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Lagos and the revitalisation of public health<br />

BY TAYO OGUNBIYI<br />

THERE is a saying that “a wealthy<br />

nation is a healthy nation”. This assertion<br />

is anchored on the belief that a<br />

healthy population contributes immensely<br />

to the socio-economic growth of any<br />

society.<br />

This is why one can only but commend<br />

the Babajide Olusola Sanwo-Olu administration<br />

in Lagos State for making<br />

health and environment one of its cardinal<br />

programmes as captured in<br />

T.H.E.M.E.S(an acronym for the<br />

administration’s strategic development<br />

agenda, namely: Traffic Management and<br />

Transportation, Health and Environment,<br />

Education and Technology, Making<br />

Lagos a 21st Century Economy, Entertainment<br />

and Tourism and Security<br />

and Governance) developmental Agenda.<br />

In the last two years, the administration<br />

has invested immensely in the upgrade of<br />

public health facilities to enhance access<br />

to quality healthcare. At the centre of the<br />

state’s public health policy is the provision<br />

of unhindered access to healthcare<br />

delivery without financial constraint to the<br />

residents. The commissioning of three<br />

Mother and Child Centers, MCCs, at Eti-<br />

Osa, Igando and Badagry amply demonstrates<br />

the administration’s resolve to enhance<br />

residents’ access to healthcare. The<br />

fourth MCC, located in Epe, has been<br />

completed and will be commissioned in<br />

the coming weeks.<br />

Similarly, the roadmap for<br />

the comprehensive upgrade of infrastructure<br />

in the state-owned health facilities<br />

began last year, following the approval<br />

of the plan by the executive council. The<br />

infrastructure roadmap is being executed<br />

in phases with<br />

the primary goal of revamping health facilities<br />

across the state’s primary, secondary<br />

and tertiary healthcare system. The<br />

overhaul is part of the strategy to build<br />

a resilient healthcare in Lagos and increase<br />

residents’ access to quality universal<br />

health coverage.<br />

The renewal effort, which is being carried<br />

out in short, medium-and longterm<br />

bases, would bring about fit-forpurpose<br />

healthcare facilities that would<br />

raise the capacity of government to respond<br />

to contemporary and future health<br />

challenges.<br />

The state’s ongoing public health facilities<br />

renewal drive also include improved<br />

efficiency for physical maintenance, ease<br />

of movement, low carbon footprint, low<br />

energy consumption, infection prevention<br />

and control as well as staff and patient<br />

comfort. The restoration programme is<br />

also designed to address issues of design<br />

errors, drainage, patient flow, staff flow,<br />

water collection, infection prevention, energy<br />

and ventilations.<br />

Government has renovated and remodelled<br />

the Mainland Hospital in Yaba with<br />

future plans of making it an Institute of<br />

Research for Infectious Disease.<br />

It has also completed the remodelling<br />

and upgrading of Apapa General Hospital,<br />

just as the Harvey Road Health Centre,<br />

Ebute Metta Health Centre, Isolo General<br />

Hospital and the General Hospital,<br />

Odan Lagos are all undergoing different<br />

It is expected that all issues<br />

bedeviling medical health<br />

infrastructure across the<br />

state will disappear when the<br />

medical infrastructure blueprint<br />

strategy is fully implemented<br />

phases of renovation. All of these are part<br />

of the efforts to make health<br />

accessible to Lagosians.<br />

It is important to emphasise that<br />

the health facilities’ upgrade is being<br />

done in a sustainable way to ensure that<br />

it would take years for major repairs to<br />

be done, except the statutory maintenance<br />

by the hospital management as<br />

well as the Lagos State Asset Maintenance<br />

Agency, LASIAMA.<br />

As part of the Sanwo-Olu administration’s<br />

‘Greater Lagos’ agenda, the construction<br />

of new hospitals to<br />

bridge noticeable gaps in access and services<br />

in the health sector has also begun.<br />

This is in tandem with the determination<br />

of the current administration to<br />

achieve the goals set in the Health and<br />

Environment pillar of its T.H.E.M.E.S<br />

agenda.<br />

Hence, government has commenced the<br />

construction of a 280-bed General Hospital<br />

in Ojo, 150-bed New Massey Street<br />

Children’s Hospital, while the Governor<br />

has also approved the construction and<br />

equipping of 1,500-bed Psychiatric Hospital<br />

and Rehabilitation Centre at Majidun<br />

in Ketu Ejinrin.<br />

The prototype of the new, remodeled and<br />

upgraded healthcare infrastructure in the<br />

state were planned to conform with key<br />

elements of global standards health facility<br />

designs such as natural light/ventilation,<br />

sustainable energy, patient flow, infection<br />

prevention, noise prevention, flood<br />

prevention, identifiable standout visual<br />

features as well as scalability and modular<br />

design for expansion.<br />

Earlier, the construction of a four-storey<br />

Faculty of Basic Medical and Clinical Sciences<br />

Office Block at the Lagos State<br />

University College of Medicine,<br />

LASUCOM, was completed, while plans<br />

have also been concluded<br />

