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World Health Day: Nigerian Youths Call for Action to Improve Adolescents’ Health

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Youth leaders and civil society groups in Nigeria have urged the government to invest in equity-enhancing strategies to restore crumbling services for women, newborns, children and adolescents.

The Executive Director of the Africa Health Budget Network (AHBN), Dr Aminu Magashi, said this in Abuja on Tuesday to commemorate the 2021 World Health Day.

The World Health Day is being commemorated globally on April 7, under the theme “Together for a fairer, healthier world”.

On this occasion, the World Health Organisation (WHO) calls for urgent action to eliminate health inequities and mobilise action to attain better health for all and leave no one behind.

Magashi said that this year’s celebration was being held at the backdrop of the COVID-19 pandemic which continued to threaten the improvement in health and social services.

“The theme for this year’s World Health Day focusing on ‘Building a fairer, healthier world’ reminds us of a need to invest in equity-enhancing strategies to address the needs of the most vulnerable.   

“COVID-19 has exacerbated inequities, putting at risk hard won gains that have been made over the past decade,” says Helga Fogstad, Executive Director of the Partnership for Maternal, Newborn & Child Health (PMNCH)

“Ensuring that women, children and adolescents are protected from the disproportionate indirect social and economic challenges of the pandemic and associated financial crisis will require action from all stakeholders,” adds Fogstad.

He disclosed that Nigeria was among 10 countries that recently heeded the call, and recently made major commitments to prioritise investments for the health and well-being of women, children and adolescents.

“The West African nation has pledged $2.3 billion during 2020-2028 for strategic interventions that protect the reproductive, maternal, newborn, child, adolescent and elderly health and nutrition through access to family planning services, immunisation and nutrition programmes.  

“Today youth leaders, campaigners and representatives of civil society organisations from across Nigeria are meeting to deliberate on the progress of improving the health and well-being of women, children and adolescents in Africa’s most populous nation,” he said.

According to him, Nigeria has the largest youth population in Africa.

“Since the COVID-19 pandemic erupted, the group has been negatively affected more than others due to the disruptions of essential health, nutrition and social services.

 The World Health Day 2021 is aimed at building a fairer and healthier Nigeria,” said Mr Muhammad Usman, Chair of the National Advocates for Health (NA4H).

 “I am therefore calling on both federal and state governments to improve budgetary allocations and timely release of funds for health interventions, particularly for family planning, nutrition, primary healthcare  including the Basic Healthcare Provision Fund and the national health insurance for universal health coverage.”

 The participants at the event discussed recent trends in maternal, newborn and adolescent health in Nigeria.

They also discussed opportunities for parliamentarians, including National Assembly’s committees on health and finance, to contribute towards better health for women, girls and adolescents.

Young people account for over 60 per cent of Nigeria’s population,” said  Mrs Oyeyemi Pitan, Convener of the Nigerian Youth Champions for Universal Health Coverage (NYC4UHC).

“Therefore, the government, both at the federal and state levels, must invest in the health of young people by ensuring that all primary healthcare centres are adequately staffed, equipped and functional.

“This is to provide access to sexual and reproductive health services, mental health services and essential life-saving drugs and commodities,” Pitan noted.

NAN reports that in 2020, PMNCH issued a 7-point call to Action in response to the devastating effects of COVID-19 on the health and well-being of women, children and adolescents.

It called on leaders to protect and prioritise their rights and health during the COVID-19 response and recovery by strengthening political commitment, policies and financing for vital health services and social protections, particularly for the most vulnerable.

For adolescents, it complements the PMNCH-led worldwide Call to Action on Adolescent Wellbeing.

Other low and middle-income countries that have made similar commitments include: Kenya, Liberia, Afghanistan, India, and Mexico, while donor countries, Canada, Germany, Sweden and United Kingdom.

The U.S. and the Bill and Melinda Gates Foundation have also pledged support for this critical area of global health and development that is vital to the achievement of universal health coverage.

