Health Care

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.

By Maimuna Katuka Aliyu

Hepatitis, a medical condition characterised by inflammation of the liver, remains one of the most significant yet underestimated public health crises in Nigeria. The liver is a vital organ responsible for essential bodily functions, including detoxifying harmful substances, metabolising nutrients, storing energy, and producing proteins necessary for blood clotting. 

While hepatitis can stem from excessive alcohol consumption, toxin exposure, certain medications, or autoimmune diseases, viral infections represent the most prevalent and dangerous form of the disease both globally and domestically.

There are five primary strains of viral hepatitis: A, B, C, D, and E. Each is triggered by a distinct virus and varies in transmission mode, severity, and treatment options.

Hepatitis A and E are typically waterborne, spreading through contaminated food and water in areas plagued by poor sanitation. Conversely, Hepatitis B, C, and D are bloodborne pathogens. They spread primarily through contact with infected body fluids, unprotected sexual contact, the sharing of sharp objects, unsafe medical procedures, and mother-to-child transmission during childbirth.

The insidious nature of hepatitis lies in its symptoms or lack thereof. Many infected individuals remain entirely asymptomatic during the early stages. When symptoms do surface, they often mimic general illness, such as fever, fatigue, loss of appetite, nausea, abdominal pain, dark urine, and jaundice (the yellowing of the skin and eyes).

According to the World Health Organisation (WHO), viral hepatitis is a leading infectious cause of death worldwide, claiming approximately 1.3 million lives each year. Strains B and C are particularly dangerous because they can progress to chronic, silent infections that gradually destroy the liver over decades, leading to cirrhosis, liver failure, or liver cancer.

In Nigeria, the scale of this silent epidemic is staggering. The Federal Ministry of Health and Social Welfare revealed that more than 20 million Nigerians are living with viral hepatitis, with Hepatitis B affecting roughly 18.2 million people and Hepatitis C affecting about 2.5 million. Hepatitis B stands as the most widespread strain in the country. 

Fortunately, a highly effective vaccine exists. The WHO strongly advocates that all infants receive this vaccine within 24 hours of birth as part of routine childhood immunisation.

For Hepatitis C, there is currently no vaccine, but modern antiviral medications boast a cure rate of over 95 per cent if the infection is detected early. Meanwhile, Hepatitis D presents a unique threat as a “satellite virus” that can only replicate in individuals already infected with Hepatitis B, a co-infection that drastically increases the severity of liver disease.

To combat this burden, the Federal Government has aligned with the WHO global target to eliminate viral hepatitis as a public health threat by 2030. Central to Nigeria’s strategy is Project 365, a nationwide elimination campaign designed to scale up public awareness, screening, and treatment services while integrating hepatitis care directly into primary healthcare systems. 

This initiative is heavily supported by the Nigeria Centre for Disease Control and Prevention (NCDC) through enhanced disease surveillance, outbreak response, and the enforcement of infection control practices across medical facilities.

Ultimately, turning the tide against this hidden killer requires a shift from reactive medicine to proactive prevention. On an individual level, protection involves getting vaccinated against Hepatitis B, avoiding the sharing of personal sharp items, practising safe sex, and demanding screened blood products during transfusions.

With sustained government commitment to expanding affordable diagnostic tools, paired with a public willing to break the silence and get tested, Nigeria can move closer to a future where viral hepatitis is no longer a shadow over national health.

Maimuna Katuka Aliyu can be reached via munat815@gmail.com.

By Abashi Rahab

Not too long ago, I found myself standing by a roadside food stall, just watching the world go by. It was evening, and the queue was steady. One after another, people placed their orders as if on autopilot. I watched a man buy a heap of fried yam and sauce, “wash it down” with a chilled soft drink, and disappear into the night.

To any onlooker, the scene was unremarkable. In fact, it felt deeply familiar, a routine millions of us perform daily without a second thought. And that is precisely the heart of the problem.

For many Nigerians, eating has become a mechanical act rather than a nutritional one. We reach for what is available, what is fast, and what provides that immediate satisfaction.

