By
Joachim Ezeji.
It was amazing reading a communiqué the other day which emanated from a Muslim group, the communiqué had advised Muslim women in Nigeria to shun on-going campaigns on gender equality arguing that it is alien and unfriendly to faith and culture.
Ever since reading that report on a local newspaper, I have been very curious to know the red line on gender equality for religious groups such as the Muslims in Nigeria.My interest is deep seated and is intended to be fully discussed here.
However, I am not unaware that the elimination of feminized poverty is a paramount priority for the international community and her local partnerships. I also doubt the ignorance of any educated person or entity on this priority. These priorities are underscored copiously in the Goal 3 of the Millennium Development Goals (MDGs).The UN Millennium Development Goals, issued by the UN Secretary General in 2001,are a ‘road map’ for implementing the millennium declaration. The MDGs comprise eight goals supplemented by 18 numerical and time-bound targets and 48 indicators intended to improve living conditions and remedy key global imbalances by 2015.Goals 3 calls for gender equality and women’s empowerment. In addition the MDGs address several of the 12 critical areas of concern in the platform for action adopted at the 1995 Fourth World Conference on Women in Beijing, namely poverty, education, health and environmental sustainability.
In Nigeria, gender issues in development received little attention in national planning until the declaration of the United Nations Decade for women. Hitherto, a woman’s reproductive, productive and community management roles and potentials were marginalized and left out of the system of national planning. Therefore, development planning since the colonial period has been gender insensitive, as a result of the continuous interaction between the indigenous culture and the inherited patriarchy from the colonial administration, as well as the strong inhibiting effects of traditionalism and capitalist ideologies.
In Nigeria, women make up 49.6% of the nation’s total population (1991 census).They are responsible for the reproduction of the labor force and for producing over 70% of the nation’s food supply. About 13.3% of Nigerian women were employed in the formal sector until the 1980’s.This proportion declined rapidly in the process of economic reconstruction as a result of the rationalization of public and private sector workers and cuts in production capacity in industry. The majority of female workers are in lower cadre occupations. Those in professional and marginal occupations constitute only 18% of that grade of employment. Most Nigerian women are informal sector workers who predominate in micro-enterprises with little or no access to credit, technology and other supports required to build up capital. Indeed, it is estimated that a negligible proportion of women in the formal sector has access to credit; hence the high attrition rate of women’s businesses.
But, can thinking gender lead to effective ways to combat poverty, hunger and disease, and stimulate development that is truly sustainable?
In answering this question, I will like to bring in the effects of water or gender implications of water at the household level. Apart from the health implications of water –related diseases, the fetching of water inflicts a heavy burden in terms of time and effort, especially on women and children in the largely un-served areas of our urban and rural areas. Many of these women have to trek long distances to water sources and then wait for long periods in line to fill their buckets. This is part of the daily routine for millions of Nigerian women and girls, often taking up several hours a day. The involvement of children, particularly girls, in this chore restricts attendance at school, as well as time for play. Moreover, water carrying exerts a toll on women’s health. Water containers typically hold about 20litres of water and weigh about 20 kilograms. Carrying such a heavy weight on the head, back or hip has severe health implications for women, who commonly experience backache and joint pains. In extreme cases, spine and pelvic deformities results, creating complications in pregnancy and childbirth.
In view of the foregoing I make bold to emphasize that water is a critical but often overlooked element in sustainable development including gender equity. According to Klaus Toepfer, the Executive Director of the United Nations Environment Programme (UNEP), ‘...The World Summit on Sustainable Development (WSSD) highlighted that water is not only the most basic of needs but is also at the centre of sustainable development and is essential for poverty eradication. Water is intimately linked to health, agriculture, energy and biodiversity. Without progress in water, reaching the other MDGs will be difficult, if not impossible’’.
Further to this, is the realization that water is a key ingredient in generating rural livelihoods, growing food, producing energy, encouraging industrial and service sector growth, and ensuring the integrity of ecosystems and the goods and services they provide. The position of women in some of these activities is eminent and a matter of daily survival.
Integrated Water Resource Management (IWRM) recognizes that women play a central part in the provision, management and safeguarding of water, this pivotal role of women as providers and users of water and guardians of the living environment has seldom been reflected in institutional arrangements for the development and management of water resources. The acceptance and implementation of this principle requires policies to address women’s specific needs and to equip and empower women to participate at all levels in water resources programmes, including decision making and implementation, in ways defined by them.
The impact of gender role recognition on water resource policy can be viewed in two broad and fundamental ways; Policy relating to the sustainable management of resources relies on a broad base of stakeholder participation and consultation. The diverse gender roles of men and women in the management and control of water resources require that they are viewed as separate stakeholder groups. And; the development of water resource management policy can impact upon men and women in different ways. Gender-sensitive water resource policy will address the equality of access to the potential benefits of water resource development from the perspective of both men and women. As such, gender-sensitive policy development is a tool by which the interests of marginalized members of society can be incorporated into sustainable approach to water resource management. Beyond water are other concerns such as employment, agriculture and entrepreneurship germane for poverty alleviation and national development.
