Health

By Sabiu Abdullahi

The AIDS Healthcare Foundation (AHF) has urged federal and state governments to adopt and fund the Girls Act model to reduce HIV infections among adolescent girls and young women, citing poverty, school dropout and limited access to information as factors that increase their vulnerability.

The advocacy group made the call on Tuesday during activities to mark the International Day of the Girl Child in Abuja.

AHF said although progress had been made in the global fight against HIV/AIDS, adolescent girls and young women continued to face a disproportionate risk of infection, particularly in sub-Saharan Africa.

Steve Aborisade, AHF’s Advocacy Lead, cited data from the Joint United Nations Programme on HIV/AIDS (UNAIDS), which indicate that women account for more than half of people living with HIV globally and about 60 per cent in sub-Saharan Africa.

The data also show that adolescent girls and young women aged 15 to 24 are up to two to three times more likely to acquire HIV than males in the same age group.

“Adolescent girls and young women aged 15 to 24 years are up to two to three times more likely to acquire HIV than young males of the same age.

“Biologically, women face a roughly two-fold higher acquisition risk per unprotected heterosexual act due to a larger mucosal surface area and longer exposure to seminal fluids.”

The report further highlighted challenges that prevent adolescents from accessing HIV testing, including physiological, psychological, legal and social barriers.

“Adolescents aged 10 to 19 years face distinct physiological, psychological, legal and social factors that make them disproportionately vulnerable to low uptake of HIV testing,” the data indicated.

AHF said gender inequality, poverty and inadequate information often restrict girls’ ability to make decisions about their health and personal lives.

“A girl who cannot afford menstrual products, who has dropped out of school, or who depends on others for money, has fewer options, including options about sex. HIV and other sexually transmitted infections (STIs) thrive in exactly those conditions,” AHF said.

Girls Act Targets Health, Education And Leadership

The organisation said its Girls Act programme seeks to prevent HIV and sexually transmitted infections, support girls living with HIV to remain on treatment, reduce unplanned pregnancies and help girls stay in school.

According to AHF, the initiative had more than 4,500 girls actively participating as of 2026.

The programme operates across four areas: health, education and livelihoods, leadership, and results.

Under its health component, girls living with HIV receive support to remain on treatment, while HIV-negative participants learn how to prevent infection and make informed decisions.

The programme also provides free menstrual health products to girls and surrounding communities. It teaches participants to make and maintain reusable sanitary pads to improve access beyond direct supplies.

On education and livelihoods, AHF said the programme supports girls who wish to return to school and provides life-skills training and business support to those who have dropped out.

Its leadership component creates opportunities for mentorship, advocacy and access to resources to enable girls to take active roles in their communities.

“Girls are turning up empowered, able to negotiate safe sex and exercise bodily autonomy.

“Negotiating safe sex is the difference between exposure and protection, and bodily autonomy is not a slogan but a public health asset.”

AHF Seeks Government Funding

AHF called on federal and state governments to incorporate the Girls Act model into HIV, education and youth development plans, with dedicated funding for its activities.

The group said the funding should cover menstrual health products, skills training and start-up support for out-of-school girls, assistance for girls returning to school, leadership opportunities and stronger links to HIV testing, treatment and care.

“This means dedicated budget lines for menstrual health, so no girl misses school for want of a sanitary pad; skills training and start-up support that reach out-of-school girls where they live; support for girls to return to, and stay in, school; leadership platforms for girls in schools and communities; and clear pathways linking young people to HIV testing, treatment and care,” the advocacy group said.

The organisation also urged stakeholders in the national HIV response to give greater attention to the needs of girls and young women.

“Some will say the country has more pressing priorities. They should weigh the cost of inaction: new infections among young people, lifelong treatment, interrupted schooling and lost productivity.

“Prevention that also builds livelihoods and leadership is among the smartest investments a government can make.

“Our girls have shown what is possible when someone invests in them. They have earned the right to be treated as a key population in the national response, not as an afterthought.”

