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Special Report

‘Why TB Is Prevalent In Nigeria’

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Over 112 functional Tuberculosis treatment centres existed in various Local Government Areas, but unfortunately people are not accessible to most of these treatment centres due to lack of information.

Tuberculosis is a chronic disease ravaging people across the globe. By the ranking of the World Health Organisation (WHO), Nigerians are becoming more and more vulnerable to the disease, as Nigeria is rated number one in Africa suffering from the disease and fifth in the world.

Following the startling revelation of the World Health Organisation on the ravaging scourge of Tuberculosis on Nigerians, experts are equally making moves to check the deadly trend of the disease in the country.

 One of such experts that has shown concern over the need to curb the increase in the cases of Tuberculosis in the country is Dr Bamdele Agborubere, the Rivers State Tuberculsois and Leprosy Control officer.

Speaking in an interview with The Tide on Sunday, recently, Dr Bamdele attributed the increase in the cases of the disease in the country to lack of education on the signs and symptoms of the disease which leads to late cases of detection, and subsequent stigmatization of patients.

Although Dr Bamdele declared that leprosy, another deadly disease, had been put under control at the state and federal level, he admitted that Tuberculosis has continued to pose a serious threat to lives in Rivers State and Nigeria in general, with a co-infection ration of HIV/AIDS.  

He pointed out that public awareness ratio on the disease in Rivers State was still very low and this make people vulnerable to the communicable disease.

According to Dr Bamdele, plans are in the offing to use the big facilities like the General Hospitals, which the generality of patients will use, so as slow detecting rate can be checked.

Dr Bamdele further said that over 112 functional Tuberculosis treatment centres existed in various Local Government Areas, but unfortunately people are not accessible to most of these treatment centres due to lack of information.

To properly educate the people on the existence of these treatment centres, he said there was need for massive enlightment campaigns through media jingles and other forms of information dissemination to the people. “This will help them to quickly recognise the problem they have, and make them go for treatment and screening at the various centres. In TB infection, we are more concerned about the sputum smear positive cases, those are the ones that can easily be transferred to other persons.” With a wanton level of ignorance on the disease, he said people are not voluntarily going for screening and these make the signs and symptom of the disease most contagious.

Apart from the 112 functional treatment centres across the state, Dr  Bamdele said there were only 22 microscopic centres networking with the treatment centres and this is grossly inadequate.

He said at least 54 microscopic screening centres was needed to properly handle cases of TB in the state.

Dr Bamdele also made clarification on the relationship between TB and HIV infections. His worlds: “TB is not like HIV, but there are other methods to screen voluntarily for TB without signs, but it will only show that the person has TB infection not the disease.

TB infection is different from TB disease. Most people across the world have TB infection, at least 80% of the world’s population have had TB infection through one way or the other, but the same can live the entire span of his or her life without coming down with TB disease.”

He added: “In HIV, it is not the same, but once one has contacted HIV infection it will definitely develop into AIDS disease unless it is detected earlier enough and anti-retroviral therapy commenced to help the immune system.”

The expert noted that the Tuberculosis disease cannot be stopped through the use of vaccine because it is air borne, and that is why it is necessary to immunise children at birth to make them develop immunity resistance against the disease.

As a practical response to the rampaging scourge of TB in Nigeria, Dr Bamdele said the Federal Government Budget to the health sector, must meet up with the requirement of the World Health Organisation, which is about 15% of the entire annual federal and state budget. The allocation, he noted, would be complemented by donor partners and such funds must be judiciously administered.

He decried the alarming level of disinterestedness of multinational companies to health matters, stating that such apathy was inimical to the development of the country.

He, therefore, called on multinational companies to initiate health initiative policies like establishment of TB screening centres across the state for free accessment by patients. He also cautioned against the stigmatisation of Tuberculosis patients.       

