Health
How To Fix Nigerian’s Ailing Health Sector – Dr Akpotive
John Knowtes, a renowned American author once wrote that, “Everyone has a moment in history which belongs particularly to him; it is the moment when his emotions achieve their most powerful sway over him, as he makes the most definite impact on the society”.
For Dr Andy Akpotive, the authorship of his bestseller titled “Unveiled-How to run a Profitable Hospital Business in Nigeria”, is a dream come true and a rare feat that defines his passion towards promoting excellence in the Nigerian medical sector.
The young entrepreneur and advocate of principles in the practice of medicine who spoke with The Tide in an exclusive interview in Port Harcourt, recently, said the stunted growth of the Nigerian medical sector was mostly as a result of lack of proper diagnosis of the structural deficiencies and operations of the sector. For this reason he said, most Nigerian doctors and medical practitioners have opted to seek professional solace elsewhere, while Nigerians now earn a negative reputation of seeking medical attention beyond the shores of the country.
According to Dr Akportive, the unbridled drive towards medical tourism outside Nigeria, without addressing the prevalent challenges in the country’s health sector, was a disturbing phenomenon that required urgent attention.
Akportive who is also a public Affairs analyst and social reformer, identified the deficiencies of insight in leadership as being grossly responsible for institutional failure in Nigeria, and called on the government to invest meaningfully in the health sector.
“The leadership of this country is yet to fathom the reality and responsibilities of governance. It is regrettable that Nigerian doctors perform exceedingly well abroad, but at home they lack the incentives to discharge their professional duties optimally. There is need for proper diagnosis of the challenges in the health sector, and other sectors of the economy, the economic expansion needed for stable employment and promotion of excellence in service delivery can only be attained, when our institutions are functional”.
Asked what motivated him to write the book, Akpotive said: “My passion for the health sector has led me to write a robust piece that will speak to the Nigerian peculiarities, while catering to the challenging questions and realities of health care administrators, medical and allied medical students, workers and investors, helping them to achieve efficiency of training and care for the patients”.
The seasoned health care administrator, who described the book as a compendium of practical ideas, explained that the work provides solutions for effective strategies in management and operations in health care services, especially in leadership, machinery, merchandise and general information.
As such, he said this work serves as in antidote to the erroneous assumption in third world countries, that success in business was a violation of moral principles, noting that the desired free enterprise system can only strive on robust businesses acumen.
Like the great philosopher Alfred Whitehead, Dr Akpotive believes that “Style is the ultimate morality of the mind”, implying that there must be constant redifinition of goals in every sector to put the country on a strong pedestal of economic growth.
With no self serving intentions of touting his laurels or achievements, Dr Akpotive said the efforts he devoted in writing the book was worth it, as he was convinced that the work, if put into judicious use, will help in checking the foul-ups and culpable failures that have stunted the development of the Nigeria medical sector.
On how the book relate to the very personality of the author, Dr Akpotive said, “I am a man with a knack for excellence and deep commitment in all my engagements, the work is a product of deep research and offshoot of over 14 years experience in administering small, medium and large scale hospitals in Nigeria, helping them to attain set milestones and targets. The work contains over 209 ways to defect fraud in hospitals and there controls, exceptional customer service in hospitals, kinds of patients in the hospital and how to deal with them”.
Akpotive also added that the lucidity of the work was beyond its aesthetic cover, but a factual presentation of creative ideas delivered in adroit professional prowess and rendition for easy digestion. Speaking on the relationship between the academic institutions and medical practice, he called for a stronger synergy to enhance research and effective service delivery.
“One of the major challenges in the Nigerian health sector is the lack of research development. There should be stronger synergy between the academic and the industry, “we have professors who are not committed to research, such docility on the part of scholars is inimical to research development, medical practice is dynamic and cannot thrive on old inefficiencies. Both medical scholars and practitioners should be encouraged to engage in research to promote excellence”.
The author was also deeply concerned about the decline in reading culture in the society. According to him the absence of a virile reading culture was the sign of a degenerating society. To get Nigerians reading again, he canvassed for a total re-ordering of the Nigerian educational system, where the leaders will embrace the culture of reading and knowledge acquisition to function effectively in the art of governance. He also admonished parents to embrace the reading culture and communicate knowledge to their children.
