Health
Special Report: A peep into Ahidjo’s many dreams and visions of making the UMTH biggest hospital in Nigeria (2)
Special Report: A peep into Ahidjo’s many dreams and visions of making the UMTH biggest hospital in Nigeria (2)
By: Bodunrin Kayode
The recent celebration, however, of forty years of the UMTH by Professor Ahidjo and his team was a clear indicator that the facility has come of age and there is a need to begin to plan for the next 40 years. And this must be done by facing obvious embarrassing challenges like hiccups in the electricity supply and the rest. I mean taking each one as it comes. Life in his own specialty, which is interventional radiology, would be miserable without steady electricity and computerization of the entire facility if he finishes his second term. Imagine going back to his office after his second term and having to open the windows for fresh air if the cooling facilities are not working. That is why he is working double hard now to fix the fixable.
After the on-going new structures and electricity supply, the right equipment to last for at least the next decade and up-to-date professionals by way of training and retraining is very paramount.
40 years have passed, and the UMTH is still standing. Serving humanity was pronounced on the day of its ceremonial opening by the late Alhaji Shehu Shagari on July 23, 1983. So many waters have literally passed under the bridge, and so many professionals have passed through the narrow corridors of the hospital and retired. My mind goes to the American-trained Professor Emeritus Babatunji Omotara, who is the father of environmental epidemiology. Many have also left since the insurgency started in 2009, while many others have stayed back.
From the day the government started building a specialist hospital on the site until the day the federal government took over and completed it as a one-stop-shop teaching hospital, it has been of the highest standards expected in a third-world country. The first patient was really admitted on February 18, 1982. Although so much still needs to be done to ensure that the level of dilapidation over the years is reduced to a tolerable level, much is also expected from management about the training of certain scarce personnel as soon as all the structures are completed.
Cancer Centre
Just before Professor Mala Sandabe took over as the CMAC, I had hinted to then-CMAC Professor Bashir on the medical records people relationship with sick patients and thereby redirecting the standards of the hospital. He took note to do something about it, and he really did start by making so many moves to correct the wrongs.
I went on another day this time as a patient for treatment, and I saw the way one of the medical records people was speaking to a pregnant woman upstairs at the Obstetrics and Gynecology (O and G) department. I felt really sad that the medical records staff was doing it as if it were her right to speak as such before patients would conform to her directives, even if she was as illiterate as they always presume. This was because she was obviously untrained, and her manners were normal in a hospital, which should compete with a library for silence. How do you ask a pregnant woman in her third trimester if you were responsible for her pregnancy? Who makes such unguarded statements in a hospital? I ended up in the office of Prof. Sandabe and told him the exact location of where I saw the wrongdoing, and he promised to correct it, and this too was done.
Apart from some of these expected excesses, the hospital has been absorbing so many categories of patients, ranging from cases that should have gone to the primary and secondary hospitals before referrals. But I don’t blame them. Hospitals like Umaru Shehu, where Governor Babagana Zulum has done so much to lift the standard, were before now contributing factors for UMTH to admit patients that should have gone through the primary and secondary hospital before referrals. ‘That is why everyone goes to TH’, as the facility is referred to in Maiduguri. Yet they still tug on like the giants they are in the region, even finding time for certain forms of research, as was mentioned by the CMD during the news conference to herald the flag-off of activities to mark 40 years. Right now, they are looking into the prevalence of kidney challenges in Borno as a whole. And we expect the result to be out very soon.
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Before The unbundling of the single-stop hospital structure.
A lot of history has been recorded during the first tenure of the CMD, but I paid special attention to the old structure built by the COSTAIN construction company, where the late Emeritus Professor Umaru Shehu occupies the second floor like the colossus that he is. He was not my focus when Prof. Ahidjo took over the management of the facility. I actually wanted to see Professor Babatunji Omotara, who is now retired after 40 years of training medical practitioners. So I climbed up the two-story building, sat in his old, moderate office, and we had our first chat on cholera. He responded briskly because the disease was killing lots of people at the Muna garage axis of Maiduguri, and I needed to add the perception of community medicine in my report to sound more professional with my sources. He stood up and asked me to please allow him a minute to ease himself, then returned to our discussion on how to stem the tide of the spread of cholera, which had gone out of hand and was killing people daily.