 

Tonye Nria -Dappa / Taneh Beemene

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Special Report

What I Am Grateful For

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Title: What I Am Grateful For
Authors: Soye Aguda & Raphael Aguda
Number Of Pages: 24
Date Of Publication: 2023
Reading Age: 3 – 12 years
Book Reviewer: Christian Ayasuk Ph.D
Written by Soye Aguda, and Raphael Aguda, is a colourful and illustrative book that is specifically tailored for the kids and teaches us, in very simple and clear language, the reasons why we should be thankful for what we have.
In this book, the authors, Soye and Raphael , demonstrate to the kids that being alive is a blessing; that being able to have food to eat, or clothes to wear, or shelter, or ability to read and comprehend, among others, is enough for everyone to be grateful for.
People who are always thankful go far in life. They often receive more. One African adage says: If you are grateful for today, tomorrow will offer you more things to be thankful about.
And this is ideal for every one of us, including the kids.
It Is also pertinent to note that Gratitude is a lifestyle, and should be gladly and consistently displayed. (1 Thessalonians 5:28).
The scripture says ungrateful people are always vain in their imaginations, and foolish in their hearts (Romans 1:21). So, this book guides the hearts of our young ones to reaping the fruits of GRATEFULNESS.
This “little”, yet powerful book teaches us that Gratitude or thankfulness is an attitude that should be developed, learned, and assimilated.
After reading this book, we’ll begin the see why being grateful is a virtue:
Gratitude brings abundance and attracts God’s blessings. It can eradicate stagnation and destruction in life (1 Samuel 25:2-13). Gratitude can bring about fruitful relationships with fellow human beings, and with God Almighty.
It is important to note that gratitude starts with the very little we have been given, so, this book teaches us to appreciate those “little” things. Importantly, being ungrateful can make us loose what we already have.
In summary, WHAT I AM GRATEFUL FOR, by Soye Aguda, and Raphael Aguda, inspires godly virtues in the lives of our kids, and therefore highly recommended to both the young and old.
Remember, when we are grateful we become more productive (Psalms 67:5-6).

