Health
Nigeria Cannot Afford 1 Doctor to 600 Patients Ratio, says FG
The Minister of Labour and Employment, Sen. Chris Ngige, has said that as a developing country, Nigeria was unlikely to meet the recommendation of the United Nations and the World Health Organisation’s ratio of one doctor to 600 patients.
Ngige said this at the two-day quarterly meeting of the Nigeria Health Commissioners Forum, on Friday, in Abuja.
The two-day Forum’s theme was: “Building a stronger health sector in Nigeria through collaboration and strategic partnership”.
The meeting was primarily convened to discuss how to strengthen the health system at the sub-national levels, with an overall objective of achieving Universal Health Coverage(UHC).
The Minister said: “we’re not a United Nations’ country, we are a developing country. So, when such figures are given I will tell them every rule has an exception. We are not yet there”.
“So, we shall make do with what we have. And when they’re saying he said yes. Surplus doctors. We have surpluses I keep on telling them that we have not deployed our medical manpower proportionately, and adequately as we should do”.
“How many doctors do we have in the rural areas and in the suburbs since everybody is in the townships, with a medical and dental council data showing 4,000 doctors every year. Before, it used to be 3000, before the private universities came a lot of them are not doing medicine, including Afe Babalola and others”.
“We are now in about 4000 plus, the people even trained abroad are coming back from Russia and Ukraine, and the rest of them all Medical and Dental Council of Nigeria (MDCN), is registering them”.
“So, almost everybody has come to Abuja, Lagos and Port Harcourt to stay. And we have 10,000 primary care centres that are unmanned as at the last count.”
Prof. Akin Abayomi, Lagos State Commissioner for Health, called on state’s governors to create an enabling environment for physicians in their states.
Abayomi said that there were more than 20,000 Nigerian born physicians outside the country doing extremely well.
“This is why our governors should create an enabling environment for our physicians. By now, Nigeria should not be talking about brain drain rather, it should be talking about bringing back our physicians to the country,” he stressed.
Speaking on how the state was responding to COVID-19 pandemic, he noted that Lagos state used the experience it had acquired in 2015, when it responded to the Ebola outbreak.
“This experience has helped us to effectively control the spread of the virus in the state despite, our huge population.
“We had robust data collection supporting our policy decision making. We built a system of data collection, analysis and interpretation along the lines of each pillar of the Emergency Operations Centre (EOC).
We then invested in technology to automate our data collection system through the information and implementation of the Lagos state emergency response system (LASERS), which allowed us to get data in real time for our response.
The health commissioner, however, advised that the civil service should not be used to structure or manage any-pandemic, instead, a quick policy should be developed to raise funds for effective pandemic management, otherwise, the whole system would go down.
Abayomi disclosed that Lagos was emergency ready to defeat an imminent deadlier fourth wave of the COVID-19 pandemic and future pandemics in the state, adding that the state had learnt from the first three waves.
Meanwhile, The Director-General, Nigeria Centre for Disease Control(NCDC), Dr Chikwe Ihekweazu, told the commissioners that states should play a critical role in strengthening the health security of the country.
Ihekweazu, who was represented Dr. Priscilla Ibekwe, Director, Special Duties, NCDC, added that the state had the responsibility for the health of her population, including preparedness and response to outbreaks of diseases.
“States have the resources, expertise and experience to strengthen the response to the coronavirus pandemic and other disease outbreaks in the country.
“We need stronger political commitment, leadership, and funding to fight against any outbreaks,” he added.
Dr Onoriode Ezire, Senior Health Specialist, International Finance Corporation of the World Bank Group, said that conditions for inclusion of a state in a world bank project included; “A common agreement between the Ministry of Finance and the Executive Governors on a set of transparent eligibility criteria.
“States will only be included in a project if the state’s participation would contribute to a meaningful improvement of that development indicator.
”Demonstrated commitment to reform by that state and demonstration of ongoing commitment throughout the life of a project.
“These include; meeting minimum performance criteria, adopting state legislation needed to establish an enabling environment for reform, and establishing the appropriate institutional framework to implement a reform program,” he explained.
Ezire noted that the design of multi-state operations would pay close attention to ensuring conditions for mutual accountability of both the Federal and state governments.
He commended the “Federal government for providing the enabling environment and a more level playing field for states, and states for delivering on the results to which they have committed, through their participation in the project,” he said.
