Editorial

Confronting High TB Burden

Published

4 years ago

March 24, 2021

Today, March 24, 2021, is observed as World Tuberculosis (TB) day by the United Nations, with the theme: The Clock Is Ticking. The day is commemorated every year since 1982 to raise awareness and educate the public about the impact of the deadly disease around the world. The UN designated the date in memory of Dr Robert Koch who announced his discovery of Mycobacterium tuberculosis, the organism that causes tuberculosis on March 24, 1882. At a time when TB killed one out of every seven persons in the United States and Europe, Dr Koch’s discovery became the most important step that opened the way towards diagnosing and curing this disease.
However, nearly 150 years after, TB has remained one of the world’s deadliest infectious killers, claiming nearly 4,000 lives and close to 28,000 people falling ill on a daily basis. The Mycobacterium tuberculosis, the TB bacteria, usually attack the lungs, and any other part of the body such as the kidney, spine, and brain, and though not everyone infected with TB bacteria becomes sick, if not properly treated, the disease can be fatal.
The TB bacteria are spread when a person with TB disease of the lungs or throat coughs, speaks or sings with nearby persons breathing in these bacteria and become infected. Symptoms of the disease in the lungs include a bad cough that lasts for three weeks or more; pain in the chest; coughing up blood or sputum; weakness or fatigue; weight loss; loss of appetite; chills; fever; sweating at night.
Tuberculosis mostly affects adults in their most productive years. However, all age groups are at risk with over 95% of cases and deaths occurring in developing countries. The risk of active TB is greater in persons suffering from other medical conditions that impair the immune system with people who are infected with HIV being 18 times more likely to develop active TB.
Worldwide, TB is one of the top 10 causes of death and the leading cause from single infectious agent. In 2019, an estimated 10 million people fell ill with tuberculosis, comprising 5.6 million men, 3.2 million women and 1.2 million children, while a total of 1.4 million people died from the disease (including 208,000 people living with HIV).
In same 2019, the 30 high TB burden countries accounted for 87% of new cases of the disease while eight countries including India, China, the Philippines, Pakistan, Nigeria, Bangladesh and South Africa account for two thirds of the total burden.
Nigeria is the country with the highest TB burden in Africa and the 5th in the world with children, women of reproductive age and people living with HIV the hardest hit. Not less than 400,000 people contract TB while more than 150,000 lives are lost to the disease each year in the country. This is in addition to 63,000 people living with HIV that get it annually.
Tuberculosis incidence in Nigeria is said to have risen from 418,000 cases in 2017 to 429,000 cases in 2018, and deaths also rose from 155,000 to 157,000 within the same period while treatment coverage for the disease remained stagnant at 24%.
On the heels of the first global ministerial conference on TB hosted by the WHO and the Russian government in November, 2017, followed by the UN’s first ever high-level meeting on TB which elevated the discussion about the status of the TB epidemic and how to end it to the level of heads of state and government on September 26, 2018, leading to the political declaration agreed by all UN member-states, in which existing commitments to the Sustainable Development Goals (SDGs) and WHO’s End TB Strategy were reaffirmed and new ones added, on this year’s World TB Day, the global health body calls on everyone to keep the promise to:
Accelerate the End TB Response to reach the target set in Sustainable Development Goals, WHO End TB Strategy, the Moscow Declaration to: End TB and political declaration of the UN High-Level Meeting on TB; diagnose and treat 40 million people with TB by 2022, including 3.5 million children and 1.5 million people with drug-resistant TB; reach 30 million people with TB preventive treatment, including 24 million household contacts of TB patients – 4 million of whom are children under 5 – and 6 million people living with HIV; mobilise sufficient and sustainable financing to reach $13 billion a year to support efforts to end TB; invest in TB research to reach at least $2 billion a year for better science, better tools and better delivery.
As a member-state of the UN and particularly, as a country that is so heavily impacted, The Tide expects Nigeria to be committed to the vision and mission of the WHO in its effort to reverse the negative narrative of TB. To this end, we urge government at all levels in the country to muster the political will and strike right partnership with relevant stakeholders –and strengthen existing ones where necessary – to achieve the desired objective.
Government must also step up continuous sensitisation and advocacy to women and children, especially in the rural areas. Training and retraining of health workers to build and strengthen their capacity in order for them to be able to deliver quality services to the people must be taken seriously. In this regard, efforts must be made to ensure industrial harmony and stability in the primary health care sector in particular and the health sector in general. Continuous and sustainable community engagement and good data collection are as well pivotal to achieving desired results beyond clinical treatment.
It is not untrue that there are many misconceptions about TB. While some believe that tuberculosis is caused by smoking and drinking, others believe that it is caused by witchcraft or even that it is hereditary. The result of such erroneous beliefs is that people ignorantly seek solutions where there are none and compound the problem when they resort to traditional fetish and religious rituals instead of accessing the tested, proven and reliable medical treatment.
Unfortunately, there are yet people who neither are aware of nor believe that tuberculosis testing and treatment are free in public health facilities in Nigeria.
It is the goal of the UN to eliminate tuberculosis by year 2030 and if an estimated 60 million lives were saved through TB diagnosis and treatment between year 2000 and 2019, the target is not unachievable with the right attitude, commitment and action. A TB-free Nigeria is as well possible in record time even as The Clock Is Ticking for ending a preventable and curable deadly disease.