By Uzair Adam 

The Nigerian Forest Security Service (NFSS), Kano State Command, has deployed personnel to Garko Local Government Area to track and contain dogs suspected of carrying rabies after one dog reportedly attacked and bit 18 people in the area.

The State Commander, Abdullahi Al’ameen, disclosed this in a statement signed by the command’s Public Relations Officer, Usman Abdullahi-Umar, on Sunday in Kano.

Al’ameen said the command received a distress report at about 2 p.m. that a dog suspected to be rabid had attacked residents in Garko town.

According to him, the dog initially attacked and bit 11 people in Garko town before moving into neighbouring communities, where it attacked seven additional residents.

“The dog had so far bitten 11 persons in Garko town before moving to neighbouring communities, including Raba, Kadage, Gurjiya and Dausai,” he said.

The commander added that the command had received another report indicating that two more dogs were suspected to have contracted rabies in the area.

He said personnel from the NFSS Garko Division, led by the Divisional Forest Officer, Auwalu Muhammad, had been deployed to the affected communities to track and contain the suspected rabid dogs.

Al’ameen urged residents of Garko and neighbouring communities to remain vigilant and promptly report sightings of stray or suspected rabid dogs to the nearest NFSS office or other security agencies.

He also advised anyone bitten by a suspected rabid dog to seek immediate medical attention, stressing the importance of prompt treatment.

Al’ameen assured residents that the NFSS would continue to monitor the situation and take necessary measures to prevent further attacks.

By Hadiza Abdulkadir

At least six inmates have died within a week following a suspected cholera outbreak at the 115-year-old Kurmawa Maximum Prison in Kano, with Amnesty International Nigeria calling on the authorities to declare an emergency and take immediate action to prevent further deaths.

The rights organisation said a number of inmates are currently receiving treatment as the suspected disease continues to spread within the prison. It warned that the actual number of deaths could be higher.

Amnesty particularly raised concern over the condition of critically ill inmates and called for their immediate transfer to hospitals for appropriate medical treatment.

The organisation also expressed concern about the large number of awaiting-trial inmates held at the facility, noting that some prisoners can spend years behind bars without being convicted of a crime.

According to Amnesty, overcrowding, poor sanitation, inadequate food and limited access to healthcare remain serious problems in Nigeria’s correctional facilities.

It warned that failure by the authorities to respond urgently to the situation at Kurmawa Prison could result in additional deaths and potentially amount to arbitrary deprivation of life, a serious human rights violation under international law.

Amnesty called for urgent measures to contain the suspected outbreak and improve conditions in Nigerian prisons, stressing the need for the country to ensure that the treatment of inmates complies with human rights obligations and international standards.

By Ali Tijjani Hassan

There is a difference between a public health system that performs well on paper and one that performs well in people’s lives, and Yobe State is currently teaching us these differences in real time. For over ten days, reports of viral conjunctivitis (Apollo), as it is popularly called, have been spreading across parts of the state. Yet the silence from official quarters has been almost as consistent as the outbreak itself. No public advisory. No visible coordination. No reassurance that anyone in authority is even watching. And silence, in public health, is never neutral. It either means nothing is happening, or it means something is happening and no one has thought to tell the people living through it. Neither of these answers is acceptable. Considering the communicable nature of this outbreak, it is essentially as contagious as yawning. The system should work, and the response should be in place.

I say this, not out of pessimism, because pessimism is cheap and the outbreak deserves better than cheap reactions. Yobe is not a state without human resource capacity. We have a significant number of epidemiologists and precision medicine experts. We have disease surveillance officers, laboratory scientists, environmental health officers, and public health professionals—a full formation of expertise that many states would envy. So, the question is not whether we have the people. The question is whether the system built around those people is actually working, or has quietly become one optimised for reporting rather than responding. Because here is an uncomfortable truth: a health system can hit every donor indicator, produce every glossy report, receive every award, and still fail the basic test of protecting the community it exists to serve. KPIs are not the same as outcomes. A dashboard is not the same as a warned public. You can be commended internationally and still be invisible locally, and that gap between what is reported upward and what is felt on the ground is where public trust quietly erodes.

