Navy offersfree medical outreach in Cross River Community

Eastern Naval command with headquarters in Calabar, Cross River State on Monday conducted a free medical outreach for residents in Ugep, a community in Yakurr Local Government in Cross River State. The medical outreach which was basically free eye care services and free cataract surgery is part of activities to mark the 50th Anniversary of the Nigerian Navy.

Other free services included blood pressure checks, diabetes screening, malaria treatment, deworming, eye screening, distribution of insecticide treated mosquito nets and drugs, and a health talk. Flag Officer Commanding of Eastern Naval Command in Calabar, Rear Admiral James Oluwole, represented by Commodore TankoPani, said the Navy acknowledges and appreciates the role of the civilian populace in the society. He said the Navy also shows concerns for communities in their areas of responsibility and always work to add value to the lives of the people.

He urged the people of Ugep to avail themselves of the medical rhapsody, saying the eye surgery was part of free medical services offered in a medical rhapsody to the people. Commander of the Nigerian Navy Reference Hospital in Calabar, Surgeon Rear Admiral Abubakar Yusuf, said the Navy carries out the medical rhapsody as a means of promoting good health among selected communities.

Yusuf said it was also to promote good relations between the Navy and the civilian populace they protect. He said, among other health checks would be a free cataract surgery for affected people. He said it would be the first time free eye surgery would form part of the medical rhapsody. The Paramount Ruler of Ugep, ObolOponOffemUbana, expressed gratitude to the Navy for choosing their community for the exercise. He said the gesture showed that they cared for the people they protect. Meanwhile the Nigerian Police Command, in Calabar on the same Monday promoted forty three of its officers in Calabar.

The event which took place at the Cross River State Command headquarters saw twelve Deputy Superintendents of Police (DSP) being promoted to the positions of Superintendent of Police (SP) while 31 Assistant Superintendents of Police (ASP) were lifted to the ranks of DSPs. Performing the promotion ceremony, the Commissioner of Police Cross RiverState, CP Henry Fadairo charged the newly promoted to perform their duties effectively as expected of their new positions.

In his words, "To whom much is given, much is expected. We're expecting more from you; you should do better so that more ranks would come." Responding on behalf of his colleagues, newly promoted to SP, Mr. Tom Adams Okpene assured of their preparedness to continue to work according to best practice to uphold the tenets of the Nigerian Police Force.

DG RUWATSSA calls for support for clean water and modern sanitation in Cross River

DG RUWATSSA calls for support for clean water and modern sanitation in Cross River

By Florence Kekong

DG RUWATSSA CRS Ita IkembeFrom consolidating on the past achievements, to discussing identified gaps, the Cross River State Rural Water Supply and Sanitation Agency, RUWATSSA , is engaging Water, Sanitation and Hygiene (WASH) officials, the Media and other stakeholders in programme activities that boost the roadmap to  overcoming water and sanitation challenges in the State.

Success results form the Agency's information unit revealed that,already, RUWATSSA, with support from from UNICEF,has mobilized and sponsored stakeholders in the water sector in a two-day State Level WASH Clinic that afforded all participants opportunity to consider new strategies, innovations, as they developed and shared field-updates for improved programme implementation.

Declaring the Clinic open, the Director-General, Mr. Ita Ikpeme who reiterated that clean water, basic toilet and good hygiene are essential for survival and development of the people, particularly, children, urged the participants to make meaningful contributions that would further address the lack of dependable access to clean water and modern sanitation.

He pointed out that water supply remains a challenge for government and other development partners because large gap remains in the rural areas.

For this reason, the DG opined, "everyone is a stakeholder in the WASH intervention s which are critical for creating and sustaining healthy and striving societies".

He argued that sustainable development is not possible without water, sanitation and hygiene (WASH) hence, the clarion call for all to join hands in the fight against diseases occasioned by lack of good water and hygiene.Hand washing exercise

He assured that RUWATSSA would continue to encourage stakeholders to participate more actively and also called on the Clinic participants to take to heart that the meeting would lay down the framework for an expanded implementation of WASH in the two local government areasvof Boki and Yakurr where activities have been driven to an impressive stage.

