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Lack Of Policy Implementations is Nigeria’s Health System Challenge-CHR

Published

6 years ago

April 25, 2019

…Calls on FG for the immediate release of N51 billion Health Care Provision Fund

Joel Ajayi

Community Health and Research CHR have said a lack of sustained implementation of various interventions fund geared toward improving women’s and children and quality of life in Nigeria remained the cog in the wheel growth of the health sector in Nigeria.

This even as the project advisor community health and research initiate called on the federal government for speedy disbursement of the Health Care Provision Fund lying fallow in the cover of the ministry of health for effective and efficiently Health Service delivery in the country.

The Health initiative made this known on Thursday in Abuja during a stakeholder deliberation toward building a common Agenda: drive towards achieving Nigeria’s FP2020 and EWEC commitments.

Nigeria’s FP2020 and EWEC commitment initiative has been identified as the potentials for advancing Nigeria’s drive toward reducing maternal and infant mortality and hence improve maternal and child health.

Speaking at the event the Deputy Chair National House of Representatives Health Committee Hon Mohammad Usman said that the health indices in Nigeria is still poor and there is a need for all hands to be on deck to improve maternal, newborn, child and adolescent health in the country.

According to him, this is one of the issues that are affecting our health sector in the country, so many funds has been allocated to the health sector including the financial, technical and material from a number of national and international agencies but because of lack of an initiative like this to track the implementation most of the fund are not channel to the project they meant for.

“I believe that government needs to have something like this to help to monitor its commitment and to be able to know where we are. As matter of the fact, health indices are still very low in Nigeria. The issue mortality rate of children under 5 is still very high, almost on a daily basis almost about 3,000 women died while over 1,145 children died on a daily basis this translate into millions of lives lost annually.

“And every year, the governments have come out with various policies and programs which need mercenaries or tool of measuring the releases of funds, because except you monitor releases of you wouldn’t know what has really been push into the system so, this tracker which is new initiatives will help to really know where we are in terms of commitment on the side of the government.”

When asked on the state of health sector in the country, Member of the Nigeria Green Chamber replied: “Well, there are so many constraints, so many challenges as far as I am concerned the federal ministry of health has not been doing very well because the only way you can really measure the performance of the federal ministry of health is to what extent has health income improve? to what extent has the lives of Nigerian been save? so, as long as people are dying, millions on the annual basis what would you say, there has not been a meaningful achievement in the health system as far as I am concern, any life is very important to do we say that the agency responsible for that is doing very well? to me capital no.”

Speaking shortly after the programme, the coordinator of Project Advisor Community Health and Research Initiate, Dr Aminu Magashi said that the essence of the meeting is to support the Nigerian government and the 36 governors to track progress in addressing family planning and also every woman, every child.

“What does that mean? it means that our annual health budget needs to be tracked every year from allocation, releases, disbursement and performance, we need to also track the basic health care provision fund.

“As we speak, last year, 55bilion was allocated for the provision fund and this year also in the 2019 budget 51billion is allocated. We have to track this money to know where it’s going and how it will impact on the lives of the people of Nigeria.

“From what we have tracked for far, the basic health care provision fund. 25 per cent of that money has been released to the Federal Ministry of Health to a dedicated CBN account, that money is still sitting in the account, it has not been disbursed to the state government and also to agencies that are supposed to deliver it means the money is not useful for now, because of it still inside the account, so we are calling on the FG to hasten the disbursement and also ensure accountability of the spending of this funding.

When asked how many weeks those fund supposed to stay in CBN cover, he replied: “it shouldn’t last more than four weeks; it should be disbursed to the gateway and in the gateway, it should not stay more than two weeks and up till now the money is still staying in the government account.

“So we are calling the government and also remember that 5 per cent of that money is for emergency made safe services to deploy ambulances by the roadside, I have not seen any ambulance in our major road in Nigeria so that any accident victims are catered for.” He said.

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Featured

Childhood Cancer on the Rise

Published

4 days ago

February 18, 2025

The Gleamer

* Affects 40,000 children aged 0-19 annually* Their journey can be made easier – Survivor* Genetic issues exposure to harmful chemicals play significant roles – Prof Amodu* Increased diagnostic, treatment capabilities a plus for Nigeria – Prof

While cancer is not only debilitating but life threatening, sufferers also have to contend with stigma and emotional distress. However, this becomes more disheartening when children become involved, JULIET IBIMINA writes.

At just eight years old, Adekemi Oyewusi was diagnosed with Burkitt’s lymphoma, a disease she and her family had never even heard of.

The next two years of her life were marked by pain, isolation and an uphill battle against a disease that stole her childhood. “I longed to play with my siblings and peers, but my world was confined to the four walls of a hospital, where pain and solitude became my constant companions,” Oyewusi reminisced.

