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Diagnostic Testing Key in Achieving Universal Health Care Coverage – Ehanire 

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By Laide Akinboade, Abuja 

Minister of Health,  Osagie Ehanire, has identified diagnostic testing as  important in healthcare in recent years, particularly in achieving of Universal Health Coverage (UHC).

He added that there have been few strategic efforts to develop the evidence base on which policymakers can rationally increase and improve diagnostic testing access until recently.


He made this known at the National flag off and Dissemination of the Nigerian Essential Diagnostic List (NEDL), adding, that Nigeria was committed to the attainment of globally agreed Sustainable Development Goals (SDGs) and Universal Health Coverage (UHC).
The Minister who was represented at the occasion by the Head of Dentistry Division of the Federal Ministry of Health, Dr B.
O Alonge said this commitment was reflected in the 2016 revised National Health Policy whose theme is: “Promoting the Health of Nigerians to Accelerate Socio-economic Development”.


According to him, Nigeria is the first country to develop its Essential Diagnostics List in Africa and second in the world following, India.
He said that the first edition of the National Essential Diagnostics List (NEDL) was a guidance document needed to prioritize critical health in-vitro diagnostics (IVDs) based on wide availability and affordability through the national health system. It will support the selection, procurement, supply, donations or provision of IVDs.

“After about four decades following the development of Essential Medicines List (EML), the World Health Organization developed the Essential Diagnostics List (EDL) in order to provide evidence-based guidance to countries to create their national lists of essential diagnostic tests and tools, anticipating that the EDL will complement the List of Essential Medicines and enhance its impact.
“Similarly, the EDL is anticipated to improve patient care, in-country diagnostic capacity, affordability of tests, regulation and quality of diagnostic tests, and capabilities of national laboratories.


“The WHO EDL is purposed to provide evidence-based guidance to countries to create their national lists of essential diagnostic tests and tools, anticipating that the EDL will complement the List of Essential Medicines and enhance its impact.
“National essential medicines lists have been successful in facilitating access to treatment and promoting affordable prices, particularly in low resource countries, by prioritizing the most important medicines all countries need to make available to their populations.
“Diagnostics List as this occasion marks another giant stride towards achieving the core mandate of the Federal Ministry of Health that is “to develop and implement policies to strengthen the national health system for effective, efficient, accessible and affordable delivery of health services in partnership with relevant stakeholders,” the minister said.

Ehanire noted that to ensure nationwide implementation of this important document, Nigeria has ensured the approval of the guidance document at the Emergency meeting of the National Council on Health. “By this, all states in the Federation are encouraged to implement the use the document,” he said.


The NEDL enlists 145 diagnostic test categories comprising 65 general IVDs to aid the diagnosis of a range of disease conditions; 73 diseasespecific IVDs in clinical settings covering primary, secondary, tertiary and national reference laboratories and 7 [VDs for screening of blood donations. It also includes 12 general IVDs and 15 disease specific [VDs for use in community and health settings without laboratories.


WHO Country Representative, Dr Walter Kazadi Mulombo said “The Nigerian Essential Diagnostic List (NEDL) will benefit the whole of healthcare in the country. The use of quality diagnostics as you are all aware is the first step in the strategies for treatment, control and prevention of disease outbreaks, of which the Covid-19 pandemic has brought into focus this important role.”

Health

2000 FCT Residents Get free Medical Services

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No fewer than 2000 residents of Jiwa community in Abuja Municipal Area Council, Kaida Tsoho in Gwagwalada area council in the Federal Capital Territory, have benefited from free medical services.

The free medical outreach was provided by the National Primary Health Care Development Agency (NPHCDA) in partnership with Al-Tabib Pharmaceutical Limited.

Speaking at the event, on Monday in Jiwa, Dr  Ruqayya Wamakko, Acting Executive Secretary of the FCT Primary Health Care Board, Health Services and Environment Secretariat , FCTA, said  the outreach aimed at touching  the lives of  people in rural communities.

Wamakko said the medical services were brought closer to serve the less privileged especially women and children.

“As we all know, there is shortage of manpower particularly in the health sector, because people are leaving the country for greener pastures, retiring, also dying.

“While we are expecting employment to be done in this sector by the federal government, the FCT residents should take the advantage of this free services brought closer to their doors.

“Children, women, youth, including people with disabilities, elderly people, should come out in their numbers to access the free medical treatment,’’he said,

Wamakko said that health cases beyond the outreach would be referred to secondary facility for further treatment.

Also speaking, Dr. Udeh Sylvester, Deputy Director and State Coordinator, NPHCDA, North Central Zone, said the agency gave Al Tabib the platform to render the free health care services to the communities.

Sylvester said there were lots to gain from the outreach because the area councils and wards were in need of healthcare services.

