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Buhari approves 3 Additional Orthopedic Hospitals

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President Muhammadu Buhari has approved the establishment of three more orthopedic hospitals across the country.

Minister of Health, Osagie Ehanire, disclosed this on Wednesday at the official inauguration of the Primary Health Care(PHC) Leadership Challenge at the State House Banquet Hall, Abuja.

The event was organised by the Nigeria Governors’ Forum (NGF) in partnership with development partners.

“The president has approved three more national orthopedic hospitals; one per geo-political zone.

“North-East has one; the North-Central has one and the South-South has one; in Benin, Jos and Jalingo respectively,’’ he said.

On his part, Country Director, Bill and Belinda Gates Foundation, Jeremie Zoungrana, said that the PHC Challenge fund represented a unique opportunity to motivate and publicly recognise ownership and leadership at the subnational level.

He said that the PHC health indicators would be tracked to support the NGF build Governor-level accountability, improve performance management, and enhance investments in critical areas of PHC.

“The challenge fund will also leverage other BMGF investments that focus on improving state level data ownership, analysis, quality, and use,” he said.

The Minister of Finance, Hajia Zainab Ahmed, also spoke at the event.

She disclosed that a total sum of N471.9 billioni had so far been disbursed by the Federal government as grant to states under the 1.5 billion dollars World Bank-Assisted States Fiscal Transparency Accountability and Sustainability (SFTAS) Programme.

Ahmed said that it was gratifying to note that beyond benefitting from the grants, all the 36 states in the Federation had fully domesticated the fiscal reforms in their public financial management system.

In his speech, NGF’s Chairman, Gov. Kayode Fayemi, said the event buttressed the commitment as governors to building a resilient Primary Health Care System.

He said that the Primary Health Care(PHC) Leadership Challenge aimed to address the bottlenecks in the system as it strove to build a robust public health care system.

“As part of our enduring partnership with the Bill and Melinda Gates and Aliko Dangote Foundations, we convened a roundtable on Nov. 12 and Nov. 13 in Seattle, USA, to reflect on the states’ government development agenda for immunisation, PHC and human capital development.

“This culminated in the Seattle Declaration which restates the commitments of the NGF to strengthen leadership and accountability for the PHC system at the state level.”

According to him, evidence has shown that PHC has the potential to expand attainment of Universal Health Coverage to as much as 80 per cent of the population.

“On our part, then agenda most forum representing the 36 states of the Federation has taken up the challenge we have done In the past with polio eradication and we’re ready to do it again for primary health care system strengthening, especially given our recent experience with the COVID-19 pandemic.”

Fayemi thanked the Bill and Melinda Gates Foundation, Aliko Dangote Foundation, UNICEF, the Nigerian National Primary Health Care Development Agency, and the NGF Secretariat  for putting together the challenge.

In the statement of declaration, Fayemi said that following the induction to the Seattle Declaration by 36 governors of Nigeria in November 2019, the NGF affirmed its commitment to strengthen the primary health care system in the country.

“We therefore adopt and confirm our commitment in line with the Seattle Declaration as outlined below.

“Improving the governance of the primary healthcare system as a sub national level by fully implementing the primary health care under one roof policy, and providing active leadership for primary health care through regular engagement with relevant PHC  stakeholders, and quarterly PHC performance review at the State Executive Council meetings

“To promote progressive increase in primary health care funding by ensuring efficient budgeting that is aligned to annual operational plans, promptly releasing approved budget to the state primary health care board, and primary health care facilities and ensuring that there is a mechanism in place for basic health care provision, fund implementation and oversight at the state and facility levels.

“Recruit requisite health workforce to ensure that all primary health care facilities have the minimum staffing requirements appropriate for their level in line with the state’s minimum service package.

“Institute a culture of use of evidence for decision making, by ensuring that the data quality across all primary health care facilities is progressively improved.

“Develop a state led and state on local government area levels, PHC Leadership Challenge for local government area chairmen, for sustainability and strengthening the commitment of the local government area chairmen to primary health,” he said.(NAN)

Health

Psychiatrists Demand Decriminalization of Attempted Suicide 

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By Ubong Ukpong, Abuja 

Association of Psychiatrists in Nigeria (APN) President, Prof. Taiwo James Obindo, has asked for the decriminalization of attempted suicide in the country.

He made the call at a stakeholders meeting organized by the House of Representatives Committee on Specialty Healthcare on the need to prioritize and implement the Mental Health Act.

Obindo said the establishment of the National Counselling Centers all over the country in an attempt to address mental health was like putting the cart before the horse, because suicide attempt was still a criminal offense in both the Criminal Act and the Penal Code.

 

“Hence the first step would be a move to decriminalize attempted suicide.

Criminalizing  attempted Suicide has proven to be a major barrier for suicide prevention intervention service uptake. 

“The archaic law, inherited from our Colonial masters, in an attempt to stop the act of suicide did not address the thoughts and social determinants of Suicide. Significant evidence showed that 90% of those who take their lives through suicide had a background history of Mental Health Conditions; out of which 80% are attributable to Depression due to various bio-psycho-social aetiologies. 

