Thursday, 26 May 2022

2023: I'm Driven by the Need for Better Healthcare - Dr. Abimbola



BY CHIOMA UMEHA

Dr. M.K.O Abimbola, the secretary of the Tinubu Support Group-USA Chapter, has expressed interest in running for the APC's (APC) Ibadan South West State Constituency one seat in the Oyo State House of Assembly.

Abimbola, who holds a PhD in physician associate studies, remarked that the desire to improve healthcare delivery and access inspired him. He also emphasized his concern for Nigeria's poor, whom he claims are at the forefront of the country's inefficient and inadequate healthcare system.

It's important to note that Abimbola is the main force behind the Nigerian physician associate profession's gazetted bill

Dr. M.K.O Abimbola, a columnist for "Health Education with Dr. M.K.O Abimbola," has often criticized Nigeria's lack of a physician associate profession. According to him, he engaged with various lawmakers who were apprehensive to sponsor or support the bill because they feared it would be crushed by special interests once it reached the floor.

When questioned if his position in the Oyo Assembly would change things because the legislation may require federal support in both houses, Abimbola said that his bid for the house of assembly will prepare him for the challenge ahead.

Abimbola also mentioned how his active engagement in the June 12 election and subsequent fight for democracy prepared him for partisan politics.

He reflected on his degree of participation in the elections that saw Alhaji Lam Adeshina, Ajimobi, of blessed memory, elected to the Agodi Government House.

As the secretary of the Tinubu Support Group-USA Chapter, he detailed his active participation in the election that ushered in President Buhari and the subsequent re-election, noting that his involvement in partisan politics stretched beyond both local and international politics.

He is the younger brother of late Hon. Fatai Abimbola, alias Abogun, a former commissioner in late former governor Abiola Ajimobi's cabinet who was assassinated immediately after his boss's death on the Lagos-Ibadan expressway.

Tuesday, 24 May 2022

Nigeria FP2030: Pathfinder International Organises Capacity Training For Advocacy Working Groups To Track Implementation



BY CHIOMA UMEHA

Lagos

Pathfinder International's Advance Family Planning (AFP) initiative has organized three Advocacy Working Groups, one from Kaduna, one from Lagos, and one from Gombe, to learn more about Nigeria's FP2030 commitments.

This is in order to increase accountability and establish advocacy tactics for tracking and monitoring commitments using the AFP SMART approach. The Family Health Advocates in Nigeria Initiative from Kaduna, the Public Health Sustainable Advocates Initiative from Lagos, and the Saif Advocates Foundation from Gombe are among the Advocacy Working Groups attending the three-day workshop in Abuja, the nation's capital.

The groups are using AFP SMART goals to select commitments that will be implemented in the third and fourth quarters of 2022. At the start of the workshop, each of the advocacy groups described their actions in their various states over the previous year, including changes in Family Planning policies, champions, money, and funders, among other things.

Mallam Yusuf Nuhu, the Programme Officer for Reproductive Health/Family Planning, addressed earlier in his presentation about the importance of Advocacy Working Groups, CSOs, and the Media grasping what Nigeria FP 2030 is all about and their roles.

He stressed that advocacy working groups should take a systematic approach to the FP2030. Pathfinder International's AFP project focuses on increasing financial investment and political commitment to enable access to high-quality family planning through evidence-based advocacy.

Monday, 23 May 2022

Pharmacists Say Project 91 Could Build Medicine Security In The Country.



BY CHIOMA UMEHA

Lagos State

Pharmacists representing the Association of Lady Pharmacists (ALPs) have claimed that if Nigeria expands investments in the country, one of its medical plant cultivation programs, Project 91, might limit capital flight and provide the country with medicine security.

With the required investment, the ALPs said the project hoped to provide good health, nutrition, and economic benefits. It is expected to boost the country's gross domestic income (GDI), gross domestic product (GDP), and hence the economy.

