Special Report
Amaechi, Opposition, Dev Challenges
When the Supreme Court in Abuja, on October 25, 2007, restored the mandate given to Rt. Hon Chibuike Rotimi Amaechi by the ruling Peoples Democratic Party (PDP) as its candidate for the April 14, 2007, general elections, and the glorious choice of the party’s flag-bearer by Rivers people at the polls, which heralded his election as governor of Rivers State, millions of Rivers people, residents and Nigerians across the isles, applauded the verdict, as victory for democracy, rule of law, and indeed, the hapless people of the state. To justify this position, the governor quickly swung into action, on assumption of office on October 26, 2007, and initiated a number of sustainable development projects and programmes aimed at impacting positively on the people, who had long been deprived of good governance and the dividends of democracy.
As the Supreme Court ruled in Amaechi’s favour, and blurted Sir Celestine Omehia’s name in the governance template of the state, most of the opposition political parties, rose to the occasion, and indicated their support for the new administration of Chibuike Amaechi. These opposition supporters of the administration saw in Amaechi, God’s divine intervention to salvage the destiny of the state, and reposition the state to retake its pride of place as Nigeria’s Treasure Base and Garden City. They quickly joined to form a Unity Government of Rivers State that brings people from all sheds of political leanings to chart a crystal course for, and give a new meaning to the state.
But while the administration was battling to settle down to the business of honest, selfless and people-oriented governance, some few individuals in the opposition political parties, moved to thwart what God has ordained. They quickly went to the courts to halt the PDP and Governor Amaechi from making progress and deliver the goods to Rivers people. But each step they take, God leads Amaechi to take two steps ahead. Thus, at the lower court, Amaechi dusted them. Now, at the Appeal Court last Wednesday, the so-called Bekinbo Soberekon case was struck out by the learned judges for lack of merit. Aside this Soberekon distraction, the deluge of resistance from those who oppose the administration’s development policies and programmes, the huge impact of long years of militancy and underdevelopment-induced violence, also weighed heavily on the ability of the government to deliver on its promises to the people.
However, even as Amaechi faced these and many more challenges, the administration continued on a roller-coaster ride on the ladder of accomplishments in good governance. In fact, in the past 30 months, Amaechi has achieved unprecedented milestones in his development strides. In the areas of healthcare, education and road infrastructures development and upgrade, the administration has continued to move the state to a new pedestal in development. Let’s take a cursory look at some of these development milestones in the annals of Rivers history.
In spite of these distractions, within the 30-month period, Governor Amaechi has overcome and fulfilled his promises to the good people of the state on his desire to deliver sustainable development projects that would further add impetus to their lives. One of these was realized when he institutionalized an integrated security strategy for the restoration of peace to the state. By cooperating and working in synergy with the security agencies, the Joint Military Task Force successfully quelled cult-related violence, militancy and criminality that permeated the state, and restored peace to the people. This success has had spiraling positive effects on other sectors of the economy.
The administration also implemented a wide range of programmes to further the interest of the state. One of the areas of interest is the public-private partnership framework aimed at incorporating the private sector as a driving force in the development of the economy. In this area, the government had succeeded in drawing the private sector closer to the people by partnering them in the areas of transport infrastructure development and both land and water transportation, health and education, financial management and fight against corruption, road infrastructure development, culture and tourism promotion, among others.
Now, the government’s drive to ensure adequate electricity supply in the state has resulted in the completion of the 100megawatts Trans Amadi Gas Turbine upgrade at the end of 2009. Work has been completed on the new transmitter to evacuate the power from the Trans Amadi Gas Turbine Station through the Power Holding Company of Nigeria’s main substation at Rumuobiakani.
The government has also concluded plans with Saipem to build 180megawatts-power facility that should come on stream by 2011. The government is already working hard to repair the failed turbines at the Omoku station while awaiting the delivery of 75megawatts electricity to be generated from the Eleme gas turbine station. With all the projects now ongoing, the government plans to deliver some 250megawatts of electricity to Rivers people by the end of 2010, and hopes to double that figure by 2011.
The government also began the process of electrifying more than 500 communities through its rural electrification programme. In fact, the government called for and received tenders, opened the bids, and has gone far into the process for the award of the contracts. Besides, some ongoing rural electrification jobs have continued to be funded while more transmission lines and networks are being constructed to enable the penetration of all communities in the state with electricity supply.
Even as the court cases persisted, Amaechi continued efforts to reclaim massive land for development purposes, especially in difficult, swampy terrains. More than five land reclamation projects in five communities, including the N1.57billion Egbormung/Oluk-Ama, the N3.58billion Opobo new layout dredging, and the N562million Buguma shore protection, have progressed to advanced stages of completion. The N1.68billion Queenstown reclamation and the N1.72billion canalization of Abonnema Wharf – Eagle Island, were awarded in 2009. In fact, the new land area reclaimed for Opobo people is far larger than the initial land space inhabited by the people. In perspective, about N9.112billion was invested into land reclamation projects in 2009, with most of them at advanced stages of completion.