However, experts say a lot still needs to be done and stopping preventable deaths of women, girls and children must remain a top priority.

In addition, the COVID-19 pandemic has further worsened the situation as a result of disruption of essential Reproductive Maternal, Newborn, Child and Adolescents’ Health services, including family planning at all levels of healthcare delivery.

Recent data from the WHO from 105 countries show that 90 per cent of countries have experienced disruptions to health services, with low- and middle-income countries reporting the greatest difficulties.

Some of the most frequently disrupted services include those related to: immunisation services (facility-based services: 61 per cent and outreach facilities: 70 per cent) and family planning and contraception services: 68 per cent.

On health statistics in Nigeria, WHO said about 20 per cent of all global maternal deaths occurred in Nigeria, with over 600,000 maternal deaths and about 900,000 maternal near-miss cases between 2005 and 2015 respectively.

It said that a woman in Nigeria had a 1-in-22 lifetime risk of dying during pregnancy, childbirth or postpartum/post-abortion compared with the lifetime risk of 1 in 4900 in the most developed countries.  

Nigeria’s large population size and high women, children and adolescent (WCA) morbidity and mortality means that the country’s progress can significantly shift the development in Africa and globally. 

The State of Child Health, according to the latest UNICEF “Levels and Trends in Child Mortality” stated that Nigeria recorded an estimated 858,000 under-five deaths in 2019.

With about 7.4 million children currently born annually in Nigeria, improved policy and investment in infant and child health is crucial to prevent an increase in under-5 mortality. 

Access to WASH in Schools was said to be a third of all schools 33 per cent have basic water supply services while 26 per cent of schools provide access to basic sanitation services. 

As little as three per cent of schools have girls’ toilet compartments that have provisions for menstrual hygiene management. 

Hand washing facilities are not available in 76.4 per cent of schools while about one in 10 schools 10 per cent have access to basic hygiene services.(NAN)

Health

Tuberculosis: Benue Assembly Passes Law, to Protect Patients from Discrimination

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By Laide Akinboade, Abuja

The Benue State House of Assembly has passed into law a landmark legislation aimed at eliminating tuberculosis (TB) and protecting persons affected by the disease from discrimination and human-rights violations.

The legislation, known as the Tuberculosis Elimination, Human Rights Protection and Anti-Discrimination Law of Benue State, 2026, was passed into Law during Thursday plenary presided over by Speaker, Rt.

Hon.Berger Alfred Emberga, MNIQS, RQS, following consideration of the report of the House Standing Committee on Health and Human Services.

‎The committee, chaired by Hon. Matthew Damkor, Ph.D., said the legislation was necessary to provide a comprehensive legal framework for tuberculosis prevention, diagnosis, treatment, care and control across the state.

‎The law also seeks to safeguard the rights of persons affected by Tuberculosis (TB), including their rights to dignity, healthcare, privacy, information, employment, education and social protection.

‎In its report, the committee identified several areas of the original Bill that required amendment, particularly provisions relating to federal laws and institutions, implementation responsibilities, screening and isolation, enforcement mechanisms, offences and penalties.

‎The committee recommended the removal of provisions purporting to amend federal legislation, particularly the Employees’ Compensation Act, 2010, noting that such amendments were inappropriate for state legislation.

‎It also recommended that references to federal institutions as implementing authorities be replaced with relevant Benue State institutions, while allowing for lawful collaboration with federal authorities.

‎The committee further recommended that the Commissioner for Health and Human Services, through the Ministry of Health and relevant state agencies, be clearly designated to coordinate the implementation of the law.

‎On the protection of fundamental rights, the House called for clearer safeguards in provisions dealing with TB screening, isolation and restriction of movement, including informed consent, confidentiality, medical necessity, proportionality and the use of the least restrictive measures.

‎It also recommended the establishment of an accessible mechanism for receiving complaints, addressing discrimination and providing remedies to persons whose rights may have been violated under the law.

