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Will Nigerian Senate Get it Right on Healthcare?

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By Carl Ndukwe

The timeless aphorism says that health is wealth yet one of the biggest challenges facing Nigeria since independence has been the country’s inability to guarantee affordable and universal health care to its citizens.

Little wonder we are consistently ranked in the comity of poor nations. Access to healthcare is not only important, it is fundamental to all areas of social development, from combating poverty to achieving a high standard of living.

In May 2017, the Nigeria Academy of Pharmacy in partnership with the Pharmaceutical Society of Nigeria organized a symposium in Lagos, tagged Health of the Nation – the imperative of Interprofessional collaboration. The keynote address delivered by Prof. Eyitayo Lambo, a former Minister of Health and foremost health economist was revealing and damning.

Nigeria, said Lambo, was ranked 187 among 191 countries by World Health Organization in 2000.

X-raying the sundry challenges which the nation’s health system has had to face over the years, Lambo noted that the constitution makes very scant provision for health while there is hardly any legislation that defines the roles and responsibilities of the three tiers of government, while adding that the National Health Act 2014 has not resolved the problem.

In Nigeria today, demands on the health care systems have increased alarmingly and health care organizations are feeling overwhelmed and pressured to provide more timely services while at the same time working with limited human and financial resources. There is an urgent need to strengthen national health systems and improve health outcomes for the citizenry.

According to data from the National Demographic Health Surveys (NDHS), in a research conducted by the National Bureau of Statistics, about 900,000 children and mothers die each year in Nigeria from health reasons that could often have been successfully resolved with an effective healthcare system.

Nigeria contributes just under 15 percent of all maternal deaths globally and about 13 percent of all under-five deaths worldwide. If we are to challenge these grim statistics, then we must get good healthcare into every home.

Along these lines, the weakness and gaping holes in our health system especially from an insurance point of view is evidently manifest in the rise of crowd-funded medical cases.

Remember Mayowa of blessed memory, Baby Ade and most recently, Sadiq Daba as well as the many other Nigerians who have resorted to platforms like Gofundme to raise funds for medical reasons. While Nigeria has several private healthcare providers, their service, expensive and limited, are largely exclusive to the well-to-do citizens residing in the cities and urban areas.

The National Health Insurance Scheme, which largely caters to public service employees, is also, as currently constituted, very limited in scope. Neither existing solutions can cater to the healthcare needs of the majority of Nigerians, who are either rural dwellers, unemployed or involved in the informal sector. In view of the aforementioned, the importance of reforming our healthcare system cannot be overemphasized.

Fortunately, it would seem that the need to get our Healthcare system right is fast rising on our list of national priorities and gaining attention in the right quarters. With our population growing astronomically, urbanization more rapid than ever, there is now a greater call for social development to catch up with societal expansion.

It, therefore, gladdens the heart to see some level of advocacy in the National Assembly where senators are tabling bills and debating ideas on how to get an efficient and effective healthcare system for every Nigerian.

Recently, Senate President, Bukola Saraki stated that one of the best ways to achieve Universal Health Coverage was to provide health insurance scheme to the informal sector.

Perhaps, he is drawing from his experience as the Governor of Kwara State, when he introduced the Informal Health Insurance Scheme to cater to people in the rural areas.

To see Saraki leading the charge and leading his colleagues in the upper chambers with the same drive and determination to see healthcare extended to every man, woman and child who is Nigerian is a clean break from the selfish toga with which the Red chamber had been adorned.

The ongoing amendment of the National Health Insurance Scheme is evidence of moving from passion to action. Central to this bill, which seeks to repeal the National Health Insurance Scheme Act and enact the National Health Insurance Commission Bill 2017, is the need to ensure a more effective implementation of a health insurance policy that enhances greater access to health care services for all Nigerians.

This means that the bill would lay down the framework for a universal healthcare care system where everyone pays into the Insurance Scheme and everyone gets quality healthcare delivery, regardless of their employment status or personal wealth. The bill is also geared towards effectively regulating private health insurance providers in Nigeria to ensure that they deliver, not just for the well to do, but also the poor and people in rural areas.

In December, the Senate Committee on Health held a public hearing on the amendment, which was well attended by the representatives of public and private health institutions, regulatory and professional bodies as well as labour and trade unions.

At the public hearing, the Senate Committee Chairman on Health, Senator Olanrewaju Tejuoso disclosed that in order to ensure that Nigeria attains the Universal Health Coverage (UHC), the Senate had passed a resolution mandating the Appropriation Committee of the Senate to make provision for the Basic Health Care Provision Fund (BHCPF) in the 2018 budget.