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Special Report

Eze Ogba @80: A Salute To Greatness

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Critics and admirers fondly refer to him variously and severally as amiable, charismatic, blunt, visionary, an inspirational and committed King, a philosopher King, a philanthropist, an orator and motivator, a man of truth, perception and action, a defender of the oppressed, a versatile and courageous monarch. Indeed, there is no denying the fact that he has lived up to the billings.
This perhaps explains why many have sometimes misunderstood His Eminence, Sir (Dr) Chukumela Nnam Obi II, the Oba (Eze Ogba) of Ogbaland, who turns 80 today. And if we are to believe the words of Ralph Waldo Emerson that “to be great is to be misunderstood,” the Oba truly deserves a golden place in the pantheon of greats.
A consummate monarch imbued with congenital aura that shines like neon light, the Eze Ogba superintends the grassroots consciousness of his kingdom with mercurial audacity and clinical precision, and bestrides Nigeria’s traditional landscape like a magnificent colossus.
A man of capacious intellect with deft navigational capability, Sir Nnam Obi II possesses a conservative charm which accommodates all divergent opinions, even as it is difficult for his critics to dislodge his position on matters of public or political interest.
Nevertheless, the attestation to the greatness of this first class citizen and traditional ruler is underlined impressively by his array of honours and appointments since ascending the ancient Oba (Eze Ogba) throne on December 19, 1970, upon the death in April that year of Oba Wokoma Obi.
He has been an Officer of the Order Of the Niger (OON), Distinguished Service Star of Rivers State (DSSRS), Justice of Peace (JP), Grand Patron, Nigeria Union of Journalists; Knight Grand Commander of the Mystical Order of St Peter; Doctor of Letters (D. Litt), Los Angeles, California; Doctor of Technology, and First Pro-Chancellor and Chairman, Governing Council, Federal University of Technology, Owerri, (1980-84); Doctor of Science (D.Sc) and Chancellor, Federal University of Technology, Akure, 1992-2000; Fellow, Federal College of Education (Technical), Omoku; Chairman, Rivers State Conference of Traditional Rulers and Chiefs, 1972-79; member, International Committee on Chieftaincy and Royalty for FESTAC (Nigeria’s representative), 1974-77; Chairman, Rivers State Council of Traditional Rulers, 1994-96; pioneer National President, Traditional Rulers of Oil Mineral Producing Communities of Nigeria (TROMPCON), 1994-2000; member, National Council on Nigerian Vision (NCNV), 1996-99; member and Elder Statesman, National Political Reform Conference (NPRC), 2004; Chairman, Rivers State Council of Traditional Rulers, 2007-2009 and a lot more.
Since his ascendance to the sacred throne of Eze Ogba over 49 years ago, the light of Sir Nnam Obi II’s wisdom has continued to shine to the admiration of his people and others across the globe. The Ogba people have continued to preserve their loyalty to the sacred monarch as various group pay him solidarity visits in support of his visionary and dynamic leadership and efforts at bringing peace to the kingdom. No doubt, the Eze Ogba belongs to that class of mortals whom the legendary classical playwright, Williams Shakespeare said achieved greatness.
Yet, appraising Oba Nnam Obi II’s resume, evokes an intriguing paradox as his road to greatness was not without bumps and potholes.
Born by remarkable intervention of destiny on November 20, 1940 into the royal family of Umueze-Ogba kindred of Ogba at the foot of the great Opowu shrine of Ahiakwo Nwaozegbe, a sacred temple of worship by the Ogba people, Oba Nnam Obi II had a rather poor and humble background as things were extremely difficult for him.
Infact, the claws of poverty and the drudgery of hard labour were so much that it got to a point where the young Chukumela prayed for death to no avail.
Disappointed that his prayer was not answered, the young ruler-to-be went to his father’s grave and asked: “why did you bring me to the world and ran away.” But these travails, rather than discourage him, toughened and made him have patience, despite being orphaned on both sides and colonized by the insensitive nature of man as exemplified in his brothers who made him a total stranger.
Resilient and determined, and perhaps edged in by his destiny, the young Chukumela, relying on sheer force of will-power and self-support, paved his way through primary and secondary education.
On countless times, he dug sand at Omoku River, fished at the River Niger to make ends meet. Even at a point in his life, he was a newspaper vendor in Kano.
Undeterred by his condition, he excelled in academics at Sancta Maria High School, Omoku where he was a pioneer student. His excellent leadership qualities were identified quite erly as he was at various times labour prefect and senior prefect.
