₦airaland Forum

CAMPAIGN PROMISES OF APC/PMB: HEALTHCARE

1..The APC/PMB promised to prioritize the reduction of infant mortality rate to 3% by 2019

This promise of the APC is in tandem with Millennium Development Goals (MDG) number 4, which is: To reduce child mortality by 2/3 (66%) between 1999 and 2015. Infant mortality rate is the number of children dying before they reach one year of age, per 1000 live births in a given year.

According to World Health Organization (WHO) Report 2014, the infant mortality rate in Nigeria was 120 per 1000 live births in 1990 which has reduced over the years to 89/1000 in 2010, 77/ 1000 in 2012 and 74/1000 live births in 2014. This implies a reduction by 38.3% between 1990 and 2014. By this figure it implies that just a little above 50% of this MDG goal has so far been achieved, after 25 years… hmmm.

I want to believe that the APC understood the implications of these promises. I also want to believe that those who drafted these promises for the APC clearly understood what infant mortality rate is all about as well as the current infant mortality rate in Nigeria, which is 74 per 1000 live births as at 2014.

In the past four years, the GEJ led government reduced infant mortality rate by 6.3%, from 79/1000 in 2011 to 74/1000 in 2014. If we extrapolate this to the next 24 years, the infant mortality rate would have been reduced by 37.8%, which will not be different from what the WHO had achieved in 25 years. And the APC told us they will prioritize the reduction of infant mortality rate to 3% (not by 3%) by 2019….. All things are possible!!

Now campaigns are over it is time to get to work. By this promise of prioritizing the reduction of infant mortality to 3% (not by 3%) by 2019, it means that all efforts must be on top gear to prioritize this reduction from the current 74/1000 live births to approximately 2 per 1000 live births in 2019…. Hmmm!!… I don’t believe in impossibilities, yes! Nigeria can become a world power in health; but things must be done the right way.

To achieve this, the PMB-led government must tackle the leading causes of infant mortality head-on which include but not limited to: malaria, diarrhoea, birth asphyxia, pneumonia, preterm (premature) birth complications, measles and malnutrition. Other contributing factors include: mother’s level of education, environmental conditions, and political and medical infrastructure. Improving sanitation and access to clean drinking (potable) water, immunization against child killer infectious diseases (such as tuberculosis, polio, hepatitis, pertusis, etc) will go a long way in improving on the infant mortality rate.

Between 2000 and 2008 the national immunization coverage was between 10% and 50%. Some of the challenges attributed to this included: poor funding of the Primary Health Care (PHC) system, low political will and commitment, poor Cold Chain system, shortage of vaccines, weak surveillance systems, missed opportunities, under-served and hard-to-reach communities and refusal to accept immunization.

To improve immunization coverage in Nigeria, the government of PMB should as a matter of priority do the following:
1..Provide adequate funding for the Primary Health Care (PHC) system
2..Strengthen the Cold Chain system by
Providing transport logistics,
Provision of Solar refrigerators
3...Disease surveillance
4...Building institutional capacity
5...Advocacy to political, traditional and religious leaders for ownership
6...Effective social and Community mobilization and sensitization through health education in social clubs, markets, schools, religious houses and health facilities

Another important cause of infant mortality, which is very common, is malaria. The MDG target for malaria was that by 2015, malaria would have been halted and its incidence will begin to be reversed, this target has been achieved globally and a lot of countries are making steady progress. The MDG report of 2014 stated that Nigeria and DR Congo accounted for 40% of malaria deaths globally. Children and pregnant women are particularly at risk. One of the ways of preventing malaria is through the use of insecticide treated bed nets (ITNs).

Of the 700 million ITNs distributed to countries in sub-Saharan Africa between 2004 and 2013, only about 36% were sleeping under an ITN in 2013. In 2012 less than 20% of children in Nigeria, Chad, Cameroon and Niger slept under ITN compared to 70% reported in Benin, Madagascar, Rwanda and Tanzania.
It is true people may not be forced to use these nets at home but the government should come up with a ONE HOUSE-ONE-NET POLICY and if possible introduce incentives to motivate the women, to ensure that their household, especially the children sleep under them (the ITNs).