We rarely pause to interrogate what is in our “plastic” food or how those hidden ingredients might be rewriting our health story. To be fair, it is not always a case of intentional neglect; often, we are simply creatures of habit.

There is also a stubborn myth that eating right is a luxury reserved for the wealthy. This misconception leads many to throw in the towel before they have even tried. But the truth is, health is not always about the weight of your wallet; it is about the quality of your choices.

That daily soft drink that has become a mealtime staple, the cultural preference for food swimming in oil, and the habit of swapping real meals for processed snacks are decisions that cost us dearly in the long run.

The real danger lies in the silence of the damage. These choices don’t strike immediately; they erode our health slowly. Over the years, they manifest as high blood pressure, diabetes, and chronic fatigue, all conditions that build up quietly until they can no longer be ignored.

What makes this reality so tragic is that eating better is well within our reach. Many of our local staples, like beans, local rice, vegetables, and plantains, are nutritional powerhouses when we treat them with respect.

The secret is not in buying expensive or packaged food; it is in reducing the oil, cutting the sugar, and finding balance in what we already have on our plates. It is about the small, daily steps that move us away from digging our graves with our teeth.

Breaking these habits is no walk in the park, especially when they are woven into the fabric of our daily lives. However, awareness is a powerful catalyst. Choosing water over soda, being mindful of portion sizes, and thinking twice before defaulting to the usual oily foods are small steps that lead to a massive outcome.

In the end, our health is rarely determined by a single meal. It is shaped by the repeated, unthinking choices we make every day. We often complain that healthy food is expensive, and in a tough economy, that can be true. But we seldom talk about the true cost of eating carelessly.

One day, the bill comes due. It stops being about the price of a plate of food and starts being about hospital bills, lifelong medication, and a life forced to slow down long before its time. By then, the conversation is no longer about what we ate—it’s about what those choices have taken from us.

Abashi Rahab is a student of Strategic Communication at Yakubu Gowon University, Abuja. An intern with IMPR. She can be reached at: abashirahab@gmail.com.

By Emmanuel Daniel

Many university students are too busy in their day-to-day academic lives to get a good night’s sleep for several reasons, including meeting deadlines, studying for exams, and fulfilling social obligations. They will frequently resort to using caffeine-based products like energy drinks, coffee and tea to keep them awake and alert. They might not appear to be problematic behaviours, but there is growing evidence that they may have significant implications for cardiovascular health.

A recent study was conducted among students of the Faculty of Basic Medical Sciences, Bayero University Kano, on the Effect of Sleep Deprivation and Caffeine on Cardiovascular Parameters (Blood Pressure, Mean Arterial Pressure, and Pulse Rate). Results indicate significant physiological implications of these popular lifestyles.

The study involved comparing four groups of students: sleep-deprived Students, caffeine consumers with normal sleep, sleep-deprived + caffeine students, and normal sleep without caffeine. The systolic blood pressure, diastolic blood pressure, mean arterial pressure and pulse rate were measured and analysed.

Significant differences were found in several cardiovascular parameters. Students who consumed caffeine regularly but still had normal sleep had the highest mean arterial and diastolic blood pressures. This implies that caffeine can raise the strain on blood vessels, making the heart pump more to move blood around the body.

What is interesting is that the pupils who were sleep-deprived had more elevated pulse rates, as though in response to a lack of sleep, the body may be attempting to engage the “fight-or-flight” mechanism, also known as the sympathetic nervous system. Activating this system for prolonged periods can increase cardiovascular stress over time.

There were also significant differences found between the males and females in the study. The female students who consumed caffeine and were then sleep-deprived had significantly higher pulse rates than the males. The discovery suggests there may be gender differences in how men and women react to life changes that can lead to heart disease.

Physiologically, lack of sleep diminishes the body’s capacity to manage stress hormones properly. Meanwhile, caffeine antagonises the effects of adenosine, a naturally occurring compound that has a relaxing and vasodilatory (blood vessel-widening) effect. These mechanisms, combined, can alter normal cardiovascular function and may lead to health risks when they persist for extended periods.

