Health
My Encounter with a Nigerian Healthcare Professional
By Jerome-Mario Utomi
This piece stemmed from an unusual occurrence/event which glaringly did more than anything else to support the claim by well-meaning Nigerians that a healthcare professional does not feel bound to seriously observe basic standards of care or are generally unwilling to accept responsibility for their failure to deliver expected quality services.
It was an extract of a mental account on Saturday, November 6, 2021, at Ketu Lagos, where/when my son Pascal Onyinyechukukwu Utomi (now late) suffered a health crisis. To assist the innocent boy arrest the troubling reality, we (myself, the mother/my wife and a very good neighbour), went to one of the private hospitals in the neighbourhood. The hospital gate was firmly locked and understandable as it was dead in the night.
To get the needed attention, I thus pleaded: please help! Help!! Help!!! Emergency! Emergency!! Emergency!!! Some minutes later, one of the hospital’s personnel walked but leisurely towards us. Without getting close to the gate or enquires what the situation was, he, to our astonishment initiated the following conversation;
It will cost you a certain amount to obtain the hospital card. I responded; no problem. He again fired; you need to pay another Naira as a deposit (this time around mentioning a bigger amount). Yet again, I responded, no problem. And the next statement he uttered was; can I have the money? Looking at the time, to meet this demand, I pleaded that he assists me with the hospital’s account number to make the transfer or better still allow me to pay with my ATM card/POS as I do not have much cash on me.
At this point, I received what met the criteria of unimaginable and unexpected response!
Let’s listen to him; we cannot accept transfer/POS at this time of the night. Besides, our Oga (boss) who will confirm the transaction alert/notification is not here and we don’t have the power to wake him from his sleep.
So, can I pay cash tomorrow morning, I queried? No, he responded. Then, what is the way forward? We cannot help, he declared.
With this concluding statement and without consideration to the dying innocent boy, he slowly left us in the cold to our fate and walked back to the main building where he firmly locked the door.
We were left with no other option than to move to another hospital where he finally got admitted but the experience/services were not too different from the first.
Indeed, while the above accounts typify one out of millions of unavailability of quality services, failure of oversight and the impunity of healthcare professionals in both private and public healthcare sector in Nigeria, using the right to health as thematic focal points, there are ingrained reasons that render such development as not just a crisis but paint the public and private health operators in the country as both inefficient and culprits of poor health care providers.
First, the questions that are as important as the piece itself are; what has happened to the strengthened accountability mechanisms relevant to healthcare delivery in Nigeria? How can the nation ensure greater responsibility and accountability of healthcare facilities and professionals in the country? Which one should come first when considering treatment of patents, monetary gain or burning desire to save lives? If it is a desire to save lives, why are medical operators in the country so insensitive to the plights of Nigerians? Why are governments at all levels in Nigeria reputed for poor funding of the health sector?
Have medical professionals in the country forgotten that maximum/quality services provided with efficiency and under the cost-effective arrangement are more profitable than abnormal or counterfeit services as currently witnessed by Nigerians?
Also troubling is the fact that our nation’s health institutions (both private and public) are still unmindful of the fact that serving the people is a serious responsibility and the people involved must abide by the code of conduct and strive to remain within certain limits. This goal should be achieved in an environment of positive and fair competition. They must provide Nigerians with the opportunity to access quality health services without falling prey to fake or any unlawful service or practices.
Talking about the right to health, it is worth mentioning that Nigeria voluntarily assumed obligations to respect, promote, protect and fulfil the right to health under major regional and international human rights instruments, including the African Charter on Human and People’s Rights and the International Covenant on Economic, Social and Cultural Rights.
As noted elsewhere, by the Revised National Policy on Health (2004), “health and access to quality and affordable healthcare is a human right”.
It declares further that “a high level of efficiency and accountability shall be maintained in the development and management of the national health system.”
In its declaration of commitment, the policy asserts that “the people of this nation have the right to participate individually and collectively in the planning and implementation of their healthcare . . . this is not only their right but also their solemn duty.”
So, why is it that these principles and values are yet to permeate the “development and management” of healthcare planning and delivery systems? It is a lamentable development that many healthcare professionals and institutions lack knowledge of the existence of the policy let alone the ideas, principles, targets and expectations that the policy embodies.