In the end, Nigeria would be grouped with China and India, which now control the worldwide market for traditional and herbal medicine.

The ALPs will cooperate with the National Institute of Pharmaceutical Research and Development (NIPRD) to ensure that the final products of cultivation are standardised to fulfill current pharmaceutical needs, according to Victoria Ukwu, National Chairman of ALPs.

The ALPs' strategy was revealed at a press conference in Lagos to announce the 15th Bienniel National Conference, titled "Pharmaceutical Value Chain For Optimal Utilization — Where Are We?"

Herbal medicinal plants have shown benefits in illness conditions such as sickle cell anemia, according to the ALPs strategy, which is focused toward the implementation of standards to ensure consumer safety.

She dismissed reports that pharmacists are against herbal medications, saying, "The emphasis now is on agriculture." Right now, the concentration is on agriculture. We may enlist the assistance of all of our governors' wives, who are also our patrons, in establishing herbal/vegetable gardens across the country. This will empower women while also showcasing our abundant herbal resources and ensuring medical security."

"Nigeria is rich with medical plants; that is why we are going into this project," Ukwu said, explaining the reason behind the medicinal plant growing. "It's a zonal issue," she added. We have gardens in Asaba and Ogun State where we are growing medicinal herbs." According to her, ALPs are active in 26 states across the country, as well as the federal capital area. The ALP has been working with various first ladies on medicinal plant planting, according to the National Chairman.

"We paid a courtesy visit to the First Lady of Benue State last year, and we requested that she supply the association with a garden in Benue State for 'Project 91."

She went on to say that four first ladies will be attending the June summit. The ALPs will be asked to provide gardens for the planting of medicinal plants from the First Ladies of Lagos, Ogun, Edo, and Katsina states.

In similar manner, former National Chairman of ALPs Chief Yetunde Morokundiya explained that both traditional and conventional medical practitioners now collaborate to promote optimal health care delivery. They are no longer haphazardly practicing. She emphasized that traditional medicine is now properly manufactured and packaged in a measured way to ensure uniformity.

Many conventional remedies are derived from plants, according to Monica Hemben Eimunjeze, Chairman of the Central Planning Committee. "What we're discussing is the deliberate cultivation of specific plants.

"Examples include hibiscus and bitter leaf plants, which are cultivated for production rather than just existing." Some herbs, according to Eimunjeze, induce twin conception while others have benefits in the treatment of sickle cell disease. "Project 91 is all about identifying such plants and cultivating them for that purpose," she continued.

The ALPs conference will take place in Lagos State, beginning with a retreat at the Whispering Palms Resort in Badagry from June 5 to 8, followed by a quiz competition among female students from public secondary schools at the Lagos Country Club on June 8. While the conference's opening ceremony will take place on June 9, the Biennial General Meeting and final dinner will be held on June 10.

How To Manage Dehydration In Children

 



BY CHIOMA UMEHA

Dehydration occurs when a child's body is deficient in fluid. Dehydration can be caused by a lack of fluid intake, vomiting, diarrhoea, or a combination of these factors. Dehydration can occur when you sweat excessively or urinate excessively. Since infants and small children lose fluid more quickly than older children or adults, they are considerably more likely to get dehydrated.

Why A Child May Become Dehydrated

1.   Dehydration is often caused by a viral infection, which causes fever, diarrhea, vomiting, and a diminished capacity to drink or eat. Example of these viral infections are Rotavirus, Norwalk virus, and Adenovirus.

2.   Sometimes wounds in a kid's mouth (produced by a virus) make eating or drinking uncomfortable, which contributes to or worsens dehydration. Other severe bacterial infections may make a child less likely to eat and may induce vomiting and diarrhoea. Common bacterial infections include Salmonella, Escherichia coli, Campylobacter, and Clostridium difficile.

