Health
Merck, IFFS Tackle Infertility In Africa
By Modupe Gbadeyanka
Leading science and technology company, Merck, through its ‘Merck More than a Mother’, has conducted a high level panel to addressed infertility challenges in Africa, with a view to finding solutions to them.
The panel was set in partnership with the International Federation of Fertility Societies (IFFS) at the opening ceremony of the World Congress of (IFFS) held in New Delhi, India.
The high level panel of ministers, parliamentarians and global fertility experts from IFFS and Africa Fertility Society highlighted lack of access to regulated fertility care and awareness about infertility management and widespread stigma of infertile women as some of the key challenges in Africa.
The panel called for increased efforts to improve access to regulated fertility care through the development of artificial reproductive therapy (ART) laws and regulations and to empower infertile women through access to education and information. They also supported the training of African embryologists and discussed different interventions to remove the infertility stigma and create a culture shift and change of mind set.
The high level panel including Sarah Opendi, Minister of Health, Uganda; Betty Amongi, Uganda’s Minister of Lands, Housing and Urban Development and Chair of Uganda Women Parliamentarian Association; Julia Duncan-Cassell, Minister of Gender, Liberia; Joyce Lay, Member of Parliament, Kenya; Dr Patrick Amoth, Senior Deputy Director of Medical Services, Ministry of Health, Kenya; Prof. Joe Leigh Simpson, Former President of International Federation of Fertility Societies (IFFS); Prof. Richard Kennedy, President of IFFS; Prof. Oladapo Ashiru, President of Africa Fertility Society; Dr. James Olobo-Lalobo, Vice-President of Africa Fertility Society, Uganda and Dr. Rasha Kelej, Chief Social Officer, Merck Healthcare supported the implementation of ‘Merck More than a Mother’s’ strategic objectives and interventions across Africa.
“The aim of ‘Merck More than a Mother’ is to empower infertile women in Africa through improving access to education, information and health and change of mind-set and in case they cannot be treated the campaign is empowering them economically and socially through ‘Empowering Berna’ Project so that they can be independent and re-build their own lives,” said Dr. Rasha Kelej, Chief Social Officer, Merck Healthcare.
“In Uganda, between 15-20% of couples fail to conceive. The number of fertility clinics in the country to address this problem are few and expensive. Together with ‘Merck More than a Mother’ in Uganda we are creating awareness that infertility can be prevented and that to improve access, fertility care can be integrated into the already existing public reproductive healthcare services which will be cost effective as the infrastructure is already there. In addition we are building a hospital for Women Health where we will dedicate an IVF center to provide couples with affordable and effective treatment with the support of Merck to train the future staff,” said Sarah Opendi, the Minister of Health, Uganda.
“In our culture, a woman is always blamed for infertility. She carry’s the shame, embarrassment and tears in private. We need to create awareness by providing information and education on infertility so that both men and women can talk about it. ‘Merck More than a Mother’ campaign has opened discussions on infertility and is talking about solutions and interventions available,” said Joyce Lay, Member of Parliament, Kenya.
At the meeting Merck showed a few videos of African infertile women who shared their stories of suffering due to failing to have children and their transformation after meeting Merck more than a Mother team who helped empower them socially and economically.
Speaking on the need to create a culture shift, Julia Duncan Cassell, Minister of Gender, Liberia said: “We should look at a woman as more than a mother. It is not always the fault of the woman when there is no child, but in our culture it is. We need to speak out as both men and women can be affected by infertility. Violence and stigma against infertile women should not be tolerated. We need to change our culture, tradition, attitude and mind-set. These can be modified and changed. We hope the ‘Merck More than a Mother’ initiative can be extended to other African countries so that awareness can increase and know that infertility can be caused by many factors and that with the right information it can be prevented.”
“In the African culture, marriage gives a woman the right to property and land. When they don’t bear children they are disinherited and when they go back home there is also nothing for them. Therefore, empowering infertile women economically and socially as ‘Merck More than a Mother’ is doing is important because most of them have nowhere to go. This enables them to sustain themselves and with the information they are given they become change agents in their communities,” said Betty Amongi, Minister of Lands, Housing and Urban Development, Uganda.
Prof. Joe Leigh Simpson, President of IFFS supported the need and importance of building fertility care capacity in Africa. “We in high resource countries have an obligation to provide education, service and translate in the shortest period of time the advances that are being made in our labs to middle and low resource countries”.
“IFFS has an important role to support ‘Merck More than a Mother’. We agree that education is essential and that we will support the education and training initiatives necessary in Africa to develop capacity for infertility treatment,” said Prof. Richard Kennedy, President elect of IFFS.
“In Nigeria people who come into our clinics are afraid because they don’t want people to know they are taking fertility treatment. In most of these cases only women seek treatment for infertility and not the men. People prefer to seek help elsewhere and by the time they come for medical help it is too late. We are happy that ‘Merck More than a Mother’ campaign is being launched in Nigeria and in Africa to create a culture shift that will enable people to seek proper treatment for infertility and that there is respect for womanhood than motherhood,” emphasized Prof. Oladapo Ashiru, President Africa Fertility Society.
Dr. Patrick Amoth, Senior Deputy Director of Medical Services, Ministry of Health Kenya pledged support for the work that ‘Merck More than a Mother’ is doing in Kenya. “The Ministry will play a key role in developing policy and guidelines to implement the ART law to ensure standards and regulations are maintained to protect couples seeking fertility treatment from exploitation,” he emphasized.
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.
