Health
One Year in Office: The Giant Strides of Professor Adetokunbo Fabamwo in LASUTH
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 ab*******@***oo.com or on 07062021341
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.
