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Tackling One Of Oldest Enemies Of Pregnancy

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It is not new that malaria, one of the most severe public health problems, particularly in Africa, has been a major cause of maternal death and infant morbidity.
During pregnancy, malaria parasites can hide in the placenta and interfere with transfer of oxygen and nutrients to the baby.
This increases the risk of miscarriage, still-birth, pre-term birth, as well as low birth weight, which is a great risk factor for death of babies in the first month of life.
The 2018 World Malaria Day (WMD) presents another opportunity to weigh the effects of malaria and efforts made to eradicate it.
The WMD is celebrated annually on April 25. The theme of the 2018 World Malaria Day is “Ready to Beat Malaria’’.
Medical experts say it is important to tackle malaria in pregnancy to reduce Nigeria’s high maternal mortality rate.
Dr Olawale Oba, Senior Registrar, Department of Obstetrics and Gynaecology, Lagos University Teaching Hospital (LUTH), Idi-Araba, explains that malaria is caused by transmission of parasite plasmodium into the blood stream of humans.
“The parasite is carried by anopheles mosquito and transferred to the blood of human when such human is bitten by the mosquito.
“The parasite stays in the liver of human and undergoes some changes till an adult parasite is formed and capable of causing the infestation,’’ he explains.
According to him, the parasite can also infest the foetus.
“It is largely a maternal disease which could also affect the fetus when the level of parasitaemia becomes considerably high.
“When the parasite is found within the placenta tissue, it is capable of congenital fetal malaria infestation,’’ he says.
The gynaecologist notes that the burden of malaria in pregnancy is still multi-faceted and contributes to about 15 per cent of the causes of maternal anaemia in pregnancy.
“It contributes to about 14 per cent of low birth weight, 30 per cent of preventable low birth weight and 70 per cent of intrauterine growth restriction.
“It also contributes to 36 per cent of premature delivery and eight per cent of infant mortality.
“Its prevalence varies considerably in different location, with about 7.7 per cent prevalence in Lagos.
“This depend on the level of education among such populace, the level of training of personnel in diagnosing the disease, and the rate of use of hospital facilities,’’ he says.
Also on malaria effects on pregnancy, Prof. Olugbenga Mokuolu, a Pediatrician at the Neonatal Intensive Care Unit, University of Ilorin Teaching Hospital, warns that the disease has grave consequences if not managed well.
Mokuolu notes: “The direct effect of malaria contributes significantly to perinatal disease burden in terms of pregnancy losses, prematurity due to pre-term labour and prevalence of low birth weight babies.
“The peculiarity of malaria in the newborn is related to the various dimensions, which includes malaria in pregnancy, congenital malaria and neonatal malaria.
“This makes malaria a daily threat with half the world’s population still at risk.’’
The expert is convinced that there are opportunities to save lives in spite of the burden.
He says lives can be saved from malaria by reducing its transmission and eliminating the disease where possible.
Mrs Itohowo Uko, the Head of Advocacy, Communication and Social Mobilisation in NMEP, adds that malaria in pregnancy accounts for 11 per cent of maternal deaths.
Uko believes that this calls for urgent measures against the menace.
According to her, NMEP has a Prevention of Malaria in Pregnancy (PMP) Strategy.
“This strategy advocates using Focused Antenatal Care (ANC), Intermittent Preventive Treatment (IPTp), regular and appropriate use of Long Lasting Insectide Nets (LLINs) in addition to early diagnosis and prompt treatment of malaria in pregnant women,’’ she says.
For Dr Tolu Arowolo of the World Health Organisation (WHO), early antenatal care plays an important role in preventing and managing malaria during pregnancy.
According to her, booking and administering of IPTp are critical in preventing malaria during pregnancy.
“IPTp is based on the assumption that every pregnant woman living in an area of high malaria transmission has malaria in her blood stream or placenta, whether or not she has symptoms of malaria.
“A pregnant woman is supposed to receive a minimum of three doses of sulphadoxine-Pyrimethamine before delivery.
“The Intermittent Preventive Treatment (IPTp) is to be administered at regular intervals to prevent malaria during pregnancy; the medicine of choice in Nigeria is sulphadoxine-pyrimethamine.
“Single dose of three tablets is given to pregnant women when they perceive movement of the baby, and at monthly intervals – four weeks apart – up to delivery.
“Women are expected to receive at least three or more doses during one pregnancy, and the administration should be by directly observed therapy.’’
