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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.

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.

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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.

“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.

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“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.

“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.

“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.

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“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.”

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.

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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.

“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.

“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.

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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

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.

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

“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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JUST IN: Ikeja DisCo Slashes Band A Tariff

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The Ikeja Electricity Distribution Company has slashed the tariff payable by its Band A customers to N206.80 per kilowatt-hour from the N225/kWh approved by the Nigerian Electricity Regulatory Commission.

The spokesperson for the IKEDC, Olufadeke Omo-Omorodion, disclosed this to our correspondent in a notice on Monday.

According to the notice, the downward tariff review of the Band A customers would take effect from Monday, May 6, 2024.

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READ ALSO: New Electricity Tariff: Full List Of Eko Electric 21 Band A Areas

The DisCo, while guaranteeing a minimum of 20-hour daily power supply for those on Band A feeders, noted that the tariffs of customers on other bands remain unchanged.

“Dear Esteemed Customers, please be informed of the downward tariff review of our Band A feeders from N225/kWh to N206.80/kWh effective 6th May 2024 with guaranteed availability of 20-24hrs supply daily.

READ ALSO: New Tariff: Full List Of Port Harcourt Electricity 43 ‘Band A’ Areas

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“The tariff for Bands B, C, D, and E remains unchanged,” the IKEDC stated.

Recall that on April 3, the NERC revised the electricity tariff for Band A customers from N68 per kilowatt-hour to N255/KWh, saying other customers were not affected by the tariff hike.

Since the release of the supplementary Multi-Year Tariff Order, consumers categorised as Band A have been groaning that the rise in electricity tariffs weighs heavily on their finances, calling on the Federal Government to reverse the policy.

However, while appearing before the Senate Committee on Power at an investigative hearing over the tariff hike last week Monday, the Minister of Power, Adebayo Adelabu, warned that there would be a total blackout in the country in the next three months if the electricity tariff hike was not implemented.

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OPINION: Petrol Pains, Wilderness Wanderings

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By Lasisi Olagunju

A young taxi driver sat on the bonnet of his car some years ago thoroughly frustrated by Nigeria’s unending petrol mess. A television reporter asked him to speak on his experience in that filling station where he sat, stranded. He looked straight into the camera and said he wanted “the world to come to an end, this moment. I want all of us to die – all.” He thought Nigeria was a wilderness with a succession of fake Moses leading the country from Egypt to Egypt. To the taxi driver, mass death of victims and their victimisers would be the neat, equitable way to end all suffering. I watched the video and heard more than what the gentleman said. People who think and say what he said are persons who have run and got to the end of running. They are people who have shifted and shifted and have hit the wall.

Over the course of life, suffering, one way or the other, is inevitable. We do not need a priest to convince us of that. But, why is it that here, in this country, time and change give no relief to the poor?

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As I write this, everyone is at the petrol station – exactly as they were 30 years ago when they thought democracy was the messiah that would dry their tears. In petrol stations where there are no queues, the price there is killing; where the price smiles a little, bedlam reigns. If matters remain as they are, driving a car anywhere in Nigeria will soon be a mark of the beast, the ultimate evil. Very soon (and I am so scared to say this), having money to buy petrol will be an exposure to marks of the dragon – the kind that is in the Christian Bible: ten horns, seven heads, “with ten crowns on his horns, and on each head a blasphemous name.” Why is this democracy this ugly and so unprofitable to the people?

There is a joke about a man from Israel who demanded to know why Moses promised his ancestors good life, took them out to wander in the wilderness for forty years only to deposit them in a land that has no oil. I won’t be shocked to hear this said about our democracy. What is the worth of that struggle and that vote that birthed this suffering?

Our dog boasted in the last election that there was no danger in Tiger’s forest. That boast appears to have killed it. A saying in Yoruba approximates this: Ajá kì í dán’nu kò séwu lóko ẹkùn. Stealthy, strong Tiger is an ambush, apex predator; dog is one of its preys. The wisdom here eluded many who refused to trust the truth. They are now left behind, stranded by their faith in man born of woman. In their bowl of gaari, they now have water in destructive excess.