The results are especially relevant in the time of energy drinks, which are becoming a favourite sidekick for students. Many study participants reported frequently using energy drinks to stay awake during schoolwork. Though some individuals say caffeine gives them a boost in concentration and helps fend off fatigue, overreliance on caffeinated drinks should not be a substitute for good sleep patterns.

The bottom line is that this study shows that sufficient sleep remains one of the major factors in a healthy lifestyle. It is then recommended physiologically that students get the 7-9 hours of sleep they need every night and limit caffeine consumption. Schools can also be places to raise awareness of sleep hygiene, stress management, and responsible caffeine use.

Late nights and caffeine may be part of a student’s life, but making them habits can have consequences. Keeping the heart healthy starts with the simple things you can do every day, and sometimes the best way to get your heart pumping is to get a good night’s sleep.

Extracted from Emmanuel Miracle Daniel’s thesis titled ‘The Effect of Sleep Deprivation and Caffeine on Cardiovascular Parameters Among Bayero University Students,’ supervised by Professor Nafisatu Yusuf Wali.

By Ibrahim Happiness

‎Every year from April 24 to 30, the world marks World Immunisation Week, a global campaign coordinated by the World Health Organisation (WHO) to highlight one of the most effective public health tools ever developed: vaccines. In 2026, the campaign comes with renewed urgency as countries work to close immunity gaps, restore routine vaccination disrupted in recent years, and protect millions of children and adults from preventable diseases.

‎‎This year’s theme, “For every generation, vaccines work,” underscores a simple but powerful reality: immunisation is not only for infants. Vaccines protect people throughout life, from newborn babies receiving their first doses, to adolescents, pregnant women, healthcare workers, and older adults needing booster or age-specific protection. It is a reminder that vaccines have served families for generations and remain central to a healthier future.

‎Globally, vaccines have transformed human survival. WHO estimates that immunisation has saved more than 150 million lives over the last 50 years, with most of those lives saved being those of infants. Vaccination has reduced deaths from diseases such as measles, polio, tetanus, diphtheria and whooping cough, while preventing lifelong disabilities and severe complications that once devastated communities. Public health experts note that vaccines are among the most cost-effective investments any nation can make because they prevent illness before it starts, reduce pressure on hospitals, and strengthen productivity.

‎Yet despite this progress, millions of children worldwide still miss out on essential vaccines each year. The reasons vary by country: poverty, insecurity, displacement, weak health systems, long travel times to clinics, shortages of trained health workers, and the spread of misinformation. When vaccination rates decline, diseases quickly return. Recent outbreaks of measles and other vaccine-preventable illnesses in several parts of the world have shown how fragile progress can be.

‎In Nigeria, World Immunisation Week is particularly significant. Africa’s most populous country has made progress in expanding routine immunisation through the National Primary Health Care Development Agency (NPHCDA), state governments, donor partners, and frontline health workers. Vaccines for children are provided free through public health facilities, and campaigns against polio, measles, yellow fever and meningitis have helped protect millions.

‎However, challenges remain substantial. Many rural and hard-to-reach communities still struggle with access to health centres. Insecurity in parts of the country continues to disrupt outreach services. Urban slums also face low coverage due to population movement and poor health infrastructure. In some communities, false claims about vaccine safety continue to create hesitation among parents.

‎Nigeria’s Coordinating Minister of Health and Social Welfare, Muhammad Ali Pate, has repeatedly stressed in 2026 that strengthening primary healthcare and expanding routine immunisation are key pillars of the federal government’s health reform agenda. He has called for stronger state-level accountability, improved cold-chain systems, and deeper community engagement to ensure that no child is left behind. According to the minister, immunisation is not merely a health intervention but an investment in national development, because healthy children are more likely to learn, grow, and contribute productively to society.

‎The Executive Director of the National Primary Health Care Development Agency, Muyi Aina, has also emphasised the importance of reaching zero-dose children, those who have never received a single routine vaccine. He noted that Nigeria’s progress will depend on better data systems, mobile outreach teams, local partnerships, and trust-building with communities.

