BusinessDay 06 April 2018
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20 BUSINESS DAY C002D5556<br />
Friday <strong>06</strong> <strong>April</strong> <strong>2018</strong><br />
Friday <strong>06</strong> <strong>April</strong> <strong>2018</strong><br />
C002D5556<br />
BUSINESS DAY<br />
21<br />
World Health Day <strong>2018</strong>: Universal health<br />
coverage for Nigeria still a mirage<br />
ANTHONIA OBOKOH<br />
Ahead of the World<br />
Health Day on <strong>April</strong><br />
7, health experts say<br />
accountability, financial<br />
and political<br />
issues are threats to effective<br />
application of Nigeria’s Universal<br />
Health Coverage, a scheme<br />
targeted at providing full and<br />
equal access to healthcare to<br />
people and communities in various<br />
parts of the country.<br />
The World Health Organisation<br />
(WHO) ranked Nigeria<br />
187 out of 191 countries in its<br />
ranking of the world’s health<br />
systems, this shows Nigeria has<br />
a lot to do in improving its health<br />
system and making healthcare<br />
affordable and accessible to the<br />
millions of its citizens.<br />
Experts are calling attention<br />
on the need to address the country’s<br />
goal of achieving universal<br />
health coverage as part of efforts<br />
to mark the <strong>2018</strong> World Health<br />
Day, with the theme “Universal<br />
health coverage: everyone, everywhere.<br />
Health for All”.<br />
Chibuzo Opara, Co-CEO<br />
DrugStoc Nigeria, said approaching<br />
the issues of universal healthcare<br />
is about elaborating equitable<br />
and affordable healthcare<br />
at the end of the day, adding that<br />
there should be an agreement<br />
and a commitment between<br />
citizens and decision makers on<br />
where the country places universal<br />
healthcare among other<br />
important priorities.<br />
“In order to create a catalytic<br />
process within the system,<br />
we need to focus on tackling<br />
the issue of financial access to<br />
healthcare, holding individuals<br />
and entities accountable and<br />
measuring the impact of interventions<br />
and activities in the<br />
healthcare sector. Infrastructure<br />
challenges are still a key issue<br />
and the need to sensitise and<br />
make people aware of the inherent<br />
advantages in a healthy<br />
population, especially now that<br />
we are still a young aged country,”<br />
said Opara<br />
The World Health Organisation<br />
(WHO) says the Universal<br />
Health Coverage is a political<br />
choice for countries themselves<br />
to make. A study released recently<br />
by WHO showed that 85<br />
percent of the funding gap to<br />
achieve universal health coverage<br />
could be met by countries<br />
themselves, although up to 32<br />
of the poorest countries will<br />
require development assistance<br />
Analysts in the healthcare<br />
sector also said that for universal<br />
health coverage of Nigerians to<br />
be possible, there is an urgent<br />
need for the government to include<br />
cancer treatment under<br />
the NHIS operation, so that<br />
more people will be able to afford<br />
the treatment and also go<br />
for screening.<br />
They further say that government<br />
needs to encourage activities<br />
through non-governmental<br />
agency to promote advocacy,<br />
national policy on training of<br />
personnel for clinical and nationwide<br />
screening program in<br />
order to enhance early detection,<br />
control the upward trends<br />
and reduce the mortality rate of<br />
Non- communicable diseases.<br />
Most public hospitals are<br />
ill-equipped to handle disease<br />
outbreaks while private hospitals<br />
are expensive for the largely<br />
poor mass of Nigerians.<br />
According to Tedros Adhanom<br />
Ghebreyesus, WHO Director-General,<br />
the world needs<br />
a strong and broad coalition<br />
to drive health impact; I will<br />
continue to highlight universal<br />
health coverage at G7 and G20<br />
meetings, at regional summits<br />
and at the United Nations General<br />
Assembly.<br />
“Universal health coverage is<br />
ultimately a political choice. It is<br />
the responsibility of every country<br />
and national government to<br />
pursue it. I personally commit<br />
to spearheading the advocacy<br />
required to secure the political<br />
support of global, regional, and<br />
national leaders<br />
“We need to do more to enable<br />
your advocacy and activism<br />
efforts, to support of universal<br />
health coverage and to increase<br />
access to essential medicines<br />
and health commodities” said<br />
Ghebreyesus.<br />
Health experts say for Nigeria<br />
