Health
Nigeria Yet to Allocate 15% of Budget to Health as Promised—WHO
By Adedapo Adesanya
Almost 22 years after pledging to set a target of allocating at least 15 per cent of their annual budget to improve the health sector, the World Health Organization (WHO) has declared that Nigeria is still far from meeting the goal.
In April 2001, heads of state of African Union countries met in Abuja and pledged to set a target of allocating at least 15 per cent of their budget to the health sector.
In commemoration of this year’s World Health Day, which coincided with the 75th anniversary of the establishment of WHO, the Abuja Declaration on improving the health sector was revisited, and many setbacks remained.
April 7 every year was dedicated by the United Nations as World Health Day, and this year was themed, Health for All -Strengthening Primary Health Care to Build Resilient Systems.
Speaking around the declaration made by the then Olusegun Obasanjo administration, Dr Walter Mulombo, WHO Country Representative to Nigeria, explained that even after successive governments, “today, we are still far from achieving the target.’’
Dr Mulombo advocated more funding of the health sector to meet the said target, saying the sector was not adequately funded, compared to areas such as defence, and army, among others.
According to him, health is a human right and not a luxury or consumable, the more politically wise decisions the country makes now will benefit this nation.
“We need to start talking about human rights violations because it is not acceptable for any child to miss a vaccine,’’ he said.
He said that some areas where the organisation accessed showed that 80 per cent of the money went into tertiary hospitals.
According to him, primary healthcare is where 80 per cent of the population in the communities get their first exposure to healthcare services.
“The spending itself is distorted. That is the biggest challenge that has generated everything that we have seen.
“Lack of adequate budget to prepare responses to a pandemic, for instance, we have to struggle in many places,’’ he said.
According to him, the main challenge is the way health is featured as a political choice, and unfortunately, many governments do not live by the standard.
“Many countries continue to consider health as a luxury or something that is costing the government money whereas it should have been taken like an enabling factor for economic and socio-economic development,’’ Mr Mulombo said.
He said it was worrisome the way countries were dealing with social determinants of health, factors like socioeconomic status, education, neighbourhood and physical environment, employment, and social support networks and access to health care.
According to him, addressing social determinants of health is important for improving health and reducing longstanding disparities in health and healthcare.
Dr Mulombo further advocated more facilities with dialysis machines and more expensive equipment to combat the noncommunicable diseases as such was part of the organisation’s challenges.
He said that the organisation also had the challenges of demographic transition because the facilities that were used during the colonial period were still the same in Africa, although It may be possible that Nigeria had the same situation.
“The country is not expending in the space of demographic transition, and the way the population is increasing, Nigeria is projected to have more than 400 million population by 2040, 2050,’’ he said.
Dr Mulombo said that there was also the problem of how the county prepares for the response to any big outbreaks of pandemics.
He said the COVID-19 pandemic was not expected and as such caused havoc in many counties.
“The health body is still expecting the flu pandemic and has been preparing for it.
“When the COVID-19 pandemic hit the world, no country was ready, not even the US or the UK, and yet we have International Health Regulations and Global Health Security Agenda.
“The way we prepare was a challenge, and the other one was that the demographic transition and the prominence of disease civilisation, non-communicable diseases, our health facilities are not prepared to face these challenges,’’ he said.
The International Health Regulations (IHR) 2005 is a legally binding agreement of 196 countries to build the capability to detect and report potential public health emergencies worldwide.
It requires that all countries have the ability to detect, assess, report, and respond to public health events.
The Global Health Security Agenda (GHSA) is a global effort to strengthen the world’s ability to prevent, detect, and respond to infectious disease threats.
According to him, there is a need for the community to play their roles in identifying their needs and in providing the service to address the challenges.
By Modupe Gbadeyanka
A transformative webinar to raise awareness on postpartum depression (PPD) by nursing mothers has been organised by MSc Media and Communication students from the School of Media and Communications of the Pan-Atlantic University.
The programme titled Beyond Baby Blues: Understanding and Overcoming Postpartum Depression was held on January 7, 2025.
It was put together by the students under the Mums Feel Warmth initiative, with experts in the field invited to speak on the matter aimed at empowering mothers and fostering a sense of reassurance.
The webinar was to highlight the journey through postpartum depression, offering a message of hope, resilience, and the importance of mental health support for mothers everywhere.
One of the speakers, Dr Laja Odunuga, who is the Care Coordinator for AVON HMO, explained the difference between the common “baby blues” and the more severe, long-lasting PPD.
The discussion highlighted how PPD can manifest not just as sadness but through severe fatigue, disconnection from the newborn, and loss of interest in activities, which can last well beyond the typical two-week period associated with baby blues.
Another expert, Ms Otomfon Ibanga, the Assistant Lead Nurse for Q-Life Family Clinic, emphasised the role of support systems, urging families and friends to be vigilant for signs of PPD and to provide a nurturing environment.
She also discussed prevention strategies, including prenatal planning for support structures and post-delivery management through therapy or medication.
On his part, Dr Chimaraoke Obialo, who is the Medical Director of Life Amada Health Consultancy, addressed the stigma surrounding PPD, advocating for education to transform societal perceptions from judgement to support.
The webinar underscored the need for community involvement, not just in recognising symptoms but in actively participating in the healing process by offering emotional and practical support.
The Mums Feel Warmth webinar was more than just an educational session; it was a call to action for society to embrace and support new mothers dealing with PPD.