The WHO official advises that a pregnant woman should attend four scheduled ANC visits.
“The first visit should be before 16 weeks, second visit by 16 weeks to less than 28 weeks, third visit from 28 to less than 32 weeks and the fourth visit from 32 to 40 weeks.
“These personalised visits provide the opportunity for a pregnant woman to be in contact with trained healthcare providers who can make regular malaria prevention and treatment interventions available to them,’’ the experts says.
She lists some benefits of sticking to the schedule to include reduction of malaria parasites in pregnant women.
“It provides significant protection against anaemia and maternal mortality, reduces risk of miscarriage, stillbirth and pre-term delivery.
“It has no adverse effects on the pregnancy and, therefore, should be adhered to.
“In addition, sleeping under LLINs and good nutrition are good interventions against malaria,’’ Arowolo argues.
She emphasises that good nutrition helps to nourish the mother and foetus as well as boost the immune system.
Dr Bartholomew Odio, a gynaecologist, urges Nigerians, especially pregnant women to always request for testing before treating malaria fever.
Odio, the Malaria Technical Advisor with Jhpiego Nig., an affiliate organisation to John Hopkins University, U.S, advises pregnant to demand to know drugs given to them.
“On diagnosis and treatment of malaria in pregnancy, when a pregnant woman has fever, she must go to a hospital to have a test done.
“Malaria can be confirmed by a Rapid Diagnostic Test kit for Malaria (mRDT) or by microscopy test done by an expert laboratory scientist.
“Medicines to treat malaria must be in line with the National Treatment Guideline for Case Management at the nearest health facility,’’ Odio adds.
In the view of the Malaria Society of Nigeria (MSN), Nigeria should pay more attention to research on malaria to strengthen the fight against the disease.
The President of the society, Dr Babajide Puddicombe, says investment in research on the disease will dig deeper into the menace and proffer more solutions.
“Nigeria is endowed with researchers who can compete favourably with their counterparts from any part of the globe, but they are not adequately funded.
“Some of their equipment are obsolete,’’ he regrets.
He calls for collective efforts in the fight against the disease to save more preganant women and children as well as other members of the society.
“For Nigeria to be ready to beat malaria as is the theme for the 2018 World Malaria Day, all hands must be on deck as government cannot do it alone.
“Recognised NGOs should be involved in this fight which has been 0n for over 100 years.
According to WHO, the theme of the 2018 WMD shows the need for collective commitment of the global malaria community to uniting in the common goal of a world free of malaria.
“The global response to malaria is at a crossroads. After an unprecedented period of success in malaria control, progress has stalled.
“The current pace is insufficient to achieve the 2020 milestones of the WHO Global Technical Strategy for Malaria 2016 to 2030 targets calling for a 40 per cent reduction in malaria incidence and death rates,’’ the world body points out.
It calls for greater investment in the prevention, diagnosis and treatment malaria.
Analysts are optimistic that the 2018 WMD celebration in Nigeria will raise more concerns about malaria burden and stir more efforts to tackle, more efficiently, one of humanity’s oldest diseases.
Alake and Ihechu write for News Agency of Nigeria, NAN.

 

Omowunmi Alake/Vivian Ihechu

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Will Drug Trafficking Ever End ?

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From the fore going, the fight against drug trafficking should be treated as an international challenge with open collaboration, if the world leadership must win the fight!.
The circumstances or should I say the improvement on drug related activities are modifying and updating on daily basis. A close friend of mine in the United States of America who recently visited Jamaica, came with a lot of complicated information about drug trafficking and transaction. Being a qualified Nurse in US and on a visit to the Reggae Country (Jamaica), she said she was put aback when a man approached her and introduced himself as a Pharmacist. According to her, she immediately picked interest due to her professional background. To her, a business partner is birthed. But she was shocked to the narrows on learning that drug dealers or traffickers and subriquited Pharmacist in that Country. From her account, they ( The Jamaican Pharmacists), are the first set to people to meet and greet you at the Airport. No government or authority challenges them in the open due to the sophisticated nature of their transportation
Come to think of it, who would want to attack a Pharmacist on duty? Nigerians are not left out in the improvement on drug deal. A chat with a confident in the National Drug Law Enforcement Agency ( NDLEA) Rivers State Command, so revealed. The Officer draw my attention to the movement of Dispatch Riders. He said part of the reasons they ride with almost speed equivalent of the thunder lightning, is to meet up with the appointment of delivering hard drug consignment to a client of theirs. According to him, those guys popularly referred to as Yahoo Boys are the ones who now payroll dispatch riders so that they can deliver their consignment ( hard drugs) on schedule no matter the sort of traffic or weather condition. The fear of loosing rich clients and that of the unknown treatment that may come of the Boys, as the officer puts it, drives the Riders crazy thus the reason to speed even at the expense of their lives.