By this singular act, the scourge of malaria would have been brought to its barest minimum and the attendant mortality associated with it will be drastically reduced even if we do not meet the set target of reducing the mortality rate to 3% of what it currently is, we would have set a standard in health care that will be the envy of all. The fight against malaria requires both political and financial commitment and the PMB government must brace themselves for this great task ahead. Nigeria can be better.
I wish PMB/APC luck!

Ama80:
God bless u plenty.u re so helpful.

You are welcome.....any time! Bless you too!!

eeh?

k

eehh?
FAKE!

so they are homo sapiens...?

l bet you this is the begining of the end of this man...Mr Ugwu a.k.a Dr George. Why cant people be contented with who they are. l pity his wife who may not have known all this while.

But the man should not go down alone. Someone screened him, promoted him and covered him for nine years...haba! Doctora have been on strike on on-and-off bases and someone had been posing as "oga mystifica" and eating what is not his....diaris god oo

He has been demystified!

Ama80:
she is in her 40,yes she has 2 kids by CS n normal delivery respectively.pregnancy ceased.

Since she is in her 40's there may not be any need for the surgery except if she is having excessive menstrual bleeding

.because the fibroid will naturally reduce in size (if its too big) and stop giving her trouble once she gets to menopause otherwise l will not advise her to go for the surgery.

The best treatment for fibroid is to remove the womb through surgical operation. This is done for those who have finished giving birth and who qre having uncontrolable bleeding and especially if they are close to menopause. However the person should discuss well with her doctor because many will still expect to see their menses after such operation which is not possible.

This lady can go for medical treatment and manage the symptoms and await menopause....all will then be a history.

By "pregnancy ceased" it means she is still looking another child. May be she and her doctor think her difficulty with conception may be related to the fibroid. I dont think so because lm sure this fibroid was not giving her any problem it was probably discovered when she was sent for scanning and lm sure the fibroid is also very small. You know at her age it is difficult to conceive and even when one concieves at that age many do come down with some problems on the baby....congenital problems... because the eggs are getting aged.

So l dont know the size of the fibroid and the symptoms she is having and where in the womb the fibroid is located. These are the questions she should ask her doctor so that she make an informed decision whether to go for the surgery or not but the truth remains that studies have not confirmed that fibroid is a cause of infertility except where the fibroid blocked the tubes or is located where the baby is supposed to stay in the womb (in which case she should have been having recurrent miscarriages) and if the fibroid has damaged the normal shape of the womb such that.there will be no passage for the sperm.

Let her still go to her doctor and ask specific questions and share her concerns

Please there is no herbal or supplement remedy for fibroid. Let her have the surgery. Yes the chances of recurrence is there but it is not like it will reccur immediately. How old is she, has she finished giving birth? because this will influence the choice of surgery. l wish her well

hmmm

lasstropinky:
Thanks I will find time to visit the hospital...

l wish you speedy recovery....Bless ya

lasstropinky:
Help Na

My dear l was really confused by the signs you listed above. To complicate the whole thing you said they have been there for 2 years, if they were just for a few days l would have said you have malaria. Did you do a test and you were told you have typhoid?

Are you used to taking flagyl from time to time? as it can cause this tastelessness you are experiencing.

Again typhoid can stay inside someone's body without the person suffering from it...we call such people carriers. If these people repeat the test a thousand times they will remain positive for typhoid and the quacks will be enriching themselves.

Typhoid does not confer immunity except if you take the typhoid vaccine.

I dont think you have typhoid. l will advise you to go see a doctor and they will examine you to know what the problem really is.
l hope this was of help to you

correct

Hmmmmn?

ok

ok

Photoshopping things...

DropShot:
I advise you go back to school if you don't know there is no difference between "virtually empty" and "depleted".

Too many kids on Nairaland.

I was rather worried about the wisdom in the repetition..... in any case l will heed your advice....thank you.

Confus du....in nwa Nsuka's voice

Ok

Almost empty....Now Depleted....hmmmm... why can't this government concentrate on good governance. If the account is empty or depleted then invite EFCC to go after GEJ

If you believe this, then you can believe anything

ritababe:
u mean no cure, after bite how long before the symptoms start?

There is no cure in the sense that the disease will just go through its natutal course and with adequate supportive care it will go or subside on its own. It could take up to 3 months or more.

