Health
Sudden Death On The Rise, Amidst Economic Hardship
The recent sudden death of one of the best Journalists, John Olasunkanmi Oba, the sudden death of Essien Etop Andrew, a Nigeria Customs Service (NCS) deputy controller in charge of finance, administration, and technical services, the untimely death of Akwa Ibom State Police Commissioner, Mr. Waheed Ayilara, the death of Legendary Nigerian singer and actress, Onyeka Onwenu after slumping at the birthday party. Senator Patrick Ifeanyi Ubah; and thousands of unreported untimely and sudden deaths have once again raised the issue of regular health screening by Nigerians.
The grim reality in Nigeria is that many people are still slumping and dying without warning, their lives abruptly cut short by a silent killer they may not even know they have.
THE GLEAMER NEWS looks at the causes and many factors contributing to this numberless untimely death
While death is an inevitable part of life, the sudden and medically- related nature of these deaths raises pressing questions about the prevalence of undiagnosed and poorly managed hypertension in the country.
Recent studies reveal that hypertension is becoming increasingly common in younger populations, and the role of lifestyle factors in the rising cases.
Many Nigerians are today worried about many things. The challenging economy is pushing many to the brink. Now that schools are preparing to resume, many parents are already bothered about school fees and other needs of their children. This is expected, but people must go soft on thinking and ruminating over the problems. Worry and anxiety will only aggravate the situation. We must devise some means to deal with what we cannot change.
According to many medical experts, several predisposing illnesses such as high blood pressure, stress, high blood levels of cholesterol, and high blood sugar may precipitate a sudden death.
In a country where many citizens resort to self-medication to bypass the cost of seeing a medical doctor or a pharmacist, abuse of medications can result in dangerous drug interactions with lethal consequences, particularly among those who have pre-existing medical problems.
Many people who are obese or suffering from ill-managed diabetes can easily fall victim to heart disease and unexpected death.
Heart disease, as experts have pointed out, is the most common cause of an unexpected sudden death in all age groups. It is more prevalent in adults in their 30s and 40s and affects men twice as it does women. Some of the diseases are discovered and treated while the person is alive while, among many others, they may go unnoticed until tragedy occurs. It could also occur because of a wrong diagnosis.
Incidentally, many of these ailments come without warning signs. In the case of sudden cardiac arrest for instance, over half of the victims die without symptoms. When there are signs, they come in the form of a “racing heartbeat or they may feel dizzy, alerting them that a potentially dangerous heart problem has started.” Other symptoms listed include headache, chest discomfort, breathing problems, blurring vision, and convulsion.
As for Adeola Ajibare, a cardiologist at Lagos State University Teaching Hospital and a senior lecturer at the University of Lagos College of Medicine in one of his appeals said “Hypertension has become an epidemic in our society and there is a need to nip it in the bud.
Ajibare stressed the importance of both medical check-ups and lifestyle changes to combat hypertension.
“Exercise, reducing salt intake, and avoiding smoking and excessive alcohol consumption are crucial. Weight loss can also significantly lower blood pressure. For those diagnosed with hypertension, consistent medication use is essential to prevent complications.”
Health
Stakeholders Applaud A360 Impact On Adolescent Health
Stakeholders in Nigeria’s health and development sector say the institutionalisation and scale-up of the Adolescent 360 (A360) Amplify project have greatly improved adolescent sexual and reproductive health outcomes in participating states.
They made this known at a dissemination meeting on the project on Thursday in Abuja.
It was implemented by the Society for Family Health (SFH) and partners, and later adopted into government systems following documented successes.
Launched in 2020, the A360 project was designed to provide adolescent girls with access to sexual and reproductive health information, youth-friendly services and economic empowerment opportunities.
The programme was implemented in Kano, Jigawa, Kaduna and Nasarawa States using a human-centred design approach that engaged governments, communities and young people to improve uptake of family planning and maternal health services.
Dr Aisha Sadiq, Permanent Secretary, Kaduna State Ministry of Health, said institutionalising A360 had delivered measurable improvements in adolescent health indicators and community wellbeing.
She said Kaduna currently provides A360 youth-friendly services in 623 Primary Health Care (PHC) centres.
The Matasan Mata Arewa (MMA) initiative, she added, had reached 75 communities and empowered more than 15,000 girls with entrepreneurship skills and seed capital.
According to her, more than 60,000 girls have accessed contraceptives through the programme, with a reduction in discontinuation rates as more young women sustain use and transition to maternal and child health services.
“These changes have shown a marked reduction in maternal mortality among those communities. It has also reduced negative neonatal outcomes,” she said.
Sadiq recounted an elderly woman’s remarks from a programme community, calling them a strong reflection of the project’s success.
“These girls have spent their whole lives believing they will remain tolerable liabilities to the husbands they marry, but now they are realising the value of becoming appreciated assets,” she quoted.
Sadiq added that Kaduna’s 16 per cent health budget allocation and the integration of A360 activities into the state’s 2025 Annual Operational Plan demonstrated sustained political commitment.
Also speaking, Dr Omokhudu Idogho, Managing Director, SFH, said the four implementing states had successfully embedded A360 approaches into government systems, community structures and routine health practices.
He was represented by Dr Kenechukwu Erichalo, Deputy Managing Director, Project Delivery.
Idogho said the project had reached more than one million adolescent girls with family planning services and engaged over 500,000 others with comprehensive sexuality education messaging.
“We recorded more than 50,000 antenatal care visits, ensuring that girls received skilled care that saved lives, and supported over half a million girls to learn income-generating skills,” he said.
He said A360 pioneered the MMA and Niger Girls models, demonstrating that culturally sensitive, human-centred programmes can succeed even in conservative communities.
“Our most significant achievement is institutionalisation. Today, all 1,750 A360-supported facilities are fully government-led,” he added.
Mrs Roselyn Odeh, A360 Project Lead, said the initiative was developed in response to poor adolescent health indices in the country.
She said the programme ensured respectful, youth-friendly services at PHCs and supported school reintegration and entrepreneurship for girls.
She said the decision to scale the programme in northern states was based on data.
“When you look at maternal mortality among young people, you know the section of the country it is coming from. Data drove our decisions in alignment with government priorities,” she said.
Odeh identified challenges including weak PHC infrastructure, funding gaps, commodity shortages and the need to engage husbands in conservative communities.
“But creatively, we worked with governments to mobilise domestic funding through health revolving funds and the Basic Healthcare Provision Fund,” she said.
Mr Sagir Musa, Commissioner for Youth, Jigawa State, assured of continued commitment from implementing states to sustain and expand the project’s gains.
“This project may be nearing closure, but for us, it has just begun. We have gone beyond its life cycle to embed its approaches in the things we do,” he said.
The dissemination meeting brought together policymakers, community leaders, development partners and beneficiaries to review lessons learned and outline future priorities for scaling adolescent health interventions nationwide.
(NAN)
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