In the roads sector, the government has delivered some 240kilometre of roads in swaps, and about three bridges. The 240km roads increase the number of roads completed by the administration to 550km. In all, about 33 rural roads were completed in the 23 local government areas, out of about 40 awarded by the government. Two road dualisation projects and one flyover project were completed in Obio/Akpor, bringing the total number of roads completed already to 35.
Between October, 2007 and now, more 170 road contracts were awarded, with between 30 – 50 per cent mobilization paid to the contractors. The 170 road contracts are expected to add some 700km of paved roads, to the existing 1,000km of paved roads in the state, when completed. In addition, there are 30 bridges and four flyover contracts awarded within the same period.
Statistics show that in the 23 local government areas of the state, the administration completed the 5.35km Bori Polytechnic/Zaakpom road, the 4km Babbe-Eeeken-Kaa road, the 8.8km Omunwa/Elele road, the 1.6km Rivoc road in Trans Amadi, the 19.8km Elele internal road network as well as the 4km Elele Army Barracks internal road in 2009. The state government also completed the 2.5km Wikabari Street, another 2.5km TTC road as well as the 1.03km Court road, all in Bori; the 545m Ibe Street in Elekahia, the 1.874km Nkarahia/Alimini/Isiokpo road, the 4.2km Rumuoparaeli road, and the 6.5km East-West-Sogho-Okwale road.
Others include the 7.2km Mogho-Bomu-Kporo waterside road, the 1.24km Oga-Imo Street,the 3km Ogbunabali internal roads, the 1.7km Eligbolo road, the 2km Elelenwo School Road, and the 6.5km Oro Ekpo/Odoli/Owabie road and Chinda Street. The rest are the 8.7km roads in Woji cutting across 11 streets, including Rumuibekwe-Elijiji-Ilom-Eze Gbakagbaka, Okechukwu, Ihunwo, Abel and Ogbatai. The other road projects completed by the state government in 2009 are the 10.96km Elele-Obele road, the 750m Tombia Street extension rehabilitation, the 3km Ada George-Obi Wali-East West road bypass, and the 5.9km Rukpokwu – Tam David-West – Aluu road.
The government also completed the 1.2km IBB road, the 5km Ubima internal roads, 2.5km COHISA – East West bypass road, the 3.2km FGTC – Immigration road, the 1.7km Civil Defence – Abuja bypass road, the 5km Rumuaghalu – Tam David-West bypass, the 14km Eberi – Umuechere road and the Kings International School road. Two bridges: the Ebukuma Bridge 3 in Andoni and the Nkoro Bridge 5 in Opbo/Nkoro were also completed in 2009. Indeed, 30 bridges have been awarded, some of which have been completed while others are at various stages of completion.
Two of the most expensive road projects are the 42km Omagwa-Elele-Omerelu dualisation at a cost of N21.5billion and the 13km Prof Tam David-West – Ada George roads dualisation, stretching from Mile Three through NTA, with a flyover across East West Road to Omagwa-Airport road, at a cost of N14.5billion. The first phase of this project, from NTA – Omagwa Aiport Road, has 26km of drains and manhole at intervals and a 400m long bridge at Obiri Ikwerre by East West Road. The flyover alone cost N4.5billion while the 13km road costs N10billion.
While most of the road dualisation projects are within Port Harcourt and Obio/Akpor local government areas, some 70 per cent of all 700km road contracts are located in the rural communities. There are about 10 road dualisation projects going on at the same time in the state, and four flyover projects, the largest already completed at Eleme Junction, and another, at Eliozu Junction.
Apart from the major road construction works embarked upon, the government also invested more than N4billion into the rehabilitation and maintenance of existing roads within Port Harcourt and Obio/Akpor local government areas, in a programme tagged: “Operation Zero Pot-Holes”. The programme, managed by the Rivers State Road Maintenance Agency (RSRMA), was supervised by the state Ministry of Works.
Conservatively, all the road and land reclamation projects awarded between October, 2007, and now, are valued at more than N214,367,330,462.20. However, there were also some road projects, initiated by the previous administration but had to be funded by this administration. These projects are worth some N70billion. Even at the government grappled with the court cases, it also strived to settle outstanding debts amounting to N100billion for some of the ongoing road projects. The government has allocated some N70billion to the works sector in the 2010 budget. In all, the administration has virtually turned the state to a huge construction site in the drive to enhance the development momentum of the state.
In the education sector, the government has continued work on the 23 model secondary schools and 250 model primary schools in the 23 local government areas of the state. The government plans to up the number of new model primary schools of 14-classroom each in various communities in the 23 local government areas to 750 by 2011. Out of the 250, about 120 have been completed. while the 100 addition this year have already commenced.
