Columns
My Binoculars: Memo to Governor Zulum on the state of emergencies in the Borno health sector and the perceived interventions of development partners in ending the war
My Binoculars: Memo to Governor Zulum on the state of emergencies in the Borno health sector and the perceived interventions of development partners in ending the war
By: Bodunrin Kayode
Your Excellency, I must congratulate you for the myriads of achievements you have recorded in the entire state since you assumed duty. Your development of Borno regardless of the saddening insurgent war tormenting residents is quite remarkable. For me as a watcher of this kind of persistent social engineering, the health sector comes to mind as one that has literarily risen from dry grass to grace. My binoculars cannot forget in a hurry, your nocturnal visits to the hospitals when the guards of some of the medical managers were down. Many of them were shocked when caught napping at home instead of working while some accused you of barging into general hospitals without notice when you were sworn in. You did this obviously at very odd hours to find out how you can turn things around for the common man who has nowhere to go but those existing battered facilities when sick. A template has been set for the pretenders among them and they now know you don’t get pleased by eye service.
Before your first term of intervention as Governor, almost every thing regarding this sector was done haphazardly. Principal Medical officers (PMO’s) lacked the basic equipment to average at least 3/10 marks in terms of efficiency. Patients were told to buy 95 percent of their drugs outside the hospitals while the non governmental organizations (NGO’s) feasted on the ignorance of the generality of the residents. They were seen as the only saving grace within the emergency sub sector in the ministry of Health. Some humanitarians criminally feasted on the ignorance of the people by making huge harvests by way of corrupt blood money from a war which had no reason to have lasted till this day. Some of them came in as mere money mongers claiming to want to eliminate diseases like polio which have tormented residents long before you started your first tenure. No wonder some of them rent homes for three to four years for themselves because they don’t expect the war to end very soon. They are clogs in the wheels of the non kinetic which the military insist entails 75 percent of the efforts to end the war. Many benefitted immensely from the last flood which ravaged the city of Maiduguri one year ago.
BOACSDHR’s role in managing duplication and rouge NGO’s who lack the interest of the people
And this is why you set up an agency of accountability to streamline particularly the international NGOs who did what they wanted and felt they were untouchable and cannot be criticized.
Prof, you brought accountability within the health sector when you set up the Borno State Agency for the coordination of sustainable development and humanitarian response (BOACSDHR) in 2019 as part of government strategy to streamline the influx of some of these NGOs with twisted mindsets into the state. And I must tell you some of us watchers are very proud of the cerebral inputs into its steady growth by your Chief Adviser and coordinator Dr Mairo Mandara. She has actually been whipping them into line. No cow is sacred under her watch. They either conform with your visions and agenda or are shown the way out. Indeed within the 15 years of this pogrom against the Borno people so many unexpected woes have been unleashed on residents. The last one was the bursting of the seams of the Auno Dam which supplies drinking water to the state capital.
Sadly, while many of the NGOs meant well and came in with deep empathy to help the people, some others were just out to exploit the vulnerabilities of residents by converting resources meant for their well being to their fat pockets. Some carried a puritanical air of importance as if they are even above their parent bodies in Europe and America. Some of them are so full of themselves that they forget that the government should be on the drivers seat even if they are the ones paying the piper.
Compromises within the system
Sadly your Excellency some of your appointees are also bootlickers who worship international bodies because of what they gain at the sidelines from them. They see some international bodies as angels not made from dust like the rest of us as such they cannot make mistakes. But thank God you had the political will to create the BOACSDHR to coordinate humanitarian and development activities in the state towards efficient and effective use of resources to achieve the Borno state development aspiration to restore the age old honour, dignity and prosperity of the state, while ensuring all citizens and future generations have access to basic necessities and thrive in every stage of their lives. This has also assisted in elimination of deliberate duplication of activities between the international, national and local NGOs within the health sector. With this, the mindset of your appointees are being adjusted intermittently so that the Borno residents will become the ultimate winner. We may not all be perfect but there is always ample chance to move closer to the realm of excellence which some of us can decipher that you long for in the system especially now that the state teaching Hospital is on the way.