Mr Ikpeme thanked the State Governor, Sen. (Prof.) Ben Ayade for keeping to his promise to improve health conditions of the people.

On hand to facilitate and offer technical assistance were the UNICEF Consultant, Mr. James Beetseh, Programme Manager, Mr. Patrick Emori, Engr. Ibah and other WASH Coordinators

Over 700,000 Children to be de-wormed this Week in Cross River Schools

Over 700,000 Children to be de-wormed this Week in Cross River Schools

De-worming in schoolsStakeholders in Cross River’s statewide school-based deworming program have given their commitment to replicate the success achieved in 2016 programme implementation and surpass the coverage in the 2017 programme of action.

Last year in a pilot exercise, it resulted in more than 700,000 children dewormed in over 1,700 schools.

Comrade Thomas Igbang, Coordinator for Cross River State’s Ministry of Health’s Neglected Tropical Diseases (NTD) programme, affirmed that “the NTD team is committed to eliminating the public health problem of schistosomiasis and soil-transmitted helminthiasis by 2020 as envisioned by the Cross River State Strategic Plan 2015.”

Comrade Igbang said this year’s school-based campaign will complement the recently conducted community-based treatment against lymphatic filariasis and onchocerciasis (River Blindness) in 17 Local Government Areas in the state.

He said, all school-age children (ages 5-14), regardless of their enrollment status, are eligible to be treated and that rigorous studies have shown that children who are dewormed experience improved health, education, and economic outcomes both during childhood and later in life.

He maintained that “following guidelines from the Federal Ministry of Health and the World Health Organization (WHO), mebendazole will be used to treat for soil-transmitted helminths (STH) in 7 LGAs, while praziquantel will be used to treat for schistosomiasis in 9 LGAs. “Both medicines are very safe and side effects are very mild and rare.

Teachers have been trained to safely and effectively administer the medicines to children and will do so during the course of the school day. Adding that “as an extra precaution, frontline health facility workers have also been trained by the state team and will be well-prepared to respond to any needs that could possibly arise.

Also speaking on this year’s exercise billed to kick-off on Wednesday May 31. Mr. Abia Chris Abia, Director of Administration from the Cross River State Ministry of Education, also remarked that the team’s leadership is evident in this program.

“The massive awareness campaign as a result of this program has helped to dispel superstitious beliefs that had limited the success of this exercise in the past”, Abia said.

He noted that “the Hon. Commissioner is encouraging all parents and guardians to allow their children to participate in this year’s 2017 free deworming exercise. Schools are also open for non-registered children to access these medicines.”

It can be recalled that last year, the Cross River State health and education sectors began collaborating to combat these two neglected tropical diseases, which are significant public health burdens among its populace. Among all countries worldwide, Nigeria bears the second-highest burden of these worms (second only to India) which cause anaemia, malnutrition, and decreased school attendance.

Chronic cases of schistosomiasis can lead to significant organ damage and other diseases. Nigeria has the second-highest worm burden among school-age children in the world, but the Cross River State government is working to change this.

School-based deworming is implemented by the NTD program of the Cross River State Ministry of Health in partnership with the State Ministry of Education including the State Universal Board of Basic Education. The program is supported by Evidence Action, and USAID’s ENVISION project led by RTI International and other donors.

Deworming drugs are donated by Merck KGaA (praziquantel for schistosomiasis) and Johnson & Johnson (mebendazole for STH) through the World Health Organization’s drug donation program. Research shows treated children experience better health, educational attainment, and economic outcomes.

“Over 90% of deaths in our hospitals are due to our attitude” – Prof. Agan

“Over 90% of deaths in our hospitals are due to our attitude” – Prof. Agan

Professor Thomas Agan, is the Chairman of the Committee Chief Medical Directors/Medical directors of Federal Tertiary Hospitals in Nigeria. He is also the Chief Medical Director, CMD, of University of Calabar Teaching Hospital, UCTH, he spoke to our reporters in Calabar recently on issues affecting the health sector in the country.



You have been in the health sector for a very long time, what do you think needs to be done to permanently solve this problem of perennial strikes in the sector?

