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Medical experts: We now have one doctor to 6,400 patients

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Nigerian doctors in UK lament exploitation, slave labour

MEDICAL experts have raised the alarm that the ratio of doctors available in the country was now one to 6,400 patients as a result of brain-drain.

The experts, including the Chief Medical Director, University of Medical Sciences Teaching Hospital, Ondo State, Dr. Oluwole Ige, and an Associate Professor of Orthopaedic Rehabilitation, Obafemi Awolowo University, Ile- lfe, Osun state, Dr. Teslim Onigbinde, spoke in Ondo at the 2nd induction of physiotherapists, who recently graduated from the University of Medical Sciences, UNIMED, Ondo.

The figure is 5,900 patients higher than the United Nations recommended ratio of one doctor to 500 patients.

It is also 1,400 patients higher than one doctor to 5,000 patients, the Nigerian Medical Association, NMA, declared, late last month, at its Anambra Chapter’s Physicians’ Week and Scientific Conference in Nnewi.

38.7% of Nigerians suffer healthcare depreciation

Apart from poor access to doctors, access to health facilities is also a challenge, as the recently released multi-dimensional poverty by the National Bureau of Statistics survey showed that more than one out of every three Nigerian suffers deprivation in terms of time to healthcare.

According to the report, titled: “The 2022 Multidimensional Poverty Index,” a household is deprived if it takes them 30 minutes or more to reach the nearest functional health facility or primary healthcare centre on foot.

The survey revealed that 38.7 per cent of Nigerians spend more than 30 minutes to reach the nearest functional health facility.

NMA Secretary General, Dr. Jide Onyekwelu, who spoke at the Nnewi event, had said the rate at which doctors were migrating for greener pastures posed serious manpower crisis in the health sector, noting that while the UN standard recommended an average of one doctor to 500 patients, the ratio had dropped to about 1:5000 in Nigeria due to the declining number of doctors in the country.

Current statistics, according to the medical experts at the induction ceremony in Ondo, the number has dropped further to 6,400 patients to one doctor.

Dr. lge expressed worries over the rate at which medical professionals were leaving Nigeria in search of better opportunities abroad.

He called for urgent measure to salvage the trend, saying: “the country is in dire emergency situation within the medical sector.”

Ige, who spoke through, the Chairman, Medical Advisory Committee, CMAC, Dr. Michael Gbala, expressed mixed feelings that half of the 34 inductees were already nursing the ambition to board the next flight to developed countries and appealed to medical personnel in Nigeria to always give a second thought before leaving the country.

His words: “You (inductees) are coming at a time there is mass exodus of medical personnel. The university has taken about five years to train you, so Nigerians will be happy to have you around.

“If your lecturers had left, they will not be around to train you. We are in a very serious situation. Except something is done, we might be heading towards major crisis. I salute those who are still around, despite the challenging situation.

“Wherever you may be, ensure you continue to retrain yourselves and be good ambassadors of the institution.”

On his part, Dr. Onigbinde described the ratio of doctors available to patients in the country as worrisome and stressed the urgent need to halt the brain drain in the health sector.

‘Work in Nigeria first’

The Vice Chancellor of the institution, Prof. Olusegun Fatusi, who was represented by the Deputy Vice Chancellor, Administration and Clinicals, Prof. Adolphus Loto, said the inductees could seek employment in any country they desire, but advised that they must ensure they worked in Nigeria first before travelling out of the country.

“It is your right to seek employment anywhere in the world because it is part of the international labour mobility. But my advice is that before you leave, you must get a job here.

“Many people cannot come back because there is nothing to fall back on. You have two goals in your career; to solve societal problems and to solve personal problems.

“We are proud of you and your achievement so far. The induction programme, as you have been well-tutored, is not a mere ceremony. It is a critical rite of passage into a new life – the life of professional health workers, and specifically your entry into the distinguished and rewarding profession of physiotherapy.”

Also, the Dean, Faculty of Medical Rehabilitation, Prof. Matthew Olaogun, advised the inductees to remain focused on their chosen career, and pursue what they had learned in the university with the spirit of godliness and excellence.