The prosperity of a nation depends on the efficient utilization of all factors of production, land, labor and capital. Hitherto, the labor of women had been used on a small scale in the formal sector of the economy, a result of the social discrimination in education and training, as well as the gender-based division of labor which is reflected in the formal sector of employment. In Nigeria, women provide an estimated 60-80% of labor input in agriculture, especially in food production, processing and marketing. Many women are farmers in their own right, apart from working on family farms. Although various efforts have been made by several agencies, unfortunately women’s contribution in this regard is not adequately acknowledged in the development of agricultural policy and programmes. This situation must be corrected.
The visibility of women in petty trading gives the false impression that their enterprises are successful and acknowledged. However, a recent assessment of women’s enterprises shows that the constraints to their ability to capitalize and to sustain themselves and their families are enormous. These will have to be removed to ensure the efficient utilization of their labor in those enterprises for socio-economic developments. Poor access to credit, information, appropriate technology, lack of technical skills and poor organization and accounting skills are real problems at all levels of women’s enterprises.
It is now generally recognized that the majority of the world’s poor are women. Goal 1 reflects this by broadening the definitions of poverty to encompass not only income poverty but other dimensions such as lack of empowerment, opportunity, capacity and security. Because many aspects of gender inequality influence the different dimensions of poverty, promoting gender equality in the design of strategies and actions to meet this goal is critical. Gender equality has a direct impact on economic growth and the reduction of income poverty by raising productivity, improving efficiency, increasing economic opportunities and empowering women.
Globally, it is recognized that 90 million of the 150 million children aged 6-11 who do not attend school are girls. Meeting the education goal of the MDG therefore requires that the distinctive conditions preventing girls and boys from attending schools be addressed. Reducing education costs, improving quality, tackling parental concerns about female modesty or safety and increasing the returns to families that invest in female schooling are factors that can overcome social and economic barriers to girl’s education.Goal 2 is the key to achieving Goal 1; eliminating gender disparities in education is one of the most effective poverty reduction strategies.
Women aging 15 and above presently constitute two-thirds of the world’s 876 million illiterates. Working women have less social protection and employment rights; a third of all women have been violently abused; over 500,000 women die each year in pregnancy and childbirth; and rates of HIV/AIDS infection among women are rapidly increasing.
Evidence from countries around the world demonstrates that gender equality is the key to improving maternal and child health and stemming the spread of HIV/AIDS and other diseases. Some 500,000 women, the majority in poor countries e.g. Nigeria etc. die each year due to pregnancy-related causes. Reducing maternal mortality depends on the extent of health care availability for expectant mothers, particularly when dealing with complications. Greater control of income by women tends to lower child mortality even when the households total income is taken into account. Child mortality rates are linked to gender-related norms and customs. Globally, 48% of adults living with HIV/AIDS are women and in many regions women make up the majority of infected adults. Meeting the health goals requires an awareness of the biological aspects of disease transmission and treatment as well as the social and cultural factors that promote or reduce good health. Women cannot achieve empowerment and equality unless their reproductive rights are fully and legally realized.
It is however an irony that the foregoing challenges is taken for granted in Nigeria in particular. Statistics are grossly lacking and were available are largely misrepresented. Curiously, keen observation tend to reveal that the bulk of women currently championing gender equality in Nigeria are either unmarried or no longer in marriage. Some of them may be mothers but certainly not wives. The trend these days stretches from lesbians to same sex partners. But for me I know what it means growing up under Papa and Mama. My mother calls my father 'Mine' while my father calls her 'Oma' (Igbo language for good one).The gains of living and being groomed by both parents is inesteemable. The real woman is my mother and other women like her who adds family values to their lives. Both the man and woman need to tangle to achieve a lot, including procreating and raising the children. Not devisiveness, No!
Last year I was among a study team that visited Nanyuki, a distant dry part of northern Kenya. We were desirous of keeping appointment with a group of locals who comprised mostly of the Masai. On arrival for the meeting, we discovered that these locals have waited all day, abandoning every other engagement just to meet and receive us. In their number was a plethora of very poor and famished mothers. For these Masai natives, most of who scratches for survival on the foot of the Kenya Mountain, wealth and affluence is represented by the number of wives, children and sheep one has. I have never stopped to wonder if these men and women ever think of gender equity or equality and what it portends for them. I am also keen to know how many charities or NGOs that have confronted sincerely the gender inequity trap on their behalf as a poverty alleviation strategy.