Symptoms usually starts within hours of the bite. First with painful redness around the area of the bite within one hour. The size of the redness and pain worsens with time and by the second day there will be obvious swelling of the affected limb/part. Assuming the bite was on the foot, by the second day there will be swelling of the leg and within 3 to 5 days the whole leg up to the thigh will be swollen while the colour starts changing to black and the skin around the bitten area begins to die off. Within two weeks the dead skin starts falling off forming a dirty sore (ulcer). This will continue to eat the skin forming more sores.

However with good care including surgery to remove the dead skin and skin grafting healing can occur within 3 to 5 months.

hmmmm

This could be a medical condition called LOXOSCELISM. A condition that results from bites from poisonous spiders.....yes poisonous spiders are rare in Nigeria. Following the bite the skin area becomes itchy and reactive becoming very red in colour and paiful (inflammation). Later the skin tissue starts to die (dermonecrosis) due to the venom released there in, change to black colour and begin to fall off leaving a big sore (ulcer).

There is no cure available yet, but treatment may include pain relief, antibiotics if infection is present, blood giving agents, and surgery to remove the dead tissues.

There is also an anti venom available but it has to be administered within 12 hours for it to be effective

assumpta12:
Ur condition needs to be examine to know the cause reach me on 07032678768 I wil introduce u to my partner am ebere by name , we wil knw what to do abt it

With due respect, please are you a doctor?

Well I dont know what you ve been doing since the past three years if you have not gone to the hoapital. Your problem may not be as serious as you think, go to a hospital, preferably a teaching hospital to see a gynaecologist together with your husband.

Please dont call any number/anybody get yourself and your husband to go see a gynaecologist.....this my piece of advice for you!

ok

A snake will ALWAYS beget a snake.. NOT a cat.....

Psychosis...delusion of grandiosity

was his twiter hacked?

A LOOK AT THE CMPAIGN PROMISES OF APC/PMB: HEALTH SECTOR AS A CASE STUDY

Let us have another look at the APC Campaign promises, with particular emphasis on the promises made on healthcare. The essence of this piece is to keep reminding the APC that time to jaw jaw is over, it is now time to get busy and get to work. It is also for us as Nigerians to hold them accountable if they were not able to deliver and to also pray for them to succeed. 2019 is nearer than we expected. By the way these promises are configured, if put to reality, Nigeria will be a global power to beat as far as health care is concerned. Before I continue, let me refresh our minds on those promises by the APC:

HEALTHCARE:
Prioritize the reduction of infant mortality by 2019 to 3%; reduce maternal mortality by more than 70%; reduce HIV/AIDS infection rate by 50% and other infectious diseases by 75%; improve life expectancy by additional 10 years on average through our national healthy living programme.

Increase the number of physicians from 19 per 1000 population to 50 per 1000; increase national health expenditure per person per annum to about 50,000 (from less than 10,000 currently)

Increase the quality of all federal government hospitals to world class standard within five years

Invest in cutting edge technology such as telemedicine in all major health centres in the country through active investment and partnership and programs with the private sector

Provide free antenatal care for pregnant women, free health care for babies and children up to school going age and for the aged and free treatment for those afflicted with infectious diseases such as tuberculosis and HIV/AIDS

Boost the local manufacture of pharmaceuticals and make non adulterated drugs readily available

ENVIRONMENT
Ensure Compliance With Policies And Measures To Halt the pollution of rivers and waterways in the Niger Delta and other parts of the country

Create shelter belts in states bordering the Sahara Desert to mitigate and reverse the effects of the expanding desert

Adopt a holistic approach to erosion and shoreline protection across the country

Create teams of volunteers to plant and nurture economically viable trees in arid regions

Regulate the timber industry to ensure that double the number of trees felled are planted by the loggers

Ensure full compliance with town planning and environmental law edicts

Source:www.allprogresivescongress.org/manifesto

The APC promised to prioritize the reduction of infant mortality rate to 3% by 2019
This promise of the APC is in tandem with Millennium Development Goals (MDG) number 4, which is: To reduce child mortality by 2/3 (66%) between 1999 and 2015. Infant mortality rate is the number of children dying before they reach one year of age, per 1000 live births in a given year. According to World Health Organization (WHO) Report 2014, the infant mortality rate in Nigeria was 120 per 1000 live births in 1990 which has reduced over the years to 89/1000 in 2010, 77/ 1000 in 2012 and 74/1000 live births in 2014. This implies a reduction by 38.3% between 1990 and 2014. By this figure it implies that just a little above 50% of this MDG goal has so far been achieved, after 25 years… hmmm.