The chemotherapy treatments, administered through her spinal cord, were excruciating, causing nausea, fatigue and the devastating sight of her hair falling out which all left her feeling like a shadow of her former self; but against all odds, she survived.

Now, 25 years later, Oyewusi is not just a survivor, she is an advocate, amplifying the voices of children battling cancer and pushing for equitable healthcare policies, believing that while Nigerian children with cancer demonstrate incredible resilience, their journey could be made easier with more support.

“It is crucial for the government, healthcare providers, philanthropists, NGOs and society at large to recognise and address the unique needs of survivors. Comprehensive insurance plans, increased awareness of late effects, educational support and psychological counseling are all necessary,” she said.

She called for more pediatric oncology centres across the country, greater financial support for affected families and public awareness campaigns to educate communities on early detection.Ike Oyewusi, Shittu Adewumi also had an unsavoury experience, also echoing the struggles of many children fighting cancer in Nigeria.Diagnosed with lymphocytic leukemia at just six years old, his family believed they were witnessing the end of his young life.

“It was harrowing; he suffered immensely and the cost of treatment was unbearable,”his mother, Titilayo Adewumi recounted.”The government should support children fighting cancer because this is not something one family can handle alone; it is a huge financial burden.

“When you visit Federal Government hospitals, you see so many children battling cancer; they need urgent help,” Mrs Adewumi pleaded.According to the World Health Organisation (WHO), an estimated 400,000 children and adolescents aged zero to 19 years develop cancer globally each year.

The organisation also said that unlike many adult cancers, most childhood cancers have no known cause and are not linked to lifestyle or environmental factors.In Nigeria, the exact prevalence of childhood cancer remains unclear due to poor data collection.

However, the Lagos University Teaching Hospital (LUTH) Cancer Center houses the country’s first Childhood Population-Based Cancer Registry, which has recorded 237 cases in just over a year.Prof. Abidemi Omonisi, the President, Nigeria Cancer Society (NCS) and founder of the registry, warns that childhood cancer is indeed on the rise and needs urgent attention.

“For too long, the focus has been on breast, cervical and prostate cancers, while childhood cancer has been neglected,” he said.Dr Timipah West, a pediatric oncologist at Niger Delta University Teaching Hospital, identifies some of the most prevalent childhood cancers in Nigeria to be Lymphomas such as Burkitt’s lymphoma, Neuroblastoma a cancer of the adrenal glands and Nephroblastoma known as kidney cancer.Others are Retinoblastoma (eye cancer affecting the retina), Rhabdomyosarcoma (cancer of the muscle tissue) and acute leukemias (blood cancer affecting white blood cells).West said that while the causes remained largely unknown, potential risk factors of childhood cancer included genetic predispositions, exposure to chemicals, certain infections and environmental changes.

Speaking to reasons why childhood cancer was now on the increase in Nigeria, she said it was due to a lot of factors.She identified an increase in diagnostic capabilities and availability of more treatment facilities and more awareness among the populace about childhood cancers based on increased advocacy as some of the reasons.The oncologist also added that environmental factors including climate change that lead to genetic changes as also a contributing factor.

“The Nigerian Society of Pediatric Oncology (NISPO) working with NCS and the Federal Ministry of Health and Social Welfare play huge roles in creating awareness on childhood cancer.

“This advocacy is very important because some people in the general public think that only adults can have cancers.

”She noted that preventive measures could be employed before the cancer develops, listing early detection and commencement of treatment to prevent complications and death.According to her, genetic studies can be done for those at risk of developing certain cancers so they are identified at the very early stages.

She added that those with conditions that predisposes them to certain cancers such as down syndrome and leukaemias should be followed up closely and treatment commenced as soon as possible.

“Also, adequate diet, environmental protection against climate change and chemicals and drug exposure are very important.”The introduction of Human Papilloma Virus (HPV) Vaccination that can prevent future development of cervical cancer is also very important.

“Treatment options available include chemotherapy, surgery, radiotherapy and immunotherapy. The most commonly available in Nigeria are chemotherapy and surgery.

”West emphasised that childhood cancer was treatable when detected early with available treatment options in Nigeria including chemotherapy, surgery for tumor removal, radiotherapy and immunotherapy which was still emerging.

On his part, Benjamin Amodu, a professor of phytomedicine from the Triune Biblical University, USA, said parents have a great role to play in both prevention and management of childhood cancers.

“You see, because many of these children do not yet know what is actually happening and can’t take care of themselves, the parents must be very observant to detect it early since early detection increases the chances of survival.

“Also, pregnant mothers must be very careful of what they consume, be they medications, hard drugs and even cosmetics, as the exposure to harmful chemicals either as a fetus or early childhood have been found to increase the risk factors for cancer, chronic kidney disease, and other chronic diseases in children.

“Annually, on February 15, the International Childhood Cancer Day (ICCD) is commemorated as a global campaign to create awareness about childhood cancer and support for the patients, survivors and their families.

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