Health Care Federation of Nigeria

nigerian hospital 731942 300x225The Association of Paediatric Surgeons of Nigeria (APSON) wants government to set up hospitals that would specifically manage the care and treatment of children in Nigeria.It said that in many cases, there are congenital anomalies- diseases that children are born with- which cause them to become traumatised. APSON president, Dr James Adeniran, stated this yesterday at its scientific conference held in Abuja noting that about 40 per cent of their work has do with these anomalies such as children who don’t have anus and cannot pass stool properly. “These are special diseases and should be treated in proper paediatric centres,” he said. Also, Dr Rajesh Dey, a Consultant Liver Transplant Surgeon at the Indraprastha Apollo Hospital, Delhi in his speech said there is an upsurge in the number of reported paediatric liver diseases because of improved diagnostic techniques. He said: “There is upsurge in terms of number because more and more children are getting detected with liver disease.”

According to Dey, the recent increases are caused by better diagnostic equipment and more trained personnel that can identify kids who have liver disease as they used to go unnoticed and unreported in the past. “Lifestyle changes affect mostly the adults and the kids are spared from that. It is mostly caused by inborn metabolic defects, some enzymes in their system and the liver doesn’t go properly,” he noted. Dey said they are in Nigeria to seek the collaboration of Nigerian paediatricians to setup children liver transplant centres to curb the increasing cost paid by parents seeking such services abroad. “If we can build up a centre in Nigeria, the cost would go down by half, and the child would not have to travel so far in a foreign land,” he said.

Source:Ladership Online


Muhammadu Buhari 650x330A total of 44 countries have signed Economists’ Declaration on Universal Health Coverage (UHC) – the declaration demands that every world leader increases spending on universal health coverage for their people. The economists gathered at the instance of The Rockefeller Foundation and led by Lawrence H. Summers, Charles W. Eliot University Professor and President Emeritus at Harvard University as global leaders prepare to enact the Sustainable Development Goals (SDGs) for the next 15 years that includes universal health coverage among its targets. According to media report, those in attendance declared that investments in UHC will ensure health systems can withstand shocks from disease outbreaks like Ebola, and prevent millions of people from falling into poverty paying for the health services they need and that everyone being able to obtain high quality essential health services without suffering financial hardship is right, smart and affordable.

A total of 267 signatories signed the agreement and Nigeria’s representatives include Ayodeji Ajiboye, Shehu Rano Aliyu, Nkata Chuku, Musa Ibrahim Jega, Kenneth Ojo, Olumide Okunola, Obinna Onwujekwe, Chibuzo Opara, Afees Adebare Salisu and Francis Nwachukwu Ukwuije. Other signatories include: Nobel Laureates Joseph Stiglitz, Kenneth Arrow, Alvin Roth, Vernon Smith and Christopher Pissarides; the current and former chief economists of the World Bank, Kaushik Basu and Justin Yifu Lin; noted health economists Anne Mills and Victor Fuchs; and renowned economic thinkers Thomas Piketty, Linah Mohohlo, Bjørn Lomborg, Tony Atkinson, John Irons and Paul Collier. The signatories said they are concerned that the United Nations (UN) will adopt the Sustainable Development Goals – an ambitious new agenda set to be ratified next week – without considering what’s affordable, achievable, and most valuable.

The elderly and pregnant women receive free Health insurance coverageIn a move to commence full operation of the National Health Act, the Federal Ministry of Health has constituted a committee to produce a guideline for the implementation of the provisions of the Act. News of the inauguration of the committee was disclosed by the Director, Health Planning Committee, Research and Statistics of the ministry, Dr. Ngozi Azodo in a presentation to the newly established Health Journalist Academy in Lagos recently. Dr. Azodo who is the secretary of the committee told the journalist that the Act is expected to establish a framework for the regulation, development and management of a National Health System, to set standards for rendering health services in the country. The National Health Bill was signed into law by former president Good luck Jonathan on October 31, 2014 and hailed by major stakeholders in the health sector as the solution to the nation’s appalling health system.

According to the analysts the Act is set to achieve the Universal Health Coverage and meet the Millennium Development Goal (MDGs) target. The Act also provides for the elimination of quacks from professionalism and provides basic health funds needed by Nigerians. A major highlight of the provisions of the health law is the establishment of Basic Health Care Provision Fund to be financed from Federal Government Annual Grant of not less than 1% of its Consolidated Revenue Fund and grants by international donor partners. The funds will be managed by the National Primary Health Care Development Agency (NPHCDA), the National Health Insurance Scheme (NHIS) and the Federal Ministry of Health. According to the provisions of the Act, 45% of the fund will be disbursed through each state and the FCT Primary Health Care Development Board for the provision of essential drugs, vaccines and consummates; 50% will be managed by NHIS while the remaining 5% is managed by the health ministry for the provision of basic minimum package of health facilities.

