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What Ails Chris Ngige?

By Louis Odion

The one we knew was the petite David who turned the table against the Goliath of infernal godfathers in Anambra. They thought they had his hands tied with a dark oath at the Okija altar. He would be slave on the throne to slimy Chris Uba who had availed him the use of an illicit scaffold to the Awka White House. 
But once he grasped the handle of the power scythe in 2003, Chris Ngige proverbially chose to answer his father’s name by working for Anambra people, to the political bankruptcy of Uba and the demystification of the Okija gods. (It is however still debatable if mere renunciation of evil godfathers, affectation of populism in office and generally doing good to the larger Anambra society were enough eucharistic atonement for the referenced idolatry by a supposed Christian.)
The more reason many are, therefore, confounded today at the pathetic character the once heroic Ngige is morphing into in Abuja, burning his old progressive flag. From speaking condescendingly of fellow physicians to setting the cat among the NSITF pigeons simultaneously, the man from Alor appears to be the new agent provocateur of Abuja.
An unkind word from a brother hurts more than the poisoned arrow of an enemy, according to an African saying. Intoxicated by the office of Labour minister, Ngige chose the language of a cold-blooded slave-master against fellow doctors.
Featuring on a Channels TV programme last week, he sneered that doctors are free to leave Nigeria: “I’m not worried. We’ve surplus. If you’ve surplus, you export. It happened some years ago here. I was taught Chemistry and Biology by Indian teachers in my secondary school days… (W)ho said we don’t have enough doctors? We’ve more than enough.”
Those who go abroad, according to his simplistic argument, end up sending dollars home, thereby boosting the nation’s forex.
What worsened the matter is the minister’s attempt to bamboozle us with sophistry following the backlash that the misspeak generated. He would regale us with a touted insider knowledge as someone who rose to the position of deputy director in the health ministry before joining politics. Then, the ingenious subterfuge: his discovery at the Labour ministry is that existing facilities at the nation’s teaching hospitals cannot accommodate all the doctors seeking residency, leaving a gaping deficit of 80 percent. 
So, sophist Ngige would have us believe that those so stranded are the ones he said are suitable for export. 
Now, let us subject even this spin to a simple test of logic. From statistics, out of over 72,000 medical doctors registered with the Medical and Dental Council of Nigeria as at 2018, almost half have migrated abroad in search of better pay and working environment. What that simply means is that Nigeria today can only boast of less than 40,000 doctors to a population of 200million, a far cry from the standard of one doctor to 600 patients set by the World Health Organizarion. That leaves us with one doctor to 5,000 persons in Nigeria!
Incidentally, on the same day Ngige misspoke arrogantly, The Punch ran the second part of an in-depth nationwide report laying bare the very desperate condition in the nation’s health sector. We read ghostly stories of wards crawling with patients waiting on grossly disproportionate number of doctors. To say nothing about other ghastly tales of the afflicted made to sleep on bare floor!
One patient at the University of Port Harcourt Teaching Hospital simply identified as Chinenye captured the miserable circumstances thus: “Since we came here (UPTH), mosquitoes have been biting us. Mosquitoes bite people here both in the day and in the night. I’ve been here for a week, but it’s only during the day that I sleep. I cannot sleep at night because mosquitoes torment us.”
How then can Ngige, in good conscience, be claiming “surplus” of doctors – and by inference an overabundance of medicare – in Nigeria?
Indeed, when the minister trained as doctor in the 1970s, things were relatively better run in Nigeria. As a member of the nation’s political leadership in the last sixteen years, he should ordinarily be ashamed that generations after him are left to bear the crushing burden of a broken system. 