for the renovation and upgrade of some<br />

facilities at the Lagos State University<br />

Teaching Hospital, LASUTH. This is in<br />

line with government’s medical infrastructure<br />

blueprint strategy for the tertiary<br />

health facilities.<br />

Also, in partnership with the private<br />

sector, government has completed and<br />

handed over an oxygen plant<br />

at the Mainland and Gbagada General<br />

Hospitals. The Triage and Oxygen Centres<br />

in <strong>10</strong> locations across Lagos have also<br />

been delivered. In order to enhance staff<br />

welfare, the construction of a 24-unit<br />

Doctors’ and Staff Quarters in Gbagada<br />

General Hospital has equally commenced.<br />

Work has also begun on the blueprint<br />

designs for Comprehensive Health Center,<br />

Primary Health Center and Health<br />

Posts as part of the move to rejig their<br />

operations and service delivery. This<br />

will, no doubt, significantly help in adding<br />

bed capacity to Lagos State’s healthcare<br />

infrastructure.<br />

As earlier affirmed, the promotion and<br />

protection of the health of Lagos<br />

residents undoubtedly has a positive<br />

impact on social development and quality<br />

of life of citizens. This explains government’s<br />

investment in the greenfield<br />

medical infrastructure projects to prevent<br />

issues noticed in health infrastructure in<br />

the State. It is expected that all issues bedeviling<br />

medical health<br />

infrastructure across the state will disappear<br />

when the medical infrastructure<br />

blueprint strategy is fully implemented.<br />

The continuous improvement in quality<br />

of health service in the state is a core<br />

Vanguard, TUESDAY, MAY 11, 2021 — 17<br />

Send Opinions & Letters to:<br />

opinions1234@yahoo.com<br />

mandate of the Sanwo-Olu administration<br />

and the government is uniquely<br />

positioned to utilise available resources<br />

to actualize this goal. With the ongoing<br />

refurbishment and roll out of a new infrastructure<br />

blueprint, the medical infrastructure<br />

landscape of Lagos would look completely<br />

different, thus moving the state a<br />

step closer to achieving universal health<br />

coverage. Perhaps,<br />

more<br />

importantly, the medical infrastructure<br />

blueprint agenda will help address<br />

the issue of brain drain, medical tourism<br />

and patient welfare.<br />

It is also essential to draw attention to<br />

the state’s response to the Coronavirus,<br />

COVID-19, which has been commended<br />

locally and globally, as it helped to prevent<br />

the pandemic from spreading more<br />

rapidly across the state and also<br />

from wreaking havoc on<br />

the entire country. The response strategy<br />

put in place by<br />

the government efficiently curtailed<br />

the pandemic and limited fatalities.<br />

EKO TELEMED, a tech-driven platform<br />

through which the government managed<br />

the spread of the virus, yielded efficient<br />

results in breaking the cycle of<br />

community infection.<br />

In order to prevent the resurgence of<br />

the pandemic, government has begun the<br />

deployment of EKO TELEMED in the<br />

management of in-bound international<br />

travellers from high burden countries. The<br />

tech-driven platform would be used to<br />

monitor movement and treat infected travellers.<br />

The Sanwo-Olu administration has,<br />

no doubt, demonstrated that the restoration<br />

of public health facilities remains<br />

vital in its ‘Greater Lagos” Agenda. It recognises,<br />

and rightly so, that health is<br />

wealth and this explains its numerous innovative<br />

and people-centered schemes<br />

that are carefully designed to change the<br />

face of public health in the state.<br />

On the whole, it is heart-warming to note<br />

that the current administration in Lagos<br />

State is working tirelessly towards attaining<br />

a sustainable health care delivery system<br />

for the residents.<br />

•Ogunbiyi is Deputy Director, Public<br />

Affairs, Ministry of Information and<br />

Strategy, Alausa, Ikeja.<br />

2023: Is Nigeria ready for woman president?<br />

BY ZUBAIDA BABA<br />

IBRAHIM<br />

IN less than two years from<br />

now, the curtain will be drawn<br />

on the administration of President<br />

Muhammadu Buhari. But<br />

while he is still the present occupant<br />

of Aso Rock, the seat of power,<br />

in Abuja, political gladiators<br />

and their political parties have<br />

started scheming and jostling for<br />

PMB’s lofty seat.<br />

Not only Nigeria, but the entire<br />

global community expressed<br />

unbridled joy over the<br />

emergence of Mrs. Samia Suluhu<br />

Hassan as Tanzania’s new<br />

President. The 61-year-old was<br />

Tanzania’s immediate-past Vice<br />

President until March 19,<br />

2021, when providence made<br />

her the first citizen of the East<br />

African nation following the<br />

demise of President John Magufuli.<br />

But unlike Tanzania, 60<br />

years’ post-independence, Nigeria,<br />

Africa’s Giant, is yet to have<br />

a woman holding even the seat<br />

of the Vice President. It is pathetic<br />

to note that the efforts of<br />

amazons like Mrs. Sarah Jibril<br />

to become Nigeria’s first female<br />

president in past general elections<br />

had proved futile.<br />

Firstly, it should be noted that<br />

the political pertinence of Nigerian<br />

women is not up for debate.<br />

Over the years, hundreds of<br />

