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Tanzanian-German programme reduces new-born mortality in Mtwara, Lindi

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To mark World Prematurity Day 2017, the Permanent Secretary of the Ministry of Health, Community Development, Gender, Elderly and Children (MoHCDGEC), Dr. Mpoki Ulisubisya, and the German Ambassador, Dr. Detlef Wächter, together with the Regional Medical Officers Dr. Wedson Sichalwe (Mtwara) and Dr. Makenge Gwenchele (Lindi) presented the achievements in new-born care improvement through their joint programme “Improving Maternal and Child Health” (IMCH).

Every year an estimated 15 million babies worldwide are born preterm (before 37 completed weeks of pregnancy). In Tanzania, around 236,000 babies were born preterm in 2015.

The IMCH-programme was launched in 2015 in the regions of Mtwara and Lindi. Under the stewardship of the Ministry of Health, Community Development, Gender, Elderly and Children (MoHCDGEC) and with technical support from GIZ, funded by the German Federal Ministry for Economic Cooperation and Development, both regions introduced a comprehensive intervention package to uplift new-born health care in all their health facilities.

“990 health care workers of the 35 health centers and 160 dispensaries in Mtwara and Lindi were trained in treating new-born emergencies”

As a result, Mtwara and Lindi regions have set new standards in successful new-born care in Tanzania. The programme has proved that the right set of protocols, skill-oriented trainings and mentoring, essential equipment and basic training in maintenance and repair can make a difference. Within 2 years, both regions succeeded to substantially improve new-born care and reduced new-born mortality in hospitals by almost 38%. Furthermore, more preterm babies who survived grow into healthy children without developing long-term disabilities.

A number of low cost-effective interventions were introduced to the regional health system. Among others is the concept of Kangaroo Care, where the skin-to-skin contact between the new-born and the mother keeps the baby warm. Breastfeeding within the first hour after birth significantly improves the babies’ chances to survive due to the early intake of essential nutrients and antibodies. Frequent standardized check-ups of babies by skilled medical staff immediately after birth, 24 hours and 3 days after birth help early detection and treatment of infections and other complications.

In addition to the national standard interventions, the regions introduced medical procedures to new-born care in hospitals with technical support from Tanzanian and German GIZ specialists. This included the use of oxygen for new-borns with breathing difficulties, a protocol to prevent and treat low blood sugar and a phototherapy protocol for babies with jaundice, a very common condition in preterm babies and causing irreversible brain damages if not treated timely.

Today, all 14 regional, district and designated district hospitals in Mtwara and Lindi have a dedicated New-born Care Unit with a total of 286 skilled staff who have been trained and frequently mentored in advanced new-born care. 990 health care workers of the 35 health centers and 160 dispensaries in Mtwara and Lindi were trained in treating new-born emergencies and receive continued support through regular on-the-job mentoring visits done by experienced hospital staff. New standard treatment protocols have been introduced and all health facilities have been furnished with essential medical equipment.

The achievements of Mtwara and Lindi are an important milestone on the way forward to fight newborn mortality in the country. To support this way forward, His Excellency, the German Ambassador, handed over a set of medical training equipment including special training material to the Honourable Permanent Secretary of Health to be used for trainings of medical staff in advanced new-born care in other regions.

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Oyo: Tragedy As Bride-to-Be Among Four Dead in Suspected Lassa Fever Outbreak

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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.

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Oyo: Oseni to Launch Mobile Clinic Initiative to Revitalize Rural Healthcare

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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.

 

 

 

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NAFDAC Shuts Maiduguri Market Over Sun-Dried Drugs After Flood

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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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