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Japa: Doctors Proffer Solutions At Tinubu Town Hall

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A number of medical professionals have tabled viable solutions for the next administration to use as a workable strategy to resolve the perennial problem of brain drain plaguing the health sector.

The brain drain phenomenon, which was rechristened as ‘Japa’, has seen a generation of young health workers, tech entrepreneurs and a number of professionals dumped Nigeria as a result of insecurity, corruption, failed leadership and several other factors.

Speaking at a medical town hall meeting on BAT Health Agenda in Abuja on Saturday, a medical doctor and serving lawmaker representing Ogun Central Senatorial District in the National Assembly, Dr. Lanre Tejuosho, explained that ‘Japa’ is a problem any serious government can tackle.

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While stating that he is happy that the presidential candidate of the All Progressives Congress, Asiwaju Bola Tinubu, has indicated tackling ‘brain drain’ as one of his priorities in his ‘Renewed Hope’ manifesto, he said the problem can be resolved if the right policies and initiatives are implemented.

READ ALSO: 2023: Buhari, Tinubu Meet Behind Closed-doors

Tejuosho, who is also the pro-chancellor of University of Lagos, told our reporter that if the president and the health minister are willing to tinker with the idea of allowing doctors to be self employed, it will go a long way in tackling brain drain.

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According to him, having the feel of ownership of over 30,000 Primary Health Centres and knowing that they are in charge of drugs procurement, provision of water and power would give doctors, nurses and other health workers a sense of belonging.

We should try to think in the direction of making all our health professionals self-employed. When I say self employment, I am talking about taking advantage of the over 30,000 Primary Health Centres in Nigeria today.

“Let’s say, as you graduate as a medical doctor or as a senior nurse, you are put in charge of that particular health centre. We will allocate to that centre about 10,000 Nigerians that are already insured in terms of health insurance.

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“That means the money to run the place is guaranteed because the monthly allocation from National Health Insurance Scheme of the 10,000 patients attached to that centre will be able to pay the salaries of the staff including the nurses and the doctors.

“With that, they should be able to also maintain the drugs, water, electricity and basic needs of those centres. I am aware that the NHIS pays around N750 per patient every month.

“If we sum this figure up with 10,000 patients, it should give each centre about N7.5m per month. Let it be given to these doctors and nurses to run.

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“Of course, we know not all the 10,000 patients will come to the centre every month. But you will always have money to run PHC,” he said.

When reminded that the plan looks good only on paper, the UNILAG Pro-Chancellor agreed that implementation of the initiative is paramount.

Tejuosho claimed that as Chairman of Senate Committee on Health, it was one of those ideas he has been pushing for the attention of the Federal Government and health ministry.

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He said, “That is why I am telling you that the implementation is key. It is part of what we are here to talk about. It is part of what Asiwaju as president must pursue with the implementation of that Health Insurance Act. This is my idea that I will be proposing to him. It is not in the Act or any law.

READ ALSO: Tinubu’s ‘Bala Blu’ Comment Doctored – Campaign Director

“As Chairman of Senate Committee on Health, I have been saying this for a long time. We will also make sure that there is enough money in the basket. It’s now a matter of making it practical.

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“We have the infrastructure, give it to the medical doctors. Our doctors abroad will come back because they won’t be making that kind of money in London or other part of the world.

“All we need to set up is a monitoring committee that will ensure that we monitor what these doctors are doing. Anyone that doesn’t perform, we will take it from them and give to another person.

“In no time, doctors from London and other places will be queuing to come and be self employed.”

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The Executive Director of the National Primary Health Care Development Agency, Dr Faisal Shuaib, on his part said he has nothing against doctors, nurses and other health care sectors are leaving the country in droves.

He, however, encourage the incoming president to upgrade the health sector including a better pay package that would appear irresistible to even those who dumped the country for prospects abroad.

Shuaib also canvassed that the incoming administration should focus on special arrangements for doctors and health workers on annual leave abroad to return to the country to share their expertise and help in technology transfer.

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“We need to stop the one-way traffic. There is nothing wrong with people wanting to seek greener pastures abroad.

“What we need to put in place measures that will make sure that they also give back to Nigeria where they are trained.

“In a lot of instances you find in countries with similar situations as ours, their professionals abroad actually remit a fixed amount of money back to their home countries.

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“And this is something that is agreed with the host countries so that we always find people come in bringing resources.

“It should also be done in a way that is well organised. We don’t even have adequate doctors and nurses in the health care sector.

