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Cancer: FG To Review Hospice, Palliative Care Policy – Official

Published

2 years ago

January 14, 2024

The Federal Government will review the National Policy and Strategic Plan for Hospice and Palliative Care 2021, to ensure cancer patients live a fairly good quality life.

Dr Uchechukwu Nwokwu, the National Coordinator, National Cancer Control Programme, disclosed this on Sunday in Abuja, during an interview with Newsmen.

Nwokwu said that the policy, inaugurated in 2021 was meant to institutionalise hospice and palliative care services in Nigeria.

According to the International Association for Hospice and Palliative Care (IAHPC), Hospice and Palliative Care (HPC) is the active holistic care of individuals across all ages with serious health-related suffering due to severe illness and especially of those near the end of life.

The association also says HPC focuses on a continuum of care from diagnosis till patient’s death and bereavement.

It also addresses all domains that may cause suffering, including end-of-life care, loss, grief, and bereavement.

Nwokwu said that though the policy was already being implemented, it was not up to the expected scale.

“We are very certain that by 2024, we will review the document and then review our level of implementation as a country and see what we can do to improve on it.

“We have a new government and we are hoping that the renewed hope agenda will also translate into addressing palliative care needs of cancer patients and other patients that need palliative care services,” he said.

According to Nwokwu, cancer which does not respect any race, religion or social status, has the capacity to impoverish the richest of all people, because of the cost of care which is very expensive.

“So palliative care deals with terminal illnesses and not just cancer.

“For any illness that has the capacity or potential to last for too long, it is important to institutionalise palliative care as part of the care the person needs to receive,” he said.

Explaining how the policy came about, Nwokwu said that sometimes, someone might have a pain that could not be removed but could only be ameliorated by giving some pain medication that could just palliate it.

“So while we cannot take away the pain, we need to palliate it so that somebody who has that kind of illness will not die in pain but also live a fairly good quality of life as much as possible.

“The policy document spells out that palliative care should even start from a point of diagnosis and that means that you need to integrate the psychosocial needs of the person and even the person’s faith based system.

“If he’s a Christian you involve the pastor or the priests, if he’s a Muslim you involve the Imam or whoever can give that person some psychological or moral support.

“This is because they need to first of all accept diagnosis and the way they accept the diagnosis goes a long way in determining how far the person can accept the treatment that they’re going to be provided.

“It will also determine how much the person can also collaborate or participate in that care.

“So this palliative care is meant to start from the point of diagnosis, to end of life and even at the end of life, it also involves bereavement, even the person who has lost that loved one needs to be integrated to be able to accept the loss,” he said.

Nwokwu said that many cancer patients who were diagnosed late did not actually present late as they complained to someone or some facility when they felt pain or noticed some abnormality.

He, however, said due to lack of awareness or ability to diagnose at the facility, they did not get the needed care early enough.

“If these health workers they present to at the facilities, are able to carry out certain levels of tests or screening, they pick up these diseases early, then treatment can begin early enough and survival rate will also be higher.

“So what we want to do with the palliative care policy is to integrate these services since we have said it’s going to start from the point of diagnosis.

“We want to integrate it in the primary levels of care so that people will understand what is to be done at that level and then cascade it or refer when it goes beyond what they can do,” he said.

Nwokwu said the palliative care policy was looking at integrating HPC services at the primary, secondary and tertiary levels of care so that at these levels, everybody knew what to do at any point in time.

He said also, that in-patients, or those who had terminal illnesses could have the opportunity of receiving a fairly good quality of life before they die.

This, he said, was because, when curative measures were no longer possible, all the patients might require was palliative care.

“At that time, it will be a waste of resources to keep that patient in a hospital bed because the bed fees and the cost of care is quite exorbitant and that adds to what we call financial toxicity.

“Those patients ought to be referred probably to a health centre or to a hospice centre where since all they require is palliation, they can stay there and be taken care of while they receive those palliative care services and be managed symptomatically.

“It is however necessary that those people at the hospice homes or at the primary health care centres must be trained on what to do.

“Then they can now have oncologists or other specialist doctors who visit them regularly to also attend to their other medical needs,” he said.

News

Account For N3tn Or Face Legal Action, SERAP Tells CBN

Published

21 minutes ago

November 16, 2025

Editor

The Socio-Economic Rights and Accountability Project has given the governor of the Central Bank of Nigeria, Olayemi Cardoso, a seven-day ultimatum to account for what it described as “missing or diverted N3 trillion of public funds” cited in the 2022 annual report of the Auditor-General of the Federation.

