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FCTA Reads Riot Acts to Health Management Organizations

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By Laide Akinboade, Abuja

The Federal Capital Territory Administration (FCTA) on Tuesday said appropriate sanctions will be meted out to FCT Health Insurance Scheme (FHIS) Health Maintenance Organisation (HMOs), failing to promptly remit payments to Healthcare providers.

The FHIS is a social Health Insurance Programme, offering financial protection through access to quality, affordable and equitable healthcare to all FCT residents.

Free enrolment is open to staff of the FCTA and Area Councils as well as vulnerable persons, including pregnant women, while other members of the public can enroll upon payment of N22,500 as premium per annum.

In a bid to improve the quality of healthcare services provided to the FHIS enrollees, about N4 billion, being outstanding/backlog payments for capitation and fee for service for years 2022 to 2024, was approved by the FCT Minister, Nyesom Wike and paid between last year and this year.

This was contained in a statement by the Senior Special Assistant to the FCT Minister on Public Communications and Social Media, Lere Olayinka said the Benefit Package of the FHIS includes the Basic Minimum Package of Health Care services (BMPHS) ranging from promotive, preventive, curative and some rehabilitative care services.

The services include primary preventive care, screening, primary emergency services, and secondary level care such as dental, mental, eye, ear, nose and throat care, physiotherapy, surgeries, laboratory investigations, radiological investigations such as ultrasound scan, x-rays.

However, complaints have been received from some Healthcare providers concerning non-remittance of their payments by some HMOs, under the excuse that bank details of the hospitals were not available, an excuse not acceptable to the government.

Therefore, compliance of the HMOs to the prompt remittance of payments to Healthcare providers, as well as commitment of the Healthcare providers to the discharge of their duties to the FHIS enrollees will be monitored with a view to sanctioning defaulters appropriately.

On implementation of the FHIS in the last one year, there have been payment of all outstanding capitations and fee for service backdated to year 2022 by the end of 2024, improved timeliness in the payment of capitation to HMOs, review and increment of the capitation to Healthcare providers for improved service delivery to enrollees, free enrolment of vulnerable persons especially pregnant women and under-five, poor and indigents, who have started enjoying healthcare services, and accreditation visits to 100 Primary Health Care (PHC) facilities to expand the number of PHC facilities in FCT and improve access to healthcare services in the communities.

Also, all pregnant women who enrolled through the Basic Health Care Provision Fund (BHCPF) Primary Health Care (PHC) Centres across the six Area Councils in the FCT will continue to enjoy free health education, medical consultation and treatment, routine antenatal drugs, laboratory investigations and delivery.

Referral for secondary care including caesarean section, blood transfusion, and treatment of other obstetric complications such as eclampsia, at all the 14 General Hospitals in the FCT is also provided at no cost to the patient through the BHCPF.

Metro

Study Links 290,000 Deaths to Sexual Violence against Children

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A study has linked Sexual Violence Against Children (SVAC) to 290,000 deaths worldwide, predominantly from suicide, HIV/AIDS, and type 2 diabetes in 2023.

It also linked Intimate Partner Violence (IPV) to 145,000 deaths, mostly from homicide, suicide and HIV/AIDS in 2023.

The study, published on Wednesday on the website of The Lancet was titled ‘Disease burden attributable to IPV against females and SVAC,1990 to 2023: a systematic analysis for the Global Burden of Disease Study 2023.

Funded by the Gates Foundation, it was carried out by researchers at the Institute for Health Metrics and Evaluation (IHME) at the University Of Washington School Of Medicine.

It estimated the prevalence and burden of IPV and SVAC in 204 countries, assessing data by age and sex and identified 14 health consequences linked to SVAC and eight to IPV.

It stated that IPV and SVAC were major contributors to the global health burden, affecting a wide range of individual health outcomes, with mental health disorders accounting for the largest share of disease burden among survivors.

Globally, the study revealed that among women aged 15 to 49, IPV and SVAC were among the leading causes of premature death and disability.

It said that IPV and SVAC ranked fourth and fifth, respectively, for all health risks for premature death and disability, and among men, SVAC ranked 11th.

The study linked SVAC to 14 health conditions, including suicide, substance use disorders, and diabetes and linked IPV to eight negative health outcomes, including mental health conditions, physical injuries, and HIV.

It said among SVAC’s 14 negative health outcomes, mental health disorders, especially anxiety among women and schizophrenia among men, contributed most to lost healthy years.

This is alongside self-harm, while substance use disorders were also significant, especially among males in high-income locations.

The study estimated that in 2023, 608 million females aged 15 and older had ever been exposed to IPV, while one billion individuals aged 15 and older had experienced sexual violence during childhood.

It added that these exposures together contributed to more than 50 million Disability-Adjusted Life Years (DALYs) globally, 32.2 million from SVAC and 18.5 million from IPV.

DALYs represent the total years of healthy life lost due to both premature mortality and years lived with disability.

It estimated that nearly 30,000 women were killed by their partners in 2023 alone, indicating an urgent need for enhanced protection for at-risk individuals.