“It’s not about saying that people should not go. Focus should be also be on how to encourage them to come back, even if it is during their annual leave.

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“They can come back and also give back to our health sector some of the advanced technologies, advanced capabilities that they’ve learnt,” he advised.

Appreciating the participants and speakers at the town hall, the APC PCC head of Medical Directorate, Dr. Ikechukwu Odikpo, noted that he observed many Nigerians are not particularly asking questions on what Tiinubu presidency has to offer.

READ ALSO: Supreme Court Lambasts Critics Of Recent Judgements

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According to the medical doctor, healthcare as presented in his principal’s manifesto covers critical areas such as human resources, brain drain, health tourism, infrastructure, universal health care and health financing.

“That is why today we have assembled the very best across Nigeria medicare to dialogue on how to better our health care sector and services.

“But we want Nigerians especially Medicare professionals and our youths to be part of our actions and decisions hence this town hall meeting.

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“When health is absent, wisdom cannot reveal itself, strength cannot fight, intelligence cannot be applied, art cannot become manifest and wealth becomes useless.

“Let’s create a wealthy nation by putting our health care services in the right perspective,” he said

 

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Out-of-school: Group To Enroll Adolescent Mothers In Bauchi

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Women Child Youth Health and Education Initiative (WCY) with support from Malala Education Champion Network, have charted a way to enroll adolescent mothers to access education in Bauchi schools.

Rashida Mukaddas, the Executive Director, WCY stated this in Bauchi on Wednesday during a one-day planning and inception meeting with education stakeholders on Adolescent Mothers Education Access (AMEA) project of the organisation.

According to her, the project targeted three Local Government Areas of Bauchi, Misau and Katagum for implementation in the three years project.

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She explained that all stakeholders in advancing education in the state would be engaged by the organisation to advocate for Girl-Child education.

READ ALSO:Maternal Mortality: MMS Tackling Scourge —Bauchi Women Testify

The target, she added, was to ensure that as many as married adolescent mothers and girls were enrolled back in school in the state.

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Today marks an important step in our collective commitment to ensuring that every girl in Bauchi state, especially adolescent who are married, pregnant, or young mothers has the right, opportunity, and support to continue and complete her education.

“This project has been designed to address the real and persistent barriers that prevent too many adolescent mothers from returning to school or staying enrolled.

“It is to address the barriers preventing adolescent mothers from continuing and completing their education and adopting strategies that will create an enabling environment that safeguard girls’ rights to education while removing socio-cultural and economic obstacles,” said Mukaddas.

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READ ALSO:Bauchi: Auto Crash Claimed 432, Injured 2,070 Persons In 1 Months — FRSC

She further explained to the stakeholders that the success of the project depended on the strength of their collaboration, the alignment of their actions, and the commitments they forge toward the implementation of the project.

Also speaking, Mr Kamal Bello, the Project Officer of WCY, said that the collaboration of all the education stakeholders in the state with the organisation could ensure stronger enforcement of the Child Rights Law.

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This, he said, could further ensure effective re-entry and retention policies for adolescent girls, increased community support for girls’ education and a Bauchi state where no girl was left behind because of marriage, pregnancy, or motherhood.

“It is observed that early marriage is one of the problems hindering girls’ access to education.

READ ALSO:Bauchi: Auto Crash Claimed 432, Injured 2,070 Persons In 1 Months — FRSC

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“This organisation is working toward ensuring that girls that have dropped out of school due to early marriage are re-enrolled back in school,” he said.

Education stakeholders present at the event included representatives from the state Ministry of Education, Justice, Budget and Economic Planning and Multilateral Coordination.

Others were representatives from International Federation of Women Lawyers, Adolescent Girls Initiative for Learning and Empowerment (AGILE), Bauchi state Agency for Mass Education, Civil Society Organization, Religious and Traditional institutions, among others.

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They all welcomed and promised to support the project so as to ensure its effective implementation and achieve its set objectives in the state.

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OPINION: Fubara, Adeleke And The Survival Dance

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By Israel Adebiyi

You should be aware by now that the dancing governor, Ademola Adeleke has danced his last dance in the colours of the Peoples Democratic Party. His counterpart in Rivers, Siminalayi Fubara has elected to follow some of his persecutors to the All Progressive Congress, after all “if you can’t beat them, you can join them.”
Politics in Nigeria has always been dramatic, but every now and then a pattern emerges that forces us to pause and think again about where our democracy is heading. This week on The Nation’s Pulse, that pattern is what I call the politics of survival. Two events in two different states have brought this into sharp focus. In both cases, sitting governors elected on the platform of the same party have found new homes elsewhere. Their decisions may look sudden, but they reveal deeper issues that have been growing under the surface for years.