He underscored the need for collaboration with independent organisations like Al Tabib, public owned NGOs and foundations to extend additional free medical services to communities

Dr Emeka Udezue, Senior Medical Consultant, Al Tabib Pharmaceutical Ltd., said the outreach, backed by the NPHCDA was designed to touch the lives of people by giving them good health treatment.

Udezue also stressed the need for the private sector to intervene in health delivery because  the government could not do it all alone.

“Our target is 2,000 people and we have a laboratory desk where we carry out tests,’’ he said.

Tony Eleme Project Manager Al Tabib said the medical outreach is one of the organisation’s core intervention services under its annual corporate social responsibility.

“Jiwa was taken because we did some level of research and we discovered that it is one of the rural areas in Abuja where there are healthcare service challenges.

“A lot of them here cannot afford the cost of medical services and we decided to identify with them to bring it to their door steps,’’ he said

A beneficiary, Maimunatu Ahmed thanked the organisers for the outreach, the drugs and other materials given to them.

Another beneficiary, Mr Salisu Mohammed, 67, said it was the first time he was experiencing a free medical services in the community.

“I am very grateful. I was checked and given medication; I pray that God will bless all of you that provide the services,’’ he said. (NAN)

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TB: Nigeria’ exceeded WHO’s targets by 15% despite covid-19 – Experts

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By Laide Akinboade, Abuja

The National Coordinator of the African Coalition on Tuberculosis in Nigeria, Ibrahim Umoru, recently said despite Coronavirus (Covid-19) challenges, Nigeria was able to exceed World Health Organisation, WHO’s by 15%.

Umoru stated this at the community sessions of the just concluded National TB conference in Abuja, where delegates from over 20 countries shared their country-specific experiences on TB elimination.

He emphasized the need for resources and commitment, as exemplified during the COVID-19 pandemic in achieving the goal of ending TB by 2030 in Nigeria.

He therefore urged for broader collaboration, political will and realignment of priorities, Umoru explained if well meaning corporations and individuals prioritized and champion TB cause like other causes, the end of TB fight is imminent.

According to Umoru, “With the right diagnostics, resources, and support, we can achieve the 2030 goal,” he said.

Similarly, Deborah Ike, the Executive Director of the Debriche Health Development Centre (DHDC), highlighting the challenges being confronting Nigeria in the fight against TB stress the need to break all barriers in order to meet the 2030 target for TB eradication.  

Ike noted that a lot more needs to be done in the areas of education and awareness as stigmatization and discrimination remain major barriers.

“Even though testing and treatment are free in Nigeria, many still die because they’re afraid to access these services. 

“Some people avoid seeking treatment because they fear being judged. 

“Others have lost jobs due to TB, which not only worsens their economic situation but can also lead to further psychological and physical decline.”  

Ike emphasized the critical need for effective information dissemination to combat stigma, adding that it is important for people to understand that a person on treatment can no longer spread the disease, unlike one who has refused to be treated.

“This knowledge will reduce fear, encourage treatment, and help cut the chain of transmission”.
 
A Director for Tuberculosis at Breakthrough Action Nigeria, Dr Bolatito Aiyedigba, highlighted some of the innovations used to increase case detection such as the Check Am slogan, to encourage community people to test their lingering coughs.

”Some of the innovations were introduced during the COVID-19 era, COVID came with cough and cough is usually associated with tuberculosis as well. So it could be tuberculosis. Not every cough is due to COVID, so check it.

”Cough is due to different kinds of illnesses. And until you check, you will not know. And we also worked with the national TB hotline, when they call, they are directed on what to do, asked more questions and their fears are allayed, so they can get the appropriate testing. So that really, really helped. In addition to all the other innovations that came into the facility, testing was also improved.”

Aiyedigba also informed that the stigmatisation of people living with TB is still very high in Nigeria, noting that the country needs to tackle the menace.

”This is the next line of action that we’re going to tackle. Because now we’re fighting the TB cases, we’re putting them on treatment but we have to address the issue of stigma.

”And the stigma starts from self-stigmatisation, there’s no need to stigmatise yourself for having tuberculosis because tuberculosis is curable and treatable.

National TB Conference is an annual event organisedthe Stop TB Partnership Nigeria. The 2024 edition , themed “Public-Private Partnership and Integrated Service Delivery: Panacea to End TB in Nigeria,” was organised by the Stop TB Partnership Nigeria in collaboration with the Federal Ministry of Health and Social Welfare.

The three day event brought together Representatives from Stop TB Partnership Geneva, public health experts, community and civil organisations, private and public stakeholders from across the world, amongst many others.