This is not the only concern about the nation’s health sector. There are others that are more government-specific in outlook.
Take, as an illustration, Nigerians are particularly not happy that the capital flight lost to medical tourism in one year by Nigerians is huge enough to build a world-class hospital in this country that can attend to these needs, create employment, bring back the array of Nigerian medical specialists littered the world over and bring foreign earnings to our nation’s coffers.
They are not happy that the same medical tourism which in 2017 alone kept our dear president away for about 150 days is left without anything dramatic done to redress or forestall such future occurrence.
And sadly, Nigerians will continue to ‘cry’ because they are tired of going through this state-sponsored human degradation.
It will, however, be of considerable significance to this discussion if the FG realizes that globally, there is no codified principle for lifting a nation from poverty to prosperity. All that is needed is for the FG to go the extra mile to accelerate economic development, social progress and get deeply committed to developing strategies that will guarantee the protection of lives and property of Nigerians while holding health workers (private and public) accountable for their professional misdeed.
Jerome-Mario Utomi, Programme Coordinator (Media and Public Policy), Social and Economic Justice Advocacy (SEJA), wrote from Lagos. He could be reached via [email protected] or 08032725374.
Health
Resident Doctors Suspend Proposed Indefinite Strike
By Adedapo Adesanya
The Nigerian Association of Resident Doctors (NARD) has suspended its planned indefinite strike following the federal government’s reversal of the implementation of the reviewed Professional Allowance Table (PAT) and renewed assurances on outstanding payments.
The decision was announced in a communiqué issued at the end of an emergency National Executive Council (NEC) meeting held virtually on Saturday.
NARD had earlier resolved to embark on a total and indefinite strike over the government’s suspension of the reviewed allowance structure and other unresolved welfare concerns affecting resident doctors nationwide.
However, the association said it reconsidered its position after reviewing the outcomes of high-level engagements with key government officials and health-sector stakeholders.
According to the communiqué signed by NARD President, Dr Mohammad Usman Suleiman; Secretary-General, Dr Shuaibu Ibrahim; and Publicity and Social Secretary, Dr Abdulmajid Yahya Ibrahim, the Federal Government has now reversed its earlier decision on the allowance table.
“The NEC observed that the earlier decision to halt the implementation of the reviewed Professional Allowance Table (PAT) has been reversed, with implementation expected to reflect in the April salary and beyond,” the statement read.
The association also noted the government’s renewed commitment to settling outstanding promotion and salary arrears owed to resident doctors in affected institutions.
In addition, NARD said initial approval had been secured for the 2026 Medical Residency Training Fund (MRTF), with assurances that the disbursement process would be concluded.
“The NEC observed that the Budget Office has indicated its readiness to commence the process for the payment of the outstanding nineteen months’ arrears of the Professional Allowance,” the communiqué added.
Despite the progress, the doctors expressed concern about the continued delay in paying house officers’ salaries and called for urgent action to address the issue.
Following its deliberations, the NEC demanded the sustained implementation of the reviewed allowance structure, the prompt payment of all outstanding arrears, and the expedited disbursement of the residency training fund.
It also called for the immediate commencement of the process to clear the 19-month arrears and the convening of an urgent stakeholders’ meeting to resolve delays affecting house officers’ salaries.
“In light of the above developments, the NEC resolves to suspend the proposed total, indefinite, and comprehensive strike action, with a review of progress to be undertaken at the May Ordinary General Meeting (OGM) in Kano,” the statement said.
NARD expressed appreciation to President Bola Tinubu, Vice President Kashim Shettima, and several ministers, government agencies, and stakeholders for their interventions in resolving the dispute.
Health
Over 1.5 million Nigerian Children Living With Sickle Cell Disease—Report
By Modupe Gbadeyanka
More than 1.5 million children under the age of 15 are living with sickle cell disease in Nigeria, a new international study published in The Lancet Child & Adolescent Health, one of the world’s leading medical journals, has revealed.
In the report made available to Business Post, it was disclosed that Nigeria carries the highest burden of disease globally, far exceeding other high-burden countries such as the Democratic Republic of the Congo and Ethiopia.
The findings highlight both the scale of the challenge in Nigeria and the opportunity for the country to lead Africa in tackling one of the most preventable causes of childhood illness and death.