“The absence of an effective reading culture and dearth of intellectualism is also at the root of Nigeria’s development crisis. Nigerians are overwhelmed by their physiological needs and do not have time to read or seek knowledge. We also have a leadership’s structure that detests knowledge; these are ominous signs for our development as a nation. Any society that does not promote knowledge gropes in the dark and becomes the butt of sadistic jokes of other promising societies”.
He further averred that, commitment to a knowledge driven economy in Nigeria will help in liberating the people from the shackles of ignorance and the glorification of mediocrity. The activist also called for the review of the school curriculum to promoting the reading culture and advocated for the encouragement of authors to enhance the frontiers of knowledge.
It is regrettable that in Nigeria, authors and readers are not given any accolades or incentives to promote their works. Rather beauty pageantry and Big brother shows are promoted at the expense of scholarly works, through bogus and mouthwatering incentives”.
“The government and other related institutions should organise quiz competitions and encourage readers and authors through incentives”, Dr Akpotive, also took a swipe at the federal government over its tendency to gauge popular opinion as demonstrated recently in the African Independent Television (AIT), Federal Government debacle. He pointed out that it was totally wrong for government to gauge press freedom or douse plurality of opinions in a democracy.
He said the deliberate effort of a government to stop dissenting voices, in democracy without seeking constitutional measures to address contentious issues was the shortest route to despotism. He added that the beauty of a democracy was for critical stakeholders to appraise the government to enhance checks and balances in the art of governance.
“Any government that only basks in praises and commendations, and views criticism with a sense of disdain is not worthy of its name. There must be room for checks and balances to curtail the excesses of the wielders of power. It is not only fundamental but a moral right for people to air their critical views, but there is also limit to freedom of speech which is enshrined in the constitution and should be treated within the ambit of the law”.
Akpotive also sent a strong message to the youthful generation on how to pick up the gauntlet and play active roles in the leadership of the country. According to him, the only way for the youth to have a strong footing in leadership was to embrace education and liberate themselves from the allure of political slavery.
“The youth constitute the active population in Nigeria, but their role in leadership is passive, they operate at the beck and call of their political slave drivers who are not ready to relinquish power voluntarily to them, but always want the youth to be engage in unsavoury duties.
Dr Akpotive also has deep admiration for the leadership style of the Rivers State Governor Nyesom Wike, especially in his passion to develop Rivers State.
In a widely publicized broadcast message at his instance recently, he appealed to all power brokers in the state to yield to the dictates of nature and support the governor to continue to dispense quality leadership in the state. He holds a strong opinion that governance is a fundamental obligation that goes beyond mere partisan considerations, and should be accorded the deepest sense of regards.
Taneh Beemene
Health
‘How Micro RNA Research Won Nobel Prize’
Two United States scientists who unraveled the human micro RNA have won the Nobel Prize in Physiology or Medicine 2024.
Victor Ambros and Gary Ruvkun won the coveted prize for their work on microRNA as their discoveries help explain how complex life emerged on earth and how the human body is made up of a wide variety of different tissues.
MicroRNAs influence how genes – the instructions for life – are controlled inside organisms, including humans.
Every cell in the human body contains the same raw genetic information, locked in our DNA.
However, despite starting with the identical genetic information, the cells of the human body are wildly different in form and function.
The electrical impulses of nerve cells are distinct from the rhythmic beating of heart cells. The metabolic powerhouse that is a liver cell is distinct to a kidney cell, which filters urea out of the blood.
The light-sensing abilities of cells in the retina are different in skillset to white blood cells that produce antibodies to fight infection.
So much variety can arise from the same starting material because of gene expression.
The US scientists were the first to discover microRNAs and how they exerted control on how genes are expressed differently in different tissues.
The medicine and physiology prize winners are selected by the Nobel Assembly of Sweden’s Karolinska Institute.
They said: “Their groundbreaking discovery revealed a completely new principle of gene regulation that turned out to be essential for multicellular organisms, including humans.
“It is now known that the human genome codes for over 1,000 microRNAs.”
Health
WHO Begins Regulation On Antibiotic Waste
The World Health Organisation (WHO) has begun acting to curb effects of antibiotic pollution.