In her remarks, Cross River Health Commissioner, Dr Betta Edu, who spoke on behalf of the Commissioners said that the meeting was vital to promoting experience sharing, collaboration across states, learning and fostering of sub-national development towards building a resilient health system in the country.
NAN recalls that the meeting focused on health issues such as the Basic Health Care Provision Fund; strengthening Primary Health Care; HIV/AIDS control with its multisectoral consequences; UHC, Health Insurance, as well as various high impact interventions being implemented either directly or with development partners.
The meeting also identified challenges and outlined the implementation of partnership support at the subnational level, and articulated measures to address them for adoption. (NAN)
Health
Expert Advocates For Elimination of Mother-to-Child Transmission of HIV Through HIV Self Testing.
From Attah Ede, Makurdi
Eliminating mother-to-child transmission of HIV in Nigeria is an achievable goal, but it requires innovative approaches that can address the unique barriers faced by women in underserved communities.
An expert on health related matters, Dr Godwin Emmanuel stated while interacting with newsmen as part of activities commemorating the just concluded World Aids Day in Makurdi, the Benue State capital.
Dr.
Emmanuel who is the Managing Partner/Impact Officer of MOZUK Future Solutions Limited, stated that the World AIDS Day have come and gone, yet Nigeria government must not fail to examine some of the gaps that must be urgently bridged as a nation.He explained that each year, thousands of children are born with HIV, largely due to inadequate access to testing and treatment during pregnancy, disclosing that the Joint United Nations Programme on HIV/AIDS (UNAIDS) estimates that Nigeria contributes about 22% of global paediatric HIV cases which indicates the urgent need for innovative approaches to curb MTCT.
“This brings me to a recent study in Lagos and Kano which demonstrated how HIV self-testing kits offer a practical, effective, and scalable solution to our MTCT challenges.
“The study interrogates an initiative seeking to integrate HIV Self-Test (HIVST) kits into TBA services as part of a broader strategy to eliminate MTCT.
“The intervention targeted underserved communities where healthcare access is limited, leveraging the trust and accessibility of TBAs to distribute self-testing kits and provide essential counselling”.
According to him, the study, led by Dr. Toriola Adebayo of Lagos State University Teaching Hospital and Dr. Usman Bashir of Aminu Kano Teaching Hospital, articulated the role of local expertise in advancing healthcare solutions tailored to community needs.
“In this intervention, 182 TBA clinics across three local government areas (LGAs) in Lagos and Kano States were equipped with HIVST kits. TBAs received extensive training on the administration of the tests, pre- and post-test counselling, and linkage to care for those who tested positive.
“Among the 1,982 pregnant women enrolled in the study, pre-intervention testing rates were markedly low, with just 60% in Lagos and 38% in Kano having ever been tested for HIV. After the introduction of HIVST, testing uptake surged, with all participants voluntarily using the kits during antenatal visits.
“The results were promising:
HIV Positivity Rate: An overall positivity rate of 0.8% was recorded, with slightly higher rates in Lagos (1.1%) compared to Kano (0.8%).
“First-Time Testers: Remarkably, 80% of those who tested positive were undergoing HIV testing for the first time.
Linkage to Care: All HIV-positive individuals were successfully linked to ART services, demonstrating the effectiveness of the TBA-led model in bridging gaps in healthcare access.
“The success of this initiative exemplifies how HIVST can become a cornerstone of affirmative action against paediatric HIV infections, which was also a critical focus of World AIDS Day observances.
“As evidenced by the success of the Lagos and Kano initiative, when confidentiality, stigma reduction, and leveraging trusted community figures like TBAs are prioritised, HIVST has the potential to transform PMTCT efforts across Nigeria.
“This is even more so with sustained investment, community buy-in, and political will. This can move us closer to a future where no child is born with HIV and every mother has the opportunity to live a healthy, fulfilling life”, Dr. Emmanuel alluded.
He further revealed that HIV self-testing kits offer a simple, private, and effective means of determining one’s HIV status, adding that the kits allow individuals to test themselves using a saliva sample or a small drop of blood, with results available in minutes.
Highlighting the importance, the health, said the convenience and confidentiality of this method are particularly appealing to those who might avoid traditional testing due to stigma or fear of disclosure.
He stated that the fear of being judged or ostracised often prevents pregnant women from seeking HIV testing, stressing that HIVST kits allow individuals to test in the comfort of their homes or a private setting, without fear of disclosure. This is particularly crucial for pregnant women, who may face compounded stigma if diagnosed with HIV.