This is a crucial step toward achieving the objective of the National Health Act, signed into law in 2014, which stipulated that one percent consolidated fund for the improvement of Primary Health Care (PHC) services through the Basic Health Care Provision Fund (BHCPF). This consolidated fund means that in addition to what it gets from the annual budget, healthcare would also gain more financing go forward.

Going forward to achieve Universal Healthcare will never be an easy road, but staying on our current path is much worse. This is why we all as Nigerians must follow and actively support the Senate’s resolution, passed last year, to implement the Basic Health Care Provision Fund.

At the heart of this resolution is the fundamental principle that to achieve a healthy, and thereby prosperous, society, we need cross subsidization and solidarity in healthcare, whereby the rich support the poor, the well support the sick and the haves support the haves not. Senate bills, acts and resolutions cannot on their own bring these principles to life, they need the active support and buy-in of the general public.

Carl Ndukwe is an Abuja based communications professional.

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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Nigeria on High Alert as WHO Declares Ebola Emergency of International Concern

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By Adedapo Adesanya

The Nigeria Centre for Disease Control and Prevention (NCDC) has said that although the country currently has no confirmed case of Ebola Virus Disease (EVD), it is, nevertheless, actively strengthening surveillance.

This comes as the World Health Organisation (WHO) declared the Ebola outbreak in Congo and Uganda a public health emergency of international concern, after 80 deaths were attributed to the disease.

The WHO, however, stopped short of declaring a pandemic, saying it did not meet the necessary criteria. The United Nations agency advised countries against closing borders or restricting trade.

Early symptoms include fever, muscle pain, fatigue, headache, and sore throat, and are followed by vomiting, diarrhoea, a rash, and bleeding.

In a statement by its Director General, Mr Jide Idris, on Sunday, the NCDC noted that it is also ramping up laboratory readiness, infection prevention, and public awareness efforts across the country.

He said the centre was closely monitoring the situation due to increasing regional movement across African countries and was working with relevant stakeholders, including the Port Health Services under the Federal Ministry of Health and Social Welfare, to strengthen preparedness within Nigeria’s public health system.

“NCDC is closely monitoring the situation and working with relevant stakeholders, including the Port Health Services, to ensure continued vigilance and preparedness within the public health system,” he stated.

The NCDC boss described Ebola virus disease as a severe viral illness transmitted through direct contact with the blood, bodily fluids, secretions, or contaminated materials of infected persons or animals.

He noted that the disease has an incubation period ranging from two to 21 days, while symptoms include fever, weakness, headache, muscle pain, sore throat, vomiting, diarrhoea, and, in severe cases, unexplained bleeding.

Recall that Nigeria gained international recognition for successfully containing an Ebola outbreak in 2014 after an infected traveller arrived in Lagos from Liberia.

Healthcare workers were advised to maintain a high index of suspicion for Ebola, especially in patients presenting symptoms compatible with the disease alongside relevant travel or exposure history.

Idris stressed the importance of strict adherence to infection prevention and control measures, including early identification and isolation of suspected cases, proper use of personal protective equipment, hand hygiene, and prompt reporting through established channels.

“NCDC will continue to monitor the situation closely and provide updates as necessary,” he added.

NCDC advised Nigerians to remain calm, maintain good hand hygiene, avoid misinformation, and report unusual illnesses promptly.

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NNPC Donates MRI Machine, Others to Nnewi Teaching Hospital

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By Modupe Gbadeyanka

A 1.5 Tesla Magnetic Resonance Imaging (MRI) machine has been donated to the Nnamdi Azikiwe University Teaching Hospital (NAUTH), Nnewi, Anambra State, by the corporate social responsibility arm of the Nigerian National Petroleum Company (NNPC) Limited, NNPC Foundation.

In a statement on Sunday by its Chief Corporate Communications Officer, Mr Andy Odeh, the state-owned oil organisation said the medical item was given to the healthcare institution as part of its commitment to improving healthcare access and strengthening medical infrastructure across Nigeria.

The MRI system is expected to significantly improve access to advanced diagnostic imaging services for millions of Nigerians across the South-East (Anambra, Enugu, Imo, Abia and Ebonyi States) as well as neighbouring Delta State.

The foundation also provided critical supporting infrastructure, including RF shielding systems, chillers, backup UPS systems, electrical installations, specialised imaging accessories, ventilation systems, CCTV and oxygen monitoring systems, intercom communication facilities, and other patient comfort technologies designed to ensure optimal operation of the facility.