‎International partners have echoed similar concerns. UNICEF and World Health Organisation officials in Nigeria have warned that preventable diseases can spread rapidly when immunisation services are missed, especially among vulnerable children. They continue to urge governments and families to prioritise vaccination and routine health checks.

‎‎World Immunisation Week, therefore, is more than a symbolic observance. It is a timely reminder that progress in health must be protected. Vaccines only work when they reach people. A child in a remote village deserves the same protection as a child in a city hospital. A mother deserves accurate information, not fear-driven rumours. Health workers deserve the support and tools needed to save lives.

‎For Nigeria, the path forward is clear: sustained political commitment, increased domestic funding, stronger local healthcare systems, and public trust. Communities, religious leaders, schools, media organisations and civil society all have a role to play in promoting accurate information and encouraging uptake.

‎As the world marks World Immunisation Week 2026, the message remains straightforward and timeless: vaccines work, they save lives, and they must reach every generation.

‎Ibrahim Happiness is a 300-level Strategic Communication student at the University of Abuja and an intern with IMPR. She can be reached at: happinessibrahim11@gmail.com.

By Abdullahi Mukhtar Algasgaini

The University of Maiduguri Teaching Hospital (UMTH) has acknowledged receipt of a formal petition alleging medical negligence and unprofessional conduct in the treatment of Alhaji Nuhu Dantani, who died at the facility on March 31, 2026.

In an official letter dated April 17, 2026, and signed by the Director of Administration, Idriss Omar, on behalf of the Chief Medical Director, Prof. A. Ahidjo, the hospital management confirmed that an internal investigation has been initiated into the circumstances surrounding the death.

The petition was filed by Hamza N. Dantani Esq. of Potent Attorneys in Abuja, who is acting on behalf of the deceased’s family. The legal complaint cites systemic failure and demands accountability for the loss of the elder statesman, who was admitted under Hospital Number 760494.

In the hospital’s response addressed to the family’s legal counsel, management extended “heartfelt condolences” and acknowledged the severity of the allegations.

“We understand the gravity of the concerns raised and wish to assure you that the Hospital takes allegations of medical negligence and unprofessional conduct seriously,” the statement read in part. “A thorough investigation into the matter has been initiated, and appropriate steps will be taken to ensure that justice is served.”

The hospital has not disclosed the details of the specific clinical incident or the nature of the alleged negligence pending the outcome of the investigation. The case has highlighted patient safety protocols at one of Northeast Nigeria’s largest tertiary healthcare institutions.

By Sadam Abubakar

I wish I could blow life into words. I wish the words could be woven to assume a shape and posture palpable to human beings.

My recent experience in bed with sickness made me long for words to have the ability to breathe, talk, and describe by themselves certain events that occurred to us in our lives. Some events and situations in our lives are beyond our ability to describe. The words should talk themselves.

The event that sparks my scribbling hand is a disease condition that turned me almost lifeless. It started as something not uncommon but metamorphosed into a thing of mystery and convolutions.

At a particular time of one day, my legs began to appear as if they didn’t belong to me. There was a slight headache and some traces of loss of appetite. These symptoms are common among people with malaria, an endemic disease in our region, especially this time of year. The next thing was the thought of taking P-Alaxin, a particular brand of antimalarial drugs, and some supporting drugs.

Two days later, my disease condition appeared to be getting worse, even though it didn’t cripple me in bed. I rushed to a particular medical lab for diagnosis, and after a rapid test for malaria, it appeared that the malarial parasite was still in my blood, running through my veins. The P-Alaxin drug didn’t kill the parasite in my blood? Maybe I needed to take more for a couple of days. I continued with the medication with P-Alaxin the next day, but to my surprise, the malarial parasite was still in me—perhaps even more active, since the disease succeeded in stagnating me at home for the whole day.

Combining therapeutics to treat a particular disease is arguably one of the best strategies to eliminate a disease that appears intractable. Thus, I received an intramuscular injection of chloroquine, continued with the P-Alaxin, and some supporting drugs. That day was the beginning of more suffering from the disease. I sustained a severe headache, and my body temperature kept alternating between high and low. I also occasionally shivered, and fatigue became my friend. I kept telling myself that today I would beat the malarial parasite in me, considering the combinatorial therapy. Was I right?

