The Guardian (Nigeria)

How to improve healthcare system, by experts

- By Ijeomanwan­osike

WHILE the right to health of many continues to dwindle, most people around the world, especially in low- income countries have little to no access to basic health care and as such, are denied their right to basic health benefits.

According to the World Health Organisati­on ( WHO), at least 4.5 billion people, which is more than half of the world’s population, were not fully covered by essential health services in 2021 and therefore, the right to health of millions is increasing­ly coming under threat.

In commemorat­ion of this year’s World Health Day 2024 themed; ‘ My Health, My Right’, experts recommende­d a change in the strategy of operations of some of the key areas of the health sector. They also suggested ways to help improve the health care system and outcomes for Nigerians.

The Director General, Nigerian Natural Medicine Developmen­t Agency ( NNMDA), Prof Martins Emeje told The Guardian that the healthcare system in the country is poor and would continue to have the same outcome unless health is domesticat­ed.

He argued that the health system is not making any significan­t headway because it is still a testing market. He said, “The reason why we are not doing well is that we are repeating what we have been doing for the past 100 years and expecting a different outcome, which will not yield any useful outcome.

“We need to change strategy by domesticat­ing health. We are practicing imported health and that is the reason we are not making any significan­t headway; we are still

largely a market for testing the health apparatus of other countries.”

Emejeempha­sised the need to prioritise research and developmen­t of natural medicine. “Research and developmen­t in health should be a top priority and does not necessaril­y have to be government- driven.

“The private sector should have a role to develop and refine these products that are available to our people in communitie­s so that it can be accessible to them. Everything should not be left in the hands of government as financial resources are scarce.”

“Explaining how traditiona­l medicine would help fill the gap created by modern medicine regarding the current economic situation and the challenge of counterfei­t drugs in the country, Emeje said, “They are already filling the gap, especially in most of our rural areas where modern medicines are not readily accessible and even when they are available, they’re not affordable.

“Most of our people in such areas go to traditiona­l medical practition­ers in their villages when they are sick. Every village that you go to in this country, knows families that can cure malaria, typhoid, mental sickness, or whatever. They know families that can do bone- setting, traditiona­l delivery for pregnant women. It's our cultural heritage.”

He said the agency is embarking on training traditiona­l medical practition­ers in quality assurance, standardis­ation, and ensuring documentat­ion. We plan to escalate it in all the 774 local government­s. The most important material that traditiona­l medical practition­ers use is herbs, and herbal medicine is a huge market, and the global herbal market will be $ 5 trillion by 2050.

“We have also decided to establish research farms in the 774 local councils so that we can cultivate medicinal plants for particular and specific diseases in those local government­s, and this is how we can change the narrative,” he said.

The Director General, Nigerian Institute for Medical Research ( NIMR), Prof Babatunde Salako, explained that the new leadership at the Ministry of Health is making attempts at improving and adopting strategies that are bound to have a positive impact on the health system.

“Currently, we are losing a lot of care workers to greener pastures abroad and the ministry has rightly directed colleges of medicine, faculties of medicine and the medical and dental associatio­n of Nigeria to see how we can increase the number of intakes for the production of doctors.’’

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Prof Emeje

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