FROM THE AUTHOR: OPINION: Sending Ooni Of Ife To Tinubu

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You are a very senior professor. Your monthly salary is N700,000, pre-tax. This past weekend, you and other petrol users bought a litre for N1,000. Your car uses 10 litres of petrol per working day. There are five working days in a week. That gives your car 50 litres of petrol per week, the cost is N50,000. There are four weeks in a month. Fifty thousand naira in four places makes it N200,000 – just to fuel your car. Because your residence is allocated Band E by NEPA, your ‘I-better-pass-my-neighbour’ generator will use 10 litres of petrol per day. In 30 days, that gives you 300 litres of fuel. At N1,000 per litre, the cost is N300,000. Do the maths. Petrol alone takes N500,000 from your pre-tax N700,000 salary. Tax takes about N120,000. Do the maths again. What is the way out? The Yoruba will join you to ask: Kí ni ònà àbáyo? Kí ni?

With ‘Darkness Falls’ as its title, the second part of Ngugi Wa Thiongo’s Weep Not, Child is about a country in distress, about a village where light is morbid and darkness is saviour. It is about a home that is no longer a place for telling good stories. It is here that we are asked to “turn to the Gospel according to St Matthew, Chapter 24.” Here we are told that we “shall hear of wars and rumours of wars” and that “nation shall rise against nation, and kingdom against kingdom: and there shall be famines, and pestilences, and earthquakes, in diverse places.” We are told that as horrible as these occurrences are, “they are (just) the beginning of sorrows…And because iniquity shall abound, the love of many shall wax cold.”

Could this moment be Nigeria’s hour of that prophecy? The havoc wreaked in town today is worse than the experience of the ill-starred, anecdotal sentry of Apomu whose oracle (ifa) got stolen and his wife snatched. He reached for his divining chain (òpẹ̀lẹ̀) and saw it in the mouth of an audacious dog. He pursued the dog to retrieve his last hope but the dog ran and jumped into a deep well. While panting, the distraught man was asked what next? “It is time to leave this town,” was his response – (Ìlọ yá Oníbodè Àpòmù, wón kó o ní’fá, wón gbà á l’óbìnrin, òpẹ̀lẹ̀ tí yíò tún fi tọ ẹsẹ̀ e rè, ajá tún gbé e lọ. Ó lé ajá, ajá kó sí kànga. Wón ní, ‘Ilọ yá àbí kò yá?’ Ó ní, ìlọ yáá…).” Today is worse than that hopeless situation. I have never been as afraid for Nigeria as I have been in the last one week.

MORE FROM THE AUTHOR: OPINION: For Yoruba Muslims And Pentecostals

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The people are hopeless and helpless but they are quiet. And that is dangerous. There is a passage in Chinua Achebe’s Things Fall Apart which warns about silence and its potent danger: “Mother Kite once sent her daughter to bring food. She went and brought back a duckling. ‘You have done very well,’ said Mother Kite to her daughter, ‘but tell me, what did the mother of this duckling say when you swooped and carried its child away?’ ‘It said nothing,’ replied the young kite. ‘It just walked away.’ ‘You must return the duckling,’ said Mother Kite. ‘There is something ominous behind the silence.’ And so Daughter Kite returned the duckling and took a chick instead. ‘What did the mother of this chick do?’ asked the old kite. ‘It cried and raved and cursed me,’ said the young kite. ‘Then we can eat the chick,’ said her mother. ‘There is nothing to fear from someone who shouts.’ Nigeria’s streets are scanty and sad; neighbourhoods are dank and dark. Where the ice of fuel scarcity appears to be thawing, the price has remained prohibitively high. In food markets, traders’ looks are forlorn; buyers’ heartbeats are irregular. There is darkness in every home where light used to shine. Yet, there is quiet, silence, midnight, graveyard chill where prophets used to warn.

In Matt Lorenz’s ‘The Meaning of life in the Wilderness’, we are told that “the wilderness is a space where human beings can go morally astray.” True, many and more have gone astray here. Henry Bugbee, in his The Inward Morning, says that “our true home is (the) wilderness.” I read this and wanted to disagree. I wanted to ask how our home could be the wildness -uncultivated, uninhabited, inhospitable wild. But, then, I remember William Butler Yeats’s thoughtful line: “…the world is more full of weeping than you can understand.”

As long as we breathe, we keep hoping (and praying) for deliverance from evil. There is a line of divine promise in Ngugi’s ‘Darkness Falls’: “But he that shall endure unto the end, the same shall be saved…” He was quoting the Bible.