Editorial

Fubara’s 2025 Budget Of Inclusive Growth

Published

4 days ago

January 17, 2025

The Tide

On December 30, 2024, Rivers State Governor, Sir Siminalayi Fubara, unveiled an ambitious budget proposal amounting to N1.188 trillion for the year 2025. This proposed budget, aptly termed the “Inclusive Growth and Development Budget,” seeks to address the socio-economic needs of the state while simultaneously fostering sustainable growth and development. This marked the second budget cycle under Governor Fubara’s administration. Fubara signed the budget into law on January 2, 2025, after the House of Assembly had passed it.

The 2025 budget builds upon the framework established by the previous year’s appropriation, which was themed “Renewed Hope, Consolidation, and Continuity.” That 2024 budget projected a total revenue of N800.392 billion, aiming to perpetuate the administration’s agenda focused on economic recovery, infrastructure development, and the enhancement of social welfare programmes. Moreover, it sought to stimulate economic growth, uplift the quality of life for citizens, and facilitate the overall sustainable development of the state.

The 2024 budget was a resounding success, surpassing both its revenue and expenditure targets and achieving its objectives concerning performance, expectation management, and project delivery. Remarkably, this was accomplished in the face of macroeconomic challenges, including prevalent high inflation rates, the devaluation of the naira, and a backdrop of political instability. Notably, this budget was financed without resorting to loans, achieving full implementation with a success rate of 100%. The growth in the Internally Generated Revenue (IGR) was especially impressive; by the end of November 2024, the IGR surged to N282.557 billion, surpassing the projected figure of N231.057 billion by more than N51 billion.

However, the 2025 budget reveals a more refined and methodologically sound financial strategy that places emphasis on both immediate operational needs and forward-thinking long-term investments. The breakdown shows Recurrent Expenditure totalling N462,254,153,418.98 alongside a Capital Expenditure of N678,088,433,692.03. Additionally, the budget establishes a planning reserve of N35.688 billion and anticipates a closing balance of N12.931 billion. In this way, Fubara’s administration reaffirms its unyielding commitment to expedite the development of Rivers State.

An important element of this budget is the ratio of Recurrent to Capital Expenditure, which stands at a notable 44:56%. This metric illustrates the administration’s deliberate allocation of funds, directing a substantial portion towards capital projects — vital components for fostering infrastructure and facilitating developmental goals. This balanced approach indicates a strong recognition of the need for investment in both immediate operational efficiency and sustainable long-term growth strategies.