women gather at various political<br />

rallies to demonstrate their<br />

support for their male equivalent<br />

through advocating, campaigning<br />

and mobilising others<br />

to vote. Beyond that, come election<br />

day we see them trooping in<br />

magnificent numbers, the elderly<br />

and the youthful, queuing up<br />

to cast their ballots for male candidates.<br />

To solidify this standpoint,<br />

out of 84 million registered voters<br />

nationwide in the previous<br />

national elections, women accounted<br />

for over 40 million, this<br />

means they make up to 47.14%<br />

of total eligible voters which can<br />

be a measure to the remarkable<br />

increase of women’s participation<br />

in politics. Despite this all,<br />

there is a deep-rooted level of<br />

under-representation of women<br />

in politics when compared to<br />

male counterparts.<br />

The deficiency of women holding<br />

political offices can be<br />

linked to a few factors beginning<br />

with the female folk conception<br />

of politics which is the<br />

belief that Nigerian politics is<br />

based on high political vigor<br />

which only men possess; the<br />

competitiveness to compete in<br />

chaotic environments, the<br />

strength to take it by force<br />

when force is required.<br />

Women’s perception of politics<br />

as a dirty game has further estranged<br />

them from the idea of<br />

mainstream politics. Another<br />

ingredient is political campaigns<br />

necessitates rock-hard financial<br />

backing for it to be successful.<br />

Women’s historical experience of<br />

discrimination with division of<br />

labour and job opportunities offered<br />

on sexual basis has given<br />

the menfolk more productive<br />

roles which favours them to the<br />

disadvantage of the womenfolk.<br />

Adding to that, financiers prefer<br />

male candidates due to the assumption<br />

that they (the men)<br />

have more prospects.<br />

These major points noted above<br />

coupled with many other factors<br />

are the same reason why Nigeria<br />

needs more women to strive for<br />

political office. The poor representation<br />

in governance has become<br />

an enabler of discriminatory<br />

act, marginalisation and social<br />

closure which results to one<br />

group usurping all opportunities<br />

of bringing the other group down<br />

through seclusion and displacements.<br />

This is not in any way due<br />

to the capability of the women<br />

being substandard. In fact, there<br />

is an exclusive group of female<br />

presidents who have laid the foundation<br />

for future female leaderships,<br />

some of them who have left<br />

an emblem on politics in their<br />

respective countries.<br />

Let’s take Nobel peace prize<br />

laureate and former Liberian<br />

president, Ellen Johnson-Sirleaf,<br />

who is the longest-serving female<br />

president in African history. Beyond<br />

her pioneering election,<br />

Sirleaf had made gigantic steps<br />

during her presidency by committing<br />

to nonviolence and peacebuilding<br />

processes in her coun-<br />

Policy makers should<br />

seize the opportunity of<br />

approaching national<br />

elections to promote<br />

women’s participation<br />

and move female candidates<br />

to the top of<br />

election lists and into<br />

leadership positions<br />

try. Another example is<br />

Malawi’s first female president,<br />

Joyce Banda, whose bookkeeping<br />

measures have helped lift<br />

monetary suspensions from Western<br />

donors to Malawi and bring<br />

back cash injections from the International<br />

Monetary Fund,<br />

IMF. These role models show that<br />

women can perform wonderfully<br />

in governance and shaping countries’<br />

development.<br />

Using certain policies, policy<br />

makers should seize windows of<br />

opportunity of approaching national<br />

elections to promote<br />

women’s participation aggressively<br />

through urging political<br />

parties to move female candidate<br />

to the top of election lists and into<br />

leadership positions. They<br />

should demand women’s inclusion<br />

in transitional institutions,<br />

especially constitution-drafting<br />

bodies, through pushing heads of<br />

state and government to exercise<br />

gender parity in executive appointments.<br />

There should also be programmes<br />

that fund urban and rural<br />

campaigns that publicise<br />

women’s contributions and ability<br />

to lead, that also provide financial<br />

and technical backing<br />

based solely on candidates’ prospectus<br />

irrespective of gender.<br />

Women politicians can also establish<br />

mentoring programmes<br />

to support and encourage others<br />

to run for office.<br />

Women in all levels have been<br />

put at the backdrop politically<br />

for years and this has inclined<br />

them to reduce themselves as<br />

tools for political success for<br />

male counterparts who, under the<br />

guise of women movements advocacy,<br />

use it as a plan to gain<br />

political power or strengthen the<br />

power. Therefore, women should<br />

reject empty promises and petty<br />

gifts and support their women<br />

folk for this is their responsibility<br />

and it is even good basis for<br />

achieving gender equality and<br />

equity.<br />

•Ibrahim, a political activist,<br />

wrote, from Wuye District, Abuja.<br />

C<br />

M<br />

Y

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