So, bearing all of this in mind, it is insensitive – if not insensate – of Ngige to speak of doctors’ exodus in the tone he spoke. It is like saying that Nigerian youths who, for lack of opportunities at home and out of sheer human instinct for survival, embark on perilous adventure on the Mediterranean Sea or Sahara Desert are free to continue on the callous premise that the nation is already overpopulated!
It is the same bungling hands of Ngige’s that are currently at play at the NSITF (Nigeria Social Insurance Trust Fund). Once in the saddle, he apparently found the “juicy” commission saddled with workers’ welfare and benefits too irresistible to let go of ministerial oversight. Despite presidential directive, he has practically stalled the board’s inauguration through all known dirty tactics. 
True, the last board looted the place dry. But when an enquiry submitted its report outlining an action plan, Ngige was not in a hurry to allow normalcy return. Apparently to buy time, he floated yet another gambit – a committee to examine the findings and advise him on what to. That afforded him a perfect alibi to delay the swearing in of the board long named in 2017. Until its chairman-designate, Frank Kokori, started a public agitation last year. 
Ngige only finally chose to let go last week, barely four weeks to the expected dissolution of the Federal Executive Council. But in one last throw of the dice of impunity, he unilaterally smuggled in his own man from the Labour institute in Ilorin to replace Kokori as chairman, directing the latter to take up the lesser posting in Ilorin instead. 
Of course, the small party the minister planned as inauguration in Abuja had to be called off abruptly and indefinitely by aides on the appointed day on sighting the siege of notable Rottweilers in the nation’s labour community to the ministry’s secretariat, obviously scaring the daylight out of the pint-sized minister.
The insistence of the workers that the erstwhile NUPENG leader prevail in NSITF should not be misconstrued. The Nigeria Labour Congress was directly involved in Kokori’s nomination in the first place, believing only someone of his moral stature and experience can better serve the interests of Nigeria’s long-suffering workers and resist attempt by any political interest to convert the place to a feeding trough as had been the tradition.
So, only a reckless player like Ngige would think he could casually override the entire labour community on such a sensitive matter. In fact, the way he has been clinging to NSITF only lends credence to the belief in some quarters that the minister would rather the status quo remained indefinitely, since that helps him arrogate all critical decisions (including contract awards) to himself in the absence of a substantive board.
Therefore, the growing whisper in town is that he would prefer a lackey as chairman in such coveted commission as part of his own “retirement plan” after Buhari’s cabinet. 
On a sentimental level, let it be said that someone like Kokori least deserves this sort of shabby treatment from Ngige. Here is a man whose exceptional sacrifice, whose courage under fire as NUPENG leader made all the difference in the June 12 struggle against the despotism of Babangida and Abacha between 1993/1994, making the restoration of democracy inevitable in 1999. 
Well, maybe Ngige confuses him with the cartel of counterfeit comrades often seen scavenging the corridors of power in funny costumes. 
In case the minister read the wrong version of the nation’s recent history, Kokori cannot – repeat, cannot – be counted among that tribe of renegades and charlatans on the military’s dough, who feverishly chanted Aluta in the day in the 90s only to sneak into the dictator’s lair at night to collect blood money to sell fellow comrades down the river, yet ironically ending up being listed among the heroes of that popular struggle. 
In a way, they are like Mugo, the traitor in Ngugi Wa Thiong’o’s The Grain of wheat, falsely seen as hero by the same folks he had betrayed to the colonial overlord. The crown people had placed on his head in provincial innocence and illusion would turn a wreath of thorns, tormenting his conscience day and night. 
Those Ngige might have mistaken Kokori for are, in private, actually haunted souls today. Like Mugo, they are left to endure life in mortal dread, unsure how long their dark shameful past would remain secret. 
So, in case Ngige is desirous of salvaging what is left of his name, let him allow Kokori be. In fact, today.