Considering the contemporary economic complexities and pressing policy priorities, the 2025 appropriation estimate is a carefully calculated reflection of the state’s economic landscape. The budget’s stable assumptions and its intrinsic flexibility are designed to address the various financial challenges the state faces, thereby ensuring its ongoing relevance to current and future economic scenarios. These elements demonstrate a realistic and reliable approach in the projections of the N1.188 trillion budget, thereby enhancing the effectiveness of its implementation.

The estimate further acknowledges the complicated dynamics of the current economic climate and adjusts strategic plans to navigate unforeseen disturbances. By incorporating a degree of flexibility, the budget is designed to anticipate and mitigate potential economic shocks stemming from an array of domestic and international influences. This proactive posture enables the state to respond efficiently to economic downturns and explore avenues for growth.

In the allocation of funding, Governor Fubara emphasizes critical sectors such as infrastructure, health, education, agriculture, and social development, showcasing an understanding of the core challenges faced by Rivers State. The largest portion of the budget, amounting to N195.074 billion, has been specifically earmarked for infrastructure development, followed closely by allocations for health (N97.750 billion), education (N63.275 billion), agriculture (N30.954 billion), and social development (N15.477 billion).

The government’s commitment to infrastructure development is particularly commendable. Key projects such as the Port Harcourt Ring Road and the Trans-Kalabari Road remain essential drivers for economic expansion. The allocation dedicated to social development is a commendable move towards empowering the youth population. Investments in youth initiatives are integral for laying the groundwork for a more inclusive and equitable society.

Recognising that food security is a non-negotiable priority, the administration’s substantial commitment to the agricultural sector deserves praise. By supporting interventions aimed at agricultural development, the government is creating employment opportunities, fostering economic growth, and achieving necessary diversification and rural development. Moreover, the initiative to roll out a comprehensive agriculture transformation support programme geared towards youth in the upcoming fiscal year stands to tackle the challenges of youth unemployment, poverty, and food insecurity effectively.

In parallel, the budget emphasizes the administration’s intent to fortify health and educational institutions. It is paramount that primary healthcare systems and general hospitals receive the necessary investments to drive transformative outcomes, alongside substantial renovations of public schools. The government must remain focused on bolstering foundational sectors within the education system. Furthermore, the planned establishment of a college of education in Opobo is a welcome initiative that aligns perfectly with the need to enhance educational opportunities in the area.

In recognition of these concerted efforts, the Opposition Coalition, alongside the All Progressive Congress (APP) and the Human Rights Writers Association of Nigeria (HURIWA), has lauded Governor Fubara as an astute economic tactician whose leadership has seen Rivers State’s IGR increase by N100 billion. They further commended his administration for achieving the 2024 budget’s objectives without incurring debt, despite the ongoing attempts by various disgruntled elements to disrupt governance in the state.

A statement from the opposition emphasized, “This remarkable achievement is a testament to the economic acumen of Governor Fubara, who, despite distractions and provocations, has maintained his focus on the economic rejuvenation of the state following years of mismanagement. It is both reassuring and inspiring that even while the Federal Government grapples with domestic and foreign borrowings to fund its operations, the Rivers State Government has succeeded in financing the 2024 budget without resorting to borrowing.”

Governor Fubara’s pragmatic approach to fiscal management presents a remarkable opportunity to transform governance at the state level in Nigeria. If effectively executed, the 2025 budget could serve as a model for leveraging state governance to propel economic growth and enhance the quality of life for Rivers people. The successful implementation of the budget could redefine the role of state governments in Nigeria’s overall development trajectory, thereby paving the way for a more prosperous and inclusive future for all.

Editorial

Opobo And The Proposed Higher Institution

Published

6 days ago

January 15, 2025

The Tide

Rivers State Governor, Sir Siminalayi Fubara, has recently taken an important step by unveiling plans to establish a new institution of higher learning in the historic Opobo Town. This forward-thinking initiative is designed not only to enhance educational opportunities but also to stimulate sustainable academic and economic growth in the region, thereby addressing some of the long-standing needs of the community.