SERAP said the allegations, published on September 9, 2025, point to major breaches of financial regulations and constitutional provisions.

It urged Cardoso to identify individuals responsible for the alleged diversions and hand them over to the ICPC and EFCC, as well as recover all funds involved.

In a letter dated November 15 and signed by its deputy director, Kolawole Oluwadare, the organisation said the Auditor-General’s findings “suggest grave violations of the public trust, the provisions of the Nigerian Constitution 1999 [as amended], the CBN Act, and anticorruption standards.”

The group also warned that the alleged violations undermine public confidence in the apex bank.

“These violations have seriously undermined the ability of the CBN to effectively discharge its statutory functions and the public trust and confidence in the bank,” it said.

According to SERAP’s summary of the report, the Auditor-General queried the non-remittance of over N1.4tn operating surplus, failure to recover N629bn paid to “unknown beneficiaries” under the Anchor Borrowers’ Programme, and the non-recovery of N784bn in overdue intervention loans.

One of the key portions of the Auditor-General’s report quoted by SERAP states that the CBN “failed to remit over N1 trillion [N1,445,593,400,000.00] of ‘the Federal Government’s portion of operating surplus’ into the Consolidated Revenue Fund (CRF) account.”

He also raised concerns over the Anchor Borrowers’ Programme, noting that “the numbers of beneficiaries who collected the money are unknown.”

The report further questioned intervention spending, with the Auditor-General saying the bank spent “over N125 billion [N125,374,000,000.00] ‘on questionable intervention activities’” without supporting documents.

SERAP added that the CBN spent over N1.7bn on operational vehicles for the Nigeria Immigration Service, noting the Auditor-General’s remark that the spending was “unjustified because there is no connection with buying operational vehicles for the NIS and the objectives of the CBN.”

The organisation reminded the CBN of its constitutional obligations and insisted that Nigerians “have the right to know the whereabouts of the public funds.”

SERAP said it would take legal action if the bank fails to respond within seven days.

News

Published

41 minutes ago

November 16, 2025

Editor

Leaders of top south-eastern groups have expressed divided opinions over the move of the Federal Government to transfer a former Deputy Senate President, Senator Ike Ekweremadu, from a United Kingdom correctional facility to a Nigerian custodial centre.

While some queried the plan which they said was meant to boost President Bola Tinubu’s 2027 re-election chances, others said motives did not matter.

The embattled senator was convicted in the UK for organ trafficking.

Ekweremadu and his wife, Beatrice, were arrested by the London Metropolitan Police in June 2022 after a man was presented as a cousin to their daughter, Sonia, in an attempt to facilitate a kidney transplant for her.

The incident led to their conviction under the UK Modern Slavery Act in 2023.

While Ekweremadu was sentenced to nine years and eight months in prison, his wife received four years and six months jail term.

Beatrice was released earlier this year and has since returned to Nigeria.

However, President Bola Tinubu sent a high-level delegation to London to discuss the case of the former Deputy Senate President.

According to The PUNCH, the Federal Government was seeking arrangements that would allow Ekweremadu to serve the remainder of his sentence in Nigeria.

The delegation, led by the Minister of Foreign Affairs, Yusuf Tuggar, and the Attorney General of the Federation and Minister of Justice, Lateef Fagbemi, met with officials of the UK Ministry of Justice to discuss Ekweremadu’s incarceration and the possibility of allowing him to serve the remainder of his sentence in Nigeria.

Following the meeting, the delegation visited the Nigerian High Commission in London, where the Acting High Commissioner, Ambassador Mohammed Maidugu, received them.

Speaking on the matter with The PUNCH, the President of the Igbo National Council, Chilos Godsent, questioned the motive and timing of the government’s request, warning against what he described as “political manipulation” or “vendetta” disguised as compassion.

He accused former President Muhammadu Buhari’s administration of failing to protect Ekweremadu during his legal ordeal in the UK.

Godsent argued that the negligence allowed British authorities to try a sitting senator of the Federal Republic.

He said, “There is one thing that is really not clear: are they bringing him back to Nigeria to set him free or bringing him back to put him on trial, or to let him continue his jail term? These things are not really clear.

“That is why people are sceptical that he can be brought back and then, as part of political vendetta, he might be retried, which is not proper. It is better to allow him to serve his term in the UK, where he was found guilty. Why this time, why this election period? It is because they want to use him to play politics.