It was for this reason that his school principal then, Rev Fr. G.B. Kilbride wrote in his testimonial that: “Chukumela Obi is a very remarkable boy who is being groomed by the fate of great suffering into a great office.”
However, owing to what the Eze Ogba himself described as barriers of life, he finished secondary education at the age of 26 in 1966. He explains: “Some people were born without certain hurdles. But whether hurdles come early or later in life, I have learnt my lessons. They are all one and the same. The God who occasioned both hurdles did not intend to punish anybody. He intended them for experience. We must learn these experiences. We have come here (this world) to learn.”
Even at that, he does not wish anyone, whether his children or even his detractors, that kind of experience as, according to him, they may not have the patience and ability to cope with it.
Oba cautions that in life nobody should be boastful or be deterred by the situation he finds himself as God is the excellent judge who knows it all, and can deprive man of his needs and wants at a particular time just to observe him.
According to the monarch, provided one does not do things that are wrong in the sight of God, time would come when He would exalt the poor. To him, everyone should strive assiduously to explore situations and even opportunities opened to him in life as an individual with a view to destroying impediments to self-actualization.
It is irrefragable that Oba’s humble beginning epitomizes the parable of perseverance and triumph over the vicissitudes of life. As the Curator of the Ancient Mystical Order of the Rose and Cross (AMORC), Spencer Lewis, once put it: “there is no destiny, no fate, no change, that can circonvent nor hinder, nor control the firm resolve of a determined soul”.
Today, he is unarguably one of the few bright stars in the throbbing firmament of Nigeria’s traditional institution.
Pondering the meaning of life and his place in the cosmos as a mystic and traditionalist, the Eze Ogba has been living in the service of his people, confronting the resultant challenges therein and bringing integrity, straight forwardness, and serene peace into the governance of Ogba Kingdom.
It is perhaps as a measure of the magnitude and influence of Oba’s existential excellence, charming personality, and unique traditional inheritance that successive administrations in Nigeria have always sought his wise counsel, especially at every critical moment of the nation’s life.
Married to four wives with several children, most of whom are holding their own in their various callings, Oba proudly says loud and clear that he is happier than many who are married to one wife. He maintains that such persons have more problems than himself, adding that anybody who visits his palace would not know that he is married to four wives.
Albeit, he abhors autocracy, he is a very strict disciplinarian who takes full charge of his palace at all times with his word as law.
At his usual morning devotions, Oba, a Knight of the Mystical Order of Saint Peter, inculcates in his wives and children, the sense of oneness and truth, and makes everyone realize that his possession is theirs.
As a mystic and philosopher versed in the different characteristics of people, he blends his wives different qualities to have matrimonial bliss, harmony, and cohesive family.
However, Oba Nnam Obi II who says he ought to have married before his years at Sancta Maria High School in 1962 in compliance with his step mother’s advice to do so as the only surviving son of his mother, states that he owes his success to the immeasurable support of his wives and children, and to the understanding cooperation, and unflinching loyalty of his people.
No doubt, Odudu, Anyiama Osa, Ekwueme, as he is fondly called by his ever loving people has, by all parameters, lived a fulfilled life, having exhibited and manifested a wonderful and divinely-inspired progressive pilgrimage of sterling leadership.
These days, owing to age and health, Oba prefers pounded yam, chicken, fishes and non-carbohydrate foods. And to unwind, he watches television, listens to radio and reads newspapers even though he has no dull moments at all, given the number of children he has, and the swarm of visitors to his palace.
And as with all his birthday celebrations, even if low-keyed, his daughters, the Oba hints, do “compose songs and sing like sparrows to my delight,” saying, he does not regret having them, just as the boys.
As we toast to the long life and good health of this great African traditional ruler at 80 today, may those his beautiful daughters never get tired of singing like sparrows to his delight and to the satisfaction of everyone, and to the glory of God.