The new guidance on wastewater and solid waste management for antibiotic manufacturing sheds light on this important but neglected challenge ahead of the United Nations General Assembly (UNGA) High-Level Meeting on antimicrobial resistance (AMR) taking place on 26 September 2024.
The emergence and spread of AMR caused by antibiotic pollution could undermine the effectiveness of antibiotics globally, including the medicines produced at the manufacturing sites responsible for the pollution.
Despite high antibiotic pollution levels being widely documented, the issue is largely unregulated and quality assurance criteria typically do not address environmental emissions. In addition, once distributed, there is a lack of information provided to consumers on how to dispose of antibiotics when they are not used, for example, when they expire or when a course is finished but there is still antibiotic left over.
“Pharmaceutical waste from antibiotic manufacturing can facilitate the emergence of new drug-resistant bacteria, which can spread globally and threaten our health. Controlling pollution from antibiotic production contributes to keeping these life-saving medicines effective for everyone,” said Dr Yukiko Nakatani, WHO Assistant Director-General for AMR ad interim.
Globally, there is a lack of accessible information on the environmental damage caused by manufacturing of medicines.
“The guidance provides an independent and impartial scientific basis for regulators, procurers, inspectors, and industry themselves to include robust antibiotic pollution control in their standards,” said Dr Maria Neira, Director, Department of Environment, Climate Change and Health, WHO. “Critically, the strong focus on transparency will equip buyers, investors and the general public to make decisions that account for manufacturers’ efforts to control antibiotic pollution.”
Health
Kebbi Harmonises Doctors’ Salaries To Curb Brain Drain
In a concerted effort to curb brain drain, the Kebbi State Government has harmonised medical doctors’ salaries to be at par with their colleagues in the federal government’s tertiary health facilities.
Kebbi State Commissioner for Health, Musa Inusa-Isma’il, disclosed this at the handing over of ambulances to the state-owned health facilities at the Ministry of Health in Birnin Kebbi yesterday.
Inusa Isma’il, according to a statement by Ahmed Idris, the Chief Press Secretary to the governor, said the essence of the harmonisation was to retain the existing medical doctors and attract more to the services of the state.
According to him, the doctors across the state had already started enjoying the new salaries from August 2024.
He said the release of the vehicles was in fulfilment of Governor Nasir Idris’ promise to uplift health care services in the state.
“His Excellency said I should inform you, the beneficiaries of this gesture, that the vehicle should be strictly used for the intended purpose. It should not be used for anything else.
“If there is no referral case, each of the vehicles must be parked at the hospital by 6 pm. The governor said you should warn your drivers against reckless driving as well as violating the instructions.
“We should also do everything possible to reciprocate the gesture by working according to the terms and conditions attached,” he advised.
The benefiting health facilities included Sir Yahaya Memorial Hospital, Birnin Kebbi; State Teaching Hospital, Kalgo; General Hospital, Argungu; General Hospital, Yauri; General Hospital, Zuru; and General Hospital, Bunza.
In his speech, the permanent secretary of the ministry, Dr Shehu Koko, recalled that the ambulances were handed over to the ministry last Friday by the governor for the onward handover to the benefiting hospitals.
He observed that the ambulances would go a long way in improving the referral system in the state, adding that delays in reaching the secondary and tertiary facilities would be eliminated.
The permanent secretary attributed the high rate of maternal mortality in the country to delays in getting to the health facilities for proper medical care.
“We believe with the provision of these ambulances, part of the gaps we have in our referral system will be addressed, whereby patients who require secondary healthcare could be easily transported to secondary and tertiary health centres, where they can get such help,” he said.
In a goodwill message, Commissioner for Information and Culture Alhaji Yakubu Ahmed expressed gratitude to the governor for the support he has given to the ministry to excel.
While advising the beneficiaries to use the vehicles judiciously, the commissioner advised that services and maintenance of the vehicles must be prompt to derive the maximum benefits from the vehicles.
The commissioner also highlighted some achievements recorded by the government in the last year, including beautification of the state capital, completion of a multimillion-naira ultramodern state secretariat, road construction, construction and renovation of classrooms and upgrading of some health facilities, among others.