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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

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