Health
Jigawa Records Second Highest Takers of COVID-19 Vaccine
By Adedapo Adesanya
The World Health Organisation (WHO) has disclosed that Jigawa State recorded the second-highest takers of the Oxford-AstraZeneca COVID-19 vaccines in Nigeria after Lagos State.
In a press release, the world health body noted that Jigawa has the second-highest turnout for the vaccine.
According to WHO, authorities in the North-Western state of the federation received 68,520 doses of the vaccine and 33,508 persons have been vaccinated by March 29. The state has recorded 518 of the 162,593 COVID-19 cases in Nigeria by the same date.
“Only two weeks into the arrival of COVID-19 vaccines in Nigeria, Jigawa State is recording impressive results as authorities accelerate efforts to distribute doses of the AstraZeneca vaccine, millions of which are available across Nigeria.
“The vaccines were delivered to the country from the Serum Institute of India(SII) in early March,” the release noted.
According to Mr Hassan Shaibu Kwallam, the State Immunization Officer, the state had to face some challenges as there were claims of vaccines causing infertility in women while others have claimed that vaccines will be administered to the country’s political elite only.
But working with local communities, the state has overcome a huge part of the fear, state officials noted.
Getting Jigawa’s residents to turn out was possible largely due to the influence of traditional and religious leaders, according to Mr Kwallam.
“Our strategy has been a very simple one. We have the buy-in of the local health workers and we also have the cooperation of the traditional leaders. That has made the vaccination process go smoothly,” he added.
Nigeria received 3.9 million vaccines in March out of an expected 84 million doses through the COVAX Facility, co-led by Gavi, the Vaccine Alliance, WHO and the Coalition for Epidemic Preparedness Innovations(CEPI), in partnership with the United Nations Children’s Fund, the World Bank, and other partners. COVAX is one pillar of the Access to COVID-19 Tools (ACT) Accelerator, a global collaboration to hasten production and fair access to COVID-19 tests, treatments and vaccines.
An additional 41.3 million vaccine doses through the Africa vaccine acquisition task team(AVATT) and the African Union are expected in April.
Testimonies
On a recent weekday, community health worker, Mrs Balkisu Yahaya, bared her arm and felt the small prick of the needle as she got her first dose of the COVID-19 vaccine from a colleague. In return, Hajiya Balkisu vaccinated her colleague too. The two are health workers deployed as vaccination teams to immunise against the COVID-19 disease in Nigeria’s Jigawa State and are some of the first to get the jab.
“I have taken the first dose and I am now very very happy,” Hajiya Balkisu, who works at the Sakwaya Primary Healthcare Center in Dutse, the capital, said. “It’s good so I can protect myself first before protecting others.”
Mrs Balkisu says the turn out signifies some vaccination success despite instances of Covid-19 vaccine hesitancy among some residents.
Since the start of the pandemic last year, unfounded theories about the origin of COVID-19 as well as rumours about the vaccine’s safety have spread widely across the internet and social media space in Nigeria.
When it was time for His Royal Highness, the Emir of Hadejia to get his first jab on a recent Monday, he did it publicly, opting to take the vaccine at the Hadejia General Hospital in the Hadejia Local Government Area (LGA) where many in his community could see. After the Emir received the injection, he held up his green vaccine card, with a QR code stamped on it, for proof.
“I hope to dispel the rumours that a different vaccine, safer and more potent, is being administered to only very important personalities,” the Emir said. “Coming out like this will build trust and confidence in the minds of many that harbour this misconception and will lead to a higher turn-out for vaccine rollout. I am sure of it.”
Mr Ahmed Mohammed Sani, Emir of Gumel who received his vaccine last Wednesday says partnerships between local leaders and health workers increase chances of success when it comes to immunisation.
“I am presenting my humble self for the COVID-19 vaccination before all so everybody can do the same,” the Emir said.
“What we, as an emirate had successfully done during the polio eradication initiative, is a clear testimony of our sustained ability to convince our communities in support of any public health interventions brought up by the government.”
Only health workers like Mrs Balkisu and traditional leaders were targeted for the first phase of the roll-out, to protect health personnel and build trust among communities.
WHO noted that phase two (which targets adults aged 50 and older) and then phase three (for ages between 18 and 49) are due to have commenced. Those who successfully receive their first jabs are expected to take their second doses after 12 weeks.
No Need for Fear
Back in Jigawa, Mrs Balkisu said she has had to convince many that the slight fever some feel after taking the vaccine was normal – she felt it too and it went away in a day, she added.
Dr Sunday Audu, WHO Jigawa state coordinator echoed her message. “There is no reason for hesitancy. There have been no reports of any serious Adverse Effect Following Immunization (AEFI) in the state. It is only a minor inconvenience but it would be beneficial for more people to get their doses so we can protect ourselves and our neighbours.”
WHO has supported in training the 162 vaccination teams deployed across the 27 LGAs of Jigawa and added that it will continue supporting the coordination, training, monitoring and supervision of health care workers till all doses are used up.
“I will advise my colleagues and everyone else to put their mind at rest,” Mrs Balkisu added as she attended to people waiting to be vaccinated. “Don’t think too much about the inconvenience of the jab. Just relax and you will be fine. It’s much less painful than contracting Covid-19 and falling sick.”
Like Polio, Like COVID-19
It’s not the first time Jigawa has successfully immunized thousands despite some pockets of hesitancy, health authorities say. When the Polio disease was endemic in Nigeria and parents were reluctant to get their wards vaccinated, health workers also turned to traditional and religious leaders for advocacy support. This culminated in the huge success recorded in 2020 when Nigeria was declared polio-free after years of fighting the disease.
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.