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Malnutrition: 40% children are stunted in 2023 – FG

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By Laide Akinboade, Abuja

The Federal Government, FG, at the weekend revealed that about 40% of the 35 million under 5 children in Nigeria are stunted in 2023.Director and Head of Nutrition Department, Federal Ministry of Health and Social Welfare, Ladidi Bako-Aiyegbusi, revealed this at the 8 annual conference, organized by the Association of Nigeria Health Journalists, ANHeJ, in Abuja.

She said 8% are wasted, 27% are under weight, and 29% are Successfully breastfed, SBF.
The theme for the two day conference was, ‘SWAP effectiveness in addressing poor health outcomes: The role of the media’.According to her, ” Globally, Nigeria is raved 2 and 1 in Africa in the number of children suffering from Severe Acute Malnutrition, SAM.
Furthermore, research shows that, 31% of women consumed Iron and folic acid (IFA) supplements during pregnancy and out of the 35 million children under 5 years of age population, 14 million children are stunted while 3 million are wasted. “Out of 7 million children born per year in Nigeria 42% are breastfed within an hour of birth. 29% exclusively breastfed upto 6 months of age . 3% breastfed upto 23 months of age. 23% receive diverse diet (minimum 5 groups). 11% receive minimally acceptable diet . 26% vitamin A supplementation coverage” .Bako-Aiyegbusi, who enumerated the causes of malnutrition in Nigeria which include, inadequate food intake, lack of dietary.diversity , and infectious diseases. On what the federal government is doing, she said the government has done the revised National policy on food and nutrition in Nigeria which provide an overarching framework for multisectorial action, to reduce malnutrition in the country. Earlier, the FG also reiterated its commitment to accessible health policies and services that are geared towards achieving improved health outcomes in Nigeria.The Permanent Secretary, Federal Ministry of Health and Social Welfare, Daju Kachollom, who was represented by Dr. Angis Ikpe, of the policy and planning department of the Ministry, explained that in order to achieve improved health outcomes in the country, the Ministry have embraced the Sector-Wide Approach (SWAp) strategy to unify the efforts of thegovernment, partners, and stakeholders, maximizing impact, enhancingaccountability, and eliminating redundancies.According to Kachollom, the Nigeria Health Sector Renewal Investment Initiative (HSRIl) exemplifies the government unwavering commitment to revitalizing the health sector “Through targetedinvestments, we aim to strengthen primary healthcare (PHC) systems to deliver efficient maternal and child health services, tackle Neglected Tropical Diseases (NTDS), address Non-Communicable Diseases (NCDs), and confront infectiousdiseases. “These efforts also include a robust, ongoing response to HIV/AIDS andTuberculosis and Malaria.In the field of Maternal and Child Health, we remain unwavering in our commitmentto enhance service delivery and improve health outcomes.”The strengthening ofovision Primary Healthcare (PHC) systems, bolstered by the Basic Healthcare Provision Fund (BHCPF), has significantly increased access to vital services in underserved communities. Notably, the Maternal and Newborn Mortality Reduction InnovationInitiative (MAMII) exemplifies these efforts by offering free cesarean sections to eligible women, thereby improving maternal and neonatal outcomes.”The Permanent Secretary also commended the invaluablecontributions of health journalists in shaping public perception and holding stakeholders accountable, reaffirmed the government’s commitment to working hand-in- hand with the media in promoting health awareness, countering misinformation, andensuring transparency and accountability within the health sector.The Chief Executive Officer of the Institute of Human Virology Nigeria (IHVN), Dr Patrick Dakum, in his good will message commended ANHEJ’s consistency in sustaining the forum for the press and stakeholders in the health sector together, deliberate on pertinent issues, and forge a way forward for better health in Nigeria. Dakum noted that the theme of the conference is apt, as the importance of collaboration in strengthening health systems can not be overemphasized. He further said the IHVN remains committed to aligning its activities with the Government of Nigeria’s health sector plans. Recognising other roles of the media, such as holding the government accountable to its people and encouraging better domestic funding for health programs and research, commended ANHEJ for the initiative in ensuring that the health needs of all Nigerians are met. The President of ANHEJ, Mr Joseph Kadiri, earlier in welcome address, said theme of the conference is aimed at addressing the numerous challenges confronting Nigeria’s health sector, such as inadequate funding, inefficient resource allocation, and poor service delivery. “As journalists, we play a vital role in promoting health awareness, education, and advocacy. Through our reporting, we can hold stakeholders accountable for their actions and policies, provide a platform for marginalized voices to be heard, promote evidence-based health information and best practices, and advocate for policy changes and increased funding for health programs.”He noted that despite the media’s potential to enhance SWAp effectiveness, several challenges persist, including limited access to health information and data, inadequate training and capacity building for health journalists, and insufficient funding for health reporting and programming. The President further reiterates ANHEJ’s interest in supporting the federal government and development partners in the amplification of their activities through its health promotion reportage and programmes.

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