Health
Omose Tasks Governments to Adopt Innovative Primary Healthcare Delivery Model
By Dipo Olowookere
African governments have been charged to adopt “a more innovative model of primary health delivery with grassroots-focused universal health coverage structure that is customised to suit the peculiarities” of the continent.
This advice was given by the Chairman and chief executive of Elkris Group, Dr Elliott Scott Omose, during a media chat with newsmen over the weekend.
The healthcare practitioner, who described primary healthcare in Africa as non-existent, said the continent has the capacity to deliver quality service to its citizens.
Mr Omose is also the founder of PreDiagnosis International, an innovative public healthcare management non-profit organisation with footholds in Nigeria, Sierra Leone, Gambia and a few other African countries.
He pointed out that public healthcare management in most African countries remained poor and ineffective due to the faulty service delivery model and structure that governments and decision-makers adopt.
He emphasised that if the poor and vulnerable population on the continent are enjoying public healthcare, the current structural loophole with universal health coverage in Africa with the glaring absence of Basic, Accessible and Affordable (BAA) healthcare at the primary level must be fixed.
“The United Nations General Assembly High-Level Meeting on Universal Health Coverage in 2019 strongly restated that health is a precondition, outcome and indicator for social, economic and environmental dimensions of UN’s 2030 sustainable development goal,” he reminded African leaders.
“In Africa today, primary healthcare is non-existent as soon as you start to move away from the capital cities because research across the continent reveals an unhealthy pattern whereby pharmacies and local drug stores have been adopted as grassroots (primary) healthcare point by close to 70% of the vulnerable population in the continent.
“In rural Africa, a patient may never get to see or sit before a doctor more than five times in his or her lifetime. And that is usually a result of some intervention outreach by an NGO. For the rest of their lives, they are left at the mercy of pharmacy attendants and quacks as the only alternative to a GP,” he noted.
Continuing, Mr Omose also stated that, “Across the continent, the general hospitals and teaching hospitals are continually overwhelmed because most of the available qualified doctors are concentrated in urban cities and towns while the rural areas have next to nothing, thereby leaving room for self-medication and also for quacks and other unqualified hands to tend citizens’ health needs in the rural, hard to reach areas.
“So, most public health centres, especially in rural areas, rot away due to lack of capable personnel to man them.
“Moreover, before the vulnerable class make it to those facilities because of the huge infrastructure deficit, the majority of their cases are already beyond help.”
“There is an urgent need to embrace a more innovative model of primary health delivery with grassroots-focused universal health coverage structure that is customized to suit the peculiarities of the African terrain.
“Only this way can we begin to show seriousness in the attempt to try to bridge the terribly widening gap between the teaming vulnerable population and access to affordable basic (primary) healthcare,” he stated.
Restating his readiness to assist, Dr Omose submitted that PDI has developed and put to work a workable model for essential health services which offers subsidized, affordable and accessible basic universal health coverage for rural and hard-to-reach areas of Africa.
“As part of our contributions to help our continent overcome this unacceptable situation we find ourselves currently, in 2020, we introduced, in Nigeria, the PDI Basic Universal Healthcare model, which has the PDI 25-point Early Detection System as its strategic core.
“Early this year, we also introduced in Sierra Leone the PDI blue-print for a nationwide Basic (Primary) Healthcare Initiative which goes under the name of Community Basic (Primary) Healthcare Clinic– CBHC.
“For the first time, the PDI Basic Universal Healthcare Model guarantees that the vulnerable African population can have full access to proper one-on-one doctor consultation services by way of a hybrid platform that ensures doctor’s appointment, twenty-four-seven doctor hotline, community mobile clinic, community health hub, free prescription services and other services all year round, twenty-four-seven, all for less than $15 a month, which is less than 30 per cent of the actual cost for the concierge personal health management services.
“We are, therefore, showing that with considerably very little financial outlay, Africa could do a lot more in managing the day-to-day personal basic healthcare needs of the vulnerable population,” he submitted.
Health
Mums Feel Warmth Initiative Raises Postpartum Depression Awareness
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.
Health
NCDC Monitors HMPV Situation, Affirms Nigeria at Moderate Risk
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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