I have always insisted that gender as a component of the millennium goals is all about poverty reduction and the mobilization of the productive strength and number of women for community development, growth and productivity. I have canvassed this view in many conferences such as held variously at Ottawa, Canada in 2004; Texas, USA in 2006 and Jos, Nigeria in 2005.I have never stopped raising my voice on this matter. At the occasion of the maiden Nigeria national water and sanitation forum held in August 2006 at Abuja I also maintained this opinion, though my views were rudely cut short by a woman university professor who insisted otherwise, and on her own terms. She saw gender more from the lens of political empowerment i.e. getting more women into high political offices such as the governorship and presidency. I saw her position as being uninformed and biased. She got it wrong!
Though political empowerment is vital in Goal 3, it cannot veil its context and realities. Women who insist on political patronage as gender equality are basically seeking easy routes to the top. They forget so soon that women like Margaret Thatcher, Hillary Clinton, and Gordon Meir got into political limelight years before gender campaigns become rife. I am waiting to be presented with facts that shows gender biasness as a factor which favored women leaders such as the leaders of Liberia and Germany during their elections.
It also remains to be proven how the political patronage of women elites in Nigeria has benefited poor rural or urban women in my native Uboma, Imo State or elsewhere.
As a well trained gender ambassador, I have no doubts that gender empowerment more than many issues also favor the elimination of violence and discrimination against women. It favors a good sense of social well being that ‘waters’ the ground for both men and women equally. I wonder what the Masai or Uboma woman can benefit from all these gender campaigns if not social inclusion and farewell to poverty amongst other things. Amongst these Masai and Uboma women is the real woman. They are not even difficult to be found in many other neighborhoods in Nigeria and elsewhere. It is their wants and deprivations that makes gender concerns relevant in today’s world.
Our society must arise to check the rising insubordination of women to their husbands as well as growing lawlessness in many homes today. Responsible for all these are petty issues such as the insistence of some married women on political engagement against the consent of their husbands. It is a reality that caution has been discarded, simply because a woman is bent on going into politics. It is most worrisome that propelling factors in most of these cases may possibly be by the prodding of a ‘lover boy’ and NOT even the desire to serve.
It is my prayer that Non Governmental Organizations working on these issues will rise to the occasion by calling a spade by its true name. The universities in Port Harcourt and Makurdi that pioneered gender studies in Nigeria should not be found wanting on this matter too.Till we get it right, the gender mission remains a challenge.
First published in 2006
Monday, 23 January 2012
In a hospital at last !
By
Joachim Ibeziako Ezeji
My procrastination and fears over where to seek medical care in Nigeria because of festering insouciance, unsafety, incompetence and lack of care etc in local hospitals here finally caved in to pressing health needs the previous week. I had to see a doctor fast before it became too late. My body had shown signs of sheer fatigue within that period. Compounding the problem was severe but quiet headache amidst neck ache. All signs and symptoms were too strong to be ignored. I had to see a doctor fast because I was actually afraid.
At the hospital, an unfamiliar one at that, I really could not find my way around. The hospital was simply too big. I mean too big in size though the architecture was simple. The hospital was also very neat and tidy. There were a lot of outpatients but this was not causing delays as each patient was promptly being attended to.
On arrival, I had walked straight to the reception where I requested to be allowed to see a doctor. I was politely asked by the lady receptionist if I was on appointment or otherwise. I replied otherwise. She did not waste time to refer me to the appropriate section where emergency patients like me were taken care of. On getting there, which was centrally situated at another section of the hospital, I met another lady called Esther (not real name) who had the appellation ‘Hospital Clerk’ on a lapel on her chest.
Esther was warm and amiable. She was also friendly and caring. She was available to help, and did not waste time in giving me full assistance. She took my details with panache and proceeded to get my papers ready for one of the doctors on duty to see me. I was then invited to meet a staff nurse. The nurse, a woman who probably was in her early forties was so kind and nice. She requested me to narrate how I was feeling. My answers enabled her to set a draft for the doctor I was to see later.
I did notice that while all these were going on, that all data being extracted from me were accordingly being entered into the computer. There was no manual writing. I realized that Esther never did get off her chair for anything. She simply submitted my file through the internet to the staff nurse who on conclusion forwarded same through the internet to the Dr. Gregory Groetsema.
I was thereafter ushered to meet face to face with Dr.Gregory. The meeting was not a sit-down and face-me meeting. I had to be taken into a special room, more like a theatre. I was made to undress and put on the hospital gown. Then I was made to lie on my back. The doctor further confirmed from me all the information already extracted by the staff nurse before proceeding. He had me had an X-ray, a blood test and then a High Blood Pressure (HBP) check amongst others. It was exhaustive. For the first time in my life (all having been spent in Nigeria), I was receiving a first class medical attention. I was stunned, what a contrast!
What actually stunned me was not only the maximum attention and care on offer here, but the realization that all through the duration of my stay starting from the clerk and to the staff nurse as well as the doctor nobody asked me about money as a pre-requisite. I was neither asked to pay for card nor consultation fee. Money was not placed as a number one thing. I was short of words.