The account of a prominent Party Promoter, Wayne Anthony, as obtained online recently, also pointed out that ‘No Legislation Will Stop Clubbers From Doing Drugs’ Party promoter, Wayne Anthony, arrived in Ibiza, a Spanish Island in 1988, at the same time as dance music and the party drug ecstasy. Despite hallucinating badly enough to make him give up the lifestyle forever, he says laws will never stop clubbers taking drugs. “I don’t think you can control these things,” said former party promoter Wayne Anthony. He arrived in Ibiza in 1988 and began setting up club nights and raves in some of the island’s most iconic venues. In the years that followed, the sleepy Spanish island turned into a raver’s haven of clubbing and hedonism, with party drugs like ecstasy commonly found. “What Ibiza represented was this beautiful, hot island which was visually stunning and we knew you could party there quite legally,” said Wayne. “You didn’t have to look over your shoulder. You could just be as free as you possibly could be.”
That freedom came with a price. Along with the lavish clubs, all-day-benders and hot Spanish sun came drug cartels and crime. The city transformed into one the world’s most vibrant party capitals, “fuelled by a dangerous and lucrative drugs trade which drew as many criminals to its shores as it did party animals”. Wayne, one of the contributors to the documentary, spoke to Sky News ahead of its release.”I’m not going to sit here and say the cartels aren’t there. They are all there and they’ve been there from the ’90s,” said Wayne. But he said most people tried to ignore the organised crime going on around them. According to Wayne, clubbers usually took the approach of: “‘Give me 10 E’s . Behind the scenes of the filming of Ibiza Narcos with Wayne Anthony. Behind the scenes of the filming of Ibiza Narcos with Wayne Anthony. Hallucinating giant spiders Although he described the Balearic island as the “motherland”, it was eventually a bad experience with drugs that convinced Wayne it was time to leave Ibiza.
He’d been partying for days when he realised he’d taken too many drugs. A friend told him to drink cough medicine, dangerous advice that he now says could have killed him. “I saw the worst hallucination I’ve ever seen in all of my life. I ended up locking myself in the villa with all the shutters down. When he sobered up, he realised he had “come to the end” of his party life on the island. “I never looked back. I never took another drug. I got away from the club world.” ‘I don’t think you’re going to be able to stop it’ Despite his life-changing experience, he doesn’t think criminalising drugs is a good idea – or particularly effective. “If you’re old enough to vote for who’s going to be a world leader, if you’re old enough to put your name down on debt for 25 years, I feel like you should be old enough to govern what you put inside your own body, you know?” said Wayne.
Back to Nigeria, some illicit drugs worth over N30billion seized at Onne Port in Rivers State.
This blood chilling development forced the Federal Government to declare a state of emergency at the Onne Port, following what authorities described as repeated incidents of importation of dangerous cargo, including arms and ammunition through the said port. To this effect, the government said it was immediately implementing emergency protocols at Onne Port for the next three months by conducting thorough examinations of all suspected containers in the premises.
The Comptroller-General of Customs, Bashir Adeniyi, in charge of the port via a press conference, said it henceforth, unveiled the seizures of illicit goods by the Nigeria Customs Service, Area 2 Command, Onne in Eleme Local Government Area of Rivers State. In defence for his action, Adeniyi said the recurring incidents posed a threat to national security, adding that the health of citizens at the Onne Port is increasingly being used as a destination for dangerous and illicit cargo, describing it as a disturbing trend.
The customs boss stated, “Earlier today, I joined numerous stakeholders to take a significant step towards the cause of trade facilitation through the inauguration of upgraded facilities provided by the West Africa Container Terminal, Onne. “As I express delight that trade facilitation is getting traction in Onne Port, I cannot help but call your attention to a grave concern. This has to do with the repeated incidents of national security breaches unfolding in Onne Port. I appreciate your presence, as we all have a shared responsibility in safeguarding our national security. As we are all aware, the policy thrust of Mr President supports the re-energising of our business environment to drive faster import clearance and grow our capacity for exports, Our emphasis has been to promote initiatives that speak to Trade facilitation and economic development. “It is a matter of regret that criminal elements in the international supply chain are exploiting our pro-trade stance to commit atrocities bordering on national security breaches”.