The study shows that nearly nine million children across sub-Saharan Africa are living with sickle cell disease in 2023, including around 1.17 million infants and 2.75 million children under five, who face the highest risk of early death without treatment.
Sickle cell disease is an inherited blood disorder present at birth. With early diagnosis and access to simple, low-cost interventions such as newborn screening, penicillin prophylaxis, routine vaccinations, malaria prevention, and hydroxyurea, most complications and deaths can be prevented.
However, in Nigeria, access to these essential services remains limited. Many children are only diagnosed after severe and avoidable complications, while others are never diagnosed at all, contributing to high levels of preventable illness and early childhood deaths.
The researchers emphasise that strengthening Nigeria’s health system response will be critical. This includes expanding newborn screening programmes, improving access to essential medicines, and integrating sickle cell care into primary healthcare services.
They called for urgent and coordinated action across government, health institutions, and development partners, including expanding newborn screening programmes, improving access to essential medicines and vaccines, and embedding sickle cell care within primary healthcare services.
The researchers, led by Professor Davies Adeloye, Professor of Public Health at Teesside University, United Kingdom, and Director of the International Society of Global Health (ISoGH), also called for increased domestic investment, supported by international partnerships, as well as stronger data systems to improve surveillance and guide policy decisions.
They concluded that even modest improvements in early-life screening and treatment in high-burden countries like Nigeria could transform child survival and significantly reduce preventable deaths.
“Nigeria now stands at the centre of the global sickle cell crisis. With over 1.5 million children affected, the scale is enormous, but so is the opportunity to act. We already know what works. Newborn screening and early treatment are effective, affordable, and can be delivered through existing health systems.
“If Nigeria prioritises sickle cell disease within its national health agenda and integrates care into routine maternal and child health services, we could save hundreds of thousands of young lives and significantly reduce avoidable deaths.” Professor Adeloye noted.
It was learned that the study analysed data from 40 studies across 22 African countries to produce the most comprehensive country-level estimates of childhood sickle cell disease to date.
Health
Helical Secures $10m Funding Package for Expansion
By Dipo Olowookere
A $10 million capital has been raised by Helical to support expansion across more top-20 pharma programmes and growth of its deployed science engineering team.
The firm will also use the money to build the compounding evidence layer that improves performance across diseases, as its mission is to make every scientist able to test hypotheses at the speed of inference and to turn in-silico discovery into a reliable engine for R&D throughput.
The funding package was from redalpine, Gradient, BoxGroup, Frst and notable angels, including Aidan Gomez (CEO Cohere), Clement Delangue (CEO HuggingFace) and Mario Goetze (pro soccer player).
Helical has a product known as the virtual AI lab for pharma, an application layer that turns biological foundation models into decision-ready, reproducible in-silico discovery workflows.
The platform has two product surfaces — the Virtual Lab for biologists and translational scientists, and the Model Factory for ML engineers and data scientists — built on the same data, the same models, and the same results.
By putting both sides in the same system, Helical closes the gap between computational predictions and biological decision-making, so teams that traditionally worked in silos can collaborate on the same evidence.
Helical was founded in early 2024. It was created by three school friends who took different paths to the same problem.
Rick Schneider built tech at Amazon and later helped the German enterprise Celonis scale in France and Japan. Maxime Allard led data science teams at IBM before pursuing a PhD focused on reinforcement learning and robotics. Mathieu Klop became a cardiologist and genomics researcher.
When bio foundation models emerged, the trio saw the chance to build the missing application layer that would let pharma teams move from model experimentation to reproducible, production discovery.
“The models alone don’t discover drugs. The system does. Pharma teams need a system that turns foundation models into workflows scientists can run, validate, and defend.
“We built Helical to make in-silico science reproducible at pharma scale, so teams can go from hypothesis to decision in days instead of months,” the co-founder of Helical, Mr Rick Schneider, said.
“We are at a unique point in time where biological foundation models and general language reasoning models are converging.
“We backed Helical because we strongly believe they have what it takes to build the pharma AI orchestration platform that will drive this transition from siloed AI models to integrated virtual AI labs,” the General Partner at redalpine, Mr Daniel Graf, stated.
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