We will endure this to the end because we’ve been promised salvation. But, when is the end and where is the saviour? Or, when is the saviour coming? The government is quiet and silent. It acts the perfect I-don’t-care way of lords who have climbed the hills and have seen the very end of the world. But its defenders are not quiet. They blame the past and point at similar acts of official betrayal. What is in uniformity is no longer a shame. There is no new thing under the sun. They open history books of countries outside Africa, the first world. They say “even America once suffered what we suffer. We will be out of the problem one day.” They say the media of that and other countries still reminisce about their own era of anomie. One of such reflections is Reis Thebault’s “Long lines, high prices and fisticuffs”, a Washington Post’s 2023 video on the 1970s petrol shortage bedlam in America. “The line of cars stretches for blocks. Pumps run dry. Newspapers warn of a great ‘gas crunch.’ President urges calm. Panicked motorists turn on one another.” Thebault wrote, mimicking headlines from Nigeria’s future. If the abobaku of this regime come to see this Washington Post content, they will grab it with eureka; they will use it as a justification for the criminal betrayal that professed this suffering. What a country!

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MORE FROM THE AUTHOR: OPINION: Bobrisky’s Masque, Yahaya Bello’s Boa

The elephant’s hunger is the shame of the forest. America would have remained where it was in 1970 if what it had were bumbling leaders like ours. To the US, the owner would rather starve than for the thief to be without food. We have that proverb, the United States appropriated it long ago to solve its “pumps run dry” problem. I always wonder why the elephant of oil-rich Nigeria keeps rumbling in the forest and goes to bed hungry. Imagine the Eskimo queueing for ice. But here, children of butchers fight over bones.

What really is the cause of this fuel scarcity? There is neither cohesion nor coherence in the little we’ve heard from persons who sit atop our welfare. All we’ve seen (and we are seeing) are quick-and-slow marches of crass confusion. What are they doing apart from fixing themselves up in vaults? The sheep of Nigerians won’t forget if they do well and provide it just bran. But they are behaving like àgbà òsìkà sowing suffering in people’s lives. They soil their breast pockets with red oil of impunity and keep a straight face. Is it true that this is all about jacking up the price of petrol as instructed by the holders of the Nigerian yam and knife? It is like land grabbers setting fire to a whole market because they covet the land. They are killing us without drawing a sword (apanimáyodà). But, they can eat their excess without scorching the city. Unfortunately, that is what they are doing with their take-it-or-leave it disposition to the petrol wickedness they put on the table. It is dangerous.

I borrow again from Yeats. In his ‘The Wind Among the Reeds’, the poet tells the powerful that he, “being poor” has only his dreams to nurture and keep. Then he begs them: “I have spread my dreams under your feet;/ Tread softly because you tread on my dreams.” The people are the eye of the earth. If this government must tread on them, it should do so gently.

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The author, Dr. Lasisi Olagunju is the Saturday Editor of Nigerian Tribune, and a columnist in the same newspaper. This article was first published by the paper (Nigerian Tribune). It is published here with his permission.

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2023: Why INEC Servers Failed To Work – Peter Obi

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The presidential candidate of the Labour Party, Peter Obi has explained why the Independent National Electoral Commission, INEC, servers failed to work during the 2023 presidential election.

He said the ‘establishment of criminality’ made the INEC servers not work during the last last general elections.

Obi stated this, while addressing the issues of the 2023 elections, including the IREV servers, in Canada during the weekend.

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READ ALSO: Underbridge Tenants: Lagos Govt Uncovers Identity Of Ring Leader

The Labour Party flagbearer in 2023 said people must intensify engagement with all the stakeholders to make the system work.

The former Anambra State governor explained that Amazon testified there were no glitches recorded globally on the day of the presidential election.

He said: “Where did we go wrong in the last election? We didn’t go wrong anywhere. We did the right things.

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“But as I can always tell people: when you bring a change, you fight all those who live off the old order. They don’t go away; they gang up. And don’t think it’s a straight race to remove an establishment.

READ ALSO: PDP Crisis: Why Party Members Are Resigning – Sule Lamido

“It’s a long-distance journey anywhere in the world. Go and check anywhere, whether you are looking at what happened in India, with Mandela in South Africa, or America. No change has happened overnight, it takes time.

“I urge all of you, if you really want change, we have just begun. We just have to continue from where we are.

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“Yes, there might be one or two things we will correct, those things we will correct. I assure you we are correcting them without naming them.It’s not going to be easy.”

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