‎The House further urged relevant agencies to ensure that offences and penalties under the legislation are clearly defined, proportionate and enforceable.

After considering and adopting the committee’s recommendations clause-by-clause, the bill was read for the third time and subsequently passed into law by the Speaker, Rt. Hon. Emberga following a unanimous consideration and adoption by members.

‎The Tuberculosis Law which was sponsored by Hon. Dr. Simon Gabo of Mata State Constituency and others, is expected to strengthen Benue State’s response to tuberculosis and provide a stronger legal framework for protecting persons affected by the disease from stigmatization, discrimination and other rights violations.

‎Meanwhile, Civil Society Organisations, Lawyers Alert and Media Health and Rights Initiative of Nigeria, MHR, have commended the Benue State House of Assembly for taking steps to strengthen the state’s response to tuberculosis, and protect the rights of persons affected by the disease.

In a joint statement, the President of Lawyers Alert, Rommy Mom and the Executive of MHR, Alu Azege said the Bill brings health and human rights dimensions of TB into legislative conversation in the state.

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Health

Agency Seals 12 Islamic Medicine Stores, One Clinic in Niger Crackdown

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The Niger State Private Health Facilities Agency (NiSPHFA) has sealed 12 unregistered Islamic medicine stores in Minna and a health facility in Katcha Local Government Area (LGA).

The Executive Chairman of NiSPHFA, Dr.

Abdullahi Suleiman, disclosed this while receiving members of the Islamic and Prophetic Medicine Practitioners’ Association of Nigeria (IPMPAN) in Minna.

The enforcement is part of the agency’s renewed efforts to protect residents from unsafe healthcare practices and ensure compliance with minimum standards.

Suleiman said the facilities were sealed over alleged non-compliance with regulatory standards.

According to him, the enforcement is not aimed at persecuting healthcare providers but at ensuring residents have access to safe, quality, and standard-compliant healthcare services.

“Our responsibility is to protect the people by ensuring that anyone providing healthcare services operates within the required standards,” he said.

He urged genuine alternative medicine practitioners to register with NiSPHFA, saying registration would enable the agency to identify operators, monitor their activities, and protect residents from unsafe products and practices.

Suleiman also announced plans to organise a trade fair for verified alternative medicine practitioners to promote legitimate practices and improve public confidence in alternative healthcare.

He emphasised the need for practitioners to maintain minimum standards of hygiene, sanitation, safe preparation and storage of medicines, proper packaging, and infection prevention.

“Practitioners should refer patients whose conditions are beyond their capacity to appropriate health facilities. Such referrals will help reduce avoidable health risks,” he said.

The chairman said sustained enforcement, stakeholder collaboration, and improved compliance would enable NiSPHFA to safeguard residents and promote a safer, more accountable, and quality-driven healthcare system across the state.

He said the NiSPHFA enforcement team inspected 10 health facilities in Katcha local government and identified various irregularities requiring improvement.

Suleiman said the affected facilities were issued 21-day notices to correct the identified deficiencies.

“One of the facilities inspected was sealed for non-compliance with established standards,” he said.

He added that the agency also secured the support of the local government area in identifying and addressing facilities operating with irregularities.

IPMPAN Chairman, Abdullahi Haske, commended the state government for establishing NiSPHFA.

He pledged the association’s cooperation in ensuring that its members complied with regulatory requirements.

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Stakeholders Seek Improved Health Budget Implementation, Accountability in Kaduna

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Stakeholders have called for improved implementation, tracking and accountability of health sector budgets to strengthen healthcare delivery and advance Universal Health Coverage (UHC) in Kaduna State.

They made the call during an engagement on strengthening participatory budget processes, health budget tracking and advocacy on Saturday in Kaduna, with emphasis on the 2027 budget process and implementation of the Annual Operational Plan (AOP) for the health sector.

