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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.

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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.

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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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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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