He also expressed concern over the rate doctors were relocating abroad, leaving the health sector in dire straits.

The Registrar, Medical Rehabilitation Body of Nigeria, Olufunke Akanni, represented by the Deputy Registrar, Mr Akinyele Adeniran, admonished them to be watchful of hospitals they will undergo their mandatory 12 months internship.
Govt must act fast to stop brain drain – NMA

Reacing to the development yesterday, the Njigerian Medical Association, NMA, urged government to act fast to stop its members from migrating abroad.

Making the call, the FCT chapter of NMA, said that it was in talk with members to consider service to their fatherland in the face of government nonchalant attitude to their plights.

The Public Relations Officer of the chapter, Dr. Muyiwa Komolafe, told Vanguard: “Brain drain is not going to end anytime soon because apparently as it is, there is really no incentive to make people stay here and serve in their country.

“However, we are trying to talk to one another to soft-pedal, that there are economic realities because you can imagine somebody earning in Pounds and Dollars, with the declining rate of the Naira. That is another factor driving people to leave the country.

“Some other things which people are supposed to look at are the possibility that if you are at home, you are in your own country and you can walk around without fear of being castigated, harassed and called all manner of names and all of that. It’s not as if those people are actually friendly to us.

“Insecurity is one of the reasons people are leaving. Many of our colleagues have become victims of the bad security situation in the country and this is contributing to the migration of our people outside the shores of this country, thus causing the brain drain.

“You cannot be kidnapped overseas. The police will be at the forefront of the matter, unlike here that even the police are not free from kidnap.

“Family pressure is also contributing to the migration of our members abroad. Every family wants its own person to travel abroad. When you see your colleagues that just moved abroad buying new cars even for their fathers and doing other things and you can’t even give N30,000 to your father, why would you not want to go abroad?”

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NUC upgrades universities medical-related programmes

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The National Universities Commission (NUC) says it has upgraded some medical-related programmes in the Nigerian universities from Bachelor’s degree to doctoral status.

This is disclosed in a statement signed by the commission’s Acting Director of Public Affairs, Mrs Franca Chukwuonwo, and made available to newsmen in Abuja on Wednesday.

Chukwuonwo said the decision was driven by the need to incorporate more clinical and practical sessions, improve foundational course coverage, enhance clinical skills, and address all specialty areas comprehensively.

She noted that the upgrade aligned with global best practices for training professionals in these fields.

“This quest to upgrade the status of some medical-related programmes from Bachelor’s Degree to Doctor was borne out of the desire to incorporate more clinical/ practical sessions.

“It is to provide sufficient coverage of foundation courses, improve on clinical skills and cover all specialty areas.

“The trend seeks to also align with global best practices applicable in the training of professionals in these medical related programmes.

“Furthermore, the certificates obtained from the Nigerian University System (NUS) can be at par with those obtained in similar programmes from other climes” she said.

She added that it would also ensure the requisite harmonisation, mutuality and global competitiveness of Nigerian graduates in terms of certificates evaluation, employability and further studies in the relevant disciplines.

She listed the programmes upgraded as: Doctor of Pharmacy (Pharm D), Doctor of Physiotherapy (DPT), and Doctor of Optometry.

She added that the duration of the programmes was increased from five to six years to accommodate the additional courses and clinical incorporated into the curriculum.

“The general public and all stakeholders are hereby informed that the Doctor of Medical Laboratory Science (DMLS) programme does not exist in the NUC’s BMAS or CCMAS.

“And thus has not been captured as an upgraded programmes. Consequently, DMLS programme is not approved in any university in the country,” she said.

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NCDC urges collaborative action on health emergencies

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Nigeria Centre for Disease Control and Prevention (NCDC) has reaffirmed the critical role of risk communication and community engagement in addressing public health challenges.

Dr Tochi Okwor, the Head of Disease Prevention and Control at NCDC, made this known during the reopening meeting of the National Risk Communication Technical Working Group (NRCTWG) in Abuja on Wednesday.

Okwor stressed the urgency of proactive measures to safeguard Nigeria against current and emerging health threats.

She acknowledged the foundational work of the first Risk Communication Lead at NCDC, whose leadership facilitated the establishment of the NRCTWG in June 2018.