to achieve universal health<br />
coverage to deliver substantial<br />
health, economic and political<br />
benefits across populations,<br />
healthcare provision should be<br />
considered as human right and<br />
no one should be denied access<br />
to healthcare due to financial<br />
reasons, gender reasons, issues<br />
related to geographical barriers<br />
or any other issues which might<br />
create a barrier to healthcare<br />
access.<br />
“Today, Nigeria is yet to find<br />
solutions to most of the health<br />
challenges in the country, like<br />
incessant outbreaks of Lassa<br />
fever, high maternal and child<br />
deaths, poor primary health<br />
facilities, lack of functioning<br />
cancer machines, malnutrition,<br />
poor health emergency<br />
responses and many others.<br />
This is happening because the<br />
Nigerian governments, both at<br />
federal and state levels, do not<br />
place priority to healthcare,”<br />
said Runcie Chidebe, executive<br />
director of Project Pink Blue.<br />
Universal health care, (also<br />
referred to as universal health<br />
coverage, universal coverage,<br />
and universal care or socialised<br />
health care) usually refers to a<br />
health care system that provides<br />
health care and financial protection<br />
to all citizens of a particular<br />
country. It is organised around<br />
providing a specified package<br />
of benefits to all members of<br />
a society with the end goal of<br />
providing financial risk protection,<br />
improved access to health<br />
services, and improved health<br />
outcomes. Universal health care<br />
is not one-size-fits-all and does<br />
not imply coverage for all people<br />
for everything. Universal health<br />
care can be determined by three<br />
critical dimensions: who is covered,<br />
what services are covered,<br />
and how much of the cost is<br />
covered. It is described by the<br />
World Health Organisation as<br />
a situation where citizens can<br />
access health services without<br />
incurring financial hardship<br />
KEMI AJUMOBI<br />
With wired reports<br />
WHO donates motorcycles to DSNO in Kwara<br />
SIKIRAT SHEHU, ILORIN<br />
Olaitan Adefila, the Permanent<br />
Secretary of the<br />
Kwara State Ministry of<br />
Health has described mobility<br />
as one of the strongest empowerment<br />
that could be given to officials<br />
in charge of surveillance.<br />
Adefila stated this during the<br />
presentation of motorcycles to<br />
Disease Surveillance and Notification<br />
Officials (DSNO) by<br />
WHO at the ministry secretariat,<br />
Fate Road, Ilorin.<br />
The state government according<br />
to him was very committed<br />
to the well-being of people<br />
through the provision of basic<br />
social amenities like affordable<br />
healthcare delivery, describing<br />
the gesture as timely.<br />
The Permanent Secretary<br />
who commended the World<br />
Health Organisation (WHO)<br />
for distributing motorcycles to<br />
Disease Surveillance and Notification<br />
Officials in the state<br />
and its efforts at ensuring that<br />
Kwara remains a disease-free<br />
state, said: “We are a state that<br />
is eager to develop and only a<br />
healthy people can be productive<br />
and contribute to the development.<br />
So, we are committed<br />
to the well-being and health of<br />
our people and we will continue<br />
to do that”.<br />
While describing the gesture<br />
GHIT fund launches next phase, bringing entire investment to $123mn<br />
The Global Health Innovative<br />
Technology (GHIT)<br />
Fund recently announced<br />
a total of 1.6 billion yen (US$15.5<br />
million) and 10 partnerships to<br />
support product development of<br />
new lifesaving drugs, vaccines<br />
and diagnostics for malaria,<br />
tuberculosis and neglected<br />
tropical diseases such as Chagas<br />
disease, schistosomiasis and<br />
leishmaniasis.<br />
The declaration was made<br />
known as GHIT prepares to<br />
enter its second five-year investment<br />
cycle as they are committed<br />
to steadily invest in hopeful<br />
worldwide partnerships at each<br />
stage of product advancement.<br />
Reports show that since it<br />
was launched in 2013, GHIT<br />
has invested approximately 13.2<br />
billion yen (US$123 million) in<br />
74 global product development<br />
partnerships that leverage Japanese<br />
science and capabilities in<br />
pharmaceutical research and<br />
development.<br />
According to BT Slingsby,<br />
the CEO of GHIT, “We are immensely<br />
proud of the robust<br />
portfolio of potential lifesaving<br />
products we have created with<br />
our network of partners in Japan<br />