When Heads of agencies play with mediocrity
Your Excellency, I had a strange experience with one of your political appointees name withheld who castigated me recently for criticizing the world bodies like the World Health Organization (WHO) and United Nations Children’s Fund (UNICEF). I will leave his name out so that he doesn’t earn reprisal form you. But he is of the medical sector and claims to have been made in unimaid. He sounded so subservient to the development partners in his comments that I started wondering if he actually went to a university as he claimed. He is of a completely different mindset from your orientation which is to look out for excellence at all times even as you crush mediocrity. I used to think that all who work for a particular principal like you will adopt most of your characteristics. But this young fellow is a complete sell out in health health system far different from Professor Baba Mallam Gana whom he works under. He sounded so mediocre for my liking that I started wondering if the civil service is all about eye service and yes sir. If not what is it about the WHO that we can’t criticize them if they stray away from your plan? Have they become gods or the anti Christ that we should begin to fear to tell them to fall in line when they make mistakes? How much money are they spending in Nigeria that we should pamper them like some holier than thou agency who do not make mistakes? The same applies to the UNICEF and the rest of them. If you could say no to the world bank in the acresal project in the Dala swamps and they finally reached you at a common ground, does it not mean that no agency is above being corrected if they do not flow with our indigenous way of doing things?
Need for an urgent law guaranteeing emergency care for all
After what I want to describe as the careless deaths of two women at the Umaru Shehu hospital about two years ago due to alleged abandonment by the Medical Officer in charge then Dr Philibus, I agree totally that we must create a law “guaranteeing emergency care” for all regardless of ability to pay. It is important too harp on this your Excellency because we have a lot of awkward emergencies cropping up in the health sector which we are yet to fix. And some of these challenges such as neglect of desperate emergencies of residents, cut across the primary to tertiary level not only in this state but in Nigeria as a whole. We may also have to exempt the health sector from too much politics which it sometimes suffer from depending on who is in charge. In saner climes medical practitioners like Dr Philibus would be defending himself against the medical council of Nigeria by now for neglecting obvious emergencies brought right before his nose. Even if the ministry did not supply him with common cotton wool, it was not an excuse to drive those crying ladies to the University of Maiduguri Teaching Hospital (UMTH) where he insisted they should go to without any first aid to keep them alive. After the medical council ordeal, the families of those late politicians would have dragged him to court.for further damage no matter who he thinks he is in the medical sector. Health managers must be more vigilant to ensure some of these perceived harmful practices of negligence does not go on in any of the sub sectors outside emergency. Keen binocular watching of local and international partners like the NGO’s should be stepped up not only by health managers but even the surveillance pillar to ensure that the common man does not die like chicken because he lacks the resources to pay for a particular service especially if he is not registered in the national or state health insurance scheme.
Medical practitioners in the 36 state management levels should also realize that issues like emergencies in the government hospitals not carried out free should bother them. And they should not necessarily bother about less important issues within the sector. We should be interested in lives of the common man other than those with the ability to go for medical tourism in Europe or Asia. This is real food for thought that should bother all progressive health managers and you and your colleagues in the 36 States of the federation.
My Binoculars: Memo to Governor Zulum on the state of emergencies in the Borno health sector and the perceived interventions of development partners in ending the war
Columns
My Binocular: Federal Orthopedic Hospital Azare achieves first interlocking intramedullary femoral nailing operation
My Binocular: Federal Orthopedic Hospital Azare achieves first interlocking intramedullary femoral nailing operation
By: Bodunrin Kayode
I got to know Dr Ali Ramat when I was directed to see him by the CMD of the University of Maiduguri Teaching Hospital (UMTH) Professor Ahmed Ahidjo a couple of years ago. He was to analyze the results from a Magnetic Resonance Imaging (MRI) I had undergone for the bottom side of my cerebrospinal region and treat me of the pains. I suddenly developed some serious pains towards the bottom of my back due obviously to a car crash I was involved in about 25 years ago in Niger state where I served as the correspondent of the guardian newspaper. I was treated then in the National Hospital Abuja and told to go home and rest instead of an immediate operation to fix back some of the shifted ribs as the X-ray depicted. 25 years later, possibly due to advancing age, the intervertebral stops down there as I want to address them in layman’s language are screaming pains due to stress whenever I indulge in long distance driving. Dr Ramat looked at the results I brought from Prof Zainab a consultant radiologist who ran the MRI and gave me some drugs which I took and the pain left. In my usual way I never left his office without saying thank you and prying into his young background. That was when he told me about his specialist training in Turkey on spinal matters. I was excited at the zeal of such a young professional who seemed to be moving at a speed far higher than his contemporaries in the same UMTH where he trained.