“The attempts to test our will through the importation of dangerous cargo through this port has necessitated the declaration of a state of emergency in Onne Port, coming on the heels of a seizure of a huge cache of arms a couple of months ago. It is disheartening that perpetrators have not backed down on their illegal acts. Recent intelligence and seizures have revealed a disturbing trend; Onne Port is increasingly being used as a destination for dangerous and illicit cargo. The scale and nature of these illegal importations pose a significant threat to our national security and the health of our citizens. Today, we are here to showcase yet another series of significant seizures made by the diligent officers of the Area 2 Command. On display are twelve containers of illicit goods intercepted through a combination of intelligence gathering, inter-agency collaboration, and meticulous physical examination. Seizures on Display include: Three (3) x 40-feet containers: Containing 562,600 bottles of 100ml cough syrup with codeine and 3,150 pieces of chilly cutters, with a Paid Duty Value (DPV) of N4,716,573,846.
“Others are, three x 40-feet containers containing 380,000 bottles of 100ml cough syrup with codeine, 24,480,000 tablets of Royal Tramadol Hydrochloride, 5,350,000 tablets of Tapentadol and Carisoprodol, and other items, with a DPV of N17,432,506,000 were seized”.
According to the report, more seized items were, “Five (5) x 40-feet containers; Containing 892,400 bottles of 100ml cough syrup with codeine, 1,300,000 tablets of 50mg Really Extra Diclofenac, 7,250,000 tablets of 5mg Trodol Benzhexol, and other items, with a DPV of N8, 128,568,295,90. This very action of the Nigeria Customs Service, further complicated the hope of how soon the fight against drug trafficking could be brought to a halt owing to its high profile nature.
Another hair-raising report of the illicit drug deal has it that when NDLEA bursted a Snake-Guarded Shrine Used For Storing Illicit Drugs sometime ago in Edo State. This very news report was published in The Tide Newspaper on June 24, 2024. According to the report, NDLEA said its operatives uncovered a shrine, guarded by a snake, being used for storing illicit drugs, during an operation in Edo State. The Agency in a statement by its spokesperson, Femi Babafemi, added that its operatives discovered a specially constructed large hole in a wall, hidden behind wallpapers and fetish objects used for drug storage. It further noted that methamphetamine, Loud, Colorado and Arizona, all strong strains of cannabis with a total weight of 8.743kg among others, were recovered from the shrine.
To be cont’d

King Onunwor

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Farmers/Herders Clash:  Livestock Ministry As Solution

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The persistent clash between farmers and herders in Nigeria has been a longstanding issue. These conflicts, often, over resources like land and water, have led to loss of lives, destruction of property, displacement of large numbers of people, deep-seated mistrust between communities and insecurity. Herders, traditionally nomadic, move their livestock in search of grazing land and water. Farmers, on the other hand, require the same resources for their crops. This competition often leads to clashes, especially in areas where land is becoming increasingly scarce due to population growth, climate change, and environmental degradation. As these clashes intensify, there has been a growing call for sustainable solutions. Two weeks ago, President Bola Tinubu took a bold step towards tackling the issue by inaugurating the Presidential Committee on Implementation of Livestock Reforms and creating the Ministry of Livestock Development.
The committee which has the president as the chairman and the former Chairman of the Independent National Electoral Commission (INEC), Professor Attahiru Jega as the deputy chairman has the mandate to address obstacles to agricultural productivity and open up new opportunities which benefit farmers, herders, processors, and distributors in the livestock-farming value chain as well as propose recommendations aimed at fostering a peaceful co-existence between herders and farmers, ensuring the security and economic well-being of Nigerians.The establishment of the Ministry of Livestock Development was part of the recommendations of the National Livestock Reforms Committee. Part of the 21 recommendations submitted to the president include: “This agenda should include the establishment and resuscitation of grazing reserves as suggested by many experts and well-meaning Nigerians and other methods of land utilisation.