What sharpens this concern is that we are not operating in isolation. This outbreak is not affecting only Yobe State; it’s spread across northeastern states. Take Adamawa State as an example: it’s currently responding to a similar outbreak of viral conjunctivitis. They already declared a pandemic and activated warning and response systems since the 7th of August, 2026. Coincidentally, Bauchi State is experiencing a cholera outbreak; the state government has been activating its cholera response system since the 1st of August, 2026. These are not distant or hypothetical benchmarks; they are neighbours, operating under comparable constraints, demonstrating that a coordinated response is possible when the will and the system align. So if they can move, what exactly is holding us back?

Is it a failure of surveillance itself, or a failure to verify what surveillance already picked up? Is it risk assessment sitting somewhere in a queue? Is it plain bureaucratic inertia, the kind where information exists but no one owns the decision to act on it? Or is it something more troubling: a culture where we wait for numbers to become undeniable before we treat them as urgent?

I raise these questions not to indict anyone by name, but because public health, by its very design, is supposed to be anticipatory. Its entire justification is that it acts before catastrophe forces it to. A surveillance system that produces reports without triggering timely action has collected data successfully but has failed in its actual purpose. And there is something quietly troubling about a community that learns of a potential outbreak through word of mouth before it hears a single word from the institutions constitutionally responsible for its well-being. That is not just a communication gap. It is a trust gap, and trust, once eroded in public health, is far harder to rebuild than any epidemic curve.

The remedy is not complicated. If there is no outbreak, say so clearly and to everyone, not just to donors. If there is one, say so. If an investigation is currently in progress, please communicate that clearly. If interventions have begun, say so. None of this requires perfect information. It requires the basic respect of keeping people informed while the work is being done. Because silence is not surveillance, and a response no one can see is barely a response at all. The people of Yobe do not need another award ceremony. They need a system that notices early, speaks plainly, and moves before the numbers force its hand. In the end, the truest measure of a public health system was never going to be what it reports about itself. It is what the people living inside it actually experience.

Ali Tijjani Hassan is a public health professional who writes from his personal quarantine after being infected with the Apollo.

By Oladoja M.O

I won’t even sugar coat. There really is a quiet arithmetic we seem to forget whenever we speak about financing health, and that is; “money not spent is money saved”. It sounds almost too simple to be taken seriously in policy circles, yet it is perhaps a foundational principle of any sustainable system, economic or otherwise.

In recent years, the conversation around health financing has become so popular yet increasingly narrow, that whenever it’s being discussed, the theme of bigger budgets, expanded insurance schemes, increased donor flows, and new funding mechanisms is the only thing in lens. Though all of these are unarguably important, they are only one side of the equation, as financing health is not merely about how much money enters the system, but also about how much unnecessary expenditure we can prevent from ever occurring. And this is where preventive health quietly stands as one of the most underutilized financing strategies.

Often preached, prevention is prevalently taken as some moral or clinical responsibility, something good to do for public health, but not worth framing as a fiscal strategy. Yet, at its core, prevention is economic discipline. 

I don’t think it should be difficult to interpret that a well-prevented illness is not just a life improved; it is a cost avoided, a drug regimen that was never needed, and in many cases, a financial burden that never fell on a household.

In a country where out-of-pocket expenditure still defines access to care for many citizens, this distinction matters deeply. Because when people stay healthier for longer, they spend less on treatment. When communities adopt preventive behaviors, the strain on health facilities reduces. When systems prioritize early detection and risk reduction, the cost curve bends—not because we spent more, but because we needed to spend less.