 

By: Victor Tew / Vincent Ochonma

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Special Report

60 Years Of Nigeria’s Health Sector: Challenges And Way Forward

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Like every other sector of the Nigerian state, the country’s health sector has evolved from one stage to another, up to the present state.
From the pre-colonial era, when treatment for ailments was based purely on traditional medicine as it relates to different parts of the country, through the emergence of the first modern medical services in Nigeria, then during the various European expeditions in the early, to mid19th century, to the era of organised healthcare services, and finally to the present era of deliberate and planned brain drain in the sector, the development in Nigeria’s heath sector has been one that requires more attention than is given it.
There is no doubt that the profession of medicine has been quite active in terms of changing for the better in accordance with global demands. For instance, the Health care systems have undergone changes, and, except for a few exceptions, the changes are for the better:
The way in which physicians are trained has changed. The management of disease entities has also changed at various points. The change has also cut across disease entities that have been treated and available therapeutic modalities, which have also undergone continual changes.
On attaining independence in 1960, the health sector, like other sectors, inherited the centralised health care services format of the colonial era, which vested the authority to take key decisions in the sector in the hand of the central government.
Then, while medical services developed and expanded with industrialisation, most medical doctors were civil servants, except those working for missionary hospitals, who combined evangelical work with healing.
Among the civil service doctors, one was appointed the Chief Medical Officer, who became the principal executor of health care policies in Nigeria, along with several other junior colleagues comprising senior medical officers and medical officers, who formed the nucleus of the ministry of health in Lagos. The detail of centralised administration of health services then was complex and reflected the complex political transformation of the whole region.
The health care services in Nigeria have been characterised by short-term planning, as is the case with the planning of most aspects of the Nigerian life. The major national development plans are “The First Colonial Development plan from 1945-1955″, “The Second Colonial Development plan from 1956-1962”, and “The First National Development Plan from 1962-1968”.
Others are: “The Second National Development Plan from 1970-1975”, “The Third National Development Plan from 1975-1980″, “The Fourth National Development Plan from “Nigeria’s Five year Strategic Plan from 2004-2008″.
All of these plans formulated goals for nationwide health care services.
The overall national policy for Nationwide Health Care Services was clearly stated in a 1954 Eastern Nigeria government report on “Policy for Medical and Health Services.” This report stated that the aim was to provide national health services for all.
The report emphasised that since urban services were well developed, going by the country’s standards then, the government intended to expand rural services. These rural services would be in the form of rural hospitals of 20-24 beds, supervised by a medical officer, who would also supervise dispensaries, maternal and child welfare clinics and preventive work, such as sanitation workers.
The policy made local governments contribute to the cost of developing and maintaining such rural services, with grants-in-aid from the regional government. This report was extensive and detailed in its description of the services envisaged. This was the policy before and during independence. After independence in 1960, the same basic health care policy was pursued, and still is the case.
By the time the Third National Development Plan was produced in 1975, more than 20 years after the report mentioned above, not much had been done to achieve the goals of the Nationwide Health Care Services policy.
This plan, which was described by General Yakubu Gowon, the then Head of the Military Government, as “A Monument to Progress”, stated: “Development trends in the health sector have not been marked by any spectacular achievement during the past decade”.
As far as development of the health sector was concerned, this development plan appeared to have focused attention on trying to improve the numerical strength of existing facilities rather than evolving a clear health care policy. This, in a nutshell seems to have been the lot of Nigeria’s development in the health sector, and, in fact, all other vital sectors of the economy.
Health care in Nigeria has been prone to so many problems which are attributable to the fact that health services are in great demand following what could be tagged astronomical increase in population but accessibility to health services been very low. The cause of this has been related to factors such as socio-economic, cultural, political as well as poor planning and/or poor implementation of health policies and programmes by the government. There are also problems of availability, accessibility, affordability, sustainability of health services and weak referral system.
In 2000, World Bank noted that “deprivations that lead to ill health are common in developing countries, especially in Nigeria, and the poor in Nigeria are particularly at risk”.
According to Adam Wagstaff, a Research Manager of the Human Development team in the Development Research Group of the World Bank, ”the relationship between poverty and access to health care can be seen as part of a larger circle where poverty leads to ill health and ill health maintains poverty”.
The implication is that to effectively address health care, other relevant sectors that directly or indirectly contribute to poverty, which is a key factor in enhancing provision of health care and accessibility of same has to be addressed.
Unfortunately, policies in these sectors, especially for the negative impacts, are often not based on health criteria because the health sector itself tends to focus its interventions within the health care delivery system, not necessarily in other relevant sectors that constitute the sources of the problem.
For instance, to ensure totally effective health care delivery system, regular power supply is required to power all necessary equipment at all times. In the same vein, to totally prevent mosquito-borne diseases, environmental planning should ensure adequate provision of drainages avoid water stagnation, however little. As a result, the enormous health benefits accruable from interventions outside the health sector are not realized.
The education sector is another key long-established determinant for quality health and health care in any development-oriented society, but which has pitiably been bastardized, knowing that better education allows individuals to be more effective in converting health care and other health-enhancing goods into health.
The challenges facing the health sector in Nigeria, in sixty years of the country’s existence are, to say the least, numerous. But it can be summarised to include inaccessibility of quality health care, poor hygiene, corruption, malnutrition, lack of access to safe drinking water, poor health infrastructure, fake drugs, insufficient financial investment, and lack of sufficient health personnel.
Government’s performance in the health sector has been at best abysmal. Investment in infrastructure has been poor and meagre remuneration for health workers has created a massive brain drain to the US and Europe.
The annual budget of the government for the health sector is 4.17% of the total national budget, which is equivalent to only $5 per person annually.
In more recent Nigeria, the expected lofty goals in the health sector have not been achieved. The capacities of the facilities that emerged from previous efforts have been stretched and infrastructure broken beyond repair. Primary health care services now exist only in name. The common man has virtually reverted to the herbalist and traditional healers for care because of access to quality health care and affordability issues.
The elites have perfected medical tourism to India, Singapore, South Africa and even Ghana. This is in the face of a rapidly changing disease patterns in which infectious diseases have been replaced by behavioural, environmental and poverty-related diseases.
Hardly a year passes without a major national strike by nurses, doctors, or health consultants. The major reasons for these strikes are poor salaries and lack of government investment in the health sector, and this is in the face of many Nigerians not being able to afford private hospitals which are simply too expensive.
Unfortunately, again, the management of the National Health Scheme (NHS) through the Health Maintenance Organisations (HMOs) which should ordinarily help people to secure better quality health care, had been bedeviled by corruption, crushing the opportunity and further making quality medical care inaccessible for people who contributed to the system.
The situation becomes worse when one considers the fact that the problem has nothing to do with lack of medical personnel. Certainly not! This is because about 77 per cent of black doctors in the United States of America are said to be Nigerians, and Nigerians have achieved tremendous feats in American medicine.
A good example is Doctor Oluyinka Olutoye, a Nigerian based in Houston, who made history recently by bringing out a fetus from a mother’s womb to remove a tumor, and then successfully restoring the unborn baby to the womb. In fact, there is rarely any top medical institution in the United States or Europe where you won’t find Nigerians managing at the top level.
The health sector, no doubt, has failed largely due to inept leadership. Despite the huge talents of Nigerians, which are on display in health sectors all over the world, Nigeria’s health system is failing. Donor countries and multilateral organisations are aware of these challenges, but there’s little they can do to improve the situation.
The key solution, therefore, is for Nigeria’s policymakers and health professionals, including Nigerians in Diaspora, to come together and create a long-term blueprint for the sector. The term should not only be ideally realisable in the context of the country’s peculiar socio-cultural and economic reality, but should also include a strategy for success in the next 25-35 years with timelines and key performance indicators.
If this can be judiciously done, Nigeria can truly and easily be moving towards its dream of attaining that “Giant of Africa” status it has so much desired but truly failed to achieve in it in reality.

 

By:  Sogbeba Dokubo

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