The Governor made this important announcement during the inauguration ceremony for the 7-kilometre Opobo Town Ring Road, which stands as a testament to the government’s unwavering commitment to infrastructure development within the state. The proposed institution will serve as a vital educational resource, providing local students from Opobo and its surrounding areas with access to quality education. This initiative seeks to empower learners with the skills and knowledge necessary to actively contribute to economic prosperity and community development.

Additionally, the new institution is envisioned as a hub for research and innovation. It aims to promote sustainable practices and develop solutions tailored to the specific challenges faced by the local community. By investing in education, the government acknowledges the transformative power of learning as a crucial component in shaping the future of Rivers State and empowering its citizens.

The announcement has sparked a wave of enthusiasm among the native and resident population of Opobo Town, who eagerly anticipate the realisation of this promise to establish a higher educational institution in their community. This momentous development brings a renewed sense of hope and relief to a town that has historically been deprived of access to quality tertiary education.

For many years, the youths of Opobo have faced the daunting challenge of leaving their hometown to pursue higher education elsewhere. The emotional strain and financial burdens associated with this necessity have proven overwhelming for numerous families. However, the establishment of this institution is poised to transform the landscape of educational opportunities, allowing countless individuals — sons and daughters of this ancient kingdom — to attain affordable and accessible education right within their own community.

The gratitude expressed by the natives and residents of Opobo is truly palpable, with many extending heartfelt appreciation to the Governor for his steadfast dedication to fulfilling their educational aspirations. This strategic investment not only aims to empower the local population but also seeks to invigorate the economy through job creation and increased civic engagement.

The Tide commends the Governor for his initiative to establish a world-class educational institution in this historic town. Education is not merely a means of acquiring knowledge; it serves as the cornerstone of societal advancement. By equipping individuals with critical skills and the tools necessary for navigating the complexities of modern life, this initiative will undoubtedly foster a more informed and engaged citizenry. Furthermore, it would be prudent for the Governor to consider replicating such initiatives in other deserving riverine communities, extending the benefits of higher education throughout the region.

Looking ahead, it is imperative that the Rivers State Government ensures that this higher institution is adequately funded and supported. Prioritising the development of students, staff, and curriculum, as well as providing state-of-the-art research facilities, will be essential in guaranteeing that the institution meets international quality standards.

It is noteworthy to mention that, apart from a previous attempt to locate the Faculty of Law at what was then known as the Rivers State University of Science and Technology (UNITECH) in Degema during the administration of the late Chief Melford Okilo, the proposed higher education institution at Opobo marks the second concerted effort by a Governor of Rivers State to enhance academic opportunities in the area.

Governor Fubara’s initiative has effectively dispelled the notion that the riverine areas of the state are unsuitable for accommodating momentous projects due to land scarcity. His administration sets a precedent for future leaders, encouraging them to view riverine areas as viable and valuable locations for launching economic projects.

Undoubtedly, this transformative project will not only enhance the potential for human settlement in that portion of the state but also mitigate the ongoing trend of rural-urban migration. This higher learning institution will draw industrialisation and provide vital job opportunities, serving as a symbol of hope for the many unemployed young individuals in the area while unlocking fresh prospects for growth and advancement.

