Saturday, 19 March 2011

The health sector in the Nigerian presidential debates

Nigeria is changing, and our relationship with our country is changing. It is changing because technology is making it possible. I vividly remember the last presidential debates on Nigerian TV, between Chief MKO Abiola and Bashir Tofa before Nigeria's June 12, 1993 presidential election. It was a grainy show on the Nigerian Television Authority. That was back in the day.

Today we watched a well produced debate on a brand new 24 hour Nigerian news channel  NN24, watched all over Nigeria (if you have electricity), beamed live across Africa by DSTV, by BEN TV in the UK, live-streamed on the internet, with live twitter feeds and parallel debates on facebook. The debates was moderated by the articulate editor of another leading light in the new Nigeria - 234Next;  Kadira AhmedSeveral news sites will report and analyse the debate in detail but we will focus on the health sector.

The first thing I will say is that it is a huge pity that the incumbent president Ebele Goodluck Jonathan felt it was too much to expect for him to debate the issues that matter to Nigerians with the other presidential candidates. Instead he chose to appear with a bespectacled Nigerian pop artist; Dbanj a couple of days ago. By this singular act, he has shown he is out of touch with the majority of Nigerians who want to hear from those that seek to lead them in order to make an informed decision. Time will tell on the choice he has made, but we suspect quite a few votes were lost on the night. We were disappointed. Hugely disappointed. Goodluck came to power because Nigerians stood up for him.....and he does not think we are worth his time to debate the issues.

Ibrahim Shekaru
The first to respond on the issue of health was Ibrahim Shekaru. I must confess, I was generally very impressed by how articulate Shekaru was. He answered most of the questions thoughtfully and generally gave well thought through answers, that is, apart from the questions on the health sector. On his priorities in the health sector he referred to public enlightenment and re-emphasizing primary health care. He referred to this approach as one he used "successfully" in Kano state, while redeveloping the Kano General Hospital and building a new pediatric general hospital. An interesting quote from him....
"Teaching hospitals have no business with small small cases of immunisations...."
When challenged on his role in jeopardizing the global polio eradication campaign when he suspended immunisation after being elected into office as Governor of Kano State, he justified it by saying he did this to prevent the collapse of the public health sector in Kano as people had lost faith in government. He said he ...he had a "moral responsibility" to stop the polio vaccination programme! Hmmmm....



Muhammadu Buhari
The general had a lot of the audience clapping for him when he said that he would "convince" our over paid senators to give up a lot of their incredibly generous financial reward, but he probably did not win a lot of people over when asked to articulate his vision for the health sector. On his plans for the health sector, he said he would improve infrastructure, especially water supply in order to stop water borne diseases, dig more bore holes etc etc. He would also train more people. The general moaned that there were too many fake drugs in the market, and we must therefore enforce strict control and supervision on the healthcare of children and mothers. But the quote that drew the most consternation was....
We will work with foreign NGOs to help our people - we will look for help from foriegn countries for advisers and experienced personnel, we will invite foreign pharmaceutical firms.
It was obvious that the general has obviously not given a lot of thought to the health sector as a factor.


Nuhu Ribadu
Mallam Ribadu was asked to start his debate on the health sector by stating what he felt about the situation in Lagos Stae, where doctors and nurses are on strike, leaving over 12 million Nigerians at the mercy of private hospitals. Lagos state is quoted on several occasions as the best performing state in Nigeria, and is governed by the Action Congress of Nigeria, Ribadu's party. Ribadu answered that the strikes were demonstration of democracy! Demonstration of democracy???

He came back to tell the story of his visit to a patient in Ikeja General Hospital were he says he was so impressed with the excellent facilities that he thought he was not in Nigeria. On his vision for the health sector, he said that he would not rehabilitate hospitals but the entoire health sector. He promised 6 special hospitals across the country for "kidney disease, cancer, heart disease, women, children and neurosurgery2. Mallam Ribadu would invite back Nigerian doctors from the Diaspora and promised to engage with the private sector to support his health sector plans. He also promised to strengthen the National Health Insurance Scheme and support the local pharmaceutical industry. He ended with this quote that he used severally in the debate...
"Nigerians ...it is possible "

So what did we think?

On the health sector, it was obvious that Mallam Ribadu had given this more thought than any of the other presidential candidates and gave the most articulate response but generally the responses on the health sector lacked depth and an understanding of the complexity of the sector. Most answers focused on quick wins - such as big infrastructure projects with little reference to the systems required to prevent illness and provide healthcare. They have three weeks to get some advice on this and bring this to the forefront of their campaigns.

But most of all we were disappointed by the absence of the party that has led the country for the past 12 years. - the PDP. Profoundly disappointed that they did not make themselves available to be held accountable. 

Thursday, 17 March 2011

Nigeria Health Watch on Twitter

There are many reasons why you should be on Twitter. Information on the things that matter most can be found more quickly on Twitter than anywhere else (ask the Egyptians). You can follow the people you want to follow or follow the stories you want to follow. By searching with the hashtag #Nigeria, you will find all the stories related to Nigeria that have been tagged.

Your blog "Nigeria Health Watch" has been on Twitter for about a year, and it has led to changes about what we add to the blog. We now use Twitter as the major medium of sharing news stories, while we will focus the blog on reviews and editorials, sharing our view on some of the big issues in our health sector. Below are just a few stories you would have missed if you are not yet one of our "followers".

Did you know that our Senate has passed the National Tobacco Bill banning smoking...


We will point you to thought provoking videos on health issues that matter most to us...


We will point you you to websites of public health programmes that you would otherwise not know about...


And just in case you have not been following the shenanigans of the doctors' strikes...we will bring you that too...


And just before any one accuses us of only bringing you the bad news, we will bring you the positive news stories too...like this one from Maiduguri. 


So, the message is simple - follow us on Twitter

If you are not on Twitter .....maybe you should be! Just maybe!!!





Friday, 4 March 2011

The Health Sector in Imo State under Ohakim

This blog will remain apolitical...even in a climate of intense politics in Nigeria. We will not suggest how people should vote, but we will try to point you to some things that should influence your decisions.

Enough has been written on the fate of the people of Imo state in the past 4 years. Vanguard reports that judges in Imo State are on strike over the kidnap of one of their colleagues - yes judges! At least doctors are no longer alone in receiving this treatment in Ohakim's Imo. We will not report further on the catholic priests being beaten and their appeasement. Citizens of Imo State already know that their resources now and in the future are being 'wisely' used for the dredging of Nwaorie river. Citizens of Imo know, they are not stupid!


Below we share pictures from the tertiary health care sector in Imo State, taken late in 2010....then we let you decide! You have a vote in April 2011, make it count. 


This is the "new" face of Imo in 2011
...the one you don't see
















Pictures and story are courtesy of a bright new blog "Hold it Together, Princess"