In Rivers, Governor Siminalayi Fubara has crossed into the All Progressives Congress. In Osun, Governor Ademola Adeleke has moved to the Accord Party. These are not small shifts. These are moves by people at the top of their political careers, people who ordinarily should be the ones holding their parties together. When those at the highest levels start fleeing, it means the ground beneath them has become too shaky to stand on. It means something has broken.

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A Yoruba proverb captures it perfectly: Iku to n pa oju gba eni, owe lo n pa fun ni. The death that visits your neighbour is sending you a message. The crisis that has engulfed the Peoples Democratic Party did not start today. It has been building like an untreated infection. Adeleke saw the signs early. He watched senior figures fight openly. He watched the party fail to resolve its zoning battles. He watched leaders undermine their own candidates. At some point, you begin to ask yourself a simple question: if this house collapses today, what happens to me? In Osun, where the competition between the two major parties has always been fierce, Adeleke was not going to sit back and become another casualty of a party that refused to heal itself. Survival became the most reasonable option.

His case makes sense when you consider the political temperature in Osun. This is a state where the opposition does not sleep. Every misstep is amplified. Every weakness is exploited. Adeleke has spent his time in office under constant scrutiny. Add that to the fact that the national structure of his party is wobbly, divided and uncertain about its future, and the move begins to look less like betrayal and more like self-preservation.

MORE FROM THE AUTHOR:OPINION: Wike’s Verbal Diarrhea And Military Might

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Rivers, however, tells a slightly different story. Fubara’s journey has been a long lesson in endurance. From the moment he emerged as governor, it became clear he was stepping into an environment loaded with expectations that had nothing to do with governance. His political godfather was not content with being a supporter. He wanted control. He wanted influence. He wanted obedience. Every decision was interpreted through the lens of loyalty. From the assembly crisis to the endless reconciliation meetings, to the barely hidden power struggles, Fubara spent more time fighting shadows than building the state he was elected to lead.

It soon became clear that he was governing through a maze of minefields. Those who should have been allies began to treat him like an accidental visitor in the Government House. The same legislators who were meant to be partners in governance suddenly became instruments of pressure. Orders came from places outside the official structure. Courtrooms turned into battlegrounds. At some point, even the national leadership of his party seemed unsure how to tame the situation. These storms did not come in seasons, they came in waves. One misunderstanding today. Another in two weeks. Another by the end of the month. Anyone watching closely could see that the governor was in a permanent state of emergency.

So when the winds started shifting again and lawmakers began to realign, those who understood the undercurrents knew exactly what was coming. Fubara knew too. A man can only take so much. After months of attacks, humiliations and attempts to cage his authority, the move to another party was not just political. It was personal. He had given the reconciliation process more chances than most would. He had swallowed more insults than any governor should. He had watched institutions bend and twist under the weight of private interests. In many ways, his defection is a declaration that he has finally chosen to protect himself.

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But the bigger question is how we got here. How did two governors in two different parts of the country end up taking the same decision for different but related reasons? The answer goes back to the state of internal democracy in our parties. No party in Nigeria today fully practices the constitution it claims to follow. They have elaborate rules on paper but very loose habits in reality. They talk about fairness, but their primaries are often messy. They preach unity, but their caucuses are usually divided into rival camps. They call themselves democratic institutions, yet dissent is treated as disloyalty.

MORE FROM THE AUTHOR:OPINION: Nigerian Leaders And The Tragedy Of Sudden Riches

Political parties are supposed to be the engine rooms of democracy. They are the homes where ideas are debated, leaders are groomed, and future candidates are shaped. In Nigeria, they increasingly look like fighting arenas where the loudest voices drown out everyone else. When leaders ignore their own constitutions, the structure begins to crack. When factions begin to run parallel meetings, the foundation gets weaker. When decisions are forced down the throats of members, people begin making private plans for their future.

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No governor wants to govern in chaos. No politician wants to be the last one standing in a sinking ship. This is why defections are becoming more common. A party that cannot manage itself cannot manage its members. And members who feel exposed will always look for safer ground.

But while these moves make sense for Adeleke and Fubara personally, the people they govern often become the ones left in confusion. Voters choose candidates partly because of party ideology, even if our ideologies are weak. They expect stability. They expect continuity. They expect that the mandate they gave will remain intact. So when a governor shifts political camp without prior consultation, the people feel blindsided. They begin to wonder whether their votes carry weight in a system where elected officials can switch platforms in the blink of an eye.

