiency, effectiveness, and service delivery within the sector.

According to him, the proposed legislations cover a wide range of health institutions and regulatory bodies, including tertiary and teaching hospitals, specialty hospitals, professional councils, and regulatory agencies.

He said the bills transmitted to the Senate includes the National Hospital for Women and Children, Abuja, Federal Medical Centres, National Specialty Hospitals Management Board; Orthopaedic Hospitals Management Board

Others are the National Eye Centre, National Ear Care Centre, Nursing and Midwifery Council of Nigeria; Medical Laboratory Science Council of Nigeria, the National Agency for Food and Drug Administration and Control (NAFDAC) and the National Blood Service Agency, among others.

The President also listed additional legislative proposals such as the Records Officers Registration and Digital Health Bill 2025 and the Federal College of Complementary and Alternative Medicine Bill 2025.

President Tinubu expressed confidence that the Senate would give the bills careful and judicious consideration in the interest of strengthening Nigeria’s health sector.

After the letter accompanying the bills was read, Senate President referred all the 24 bills to the Senate Committee on Rules and Business for further legislative action.

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Africa Wellness Voices Initiative Promotes Mental Wellbeing

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Africa Wellness Voices Initiative AMVI

By Adedapo Adesanya

A new pan-African mental wellness campaign, the Africa Wellness Voices Initiative (AWVI), is set to launch this February, bringing together voices from across Africa to promote mental wellbeing, reduce stigma, and encourage supportive conversations around mental health.

Led by SereniMind, a mental health and wellness organization, AWVI will spotlight different African countries daily throughout February by sharing short wellness statements from individuals, organizations, youth leaders, and institutions.

Each daily feature will highlight local perspectives on mental wellbeing while reinforcing a shared continental message: mental health matters, it said in a statement shared with Business Post.

Mental health remains a critical but under-addressed issue across Africa. According to the World Health Organisation (WHO), depression affects more than 66 million people in the African Region, while mental health services remain limited in many countries. Young people are particularly affected, facing stigma, lack of awareness, and barriers to accessing support.

AWVI said it aims to address these gaps through a unified, prevention-focused awareness campaign that leverages digital platforms to reach communities across borders. In addition to featured voices, members of the public are encouraged to participate by sharing short wellness videos on social media, fostering grassroots engagement and peer-to-peer support.

Speaking on the initiative, Mr Oyenuga Ridwan, Founder of SereniMind, said: “Across Africa, too many people suffer in silence when it comes to mental health. Africa Wellness Voices Initiative is about unity, bringing together Africans from different countries, ages, and backgrounds to normalize conversations around wellbeing and remind people that seeking support is a strength, not a weakness.”

The February campaign is expected to reach 15–25 African countries, feature 60–120 individuals and organizations, and generate over 500,000 digital impressions across platforms including Instagram, LinkedIn, X (formerly Twitter), and TikTok. The organizers hope to scale the initiative in future editions to include all 54 African countries.

AWVI says it aligns with broader continental and global priorities on health, youth empowerment, and wellbeing, contributing to conversations around preventive mental health, community resilience, and inclusive development.

Through technology, partnerships, and community engagement, SereniMind works to promote wellbeing and reduce stigma around mental health.

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