This is not an argument against mobilizing more funds for health. On the contrary, it is a call to think more intelligently about what “financing health” truly means. Generating revenue is one part. Structuring systems efficiently is another. And, crucially, reducing avoidable expenditure must sit at the center of that conversation.

Interestingly, this broader view aligns with deeper conversations around governance and federal structure. True federalism, as many have argued, is not just about distributing resources but about enabling systems to function efficiently at all levels. The recent legislative developments in that direction are, for once, a step that deserves cautious commendation. It suggests that perhaps we are beginning to think beyond surface-level reforms and towards more grounded, structural solutions.

But policy frameworks alone will not carry this shift. Preventive health requires something more subtle: a cultural and systemic reorientation. It asks us to value the absence of disease as much as the treatment of it. It asks governments to invest in awareness, early screening, community-based interventions, and primary care, not as afterthoughts, but as core financing strategies.

It also demands that we confront an uncomfortable truth that reactive healthcare is expensive. A system that waits for illness to occur before acting will always spend more than one that works to prevent it. Hospitals will remain congested, costs will continue to rise, and households will keep absorbing financial shocks that could have been avoided.

On the other hand, a preventive-focused system redistributes that burden, spreading cost-saving across individuals, communities, and institutions. It is quieter, less dramatic, and often less politically celebrated, but far more sustainable.

A bit further to that is the human dimension that cannot be ignored. Financial protection in health should not just be about insurance coverage or subsidies; it is about reducing the likelihood that people will need to spend in the first place. Every avoided illness is, in a real sense, a preserved livelihood.

So, perhaps it is time we expanded our definition of health financing. Beyond budgets and allocations, beyond policies and programs, we must begin to recognize prevention as a financial instrument in its own right.

Because in the end, the most efficient health system is not the one that spends the most, but the one that needs to spend the least.

And that is an arithmetic we can no longer afford to ignore.

Oladoja M.O (Oladoja Mark Olamilekan) writes from Abuja and can be reached at: mayokunmark@gmail.com.

By The Daily Reality

Health experts have advised people to adopt healthier eating habits and stay properly hydrated to reduce the risk of developing kidney stones, a condition that affects millions of people worldwide.

According to experts, kidney stones occur when minerals and other substances in urine become highly concentrated and form crystals. Calcium oxalate stones remain the most common type, although uric acid stones and struvite stones also occur under different conditions.

Nutrition specialists say dehydration remains the leading risk factor for kidney stones. They also note that several dietary habits contribute to the condition, including excessive sodium, animal protein and added sugar intake.

Ashley Kitchens, a registered dietitian, warned that consuming too much salt significantly increases the likelihood of developing kidney stones.

“Eating too much sodium is one of the biggest overlooked dietary factors that can increase your risk of kidney stones,” she said. “High sodium intake causes your kidneys to excrete more calcium in the urine, which raises your risk of calcium oxalate stones, the most common type of kidney stone.”

She advised people to reduce their intake of ultra-processed foods, packaged snacks and restaurant meals. She encouraged home-cooked meals as a healthier alternative.

Experts also cautioned against consuming too little calcium. Melissa Mitri, another registered dietitian, explained that inadequate calcium intake can increase the risk of kidney stones instead of reducing it.

“Not getting enough calcium is also a risk, as calcium helps bind oxalate, allowing it to pass through the body rather than build up and crystallize in the kidneys,” she said.

Diets that contain large amounts of red meat and other animal proteins can also increase uric acid levels in urine, which raises the risk of kidney stone formation. Experts recommend replacing some animal protein with plant-based options such as beans, lentils, tofu and tempeh.

They also identified sugary drinks as another important risk factor. Mitri said regular consumption of added sugar can contribute to kidney stone development.

“Added sugar quietly raises your risk of kidney stones long before dehydration does,” she said.

To lower the risk, specialists recommend eating citrus fruits such as oranges, lemons and limes because they contain citrate, a compound that helps prevent stone formation.

“Citrus fruits like oranges, lemons and limes are among the best foods for kidney stone prevention because they have a high citrate content, which inhibits stone crystal formation,” Kitchens said.