The report revealed that countries with the highest age-standardised prevalence of IPV were primarily located within the Sub-Saharan Africa and the Southeast Asia, East Asia, and Oceania super-regions.

In Nigeria, the study revealed that deaths among women linked to IPV rose from 1,940 in 1990 to 7,410 in 2023, while deaths linked to SVAC increased from 1,010 to 4,800.

For males, deaths linked to SVAC rose from 1,490 in 1990 to 4,960 in 2023.

The report urged global and national leaders to treat IPV and SVAC as urgent public health priorities, backed by sustained funding and survivor-focused interventions.

It also emphasised that targeted interventions should be designed and implemented to address variations in exposure, while ensuring universal access for all survivors.

According to the report, the findings also reveal a rarely discussed link between SVAC and chronic diseases such as diabetes and asthma.

“Emerging evidence suggests that exposure to violence during childhood might contribute to the development of these conditions through mechanisms including chronic stress and inflammation, pathways known to influence metabolic and immune function,” it stated.

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Appeal Court Upholds Judgment Stopping VIOs from Impounding Vehicles, Imposing Fines

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The Court of Appeal in Abuja, on Thursday, affirmed a judgment barring the Directorate of Road Traffic Services and Vehicle Inspection Officers from stopping motorists, confiscating vehicles, or imposing fines on road users.

In a unanimous decision, a three-member panel held that there was no basis to overturn the Federal High Court’s ruling of October 16, 2024, which prohibited VIO officials from harassing motorists.

The appeal filed by the VIO was dismissed for lacking merit in the lead judgment delivered by Justice Oyejoju Oyewumi.

Justice Nkeonye Maha of the Federal High Court had earlier ruled that no law empowered VIO officials to stop, impound, confiscate, seize, or impose fines on motorists.

The ruling followed a fundamental rights suit marked FHC/ABJ/CS/1695/2023, filed by public interest lawyer Abubakar Marshal.

Marshal told the court that VIO operatives forcefully stopped him at Jabi District on December 12, 2023, and confiscated his vehicle without lawful justification.

He asked the court to declare their actions wrongful, oppressive, unlawful, and a gross violation of his fundamental rights.

In granting the reliefs sought, Justice Maha restrained the DRTS, its agents, and assigns from impounding or confiscating vehicles or imposing fines on motorists, describing such actions as oppressive and unlawful.

The court also issued a perpetual injunction preventing further violations of Nigerians’ rights to freedom of movement, presumption of innocence, and the right to own property.

The judge held that only a court of competent jurisdiction could impose sanctions or fines on motorists.

She further ruled that the respondents had violated the applicant’s constitutional right to own property under section 42 of the 1999 Constitution (as amended) and Article 14 of the African Charter on Human and Peoples’ Rights.

The court held that the respondents lacked statutory powers to impound vehicles or impose fines, stressing that doing so breached motorists’ rights to fair hearing, freedom of movement, and presumption of innocence under Sections 6(6)(b), 36(1), 36(8), 36(12), 41 and 42 of the Constitution, as well as Articles 2, 7(3), 12 and 14 of the African Charter.

Marshal, represented by a legal team led by Femi Falana (SAN), had sought N500 million in general and aggravated damages and an apology in three national newspapers.

The court instead awarded N2.5 million in damages.

The respondents included the DRTS, its Director, the Abuja Area Commander, identified as Mr. Leo, the team leader, Solomon Onoja, and the Minister of the Federal Capital Territory.

Dissatisfied with the ruling, they lodged an appeal, which the Court of Appeal dismissed on Thursday, thereby affirming the lower court’s decision.

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Metro

wo Die, Nine Injure in Multiple Accident on Enugu-Port Harcourt Expressway

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The Federal Road Safety Corps (FRSC) has confirmed that two persons lost their lives in a multiple accident involving 11 vehicles along the Enugu-Port Harcourt Expressway on Wednesday.

The Sector Commander of FRSC, Enugu State Command, Franklin Agbakoba, confirmed the incident to newsmen in Enugu shortly after rescue operations by operatives of the corps.

Agbakoba said that no fewer than nine males got injured as a result of the multiple accident, which involved 30 people comprising 26 males and four females.

He said that the multiple accident happened at about 11:45a.m within the Port Harcourt bound axis of the expressway and precisely within the New Garki axis of the road in Enugu State.

The sector commander said that the multiple accident involved four trucks, two trailers, one sienna, one tipper, one Hiace bus, one Mini-Bus and one Jeep.

According to him, within 10 minutes of the unfortunate incident, officers and men of the FRSC Ozalla Unit Command stationed along the road and started the rescue operations.

“The injured victims were taken to the National Orthopaedic Hospital, Enugu and the University of Nigeria Teaching Hospital (UNTH), Ozalla by the FRSC Zebra 32 Ambulance team stationed along the expressway.

“Also, the obstructions were cleared by the FRSC and the Enugu State Traffic Management Authority (ESTMA) towed the trucks.

“The FRSC Unit Commander, Ozalla; the Divisional Police Officer (DPO), Ozalla and military men coordinated the rescue operation,” he said.

The sector commander said that causative factors that led to the multiple accident included speed and route violations and loss of control.

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