3.      Sweating excessively in a hot environment can lead to dehydration.

4.      Other causes include undiagnosed or poorly controlled diabetes mellitus or diabetes insipidus.

5.       Health conditions such as cystic fibrosis and celiac sprue prevent food absorption and can lead to dehydration.

Symptoms of Dehydration in Children

 Be alert to when your child vomits or experience severe diarrhoea, or if the child becomes reluctant to eat or drink. Sunken eyes, decreased frequency of urination or dry diapers, a sunken soft spot on the front of the baby's head (called the fontanel), no tears when the child cries, dry or sticky mucous membranes (the lining of the mouth or tongue), lethargy (less than normal activity), and irritability are all signs of dehydration.

In order to assess the degree and cause of the dehydration, the doctor will do a complete history and physical exam. This may involve the carrying out of specific lab tests on the child.

  • A complete blood count may reveal the presence of an infection.
  • Blood cultures can help identify the type of infection.
  • Blood chemistries can detect electrolyte imbalances caused by vomiting and diarrhoea.
  • Urinalysis can detect bladder infection, determine the severity of dehydration, and detect sugar and ketones in urine (evidence of uncontrolled diabetes).In some cases, the doctor may order other tests, such as a chest x-ray, a test to check for rotavirus, stool cultures, or lumbar puncture (a spinal tap).

How To Treat Dehydration in Children

Self-Care at Home

i.        To help a dehydrated child, provide plenty of fluids while the child is unwell. This is known as fluid replacement.

ii.      Suitable fluid replacement for children under the age of two includes Pedialyte, Rehydralyte, Pedialyte freezer pops, or any similar product designed to replace fluids, sugar, and electrolytes (dissolved minerals such as sodium, potassium, and chloride). You can buy these products at most large grocery and drug stores.

iii.    You can make your own oral rehydration fluid by following this recipe:

1/2 teaspoon table salt

1/2 teaspoon potassium chloride (lite salt)

1/2 teaspoon baking soda

4 tablespoons sugar

Dissolved in 1 liter (a little over a quart) of water

iv.    Children above the age of two years may be given flat soda (soft drinks that have been opened and shaken to lose their fizz), Gatorade, or water-based soups.

v.      Give a few sips every several minutes.

vi.    Although it may appear that your child is vomiting everything given to him or her, an acceptable amount of fluid is usually held down.

vii.  In children who have been weaned from formula or breast milk, a BRAT diet (bananas, rice, apples, toast, and other basic carbohydrates such as noodles or potatoes) can be started four hours after the vomiting ends.

viii.  After one to two days on the BRAT diet, gradually transition to a normal diet. If you are breastfeeding, you may continue to do so during your sickness.

ix.    If you are bottle-feeding, you should resume half-strength formula feedings after one to two days on Pedialyte, and then return to full-strength formula feedings within another day.

Medical Treatment

1.      If the dehydration is light (three to five percent total body weight loss), the doctor may instruct you to administer small sips of Pedialyte or other oral rehydration fluids to the child. If your kid can drink fluids (and there is no hazardous underlying sickness or infection), you will be sent home with instructions on oral rehydration, advice on items to be worried about, and reasons to return or phone again.

2.      If your child is significantly dehydrated (five to ten percent loss in total body weight), the health practitioner may insert a tube into a vein (intravenous line or "IV") to administer fluids. You may be sent home if your child is able to take fluid by mouth after IV fluid replacement, improves following IV fluid replacement, and has no obvious serious underlying sickness or infection. When you are discharged home, you will be given instructions on oral rehydration, close follow-up with your family doctor (most likely the next day), and information on items to be concerned about and reasons to return or call back.

3.      If your child is seriously dehydrated (weight loss of more than 10% to 15%), he or she will most likely be brought to the hospital for continuing IV fluid replacement, observation, and often additional tests to discover what is causing the dehydration. Medicines will be given to children with bacterial infections, but antibiotics will not be given to children with viral infections. Antiemetics and anti-diarrhoea medicines are nearly never used to treat vomiting and diarrhoea in children. Typically, such medication would prolong the diarrhoea.

 


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