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Over a Billion People Live with Mental Health Conditions – WHO

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The World Health Organization (WHO) said ‎more than one billion people are living with mental health disorders ‎according to a new data released.

The organisation said in a statement on Tuesday that the conditions ‎are anxiety and depression, inflicting immense human and economic tolls, adding that the services require urgent scale-up.

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‎”While many countries have bolstered their mental health policies and programmes, greater investment and action are needed globally to scale up services to protect and promote people’s mental health.

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‎”Mental health conditions such as anxiety and depression are highly prevalent in all countries and communities, affecting people of all ages and income levels.

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“They represent the second biggest reason for long-term disability, contributing to loss of healthy life,” it said. ‎ ‎

According to it, they drive up health-care costs for affected people and families while inflicting substantial economic losses on a global scale. ‎

‎It said that the new findings published in two reports – World mental health on Tuesday and Mental Health Atlas 2024 – highlight some areas of progress while ‎exposing significant gaps in addressing mental health conditions ‎worldwide. ‎ ‎

The statement said that the reports serve as critical tools to inform national strategies and shape global dialogue ahead of the 2025 United Nations High-Level Meeting on noncommunicable diseases and promotion of mental health.

‎ ‎It said that the dialogue would take place in New York on September 25.

‎ ‎Dr Tedros Ghebreyesus, WHO ‎Director-General said that transforming mental health services was one of the most pressing public health challenges. ‎

‎Ghebreyesus said that investing in mental health meant investing in people, communities, and economies – an investment no country can ‎afford to neglect. ‎

‎”Every government and every leader has a responsibility to act with urgency and to ensure that mental health care is treated not as a privilege, but as a basic right for all,” he said. ‎ ‎

According to him, the report shows that while prevalence of mental health disorders can vary by sex, women are disproportionately impacted overall. ‎ ‎

“Anxiety and depressive disorders are the most common types of mental health ‎disorders among both men and women. ‎

‎”Suicide remains a devastating outcome, claiming an estimated 727 000 ‎lives in 2021 alone. It is a leading cause of death among young people ‎across all countries and socioeconomic contexts,” he said. ‎

Ghebreyesus said that despite global efforts, progress in reducing suicide mortality is too low to meet the United Nations Sustainable Development Goal (SDG) of a one-third reduction in suicide rates by 2030. ‎

‎According to him, on the current trajectory, only a 12 per cent reduction will be achieved by that deadline. ‎ ‎

“The economic impact of mental health disorders is staggering. ‎ While health-care costs are substantial, the indirect costs – particularly ‎in lost productivity – are far greater. ‎ ‎

“Depression and anxiety alone ‎cost the global economy an estimated one trillion dollars each year,” he said.

‎Ghebreyesus said that the findings underscore the urgent need for sustained investment, stronger prioritisation, and multi-sectoral collaboration to expand access to mental health care, reduce stigma, and tackle the root causes of mental health conditions. ‎

The ‎WHO boss said that since 2020, countries have been making significant strides in strengthening their mental health policies and planning. ‎

According to him, many have updated their policies, adopted rights-based approaches, and enhanced ‎preparedness for mental health and psychosocial support during health ‎emergencies. ‎

‎”However, this momentum has not translated into legal reform. ‎

‎”Fewer countries have adopted or enforced rights-based mental health legislation, and only 45 percent of countries evaluated laws in full compliance with international human rights standards,” he said. ‎ ‎

He said that the report revealed concerns about stagnation in mental health ‎investment. ‎

‎”Median government spending on mental health remains at just 2 per cent of total health budgets – unchanged since 2017. ‎

”Disparities between countries are stark; while high-income countries spend up to ‎ 65 dollars per person on mental health, low-income countries spend as little as 0.04 dollars.

The global median number of mental health workers stands at 13 per 100 000 people, with extreme shortages in low- and middle-income countries,” he said. ‎

‎Ghebreyesus said that reform and development of mental health services was progressing slowly. ‎

‎He said that fewer than 10 percent of countries have fully transitioned to ‎community-based care models, with most countries still in the early ‎stages of transition. ‎

‎“Inpatient care continues to rely heavily on psychiatric hospitals, with nearly half of admissions occurring involuntarily and over 20 per cent lasting longer than a year. ‎ ‎

“Integration of mental health into primary care is advancing, with 71 per cent ‎of countries meeting at least three of five WHO criteria,” he said. ‎ ‎

‎According to him, only 22 countries provided sufficient data to estimate service coverage for psychosis. ‎ ‎ ‎

He said that in low-income countries fewer than 10 percent of affected individuals receive care, compared to over 50 per cent in higher-income nations highlighting an urgent need to expand access and strengthen service delivery. ‎ ‎

“Encouragingly, most countries report having functional mental health ‎promotion initiatives such as early childhood development, ‎school-based mental health and suicide prevention programmes. ‎

‎”More than 80 per cent of countries now offer mental health and psychosocial support as part of emergency responses, up from 39 per cent in 2020. ‎

‎”Outpatient mental health services and telehealth are becoming more available, though access remains uneven,” he said. ‎

‎He said that while there have been some encouraging developments, the latest data showed that countries remain far off track to achieve the targets set in WHO’s Comprehensive Mental Health Action Plan.

