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As Nigeria grapples with COVID-19, stakeholders solicit for sustained delivery of Malaria services

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“During public health crisis like the one we currently face with COVID-19, it is easy to forget what a huge threat malaria remains for all of us, especially the poorest and most vulnerable like our children and pregnant women. This is the reason we must not allow the giant strides made in reducing the burden of malaria in our community and nation at large to slide, even in the face of this pandemic”, says Alhaji Aliko Dangote, the national ambassador for the elimination of malaria in Nigeria.

The business mogul further said, “I want to assure e Nigerians and the people in the African region that as a stakeholder in the private sector, I am committed to mobilizing efforts and resources, both within the private sector as well as from other sectors to help eliminate malaria and address emerging epidemics like the current COVID-19 which has turned to be a pandemic.”

With COVID-19 spread rapidly around the globe, and world health partnerships focus attention on how to tackle the virus, the World Health Organization (WHO) restates the need to ensure that life saving and essential services such as malaria, are sustained and maintained.

On April 25 2020, Nigeria joined the world to commemorate World Malaria Day, focusing on malaria, and its devastating impact on families, communities and development. The theme for this year, “Zero Malaria starts with me” voices out the country’s commitment to the achievement of a malaria-free Nigeria while the Nigerian slogan is “Your fever could be Malaria; get tested”, tells of the earnest desire to have all fevers tested in the country particularly in this period of COVID-19 pandemic.

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Speaking about the progress, Minister of Health, Federal Republic of Nigeria Dr Osagie Ehanire stated that “though fever testing amongst children under 5 has increased consistently from 5% in 2010 to 11% in 2013, to 13% in 2015 and 14% in 2018, it is still very low when compared with the second objective of the Malaria Strategic plan which is to test all care-seeking persons with suspected malaria using RDT or microscopy.”

He also called for a greater private sector investment in malaria elimination to achieve the vision of a malaria-free Nigeria. To buttress the call, the minister said, “I must inform you that malaria is still a public health challenge. According to the World Malaria Report, Nigeria still accounts for 25% of the global malaria burden and 19% of global malaria deaths. It is estimated that Nigeria accounts for 81,640 annual malaria deaths – about 9 deaths per hour. This situation is worsened by very low levels of investment in malaria elimination at both the sub-national levels and the private sector.”

Nigeria recognizes the threat posed to implementation and uptake of other diseases by the COVID-19 outbreak and the potential for COVID-19 outbreak to cause disruption or slowdown of Malaria activities.

Currently, the National Malaria Elimination Programme (NMEP), in collaboration with WHO and other partners, is working towards ensuring that key interventions such as distribution of Long Lasting Insecticidal Nets (LLINs), Intermittent preventive therapy in pregnancy, malaria diagnosis and treatment are not halted during the pandemic. There is also concern that due to similarities in symptoms of malaria and COVID-19, there may be low health seeking behavior which will impact negatively on malaria.

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To commemorate this year’s WMD, the WHO Officer in Charge (OiC), Dr Fiona Braka stated that “Specifically in Nigeria, WHO is collaborating with NMEP to review the situation, engage states on modalities on program continuation and support states to identify innovative ways of delivering community level services especially LLINs and physical malaria chemoprophylaxis.

“The facility basic services for malaria diagnosis and treatment are ongoing at Primary Health Care level but are challenged by low health-seeking behavior and fear of stigma. It is our hope that with the required financing, strong coordination, dedicated partners and engaged communities, we can achieve a Malaria-free Nigeria and Malaria-free Africa.”

WHO is committed to providing technical assistance to the NMEP towards optimal coordination, capacity building, provision of guidance and program design, Quality assurance, support to surveillance systems and improving use of data for decision making, advocacy, resource mobilization, planning and reviews.

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Health

Ondo Resident Doctors Begin 14-Day Warning Strike

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Resident doctors at the University of Medical Sciences Teaching Hospital (UNIMEDTH) in Ondo State have initiated a 14-day warning strike, as confirmed by the National Association of Resident Doctors (NARD).

The strike action, led by the association’s President, John Matthew, highlights various grievances, notably the non-payment of seven months’ salaries to new members.

Matthew added that the strike also addresses the non-payment of palliative to House Officers since February, the failure to disburse the February Hazard Allowance despite prior assurances from the state government, and the ongoing shortage of staff due to resignations.