Seth Luke, a Civil Society Coach on strengthening participatory budget processes under the Open Government Partnership (OGP) Kaduna, said the engagement was aimed at strengthening the capacity of OGP Technical Working Groups and state and local government accountability mechanisms to effectively participate in budget processes and advocacy.

Seth said the engagement was particularly focused on the health sector, including tracking the implementation of the Annual Operational Plan as the state commenced preparations for the 2027 budget.

 “We want to see how we can track the implementation of the Annual Operational Plan for the health sector and, from our findings, bring out recommendations around improving funding and other areas that require attention,” he said.

He said the government needed to prioritise health financing beyond budgetary allocation by ensuring effective implementation of approved programmes and projects.

According to him, budget allocation represents government plans based on expected revenue, but available resources should be prioritised toward activities capable of improving healthcare and service delivery at the grassroots.

Seth urged participants to use the knowledge and findings from the engagement to engage relevant government stakeholders on improving health financing and budget implementation.

He also encouraged them to extend the knowledge gained to other sectors and continuously engage government on budgeting, accountability and service delivery.

Similarly, Garba Mohammed, Co-Chair of the Kaduna Maternal Accountability Mechanism (KADMAM), said the engagement was aimed at reviewing health budget performance against key indicators linked to maternal mortality reduction and child survival.

Mohammed said participants examined first and second quarter performance, particularly in areas such as family planning, Maternal, Newborn and Child Health (MNCAH), nutrition, malaria, immunisation and essential medicines.

He said family planning interventions largely involved commodities at the primary healthcare level, while MNCAH activities remained largely donor-dependent.

Mohammed commended the Kaduna State Government for meeting the Abuja Declaration benchmark of allocating at least 15 per cent of its annual budget to health.

He, however, expressed concern over gaps in the implementation of some critical health budget lines, stressing that allocation alone was not enough to improve health outcomes.

 “We have looked at the budget allocation, and Kaduna State has met the 15 per cent Abuja Declaration benchmark. We commend the state for that. However, there are still issues around budget performance in critical health indicators,” he said.

He said the findings would be used to identify advocacy priorities and engage key government decision-makers, including the Ministry of Health, Planning and Budget Commission, Ministry of Finance and other relevant authorities.

Mohammed said participants were expected to understand the relevant health budget lines and their implementation status and use the knowledge to undertake evidence-based advocacy in their respective organisations.

Meanwhile, Yusuf Guje, Executive Director, Civic Impact for Sustainable Development Foundation (CISDF), and a participant at the programme, told the News Agency of Nigeria (NAN) that the engagement was timely in strengthening the capacity of civil society and accountability mechanisms.

Guje said the programme would deepen participants’ capacity in budget tracking, project monitoring and social auditing, particularly within the health sector.

He described the health sector as a critical pillar of development, saying civil society organisations had an important role to play in complementing government efforts through effective monitoring and accountability.

He said CSOs needed to strengthen their ability to analyse budgets, track expenditure and visit healthcare facilities to determine whether appropriated and released funds were being properly utilised.

“Civil society needs to really improve on how effectively we analyse the budget, how we track the spending, and go down to the various facilities to see how well the money appropriated and released is being utilised,” Guje said.

He said effective monitoring would help determine the extent to which communities benefited from government investments in healthcare.

According to him, Kaduna State’s commitment to Universal Health Coverage could only be strengthened through sustainable health financing and effective accountability mechanisms.

Guje described CSOs as representatives of communities that often lacked the knowledge, skills and platforms required to engage government on public policies and resource allocation.

He therefore urged civil society actors to continuously strengthen their capacity to represent citizens effectively, particularly in health financing advocacy and accountability.

 “As civil society, we need to remain committed to holding the government accountable where necessary and tracking the entire health financing process,” he said.

Guje said the ultimate objective of budget tracking and social accountability was to ensure value for money in public expenditure on health.

He added that effective monitoring of public finances would contribute to improved healthcare delivery and better health outcomes at the grassroots. (NAN)

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