Abuja clubs raid: 72 Rights Groups denounce assault on women by FCT Officials

… threaten court action

The recent raid, humiliation and sexual harassment of over 100 women by officials of the Federal Capital Territory Administration (FCTA) Joint Task Team has been strongly condemned by over 72 women organisations, activists, Scholars, Civil Society and Human Rights Organisations in Nigeria.

Insisting that the trial, sentencing and conviction of several amongst these women by a mobile court at the old parade ground, Area 10, Abuja on the afternoon of 29th April 2019 was questionable, the group expressed shock noting that some of them were sentenced to prison or fined for an offence that is unknown to law.

Officials of the FCTA in conjunction with Department of Development Control, Abuja Environmental Protection Board (AEPB) and the Social Development Secretariat (SDS), raided the “Caramelo night club” and other clubs on two different occasions within one week in Abuja (17th and 26th April).

During the raids, they arrested several women, who reported that they had been sexually assaulted, sexually harassed and some even raped.

Some of the women alleged that policemen insisted they pay the sum of N5,000 naira or have sex with them before they could be freed.

The group in a press release said the assaults left injuries in the vaginas of some of the arrested women and many psychologically traumatised by the experience.

Additionally, the release states: “It appears that the FCTA joint task team had unilaterally, and without respect for human rights, chose to contain any ‘environmental nuisance’ the night club allegedly was causing to target and attack young women in the club, particularly dancers and strippers.

“The agents appeared to be specifically targeting women – while no male guests were arrested or harassed. In fact, several female guests in and around the night club were also targeted and harassed. Women were brutally dragged out by male officers who beat them, and some women were stripped naked.

“The violence inflicted on these women was vicious and targeted. They suffered this treatment because they were women and these officers were confident that they can get away with it.

“We were further shocked by the reports that a mobile court at the old parade ground in Area 10, Abuja on the afternoon of 29th April 2019, convicted many of these women in unfair trials and some of them were sentenced to prison or fined for an offence that is unknown to law.

“Nigeria is signatory to many international and regional human rights treaties including the Convention on the Elimination of all Forms of Discrimination Against Women (CEDAW); and the Protocol to the African Charter on Human and Peoples’ Rights on the Rights of Women in Africa (Maputo Protocol), which protects the human rights of women to dignity, equality, liberty and freedom from violence.

“The Violence Against Persons Prohibition Act applicable in the FCT also prohibits all forms of violence against all persons irrespective of gender, and regardless of whether it was committed in private or in public, while stipulating punishments for offenders and remedies for victims.

“The 1999 Nigerian Constitution equally provides for fundamental human rights including the rights to dignity (section 34); right to fair hearing (section 36), and right to freedom from discrimination (section 42).

“In October 2017, the ECOWAS Community Court of Justice in the Dorothy Njemanze & 3 Ors v. the Federal Republic of Nigeria, pronounced that the act of targeting women and harassing them by the Abuja Environmental Protection Board (AEPB) and other state security agents constituted gender based discriminatory treatment, torture, cruel inhuman and degrading treatment.

“The Court also recognised that Nigeria has a duty to investigate, discipline and prosecute persons responsible for violating these human rights therefore, the failure or refusal to do so in the cases reported to it amount to a further violation of the State’s international obligations. These raids by the FCT Joint Task Force are in contravention of the laws and treaties which Nigeria is bound to uphold.

“We therefore demand, that the federal authorities particularly the Police and the FCT Minister, investigate all the allegations of abuse, ill-treatment and violence including rape and other forms of sexual assaults, to which these women were subjected, and where the agents are found culpable, they must be brought to justice before a competent court that meet international human rights standards without delay.

“The government should also provide psychosocial support and compensation for the victims. We call on the government to account for the wellbeing and bodily integrity of all the women for the period they have been held in detention by the state.

“We call on the government to release the women immediately and unconditionally from this unlawful and discriminatory detention and from the proposed ‘forced’ three months arbitrary rehabilitation at the FCT rehabilitation centre in Lugbe, Abuja, which would further violate these women’s rights to equality, dignity and liberty.

“The continued harassment of women by the FCT joint task force should stop immediately as it constitutes gender discrimination, a violation of human rights, is unlawful, unconstitutional and carried out with total disregard for the rule of law.

“The undersigned will not hesitate to take legal actions to challenge the constitutionality of the raids, targeted against women, if the state does not take immediate action to stop these harassments.”

Senior Advocate charges lawyers, others to heighten activism against non-women friendly cultural practices

By Lillian Okenwa

A Senior Advocate of Nigeria (SAN), Chief Ogwu James Onoja has called on judges, lawyers, women groups and non-governmental organizations to step up activism, enlightenment and vigilance against cultural practices affecting women.