“Why do we, as a Nation, then punish individuals who are ill and need medical attention rather than prosecution? It will shock you to know that Nigeria, the giant of Africa, is lagging behind as quite a number of our neighbouring nations have abrogated that law.

“Establishing a Counselling center, without abrogating this archaic law would put, even the counselors at risk because the law also prescribes penalties for those who are aware of the plan but did not report,” he said.

The psychiatrists Association President called for the implementation of the Mental Health Act, which he said was a product of legislation that went through rigorous processes by the legislature, assented to by the President of the Federal Republic of Nigeria in 2022, and has been gazetted as a law in the Country. 

This, he said, would address the “many years of neglect of this important aspect of our nationhood.”

Obindo said a requirement for the effective implementation of the Act was the establishment of a Mental Health Services Department in the Federal Ministry of Health. 

“It will shock you to hear that, more than a year later, the department is yet to be established. Most of, if not all, the items in your plan are meant to be supervised by this department in obedience to the rule of law! Hence, the establishment of the department is germane to the success of all your plans,” he said.

He said the Association of Psychiatrists in Nigeria was an umbrella body of all Psychiatrists in the Country and other allied Practitioners. 

He said they have been at the forefront of campaigns and advocacy for global best practices.

He lauded the Committee for the initiative, saying when well-implemented, would positively impact the hitherto neglected Mental Health, persons affected by Mental Health Conditions, and Mental Health Practitioners. 

Chairman of the Committee on  Special Healthcare, Dr Alex Egbona, said all stakeholders must partner to address mental health challenges and other related health cases.

The lawmaker said the committee was created to provide the requisite legislative frameworks for improved healthcare delivery in Nigeria.

He said the session was a collaborative initiative of the committee to share its mandate and planned activities with identified relevant institutions and organisations.

“I, therefore, solicit the support and partnership of all stakeholders, our development partners, international NGOs, and CSOs, you are all urged to take interest in building the capacity of the committee members and staff to enhance the efficacy of the committee.

“Consider our five thematic areas of Mental Health, Trauma and Obstetrics Fistula, Oral Health and ENT, Blood Transfusion, Blood and Management, Traditional Complementary and Alternative Medicine and engage the committee for maximum impact,” he said.

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WHO Expresses Concern over Monkey Pox Outbreak in DRC

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25,318 suspected cases of monkey pox, including 1,204 deaths, have been reported in the Democratic Republic of the Congo (DRC) since the declaration of monkey pox outbreak in December 2022.

The World Health Organisation (WHO) said on Tuesday.

According to the latest report, the outbreak, which was declared by the DRC Health Ministry on Dec.

16, 2022, was prompted by a notable surge in cases and fatalities associated with monkey pox as well as a fast spread to non-endemic provinces.

Since the beginning of 2024, a total of 5,133 suspected cases, including 321 deaths, have been reported, according to the WHO report. It warns that the current situation of the outbreak in the DRC is of “grave concern” due to the sustained increase in suspected cases compared to previous years.

It added that with a significant burden in younger populations, particularly children under 15 years of age, who constitute the majority of both suspected cases and deaths.

In April 2024, a high-level emergency regional meeting on monkey pox in Africa was convened in DRC capital Kinshasa, gathering 12 health ministers of regional countries, aiming to develop common strategies to prevent and intervene effectively in the face of monkey pox in Africa.

“We must prevent the DRC from becoming the source of cross-border transmission, and our partnership must prioritise the health of those affected,’’ said Jean Kaseya, the director general of the African Centers for Disease Control and Prevention (Africa CDC) at the meeting.

“Over the years, monkey pox has become a real public health problem for our communities in the DRC, a regional threat and ultimately a global problem.

“We must now mobilise to resolve this crisis,” said Roger Kamba, DRC minister of public health, hygiene and prevention, said at the meeting.

Monkey pox, first detected in laboratory monkeys in 1958, is assumed to be transmitted from wild animals such as rodents to people or from human to human (Xinhua/NAN)

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WHO Warns of ‘Bloodbath’ as Rafah Offensive Looms

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The World Health Organisation (WHO) has warned of dire consequences if Israel goes ahead with an impending military operation in Rafah.

The planned push into the southern border city of Rafah would lead to “a bloodbath,” the organization wrote on X, formerly twitter on Saturday

The WHO said that more than 1.

2 million people were currently sheltering in the area, many unable to move anywhere else.

“A new wave of displacement would exacerbate overcrowding, further limiting access to food, water, health and sanitation services, leading to increased disease outbreaks, worsening levels of hunger, and additional loss of lives.

According to the WHO, only 33  per cent of Gaza’s 36 hospitals and 30 per cent of primary health care Centre’s were functional in some capacity amid repeated attacks and shortages of vital medical supplies, fuel, and staff.

WHO calls for an immediate and lasting ceasefire and the removal of the obstacles to the delivery of urgent humanitarian assistance into and across Gaza, at the scale that is required.

Israeli Prime Minister, Benjamin Netanyahu is determined to launch an offensive in Rafah to eliminate the remaining strongholds of Hamas.

The organisation said that although Israel’s allies have repeatedly urged caution, as a large majority of the approximately 2.2 million inhabitants of the Gaza Strip have fled to the south during the war. (dpa/NAN)

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