Editorial

A New Dawn For Rivers’ Workers

Published

1 month ago

December 13, 2024

The Tide

Workers in the Rivers State civil service have been eulogising Governor Siminalayi Fubara for delivering on his promise to implement a new minimum wage of N85,000, which was reflected in the salaries paid for November. This increase is N15,000 higher than the national minimum wage of N70,000. This represents not only an enhancement in the financial welfare of civil servants but also a recognition of their hard work and dedication to public service. The raise has been met with widespread jubilation among the workforce, who have long advocated for a better wage to cope with rising living costs and economic challenges.
As the news spread, offices filled with laughter and sigh of relief, as employees exchanged stories of how this financial boost would positively impact their families and dependants. The new minimum wage is not just a number; it symbolises the government’s commitment to improving the standards of living for civil servants and fostering a more equitable workforce. Many workers expressed their gratitude for the governor’s timely intervention, highlighting how important it is for public servants to feel valued and adequately renumerated.
Governor Fubara’s decision is expected to reinforce morale within the civil service, fostering greater productivity and dedication among employees who contribute significantly to the state’s development. With the new wage in place, there is a renewed sense of optimism among civil servants, who now feel more empowered to serve the government and the citizens with greater enthusiasm and commitment.
The Governor had declared an increase in salaries for state workers, emphasising that this adjustment is not only a reflection of the government’s commitment to improving the welfare of its employees but also a strategic move fueled by the state’s enhanced Internally Generated Revenue (IGR). He assured workers that the financial backing for this increment is sustainable, stemming from the state’s focused efforts to bolster revenue through various initiatives, including tax reforms and enhanced efficiency in public service delivery.
Furthermore, the governor’s promise of funding the increment solely through increased IGR signifies a commitment to fiscal responsibility and transparency. It reassures the people that the government is proactively managing resources while investing in their future. As the state continues to explore opportunities for revenue enhancement, Fubara’s administration remains focused on ensuring that these initiatives translate into tangible benefits for the workforce, ultimately fostering a more motivated and dedicated public sector.
The decision by Fubara to be the first in Nigeria to implement the new national minimum wage is a commendable step that reflects a proactive approach to governance and an understanding of the pressing needs of the workforce. In an economy where many families struggle to make ends meet, especially in the face of rising living costs, this enterprise will improve the quality of life for workers and also set a precedent for other states to follow.
In recognising the various drives and support provided by Fubara’s government, it is necessary that the workers reciprocate by embodying a spirit of productivity and commitment to the current administration’s goals. They should align their daily operations with the administration’s objectives to enhance effectiveness and foster an environment of collaboration and trust. This reciprocal relationship can lead to innovative solutions and efficient service delivery, ultimately benefiting the state and strengthening public trust in government institutions.
Surprisingly, despite the political challenges the government has been navigating, alongside the myriad of ambitious projects it is embarking on, it has managed to raise funds to implement a minimum wage of N85,000 This achievement reflects a commendable level of resilience and resourcefulness within the government’s fiscal strategies. In a nation often marred by economic volatility and political discord, finding a way to sustain and even elevate the livelihoods of its employees is no small feat.
Workers in the state have truly found themselves in a remarkably advantageous position under this administration, especially when compared to the previous regime. The immediate past government’s blatant refusal to implement the minimum wage of N30,000 left many employees disheartened and struggling to meet their basic needs. What was even more disconcerting was the absence of meaningful negotiations with labour representatives, leaving workers feeling unheard and undervalued. In contrast, the present administration has prioritised dialogue and engagement with labour unions, recognising the importance of fair wage for workers’ contributions to the state’s economy.
With the current government’s commitment to improving wages and working conditions, it is clear that a major shift has taken place. This renewed focus on the welfare of workers empowers them and instils a sense of hope and optimism for the future, as they can now look forward to a more equitable and supportive work environment. Ultimately, the ongoing trajectory suggests a promising era for labour relations in the state, one where workers are valued and their rights upheld.
Siminalayi Fubara has consistently demonstrated his dedication to workers’ welfare since taking office in May last year. Unlike his predecessor, who left many employees feeling overlooked and unsupported, Fubara wasted no time in addressing the longstanding stagnation of promotions that had plagued the workforce for eight years. He took further steps towards financial justice by initiating the long-overdue payment of gratuities that were neglected during the last administration.
Similarly, we urge the governor to take another step forward by reviewing the stipends received by pensioners. The current pension amounts have become woefully inadequate, leaving many of them who dedicated their lives to public service struggling to make ends meet. These dedicated individuals who have contributed to the development of our dear state now find themselves in a precarious financial situation, receiving stipends that are alarmingly low and insufficient to cover basic living expenses. The rising cost of living has rendered their pensions nearly meaningless. Therefore, a comprehensive reevaluation of these stipends is a required measure to ensure that those who have served our state with honour can live their remaining years with dignity and security.