I expected him to use a private facility just within his office to suit his status as a professor. But he took a bunch of keys and headed to a shared facility outside his office. That, to me, was strange and needed correction. It occurred to me that something really had to be done to make these academics a bit more comfortable than some of them are now. A senior professor of such high status must have his own convenience and kitchenette so that he can function very well without too many distractions. It should not be optional in case he did not demand it. Returning downstairs, I discovered the building was leaking due to heavy rains. It leaked on the ground floor, which used to house the CMD’s before now. Sources allege that the leakage was from a tank upstairs instead. Whatever it was needed correction.
The newly promoted consultants without offices walked on the water into their MDCAN office to hang out while waiting for their calls. It’s obviously an old building, even though it has not yet expired, based on my findings at the works department. But something had to be done to correct so much wear and tear that had occurred over the years because it would surely become obsolete one day and expire. That is when such buildings should be pulled down due to old age if known contemporary technology must be applied. But to preempt that time, one could understand that the CMD, who was born into a family whose father was a builder in Maiduguri, can easily see through these weak structures and is creating a plan B for almost all of them before they hit about 100 years and expire and must go one day.
Many other problems need attention in the hospital. Problems like finance have bedeviled the facility and forced the CMD to begin to hunt for plan B’s and C’s to keep the hospital community going. He actually stressed the issue of finance as a major problem affecting the management of the hospital during a news conference to announce the flag-off of activities for 40 years of the hospital. To Ahidjo, “if finance is settled, we would have cash to do a lot of things, including lighting up the new facilities scattered around the compound.”
Perhaps due to serial disappointments from the Yola electricity company, the CMD has gone beyond the level of complete reliance on diesel for the generation of electricity. Most of the facility has backup electricity due to solar panel supplies, which are relatively cheap due to the abundant sun in the savanna. Whatever foundation was set by the first indigenous CMD, Prof. Suleiman Lagundoye, in 1984–85 needs a lot of fine tuning by the first CMD to think of a futuristic plan to absorb the endless expansion brought about by modern medicine. These new structures have increased the beds in the facility beyond imagination, making it the largest hospital in the country today by way of capacity to admit and treat.
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For the record, the 40-year celebration proper
The celebration proper was quite elaborate. It was handled by a committee that was chaired by Professor Shehu Liberty of the Department of Public Administration, with members like Professor Danjuma Gambo of the Mass Communications Department of the University of Maiduguri (UNIMAID).
It started with Friday prayers on the 14th of July and extended to Sunday, July 23rd. A special church program was held on Sunday, July 16th, followed by a press conference held in the conference room of the hospital administration block the following day. Other highlights of the celebration included a walk around the giant old hospital structure led by the CMD and management team and several union leaders, including the association of resident doctors, the Pharmaceutical Society of Nigeria (PSN), consultants and their MDCAN colleagues, the nurses, who are the largest union on the ground, and some of the gentlemen of the media. Touching on social responsibilities, a medical and surgical outreach was held in Kaleri and Gwange wards in the city of Maiduguri and a surgical outreach at the new trauma center of the hospital.
There was also a day for career guidance at the Zulum auditorium and conference center for young people. That was followed by two public lectures in the same hall. Former President of the Nigerian Labour Congress, NLC, Ayuba Wabba, and former CMD Professor Idris Mohammed gave the anniversary lectures. Wabba wanted unity among all the players in the sector in a long lecture, but that is for another day.
They also had the commissioning of the child and adolescent center and the foundation-laying ceremony of some legacy projects by vice president Kashim Shettima. This was followed by a dinner and award night at the multipurpose hall of the government house in Maiduguri. Several individuals were given special prices for their contributions to making the facility stand to this day, in spite of the lingering torment of the insurgent Boko Haram in their backyard. I would have written a book if I continued the sequence seen over the last four years in this facility. But not to bore my readers, I will be running the highlights of the lectures separately at the fullness of time. Those treaties released by the two lecturers really need special handling, especially that of Comrade Wabba, who called for unity among warring professionals within the health sector.
Special Report: A peep into Ahidjo’s many dreams and visions of making the UMTH biggest hospital in Nigeria (2)
Korean Film Festival Returns to Nigeria After COVID-19 Break
By: Michael Mike
The Korean Embassy in Nigeria has commenced the Korean Film Festival in Nigeria after it went on break during the CIVID-19 pandemic.
The latest edition is the 12th Edition of the festival and was hosted at the Silverbird Cinema, in Abuja between 19th September to 21st September 2024 with several movies screened.