In this state of utter bewilderment, I looked up and saw what beautifully hung afar as the hospital’s Mission Statement. I stretched to read its clearly and legibly written letters.” In the spirit of our founders, St. Vincent de Paul, St. Louise de Marillac, and St. Elizabeth Ann Seton, the daughter of Charity Health System is committed to serving the sick and the poor. With Jesus Christ as our model, we advance and strengthen the healing mission of the Catholic Church by providing comprehensive, excellent health care that is compassionate and attentive to the whole person: body, mind and spirit. We promote healthy families, responsible stewardship of the environment and a just society through value-based relationship and community-based collaboration”
O’Connor Hospital has been an integral part of San Jose for more than 100 years, serving the needs of the community with compassion, commitment, and attention to the mind and spirit, as well as the body. Established as a Daughters of Charity hospital in 1889, O’Connor Hospital has a mission of service to the sick and the poor. Throughout its’ history, it has provided compassionate, skilled, and effective care to the ever-changing San Jose community. Only with the assistance of like-minded, community-oriented individuals and businesses and their philanthropic gifts has its growth and effectiveness been assured.
O’Connor Hospital is recognized nationally as a leader in the delivery of innovative and quality health care. Top three garlands in this sphere include; first, being one of the only 22 hospitals in California to receive the “Excellent in Patient Safety and Health Care Quality Award” for its commitment to safety and quality. The award was given jointly by four of the state’s leading health plans, Aetna, Blue Shield of California, CIGNA Health Care, and United Health Care. Second, O’Connor has been designated by the joint commission on Accreditation of Healthcare Organizations (JCAHO) as a certified Primary Stroke Centre, and earned the gold seal of approval for healthcare quality. JCAHO certification means O’Connor complies with the highest national standards for safety and quality of care. Third, O’Connor Hospital received the Health Grades Distinguished Hospital Award for Patient Safety. This prestigious designation puts O’Connor in the top three percent of the 4,267 hospitals Health Grades analyzed nationwide for patient safety.
I was at O’Connor recently on the occasion of my recent visit to the United States to receive an award being conferred on me by The Tech Museum of Innovation at San Jose, California. On arrival at the Newark Airport in New Jersey, I felt signs of health unbalance. This persisted and grew to discomfortable heights while at Buffalo, New York. It caused me serious unease even while on an outing at the Niagara Falls.
My flight from Buffalo to Philadelphia was pleasant but my health was an issue. I was sick. I was afraid of myself. This continued even while on transit at the Philadelphia international airport all through the six hours flight to San Francisco. It was horrible. Yes, it was, bearing in mind that I am a bloody common Nigerian with no health insurance in the United States.
All those fears were promptly dispelled at O’Connor. At the hospital, non-possession of insurance did not become a hindrance. I saw professionalism, I saw state of the art equipments, I saw commitment, I felt the care. It was total.
At O’Connor I realized why many Nigerians die prematurely from untimely deaths. I saw the insincerity of our government. I cried, I wept for Nigeria. I craved to see an urgent reformation of our health sector. It was this desire that ignited my earlier question ‘which hospital should I attend’. In O’Connor hospital, I saw one, but ironically in afar land. How many of my brothers and sisters can afford the luxury of the opportunity of benefiting from a hospital as good as O’Connor ?
First published in 2006
Joachim Ibeziako Ezeji
My procrastination and fears over where to seek medical care in Nigeria because of festering insouciance, unsafety, incompetence and lack of care etc in local hospitals here finally caved in to pressing health needs the previous week. I had to see a doctor fast before it became too late. My body had shown signs of sheer fatigue within that period. Compounding the problem was severe but quiet headache amidst neck ache. All signs and symptoms were too strong to be ignored. I had to see a doctor fast because I was actually afraid.
At the hospital, an unfamiliar one at that, I really could not find my way around. The hospital was simply too big. I mean too big in size though the architecture was simple. The hospital was also very neat and tidy. There were a lot of outpatients but this was not causing delays as each patient was promptly being attended to.
On arrival, I had walked straight to the reception where I requested to be allowed to see a doctor. I was politely asked by the lady receptionist if I was on appointment or otherwise. I replied otherwise. She did not waste time to refer me to the appropriate section where emergency patients like me were taken care of. On getting there, which was centrally situated at another section of the hospital, I met another lady called Esther (not real name) who had the appellation ‘Hospital Clerk’ on a lapel on her chest.
Esther was warm and amiable. She was also friendly and caring. She was available to help, and did not waste time in giving me full assistance. She took my details with panache and proceeded to get my papers ready for one of the doctors on duty to see me. I was then invited to meet a staff nurse. The nurse, a woman who probably was in her early forties was so kind and nice. She requested me to narrate how I was feeling. My answers enabled her to set a draft for the doctor I was to see later.
I did notice that while all these were going on, that all data being extracted from me were accordingly being entered into the computer. There was no manual writing. I realized that Esther never did get off her chair for anything. She simply submitted my file through the internet to the staff nurse who on conclusion forwarded same through the internet to the Dr. Gregory Groetsema.