Experts also encouraged people to consume calcium-rich foods, including dairy products and fortified plant-based milk.

“Calcium-rich foods like dairy and fortified plant milk are key, since calcium binds substances in your gut, like oxalates, that would otherwise end up in your urine and form stones,” Mitri said. “Getting enough of it is actually protective, not risky.”

For people who avoid dairy products, Kitchens recommended vegetables such as kale and bok choy.

“Eating kale and bok choy gives you calcium without the high oxalate content of spinach, supporting the calcium-oxalate balance,” she said.

Hydrating fruits and vegetables can also support kidney health.

“Eating fruits and vegetables with a high water content, such as cucumbers, watermelon and citrus fruits, increases urine volume and helps dilute the minerals that form kidney stones,” Kitchens explained.

She also recommended legumes because they contain fewer purines than red meat.

“Legumes like lentils and beans are a great protein source [and are] lower in purines compared to red meat, which reduces uric acid production and kidney stone risk,” she said.

Whole grains, including oats and brown rice, also provide magnesium, which helps reduce stone formation.

“Incorporating whole grains like oats and brown rice into your diet provides magnesium, which binds to oxalate in the gut, reducing the amount that reaches your kidneys,” Kitchens said.

Beyond diet, experts advised people to drink enough water throughout the day.

“It’s important to stay consistently hydrated throughout your day, not just when you feel thirsty,” Kitchens said. “The goal is to have pale yellow urine.”

Mitri also stressed the importance of regular physical activity.

“You don’t need to train for a marathon; even light daily movement meaningfully lowers the risk of stone formation,” she said.

She also encouraged healthier beverage choices.

“It’s not just how much you drink that matters for stone prevention; it’s what’s in the glass,” Mitri said. “Coffee, tea and orange juice are all linked to a lower risk of kidney stones, making them smarter choices than soda or sweetened drinks.”

Health experts added that controlling conditions such as high blood pressure and diabetes may also reduce the likelihood of developing kidney stones. They urged people with persistent kidney-related symptoms or concerns to seek medical advice from a doctor or urologist.

By Dahiru Kasimu Adamu

As part of its sustained commitment to reducing the high prevalence of Moderate Acute Malnutrition (MAM) in Sokoto State, the Nigerian Red Cross Society (NRCS), Sokoto State Branch, through the Malnutrition Emergency Appeal Programme (MEAP), continues to implement life-saving interventions across Sokoto North, Sokoto South, and Wamakko Divisions.

In a two-day intensive house-to-house screening exercise, trained volunteers used MUAC (Mid-Upper Arm Circumference) tapes to assess children aged 6–59 months and identify cases of malnutrition. 

According to the Sokoto State Branch Communication and PMER Officer, Yahaya Ishaq, “This proactive approach ensures early detection and timely intervention for vulnerable children within the targeted communities.”

Following the screening, identified MAM cases were enrolled for support and provided with “Tom Brown,” a locally produced, nutrient-rich supplementary food designed to improve the nutritional status of affected children. Caregivers were also guided on proper preparation and feeding practices to maximise its benefits.

Beyond nutritional support, hygiene promotion remains a key component of the intervention. 

As part of this, the Red Cross engaged in Mothers’ Club meetings held across various communities where hygiene education sessions were conducted. Members were sensitised to safe hygiene practices, proper sanitation, and disease prevention. 

To further support improved household hygiene and reduce the risk of infections that can worsen malnutrition, hygiene kits were distributed to the most vulnerable caregivers.

The Nigerian Red Cross Society, Sokoto State Branch, says the integration of nutrition screening, supplementary feeding, and hygiene promotion demonstrates its holistic approach to addressing malnutrition and strengthening community resilience.

The Society reaffirmed its commitment to improving the health and well-being of vulnerable populations through community-based interventions, in line with its humanitarian mandate. It also emphasised that the active participation of community members, especially mothers and caregivers, continues to play a vital role in the programme’s success.

