Health
Family Planning Leads To Healthier Children – Expert
A Professor/Consultant Obstetrician and Gynaecologist, College of Medicine, University College Hospital (UCH), Ibadan, Prof. Christopher Aimakhu says families that use family planning usually have stronger and healthier children, while young people that embrace family planning have the likelihood of remaining in school longer than those who do not.
Aimakhu in a lecture entitled: “Analysis of Family Planning Budget in Nigeria”, at a Rotary Online Training of Journalists explained that family planning is an important tool in the prevention of child and infant deaths, unintended pregnancies, risky births, unsafe abortions, and maternal mortality deaths.
Noting that Nigeria has a population of about 201,000,000 with a modern Contraceptive Prevalence Rate (mCPR) of 12 per cent and a fertility rate of 5.3, he expressed worry that by 2050 Nigeria’s estimated population would be 543 million if not checked.
He said if all unmet needs for modern contraception in Nigeria were satisfied, unintended pregnancies would drop by 77 per cent from 2.5 million to 555,000
“If a full provision of modern contraception were combined with adequate care for all pregnant women and their newborns, maternal deaths would drop by 68 per cent from 61,000 to 19,000 per year) and newborn deaths would drop by 85 per cent from 255,000 to 38,000 per year.
“As a result, the annual number of unplanned births would decrease from 885,000 to 200,000 and the number of abortions would drop from 1.3 million to 287,000.
Another expert and Consultant Obstetrician/Gynaecologist, Dr Olagunju Ayodele has emphasized that access to contraception will help Nigeria to curb population explosion, reduce its high fertility rate and ultimately balance the country’s demography.
Ayodele who spoke in an interview with Good Health Weekly explained that access to family planning means the human resource will become optimal while material resources and human resources will be balanced.
Noting that too many children means much load and burden on the working population, Ayodele who is also the Chef Executive Officer, Purple IVY Medical Consultants Hospital, Ibadan, said the situation will worsen poverty in the environment, especially in a country with one of the highest fertility rate in Africa.
“Imagine our fertility rate as high as 5.6 per woman, meaning that an average Nigerian woman is likely to deliver about 5 to 6 children, which is very high compared to countries like Sweden where their fertility rate is 1.
Ayodele said unchecked fertility rate will lead to population explosion, escalation of crimes, increased poverty, and conditions will get worse while Nigeria will not be able to manage its natural resources that will become too little for the population.
“It will also mean that the little educational packages we have will not be able to take the population, job challenges will increase because more people will not have jobs and more will be searching for jobs if we don’t have access to contraception.”
He said it was also necessary to pay special attention to the contraception needs of adolescents that will grow into becoming the country’s reproductive population.
“It is important for the country to improve adolescents’ contraceptive package so that challenges of abortion will go down. As we speak now, in Sub-Saharan Africa, the top five killers of women is haemorrhage meaning any condition that results in excessive bleeding.
Number two are hypertensive disorders like eclampsia, and the third is unsafe abortion which means that effective contraception will reduce it, and in addition, reduce morbidities from the procedure.
He stressed the need for Nigeria to remove the human interface between contraception and adolescents for effective family planning services.
“The services here in Nigeria are so complicated such that when you go to a facility to buy condoms it is usually kept close to the cashier and they will give them grudgingly with an attitude showing that why are they having sex? These attitudes discourage people from accessing contraception.
“Contraception will benefit the country because it will reduce maternal mortality if done effectively. It will give the country better outcomes because in future the adolescents will be the ones that will now grow into the reproductive population of the country. If a lot of them come down with sexual dysfunction it will affect the economy of the country. They will be spending money on treating their sexual dysfunction, dropping from work and will not contribute optimally to the services of the country,” he stated.
Health
‘How Micro RNA Research Won Nobel Prize’
Two United States scientists who unraveled the human micro RNA have won the Nobel Prize in Physiology or Medicine 2024.
Victor Ambros and Gary Ruvkun won the coveted prize for their work on microRNA as their discoveries help explain how complex life emerged on earth and how the human body is made up of a wide variety of different tissues.
MicroRNAs influence how genes – the instructions for life – are controlled inside organisms, including humans.
Every cell in the human body contains the same raw genetic information, locked in our DNA.
However, despite starting with the identical genetic information, the cells of the human body are wildly different in form and function.
The electrical impulses of nerve cells are distinct from the rhythmic beating of heart cells. The metabolic powerhouse that is a liver cell is distinct to a kidney cell, which filters urea out of the blood.
The light-sensing abilities of cells in the retina are different in skillset to white blood cells that produce antibodies to fight infection.
So much variety can arise from the same starting material because of gene expression.