I was thereafter ushered to meet face to face with Dr.Gregory. The meeting was not a sit-down and face-me meeting. I had to be taken into a special room, more like a theatre. I was made to undress and put on the hospital gown. Then I was made to lie on my back. The doctor further confirmed from me all the information already extracted by the staff nurse before proceeding. He had me had an X-ray, a blood test and then a High Blood Pressure (HBP) check amongst others. It was exhaustive. For the first time in my life (all having been spent in Nigeria), I was receiving a first class medical attention. I was stunned, what a contrast!
What actually stunned me was not only the maximum attention and care on offer here, but the realization that all through the duration of my stay starting from the clerk and to the staff nurse as well as the doctor nobody asked me about money as a pre-requisite. I was neither asked to pay for card nor consultation fee. Money was not placed as a number one thing. I was short of words.
In this state of utter bewilderment, I looked up and saw what beautifully hung afar as the hospital’s Mission Statement. I stretched to read its clearly and legibly written letters.” In the spirit of our founders, St. Vincent de Paul, St. Louise de Marillac, and St. Elizabeth Ann Seton, the daughter of Charity Health System is committed to serving the sick and the poor. With Jesus Christ as our model, we advance and strengthen the healing mission of the Catholic Church by providing comprehensive, excellent health care that is compassionate and attentive to the whole person: body, mind and spirit. We promote healthy families, responsible stewardship of the environment and a just society through value-based relationship and community-based collaboration”
O’Connor Hospital has been an integral part of San Jose for more than 100 years, serving the needs of the community with compassion, commitment, and attention to the mind and spirit, as well as the body. Established as a Daughters of Charity hospital in 1889, O’Connor Hospital has a mission of service to the sick and the poor. Throughout its’ history, it has provided compassionate, skilled, and effective care to the ever-changing San Jose community. Only with the assistance of like-minded, community-oriented individuals and businesses and their philanthropic gifts has its growth and effectiveness been assured.
O’Connor Hospital is recognized nationally as a leader in the delivery of innovative and quality health care. Top three garlands in this sphere include; first, being one of the only 22 hospitals in California to receive the “Excellent in Patient Safety and Health Care Quality Award” for its commitment to safety and quality. The award was given jointly by four of the state’s leading health plans, Aetna, Blue Shield of California, CIGNA Health Care, and United Health Care. Second, O’Connor has been designated by the joint commission on Accreditation of Healthcare Organizations (JCAHO) as a certified Primary Stroke Centre, and earned the gold seal of approval for healthcare quality. JCAHO certification means O’Connor complies with the highest national standards for safety and quality of care. Third, O’Connor Hospital received the Health Grades Distinguished Hospital Award for Patient Safety. This prestigious designation puts O’Connor in the top three percent of the 4,267 hospitals Health Grades analyzed nationwide for patient safety.
I was at O’Connor recently on the occasion of my recent visit to the United States to receive an award being conferred on me by The Tech Museum of Innovation at San Jose, California. On arrival at the Newark Airport in New Jersey, I felt signs of health unbalance. This persisted and grew to discomfortable heights while at Buffalo, New York. It caused me serious unease even while on an outing at the Niagara Falls.
My flight from Buffalo to Philadelphia was pleasant but my health was an issue. I was sick. I was afraid of myself. This continued even while on transit at the Philadelphia international airport all through the six hours flight to San Francisco. It was horrible. Yes, it was, bearing in mind that I am a bloody common Nigerian with no health insurance in the United States.
All those fears were promptly dispelled at O’Connor. At the hospital, non-possession of insurance did not become a hindrance. I saw professionalism, I saw state of the art equipments, I saw commitment, I felt the care. It was total.
At O’Connor I realized why many Nigerians die prematurely from untimely deaths. I saw the insincerity of our government. I cried, I wept for Nigeria. I craved to see an urgent reformation of our health sector. It was this desire that ignited my earlier question ‘which hospital should I attend’. In O’Connor hospital, I saw one, but ironically in afar land. How many of my brothers and sisters can afford the luxury of the opportunity of benefiting from a hospital as good as O’Connor ?
First published in 2006
Is FUTO better than IMSU ?
By
Joachim Ibeziako Ezeji
(From the Archive -first published in 2006)
During the previous university matriculation admission exercise, I had met a woman who exhibited enormous zeal to get her first daughter admitted into the university. I was interested to assist and offered to help talk to somebody in Imo State University (IMSU) on her behalf. But the woman, a nurse and a mother of six rejected my offer. She rather implored me not to worry since she has already bribed somebody with the sum of eighty thousand naira (N80, 000) to facilitate a place for her daughter at the Federal University of Technology Owerri (FUTO). I inquired why she had to do so, moreover when the post-UME test for both IMSU and FUTO that her daughter sat for were yet to come out. She retorted “ A aah, I don’t want to take chances o o o h. It is either FUTO or nothing. I don’t like IMSU, none of my kids will ever go there. Ada must go to FUTO”
She however failed to proffer any reason for the strong dislike for IMSU other than it is a state university. Further inquisition revealed to me that her daughter, who already was aged twenty years old, had finished from the Federal Government Girl’s College Owerri. The girl wanted to study Micro-biology and had made a score of 171, the highest in her third attempt to scale the ‘almighty JAMB’.