By Sabiu Abdullahi

Scientists at Umeå University in Sweden, in collaboration with partner institutions, have developed an experimental drug that could slow the growth of aggressive prostate cancer and stop it from spreading to other parts of the body.

The findings, which were published in the journal Signal Transduction and Targeted Therapy, suggest the treatment could provide a new option for tackling metastatic prostate cancer.

Maréne Landström, Professor of Pathology at the Department of Medical Biosciences, Umeå University, said the research team identified the biological processes responsible for cancer cell growth, invasion and metastasis.

“The new drug has been developed to prevent metastasis, and we are very pleased and proud that we have been able to identify the mechanisms that drive cancer cell growth, invasiveness, and metastatic spread,” Landström said.

Prostate cancer is among the most commonly diagnosed cancers in men. Although many cases progress slowly and remain non-life-threatening, some become highly aggressive and spread to organs such as the lymph nodes and bones.

To address this form of the disease, the researchers created a fully human antibody made entirely from human proteins. They said the design makes it suitable for further development as a therapeutic treatment.

According to the study, preclinical tests showed that the antibody stopped tumour growth and prevented the spread of an aggressive form of prostate cancer. The researchers added that the treatment works through a newly identified mechanism, which they believe could also reduce the likelihood of side effects.

Landström described the findings as encouraging but stressed that further studies and regulatory approvals are required before the treatment can be used in patients.

“This is a promising step forward, but several important stages remain before the treatment can benefit patients,” she said.

“We still need to conduct additional safety studies, and the treatment must be approved by regulatory authorities in Europe or the United States.”

She added that the project seeks to improve survival rates and the quality of life of people living with advanced prostate cancer. She also credited years of collaboration among researchers, organisations and funding partners for the progress achieved.

The research team plans to investigate whether the same treatment can be applied to other solid tumours.

“The next step is to investigate whether this treatment can also be used against other types of solid tumors,” Landström said.

“We hope that our work will ultimately contribute to the development of a new cancer drug that can benefit patients.”

The study involved experts from the SciLifeLab Drug Discovery and Development Platform, which contributed to the development of the antibody. Additional support came from the Umeå Biotech Incubator at Umeå University, while MetaCurUm Biotech AB funded the development and testing of the experimental treatment.

By Maimuna Katuka Aliyu

Trachoma is more than an eye infection. It is a quiet destroyer of sight and dignity, affecting millions of vulnerable people around the world—especially in places where clean water is scarce, healthcare is distant, and poverty runs deep.

Caused by the bacterium “Chlamydia trachomatis”, trachoma spreads through direct contact with infected eye or nose secretions, as well as indirectly through contaminated items. In overcrowded communities where basic sanitation is poor, the disease thrives.

But this is not a new threat. Trachoma has haunted humanity for centuries. As far back as 1500 BC, ancient Egyptian scrolls described eye diseases that closely resemble it. In the 19th century, outbreaks became widespread in densely populated areas.

By the 20th century, global efforts to fight it began taking shape, especially with the intervention of the World Health Organization (WHO) and other health bodies. Today, trachoma remains one of the world’s leading causes of preventable blindness.

And the burden it places on affected communities is staggering. For individuals, the disease often begins with repeated infections. Over time, the eyelids turn inward in a condition called trichiasis, causing the lashes to scrape against the cornea.

The result is chronic pain and, eventually, blindness. For families, the impact is just as devastating. When a parent loses their vision, their ability to work and care for their children suffers. When a child goes blind, their education is interrupted, and their future becomes uncertain.

Across entire communities, this loss of productivity and well-being adds up to high economic and social costs. The stigma can be equally painful. In many places, those affected by trachoma are isolated or ridiculed—stripped of confidence and dignity.

But there is hope. Trachoma is preventable. It is also treatable, especially when detected early. And that is why the role of government is so vital.