“Earlier, if the government had put in efforts for him as a citizen of this country to compel the British government, there wouldn’t have been any need for the UK government to try him as a senator of the Federal Republic of Nigeria when this issue took place. That was negligence on the part of the Nigerian government.”

While commending Tinubu for what they described as a “laudable” plan if the intention was to reintegrate Ekweremadu with his family and community, he cautioned that any attempt to use his return for political ends would be condemned.

He raised doubts about the independence of the Nigerian judiciary, expressing fears that Ekweremadu could become a victim of political retribution if transferred at this time.

Similarly, the President of the Ala-Igbo Development Foundation, Prof. Awuzie Unachukwu, questioned the government’s motive.

He said, “If it is appreciated that Senator Ekweremadu should come back having paid his dues for his offence, why does this same government shy away from releasing Mazi Nnamdi Kanu, who was only asking for self-determination for the Igbos?

“Nnamdi Kanu deserves immediate release if the action of the government in asking for the return of Senator Ike Ekweremadu is not political or a means of mobilising some influential Igbos like Senator Ekweremadu for the President’s 2027 second-term ambition.”

He commended President Tinubu for initiating steps toward the repatriation of the embattled senator. Unachukwu said: “However, he shouldn’t bring him back to Nigeria to serve a jail term in this dungeon of a prison. He suffered for his crime enough. If he is coming back to Nigeria, it shouldn’t be for a jail term,” Unachukwu added.

But the Deputy President General, Ohanaeze Ndigbo, Mazi Okechukwu Isiguzoro, said the move was not politically motivated.

Isiguzoro stated, “Ohanaeze is supporting the President and we are at the forefront to ensure that the President repatriates and rehabilitates him. He is a political leader. The President doesn’t hate the Igbo people. Ekweremadu was instrumental to the release of Nnamdi Kanu in 2017.”

“The senator has paid his dues in the region and to Igbo nation. That move is being applauded by us. Ohanaeze will not tolerate anybody who stands to block this move. If the President thinks bringing Ekweremadu will help him stabilise his re-election in 2027, the South-East has no choice than to support. We must be devoid of politics in issues that regard to ethnic nationalities in Nigeria.”

Expressing a similar opinion, the Abia State Peoples Democratic Party Chairman, Abraham Amah, said there was nothing wrong with any administration taking steps it considered appropriate in the interest of justice, humanitarian consideration, or national responsibility.

He stated that Buhari’s inaction did not invalidate Tinubu’s decision to do so now.

Amah added that governance was a continuum, and each administration exercised its judgment based on the realities before it.

“The insinuation that the move is driven by politics does not, by itself, make the action improper or undesirable. In matters like this, motives will always be debated, but what ultimately matters is whether the action aligns with national interest, compassion, and due process.

“What is important here is that a Nigerian citizen who has served the country at the highest legislative levels is in a difficult situation, and if the current government believes it can intervene within the confines of the law and diplomatic norms, there is no justification to condemn such an effort,” he said.

Also, the President-General of the Coalition of South East Youth Leaders, Goodluck Ibem, expressed support for the government to facilitate the return of the embattled senator, saying his return was crucial for the rule of law in the country.

He said, “This move is not just about a singular individual; it is about fostering a sense of justice and integrity that resonates deeply within our community. The people of the South East are committed to a future where justice prevails, and we stand firmly behind the Federal Government in its efforts to uphold these values.

“We urge all stakeholders and members of the public to focus on the broader implications of this process. Our collective goal should be the restoration of justice and creating a political environment founded on transparency and accountability.”

FG to revive Nigeria–UK prisoner transfer programme

Meanwhile, the Federal Government has begun fresh efforts to revive the long-stalled Nigeria–United Kingdom prisoner transfer programme, as part of diplomatic consultations to repatriate Ekweremadu.

Ekweremadu’s case reopened talks about the 2014 Nigeria–UK Prisoner Transfer Agreement, which has remained unimplemented more than a decade after it was signed.

The agreement, signed under former President Goodluck Jonathan and then UK Prime Minister David Cameron, was intended to allow convicted nationals to serve their sentences in their home countries.

To support its implementation, the UK funded the construction of a £700,000, 112-bed wing at the Kirikiri Custodial Centre in Lagos, compliant with United Nations standards.

Despite these arrangements, no prisoner has been transferred under the scheme.

