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Enugu Leads In States With Adequate Healthcare Delivery, Zamfara Worst

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About eighteen states in Nigeria have been ranked poorly on health systems Indicators and inability to provide adequate primary healthcare services for their citizens.

On the other hand, Enugu State, was among the highly-rated states in the country in terms of healthcare delivery.

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While Enugu came second among top five performing states in healthcare delivery, Zamfara is the worst performing state in public health care delivery

The new report was released on Tuesday by The ONE Campaign, in partnership with National Advocates for Health, Nigeria Health Watch, Public & Private Development Centre (PPDC), and other partners, reveals that health systems in 18 Nigerian states are weak, resulting in poor healthcare service delivery, especially in public facilities.

The report, which was released at a stakeholders event in Abuja, provides an in-depth and systemic review of the implementation of the Basic Health Care Provision Fund (BHCPF), compliance of the states with the National Health Act and National Health Policy, and a ranking of health system performance reveals the state of primary health care delivery across the 36 states and the Federal Capital Territory.

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The research also includes recommendations for how state governments should strengthen their fragile health systems, enhance the existing implementation of the BHCPF, and raise strategic and operational planning for health in order to promote access to and utilization of primary healthcare services.

In 2014, the National Health Act established the Basic Health Care Provision Fund (BHCPF) to address funding gaps hampering effective primary healthcare delivery across the country.

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The BHCPF comprises 1% of the federal government Consolidated Revenue Fund (CRF) and additional contributions from other funding sources. It is designed to support the effective delivery of Primary Healthcare services, provision of a Basic Minimum Package of Health Services (BMPHS), and Emergency Medical Treatment (EMT) to all Nigerians.

Despite the provisions of the BHCPF, the report’s findings expose the precarious state of healthcare in Nigeria, where access to and utilization of health services continues to be marred by systemic challenges across the states.

The public health facilities in all 36 states and the FCT are deficient, and the experiences of community members seeking health care at public facilities are consistently awful.

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The Basic Health Care Provision Fund (BHCPF) was poorly implemented in 13 states.

“Zamfara is the most difficult state in Nigeria to access primary healthcare.

“The basic causes of Nigeria’s deteriorating health care system are the country’s weak governance structures and operational inefficiencies,” the report obtained by DAILY POST reads.

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Unveiling the report, Senator Ibrahim Oloriegbe, Chairman of Senate Committee on Health, noted a need for continuous oversight to ensure that the Basic Health Care Provision Fund (BHCPF) works for Nigerians.

He says, “We have recorded successes at the federal level because of the independence and the interdependence between the executive and the legislative arms of government and because the National Assembly has been able to perform its oversight functions. This must be replicated across the different state houses.

“It is also important for citizens to join in this advocacy and call on their state governments to release appropriate funds and ensure adequate monitoring of the funds to improve public health facilities, especially the primary health centers. We must ensure medical supplies and the required human resources are available. ”

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With the multi-structure design of healthcare, evidence suggests that governance and leadership can play a pivotal role in improving healthcare in Nigeria.

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The ONE Campaign’s Nigeria Director, Stanley Achonu, said: “Weak governance continues to pose a major obstacle to improved healthcare delivery. It hampers efficiency and EFFECTIVENESS and results in weak infrastructure, poor user experiences, and poor health outcomes.

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The burden of strengthening the healthcare systems and services lies heavily on governance and leadership. At all levels, the government needs to take responsibility as a building block of the health system, especially in system design, policy guidance, oversight, regulation, accountability, coalition building, monitoring, and enforcement.

“The success recorded with polio eradication, containment of Ebola and the COVID-19 pandemic has shown that Nigeria can deliver on critical health issues given the required political will and leadership commitment. We have to act quickly to avert primary healthcare collapse.”

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LASG FLags Off Polio Outbreak Response Campaign

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The Lagos State Government, through the Lagos State Primary Health Care Board, has launched the 2025 Polio Outbreak Response Campaign, reaffirming its commitment to eradicating polio and safeguarding the health of its children.

The ceremony, held at the Simpson Primary Healthcare Centre, was led by the First Lady of Lagos State, Dr. (Mrs.) Claudiana Ibijoke Sanwo-Olu, represented by Mrs. Widad Jumoke Mustafa, a member of the Committee of Wives of Lagos State Officials (COWLSO).

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In her address, the First Lady emphasised the state government’s proactive measures to keep Lagos polio-free, highlighting the critical importance of the campaign in preventing the debilitating effects of poliomyelitis, which can result in paralysis or death.

READ ALSO: IMPEACHMENT: Lagos Ex-Speaker, Obasa’s ‘Sins’ Revealed

The First Lady also called on parents, community leaders, and stakeholders to support the campaign by ensuring eligible children are vaccinated.

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Targeting children aged 0-59 months, vaccination teams will administer the Oral Polio Vaccine (OPV) to prevent virus transmission.

Dr. Kemi Ogunyemi, the Special Adviser on Health, expressed gratitude to Lagosians for their continued cooperation in the fight against polio. While appreciating all healthcare workers and partners for their services, Mrs. Ogunyemi encouraged parents to present their children and wards for the exercise.

Also speaking, the Chairman of Lagos Mainland Local Government, Mrs. Omolola Rashidat Essien opined that Immunization is key in ensuring that children are kept safe from polio and other vaccine preventable diseases.

