Health
Minister seeks support for national health sector COVID-19 response plan
The Minister of Health, Dr. Osagie Ehanire has sought for the support of the Health Partners Coordinating Committee (HPCC) for the newly developed Integrated National Health Sector Covid-19 Response Plan derived from Pillar 4, Priority Area 1 of the NSHDP 11.
The plan, as learnt is to ensure defined responsibilities and harmonization of efforts across the Federal and States and non-interruption of non COVID-19 routine health services. This came to fore when the Minister held a virtual meeting with the Health Partners Coordinating Committee (HPCC) last Friday.
Dr. Ehanire sought for the HPCC to recall that Nigeria had earlier demonstrated commitment towards improving its health sector outputs and outcomes and achieving Universal Health Coverage (UHC) with the signing of the National Health Act, 2014 that gave birth to the Basic Health care Provision Fund (BHCPF).
He said, “The effective implementation of the BHCPF which requires partnership and robust collaboration with all the relevant stakeholders particularly the development partners is key to the realization of set goals towards the UHC”.
The Minister emphasized that maintaining strong collaboration with donors/partners and private sector will ensure alignment and achieving a balanced allocation of funds for financial sustainability.
The Minister also explained that the BHCPF launched in January 2019 by President Buhari was suspended afterwards following observations by the Health Committees of the National Assembly (NASS) in a document entitled, ‘Design and Implementation of the BHCPF- A Review,’ in November, 2019 on grounds that some portions of the earlier developed 2018 operational manual for the implementation of the fund were not in compliance with the National Health Act and as such it’s further implementation would amount to deliberate flouting of the law.
The followings, Dr. Osagie said were the issues raised by the National Assembly on the BHCPF:
1. Lack of clarity on “take off” of the implementation of BHCPF
• States were being asked to deposit a uniform counterpart funding of N100 million not known to law;
2. Poor system thinking and tendency not to go outside “the box”
• Section 11 of NH Act expected to be implemented as part of the whole whereas it will be great to implement it with sections 12 & 13;
• Putting money into PHCs without established minimum standards of quality is not what it intends;
• Provisional accreditation given to PHCs per ward is dangerous in a country where almost all temporary measures become permanent;
• Allocating 2.5% of BHCPF to DHS is not the best use of funds;
• Sub-national health experts not involved in the evolution of the guideline as much as the law expects and community needs to be more involved and engaged;
3. Concern of partners for their investments and theory of change to be safeguarded
• Partners concerned that money in BHCPF is efficiently utilized. Everything should be done to do that but not at the expense of implementing the law;
• Therefore, an accountability mechanism must be put in place to ensure various gateways are accountable;
• Since this is a system strengthening intervention that should continue ad infinitum, funds from donors should not constitute a distortion to the BHCPF.
4. Preference for unwieldy and complex bureaucracy
• Creating a National Steering Committee and Secretariat are perceived as creating extra bureaucracy which may make the implementation of BHCPF quite unwieldy.
5. Desire to indulge/exclude governments at sub-national levels in spite of the law
• Eligibility required by law for any State to spend money from the pot is development of costed plan and payment of not less than 25% of the cost of the project;
• It is not clear what criteria were used to determine the sums allocated to the States as well as why percentages are paid.
6. Poor preparedness of the States for this very important health reforms.
Consequently a committee set up by the Office of the Honourable Minister of Health to review the 2018 Operational Manual and correct the errors. It submitted a guideline entitled, ‘Guidelines for the Administration Disbursement and Monitoring of the BHCPF’ which was subsequently harmonized with the 2018 Operations Manual with the 2020 Draft Guideline in existence, with respect to issues raised by the NASS Health Committees.
In a related note, on the signing of the Nigeria Country Compact Agreement with Development Partners scheduled for the HPCC meeting, the Minister said, “The compact is not in any way legally binding, but just a mutual understanding that we will work together to implement our National Strategy towards achieving UHC and attainment of SDG3.”
Speaking further, he said, “To track implementation of the National Health Plan, the M&E plan of the NSHDP 11 has provided for a Joint Annual Review (JAR). On this, the NSHDP 11 JAR governance structure was inaugurated during the previous HPCC meeting’.
The Minister expressed appreciation to all for their continued support to the health sector while expressing his desire for more partnership and collaboration in concerted efforts to reposition the sector to be more efficient.
Health
Oyo: Tragedy As Bride-to-Be Among Four Dead in Suspected Lassa Fever Outbreak
The Oyo State Ministry of Health has closed two hospitals in Saki West Local Government Area following a suspected outbreak of Lassa fever, which has claimed four lives.
The fatalities, confirmed by the Oyo State Rapid Response Team (RRT), include three males and a 32-year-old female who was preparing for her wedding. The closure of the hospitals aims to contain the spread of the disease and ensure thorough decontamination.
In a press statement issued by the Commissioner for Information and Orientation, Dotun Oyelade, the State Commissioner for Health, Dr. Oluwaserimi Ajetunmobi, revealed that the RRT was dispatched to Saki following distress calls from residents reporting mysterious deaths.