and around the world). Adding<br />
that “This highlights that our<br />
business model, as a catalyst<br />
and investor of product development,<br />
is working, but the true<br />
measure of success is getting<br />
effective, affordable, tools into<br />
the hands of every single person<br />
who needs them. Now is when<br />
the really important work starts,<br />
as timely, Adefila noted<br />
with delight that Kwara<br />
was able to tackle diseases<br />
like laser-fever due to its<br />
proactiveness and timely<br />
and we’re ready for it.”<br />
The World Health Organisation<br />
(WHO) states that there are<br />
an estimated 50,000 to 90,000<br />
new cases of visceral leishmaniasis.<br />
Over 90 percent of all VL<br />
cases are found in seven countries<br />
in South Asia, Africa and<br />
Latin America: Brazil, Ethiopia,<br />
India, Kenya, Somalia, South<br />
Sudan and Sudan.<br />
A budget of approximately<br />
88 million yen (US$0.8 million)<br />
will be invested by GHIT<br />
for a new partnership that will<br />
bring together Japan’s Nagasaki<br />
University (NEKKEN), National<br />
Institute of Advanced Industrial<br />
Science and Technology (AIST),<br />
and High Energy Accelerator<br />
Research Organization (KEK)<br />
with the United Kingdom’s<br />
London School of Hygiene and<br />
Tropical Medicine (LSHTM).<br />
GHIT’s new investment of<br />
approximately 88 million yen<br />
(US$0.8 million) includes a<br />
partnership between Japan’s<br />
responses of surveillance<br />
officials at the grassroots.<br />
He advised the people of<br />
the state to always contact<br />
the nearest hospital any<br />
Nagasaki University Institute<br />
of Tropical Medicine (NUITM),<br />
Pennsylvania State University<br />
(PSU) and Antigen Discovery,<br />
Inc (ADI)., both of the United<br />
States, to develop a vaccine candidate<br />
that is designed to block<br />
the malaria parasite from using<br />
the human body’s immune system<br />
to power its invasion of red<br />
blood cells.<br />
Human malaria cases rose<br />
in 2016 to 200 million, and the<br />
Plasmodium falciparum form<br />
of the disease continues to kill<br />
more than 400,000 people every<br />
year. Most of those killed are<br />
children under 5 years old in<br />
sub-Saharan Africa. While antimalaria<br />
drugs, bed nets, indoor<br />
spraying and other interventions<br />
have produced progress<br />
against malaria, a highly effective<br />
vaccine could be a gamechanger<br />
for malaria eradication<br />
in the future.<br />
GHIT will continue to invest<br />
in the development of a new<br />
time they notice the<br />
symptoms of sickness,<br />
as early response is the<br />
key.<br />
In his submission,<br />
Katibi Mustapha, the<br />
state coordinator of<br />
W.H.O, described surveillance<br />
as a key factor<br />
in the disease control,<br />
pointed out that the gesture<br />
was to ensure that<br />
DSNO makes appropriate<br />
and quick responses<br />
to nip diseases before it<br />
progresses.<br />
He explained further<br />
that the gesture<br />
was to complement the<br />
state government efforts<br />
medicine to combat tuberculosis.<br />
While the common<br />
form is treatable, infectious<br />
disease experts worry that a<br />
growing number of infections<br />
with multidrug-resistant and<br />
extensively drug-resistant<br />
strains of tuberculosis could<br />
lead to a major global health<br />
crisis.<br />
The first of its kind in Japan,<br />
the GHIT Fund is an<br />
international public-private<br />
partnership between the Government<br />
of Japan, multiple<br />
pharmaceutical companies,<br />
the Bill & Melinda Gates Foundation,<br />
the Wellcome Trust,<br />
and the United Nations Development<br />
Programme (UNDP).<br />
The GHIT Fund invests and<br />
manages a portfolio of development<br />
partnerships aimed<br />
at neglected diseases, such as<br />
HIV/AIDS, malaria, tuberculosis<br />
and neglected tropical<br />
diseases that afflict the world’s<br />
poorest people.<br />
in detecting diseases<br />
as early as possible so<br />
that necessary medical<br />
treatment would be<br />
applied before the situation<br />
gets worse.<br />
The coordinator<br />
urged the beneficiaries<br />
to use the motorcycles<br />
for the intended purpose<br />
in the interest of<br />
the people at the grassroots.<br />
Abdullahi Yakub who<br />
is from Kaiama Local<br />
Government received<br />
the state coordinator<br />
award for the best performing<br />
DSNO of the<br />
year.<br />
HBL TEAM<br />
KEMI AJUMOBI, Editor - kemi@businessdayonline.com<br />
ANTHONIA OBOKOH, ANI MICHAEL, Reporters I David Ogar, Graphics