This is where the politics of survival becomes dangerous for democracy. If leaders keep prioritizing their personal safety over party stability, the system begins to lose coherence. Parties lose their identity. Elections lose their meaning. Governance becomes a game of musical chairs. Today you are here. Tomorrow you are there. Next week you may be somewhere else. The people become bystanders in a democracy that is supposed to revolve around them.

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Rivers and Osun should serve as reminders that political parties need urgent restructuring. They need to rebuild trust internally. They need to enforce their constitutions consistently. They need to treat members as stakeholders, not spectators. When members feel protected, they stay. When they feel targeted, they run. This pattern will continue until parties learn the simple truth that power is not built by intimidation, but by inclusion.

MORE FROM THE AUTHOR:The Audacity Of Hope: Super Eagles And Our Faltering Political Class

There is also the question of what these defections mean for governance. When governors are dragged into endless party drama, service delivery suffers. Time that should be spent on roads, schools, hospitals, water projects and job creation ends up being spent in meetings, reconciliations and press briefings. Resources that should strengthen the state end up funding political battles. The public loses twice. First as witnesses to the drama. Then as victims of delayed or abandoned development.

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In Rivers, the months of tension slowed down the government. Initiatives were stalled because the governor was busy trying to survive political ambush. In Osun, Adeleke had to juggle governance with internal fights in a crumbling party structure. Imagine what they could have achieved if they were not constantly looking over their shoulders.

Now, as both men settle into new political homes, the final question is whether these new homes will provide stability or merely temporary shelter. Nigeria’s politics teaches one consistent lesson. New alliances often come with new expectations. New platforms often come with new demands. And new godfathers often come with new conditions. Whether Adeleke and Fubara have truly found peace or simply bought time is something only time will tell.

But as citizens, what we must insist on is simple. The politics of survival should not become the politics of abandonment. Our leaders can fight for their political life, but they must not forget that they hold the people’s mandate. The hunger, poverty, insecurity and infrastructural decay that Nigerians face will not be solved by defection. It will be solved by steady leadership and functional governance.

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The bigger lesson from Rivers and Osun is clear. If political parties in Nigeria continue on this path of disunity and internal sabotage, they will keep losing their brightest and most strategic figures. And if leaders keep running instead of reforming the system, then we will wake up one day to a democracy where the people are treated as an afterthought.

Governors may survive the storms. Parties may adjust to new alignments. But the people cannot keep paying the price. Nigeria deserves a democracy that works for the many, not the few. That is the real pulse of the nation.

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Human Rights Day: Stakeholders Call For More Campaigns Against GBV

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Panel of discussants at an event to commemorate the International Human Rights Day, 2025 on Wednesday called for more campaigns against Gender-Based Violence, adding that it must start from the family.

The panel of discussants drawn from religious and community leaders, security agents, members of the civil society community, chiefs, etc, made the call in Benin in an event organised by Justice Development & Peace Centre (JDPC), Benin, in collaboration with Women Aid Collective (WACOL) with the theme: Multilevel Dialogue for Men, Women, Youth and Critical Take holders on the Prevention and Response to Gender-Based Violence (GBV).

The stakeholders, who said causes of GBV are enormous, called for more enlightenment and education in the family, community and the religious circle.

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Security agents in the panel charged members of the public to report GBV cases to security agents regardless of the sex Involved, adding: “When GBV happens, it should be reported to the appropriate quarters. It doesn’t matter if the woman or the man is the victim. GBV perpetrators should not be covered up, they must be exposed. We are there to carry out the prosecution after carrying out the necessary investigation.”

READ ALSO:World Human Rights Day: CSO Tasks Govt On Protection Of Lives

Earlier in his opening remarks, Executive Director, JDPC, Rev. Fr. Benedicta Onwugbenu, lamented that (GBV) remains the most prevalent in the society yet hidden because of silence from victims.

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According to him, GBV knows no age, gender or race, adding that “It affects people of all ages, whether man or woman, boy or girl.”

It affects people from different backgrounds and communities, yet it remains hidden because of silence, stigma, and fear. Victims of GBV are suffering in silence.”

On her part, Programme Director, WACOL, Mrs. Francisca Nweke, who said “women are more affected, and that is why we are emphasising on them,” stressed “we are empowering Christian women and women leaders of culture for prevention and response to Gender-Based Violence in Nigeria through the strengthening of grassroots organisations.”

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