Delivering a paper titled: Women and Traditional Inheritance: A Constitutional Analysis, in Abuja, Onoja disclosed that: “Section 42(2) of the 1999 Constitution forthrightly prohibits subjecting any Nigerian to disability merely because of the circumstances of his birth.”

He maintained that: “A person’s gender is determined at conception and fixed at birth. Thus a woman shall not be discriminated against merely because she was born a woman.”

Piqued by the recalcitrant nature of this prejudice, Onoja counselled that:  
“It is important for society as a whole particularly women, Non-Governmental Organizations devoted to women’s right, lawyers and Judges to rise up to the occasion and ensure that such cultural practices are eradicated so that women can rightfully take their place in inheriting property.”

Section 43 of the 1999 Constitution (As Amended) provides thus: “Subject to the provisions of this constitution, every citizen of Nigeria shall have the right to acquire and own immovable property anywhere in Nigeria.”

The Senior Advocate who advised that violation on rights of women to inherit property should be resisted, made recommendations.

“Non-Governmental Organizations like International Federation of Women Lawyers (FIDA) could provide and support advocacy in this regard. Also the courts in the mold of the activism of His Lordship Niki Tobi should be forward looking in their determination of cases involving women’s right to succession. Overall there is the need for education on women’s right and enlightenment of the society on issues that pertain to gender equality in all ramifications of societal life.”

To counter this noxious practice, and adequately accommodate women and female children, he further advocated for deepening the practice of making wills and gifts inter vivos (a legal term referring to transfer or gift made during one’s lifetime).

“This would have the effect of expressly giving a woman either as wife or daughter the right to inherit property. A resort to native law and custom is often undertaken in the absence of a will or where a man dies intestate. Therefore, once a will is made stating that a man’s wife or daughter is entitled to a share of his property, a resort to native law and custom will no longer be necessary.”

Chief Ogwu J. Onoja, SAN

Also Chief Onoja observed that the constitution is not so definite in its provisions of the right of Nigerians to moveable property. “This appears to be a lacuna that should invite constitutional amendment to include provisions on moveable property as is the case with immoveable property. This will provide ample cover for women to enjoy equality in respect inheriting moveable property.”

The Supreme Court in the action between Ukeje v. Ukeje has since ruled that:

“No matter the circumstances of the birth of a female child, she is entitled to an inheritance from her late father’s estate. Consequently, the Igbo customary law which disentitles a female child from partaking in her deceased father’s estate is in breach of section 42 (1) and (2) of the Constitution of the Federal Republic of Nigeria, 1999 a fundamental rights provision guaranteed to every Nigerian. The said discriminatory customary law is void as it conflicts with section 42 (1) and (2) of the Constitution.”  

Citing Article 2, particularly Article 18(3) of African Charter on Human and Peoples Rights which provides that the state shall ensure elimination of every discrimination against women, he concluded thus: “Section 43 gives every Nigerian the right to own immoveable property in any part of the country without any qualifications whatsoever and therefore provides constitutional basis for the equality of the sexes in the ownership of property.”

Bill Gates Foundation berates FG’s poor healthcare funding

  • Commits $2m to Nigeria’s basic healthcare fund

The Bill and Melinda Gates Foundation have upbraided federal government’s funding of healthcare system in the country urging that more resources be channelled to the tertiary and secondary health levels.

While annual healthcare provision for an individual in the United States is $10,000, it is a mere $6 in Nigeria. Only four percent of Nigeria’s budget is designated for health.

Speaking through its Nigeria Country Officer, Dr Paulin Basinga, the foundation noted that though the 2014 National Health Act requires one per cent of the nation’s consolidated revenue to be channelled toward basic healthcare provision fund that would guarantee access to health by all, the policy has not been implemented.

He said there was need to build a stronger PHC system in the country to ensure preventive and curative measures of diseases at the community levels.

Dr Basinga then urged government to make strategic legislations towards funding Universal Health Coverage (UHC).

“Through this legislation, funding priority will be geared toward revitalisation of primary healthcare system thereby reducing the nation’s disease burden and death rate. If the nation has strong primary healthcare system, the health needs of 90 per cent of Nigerians will be addressed.”

