Health
COVID-19 FG Approves Additional N8.9bn for Striking Doctors
The Federal Government has approved additional N8.9 billion to pay up the large chunk of the June 2020 COVID-19 allowance to all Medical Health Workers in the country.
Sen Chris Ngige, Minister of Labour and Employment disclosed this during the signing of a Memorandum of Understanding (MoU) at the end of the meeting between the Federal Government and the Nigeria Association of Resident Doctors (NARD) on Wenesday in Abuja.
It would be recalled that NARD had embarked on a total and an indefinite strike in all Federal and State hospitals in the country to press for its demands.
NARD demands include payment of the Medical Residency Training funding to all members as approved in the revised 2020 Budget, provision of genuine Group Life Insurance and Death in Service Benefits for all health workers.
Others are payment of outstanding April/May and June COVID-19 inducement allowance, determination of revised hazard allowance for all health workers as agreed in previous meetings with relevant stakeholders, immediate payment of salary shortfall of 2014, 2015 and 2016, among others.
Ngige said that implementation of the payment of the Special Hazard and Inducement Allowance has been concluded.
According him, the meeting was satisfied that the N20 billion already appropriated in 2020 COVID-19 budget has been exhausted.
He said the meeting, therefore, commended the Federal Government and Mr President for approving additional N8.9bn to pay up the large chunk of the June 2020 COVID-19 allowance to all Medical Health Workers.
He added that this has been cash backed and the mandate sent to the Central Bank of Nigeria for payments to start with effect from Sept. 9.
According to him, this will bring the total disbursement to about N288 billion.
Ngige noted that discussion for review of a Permanent Hazard Allowance for Health Workers would commence as soon as possible after consultation by the Minister of Labour and Employment with all stakeholders in the health sector.
He noted that based on the principles of ability to pay, this would cover all health workers in a new Collective Bargaining Agreement (CBA) and that the meeting would be convened as soon as possible in that regards.
The minister also said that on the Provision of Personal Protective Equipment (PPE), NARD had agreed that the Hospitals and Isolation Centres, have sufficient PPE.
He also said that on the provision of Group Life Insurance for Doctors and other Health Care Workers and payment of death-in-service benefit to next of kin/beneficiaries, that the government had paid the total sum of N9.3 billion (Nine billion, Three Hundred Million Naira) to Insurance Companies for Life Group Insurance and payment of death benefits for Health Workers.
Ngige also said that the enrollment for the Group Life Insurance would be by the submission of nominal rolls by the various Health Institutions, which NARD had been mandated at previous meeting to accomplish.
He said meeting also decided that NARD should submit copies of claims already made to the Insurance Companies through the hospitals to the Ministry of Health for onward transmission to the Office of the Head of the Civil Service of the Federation that would ensure that the Insurance Companies pay the claims.
He added that the Federal Ministry of Labour and Employment should also be copied in that regards.
Ngige, however, said that on the issue of the Universal implementation of the Medical Residency Training Act in all Federal and State Hospitals, that the 2020 Appropriation Act was revised due to COVID-19 pandemic.
He noted that the N4 billion appropriated for Residency Training under a wrong heading for Medical Residency Training was to be vired before expenditure.
He added that the process of amendment is therefore ongoing and is expected that this process and cash backing would be through in two weeks.
According to Ngige, on the payment of outstanding 2014, 2015, and 2016 arrears, the meeting recalled that it had been agreed that the issue will be further discussed post COVID-19 and therefore, no agreement was breached.
He also noted that on the issue of Consequential Adjustment of the National Minimum Wage that government would pay all owed arrears to members of the association and would also implement such in States Tertiary Health Institutions.
“It was noted that those affected were the Youth Corps Members and House Officers, who are regarded as ad hoc staff and for State Hospitals, the Federal Government can only be persuasive.
“It was recalled that NARD had been assigned the responsibility to submit a list from the defaulting hospitals to the Federal Ministry of Health for onward transmission to the Federal Ministry of Finance, Budget and National Planning, ” he said.
The minister further said that on the issue of domestication of the Residency Training Act by State Government, it agrees to recognise the autonomy of states within the Federation.
He added that the meeting agreed that the issue would be tabled at the National Economic Council and National Council of Health to persuade the states to domesticate the Act.
He also noted that on the issue Health Workers in the Medical Centres attached to Universities that the meeting agreed that workers had been tied with the ongoing strike by Academic Staff Union of Universities (ASUU) and negotiations concerning them would be on a different platform involving Federal Ministry of Education.
“In view of these Understandings, NARD will consult with her Executive Council within the next 24hours with a view to calling off the strike by September 10, 2020.
“Nobody will be victimized for any activity connected with or for participating in the industrial action,” Ngige said.
Dr Sokomba Aliyu, NARD National President said that the meeting was successful as a lot of pledges and agreements were reached with timeline.
“Following the outcome of this meeting, we are hoping that all of that will address the concerns of our members, so we shall be convoking a meeting immediate with our members on the way forward,” he said.
News Agency of Nigeria (NAN), reports that government agencies present at the meeting were representatives from Ministry of Health, Finance, Budget and National Planning and National Salaries, Income and Wages Commission.(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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