By fostering open conversations and providing platforms for sharing experiences, Mums Feel Warmth continues to lead the charge against the stigma of PPD.
The commitment shown by the panellists and attendees alike promises a future where every mother has access to the understanding and care needed to navigate through the complexities of postpartum depression, ensuring that the joy of motherhood is not overshadowed by mental health challenges.
Mums Feel Warmth, with its core values of empathy, compassion, hope, community, and education, speaks to the Sustainable Development Goal 3, advocating for good health and well-being.
The initiative is breaking the silence around PPD, a condition that can significantly impact new mothers in the critical period following childbirth.
By Adedapo Adesanya
The Nigeria Centre for Disease Control (NCDC) says the country is at “moderate” risk for Human Metapneumovirus (HMPV), a virus that leads to an upper respiratory tract infection with symptoms like cough, fever, and nasal congestion.
In a public health advisory, the Nigerian health agency said the federal government is closely monitoring the outbreak of the virus and is taking safety measures to “strengthen the country’s preparedness and response capacity”.
Recent reports indicate a significant rise in HMPV cases in China, as well as increased respiratory infections linked to HMPV in countries such as the United Kingdom (UK), France, and Germany, particularly during the winter season.
The NCDC said it conducted a risk assessment for the HMPV in collaboration with the Federal Ministry of Health and partners such as the World Health Organization (WHO), the US Centres for Disease Control and Prevention (USCDC), and the UK Health Security Agency (UKHSA).
“The assessment classified the risk of HMPV for Nigeria as moderate. This evaluation will inform and guide preparedness efforts, decision-making, and response strategies to mitigate potential impacts,” the advisory said.
It said the NCDC is working to give Nigerians “timely, accurate information and guidance to keep the Nigerian public informed and prepared”.
NCDC noted that it “in collaboration with Port Health Authorities, is taking proactive steps to ensure robust preparedness at all international points of entry (PoEs) in response to the dynamic risk assessment for Human Metapneumovirus (HMPV).
“These measures are designed to mitigate the potential risk of HMPV transmission through international travel.”
HMPV was first identified in the Netherlands in 2001 and the virus spreads through direct contact between people or when someone touches surfaces contaminated with it.
Children under two are most vulnerable to the virus alongside those with weakened immune systems such as the elderly and those with advanced cancer, according to medical experts.
There have also been worries that this could be like COVID-19, but experts have eased the fear as they are not similar because pandemics are typically caused by novel pathogens, which is not the case for HMPV.
Health
Digitising Healthcare With Local Realities in Mind: Shaping The Future of Healthcare in Africa
eHealth Africa (eHA) has urged governments and stakeholders to explore the critical factors beyond technology that are essential for the deployment of digital health solutions for the long-term success of public health systems across Africa. Data-backed interventions will help streamline operations and enable the formulation of interventions that appreciate the cultural norms when addressing the immediate needs of different communities within the region.
Speaking during a panel session at the Global Digital Health Forum 2024 in Nairobi, eHealth Africa’s Executive Director Atef Fawaz emphasised the importance of integrating technology with local cultures and addressing community-specific needs. “Understanding the unique healthcare challenges in each country allows us to deploy tech solutions that truly make an impact.”For instance, eHealth Africa successfully delivered over 5.8 million vaccines (5,801,209) to 351 primary healthcare facilities across states in Nigeria which was made possible through the deployment of the innovative Logistics Management Information System (LoMIS) application.
“The system significantly improved the availability of vaccines for Routine Immunisation (RI), ensuring timely and efficient distribution while eliminating stockouts at primary healthcare facilities. This intervention highlights our commitment to strengthening immunisation programs and enhancing healthcare delivery at the grassroots level,” he said.
In his contribution, Abdulhamid Yahaya, the Deputy Director of Global Health Informatics highlighted the need to understand the local cultural, social, and regulatory landscape to build solutions that are designed with local realities in mind.
eHealth Africa Board Member Micheline Ntiru said using technology provided stakeholders among them global health leaders, tech innovators, and development experts as well as local communities a platform to create the right solutions that work within the constraints of each community, and with the support of local leadership.
For instance, local health workers have been using mobile-based reminder systems to improve compliance and overall health outcomes while some local immunisation centres have been sending SMS reminders to parents as well as to provide educational messages about the diseases they protect against. Mobile phones, now available in nearly 80 per cent of African homes, can also be used during emergencies to dispatch mass announcements about satellite clinic locations and schedules.
According to the World Health Organisation, increased use of the Internet, email, social networking sites and availability of mobile phones facilitates the deployment of eHealth solutions, applications and services towards the improvement of national health systems. The use of technological eHealth solutions could also be used to encourage positive lifestyle changes to prevent and control common diseases.
The panel moderated by Ota Akhigbe, Director of Partnerships and Programs comprised of Ms Ntiru (Delta40 ventures), Mr Yahaya (eHealth Africa), Chief Impact Officer at Tiko – Serah Malaba, Dr Olamide Okulaja (Maisha Meds), Audere Chief Executive Officer Dr Dino Rech, and Rachel Alladian from Jacaranda. They discussed how strategic partnerships, regulatory compliance, and a deep understanding of local contexts are crucial for driving digital health innovations that can succeed in diverse regions.
The GDHF forum was attended by health scholars, researchers, and representatives from the Ministry of Health in Ethiopia, Tanzania, Kenya, Malaysia, Somalia and Sri Lanka as well as representatives from the World Bank, medicine manufacturers, technology vendors, UN agencies among others.
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