Basinga in the meantime disclosed that the foundation has committed two million dollars to Nigerian’s Basic Health Care Provision Funds to fast-track implementation by the government toward the realisation of UHC.

He made the disclosure on Wednesday in Abuja during a visit by officials of the National Institute for Policy and Strategic Studies (NIPSS).The group made a study tour on the foundation and Development Research and Project Centre (dRPC) which is under the Partnership for Advocacy in Child and Family Health (PACFaH) @scale project.

The money according to Basinga was donated as a strategy that would allow money to flow from the Central Bank of Nigeria (CBN) account down to primary health care facilities.

He further noted that the organisation has signed a Memorandum of Understanding (MoU) with the government to enable it meet its commitment of buying vaccines among other consumables that would drive UHC.

Likewise, he identified funding as a major gap in the realisation of UHC.

 “We are excited in this journey toward UHC and we have been stirring the government to build a stronger PHC system through improved funding among others so that the UHC can be a reality,’’ he said.

Basinga identified the six building blocks of UHC as financing, facilities, human resources, commodities, religious and community leaders as well as data.

He emphasised that in order to drive UHC there was need for facilities to be situated in places where they can easily be accessed by all the pregnant women and children, among others, without hitches.

Moreover, he emphasised, the commodity must be readily available at all times; like the test kits and treatment for malaria and typhoid, among other diseases.

Stressing that the capacity of health workers at health facilities must be built to adequately meet the health needs of the populace, he also called for collaborative efforts by philanthropists, civil society organisations, individuals and policy makers to ensure realisation of UHC to guaranty accessible, affordable and quality healthcare services for all irrespective of status.

No Governor’s consent? No problem

By Stephen Azubuike

The issue of obtaining Governor’s consent to land transactions in Nigeria has been the subject of many cases before the courts. In fact, Nigerian Real Property Law is replete with case law on the point. The requirement of Governor’s consent is statutorily provided for under Section 22(1) of the Land Use Act: “It shall be unlawful for a holder of a right of Occupancy to alienate same or any part thereof by assignment, mortgage, transfer of possession, sublease or otherwise without the consent of the Governor first had and obtained.” Section 26 further provides that, “Any transaction or any instrument which purports to confer on or rest in any person any interest or right over land other than in accordance with the provisions of this Act shall be null and void.” 

In view of the above provisions, it became a trend at some point where a person would sell his land, transferring title to another, but would turn around to attempt to void the transaction on the ground that Governor’s consent was not obtained. In some pathetic cases, such persons succeeded but the Supreme Court has since moved to stop such trending mischief especially when it is clear that the person who has the primary duty to obtain consent is actually the seller. Although, in practice, it is the buyer that ensures that consent is obtained so as to effectively secure his or her interest.

One controversy associated with the consent provisions of the Land Use Act was the issue of whether the land transaction was absolutely void in the absence of Governor’s consent, and whether consent must be “first had and obtained” before the transaction can be said to have been effectively concluded. While the waves of uncertainty trailed, the Supreme Court in the famous case of Awojugbagbe Light Ind. Ltd. v. Chinukwe [1995] 4 NWLR (Pt. 390) 379 rose to the occasion and clarified the point, holding that parties are at liberty to hold negotiations over land transactions and even validly execute relevant documents of transfer such as deeds, prior to obtaining Governor’s consent. The Court reasoned that: “The holder of a statutory right of occupancy is certainly not prohibited by Section 22 (1) of the Land Use Act, 1978, from entering into some form of negotiations which may end with a written agreement for presentation to the Governor for his necessary consent or approval. This is because the Act does not prohibit a written agreement to transfer or alienate land. Thus to hold that a contravention or non-compliance with Section 22 of the Act occurs at the time when the holder of a statutory right of occupancy executes or seals the deed of mortgage will be contrary to the spirit and intendment of Section 22 of the Act.” The apex Court concluded that the legal consequence was that such transaction without consent was inchoate (not void) till consent was obtained.

Read more: https://stephenlegal.ng/no-governors-consent-no-problem/#comment-228

Credits: This post was originally published on Stephenlegal.ng by Stephen Azubike, legal practitioner, consultant and social entrepreneur.