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Dr. Abimbola Bowale, the Supervising Permanent Secretary, Lagos State Primary Health Care Board, who also spoke at the event, underscored the life-saving importance of immunization.

“All children aged 0-59 months need multiple doses of the polio vaccine to ensure full protection. Any child missed represents a potential risk for the poliovirus to spread. The vaccine is safe, effective, and crucial in keeping our communities polio-free,” he stated.

Dr. Bowale also outlined several strategies to ensure the success of the campaign, including fixed post teams stationed at primary healthcare centres and public health facilities, house-to-house visits, and a transit strategy to reach special locations such as places of worship, schools, motor parks, and other public venues.

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The event concluded with Dr. (Mrs.) Claudiana Ibijoke Sanwo-Olu officially launched the campaign, marking a renewed effort to maintain Lagos State’s polio-free status.

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Lagos Cholera Cases Rise To 421

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The Lagos state suspected cholera cases have risen to 421.

The Commissioner for Health, Akin Abayomi disclosed this on his Instagram handle @profakinabayomi on Saturday.

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As of June 20, 2024, an additional four suspected cholera cases have been reported, as illustrated in the accompanying graph,” he wrote.

He noted that the Emergency Operations Centre in collaboration with all relevant partners is actively engaged in contact tracing, community-based surveillance, awareness campaigns, sample testing, and ensuring that confirmed cholera cases receive appropriate medical treatment.

READ ALSO: Two Suspects Arrested For Stealing Car From Mosque During Juma’at Prayer

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On Friday, the commissioner confirmed 35 cases out of the 417 suspected cases and 24 deaths across 20 Local Government Areas in the state.

The cases were reported from Agege, Badagry, Ikeja, Mushin, Ajeromi-Ifelofun, Epe, Ikorodu, Ojo, Alimosho, and Eti-Osa.

Others were Kosofe, Oshodi-Isolo, Amuwo-Odofin, Ibeju-Lekki, Lagos Island, Shomolu, Apapa, Ifako-Ijaiye, Lagos mainland, and Surulere.

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Cholera is a food and water-borne disease caused by ingesting the bacteria— Vibrio cholerae — in contaminated water and food. Cholera can cause severe acute watery diarrhoea, and the severe forms of the disease can kill within hours if left untreated.

In Nigeria, cholera is an endemic and seasonal disease, occurring annually mostly during the rainy season and more frequently in areas with poor sanitation.

READ ALSO: Police Arrest 28yr Old Suspected Cultists, Recover Gun In Delta Community

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The World Health Organisation on Thursday announced a spike in cholera in several regions of the world, with almost 195,000 cases and over 1,900 deaths reported in 24 countries since the start of 2024.

WHO said the Eastern Mediterranean Region reported the highest number of cases, followed by the African Region, the Region of the Americas, the Southeast Asia Region, and the European Region.

The global health body, however, noted that there are no reported cases in the Western Region, according to its bulletin released on Wednesday.

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It said it exhausted its global stockpile of Oral Cholera Vaccines by March but was able to exceed “the emergency target of five million doses in early June for the first time in 2024.”

 

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AUTISM: What You Need To Know

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By Silver Yeibake 

Autism, commonly known as Autism Spectrum Disorder (ASD), is a neurodevelopmental disorder that affects communication, social interaction, and behavior. Autism is referred to as a spectrum condition since it can manifest in a variety of symptoms and abilities. While the actual cause of autism is unknown, evidence suggests that genetic and environmental factors interact to influence its development.

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The risk factors include a sibling with autism, advanced age of parents, exposure to certain air pollutants and pesticides before birth, extreme prematurity, mothers with diabetes, immune system disorders or obesity, any difficulty with delivery leading to deprivation of oxygen to the baby’s brain, fever during pregnancy, lack of certain vitamins minerals during pregnancy, and certain genetic conditions, such as Down, fragile X, and Rett syndromes.

“Risk factors can not on their own cause a disease. However, they can increase the likelihood of that disease in a person.”

It is important to know that contrary to trending claims online, there is no scientific or medical evidence that vaccines or consumption of sugar are risk factors for autism.

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Autism is defined by difficulties in social interaction and communication. Individuals with autism may struggle to grasp social cues, maintain eye contact, and engage in typical back-and-forth conversations. Some people may also engage in meaningless, repetitive actions, such as hand-flapping or rocking, and have strong interests in specific areas.

It is essential to remember that autism is a lifelong diagnosis, but with early intervention and adequate care, people with autism can live fulfilling lives.
Autism treatment frequently includes behavioral therapy, speech therapy, occupational therapy, and social skills training. Each individual with autism is unique, thus interventions should be tailored to meet their personal needs and strengths.

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In spite of the difficulties that autism can cause, many people with autism possess unique talents and abilities. Some people may succeed in fields such as music, art, mathematics, or programming, thus it is important for society to acknowledge and honor the qualities and achievements of people with autism.

In summary, autism is a complicated and diverse disorder that affects individuals in various ways. By raising autism knowledge, understanding, and acceptance, we can build a more inclusive society in which people with autism can thrive and attain their full potential.

Dr. Yeibake, Weriwoyingipre Silver.
Senior Registrar,
Faculty Of Pediatrics,
WACP

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