Speaking at the opening ceremony, the Korean ambassador to Nigeria, Kim Pankyu, expressed delight with the return of the festival after it was suspended due to the COVID-19 pandemic in 2020.
He said: “I have come to deeply feel that South Korea and Nigeria share a strong cultural affinity, especially in their love for music and dance.
“Due to this cultural affinity, various elements, such as fashion and cuisine, along with music, are resonating in Nigeria.
“Particularly, there has been a significant surge in the spread of dramas and films.”
He added that: “Along with the global hit ‘Squid Game’ in 2021, the most-watched drama series on Netflix Nigeria in 2022 was ‘Alchemy of souls’.
“Thus, I have come to realise the importance of introducing Korean films to Nigeria, one of the world’s top 3 film-producing countries.”
Also speaking at the event, the Director-General of the National Council for Arts and Culture, Mr Obi Asika, said millions of Nigerians had fallen in love with K-pop [Korean music] and K-drama [Korean drama].
He said Nigeria would continue to learn from the Koreans to improve its entertainment industry.
Korean Film Festival Returns to Nigeria After COVID-19 Break
New UNAIDS Report that Debt Crisis Has Left Health Chronically Underfunded in Africa
By: Michael Mike
Growing public debt is choking sub-Saharan African countries, leaving them with little fiscal room to finance health and critical HIV services, a new report by the Joint United Nations Programme on HIV and AIDS (UNAIDS).
The report said domestic revenues, debt relief and development aid: Transformative pathways for ending AIDS by 2030 Eastern and Southern Africa/ Western and Central Africa, shows that the debt crisis is putting in jeopardy progress made towards ending AIDS.
It added that sub-Saharan Africa accounts for the largest number of people living with HIV, with more than 25.9 million people of the 39.9 million living with HIV globally. The region’s success in having reduced new HIV infections by 56% since 2010 will not be sustained if fiscal space is constrained.
The report, released ahead of the 79th session of the United Nations General Assembly in New York, showed that the combination of growing public debt payments and spending cuts set out in International Monetary Fund agreements in the next three to five years will, if unaddressed, leave countries dangerously under resourced to fund their HIV responses.
The UNAIDS Executive Director Winnie Byanyima said: “When countries cannot effectively look after the health care needs of their people because of debt payments, global health security is put at risk,” adding that: “Public debt needs to be urgently reduced and domestic resource mobilization strengthened to enable the fiscal space to fully fund the global HIV response and end AIDS.”
The report said debt servicing now exceeds 50% of government revenues in Angola, Kenya, Malawi, Rwanda, Uganda, and Zambia, adding that even after debt relief measures, Zambia will still be paying two-thirds of its budget on debt servicing between 2024 and 2026.
It said there has been a noted decline in HIV response spending since 2017 in Western and Central Africa, from 0.3% of GDP in 2017 to just 0.12% in 2022.
It said Western and Central Africa will need to mobilize US$ 4.18 billion to fully fund the HIV response in 2024. This will climb to US$ 7.9 billion by 2030 unless efforts are scaled up today to stop new HIV infections.
While US$ 20.8 billion was available for the HIV response in 2022 in low and middle-income countries through both domestic and international sources, this funding was not enough to sufficiently finance the HIV response. Western and Central Africa for example had a funding shortfall of 32% in 2022.
In 2024 alone, Eastern and Southern Africa will need to mobilize almost US$ 12 billion to fully fund the HIV response. This amount will climb to around US$ 17 billion by 2030 unless new HIV infections are reduced.
It said to enable increased domestic resource mobilization for countries to respond effectively to their pandemics, sub-Saharan African countries will need to strengthen their tax systems, including closing tax exemptions which currently cost countries an average of 2.6% of GDP in lost revenue across the region. Donors need also to scale up financial assistance for health and the HIV response between now and 2030, while creditors should offer debt relief to heavily indebted countries to ease the burden.
Byanyima said: “World leaders cannot let a resource crunch derail global progress to end AIDS as a public health threat by 2030.”
New UNAIDS Report that Debt Crisis Has Left Health Chronically Underfunded in Africa
Flood in UMTH: Professor Ahidjo’s demonstrated leadership in emergencies
By Dr. James Bwala
The flooding in Maiduguri, the capital of Borno State in northern Nigeria, has presented serious issues for the University of Maiduguri Teaching Hospital (UMTH). The administration of the hospital has been putting a lot of effort into determining the extent of the impact as they prepare to put in place a comprehensive strategy to deal with these environmental issues and guarantee that medical care is provided as usual.