“Create the Ministry of Livestock Resources in line with practice in many other West African countries. In the alternative, Federal and State Governments should expand the scope of existing Departments of Livestock Production to address the broader needs of the industry,” among others. Experts in the agricultural sector have posited that the livestock industry can create millions of jobs directly in farming, processing, and distribution, and indirectly in related sectors like feed production, veterinary services, and marketing. It provides livelihoods for rural populations, helping to reduce poverty and improve the quality of life in rural areas. It also increases the Gross Domestic Product (GDP) and foreign exchange earnings through the exports of livestock and livestock products such as meat, dairy, wool and leather.
According to them, a well-funded livestock industry supports the growth of agro-processing sectors, such as meat packing, dairy processing, and leather manufacturing, adds value to raw products and creates additional economic activity as well as stimulates the development of supply chains, including logistics, packaging, and retail, contributing to broader economic growth. It enhances economic resilience by diversifying the agricultural sector and providing a buffer against crop failures or other agricultural shocks and many more. Some other agriculturists have also opined that the livestock industry in Nigeria is currently underdeveloped and that by the creation of the ministry of livestock development will open up the industry which will be a huge money spinner for Nigeria.
Reports have shown that a Livestock Ministry can play a pivotal role in mitigating  conflicts between farmers and herders by implementing policies and programmes aimed at fostering coexistence and sustainable resource management. The Ministry can work towards clearly demarcating grazing routes and farming areas. This would reduce instances of trespassing and accidental crop destruction, a common flashpoint for conflict. While introducing rotational grazing systems can ensure that land is used sustainably, preventing overgrazing and land degradation, establishing water points and boreholes specifically for livestock can reduce competition for water resources. Similarly, promoting the development of pasturelands through reseeding and controlled burns can improve grazing conditions.
According to a veterinary doctor, Dr Andrew Obadiah, by providing training for herders on sustainable livestock practices and for farmers on conflict resolution, both parties can understand the importance of coexistence. He said that extension services of the ministry can offer advice on improving livestock health and productivity, reducing the need for large herds and extensive grazing. “Setting up local committees involving both farmers and herders to mediate disputes can provide a platform for dialogue and peaceful resolution. Encouraging community-based conflict early warning systems can help prevent clashes before they escalate”, he emphasised.For Mrs. Stella Ugwu, a farmer, having a ministry dedicated to the development of the livestock industry can help in diversifying income sources for both farmers and herders and in turn reduce dependence on land.
”For instance, promoting agro-pastoralism can provide farmers with livestock and herders with agricultural produce”, she explained, adding that providing incentives for adopting sustainable practices, such as subsidies for fodder production or crop insurance, can ease economic pressures. Ugwu was however of the opinion that the creation of a new ministry to handle livestock affairs was uncalled for, since the job can effectively be done by the Technical and Service Department of the Federal Ministry of Agriculture and food security and its equivalent on the states level.In some countries, the establishment of a Livestock Ministry or similar bodies has shown promising results. For example, Ethiopia’s Ministry of Agriculture includes a dedicated department for livestock which has successfully implemented programmes to improve pastoral livelihoods and reduce conflicts.
In Kenya, the establishment of the National Drought Management Authority has helped manage resources better, thus reducing clashes between herders and farmers during dry seasons.The president of Miyetti Allah Cattle Breeders Association of Nigeria (MACBAN), Othman Ngelzarma, sees the Ministry of Livestock Development achieving the same feat for Nigeria in the near future. He told newsmen that, “MACBAN expresses its deepest appreciation to the Federal Government for creating a ministry of livestock to unlock the trillion-naira livestock economy and create qualitative and productive jobs across the value chain to improve the Nigerian economy. With this development, MACBAN believes the hope of the Nigerian pastoralists is now achieved under the Renewed Hope Agenda.
However, the Middle Belt Forum took a different view of the proposed Ministry of Livestock Development, saying it was not enough to sustainably resolve the decades-long farmers-herders crisis in the country. According to the National President of the association, Mr. Bitrus Pogu, what is needed to end the perennial farmers/herders clashes is a deliberate action by regulatory bodies and the government to stop criminal elements from carrying out deadly attacks on innocent Nigerians, mainly farmers. Hear him: “If the reason for creating the Ministry is to stop clashes, I think it is wrong because all of these attacks and killings that are happening have nothing to do with conflicts between farmers and herders. “Farmers have never connived at any given time to go and attack herders, but rather, criminals who happen to be Fulani gang up and attack farmers, kill, maim and chase them out of their ancestral homes.