NPMCN Recently, the National Postgraduate Medical College of Nigeria (NPMCN) raised objection over the dissolution of Medical and Dental Council of Nigeria (MDCN) by President Muhammadu Buhari. According to the council, the dissolution will not only promote quackery in the health sector, it will allow cases of malpractices to continue unabated. Making a case for its reinstatement, President of NPMCN, Prof. Rasheed Arogundade argued that MDCN be exempted as was in the case of the Universities Governing Councils because such premature dissolution had caused disastrous consequences in the past. Definitely, we are in line with this plea because as a regulatory body set up by statute, the dissolution of MDCN is the same as stopping all the functions.For example, the Council’s functions include medical education, accreditation of professional institutions, maintenance of standards, enforcement of discipline and monitoring of health institutions that are training doctors all over the country among others.

We recall that the board of MDCN has been dissolved several times in the past 20 years and which is responsible for the unsavoury developments and instability in medical education, practice and discipline in the country. For the avoidance of doubt, the Medical and Dental professions are regulated by the Medical and Dental Practitioners Act Cap 221, Laws of the Federal Republic of Nigeria 1990 and prescribes the kind of sanction that could be imposed on a medical doctor who is found liable for misconduct. Without the council, there is no regulation for medical colleges and medical curriculums to train doctors, even as there will be no disciplinary body to sanction unethical conduct. Incidentally, dissolution of the council not only had devastating and detrimental consequences to both the professions and society, it encouraged sub-standard medical and dental schools, even as programmes were granted accreditations; thus producing incompetent practitioners.

Health USThe health sector can do with a lot of help. Players in the sector believe that with President Muhammadu Buhari in the saddle, facilities will soon be enough to meet the people’s health needs. OLUKOREDE YISHAU examines the challenges facing this all-important sector, which has not received any cash for capital projects this year. MINISTRY of Health Permannent Secretary of theLinus Awute has a dream. He looks forward to a day when medical tourism will become a thing of the past. The country loses millions of dollars annually as patients seek help in India, United Kingdom (UK) and the United States (U.S.). Awute believes President Muhammadu Buhari has what it takes to take the country to its medical Eldorado. The signs are beginning to show, he believes.

The statistics paint a scary picture. For a nation with a population of over 150 million, there are 38 Federal Medical Centres (FMCs) and federal teaching hospitals.  There are nine federal neuropsychiatric hospitals, three orthopedic hospitals, an Ear Nose and Throat Hospital in Kaduna and a federal Eye Hospital in Zaria, Kaduna State. The inability of the Federal Government to go it alone made private organisations to partner with it to establish other eye centres in Idi-Araba, Lagos and Onitsha, Anambra State. Visits to the Lagos University Teaching Hospital (LUTH) and other tertiary institutions around the country confirm the pictures as painted by the statistics. The facilities are just overwhelmed and those who patronise them do not get the deserved services. Ordinarily, the government should have nothing to do with primary healthcare. It should be the headache of local governments.

Dialysis treatmentThe Cuban government has signed a memorandum of understanding (MoU) with the Federal Government of Nigeria on health technological transfer.  Representing the Cuban government during the signing, theCuban Ambassador to Nigeria, Mr. Carlo Sosa, assured that his country has everything is takes to transform the health standard of Nigerians positively through technological transfer. While reiterating his country’s commitment to assist Nigeria by sharing their acquired health – based knowledge with Nigeria, the Ambassador said that historically, Cuba regards Nigeria as her ancestor. He went further to say that Cuban Government can not hesitate to exchange ideas with Nigerian scholars especially on research towards finding lasting solutions to some dreaded health challenges both in Nigeria and Cuba. 

Ambassador Carlo expressed confidence that Cuba has, through research produced various vaccines that have sustained the country from some deadly diseases ravaging some countries in the world. This goes as far as cancer according to him. “Cancer is no longer a threat to the lives of Cubans,’’ he said. The collaboration will also be extended to boost Agricultural development in the two countries. Reacting to the development, the Vice Chancellor, University of Ilorin, Professor A.G. Ambali, who represented the Nigerian government, said Nigeria’s choice for Cuba for the collaboration is not out of place, considering Cuba’s expertise in health and research.

Heaklthcare_financingThere are multiple challenges currently facing the healthcare industry in Nigeria. Some of these include access to quality and affordable health care as well as access to finance. Access to finance has been a constant challenge with increased budgetary constraints on the government side in light of decreasing crude oil prices, which is the mainstay of Nigeria’s rent-oriented economy. 

In addition to the foregoing, healthcare costs have been on the rise in recent times. The introduction of technology into healthcare provision has shortened the lifespan of medical equipment or technology so that a new technology replaces the forerunner in a matter of few years. This is also the case for other equipment and tools needed to provide healthcare. Dramatically, all these are within the context of a global economy just recovering from the Global Recession of 2008-2011 with the effects still noticeable.

As a result of the foregoing, new and innovative methods of financing beyond the traditional approaches have to be explored. 

One of these innovative ways is medical equipment leasing.

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