Findings and Immediate Actions
The RRT, comprising health officials, representatives from WHO and the Red Cross, and local health authorities, conducted a comprehensive investigation into the outbreak.
Preliminary findings suggest that an apprentice at one of the affected hospitals, who had recently returned from Iwajowa Local Government Area, might have introduced the infection.
The team disclosed that the deceased exhibited symptoms consistent with Lassa fever, such as craniofacial bleeding. The hospital owner, who was among the deceased, initially self-medicated with antimalarials and antibiotics before seeking hospital care when his condition worsened.
Containment Measures
Both the hospital where the fatalities occurred and the facility that admitted the hospital owner were shut down for decontamination.
Contact tracing efforts are ongoing, focusing on high-risk individuals who had contact with the deceased during their illness or burial.
Affected health workers were trained on Infection Prevention and Control (IPC) protocols, and public awareness campaigns were conducted to educate residents about Lassa fever.
Samples have been collected from a symptomatic individual, pending laboratory confirmation. Line-listing of contacts is underway to identify potential cases and prevent further spread.
Collaborative Efforts
The RRT also paid an advocacy visit to the Okere of Saki’s palace to brief traditional authorities on the situation. Local government officials in Saki West were engaged to coordinate containment strategies.
Reports indicate that while the outbreak initially affected Saki West, it has extended to Iwajowa and Kajola Local Government Areas.
Disease Surveillance and Notification Officers (DSNOs) in the affected LGAs have been instructed to commence preliminary containment measures as the State RRT ramps up its response.
Call for Vigilance
The Ministry of Health has urged residents to remain vigilant, report any symptoms suggestive of Lassa fever, and adhere to preventive measures.
These include proper hygiene practices, avoiding contact with rodents, and seeking medical attention promptly if symptoms arise.
Health
Oyo: Oseni to Launch Mobile Clinic Initiative to Revitalize Rural Healthcare
A member representing Ibarapa East/Ido federal constituency of Oyo State at the House of Representatives, Engr. Aderemi Oseni, has announced a plan to launch a “Mobile Clinic” programme aimed at providing essential healthcare services directly to rural communities across the constituency.
Scheduled to begin in the first quarter of 2025, this initiative underscores Oseni’s commitment to expanding healthcare access, particularly for underserved populations.
Speaking on Saturday at the 10th-anniversary celebration of God’s Knot Hospital in Ologuneru, Ibadan, the lawmaker, who also chairs the House Committee on the Federal Roads Maintenance Agency (FERMA), highlighted the programme’s primary objective: bringing healthcare closer to the people.
“Every community deserves attention; healthcare should never be bound by geographical barriers,” Oseni stated.
He explained that the mobile clinics would deliver essential health check-ups, screenings, and preventive care in remote areas, allowing residents to access quality healthcare without traveling long distances.
As part of his broader healthcare agenda, Oseni informed, through a statement by his media aide, Idowu Ayodele, that he has already facilitated the construction of two fully equipped maternity centers within his constituency, both slated for commissioning before December 2024. He also disclosed plans to establish two modern general hospitals in 2025, further strengthening his commitment to building a healthier community.
The lawmaker expressed interest in collaborating with God’s Knot Hospital on the mobile clinic project, calling for partnerships to support sustainable healthcare initiatives that enhance the quality of life for vulnerable populations in the constituency.
“I resonate deeply with the mission of God’s Knot Hospital,” Oseni shared, adding that such partnerships would significantly improve healthcare in Oyo State”.
The anniversary event attracted distinguished guests, including former Ondo State Governor Dr. Olusegun Mimiko, whom Oseni commended for his contributions to healthcare, particularly through the Mother and Child Hospitals that transformed maternal and child healthcare in Ondo State.
Oseni urged philanthropists, government bodies, and international organizations to support healthcare projects like the upcoming mobile clinics, emphasising that the improvement of healthcare services is a shared responsibility.
Health
NAFDAC Shuts Maiduguri Market Over Sun-Dried Drugs After Flood
The National Agency for Food and Drug Administration and Control (NAFDAC) has ordered the immediate closure of the Gomboru drug market in Maiduguri following severe flooding that submerged the area and contaminated the drugs sold within the market.
In a statement posted on its official X handle, NAFDAC disclosed that the decision was made after reports surfaced that contaminated drugs, which had been washed and sun-dried for resale, were being sold at the market.
“After the recent flooding in Maiduguri that submerged the Gomboru drug market where contaminated drugs were washed and sun-dried for resale, the @DGatNAFDAC ordered the immediate closure of the market to conduct a thorough shop-to-shop removal of these compromised drugs,” the agency wrote.
The flooding, which ravaged Maiduguri, was triggered by the rupture of the Alau dam on the Ngadda River, located 20 kilometers (12 miles) south of the city.
The floodwaters claimed at least 30 lives and displaced 400,000 residents, leaving large parts of the city and surrounding areas in devastation.
NAFDAC’s intervention is aimed at safeguarding public health by preventing the sale and consumption of contaminated drugs.
The agency has mobilized teams to inspect the market and ensure the removal of all compromised pharmaceutical products.
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