7 Things you must do to get the best out of you lawyer

By Stephen Azubuike

1. Make sure you instruct your lawyer in writing.

A lawyer is naturally expected to act only on a client’s definite and legitimate instruction. This instruction may be oral or in written form. It is however advisable to instruct your lawyer in writing. By this, you will never lose sight of what you want done precisely and the lawyer would feel more obligated to act in line with your legitimate instruction and to seek your approval and confirmation when (s)he intends to act outside your instruction. Certainly, the point must be made that this does not affect your lawyer’s use of discretion whenever necessary to ensure that the job is done in your best interest.

2. Demand for frequent written update on your case or instruction.

This is one of the efficient tools to keep your lawyer on his or her toes. You are entitled to receive periodic updates regarding your matter. More so, this helps you to be vigilant in monitoring the progress of your case. Failure to be vigilant may be fatal in some cases. Never forget that the case is primarily your case and your lawyer is only giving you a legal assistance. Be involved. That way, your lawyer will be more alive to duty.

3. Request for a copy of anything filed on your behalf.

It is in your best interest to keep personal record of every court process and other documents filed on your behalf. Your lawyer should have no difficulty making copies available to you. Go through them even if you may not comprehend everything said. Feel free to ask for explanation.

4. Trust your lawyer.

If you show absolute trust in your lawyer, it will go a long way in boosting his or her mental energy to put in best efforts for you. Lawyers are noble men and women deserving of trust and are trained to be of high integrity. It is part of their professional competence to treat client’s information as confidential.

Read more: https://stephenlegal.ng/7-things-you-must-do-to-get-the-best-out-of-your-lawyer/

Credits: This post was originally published on Stephenlegal.ng by Stephen Azubike, legal practitioner, consultant and social entrepreneur.

Must arrested suspect be allowed to meet lawyer in all cases?

Daily Law Tips (Tip 306)

By Onyekachi Umah

No matter the type/kind of case, an arrested suspect is believed to have committed or the status of the person that reported an arrested person or the security agency that arrested a suspect, an arrested suspect MUST be allowed to seek and receive legal advice from any lawyer of his choice. No security agency can choose or reject lawyers for an arrested person! Hence, an arrested person MUST be given reasonable facilities to get legal services, obtain bail and defend himself for any crime in Nigeria.

My authorities are sections 14(2), 494 and 495 of the Administration of Criminal Justice Act, 2015 and other similar laws across States in Nigeria.

Read more: https://www.learnnigerianlaws.com/index.php/law-tips/345-must-arrested-suspect-be-allowed-to-meet-lawyer-in-all-cases-daily-law-tips-tip-306-by-onyekachi-umah-esq-llm-aciarb-uk

Is human trafficking with consent of victim an offence in Nigeria?

Daily Law Tips (Tip 307)

By Onyekachi Umah

Human trafficking is an offence in Nigeria. Even where the consent of a victim of human trafficking was obtained, it is still an offence so far as there was an intention and actual performance of crime.

My authorities are sections 13(5) and 83 of the Trafficking in Person (Prohibition) Enforcement and Administration Act, 2015.

You can download for free the above mentioned laws/regulations with the link below after the comment box.

#DailyLawTips
#SabiLaw
#LearnNigerianLaws

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Shock as President Buhari laments medical tourism

  • Says Nigeria loses over N400 billion annually

By Lillian Okenwa

Many were left in shock when President Mohammadu Buhari said last week that his government’s inability to address various health challenges has resulted in increasing medical tourism in which Nigeria loses over N400 billion on annual bases. 

He made this disclosure last Thursday during the inauguration of Senior Executive Course 41, 2019 of the National Institute for Policy and Strategic Studies Kuru, Plateau State with the theme “Funding Universal Health Care Delivery in Nigeria.”

The President posited that his government has shown strong commitment in the revitalization of the health sector adding that in spite of this, the sector was still characterized by low response to public health emergencies, inability to combat an outbreak of deadly diseases and mass migration of medical personnel out of the country.