“Increased Testing Uptake as demonstrated shown the intervention in Lagos and Kano demonstrates that when provided with confidential and convenient testing options, more women are willing to know their HIV status. Early diagnosis is key to initiating ART, which can reduce the risk of MTCT to less than 1%.
Prof. Mojisola Adeyeye, the Director-General, National Agency for Food and Drug Administration and Control (NAFDAC), says she supports herbal medicine production in the country.
She said this on a Forum in Abuja.
She, however, explained that for NAFDAC to accommodate herbal medicine as part of its regulated products, such herbal preparation must go through clinical trials.
She disclosed that the major challenge to herbal medicine practitioners is how to secure resources to finance clinical trial for their products, which she said cost a lot of money because it is a major aspect in medicine.
She added that “I believe in natural medicine, I was brought up with it, like the Agbo that we were taking and it was working.
“Herbal medicine or natural medicine work, before I came back home from the United States, I started a research on natural medicine for the cure of sickle cell, my niece who is a sickler got on it and her episodes decreased by 70 to 80 per cent.”
She explained that the agency gives approval for natural medicines once proven it is not toxic, and they have been used and tested before.
“We approve them for two years and then they can renew if they do clinical trial because it is something we are not used to in Nigeria.
“China supports many of these herbal practitioners.”
The director-general also spoke about using fruits and vegetables as medicine to cure some illnesses, adding that some of these fruits contain antioxidants that prevent cancer. (NAN)
The Nigeria Centre for Disease Control and Prevention (NCDC) has allayed public fears over the detection of the SARS-CoV-2 XEC subvariant globally.
The Director-General of the centre, Dr Jide Idris, did this in a public advisory issued on Saturday night in Abuja, made available to newsmen.
Idris reassured Nigerians that the variant, though identified in 29 countries, has not been detected in Nigeria.
He said that the XEC subvariant, a descendant of the Omicron JN.
1 lineage, was currently classified as a Variant Under Monitoring (VUM).According to him, this means that it is being closely observed for potential concerns but does not yet pose significant risk.
“The XEC sub-variant has been reported in Europe, Asia, North America, and Africa, with Botswana being the only African country to record cases so far.
“While the sub-variant exhibits higher transmissibility, there is no evidence of increased disease severity,” he said.
The NCDC boss said that Nigeria had been monitoring the JN.1 variant, classified as a Variant of Interest (VOI), which has been present in the country since January.
He assured Nigerians that the National COVID-19 Technical Working Group was conducting continuous surveillance and data analysis.
Additionally, he said that a dynamic risk assessment was being organised to strengthen the country’s preparedness and response capabilities.
He urged health facilities nationwide to ramp up COVID-19 testing and forward positive samples to accredited laboratories for genomic sequencing.
He encouraged the public to maintain vigilance and adhere to basic health protocols, including handwashing, mask usage in crowded spaces, and ensuring proper ventilation indoors.
He advised vulnerable groups, such as the elderly and those with underlying health conditions, to remain cautious.
“COVID-19 remains a significant risk, particularly for the elderly, individuals undergoing cancer treatment, organ transplant recipients, and those with suppressed immune systems.
“We urge Nigerians to get vaccinated and receive booster doses as recommended,” he said.
The director-general also called on state governments to enhance public health infrastructure, provide resources for improved surveillance and diagnostics, and promote public health education.
He reaffirmed the agency’s commitment to providing Nigerians with accurate and timely information on the evolving COVID-19 situation globally.
He urged citizens to avoid misinformation and rely on verified updates from its platforms.
“For assistance, the public is encouraged to contact the NCDC via its toll-free number 6232 or, WhatsApp: 07087110839, Twitter: @NCDCGov and Facebook: @NCDCgov,” he said.
Report says that the XEC variant of COVID-19 is a recombinant strain, meaning it results from the combination of genetic material from two or more existing variants of the SARS-CoV-2 virus.
Recombinant variants can emerge when different strains infect the same individual and exchange genetic material during replication.
This process may lead to new variants with unique properties, such as increased transmissibility, virulence, or resistance to immunity.
While thousands of mutations have been tracked globally, only a few variants are monitored for public health significance.
Nigeria’s NCDC and global health organizations like the WHO continue genomic surveillance to monitor and respond to emerging variants.(NAN)
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