It is this foregoing that enables me the premise to talk about the general state of education in Nigeria. It is not actually a comparison between FUTO and IMSU but a call for policy reversal on status. This is hinged on the need to promote the cardinal objectives of education at all levels of university education, federal, state or private etc. This is so because Nigeria’s future lies in its people. Investment in people is becoming more important for two reasons.
First, Nigeria’s future economic growth will depend less on its natural resources, which are being depleted and are currently subject to lots of instability and restiveness, and more on its labour skills and its ability to accelerate a demographic transition. Growth in today’s information-based world economy depends on flexible, educated, and healthy workforce to take advantage of economic openness. Accelerating the demographic transition to reduce population growth will require education, especially of women, and widely available contraceptive and reproductive health services.Second, investing in people promotes their individual development and gives them the ability to escape poverty. This again requires education and health care as well as some measure of income security.
As at 2004, the gross total enrollment (percentage of age group) in Nigeria for primary school was 99%; secondary was 35% and tertiary was 10%. The ratio of female to male in primary and secondary at that period was 84% while the adult literacy stood at 67%.Assuming that these figures are a true reflection of the situation as at 2004 in Nigeria, then the following conclusions will aid us understand the scenario much better.
Low primary enrollments seriously undermine economic growth and poverty reduction. Worldwide, no country has enjoyed sustained economic progress without literacy rates well over 50%. On this premise therefore, Nigeria could be said to really be on track. Though the consequences of low secondary and tertiary enrollments are harder to analyze and may be particularly critical in Nigeria. There is increasing evidence of positive backward links between secondary and higher education and other parts of the system, especially teacher education. It was said that it is only in Africa, for example, does the correlation between female education and fertility reduction not kick in until the secondary level. The quality of tertiary education levels is so low that they limit the development of society’s leaders.
Moreover, universities have a potentially greater role to play in Africa, nay Nigeria than in many other regions. They are often the only national institutions with the skills, equipment, and mandate to generate new knowledge through research or to adapt to global knowledge to help solve local problems. Sadly the content and quality of education in Nigeria are also in crisis. Poor quality not only produces poorly educated students/graduates, it also results in excessive repetition and low completion rates at enormous costs. In Nigerian universities, there are serious decline in quality in the natural sciences, applied technology, business related skills, and research capabilities. Rapid enrollment growth in higher education, coupled with declining resources, has significantly lowered quality.
There is every need to scale-up investment in higher education in Nigeria at all levels and tiers, both to train the teachers and managers who will provide the primary and secondary education and to train the scientists and engineers who will underpin the continuing capacities in the country. Higher education is very necessary to train doctors, nurses, natural resource managers, engineers, and other professionals who will implement development goals vital in poverty reduction.
This therefore defines the on-going cardinal objectives of the Nigerian education sector reform as enunciated by the Education Minister as “the restoration of character and learning as foundation for creating and sustaining a good society, for nurturing the mind and for the ability to compete globally”. While further justifying the restructuring of the unity schools in the country by the Federal Government, Mrs. Oby Ezekwesiri said “Our greatest concern is the fact that the federal ministry of education spends an inordinate amount of time and resources on these schools that constitute only 30% of the secondary schools in the country. Out of 6.4million secondary school students, only 120,718 are in the unity schools. The minister has the feeling that this number cannot on any account justify the disproportionate amount of staff and budget allocated to these schools. She insists that this has to be reversed and that we have to do things differently as the current business model can no longer be sustained.
Drawing from the above therefore, I insist that the existing discrimination between federal and state universities be collapsed. Federal funding or monetary allocations should be made to have same reach and effect on both institutions. This has become necessary in view of the deep rooted rot such as sorting of lecturers, bribing for admission, sexual harassment and promiscuity of lecturers and students, examination fraud and cultism etc that are manifest in all universities; federal and state alike. Besides all these, both schools are rendering same service of manpower development for the nation.
If current reforms as being proposed insist that unity schools and polytechnics must give way, then let’s extend it to the universities by abrogating this federal –state disparity and accord all universities equal funding opportunities though with bias to inherent expertise. I think this way because federal universities are no longer what they were conceived to be by their founding fathers. These days to secure admission into most of them, it is has become the norm to grease palms’ of those- in-charge. Merit is no longer a basic hallmark as depicted in the encounter I narrated earlier.
We surely need a reversal of status!