The University of Maiduguri Teaching Hospital (UMTH) is truly a citadel for the hatching of great minds dominating the medical sector in Nigeria. Within the last decade, it has produced several Chief Medical Directors now managing sister medical institutions in the entire North East region of the country. One of those products of the ” Prof Ahmed Ahidjo mentoring school” is Dr Ali Ramat of the department of orthopedic medicine. Ramat a young enterprising consultant orthopedic and spine surgeon calls Prof Ahidjo his mentor because he was instrumental in the advancement of his career in Turkey where he expanded his orthopedic knowledge by specializing in the critical spinal region. As an orthopedic Doctor, Ramat has treated several bone cases in the UMTH where he became one of the apples of the eye of the CMD Prof Ahidjo such that immediately it was time to set up the National Orthopedic Hospital Azare (NOHA) in Borno State, he was quickly recommended and today he is the first Medical Director of that Hospital. He follows the trail of Professor Chubado Tahir another mentee of the Ahidjo school who is equally managing the National Orthopedic Hospital Jalingo (NOHJ) and many others.

First successful operation in the National Orthopedic Hospital Azare, Borno State
After a memorandum of understanding (MOU) was signed between the federal and state government in May 2025 for the speedy take off of the facility, the newly appointed Medical Director Dr Ali Ramat hit the ground running by assembling his team of 29 doctors some of whom were equally seconded from the UMTH. The State government led by Professor Babagana Zulum had already given out it’s take off facility which is the former general hospital Azare and was very happy about the development. Commissioner of health Prof Baba Mallam Gana was beyond happiness because he is now the special apple of the eyes of Prof Zulum his Principal.

The speed with which the hospital had to take off without any take off grant from its federal benefactors did not affect him yet he started work. He was really in a hurry to stamp his knowledge acquired on the sands of time by ensuring that humanity is served quality dividends in a very short period. And that is what he did on the 6th of January this year which was my birthday. It was a special day in the anals of medicine in North East Nigeria and my special day too. In our chit chat, Ramat announced his first feat in the hospital this way. “Today Tuesday 6th January 2026 the National Orthopaedic Hospital Azare Hawul Borno State successfully conducted its first Orthopaedic Surgery of (interlocking intramedullary femoral nailing). The team was led by the Medical Director Dr. Ali Mohammed Ramat a Consultant Orthopaedic Surgeon. The patient is recuperating ” he said to me in a short, sweet and what I can describe as journalistic way. I am happy for him because he is a very young consultant who still has many years ahead of him before he begins to get tired or depreciate due to the law of diminishing returns which is quite natural with our common humanity. With this feat Ramat has started to write his name in gold in the country. He is also getting ready to move in a meteoric speed to serve humanity in a big way beyond northern Nigeria. Meanwhile as he and his team of about 29 doctors and 16 nurses wait for the usual red tape to be concluded in Abuja for more equipment to be supplied to the facility, Ramat has opened the hospital to everyone who is sick to approach them for treatment. This is a good beginning for orthopedic medication in Borno and Nigeria in general. Congratulations my friend Dr Ramat.
My Binocular: Federal Orthopedic Hospital Azare achieves first interlocking intramedullary femoral nailing operation
Columns
The North and ‘Northerners’ The Fear of the Middle Belt
The North and ‘Northerners’ The Fear of the Middle Belt
By: Balami Lazarus
When I recently read some works that are negative and biased on the Middle Belt, it dawned on me to put my contributions on this subject.
Several discourses and comments on the Middle Belt have put fear in the minds of many individuals in the north, fueled by the ‘Northerners.’ The work of one writer recently on the Middle Belt was insulting, where he called it the ‘Bible Belt,’ giving it religious interpretations without any historical considerations, undermining the fact that it has large numbers of other faithfuls, Moslems inclusive. I dismissed that work as fiction of his wild imagination with no specific genre to hinge his work on.
However, the response of Dr. Pogu Bitrus, the president of the Middle Belt Forum (MBF), to a recent article by one Safyan Umar Yahaya on the Middle Belt spoke my mind. That piece gave the true picture of the sociocultural, political, and economic dynamics of the Middle Belt. And hence the birth of this piece.
The north today is where lives, properties, and investments are not safe. The three geopolitical zones that formed the geographical north are a theater of insecurity; homes for bandits, insurgents, and kidnappers; a hallmark of poverty and ignorance where economic activities are cornered and confined. Farming, movements of goods and services, for instance.
There has been a loud ethnic and religious nagging fermented in the cauldrons of sentiments nurtured by the ‘Northerners,’ which has created fear of the Middle Belt and streamed into the minds of the uniformed poor northerners. These have attempted to distort the struggle and agitation for the Middle Belt as a geopolitical zone yearning for a clearly defined cultural identity as a region with political representation. A mark of its geographical identity and expressions.
In this piece, I shall debunk the argument or the notion that the north is a unified bloc, giving my own reasons why it is not. The emergence of the Middle Belt in the body polity of Nigeria long before now has divided the north. For some, it is a recent phenomenon.