UMTH considers improving its infrastructure resilience to be one of its main tactics. In order to lessen water accumulation during future heavy rains, the hospital intends to improve the drainage systems surrounding its property. It also intends to participate in community outreach programs that educate locals about flood risks and promote preventive measures like proper waste disposal and land management techniques that can lessen the effects of flooding. Furthermore, UMTH has improved its alliances with both governmental and non-governmental groups in order to streamline the mobilization of resources in times of crisis.
Speaking on the destruction caused by the flood at UMTH, the CMD stated that flooding presents serious problems for communities all around the world and calls for efficient response systems. The Chief Medical Director (CMD) has started a number of programs to lessen the negative effects of floods and prevent them from happening again. He claims that the hospital works to lessen vulnerability and increase resilience in affected populations and patients by implementing comprehensive flood control policies and strategic planning.
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The creation of early warning systems that enable prompt alerts for approaching floods is one of the CMD’s planned initiatives. By utilizing cutting-edge meteorological data and predictive analytics, these devices will help UMTH communities get ready for any future flooding. Additionally, public awareness campaigns have been crucial in informing the public about the dangers of flooding and in supporting preventative measures like emergency evacuation plans, which the hospital intends to utilize going forward. These programs are made more effective by including community input, which guarantees that decision-making processes are informed by local expertise.
Two crises were brought about by the flooding: the immediate risk to patient safety and the interruption of medical services. In response, UMTH took extensive steps to protect its patients’ wellbeing while guaranteeing the continuity of their care. These actions included creating emergency procedures. Also, a plan for the allocation of funds for flood control and working with the government to enable prompt responses may be understood in the efforts to assess the level of disruption by the flood.
The mobilization of medical staff to obtain vital medical supplies and support patients in evacuation attempts was a crucial component of UMTH’s reaction. Employees put in a great deal of effort to move patients who were at risk from impacted locations on the hospital grounds, giving priority to those who needed intensive care or had chronic illnesses. In addition, patients were accommodated in makeshift shelters that were established upstairs at the hospital.
Significant worries about patient safety and the operational integrity of medical equipment have been raised by the water occurrences at the cancer centers and radiology departments. The Chief Medical Director, or CMD, has stated that quick evaluations are essential to determine the level of harm done to these devices, especially considering how important they are to treatment plans and diagnostic imaging. Flooding can affect these sophisticated instruments’ calibration as well as performance, which might result in inaccurate readings or inefficient therapy delivery. Therefore, it is essential that a thorough assessment be carried out prior to any device being approved for usage.
Professor Ahmed Ahidjo
The CMD also stresses the need for thorough backup planning and routine maintenance to reduce the likelihood of similar events in the future. This entails making investments in waterproofing techniques for crucial sections of healthcare facilities to guarantee that equipment can tolerate unforeseen environmental difficulties. The current state of affairs emphasizes the necessity of proactive risk management techniques and serves as a reminder of the vulnerabilities present in the healthcare system.
The Chief Medical Director (CMD) made admirable efforts to guarantee that patient care remained a top priority in the face of these challenges. These preventative actions included arranging for the deployment of resources, improving staff coordination, and putting emergency protocols in place to handle the flood of patients impacted by the catastrophe. In times of crisis, the response from patients and their families demonstrates a complex interaction between heightened expectations and thankfulness.
The majority of patient relations’ responses to these initiatives were favorable. Numerous people conveyed gratitude for the CMD’s leadership amid a turbulent moment, emphasizing how prompt actions reduced possible health risks related to flooding. The construction of makeshift hospitals in safer locales demonstrated compassion for patients in times of emergency and built a rapport between medical staff and patients. Since it strengthens the therapeutic connection at the heart of efficient healthcare delivery, this trust is crucial.
Indeed, the flooding has had a substantial impact on the University of Maiduguri Teaching Hospital (UMTH), exacerbating pre-existing issues within the healthcare system. Thousands of patients depend on the hospital, a major healthcare facility in northeastern Nigeria, for both routine and emergency care, making it an indispensable resource. There is an urgent need for more governmental and non-governmental help in light of the flood issues currently facing the region in order to guarantee that UMTH can carry on offering vital medical services to the community, Nigeria, and all of west Africa.
Dr. James Bwala, PhD, writes from Abuja.
Flood in UMTH: Professor Ahidjo’s demonstrated leadership in emergencies
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