After a brief respite from the pain, I felt I could go out to the Masjid to pray Asr. I whispered to myself, no matter what, go and pray—who knows if it would be your last Asr to offer. I crawled to the bathroom, performed my wudu, and headed to the Masjid. I was walking while holding my head, as I could still feel the hammering of the disease in my head. I thought I could surmount that pain, and I kept going. Halfway to the mosque, the pain intensified, and I succumbed to the idea that I could only proceed to the mosque.

I managed to return home. But then another episode of the disease set in. My neck started bending, and my head followed. At some point, I had to ask my wife to straighten my neck to mitigate my pain. Meanwhile, I could feel my teeth gnawing at themselves, and some were abrading. I continued shivering while my wife still tried to cover me with a blanket. The situation escalated. The guy running the best medical lab in our town came. One of the best community health practitioners in our town, who is also my good friend, was summoned. They did what they could and assured things would be alright.

It seemed like they were right, given the temporary relief I had, but then things escalated around Isha prayer time. My mum came and prayed to me profusely. Almost all my family members came and offered their prayers for a speedy recovery, but things appeared to stand still. No progress in my health whatsoever! Finally, they all admitted I should be rushed to Ahmadu Bello University Teaching Hospital (ABUTH).

I already succumbed and felt I was going to die. My beloved brother, Alhaji Garba, shouted that his car should be driven out of the garage and that they should rush me to ABUTH. We started the journey, but before driving out of Soba, it started raining heavily. Musbahu, who was not only my good friend and neighbour, was the driver. He wanted to turn on the long-distance light, but he couldn’t because of confusion. He phoned Alhaji Garba to say the car’s lighting system was faulty. Another car was sent with another driver, and we journeyed to Zaria.

The road from Soba to Zaria is in poor condition. So many potholes on the main road, and the shoulder is no longer in existence in most parts of the road. I was lying with my head on the lap of my wife, in extreme pain. With every bump into an unavoidable pothole on the road, the incessant pain in my head increased. I lost hope. I started whispering Kalimatus Shahada, hoping it would be my last word, since I already knew we couldn’t reach the hospital while I was still alive.

With the pain still sustained, we reached Zaria while it was still raining. Instead of going to ABUTH, some argued that with the urgency of my situation, we should head to a private hospital, and that the bureaucratic process of ABUTH before my treatment could worsen my situation. We headed to Pal Hospital. They quickly examined me while I was telling the doctor I knew I couldn’t make it. The doctor, from my history, suspected immediately that I was suffering from cerebral malaria. He argued that because I was out of Nigeria for a very long time, my immune system might not be robust against malarial parasites, and that worsened my situation.

Alhamdulillah. I am writing this because I survived. After the medication, I finally recovered. But this whole experience has reminded me again that it doesn’t matter our age; we can die anytime. Our health is pretty tenuous, and death is always around the corner. May we live our lives with God consciousness so that we go to paradise in the hereafter.

Sadam Abubakar wrote via sadamabubakarsoba@gmail.com.

By Mallam Tawfiq

The scaffold that sturdily supports the pillar of success in everything is “unity”, without which we will somberly watch every beautiful thing in our everyday life running into a complete fiasco.

In healthcare settings, unity and peaceful coexistence among healthcare professionals are of paramount importance and a necessity for ensuring the delivery of effective, high-quality healthcare services.

To easily fathom the significance of that, should we reflect and ponder on the biological level of organisation of life? It succinctly and holistically depicted that the degree of unity among various cells leads to the formation of “body tissues”, and that the harmonious agreement among these tissues leads to the formation of “organs”.

Organs, however, organise to form a system, and thus the effective functioning of the respective systems yields a healthy life. Snags created by pathological factors deflect the spirit of harmonious union at different levels of this organisation, resulting in abnormality and disruption of robust, sound well-being.