National and local authorities must lead the fight with robust public health campaigns—promoting hygiene, encouraging regular eye checkups, and ensuring that children grow up with clean faces and clean water.

Clinics must be established in underserved areas, and healthcare workers must be trained to identify and treat the disease effectively. Collaboration is also key. By partnering with international organizations such as the WHO and the Carter Center, governments can access resources, share knowledge, and scale up proven interventions.

Yet governments alone cannot eliminate trachoma. Communities must also rise to the task. We need individuals who speak up—advocating for improved sanitation, better access to care, and education for all.

We need families and neighbours who support those affected instead of shaming them. And we need young people who take the lead in hygiene campaigns, who believe that blindness from trachoma is one injustice we can—and must—end.

The fight against trachoma is a shared responsibility. It is not just about medicine. It is about dignity. It is about giving people the chance to see their children grow, to live and work with pride, and to be seen—not for their illness—but for their worth.

The path to eliminating trachoma is clear. What is needed now is the will to walk it together—governments, communities, and every one of us who believes in a future where no one loses their sight to a disease that should already be history.

By Rabi Ummi Umar

The Nigerian healthcare system is often dismissed because of the unenviable reputation it has built over decades of systemic failure. It is a common refrain across the country that citizens simply do not trust the medical institutions meant to save them.

For those who can afford it, the immediate solution to a serious diagnosis is to board a flight out of the country, seeking medical treatment abroad where systems are functional.

And for the rest of the population, walking into a local hospital is less an exercise in hope and more an act of desperate survival, frequently marred by anxiety about what might happen inside.

Personal encounters with our healthcare infrastructure often leave deep scars. I often find myself silently whispering, ‘I pray nobody has to experience this.’ Sadly, too many Nigerians have stories of facing decaying infrastructure, enduring the dismissive or outright rude attitudes of overworked nurses, or being left unattended in crowded corridors.

Perhaps the most heartbreaking reality is the ubiquitous ‘payment before service’ policy. In moments when a patient is actively battling for their life, a life that is irreplaceable, the administrative unit, or hospital policy, prioritises financial clearance over immediate clinical intervention.

This, in my opinion, is an ethical failure that leaves families helpless and hollows out the core purpose of medicine. It undermines the very principles of the Hippocratic Oath and the Nightingale Pledge that doctors and nurses take before practising.

This crisis of confidence in our healthcare system was perfectly articulated at a recent book unveiling I attended at the Yar’Adua Centre in the Federal Capital Territory, Abuja.

The book, Trust Renewal: The Integrity Call for Better Health for All, authored by Dr Abdullahi Jubril Mohammed, offers a resonant critique of our current trajectory. During the launch, he stated an earnest truth too often overlooked: health systems do not succeed merely because of advanced technology or concrete infrastructure. Instead, they succeed or fail along the patient’s path based on a single, invisible metric — trust.

When trust is absent, the entire system fractures. Even when medical facilities receive structural upgrades or well-funded international aid, these interventions fail to achieve their potential because the human connection between provider and patient has been broken.

Patients seek treatment abroad not just for better machines, but because they believe unsafe practices thrive in an environment devoid of accountability, and that the workers within that environment have grown numb to human suffering. To change this narrative, the Nigerian healthcare system must be consciously rebuilt on a foundation of ethical, accountable behaviour.

Renewing this trust requires a collaborative effort from policymakers, healthcare providers, civil society, and patients themselves. Medical institutions must actively promote transparency, especially concerning service delays, and prioritise patient feedback as a tool for institutional growth rather than dismissing it as mere complaining.

Practitioners need to understand that listening to a patient’s experience is just as vital as reading their clinical charts.

Building a better health system requires moving beyond physical structures and investing heavily in the integrity of the care provided. Only when patients feel safe, valued, and heard can we begin to heal the system itself.

Rabi Ummi Umar is a writer in Abuja, and she can be reached via rabiumar058@gmail.com.