‎ He called on governments and global partners to urgently intensify efforts toward systemic transformation of mental health systems ‎worldwide. ‎

‎”This includes: equitable financing of mental health services; legal and policy reform to uphold human rights;

‎ ‎”Others are sustained investment in the mental health workforce; and expansion of community-based, person-centered care.”

Education

University of Agriculture, Orerokpe Bill, Passes Third Reading in Senate

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The University of Agriculture, Orerokpe Bill, sponsored by Senator Ede Dafinone, representing Delta Central Senatorial District, has passed through its third reading in the Senate.

Dafinone announced the development in a statement, describing the passage of the bill as a major step towards expanding access to education, promoting agricultural development and creating opportunities for young people in Delta State.

The senator said the proposed institution would help unlock the agricultural potential of the area while providing greater educational opportunities for future generations.

“This is more than the passage of a bill; it is a statement of purpose, a promise of progress, and an investment in generations yet unborn,” he said.

Dafinone urged constituents and other stakeholders to sustain their support for the proposed university, stressing the need to translate the legislative milestone into lasting benefits for the people.

He said the initiative was aimed at strengthening education, encouraging agricultural innovation and creating opportunities that would benefit generations to come.

“The future of our children is too important to leave to chance. Together, let us champion education, drive agricultural innovation, create opportunities, and build a legacy that generations will celebrate,” the senator said.

He described the passage of the bill as a significant milestone in the effort to advance development in Delta Central and expressed optimism about the vision behind the proposed institution.

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Ishowo Urges Kwara to Convert KWASUED to Medical Varsity

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A Kwara based Public Affairs Analyst, Comrade Ishowo Olanrewaju, weekend called on the Kwara State government to urgently convert the recently established Kwara State University of Education (KWASUED) to a specialised medical university to address the worsening and chronic shortage of doctors and other healthcare professionals in the state hospitals.

He therefore cited the Bayelsa Medical University in Bayelsa State, the state University of Medicine and Applied Sciences in Enugu State, and the University of Medical Sciences in Ondo State as existing examples.

Ishowo made the call in Ilorin while speaking with newsmen on the sidelines of the incessant strike embarked upon by medical doctors in the state hospitals.

Ishowo however expressed concern over the shortage of medical personnel in the state, noting that the available doctors were already overstretched and overwhelmed by the sheer volume of patients they were required to attend to daily.

He lamented that this situation made industrial action embarked upon by the doctors particularly troubling.

He argued that the state government should have prioritised a medical university over a university of education, insisting that Kwara’s more pressing challenge was the severe shortage of healthcare professionals rather than educators.

According to him, existing institutions, including the University of Ilorin, Kwara State University (KWASU) and Al-Hikmah University, already have faculties of education that produce graduates annually.

He added that several public and private colleges of education across the state also train teachers.

“The number of educators we produce far exceeds what we need or can employ. Our challenge is not a lack of teachers. It is a dangerous shortage of doctors, nurses and other medical professionals.

“That reality should have informed the government’s decision when it was considering establishing a new university,” he said.

Ishowo maintained that establishing a specialised medical university would help build a steady supply of doctors and other healthcare professionals to meet the state’s needs and serve other parts of the country.

“To address the persistent shortage of doctors and other medical personnel, I am calling for the conversion of KWASUED into a specialised medical institution,” he said.

He also proposed scholarships for Kwara indigenes admitted to the proposed institution, with beneficiaries required to sign a five-year service bond to work in the state after graduation before seeking opportunities elsewhere.

Ishowo said the arrangement would help retain locally trained medical professionals and strengthen the state’s healthcare system.

“Let the government provide scholarships for Kwara indigenes who want to study medicine and other related health courses, and bond them to serve the state for five years post-graduation.

“This is how we begin to systematically solve the shortage of medical personnel that has plagued us for years,” Ishowo noted.

He further stated that some state governments across Nigeria had already recognised the value of dedicated medical universities and taken steps to establish them.

According to Ishowo, “The Lagos State government is also pursuing plans to establish a standard one university of medicine and health sciences to tackle the doctor and healthcare worker deficit in the state.

“These states identified a need and responded to it strategically. Kwara can and should do the same. The conversion of KWASUED into a specialized medical university will be a response to a documented crisis that is costing Kwarans their health and their lives.”