“Then, the Fulani will come and occupy them. So, it is more about invasion, criminality, and terrorism. And the majority of those they hire to do these evils are not even those who have cattle. So, a deliberate action has to be taken by the government against the perpetrators, which will address the criminality.” Mr. Pogu suggested that the government should adopt ranching for productivity and enduring peace between the pastoralists and farmers in particular and the entire country in general.While the establishment of a Livestock Ministry presents a viable solution, it is not without challenges. Funding constraints, bureaucratic inefficiencies, and corruption can hamper its effectiveness. Additionally, deeply ingrained cultural practices and mistrust between farmers and herders can be difficult to overcome.
Critics argue that without a holistic approach that includes land reform, climate change adaptation, and broader economic development, a Livestock Ministry alone may not be sufficient. Therefore, it must work in tandem with other governmental and non-governmental bodies to ensure comprehensive solutions. “A dedicated Livestock Ministry, with its focus on sustainable resource management, conflict resolution, and economic incentives, offers a promising avenue to address the root causes of these clashes. However, its success depends on effective implementation, adequate funding, and the cooperation of all stakeholders involved. With the right strategies and commitment, devoid of any political or selfish interest, it can play a crucial role in fostering peace and prosperity in affected regions”, they advised.

Calista Ezeaku

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Developments In Rivers’ Health Sector  …A Leap To Greater Height

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Quote:”In all of  these, politics was put aside while governance and care for the people rented the air”.
The Holy Scriptures was apt when it recorded in the Book of Proverbs Chapter 29 verses 2 that “when the righteous are in authority, the people rejoice”. This became evident in our dear state under the visionary leadership of Governor Siminalayi Fubara CON, GSSRS anchored by our amiable Commissioner for Health, Dr. Adaeze Chidinma Oreh. In the year under review, the implementation of Rivers State Health Insurance with 20,000 lives enrolled between April and August 2024 was made possible. This is not a paper work, but something on record for everyone to see.  Another point to note was that of Lassa Fever Outbreak. The swift containment of the Lassa Fever outbreak was greeted with superior attention by the State Government under the supervision of the Honorable Commissioner. Going down the lane, proactive emergency preparedness and response against Cholera outbreak was also recorded. One may be tempted to imagine, what would have been the fate of Rivers people and its residents, if Fubara did not become the Governor, or had  Oreh  not  been nominated as the Health Commissioner.
The reactivation of 24/7 Rivers State Emergency Ambulance Service and accreditation of Rivers State School of Nursing to College of Nursing Sciences by Nursing and Midwifery Council of Nigeria are another issues to ponder on. In all of  these, politics was put aside while governance and care for the people rented the air. Increase in quota for admissions at the Rivers State College of Nursing Sciences by 142 percent  , completion of 400 Capacity Classroom Block for College of Nursing Sciences  and the current recruitment of 1000 healthcare workers for the Rivers State University Teaching Hospital (RSUTH) and Rivers State Hospitals Management Board are another set of invaluable feat for the Health under the supervision of Dr. Ureh.There are further the issues of increase in scholarship recipients at Pamo University of Medical Sciences by 50 percent ( 50%),  ongoing construction of Drug Rehabilitation Centre,  and renovation of Zonal Hospitals and General Hospitals across the street.
Before now, most General Hospitals in the State were just a shadow of itself. They were better recognized by some paintings and photo portraits hunged on their respective receptions. Things are actually fell apart in the governance of the Hospital cum Health Management in the state, because of what health pundits viewed as mediocrity. It did not take long after the advent of the present administration, things like construction of Staff Quarters, Laundry, and Mortuary at Zonal Hospitals,  and  new General Hospital in Obio/Akpor Local Government Area begin to crop up.These were what many in the state have viewed as impossible. But those with fore sight and whose firm believe are anchored in God Almighty, know that things will naturally get fixed in the state.The upgrading of Neuropsychiatric Hospital, inaugurations of Taskforce against Substandard Hospitals, Clinics & Diagnostic Facilities ,  Taskforce against Fake and Adulterated Medicines are another great achievement of the Government in the Health Sector.