I’ve always told people that I choose to be a doctor and that’s why I’m a doctor. Some other person chooses to be a nurse and that’s why he/she is a nurse. You choose to be a laboratory scientist and that’s why you are a lab scientist. I think that the National Council on Establishment should review and streamline career of workers in the health sector because a doctor cannot go and perform the functions of a nurse and also a nurse cannot go and perform the functions of a doctor. In the health sector not only in Nigeria but the world over, there is no doubt that the doctor is the head of the health sector. Nobody patient comes to the hospital and says he’s coming to see the accountant or he’s coming to see the any other staff but the doctor. So I believe that people should mind what they are trained to do. This bickering and professional rivalry is the cause of all these trouble and I believe that it is not healthy. It is the Nigerian people that are suffering and dying. I often tell people it could be me, or you or any member of your family who is dying because of our strikes. You never can tell the number of people that have died as a result of this current strike. I told them in the course of those negotiations, the blood of all Nigerians who have died as a result of this strike is upon our heads. It’s not healthy.

How can you rate medical practices in this country in terms of rendering services to patients?

You have touched my heart. You see, all through the years, the major problem we have in this country as far as rendering services to the patients is our attitude. The attitude of the health care givers to the patients and the attitude of the patients to their health leave so much to be desired. Over 90 percent of deaths in our hospitals are due to our attitude. Until the healthcare givers in our hospitals begin to realize that the health of the patient he/she is handling could be his own, his wife or siblings and all that things, will not go well. Until we realize that we would be held accountable to every challenge we create, things will not go down well. I have always told people that if you don’t know what to do leave out or do no harm. That means it is better you do nothing than to do something that creates harm.

Generally speaking, we are well trained. What is deficient is our attitude to patient care. I see no reason why a doctor for instance, whether he is on call or not, when he gets home, he switches off his/her phone. You have no business switching off your phone because the call you may receive keeps someone alive or keeps you alive. It is rather unfortunate that we find ourselves in this situation. Yet, majority of us are either Christians or Muslims. In fact, so many of us are pastors, deacons, knights all kinds of religious titles. But how do we respond to the challenges of others. Put yourself in the shoes of the patients and ask yourself if I were in the shoes of these patients or if she were my wife, or my child or my relation, how would I manage this patient. The answer you give to that question, use it in managing others. The book of James 2:26 say “just as the body without the soul is dead so is faith without works dead.”

The health sector in the last decade has been faced with un-ending industrial action by various unions. Nigerians feel some of these demands are unreasonable?

Indeed, it is very unfortunate that we have faced with series of crisis in the health sector resulting in unnecessary and unwarranted deaths among the Nigerian populace. The health sector is supposed to be succor not only to the rich but the ordinary poor Nigerians. Unfortunately, over the years it has been riddled with crisis. For me, welfare issues are necessary in life, but incessant welfare requests from the healthcare providers tend to undermine the sector itself. I feel really pained that this situation has not been taken care of both by staff and the government. And each time any union declares industrial dispute, you cannot quantify the number of people that have died. You cannot quantify the suffering people go through. It can be very enormous.

However, I want to thank the minister of health and the minister of state for heath as well of the minister of labour and employment likewise the minister of state for labour and employment for deeming it wise to have a discussion on the issue of the resident doctors. The doctor’s challenges did not state today. They have been having interface with the government over the years. It’s rather unfortunate that it degenerated to a point they had to go on strike. I don’t know where the lacuna came from, but I feel there must have been a break in communication and that resulted into this situation. But I believe we will come to a conclusion within the next few days. Having said so, I think that Nigerians are feeling that these demands cannot be met. If you read the memorandum of agreement that was signed between the doctors and the ministers as well as those of us that were part of the discussions, you will see that some of these things are soluble.

You see on the average, everyone working in the health care sector is a better paid graduate than any graduate in this country. We are feeding from the same pot and it’s rather unfortunate that everyone wants to increase his pocket. There is economic recession today and I’m thinking that by the time we over demand, other workers in the country will also want to demand so my appeal is that we have to be very cautious in whatever we are looking for.

But going by oath taken by these doctors to save lives, some people are arguing that those doctors are not supposed to go on strike?

