What ought to FG do to enhance well being care supply?


  • Dr Sarumi Olakunle (Public Relations Officer, Affiliation of Public Well being Physicians of Nigeria)

There is no such thing as a doubt that there’s a want to enhance well being care supply within the nation. A state of affairs the place many Nigerians, together with authorities functionaries and their households, journey overseas for medical check-ups and remedy leaves a lot to be desired.

A rustic as endowed as Nigeria ought to have a greater organised well being care supply system. It’s unhappy that Nigeria is until ranked among the many poorest on this space.

It goes with out saying that correctly a and sustainable methods have to be adopted to advance the nation’s well being care system.

Before everything, the Federal Authorities ought to implement provisions of the Nationwide Well being Act.

The Act has the potential to considerably redefine Nigeria’s well being care supply system by influencing the apply of well being professionals, the standard of well being care supply and attainable outcomes.

It is usually vital to strengthen the Nationwide Well being Insurance coverage Scheme to cowl one and all. That is the one approach that the mantra of “Well being for All” could be achieved

The coaching and retraining of well being care employees can be very important.

It is usually vital to supply a greater enabling setting for well being care practitioners to present their finest, optimise their potential and ship optimum well being care providers.

Our public hospitals must be adequately outfitted with trendy gear. Clearly, there are certified and devoted well being care practitioners however there may be little or no they will do with out the wanted well being infrastructure.

  • Dr Furo Inexperienced (A former Chairman, Nigerian Medical Affiliation, Rivers State)

There are issues the Federal Authorities can do. The Federal Authorities ought to improve the funds for well being. We agreed in Abuja a number of years in the past that the funds for well being shouldn’t be lower than 16 per cent of the complete funds. With a meagre allocation to the well being sector yearly, we can not make any headway.

The Federal Authorities ought to strengthen current well being amenities and programmes. Our educating hospitals are a shadow of themselves. Authorities ought to enhance on the standard of the medical insurance system. Medical health insurance enrolment remains to be very low and really poor. Even the place it’s accessible, the standard of service may be very low as a result of the pay may be very low.

You and I do know that there’s a lot of migration of medical specialists overseas. Medical doctors, nurses, physiotherapists are all leaving the nation in droves to Saudi Arabia, to Europe and to America. They depart as a result of we play politics with their remuneration, allowances, coaching and every part.

The federal government ought to scale back taxes on medical gear, medical consumables. For instance, a specific drug that’s bought in Nigeria is bought in India for about 20 per cent of the value that it’s bought in Nigeria. That is due to the variations in taxation. Medication are closely taxed right here in Nigeria; this can improve the burden of financing well being. So, the federal government ought to scale back taxes on medical consumables and all different issues which might be associated to the well being trade.

  • Dr Inyang Asibong (Commissioner for Well being, Cross River State)

Authorities in any respect ranges ought to first look into enhancing the capability of well being employees by way of fixed coaching and retraining. In drugs, we have now new circumstances which might be being resolved each day. So, we have now to maintain the well being employees abreast of unfolding developments in order that they will additionally handle sufferers of their care.

The second most vital factor is the availability of infrastructure. There must be the bodily growth of infrastructure. We’ve just lately witnessed quite a lot of medical tourism overseas for illnesses that will have been handled even within the major well being care centre. However you see individuals leaving the first, secondary and tertiary well being care centres within the nation to different international locations. We’ve the wanted infrastructure; lots of people don’t must journey.

One other drawback that we have now within the nation is the shortcoming to buy state-of-the-art gear. Radiology machines are costly   although however we have now very restricted numbers within the nation as an entire — this isn’t good for our system. If in case you have all of the wanted machines, our centres will appeal to sufferers. There’s the necessity to inject funds into the system.

Once more, the problem of remuneration must be addressed. You see a rustic like Canada the place medical medical doctors just lately protested in opposition to additional improve in wages, however it’s the reverse in Nigeria the place we all the time protest as a result of the pay is simply too small. The motivation is just not ample.

Lastly, we had talked in regards to the “Abuja declaration”, the place it was agreed that 15 per cent of the funds ought to go to the well being sector, however it’s hardly so. Nigeria has not complied with this. Different international locations are culprits as nicely.

In all, if we will meet up with what has been highlighted, we are going to get it proper.

  • Dr Aniekan Utuk (College of Uyo Instructing Hospital)

The Federal Authorities is just not too dedicated to well being care supply. After we discuss of the Federal Authorities, it consists of the individuals which might be representing us. These individuals, when they’re unwell, they get on the closest airplane and depart the nation for remedy overseas. In fact, which means there isn’t a major or secondary well being care supply system and they aren’t prepared to repair it. Should you see the construction of major, secondary, and tertiary well being care in Nigeria, it has fully collapsed. So, we don’t have good specialist establishments that may present well being look after all Nigerians.

When individuals fall sick of minor illnesses like malaria, pains, or the others, they usually run to tertiary well being care establishments for treatment. They’re solely imagined to go to tertiary well being care establishments with a letter from both major or secondary well being care amenities. The tertiary well being care just like the one we have now right here — the College of Uyo Instructing Hospital — its major aims embody to take a look at circumstances that major and secondary well being care can not deal with. Sadly for us, even in Uyo, there isn’t a basic hospital. Not solely the Federal Authorities but in addition the state governments are usually not prepared to repair the well being sector. That’s the fact. They don’t seem to be prepared to spend money on the well being sector. There is no such thing as a goodwill or political will to repair the well being sector; they like to go overseas for medical remedy, similar to the primary citizen of the nation who’s at present (nonetheless) receiving remedy in a London hospital.

This isn’t one thing to chuckle at; it’s one thing to cry about. The primary citizen doesn’t imagine within the well being care system of the nation; he has demonstrated this many occasions. His son was just lately in Germany for remedy. So, you possibly can think about what is going on within the nation and sadly, they’re utilizing the taxpayers’ cash to entry the well being care supply system overseas. If we had an government that’s prepared to repair the well being sector, it may possibly provoke acceptable laws to again up its plans. Identical to right here in Akwa Ibom State the place the ex-governor constructed Ibom Specialist Hospital. Akwa Ibom individuals can not even entry that place, whereas in the actual sense we want a basic hospital. The cash they utilized in constructing that hospital can construct 5 – 6 basic hospitals. There is no such thing as a basic hospital within the state. If the politicians are prepared to repair our well being care system, they could have addressed at the very least 50 per cent of the circumstances we have now within the hospital.

  • Dr Adewunmi Alayaki (A former Secretary Common, Nigerian Medical Affiliation)

For the federal government to enhance well being care supply on this nation, it should handle some germane points.

First, it should enhance the first well being care system. There must be the availability of fundamental necessities to make these centres perform successfully. For instance, water, electrical energy and entry roads.

The federal government ought to make use of all cadres of well being care suppliers in these centres. About 70 per cent of sufferers with their illnesses would have been attended to at this degree leaving the intense illnesses for the secondary and tertiary well being care centres to deal with.

Second, the federal government ought to handle the community-based medical insurance scheme with the seriousness it deserves. As soon as we will have as much as 90 per cent of the inhabitants captured beneath this scheme, the well being indices within the nation will enhance.

Third, let authorities set up a world-class hospital in every of the six geo-political zones that may handle the circumstances that may require extremely specialised care.

Fourth, let there be laws in opposition to medical tourism, with this, our authorities would don’t have any possibility than to develop our well being care supply system to the usual that everyone will likely be proud and make use of.

Fifth, the federal government ought to handle the welfare problem of all well being employees in order to scale back mind drain. These well being care employees, if nicely remunerated, would have stayed again to assist the system develop.

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