Matthew lamented the drastic decrease in resident doctors, citing a decrease from 150 doctors to a mere 26 in recent months.

In response to the situation, he urged management to prioritise the full payment of arrears owed to members, immediate payment of the February 2024 palliative to house officers, and prompt disbursement of the February hazard allowance.

The association further called for urgent measures to address the critical shortage of clinical manpower within the institution.

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Health

FG Okays N25bn Disbursement to Enhance Healthcare Delivery

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File photo of the Coordinating Minister of Health and Social Welfare, Ali Pate,

The Federal Government has greenlit the allocation of N25 billion to bolster the efforts of the National Primary Healthcare Development Agency (NPHCDA) and the National Health Insurance Authority (NHIA) in advancing healthcare accessibility and quality across Nigeria.

The Coordinating Minister of Health and Social Welfare, Ali Pate, made this known, stressing the steadfast commitment of the current administration towards revamping the healthcare system to achieve Universal Healthcare Coverage (UHC) for all Nigerians.

In a statement by Deworitshe Patricia, a spokesperson for the ministry, Pate emphasised that the government’s strategy for health sector transformation involves the implementation of a Sector Wide Approach (SWAp) and the Health Sector Renewal Investment Programme (NHSRIP).

Addressing the imperative for reforms in Nigeria’s primary healthcare delivery, Pate highlighted the significance of revising the Basic Healthcare Provision Fund (BHCPF) and its associated programmes.

Pate outlined the objectives of the revised guidelines, which include expanding healthcare services for underserved populations, particularly women and children, reducing maternal mortality rates, alleviating out-of-pocket healthcare expenses, and standardizing healthcare quality across primary healthcare facilities nationwide.

“The Ministry, in collaboration with development partners, is dedicated to ensuring equitable access to healthcare services for all Nigerians, with a special focus on vulnerable groups,” stated Pate. “Through initiatives like NHSRIP, we aspire to minimize the need for long-distance travel for medical care, thereby improving the overall health outcomes and well-being of our citizens.”

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Photos: Saudi Medical Team Make History, Separate Nigerian Conjoined Twins

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In a monumental achievement for medical science, a team of Saudi professionals at the King Abdullah Specialist Children’s Hospital has completed the separation surgery of Nigerian conjoined twins, Hassana and Husaina.

The directive for this historic achievement came from the Custodian of the Two Holy Mosques King Salman bin Abdulaziz Al-Saud and His Royal Highness Prince Mohammed bin Salman bin Abdulaziz Al-Saud, Crown Prince and Prime Minister, demonstrating the Kingdom’s commitment to advancing healthcare.

The complex procedure, initiated on Thursday morning, was the result of meticulous planning and execution by a dedicated team of 38 medical experts. This group included consultants, specialists, technicians, and nursing staff, all working in harmony to address shared areas in the lower abdomen, pelvis, lower spine, and lower spinal nerves of the twins.

The surgery, unfolding in nine carefully planned stages, lasted approximately 14 hours. Dr. Abdullah Al Rabeeah, Advisor at the Royal Court, Supervisor General of the King Salman Humanitarian Aid and Relief Center (KSrelief), and head of the medical team, expressed confidence in the success of the procedure, citing a noteworthy 70% success rate.

“This is a momentous occasion that showcases the Kingdom’s commitment to advancing medical science and providing compassionate healthcare globally,” he said.

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The successful separation of Hassana and Husaina commemorates the 60th operation conducted by the Saudi programme for separating conjoined twins. Over the past 34 years, this programme has offered care to 135 conjoined twins from 25 countries.

Dr. Al Rabeeah expressed heartfelt gratitude and appreciation to the Saudi leadership for their steadfast support of the programme.

He said, “The successful separation of Hassana and Husaina exemplifies the Kingdom’s dedication to humanitarian causes and its role as a leader in global healthcare.”

The Press Attaché at the Saudi embassy in Abuja, Mohammed Alsahabi, remarked on the accomplishment, stating, “This remarkable feat underscores the strong collaboration between Saudi Arabia and Nigeria in healthcare. We take pride in contributing to the improvement of these twins’ lives and their families.”

The separation of Hassana and Husaina represents not just a medical triumph but also serves as a symbol of hope for numerous individuals confronting similar challenges globally.

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