“Government has shown strong commitment in the revitalization of the health sector. These efforts notwithstanding, our health sector is still characterized by low response to the public health emergencies, inability to combat the outbreak of deadly diseases and mass migration of medical personnel out of the country. This has resulted in increasing medical tourism by Nigerians in which Nigeria loses N400 billion on an annual basis,” he said.

President Buhari who was represented by Governor Simon Lalong of Plateau State said his government had in January this year flagged off Primary Healthcare Revitalisation Programme with the aim of having 10,000 functional primary healthcare facilities with at least one functional healthcare facility in every political ward across the country.

Coming from a president who spent all his medical vacations in Europe in the last four years, several minds were agitated as to what exactly he was talking about.

Judge Egbas of Pulse Nigeria, chronicles his odyssey.J

“Here’s a timeline of Buhari’s health travels.

February 5, 2016

Buhari embarks on a six-day medical vacation to London.

June 6, 2016

Buhari takes to the skies for a 10-day medical vacation.

Presidency says Buhari has to travel to deal with a ‘persistent ear infection.’

January 19, 2017

Buhari is off to London again on a medical vacation.

February 5, 2017

Buhari writes the national assembly, asks lawmakers to extend his London medical leave.

March 10, 2017

Buhari returns to Nigeria but doesn’t resume work immediately. Presidency says ‘he’s working from home.’

May 7, 2017

Buhari embarks on trip to London for another medical vacation. He returns after 104 days.

August 19, 2017

Buhari returns to Nigeria and it takes him a while to resume work because rats have reportedly damaged furniture in his office.

Presidency announces he’ll be working from home.

May 8, 2018

Buhari is off to London for ‘medical review’—another name for a medical vacation.

It is his 5th medical trip since he was inaugurated president on May 29, 2015.”

In April 2016, Buhari reportedly told the nation that he does not favour medical tourism and that he would not encourage the political class to do so.

“While this administration will not deny anyone of his or her fundamental human rights, we will certainly not encourage expending Nigerian hard-earned resources on any government official seeking medical care abroad, when such can be handled in Nigeria”, Buhari said, according to a statement from the Health Ministry at the time.

More worrisome is that Prof. Isaac Adewole, Nigeria’s health minister after close to four years in office can hardly lay claim to any significant impact on the country’s health sector. In the last few years, various medical unions, including the Nigerian Medical Association, which he belongs to, raised questions about his effectiveness in office.

Within the last four years, all federal government health institutions in Nigeria including federal medical centres, specialists’ hospitals, orthopedic hospitals, psychiatric hospitals among others at various times had to shut down due to industrial action while the president visited United Kingdom for his health care.

On the website of the Federal Ministry of Health, there is a list of 44 tertiary health facilities comprising 20 teaching hospitals and 24 federal medical centres, a number of which should have been able to handle the President’s condition but these medical establishments have remained in critical states of despair.

It was even widely reported that budgetary allocations to all these facilities were dwarfed by the provisions made for the Aso Rock Clinic (State House clinic).

In October 2017, the president’s wife, Mrs. Aisha Buhari caused a stir when she said the Aso Rock Clinic could not boast of a syringe despite huge allocations made to it. She related that when she was sick, she was advised to travel abroad because of the poor state of the clinic, adding that she had to go to a private hospital owned by foreigners when told that the x-ray machine in the State House Clinic was not functioning.

The question is, what has happened to the implementation of the National Health Bill, 2014 for example? How much has been achieved with the penetration of the National Health Insurance Scheme and the expansion of the programme to include ordinary Nigerians? What are the plans of this government to improve Nigerians’ access to health information as an important ingredient for preventive care?

Another nagging issue is the welfare and conditions of service for medical personnel in the country.

It was wildly reported that last month, hundreds of Nigerian doctors gathered at a hotel in Abuja, and Lagos, for an exam conducted by the Saudi Arabian health ministry.

Reports also disclosed that weeks before the attempt by Saudi Arabia to entice Nigeria’s medical best, dozens had sat for the regular Professional Linguistic Assessments Board (PLAB) exams at the British Council. Scaling through this test will enable them to work in the UK.