First, one has to clearly define the north. Is a geographical expression, and during the days of the late premier Sir Ahmadu Bello, the Sardauna of Sokoto, it stretched from the banks of the Benue and Niger rivers to the Chad/Niger borders. The premier then wielded power and respect across the ethnic provinces that made up the north because of his sense of fairness and equity in the ways and manner he handled and discharged his duties and led the region. The north was a bloc with a common purpose and sense of unity. But today these have manifested themselves into ethno-religious sentiments, attacks, and discriminations from Hausa and/or Fulani vs. Christians. Kabilus that paints the pictures of Moslems or Christians in the north, and the ‘game’ is the Middle Belt.
For me, the present north has four definitions that emerged from the crooked activities of ‘northerners.’ These are political north, ethnic north, religious north, and geographical north, which has long been replaced with geopolitical zones.
The Balkanization of the north noticeably came to the fore long before now, where other ethnic groups who constitute part of the north population were not carried along in the scheme of affairs because they are either Arnes or Kabilus, who are considered parts of the ignorant oppressed Talakawas of the north.
The level of ethno-religious divide has caused discrimination between Christians and Moslems in the north. The Middle Belt agitations have further widened the space where the term “Arewa” means “Moslem north,” while “Middle Belt” means “Christian north” in the minds of bigots.
However, when you speak of the north, you need to ask yourself, which of the north are you referring to in respect of the definitions earlier mentioned? Similarly, if you say “Northerners,” which of the Northerners are you also referring to?
Time and space are making so many tribes/ethnic groups realize their cultural history and where they belong with pride of identity. Therefore, the Middle Belt is a fusion of different ethnic nationalities and the right to be different as a Nigerian.
Balami, a Publisher/Columnist 08036779290
The North and ‘Northerners’ The Fear of the Middle Belt
Columns
Medical and Health Developments Amidst Insecurity: The Case of University of Maiduguri Teaching Hospital (UMTH)
Medical and Health Developments Amidst Insecurity: The Case of University of Maiduguri Teaching Hospital (UMTH)
By: Balami Lazarus
Insecurity challenges have pervaded and taken over every inch of the Nigerian estate, spreading their wings, casting dark shadows stealthily in silence of ambush. The predator has created excuses against growth, progress, and development among ministries, departments, and agencies (MIDA’s), including health institutions where medical and healthcare services are needed.
Development means a different thing to many people. “An improvement in people’s living conditions inevitably contributes to higher productivity and to economic growth, subsequently development.” Therefore the needs of people in a particular area are their development. For example, health.
Moreover, development is essentially concerned with continuous improvements of the human life and condition right from time, in its capacity for qualitative and quantitative reproduction and capabilities to control and manipulate the environment for the betterment of mankind as a whole. Therefore, the purpose of development is to create an enabling environment for people to enjoy long, healthy, and creative lives at all levels of their growth and progress.
But for UMTH under Prof. Ahmed Ahidjo, the CMD, medical and health development in infrastructure, human capital, and healthcare services is a continuous process amidst insecurity in Borno State and Maiduguri, the state capital.
At UMTH, the story of growth and development has brought progress in health and medical services that are expected from institutional hospitals. The rate and level of medical and healthcare services through specialized medical centers equipped with modern state-of-the-art equipment second to none in Nigeria is a testament to health/medical development in the aforesaid hospital.
People have always examined the concept of growth and development from economic perspectives, refusing to align them to the objectives of human needs that will increase productivity to provide and satisfy these human needs to ensure good medical and healthcare service delivery that is available at all times in UMTH “Centre of Excellence.”
Prof. Ahidjo has no doubt facilitated the concept of health development through changes in the health and medical services provided by UMTH in spite of the ten security challenges staring us hard in the face.
Growth, progress, and development initiated by Prof. Ahmed Ahidjo is itself a concept of development in the health sector. The CMD has blended the concepts of development together through their aims and objectives, which are charted towards the improvements of the human standard of living in healthcare and medical services.
Prof. Ahmed’s efforts have therefore brought developments in the life of the hospital that have never been witnessed since the inception of UMTH, until the man with the Midas touch came on board with improvements and transformations of infrastructures and facilities.
Prof. Ahidjo had directed his development towards the satisfaction of the hospital’s needs, the primary objectives of UMTH, which translates to human capital development through teaching, practicals, medical research, and provisions of healthcare services to her immediate host community.
Therefore, development cannot be seen purely as economic, social, and political affairs but rather as an outcome of man’s effort to transform societal structures and institutions in the case of UMTH.
Balami, a Publisher/Columnist 08036779290
Medical and Health Developments Amidst Insecurity: The Case of University of Maiduguri Teaching Hospital (UMTH)
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