Before now, patients requiring advanced MRI diagnostic services often faced prolonged waiting periods, exorbitant costs, and the burden of travelling long distances in search of functional imaging centres.

But it is believed that the intervention of the NNPC Foundation would provide succour to patients.

At the presentation of the items to the institution over the weekend, the chief executive of the NNPC, Mr Bashir Bayo Ojulari, represented by the Managing Director of NNPC Foundation, Mrs Emmanuella Arukwe, described the intervention as a strategic investment in healthcare access, diagnostic precision, and improved patient outcomes, noting that the facility aligns with the company’s commitment to building sustainable systems and impactful national institutions.

“The installation of the MRI in NAUTH exemplifies our commitment, as our intent is to build enduring institutions, sustainable systems and legacies. This intervention aligns with our conviction that access to quality healthcare underpins human dignity, longevity and economic productivity,” Mr Ojulari stated.

‎He described the company’s social investments as viable currencies that strengthen the relationship between the Company’s core mandate of providing and managing energy for Nigerians and meeting stakeholders’ expectations.

‎In his remarks, the Governor of Anambra State, Mr Charles Soludo, who was represented by the Commissioner for Health, Dr Afam Obidike, said the intervention would enhance safe and precise diagnosis and treatment for patients across the South-East region.

He also commended NNPC Foundation for donating the MRI facility to the state, noting that the intervention would significantly improve access to quality healthcare services for the people.

The Chief Medical Director of NAUTH, Prof Joseph Ugboaja, thanked the donor for the items, saying NNPC Foundation has demonstrated that corporate social responsibility is not just a policy statement but a lifeline for institutions like ours.

“For too long, patients in our catchment area have had to travel long distances to access this level of diagnostic precision, often at prohibitive costs. With this installation, we will eliminate that burden,” he enthused.

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Nigeria Launch €4.2m Initiative to Boost Capacity Against Outbreaks

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By Adedapo Adesanya

Nigeria has launched a €4.2 million programme supported by the European Union (EU) and implemented by the World Health Organisation (WHO) to strengthen the country’s capacity to detect and respond to disease outbreaks.

The initiative, known as the EU Support to Public Health Institutes in Nigeria (EU SPIN), will be carried out over four years in partnership with the Federal Ministry of Health and Social Welfare.

It is aimed at improving the performance of selected public health institutions through better coordination, faster information sharing and enhanced workforce capacity.

Speaking at the launch in Abuja on Monday, the Minister of State for Health and Social Welfare, Mr Iziaq Adekunle Salako, described the programme as a significant step towards strengthening Nigeria’s healthcare system.

“This initiative is designed to strengthen our health institutions, and it is truly a welcome development. It will improve the well-being of Nigerians, especially our vulnerable populations,” he said, noting that it aligns with the federal government’s broader health reform agenda.

Nigeria continues to face a dual health burden, with recurring infectious disease outbreaks alongside a growing prevalence of non-communicable diseases such as hypertension and diabetes.

According to the WHO, non-communicable diseases now account for 27 per cent of deaths in the country, while malaria alone contributes about 30 per cent of global malaria fatalities.

Recurrent outbreaks of cholera, diphtheria, Lassa fever, meningitis and Mpox also remain a major public health concern.

The EU SPIN programme is expected to address systemic gaps that slow outbreak response by strengthening collaboration among public health institutions and clarifying roles across federal, state and local levels.

It will also support real-time data systems to enable quicker and more informed decision-making during health emergencies.

A key component of the initiative is workforce development, with plans to train up to 75 per cent of public health staff in leadership, prevention and response strategies, as well as digital skills.

The European Union Ambassador to Nigeria, Mr Gautier Mignon, said the programme reflects a shared commitment to building resilient health systems.

“Through EU SPIN, the European Union is investing in strong, digitally enabled public health institutions in Nigeria. This partnership underscores our commitment to health security and sustainable systems strengthening,” he said.

Also speaking, the WHO Representative in Nigeria, Mr Pavel Ursu, noted that improved coordination and digital tools would enhance the country’s ability to protect lives.

“By improving coordination, skills and digital tools, the project will help protect lives and keep communities healthier,” he said.

Officials said the programme would ultimately strengthen links between public health systems and primary healthcare services, ensuring that communities benefit from faster and more effective responses to health threats.

By 2028, the initiative is expected to deliver more efficient inter-agency coordination, clearer institutional responsibilities and more reliable public health data nationwide, with progress tracked through national monitoring systems and periodic reviews involving government and development partners.

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