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.
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.
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.”
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.
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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