Yes because our oath for instance says we should preserve life from conception to death. This means that life that is entrusted into your hand must be preserved. The implication of this is that if you go on strike and that life is lost, then you cannot reconcile that with the oath you took. So for me I agree with you that the Oath you took is something too extreme for doctors to go on strike. I have never believed in strike to solve problems and I will never subscribe to strike in its entirety.

Besides doctors, there are fears that other sister unions in the health sector are also agitating for improved welfare. JOHESU/NUAHP have issued an ultimatum threatening to proceed on strike if their demands including restructuring of the administration of teaching hospitals and revamping infrastructure?

The tertiary hospitals are supervised from the federal ministry of health. Secondary healthcare is the property of the states while primary healthcare is the property of the local government areas. So the health system in the country is already decentralized. There is no problem in that. The administrative autonomy is what you see that’s why you have the CMD of this hospital. Unless there is something that needs the minister attention and that’s when I take it to him, otherwise the hospitals are autonomous. Decree 10 of 1985 established the teaching hospitals and created two directorates. Apart from the office of the Chief Medical Director, we have directorate of administration and clinical services and training. That means in an office like this, you can have directors but they are not directing any directorate.

So, we have some level of professional autonomy because we have the laboratory scientist. We have medical laboratory council of Nigeria; we have nurses and midwifery council of Nigeria, physiotherapy council of Nigeria, radiography council of Nigeria. So what autonomy do they want again? That means that when you become autonomous, in a teaching hospital like this, the Chief Medical Director should not have authority over you again. The director of administration should not have authority over you again. The chairman medical advisory committee should not have authority over you again. This is ridiculous. I’m sorry to say so. It’s not done anywhere in this world. It’s only in Nigeria that you wake up and want to do anything you want to do.

So can we say that their demands are unrealistic?

I wouldn’t want to use that adjective. They are not feasible. Some of their demands only have to be looked into. Besides, some of their demands have to do with the National Health Act, which has been passed. So why has it not been implemented? That act should be implemented. If we implement the National Health Act and there are issues there, those issues will be resolved in the course of its implementation. It was a serious brainstorming to get that act passed. I agree with JOHESU/NUAHP that there is need to revamp the facilities in the teaching hospitals but that should not be a demand to threaten a strike. As you are aware, the World Health Association recommends that the allocation to the health sector in National budgets should be 14%. You know that because of our low economy we have not been able to do that. The highest that we have attained is about 7-8%. And even at that, what may eventually be released will be between 3 – 4%. So how do we go about this? It’s good that they are going about this revamping of infrastructure but can you squeeze water out of a rock?

Again, their demand for residency training is amusing. This is the only country in the world where you want to do residency training in administration and everything. Residency training is done for post graduate doctors. Doctors who have qualified as medical doctors and have done their mandatory one year houseman ship, they have done their one year youth service. After that, you pass the fellowship examination what we call the primary fellowship. After that, you are admitted into a teaching hospital which is recognized by the post graduate medical college and you spend between 6 to 10 years depending on the faculty you find yourself. If you are in neurosurgery for instance, you spend 10 years to become a specialist doctor. So it amuses me when everybody wakes up one morning and says he wants residency training. It’s sad. It then gives me the impression that a lot of us have not read the history of the medical practice not only in Nigeria but the world.

Going forward, what do you think ought to be the medium and long term development plan for hospitals?

For us here at University of Calabar Teaching Hospital, UCTH, our strategic development plan for the next five years is being developed. We want to see a hospital where facilities are working near 100%. We want to see a hospital where the infrastructural decay is properly devalued. We what to see a hospital where all post-graduate departments are fully accredited so that we can reduce the cost of training our post graduate doctors in other sectors. We want to see a hospital where patients will come here, go out and say yes, we have entered a teaching hospital. And by the time we do that even heaven will be happy with us. So my advice to the entire country and medical colleagues and other staff in the hospital, is that it is high time we sheathe our swords and ensure that the country experiences peace in the health sector. Work with the present government and ensure that there is peace in this country. The number of patients that die or are referred to our private set ups is outrageous. As I speak to you now, a lot of people in radiology department have opened X-ray departments, scan departments, radiology departments, CT scanning outside. If you go to the hospital clinics you hardly find them including consultants. Is that not attitude? It’s attitude. My prayer is that we should have a turn around so that tomorrow we are not embarrassed. END

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