Joachim Ibeziako Ezeji
(From the Archive -first published in 2006)
During the previous university matriculation admission exercise, I had met a woman who exhibited enormous zeal to get her first daughter admitted into the university. I was interested to assist and offered to help talk to somebody in Imo State University (IMSU) on her behalf. But the woman, a nurse and a mother of six rejected my offer. She rather implored me not to worry since she has already bribed somebody with the sum of eighty thousand naira (N80, 000) to facilitate a place for her daughter at the Federal University of Technology Owerri (FUTO). I inquired why she had to do so, moreover when the post-UME test for both IMSU and FUTO that her daughter sat for were yet to come out. She retorted “ A aah, I don’t want to take chances o o o h. It is either FUTO or nothing. I don’t like IMSU, none of my kids will ever go there. Ada must go to FUTO”
She however failed to proffer any reason for the strong dislike for IMSU other than it is a state university. Further inquisition revealed to me that her daughter, who already was aged twenty years old, had finished from the Federal Government Girl’s College Owerri. The girl wanted to study Micro-biology and had made a score of 171, the highest in her third attempt to scale the ‘almighty JAMB’.
It is this foregoing that enables me the premise to talk about the general state of education in Nigeria. It is not actually a comparison between FUTO and IMSU but a call for policy reversal on status. This is hinged on the need to promote the cardinal objectives of education at all levels of university education, federal, state or private etc. This is so because Nigeria’s future lies in its people. Investment in people is becoming more important for two reasons.
First, Nigeria’s future economic growth will depend less on its natural resources, which are being depleted and are currently subject to lots of instability and restiveness, and more on its labour skills and its ability to accelerate a demographic transition. Growth in today’s information-based world economy depends on flexible, educated, and healthy workforce to take advantage of economic openness. Accelerating the demographic transition to reduce population growth will require education, especially of women, and widely available contraceptive and reproductive health services.Second, investing in people promotes their individual development and gives them the ability to escape poverty. This again requires education and health care as well as some measure of income security.
As at 2004, the gross total enrollment (percentage of age group) in Nigeria for primary school was 99%; secondary was 35% and tertiary was 10%. The ratio of female to male in primary and secondary at that period was 84% while the adult literacy stood at 67%.Assuming that these figures are a true reflection of the situation as at 2004 in Nigeria, then the following conclusions will aid us understand the scenario much better.
Low primary enrollments seriously undermine economic growth and poverty reduction. Worldwide, no country has enjoyed sustained economic progress without literacy rates well over 50%. On this premise therefore, Nigeria could be said to really be on track. Though the consequences of low secondary and tertiary enrollments are harder to analyze and may be particularly critical in Nigeria. There is increasing evidence of positive backward links between secondary and higher education and other parts of the system, especially teacher education. It was said that it is only in Africa, for example, does the correlation between female education and fertility reduction not kick in until the secondary level. The quality of tertiary education levels is so low that they limit the development of society’s leaders.
Moreover, universities have a potentially greater role to play in Africa, nay Nigeria than in many other regions. They are often the only national institutions with the skills, equipment, and mandate to generate new knowledge through research or to adapt to global knowledge to help solve local problems. Sadly the content and quality of education in Nigeria are also in crisis. Poor quality not only produces poorly educated students/graduates, it also results in excessive repetition and low completion rates at enormous costs. In Nigerian universities, there are serious decline in quality in the natural sciences, applied technology, business related skills, and research capabilities. Rapid enrollment growth in higher education, coupled with declining resources, has significantly lowered quality.
There is every need to scale-up investment in higher education in Nigeria at all levels and tiers, both to train the teachers and managers who will provide the primary and secondary education and to train the scientists and engineers who will underpin the continuing capacities in the country. Higher education is very necessary to train doctors, nurses, natural resource managers, engineers, and other professionals who will implement development goals vital in poverty reduction.
This therefore defines the on-going cardinal objectives of the Nigerian education sector reform as enunciated by the Education Minister as “the restoration of character and learning as foundation for creating and sustaining a good society, for nurturing the mind and for the ability to compete globally”. While further justifying the restructuring of the unity schools in the country by the Federal Government, Mrs. Oby Ezekwesiri said “Our greatest concern is the fact that the federal ministry of education spends an inordinate amount of time and resources on these schools that constitute only 30% of the secondary schools in the country. Out of 6.4million secondary school students, only 120,718 are in the unity schools. The minister has the feeling that this number cannot on any account justify the disproportionate amount of staff and budget allocated to these schools. She insists that this has to be reversed and that we have to do things differently as the current business model can no longer be sustained.
Drawing from the above therefore, I insist that the existing discrimination between federal and state universities be collapsed. Federal funding or monetary allocations should be made to have same reach and effect on both institutions. This has become necessary in view of the deep rooted rot such as sorting of lecturers, bribing for admission, sexual harassment and promiscuity of lecturers and students, examination fraud and cultism etc that are manifest in all universities; federal and state alike. Besides all these, both schools are rendering same service of manpower development for the nation.
