Health
Rethinking African Healthcare Through AI Integration
By Ifthakaar Shaik
The African healthcare industry faces an immediate challenge: a dire shortage of skilled professionals, leading to alarmingly low doctor and nurse-to-population ratios in many countries. Training medical professionals, especially specialists like pathologists or oncologists, is a multi-year-long process. Moreover, foundational education at the primary and secondary levels is crucial to supply tertiary institutions with a stream of candidates equipped with the necessary aptitude, literacy, and numeracy skills to pursue medicine.
Recent technological leaps catalysed by the COVID-19 pandemic and expanding telecommunications infrastructure, including ventures like Starlink, have bridged some of the distance between communities in need of medical services. Telemedicine offers those with limited physical access to healthcare professionals a chance to benefit from their expertise. Still, the scope of what can be accomplished via a video call is limited. Accurate diagnoses are particularly challenging. Medical professionals rely heavily on information relayed by patients or, in the best-case scenarios, by lesser-skilled colleagues following instructions remotely.
Compounding these issues, Africa grapples with a healthcare brain drain. To shore up shortages in their own healthcare systems, “developed” markets actively poach African healthcare workers, further depleting the continent’s medical resources.
It’s within this landscape that artificial intelligence (AI) emerges as a revolutionary force in healthcare. Its precise deployment can literally mean the difference between life and death in underserved areas and can dramatically reduce healthcare costs in the neediest markets.
Creating an onramp for usaical Diagnoge before reaching the AI tipping point
AI’s promise in healthcare is undeniable. However, this potential can be wasted if we fail to bridge the divide between the digital realm and real-world applications. The most groundbreaking healthcare software becomes moot if not pragmatically integrated into devices used on the ground.
Our journey at VitruvianMD illustrates this challenge. Though our primary focus is healthcare, AI remains our foundational tool. One significant motivation behind our company’s inception was to address the skill shortage in pathology, an essential but understaffed field in Africa.
Our initial target was malaria. In 2021, malaria claimed around 593,000 lives in Sub-Saharan Africa, accounting for 96% of global malaria deaths. Initially, it seemed that AI could assist in addressing this problem; however, as our company development progressed, it became evident that we needed tangible means to bridge the gap between AI’s theoretical benefits and practical implementation. Collaborating with experts, we merged AI with biomedical engineering, creating a universal-fit microscope camera. Equipped with cutting-edge software, this camera provides users with detailed analyses of their samples.
Taking this integrated approach and working in partnership with the medical community, we were able to develop tools addressing not only malaria but other conditions that benefit from timely pathology services.
We’re even moving towards a space where even non-pathologist medical professionals are able to accurately analyse samples. Additionally, pathologists could soon be able to remotely analyse samples.
AI can fill skill voids and reduce costs
This is no small gain. In transit, a lot can go wrong. A blood sample could become contaminated, be sent to the wrong place or not arrive at all. By providing on-site testers with enough information to either make a diagnosis or communicate what they receive to skilled personnel in a different location, we mitigate the transport risk inherent in a region with such a low pathologist-patient ratio. This doesn’t even factor in the everyday infrastructural obstacles that patients throughout the continent grapple with.
Removing these kinds of obstacles results in quicker diagnoses and decreased expenses throughout the healthcare process. These benefits can then be directly utilised to enhance patient care at the point of service. In severe circumstances, a delay in pathological diagnosis, for whatever cause, could mean the difference between life and death for a patient.
Additionally, by enabling those who are not pathologists to perform tasks within pathology, the camera and its accompanying software assist in bridging a significant skills gap. As it stands, there is only one pathologist for every million people in Sub-Saharan Africa. However, this statistic is somewhat skewed, with the majority of these pathologists being based in South Africa.
The forthcoming decades will witness AI’s transformative impact on healthcare. As we stand on the precipice of this revolution, it’s evident that the integration of AI into healthcare will shape its future, promising substantial benefits for Africa and other developing nations.
Over the next two to three decades, AI is poised to revolutionise healthcare in ways we can only begin to fathom now. At present, we’re merely glimpsing the tip of the iceberg in terms of AI’s potential in this sector. The nexus between the future of healthcare and AI integration will be indomitable. Particularly, African nations and other developing regions have a golden opportunity to reap substantial benefits from these advancements.
Ifthakaar Shaik is the co-founder of Vitruvian Medical Diagnostics
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.