The US scientists were the first to discover microRNAs and how they exerted control on how genes are expressed differently in different tissues.
The medicine and physiology prize winners are selected by the Nobel Assembly of Sweden’s Karolinska Institute.
They said: “Their groundbreaking discovery revealed a completely new principle of gene regulation that turned out to be essential for multicellular organisms, including humans.
“It is now known that the human genome codes for over 1,000 microRNAs.”
Health
WHO Begins Regulation On Antibiotic Waste
The World Health Organisation (WHO) has begun acting to curb effects of antibiotic pollution.
The new guidance on wastewater and solid waste management for antibiotic manufacturing sheds light on this important but neglected challenge ahead of the United Nations General Assembly (UNGA) High-Level Meeting on antimicrobial resistance (AMR) taking place on 26 September 2024.
The emergence and spread of AMR caused by antibiotic pollution could undermine the effectiveness of antibiotics globally, including the medicines produced at the manufacturing sites responsible for the pollution.
Despite high antibiotic pollution levels being widely documented, the issue is largely unregulated and quality assurance criteria typically do not address environmental emissions. In addition, once distributed, there is a lack of information provided to consumers on how to dispose of antibiotics when they are not used, for example, when they expire or when a course is finished but there is still antibiotic left over.
“Pharmaceutical waste from antibiotic manufacturing can facilitate the emergence of new drug-resistant bacteria, which can spread globally and threaten our health. Controlling pollution from antibiotic production contributes to keeping these life-saving medicines effective for everyone,” said Dr Yukiko Nakatani, WHO Assistant Director-General for AMR ad interim.
Globally, there is a lack of accessible information on the environmental damage caused by manufacturing of medicines.
“The guidance provides an independent and impartial scientific basis for regulators, procurers, inspectors, and industry themselves to include robust antibiotic pollution control in their standards,” said Dr Maria Neira, Director, Department of Environment, Climate Change and Health, WHO. “Critically, the strong focus on transparency will equip buyers, investors and the general public to make decisions that account for manufacturers’ efforts to control antibiotic pollution.”
Health
Kebbi Harmonises Doctors’ Salaries To Curb Brain Drain
In a concerted effort to curb brain drain, the Kebbi State Government has harmonised medical doctors’ salaries to be at par with their colleagues in the federal government’s tertiary health facilities.
Kebbi State Commissioner for Health, Musa Inusa-Isma’il, disclosed this at the handing over of ambulances to the state-owned health facilities at the Ministry of Health in Birnin Kebbi yesterday.
Inusa Isma’il, according to a statement by Ahmed Idris, the Chief Press Secretary to the governor, said the essence of the harmonisation was to retain the existing medical doctors and attract more to the services of the state.
According to him, the doctors across the state had already started enjoying the new salaries from August 2024.
He said the release of the vehicles was in fulfilment of Governor Nasir Idris’ promise to uplift health care services in the state.
“His Excellency said I should inform you, the beneficiaries of this gesture, that the vehicle should be strictly used for the intended purpose. It should not be used for anything else.
“If there is no referral case, each of the vehicles must be parked at the hospital by 6 pm. The governor said you should warn your drivers against reckless driving as well as violating the instructions.
“We should also do everything possible to reciprocate the gesture by working according to the terms and conditions attached,” he advised.
The benefiting health facilities included Sir Yahaya Memorial Hospital, Birnin Kebbi; State Teaching Hospital, Kalgo; General Hospital, Argungu; General Hospital, Yauri; General Hospital, Zuru; and General Hospital, Bunza.
In his speech, the permanent secretary of the ministry, Dr Shehu Koko, recalled that the ambulances were handed over to the ministry last Friday by the governor for the onward handover to the benefiting hospitals.
He observed that the ambulances would go a long way in improving the referral system in the state, adding that delays in reaching the secondary and tertiary facilities would be eliminated.
The permanent secretary attributed the high rate of maternal mortality in the country to delays in getting to the health facilities for proper medical care.
“We believe with the provision of these ambulances, part of the gaps we have in our referral system will be addressed, whereby patients who require secondary healthcare could be easily transported to secondary and tertiary health centres, where they can get such help,” he said.
In a goodwill message, Commissioner for Information and Culture Alhaji Yakubu Ahmed expressed gratitude to the governor for the support he has given to the ministry to excel.
While advising the beneficiaries to use the vehicles judiciously, the commissioner advised that services and maintenance of the vehicles must be prompt to derive the maximum benefits from the vehicles.
The commissioner also highlighted some achievements recorded by the government in the last year, including beautification of the state capital, completion of a multimillion-naira ultramodern state secretariat, road construction, construction and renovation of classrooms and upgrading of some health facilities, among others.
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