Over the last few years, about 2,000 doctors have left Nigeria blaming the mass exodus on poor working conditions.  While the annual healthcare provision for an individual in the US is $10,000, in Nigeria it is a paltry $6. Merely four percent of Nigeria’s budget is designated for health.

Sadly, four years into the Buhari administration, poor primary, secondary and tertiary healthcare services/facilities have bedeviled the country.

These challenges were meant to have been effectually tackled if the government had delivered on its promise to bring healthcare delivery closer to the people. This was meant to be achieved with the rejuvenation of 10,000 primary health care centres across the country. The minister of health, a professor of medicine, had emphasised that resuscitating primary healthcare was one of the top priorities of the government. This is still being awaited.

In 2017 while inaugurating the Model Primary Health Care Centre for Universal Health Coverage in Nigeria at Kuchigoro Primary Health Centre, Abuja the president assured that Federal Government will continue to ensure more Nigerians have access to quality basic health care services. He expressed hope that the provision of quality health care service would reverse the poor health indices in the country, noting that his administration would fulfill all its promises made to the people.

Yet, many primary healthcare centres across the country are still dire straits. Today, a state of public health concern has been declared as nearly 2,300 children under five die daily and about 145 women also die daily in Nigeria from pregnancy and childbirth related matters. Most pregnant women still use the services of traditional birth attendants for delivery.

Strangely, the Minister of Budget and National Planning, Sen. Udoma Udoma said President Buhari’s administration places very high value on improving health care delivery and social welfare of Nigerians. Speaking at the opening of the ‘Value for Money in Health Sector Workshop’, Udoma said Buhari’s administration was prioritising health related expenditures in all the national budgets.

“As we are able to demonstrate and show improved healthcare outcomes for the money we are currently spending, government at all levels will be encouraged to further increase funding to the health sector,” the minister said.

145 pregnant women, numerous children die daily in Nigeria

…as the nation declares state of emergency on maternal and child deaths

By Lillian Okenwa

A state of public health concern has been declared on maternal, new born and child deaths as nearly 2,300 children under five die daily and about 145 women die day-to-day in Nigeria from pregnancy and childbirth related matters.

The Executive Director, National Primary Health Care Development Agency (NPHCDA), Dr Faisal Shuaib who made this disclosure in Abuja on Monday raised urgent concerns about these deaths occurring at primary health care (PHC) and community levels. 

Expressing concern while presenting the agency’s strategic approach to rapidly reduce maternal and child mortality at community levels, he likened the 145 daily maternal deaths to having a fully loaded Boeing 737-300 airplane, with 145 women crashing every single day in Nigeria, killing everyone on board.

“Every day in Nigeria, approximately 145 women die from preventable causes related to pregnancy and childbirth, this is equivalent to having 1 Boeing 737-300 series airplane, fully loaded with 145 women crashing every single day in Nigeria, killing everyone on board.

“Every day in Nigeria, approximately 2,300 children under five years die mainly from preventable causes. Similarly, this is equivalent to having 15 Boeing 737-300 series airplanes fully loaded with 145 children under five years old, crashing every single day in Nigeria and killing all the children on board.

“One out of every eight Nigerian children dies before having a chance to celebrate his or her 5th birthday.

“Having noted the high rate of maternal, new born and under-five child mortality and the insufficiency of our efforts to reverse the trend, I hereby declare a state of public health concern on maternal, new born and child deaths occurring at the primary health care (PHC) and community levels.”

Meanwhile, Section 33 of the 1999 Constitution (amended) adequately provided for the right to life. This provision clearly states that every person has a right to life and no one shall be deprived intentionally of his life, save in execution of the sentence of a court in respect of a criminal offence of which he has been found.

Many Nigerians are however left in a quandary since government has not taken sufficient care to provide basic health care to keep them alive in spite of clear constitutional provisions.

Shuaib said the establishment of a National Coordination Centre within the NPHCDA to provide oversight on Reproductive, Maternal, Neonatal, Child, Adolescent Health plus Nutrition (RMNCAH+N) activities at PHC level, would help tackle the challenge of preventable deaths.