The milieu of the hospital/healthcare settings comprises various health specialities from different professional backgrounds. This includes Medical Laboratory Science, Medical Radiography, Physiotherapy, Pharmacy, Nursing Science, Dentistry and Medicine, among others. The aims and objectives of each and every profession can only be appraised by rendering its best to the prime concern, and that is the patients.

As interdependent social animals tightly bound by the strong bond of humanity, we must interact, socialise, and, above all, reciprocate love and respect everywhere, be it in worship places, hospitals, banks, medical schools, and so on. The essence of so doing is to set our hearts and souls free from the bondage of emotional malice, attain optimum peace and maintain both physical and emotional well-being within ourselves. Unfortunately, the hostility, ranging from an exaggerated self-compliment and a show of self-worth and superiority to contempt for other professions in the name of rivalry amongst medical students and, to some extent, healthcare professionals, is worrisome and indeed condemnable.

Under whose tutelage in the medical school are students being mischievously taught that the six years of MBBS discipline should make them condescend and disregard other professions from being part of the healthcare system? Or the greater dispersion in the juxtaposition of the tense and heinous atmosphere under the five years of Radiography training with that of Medical Laboratory Science or Nursing renders the significance of the former and the insignificance of the latter. This is absolutely puerility of the highest degree. Each profession is worthwhile, and its ethics are centred on meeting the needs of patients.

Can we patiently have a proper dekko at how the systems of our body unite to execute their functions and maintain an equilibrium conducive to survival? What will happen if, for instance, the neural tissue says it is superior and appears to boss other systems, while the circulatory system, in response, denies it sufficient oxygen to meet its basic metabolic demand? Or what do we think is going to happen when the renal system quarrels with the immune system, whose function serves the body best, and both react so that one can predominate over the other and effectively carry out both the functions concurrently? Will this ever happen!? Capital NO.

Conspicuously, the hospital/healthcare environment is analogous to our biological level of organisation and how bodily systems work.

Togetherness leads to the existence of all sorts of misunderstandings; this is inevitably true, and the ripple effect of us not allying with one another is directed towards our subject of interest, which is the patient, because a medical doctor alone cannot efficiently run a whole hospital, nor can pharmacists or physiotherapists. As such, we need to come close, close enough together, thus respect our differences and welcome each other to specialise in one skill or the other and benefit from each other’s knowledge. Only by doing so can we render our best compassion to our patients.

There is a saying, “united we stand, divided we fall.”

Service to humanity is service to the Lord. May everything we do be solely for the sake of God and to attain the reward of God. Ameen.

Mallam Tawfiq, Physiotherapist, writes from Federal Teaching Hospital, Gombe.

By Oladoja M.O

The Ministry of Health convened a timely, critical, and necessary gathering earlier last month: the National Health Financing Dialogue. A gathering with so much relevance and significance to address the almost comatose state of the Nigerian health sector. Reflecting on all said during the “dialogue,” there are just many thoughts creeping in here and there, which I feel compelled to just put up here for public consumption, and hopefully get across to the rightful authority to pick one or two important things. 

The dialogue, as noted earlier, was undeniably timely. I was not disappointed at all at various thematic areas buttressed on, ranging from health financing, health out-of-pocket spending (OOP) reduction, call for increment of the Basic Health Care Provision Fund (BHCPF), accountability and budgeting, over reliance on external health funding, insufficient resources as needed in the health sector, the need for proper, timely data to guide government decisions, the role of the media, and civil society organization in health sector, and holding government accountable, inclusivity of citizens in the budgeting process, budget execution, status of LG autonomy, the gap between research and policy making, establishment of proper framework for mental health in Nigeria, amongst many other things the dialogue rallied around. Reiteratively, all of these are core and vital to ensuring a positive paradigm for the national health sector state and to delivering on the interests of the citizen at large. Indeed, it was a worthwhile and insightful meeting. 

Though we still have quite a long way to go, I cannot help but acknowledge the works of the government of today on how far we’ve come in policies, increased allocation, investment in facilities, equipment, and a healthy workforce as regards health, captured in my work “Tinubu’s Healthcare Reforms: A Turning Point or Déjà Vu?”. During the course of the dialogue, a lot of observations kept creeping in, questions, suggestions, which there was not enough time to even express.

