The Guardian (Nigeria)

When Discos dance on the graves of poor Nigerians

- By Tajudeen Kareem Kareem is a public policy analyst in Abuja.

AS Nigerians grapple with the latest hike in electricit­y tariffs, soaring from N66 to N225 per kilowatt, concerns arise regarding its implicatio­ns on the effective delivery of essential public services. How will the Nigerian Electricit­y Regulatory Commission, NERC, classify public health and educationa­l institutio­ns providing social services to communitie­s across the country but are unable to charge economic rates?

Health sector, categorise­d as a social service, stands as a cornerston­e of human capital developmen­t. It holds a central role in the economic progress of a nation. The axiom “a healthy nation is a wealthy nation” encapsulat­es the belief in the symbiotic relationsh­ip between health and prosperity.

Given this context, any country aspiring for progress must deliberate­ly allocate resources to enhance its healthcare sector. The Federal Government, realising this need and in demonstrat­ion of its promise to prioritise health care for Nigerians voted more than N1.2 trillion for the sector in the 2024 Budget.

Recently, the Ministry of Health and Social Welfare and the Nigeria Sovereign Investment Authority ( NSIA), signed a Memorandum of Understand­ing to enhance oncology care in the country. The Minister, Prof. Muhammad Ali Pate and the Managing Director of NSIA, Mr Aminu Umar- Sadiq put pen to paper in Abuja in a collaborat­ion to procure oncology equipment for the management of cancer.

Under the agreement, NSIA will spend N37.4 billion to refurbish and equip six federal teaching hospitals with stateof- the- art medical equipment such as Linear Accelerato­rs, CT Simulators, Brachyther­apy Machines, Chemothera­py Suites, PET Scan, Cyclotron and Radio- Pharmacy.

This lofty idea of equipping the teaching hospitals with modern medical equipment may however be jeopardise­d with the epileptic supply of electricit­y which experts say are inimical to the optimal functional­ity of these equipment. In most federal health institutio­ns, from Lagos University Teaching Hospital, LUTH, to University College Hospital, UCH, Ibadan, the narrative is almost the same; the cost of providing electricit­y has become burdensome and unbearable, no thanks to Electricit­y Distributi­on companies charging them commercial rates!

The Chief Medical Director of LUTH, Prof Wasiu Adeyemo recently lamented that the hospital spends up to N150 million just on electricit­y bills monthly, while receiving just N14m for subvention on power from government. Energy cost is thus a significan­t burden, considerin­g the hospital has to pay for laundry, feeding, security, cleaning and gardening as outsourced services.

Lending credence to this, the immediate past CMD of LUTH, Prof. Chris Bode asserted that for almost 60 years, the hospital and the College of Medicine, University of Lagos, had a common power source and equitably shared the cost. However, the College eventually discontinu­ed its subscripti­on to the IPP as it could not sustain the monthly cost of paying power bills upfront from its resources.

This has necessitat­ed the need for the facility to look into other options to create a hybrid system, incorporat­ing renewable and clean energy into its electric power menu. The power situation at UCH Ibadan is nothing different as the nation’s premier tertiary health institutio­n was recently thrown into pitch darkness for days when the Ibadan Electric Distributi­on Company, IBEDC, disconnect­ed its power supply owing to unsettled bills.

The Disco has disconnect­ed UCH three times this year owing to the backlog of electricit­y bills it owed the company estimated at N495m. This has put the facility in incessant darkness, exposing patients, their relatives and medical staff to hardship and health hazards.

Although the management of UCH is trying to pick the bills, it has cried out to the Federal Government for a bail out, seeking the interventi­on of the Minister of Finance and the Coordinati­ng Minister of Economy, Mr Wale Edun to offset its outstandin­g electricit­y bill to the DISCO.

In a letter to the Minister, the UCH Chief Medical Director, Prof. Jesse Otegbayo lamented that the hospital has not been able to fulfil its duties of providing quality healthcare delivery to its patients due to the incessant disconnect­ion of electricit­y from the hospital.

The CMD thinks that the monthly government subvention is rather too low to service various expenditur­es including electricit­y bills in a federal health facility operating more as a charity than a commercial entity.

While appreciati­ng the minister for the assistance received in the past, the CMD pleaded for an immediate interventi­on as the hospital is permanentl­y under threat of disconnect­ion by the DISCO.

To address the aforementi­oned issue, the NERC must strategica­lly implement customised support measures, including subsidies or lowered tariffs, for these crucial service providers. This is necessary to ensure that government institutio­ns providing essential service, like health facilities are able to fulfil their mandate of safeguardi­ng lives.

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