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WAHO, ECOWAS Countries Move to Tackle Health Worker Shortages, Brain Drain

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By David Torough, Abuja

The West African Health Organization (WAHO) has called for stronger regional collaboration and practical policy interventions to address health workforce shortages, brain drain and poor working conditions across the Economic Community of West African States (ECOWAS) member countries.

The call was made at the opening ceremony of a three-day workshop in Abuja to finalize the work plan for motivating and retaining health workers across the ECOWAS region.

Speaking on behalf of the Minister of State for Health, Dr. Ishiaka Adekunle Salako, Dr.

John Ovuoranye said the Nigerian government was pleased to host the regional meeting, describing it as an opportunity to align national, regional and continental efforts towards strengthening Africa’s health workforce.

He noted that the workshop coincided with other major health-related engagements in Nigeria, including activities marking the 50th anniversary of the West African College of Physicians and a high-level African Union forum on the continent’s community health workforce.

According to him, the convergence of the events reflects growing recognition among African countries that addressing health workforce challenges requires coordinated action rather than isolated interventions.

Ovuoranye emphasized that the work plan being developed by WAHO and its partners must complement broader continental initiatives, particularly the African Union’s target of expanding the community health workforce by two million workers by 2028.

He explained that while continental initiatives would establish broader frameworks for strengthening the health workforce, the ECOWAS work plan would focus on practical measures to motivate health professionals and encourage them to remain in the region.

He stressed that the different initiatives must be aligned to ensure that training, recruitment, motivation and retention efforts produce sustainable results.

The minister’s representative also highlighted Nigeria’s preparedness in responding to public health emergencies, citing the country’s response to a reported Ebola case.

He said the country had activated surveillance and contact-tracing measures, adding that the experience demonstrated the importance of having adequately trained personnel and effective health systems to respond to emerging threats.

Ovuoranye urged other countries in the region to strengthen their preparedness and invest in the health workforce, noting that the movement of people across national borders makes regional cooperation essential.

In a presentation on the meeting’s objectives and expected outcomes, the representative of the WAHO Director General, Professor Joseph Olorunda, described health workers as the backbone of health systems and warned that shortages and unequal distribution of personnel continued to threaten healthcare delivery across West Africa.

He said the workshop was expected to move beyond general discussions about workforce challenges to identify specific problems confronting member countries and develop practical strategies to address them.

According to Olorunda, participants would examine the relationship between motivation and retention, identify areas where policies and partnerships could support improvements, and agree on actions that governments and relevant institutions could implement.

He stressed that the effectiveness of a health system depended not only on infrastructure and technology but also on the availability of adequately trained and motivated professionals to deliver services.

Olorunda identified poor working conditions, delayed salary payments, inadequate remuneration, limited career progression, weak political commitment and the migration of skilled professionals to higher-income countries as major factors undermining workforce retention in the region.

He argued that investments in hospitals, equipment and other health infrastructure would not deliver the desired results without sufficient numbers of skilled personnel to operate them.

The WAHO representative also raised concerns about disparities in health professional education and training across countries, including differences in programme duration, admission requirements, diploma recognition and professional qualifications.

He called for sustained efforts to harmonize training standards and qualifications across the region to improve professional mobility and ensure that health workers receive appropriate preparation for their responsibilities.

Drawing attention to the scale of migration, Olorunda cited Nigeria and Ghana as examples of countries facing persistent challenges in retaining trained health professionals.

He noted that Ghana had recorded substantial outward migration of nurses, while Nigeria continued to face the loss of doctors and nurses to countries offering more attractive employment opportunities.

He also highlighted the particular difficulties confronting countries such as Liberia and Sierra Leone, where conflict and fragile health systems have compounded workforce shortages.

According to him, the challenges vary across countries, making it necessary for the regional work plan to recognize national circumstances while establishing common priorities for action.

Olorunda maintained that governments must treat health workforce retention as a fundamental health system priority rather than a secondary concern.

He called for competitive and timely remuneration, improved working environments, professional recognition, structured career advancement and measures to protect the safety and welfare of health workers.

He also cautioned against relying excessively on compulsory service arrangements and other restrictive measures to prevent migration, arguing that improving employment conditions would provide a more sustainable incentive for professionals to remain in their home countries.

He urged policymakers to ensure that health workers are adequately rewarded for their expertise and years of training, while providing opportunities for professional development and advancement.

The WAHO representative further emphasized that political commitment would be essential to implementing the work plan, noting that even well-designed policies would have little impact without adequate funding and effective institutional support.

He called on participants to use the workshop to develop a practical document that could guide decision-makers in addressing staffing gaps, improving workforce distribution and strengthening the retention of skilled personnel.

The three-day workshop is expected to produce a finalized regional work plan outlining strategies to improve the motivation and retention of health workers across ECOWAS member countries.

The initiative is intended to strengthen regional cooperation in addressing workforce shortages, improve the working conditions of health professionals and support the delivery of quality healthcare services to populations across West Africa.

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