On observation

(1) We are unprepared to solve the country’s health problems, especially the issue of LG autonomy. The government focuses on superficial solutions instead of addressing root causes. LG autonomy is treated lightly compared to its importance. Primary care, which, if improved quickly, could significantly boost our health status. Unfortunately, the government is unable to do so. When I talk about autonomy, I mean actual, constitutionally granted autonomy, not superficial gestures like the Supreme Court’s jamboree. My writings, “LG: The Employed Man with no Office” and “Federalism and the Paradigm of Healthcare Accessibility,” elaborate on my views on this. The primary health issue affects p

(2) Make us talk truth, behind the blinking good intentions, health-related matters are often used for political publicity rather than long-term structural impact. Hence, many government interventions in healthcare are politically motivated rather than development-driven. 

(3) Still on the LG thing, I am more than disappointed at the way and manner in which the ALGON representatives at the dialogue spoke. What do you mean that you, as a stakeholder, come to such a stage to complain like every other person?? Basically, no form of cognitively presented way forward or suggestion, just another “we are being victimised” rhetoric. So Shameful! I was expecting them to flare up, demand something meaningful, but chai! My expectations were shattered. I thought they would speak about actual autonomy, driven by the constitution, not some half-baked, almost non-enforceable liberation.

In fact, the LG people present were just disappointed. We are talking about how to mobilise money, generate revenue for development, generate more liquidity to fund health, fund infrastructure, and none of them could make a meaningful comment on how funds can be generated rather than “if the autonomy sets in, we will ensure that all the allocation from the FG will be fully maximised.” As cool as that sounds, it was just another “we cannot do anything aside from what the FG says” kinda statement, and it only made me feel like this autonomy thing sef fit be another set-up… God abeg…. 

(4) On the role of media, it is crucial to even lean towards the perspective that the media is a culprit for where we are. Unfortunately, many media outlets and media handles are so fixated on just saying something, rather than saying something correct, and something from a knowledgeable stance, which to me, is even more dangerous than no information at all. Notably, the media are failing to pass information effectively. Especially the way they handle headlines. It is unfortunate, but it is the reality of our Nigerian populace that we have less of a reading habit. Hence, it is easy just to pick a headline, usually different from the content of the post, and run with it. Which is causing more harm to available information in the media space? Careless or sensational headlines have the potential to mislead the public, especially regarding sensitive policies such as those related to health. The issue of meaningless government secrecy is another thing I observed… and much more the issue of partisanship in politics by various media platforms and handling is another very obvious issue, causing every bit of information, especially unfinished policies or updates that are still in the pipeline, to be twisted for “political goals.” 

(5) In research, I observed that independent researchers and young passionate individuals in public health are often ignored, not encouraged, nor recognised, despite the need for data provision to help the government in setting priorities on health, and assisting in policy-making. 

(6) There’s just little or no innovative lawmaking pursued to fix systemic problems, especially wasteful constituency projects.

(7) Also, there seems to be too much focus on “there’s limited of…” What happened to the effective and efficient usage of the ones available?? Both in resources and in data.

And upon all the gbogbo atotonu of the dialogue, I was able to curate some suggestions which might be found useful;

(1) One of the major highlighted themes of the dialogue is the need for health insurance. It cannot be overemphasised that the importance of awareness still needs to be emphasised, especially to get the informal sector on board, because even among the small number of health insurance adopters, the major participants are those in the formal sector, with government employment. This awareness is not just something that will be around; “there is health insurance, and it is good for you.” But down to explaining various packages and what they cover, which can help guide expectations, correct misconceptions, and promote positive word-of-mouth about health insurance.

To meet up the ambiguous target of 40 million by 2030 and get more people from the informal sector onboard, I think a referral model (like those used in Ponzi schemes or digital marketing) could be adopted, making Civil servants primarily to act as “agents of change” or in this case, referral ambassadors, with promise of small tokens as reward for each successful referral. Because these civil servants are friends of people in communities, and even in places where government jingles and banners cannot reach, they help propagate.  No matter how we put it, the mouth-to-mouth campaign remains a powerful promotional strategy.