There is this local adage that says that ” That the best way to hold or control rain was to first and foremost, control the lightening”,. This of course, was what the Governor via the Health Commissioner considered in the attempt to give the Health Sector a facelift.Without given attention to things like fake and adulterated drugs control, the system would not have been brushed off counterfeits. Though, drug adulteration and counterfeits are a sort of global concern, but could be brought under control when a good mercenary is in place.We also recorded the renovation of 35 Primary Healthcare centres across the 3 Senatorial Districts of the state and hosting of Team from the Royal Salford Hospital United Kingdom for Advanced Specialist Training in Renal Care  (Nephrology) at Rivers State University Teaching Hospital. Establishment of six (6) Integrated Management of Acute Malnutrition (IMAM) Sites across the three (3) senatorial districts of Rivers State to address childhood malnutrition and reduce the burden of underweight, stunted, and acutely malnourished children in the state. These were tagged as the first of its kind in Southern Nigeria.
The  State-wide Master Training in Safe Blood Surveillance (Haemovigilance) to enhance blood safety ,  developed and circulated a user-friendly specialised tool to begin formal reporting of blood transfusion reactions to enhance blood safety in Rivers State are among the many achievements at instant of the present Government in the Health Sector under the supervision of the Commissioner. The introductions  of Eye Care Services into the portfolio of healthcare services at the primary care level, Mental Health Services into the portfolio of healthcare services at the primary care level and that of the Obstetric Imaging/Uktrasound for Pregnant women into the portfolio of healthcare services at the primary care level are other things worthy to noted.The  implementation of the Community Health Influencers, Promoters and Services Programme (CHIPS), introduction of Midwives Services Programme in Rivers State, introduction of Oxygen programme in Primary Healthcare and the introduction of Gender Integration in Primary Healthcare are still among the credits recorded in the Health Sector.
One would not forget in a hurry the inauguration of Rivers State Health Committee for the Southern Religious and Traditional Rulers Engagement Project (SORTLE). I can beat my chest that the state never had it this way before now. These are clear testimonies that one can leverage on to make good defense for the present administration.  The development of Minimum Service Package for the provision of quality PHC services , Free Malaria rapid diagnosis, Antimalarial treatment across State Healthcare facilities  and improved maternal morbidity  mortality and improved child immunisation coverage, all came with the Fubara Government.Opening of Burns Treatment and Care Unit ,  Modular Surgical Theatre, construction and  Pathology Laboratory for diagnostics and training purposes in RSUTH are second to none. The reconstitution of Boards – Rivers State University Teaching Hospital, Rivers StateHospitals Management Board ,  the unblocking of the promotion of Healthcare workers, harmonisation of Doctors Salaries to align with Consolidated Salary Scheme of Federal Government  and payment of Hazard Allowances for Doctors are all witnessed under Fubara.
Others include, payment of Residency Training Grants 2023-2024 for 379 doctors in Rivers State, accreditation of Paediatrics Training Programme in Rivers State University Teaching Hospital by National Poatgraduate Medical College of Nigeria and the opening of 12 ICU bed spaces at Rivers State University Teaching Hospital.One can go on and on without exhausting the achievements of the present administration. These are the things that gladden the hearts of the governed ( the people). Things that will make them feel the impact of the government around them. Most of the people are not chanced enough to even visit the Government House or attend any state function, but will rejoice, if the afore stated developments are at their reach. The expansions of bed spaces in Orthopedics and Trauma and  bed spaces in Rivers State University Teaching Hospital by 163 beds are also good developments. The South-South Award for Primary Healthcare Leadership (UNICEF, Bill & Melinda Gates Foundation, Aliko Dangote  Foundation & Nigeria Governors’ Forum), Public Health Excellence Award by United States Centre for Disease Control and Prevention and  National Award in Tuberculosis control implementation abstract writing for the Public Health Department at the Rivers State Ministry of Health are further support and prove of the good deeds of the Governor Sim Fubara -led administration.
The recent commissioning and Commencement of Medical Oxygen Plant donated to RSG by UNICEF, Canadian Government, and IHS Towers at Eleme Generally Hospital, which did not in anyway, suggest a kind of End- of-Discussion for the Government in Health Sector, brought or open new page of challenge for the Government in the sector under review. Indeed, when”  The Righteous Rule, The Peopleby Rejoice “
By: Leslie  Eke
Leslie Ekeis the Eze Oha Evo III of Evo Kingdom Nyerisi Eli Woji ( Eze Woji XII), Chairman Ikwerre Government Recognized Traditional Rulers, Eze Gbakagbaka and a Public Affairs Analyst.
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