I want to believe that the APC understood the implications of these promises. I also want to believe that those who drafted these promises for the APC clearly understood what infant mortality rate is all about as well as the current infant mortality rate in Nigeria, which is 74 per 1000 live births as at 2014. In the past four years, the GEJ led government reduced infant mortality rate by 6.3%, from 79/1000 in 2011 to 74/1000 in 2014. If we extrapolate this to the next 24 years, the infant mortality rate would have been reduced by 37.8%, which will not be different from what the WHO had achieved in 25 years. And the APC told us they will prioritize the reduction of infant mortality rate to 3% (not by 3%) by 2019….. All things are possible!!

Now campaigns are over it is time to get to work. By this promise of prioritizing the reduction of infant mortality to 3% (not by 3%) by 2019, it means that all efforts must be on top gear to prioritize this reduction from the current 74/1000 live births to approximately 2 per 1000 live births in 2019…. Hmmm!!… I don’t believe in impossibilities, yes! Nigeria can become a world power in health; but things must be done the right way. To achieve this, the PMB-led government must tackle the leading causes of infant mortality head-on which include but not limited to: malaria, diarrhoea, birth asphyxia, pneumonia, preterm (premature) birth complications, measles and malnutrition. Other contributing factors include: mother’s level of education, environmental conditions, and political and medical infrastructure. Improving sanitation and access to clean drinking (potable) water, immunization against child killer infectious diseases (such as tuberculosis, polio, hepatitis, pertusis, etc) will go a long way in improving on the infant mortality rate.

Between 2000 and 2008 the national immunization coverage was between 10% and 50%. Some of the challenges attributed to this included: poor funding of the Primary Health Care (PHC) system, low political will and commitment, poor Cold Chain system, shortage of vaccines, weak surveillance systems, missed opportunities, under-served and hard-to-reach communities and refusal to accept immunization. To improve immunization coverage in Nigeria, the government of PMB should as a matter of priority do the following:
Provide adequate funding for the Primary Health Care (PHC) system
Strengthen the Cold Chain system by
Providing transport logistics,
Provision of Solar refrigerators
Disease surveillance
Building institutional capacity
Advocacy to political, traditional and religious leaders for ownership
Effective social and Community mobilization and sensitization through health education in social clubs, markets, schools, religious houses and health facilities

Another important cause of infant mortality, which is very common, is malaria. The MDG target for malaria was that by 2015, malaria would have been halted and its incidence will begin to be reversed, this target has been achieved globally and a lot of countries are making steady progress. The MDG report of 2014 stated that Nigeria and DR Congo accounted for 40% of malaria deaths globally. Children and pregnant women are particularly at risk. One of the ways of preventing malaria is through the use of insecticide treated bed nets (ITNs). Of the 700 million ITNs distributed to countries in sub-Saharan Africa between 2004 and 2013, only about 36% were sleeping under an ITN in 2013. In 2012 less than 20% of children in Nigeria, Chad, Cameroon and Niger slept under ITN compared to 70% reported in Benin, Madagascar, Rwanda and Tanzania.

It is true people may not be forced to use these nets at home but the government should come up with a ONE HOUSE-ONE-NET POLICY and if possible introduce incentives to motivate the women, to ensure that their household, especially the children sleep under them (the ITNs). By this singular act, the scourge of malaria would have been brought to its barest minimum and the attendant mortality associated with it will be drastically reduced even if we do not meet the set target of reducing the mortality rate to 3% of what it currently is, we would have set a standard in health care that will be the envy of all. The fight against malaria requires both political and financial commitment and the PMB government must brace themselves for this great task ahead. Nigeria can be better.
I wish PMB/APC luck!

REFERENCES:
WHO Report 2014
MDG Report 2014
World malaria Report 2014
………………………………………………………….……………..to be continued!

Emeka will deny this