Another strategy is to tie health insurance enrolment to certain civic entry points, such as marriage registration. It can be mandated as part of the requirement to be submitted to the registry, where intending couples must show evidence of insurance. Procedural inefficiencies and bottlenecks should be removed to improve efficiency and ease the process, because I believe they are part of what discourages enrollees. Because even some who are already on health insurance coverage sometimes, because of long processes, delays, and stress, abandon the health insurance thing and pay out-of-pocket to get “sharp sharp” attention to their need. These negative experiences contribute to negative user feedback, and it spreads faster to non-users, worsening perceptions of health insurance enrollment.

(2) Though it may feel morally vexing, I suggest that health subsidies be tied to individual health behaviours. Those with risky lifestyles (alcohol, smoking) could face different treatment costs compared to people with unavoidable illnesses or accidents. This could encourage preventive lifestyles and behavioural change.

(3) On constituency projects, motorcycles, tricycles, food items… even outreaches) seems wasteful. I would suggest that a ban be placed, or at least regulations be given to what exactly these funds can be used to do… but then, who are those to impose that ban or restrictions, other than the actual people guilty of the bad behaviour? By direct analysis, these funds can be used to build facilities instead… whether school, or even hospitals, in this regard, left to the management of an independent body to be used efficiently and be used productively to generate money, money that can even be enough to run the operations and cover costs on its own, at least, and since the focus is to be able to generate liquidity to operationalize the facilities, the cost would be meager. They should not be free but rather run like a private entity to promote productivity. The billions lavishly spent on those meaningless things, if used in this manner, will result in more than 5–10 facilities at the senatorial district level or at whatever level of representation. Imagine if this number of facilities joined what we have??

(4) On the failure of some states in meeting their counterpart funding for BHCPF, they should not receive interventions from the FG. FG should publicly announce those states, carry the citizens along, and allow them to hold such state(s) accountable. There’s not enough funding. Therefore, the one we have must be spent in a way that is strictly tied to value and commitment.

(5) It is my suggestion that stronger media regulation be deployed to curb the spread of harmful and incorrect information (such as more dangerous than no information). And there should be a regulation/restriction on every journalist’s participation in politics. The place of media is quite sensitive, and they must remain sterile and neutral. Involvement in politics should be punishable by a ban on practising. This will give credibility to the profession and what their position is in the process of building a better state of the nation.

(6) On mobilisation of funds for health, I would suggest that the FG create something like a Health Bond, similar to commercial papers, to mobilise funds for health.

(7) Research should be given all the support it may ask for. A nation without accurate data is one with a lack of radar for progress… and I think one of the ways the government can support young, enthusiastic researchers (especially to gather young brains who are ready to help the government generate actual data for purpose of health policy and priorities) is to create access to platforms to show their works, something like a journal. We all know how much publications mean to researchers, and for young fellas like that, it can boost morale, knowing that their work is not wasted and is seen, whether it is to publish for free or at a very subsidised cost.

Lastly, I have been, and I remain, an advocate for the proper integration of the traditional health care system into the general healthcare system in Nigeria, especially at the grassroots level (Primary Health Care). My advocacy and thoughts are captured in some of my writings on Blueprint and HealthDigest. Health is people; people are culture. Nothing screams culture more than the traditional health care system. We cannot only tech-chase ourselves into a proper healthcare system in Nigeria.

Yes, technology is excellent, and AI is great, but the actual health burden we face requires that we not focus solely on these technologies. To me, I ask: why are we running? There’s a system that has been in place all this time; it should not be ignored. Many big economies have this included. The place of this traditional health system is beyond just provision of care (because, yes, a lot needs to be moderated). Still, these people can be brought in as agents, and their already established, patronised platforms can be used to promote government activities. Yes, they can assist in care provision. In fact, they have to. Knowledge of healing from generation to generation should not be neglected or allowed to die out.

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