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One Year in Office: The Giant Strides of Professor Adetokunbo Fabamwo in LASUTH

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Professor Adetokunbo Fabamwo

By Abolade Adewale

The provision of specialized medical care which usually involves advanced and complex procedures and treatment performed by specialists in state-of-the art facilities occurs at the tertiary healthcare institutions in Nigeria which are funded by either the federal or state government.

There are three levels of healthcare delivery in Nigeria, primary, secondary and tertiary and these are represented by the primary health centres; the general hospitals and the teaching hospitals respectively.

The patronage from clients and a good referral system are the main links between these levels. However, it has been established that only very few patients are referred to tertiary hospitals while the larger number of patients report directly to these hospitals without referral.

The non-usage of the referral system has led to the overcrowding which is experienced in tertiary health facilities with problems that can be managed at the lower levels. Highly skilled manpower and equipment are wasted on health problems requiring lesser resources to solve. This is the summation of happenings across the 48 teaching hospitals in the country.

In a place like Lagos State, there are over 20 million residents and in the quest for affordable healthcare, the belief is that the Lagos State University Teaching Hospital (LASUTH) is the only place where quality healthcare can be received.

This has led to an over-stretching of services, personnel and the facilities within the hospital and it behoves the leadership of the hospital to know the steps to take in order to make it live up to expectations.

The Chief Medical Director (CMD) of LASUTH, Professor Adetokunbo O. Fabamwo, had confronted these issues in his one year in office. He has continued to make the hospital evolve in the provision of healthcare services in a way that can meet the demands of Lagosians. Within this short time frame, the CMD has brought tremendous growth to the hospital in various forms.

The Professor of Obstetrics and Gynaecology, who was also a part of the pioneering team that evolved the institution in 2001, completed a renovation of the Psychiatry Ward and it has become an ultramodern ward, as of today. Also, the ancillary theatres in the hospital have been resuscitated, these are the LASEMS; Dental and Ophthalmology theatres.

Going further, the hospital, through a Private Public Partnership, will commence the production of oxygen in the hospital by February 2020, while an artificial eye production unit is currently functional and four new machines at the dialysis unit are being installed. All these efforts will stand the hospital out in the provision of outstanding medicare for Lagosians.

According to Prof Fabamwo, the provision of quality healthcare services to Lagosians and Nigerians is of utmost priority to the hospital, noting that, “In the area of clinical services, the hospital has new full-fledged, optimally equipped 8 bedded ICU; a 10 bedded stroke unit; modern Ear Nose and Throat ward and a new fully functional audiometry unit.”

The CMD noted that over N20 million has been expended on the purchase of various ophthalmic equipment which include, Zeiss Lumera 300 operating microscope; Tomey FT 1000 fully automated non-contact tonometer; Tomey SP 100 portable pachymeter; Unicos URK700 automated refractor and keratometry unit. The new X-ray machine in dental clinc, the Monopolar resectoscope set; Semi rigid ureteroscope; flexible ureteroscope and percutaneous nephrolithotomy set in Urology unit are parts of the equipment procured.

“In the area of utility, another achievement is the re-establishment of the Closed-Circuit Television (CCTV) system that assure patients and their relatives of their safety within of the hospital. The hospital is being enhanced in the area of computerization and networking as an internet service company now provides internet in the premises and various units within the hospital have computers and printers. The hospital has purchased a heavy-duty utility truck and a new fully-fitted ambulance,” he said.

Asides all these, the hospital has enhanced electricity supply by installing solar powered solution in the medical and surgery emergency units as well as the theatres and MRC buildings.

Similarly, a 500KVA Generator has been installed at the Burns and Trauma Unit of the hospital located at the Gbagada General Hospital. These will address the incessant power outages at both locations.

The leadership team is also forming global alliances that will assist in the delivery of quality medicare to Lagosians, the University of Sweden will be donating a full complement Drug Analysis Laboratory to the hospital. There are other individuals, corporate, governmental and non-governmental organizations that have enhanced service delivery within the institution.

With all these giant strides of the Chief Medical Director, the hospital is acting in tandem with the T.H.E.M.E.S agenda of the current democratic administration being led by Mr Babajide Olusola Sanwo-Olu, the Executive Governor of Lagos, wherein Healthcare and Environment is one of the cardinal pillars that will bring forth a Greater Lagos.

Professor Adetokunbo O. Fabamwo is optimistic that the hospital is poised to become the quaternary healthcare destination in Sub Sahara Africa as he charged all members of staff of the hospital to redouble their effort so that the institution can become a one-stop-shop for tertiary healthcare.

Abolade Adewale is a Public Affairs Analyst. He can be reached via [email protected] or on 07062021341

Modupe Gbadeyanka is a fast-rising journalist with Business Post Nigeria. Her passion for journalism is amazing. She is willing to learn more with a view to becoming one of the best pen-pushers in Nigeria. Her role models are the duo of CNN's Richard Quest and Christiane Amanpour.

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Health

Court Okays FCCPC to Regulate Consumer Protection in Healthcare

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Go to court

By Adedapo Adesanya

The Abuja division of the Federal High Court has delivered a landmark ruling reinforcing consumer protection in Nigeria’s healthcare sector, affirming the authority of the Federal Competition and Consumer Protection Commission (FCCPC) to investigate complaints related to medical services, including alleged negligence.

Justice Emeka Nwite, who presided over the matter, delivered the judgment on April 15 in a suit filed by Life Bridge Medical Diagnostic Centre Ltd.

The company had challenged the FCCPC’s jurisdiction, arguing that the commission could not probe medical negligence cases without first establishing a formal arrangement with the Medical and Dental Council of Nigeria (MDCN).

However, the court dismissed the claims, holding that healthcare providers operating as commercial entities fall squarely under the provisions of the Federal Competition and Consumer Protection Act (FCCPA).

Justice Nwite ruled that services rendered for value, including medical diagnostics, are subject to consumer protection oversight.

In the decisive clarification, the court drew a line between professional regulation and consumer protection. It said that while disciplinary control of medical practitioners remains the responsibility of professional bodies such as the MDCN, the FCCPC retains authority over issues of service quality, fairness, and consumer satisfaction.

The court further held that Section 105 of the FCCPA, which encourages regulatory coordination, does not limit or delay the FCCPC’s statutory powers.

According to the ruling, the absence of a formal agreement with sector regulators does not invalidate the Commission’s authority to act.

Justice Nwite also addressed concerns around patient confidentiality, ruling that ethical obligations do not override lawful investigations carried out in the public interest and in compliance with due process.

Reacting to the judgment, FCCPC executive vice chairman, Tunji Bello, described the decision as a major step toward strengthening consumer rights across all service sectors.

He emphasised that the ruling underscores the principle that consumer protection and professional regulation can coexist without conflict.

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Health

Resident Doctors Suspend Proposed Indefinite Strike

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Resident Doctors

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.

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Over 1.5 million Nigerian Children Living With Sickle Cell Disease—Report

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sickle cell disease

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.

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