By the end of 2009, the Rivers State Government said it would spend some N27billion on the model primary schools and N90billion on the model secondary schools. In actual sense, the model primary schools would cost government about N28.999billion, with 43 valued at N117million and 214 valued at N112million, respectively. Most of the completed model primary schools have been furnished, some are awaiting furnishing, supply and installation of all necessary equipment, including computers, desks and chairs, among others, while others are at various stages of completion.
On the other hand, the model secondary schools would cost the government some N70.610billion, at a flat rate of N3.070billion each. Seven of these schools are being executed under public-private partnership (PPP) framework. Work has gone advanced stages on most. However, the government plans to construct, at least, 46 model secondary schools before the end of its tenure in 2011. Work on the new Rivers State University of Science and Technology, with a 60,000-capacity hostel, has gathered momentum as part of the first phase of the Greater Port Harcourt City development strategy.
In the health sector, the government has completed more than 70, out of the 150 new health centres, being constructed across the 23 local government areas of the state. The government also employed 150 medical doctors for the health centres to ensure that each facility gets, at least, one doctor to attend to patients. Some of the health centres are already functioning while others are awaiting furnishing and installation of equipment.
It further completed three secondary health facilities, including the New Kelsey Harrison Hospital on Emenike Street in Diobu, the new Dental and Maxillo Facial Hospital at Garrison, costing about N400million each, and a 500-bed hospital at the present site of the Rivers State University of Science and Technology (RSUST), Nkpolu, all in Port Harcourt. The secondary health facilities are now bracing for furnishing and installation of equipment. The government also commenced work on the Adolphus Karibi-Whyte Specialist Hospital in the Greater Port Harcourt City area, and had cleared the site for the Chief Alfred K. Horsfall Hospital, near the newly completed Dental and Maxillo Facial Hospital.
In fact, the health sector is one area that has given the state government’s development agenda a new fillip. The litany of health centres being built across the local government areas, means that the number of patients flocking around each of the facilities for attention would now reduce. This would give the doctors ample opportunity and time to attend to each patient according to their needs, and speedily address the health needs of the people of the state. If for nothing else, the completion of more than 120 health centres is a giant stride.
In the commerce and industry sector, the government has completed phase one of the N2.6billion Rumuwoji Market in Mile One. This first phase has 933 shops. It also has water pumps and a fire station, security posts, toilets, parking lots, a clinic, water hydrants and hose reels, as well as offices for the unions, and the facility management team. The market is further constructed with in-built fire-proof roofing system and other state-of-the-art construction components. Now, the completed stalls and shops are waiting to be allocated to those who would put them to viable uses. On completion, the entire market would provide 2,000 shops for small and medium traders and businessmen, and push the windows of business in the state to another level.
The government further started work on the N3.0197billion new Port Harcourt Town Market. The market has modern facilities such as 292 open shops, 736 lock-up shops, water hydrants, two water pumps and a fire station, including 96 hose reels for every block for fire fighting, four banks, a clinic, 32 toilets and 700 parking lots. The market is billed to be delivered to the government this year.
Pabod Breweries and West African Glass Industry Limited on Trans Amadi, Delta Rubber Company in Okomoko, Etche, Risonpalm Limited at Ubima, and a host of other industrial concerns where the government has significant interest also received a boost.
The government scored high marks in the area of culture and tourism development and promotion in the state. For instance, it successfully hosted the second Miss ECOWAS Beauty Pageant, the ION International Film Festival, and one of the best CARNIRIV events in Port Harcourt, as well as participated and won the first prize in the 2009 Abuja Carnival.
The public-private partnership (PPP) template also made some fine statements on the seriousness of the Rivers State Government to involve the private as the driving force of development of the state. The successful incorporation of the private sector in the designing and funding of the Port Harcourt Ring Road is one of the success stories of the administration. Other areas include the winning of the hearts of some private sector players in funding roads, model secondary schools, the Zenith Bank-built information and communication technology centre near the Nigerian Air Force Base in Port Harcourt, now completed, among other people-oriented development projects in the state.
Now, with issue of court cases taking the back-stage, the government would be more vigorous and focused in addressing the many challenges of governing the state. It is hoped that all Rivers people would face reality, and rally round the administration to succeed. This is because 2010 and the years ahead present better prospects for improved performance in delivering democracy dividends to the people of the state.
Amaechi now needs more thoughtfulness, thoroughness, toughness, decisiveness, and uncompromising approach to governance, transparency and utmost frugality in the expenditure of public resources to succeed. The government also needs to show that it can closely monitor and ensure compliance by contractors to projects’ specifications, and delivery timelines. Now, the coast is cleared. The distractions are gone like a smoke screen, and sustainable development can take increasing shape in Rivers State.
Nelson Chukwudi
Special Report
What I Am Grateful For
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).
Special Report
Eze Ogba @80: A Salute To Greatness
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
Special Report
60 Years Of Nigeria’s Health Sector: Challenges And Way Forward
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