The spokesperson for the Minister of Foreign Affairs, Alkasim AbdulKadir, on Monday told Arise News that discussions with UK authorities to extradite Ekweremadu were still ongoing.

He revealed that a formal request had been submitted for Ekweremadu’s transfer under the existing prisoner exchange framework.

News

Tinubu Set To Name Envoys – Presidency Sources

Published

1 hour ago

November 16, 2025

Editor

President Bola Tinubu is set to appoint ambassadors to the country’s foreign missions in major countries in the coming weeks, top presidency sources have said.

The move comes amid growing public concern that the prolonged absence of substantive envoys has weakened the country’s diplomatic presence abroad, particularly in key strategic countries like the United States amid the alleged Christian genocide row.

Tinubu had in September 2023 recalled all envoys from Nigeria’s missions in 76 embassies, 22 high commissions, and 11 consulates across the world to reassess the country’s foreign policy.

However, the process of appointing new ambassadors has suffered multiple delays more than two years into the current administration.

In the absence of substantive envoys, the missions have since been overseen by chargés d’affaires or senior consular officers.

In April 2025, sources close to the President told The PUNCH that the Federal Government had concluded the vetting of persons nominated to fill the ambassadorial roles, including security and background checks by the relevant agencies.

Tinubu had previously blamed the delay on the complex political considerations involved in making such appointments.

“I couldn’t appoint everybody at once and thank you for your patience. I still have some slots for ambassadorial positions that so many people are craving for. But it’s not easy stitching those names,” he said in September while receiving members of The Buhari Organisation at the Presidential Villa.

Last week, multiple presidency officials said the President had ordered a “final cleanup” of the list ahead of its release.

One of the officials explained that since the President sent the list to the Senate, some people on the list had died, while some were no longer eligible for appointment due to retirement.

The official said the need for cleanup prompted the Upper Chamber to return the envoy list to the presidency.

Speaking in separate interviews with The PUNCH, top aides privy to the process confirmed that the cleanup was in its final stage and that only envoys for major countries would be appointed.

“The final process is almost completed. The President is committed to making the appointments, and the announcement will come in the next few weeks. I wouldn’t want to specify two. However, only ambassadors to major countries will be appointed,” a source said.

Another senior presidency source said the list would be released before the end of November.
But he declined to give the specific date of the release.

“The President has said they should clean up the list. I’m sure before the end of the month, it should be ready. There’s no point speculating. When it is ready, it will be officially announced,” the official said.

Allocations without envoys

It was gathered that part of the delay in the appointments was linked to the paucity of funds, estimated at $1bn, needed to pay foreign service officials’ arrears, clear backlog of overheads, replace ageing vehicles and renovate embassy buildings.

Earlier in the year, the Minister of Foreign Affairs, Yusuf Tuggar, also confirmed the funding constraints, warning that posting envoys without adequate operational resources would be counterproductive.

To address the funding gap, the Federal Government earmarked N2.1bn in the 2025 budget for the posting and return entitlements of ambassadors and officers.

According to The PUNCH, another N53bn was proposed for the renovation of 103 foreign missions, covering chanceries, staff quarters, ambassadors’ residences, office furniture and official vehicles.

The proposed allocations included N554m for Abidjan, N812m for Banjul, N555m for Brazzaville, N558m for Port of Spain, N576m for Caracas, N624m for Kingston, N567m for Libreville, N409m for Buenos Aires and N899m for Niamey, among others.

A letter, dated July 3, 2025, from the Office of the Accountant General of the Federation, also revealed that the Tinubu administration released a total of $54m to support the operations of the country’s 103 embassies and high commissions.

According to the document, $46.14m was allocated for overhead costs, $9.58m for personnel costs, and $282,829 for other expenses.

However, with the year running out and no substantive ambassadors appointed, there are growing public concerns over what will become of the budgeted allocations for the missions still operating without confirmed envoys.

In October, the House of Representatives Committee on Foreign Affairs summoned Tuggar, and Heads of Missions to appear before it over the utilisation of funds appropriated to Nigeria’s foreign missions in 2025.

The committee, in a letter dated July 24, 2025, and signed by its Chairman, Oluwole Oke, invoked Sections 88 and 89 of the 1999 Constitution (as amended) to demand detailed records on how the funds were spent by the various missions.

The Oke-led committee had earlier in the year begun probing a contract scandal involving the alleged mismanagement of $2m earmarked for the renovation of Nigeria’s Permanent Representative’s residence at the United Nations headquarters in New York.