She said “this multispectral platform has since played a pivotal role in coordinating responses to public health emergencies across ministries, departments, agencies and partners.”

She highlighted the multiple health challenges the country continues to face, including annual outbreaks of Lassa fever, cholera, cerebrospinal meningitis and the growing threat of antimicrobial resistance, which she referred to as “the silent pandemic.”

She also raised concerns about looming threats such as the re-emergence of Ebola, the Marburg virus, and the ongoing response to human metapneumovirus.

“Our preparedness and response efforts hinge on effective risk communication and community engagement.

“This is not just about sharing information but ensuring the right information reaches the right people at the right time, inspiring trust and action,” she said.

She stressed the devastating consequences of misinformation, citing the saltwater bath rumours during the Ebola outbreak and the conflicting narratives during the COVID-19 pandemic.

“These instances highlight the critical need for harmonised, evidence-based communication to manage health emergencies effectively,” she added.

Nma Ogbonna, Head of Health Promotion at the Federal Ministry of Health, commended efforts in risk communication, particularly in public health emergency surveillance at airports.

Ogbonna revealed the ministry’s active involvement, including an information committee focused on risk communication.

However, she acknowledged gaps in formal reporting and expressed the need for better documentation and collaboration with international partners to strengthen Nigeria’s public health response.

Dr Olufemi Ayoola, Director of Health and Social Care at the National Orientation Agency (NOA), expressed gratitude for past collaborations that have nurtured growth.

Ayoola highlighted professional advancements within the team and reaffirmed the commitment of the Agency under new management to strengthen partnerships, including with NCDC, for continued public health progress.

Mrs Maureen Kojo, Chief of Animal Health at the Federal Ministry of Livestock Development (FMLD), announced that the Ministry has notified all 36 states and the FCT to be on alert and take preventive measures to avoid the spread of anthrax.

Kojo said that a surveillance team has been deployed to the states and RCCE activities have begun to educate and raise awareness about the disease.

Mr Yunus Amadou, State Facilitator,

UNICEF, emphasised using the meeting as a platform to reflect on past achievements, identify areas for improvement, and strategize for greater impact in the future.

Amadou acknowledged the hard work, collaboration, and commitment of stakeholders in protecting Nigerians’ health and well-being, urging continued collective efforts to make a difference.

Ms Racheal Abujah, Senior Health Correspondent at the News Agency of Nigeria (NAN), underscored the importance of transparent communication and accurate reporting in public health efforts.

Abujah stated that collaborative efforts, such as those between NCDC, NOA, and international partners, are crucial in building trust and ensuring effective risk communication, particularly during health emergencies.

Additionally, she highlighted the role of the media in disseminating clear, reliable information to the public, reducing misinformation, and driving community engagement to improve health outcomes in Nigeria.

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Tanker explosion kills driver, injures 1 in Ibadan

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A tanker loaded with Premium Motor Spirit (PMS) has exploded, killing its driver and injuring one other person in Ibadan.

Mr Yemi Akinyinka, General Manager (GM), Oyo State Fire Service Agency, confirmed the incident in a statement made available to newsmen on Wednesday in Ibadan.

He explained that the tanker lost control, rammed into two other trucks, and somersaulted into a nearby pit before bursting into fire.

The GM said the incident resulted in the death of the tanker driver and injured the motor boy.

“The incident happened around Fijabi House, Agbowo, Ojoo/Iwo Road Expressway.

“The agency received a distress call about the fire incident at exactly 2.45 a.m. through a telephone call.

“The service swiftly deployed personnel to the scene and curtailed the fire from spreading to the nearby residential area.

“On arrival, we met three trucks of 20-metre distance from one another involved in the fire incident,

“The driver was burnt to death while the motor boy was rescued alive and taken to the University College Hospital (UCH), Ibadan, for treatment,” he said.

Akinyinka stressed that the tanker was utterly destroyed by the fire while the other two trucks were rescued by the agency’s personnel.

“The agency’s Director of Operations, Mr Ismail Adeleke with team members, the police, and some other security agencies were at the scene to prevent a breakdown of law and order,” he said.

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