If current reforms as being proposed insist that unity schools and polytechnics must give way, then let’s extend it to the universities by abrogating this federal –state disparity and accord all universities equal funding opportunities though with bias to inherent expertise. I think this way because federal universities are no longer what they were conceived to be by their founding fathers. These days to secure admission into most of them, it is has become the norm to grease palms’ of those- in-charge. Merit is no longer a basic hallmark as depicted in the encounter I narrated earlier.
We surely need a reversal of status!
Our Problem, our solution
From the archives (First published in 2007)
During the previous weeks two widely publicized comments on unemployment rate in Nigeria by two political figures caught my attention. I wish to join issues with both of them on the bases of national discussion.
First, I find it absolutely escapist the views of the Hon. Minister of Education on the high level of unemployment in Nigeria. Obiageli Ezekwesiri had heaped the blame on the poor educational system inherited from the colonial masters. She went further to emphasize that the education legacy left behind by the British was not constructed to meet the present demand. In her words “British education left a lot of people in the country educated without any entrepreneurial skills. The British education focuses more on training an individual to be all round gentleman without inculcating in him the necessary entrepreneurial skills to help him take initiatives by himself to survive in a highly competitive world” “The only business the products of the British education system could do was targeted at the public treasury”
I laughed when I read the views of the minister in the paper. I hope those were her personal views and not those of the federal government of Nigeria. The minister’s views raises a lot of questions and are grossly misleading.
It baffles me why for over 46years of National independence we are still not dependent. If Nigeria, is truly independent, then, why those parochial views from a high ranking minister of the federal republic.
Yes, the British were our colonial masters, but then who were our indigenous masters post independence in 1960? If our indigenous leadership failed to see through imperfection in systems inherited from the colonial lords and fail to correct them, whose fault? Have we not amended our constitution severally and have kept tilting our educational system and curricula over the years?
For a whopping four decades and half now, Nigerians, have seen a lot of evolution in the nation’s body polity. Three administrative regions have become 36states.The population has increased immensely from less than 60million at independence to over 120million today. The level of infrastructure has relatively improved from what it was, same for many other things. As at independence we had no indigenous university, but today we have got well over 50 with many polytechnics and colleges of agriculture, education and technology etc.
I do not see the unemployment level in Nigeria as a product of any inherited legacy from any colonial master. If the Hon. Minister insists on that, then permit me to ask why there is little or no professional unemployment in the UK? It is also germane to remind her that UK runs one of the most robust economies in the world. Uk’s educational institutions are spots of intellectual and capacity building attractions to all sorts of people from all races who come from different parts of the world including the United States, Canada, China, Korea, Japan and Africa.
The high unemployment rate in Nigeria is solely the creation of our post-independence leaders. Our leaders refused to plan for the rainy day. It is a product of official but latent insouciance, insincerity and corruption in government.
People with questionable character, lacking in vision and porous integrity have ruled and ruined this potentially great country. Attributing it remotely or directly to colonial rule that ended 46 years ago is not only escapist but mischievous.
Perhaps we need to compare notes. In the UK today students can access loans to go to school and can only pay on securing a job on graduation with a salary of about GBP15, 000 per annum. There are also lots of scholarship grants and bursary. In the UK, most universities are running entrepreneurial studies. Business writing competitions are annual events for students at the university and district levels. Winners are handsomely rewarded with cash as much as GBP40, 000 in addition to the expertise of a coach to groom the enterprise.
In Britain of today, the 13th-19th of November of every year is observed as the National enterprise week. This event is always a nationwide celebration observed to inspire people to turn their ideas into reality. This event reverberates with pump in all universities with activities like workshops and presentations by successful entrepreneurs on critical topic such as; Starting your on business, Business planning, The highs and lows of having your own business, Market research etc. It normally kicks off the local Business plan Competition which is opened to student on either individual or team basis.
There is also the Research Council’s UK Business Plan Competition. The competition is open to researchers based in the UK Higher Education Institutions (HEI’s) or Public Sector Research Establishments (PSRE) from across the whole spectrum of academic research within the remits of the eight UK Research Councils-from the arts and biosciences, to environmental, physical and social sciences to technology. Postgraduates, postdocs and academic staff who have a business idea arising from research and want to develop this further are encouraged to participate. The aim of the competition is to help researchers turn great research into great business.
British banks ranging from Barclays, Natwest and HSBC etc have serious and functional portfolios that work with, encourage and groom entrepreneurs from the idea stage to start-ups and progressively. They have adequate funds to support entrepreneurs and clearly spelt out rules for these supports. Information on accessing this facility is always handy. There is no cutting of corners.
So, what are we lamenting over? The British are very dynamic and have advanced light years ahead. Why are we stuck? Why we are still held 46years behind? These should be the kernel of the matter and not the other way round. I would have been happy to see the minister talk about the mysterious SMIESS funds for SME’s and how possibly to enable graduate entrepreneurs benefit from it without bottlenecks instead of making empty blames.
There is no doubt that Nigeria is still a virgin investment destination. All sectors of the economy need to be maximally developed and this could only be done by entrepreneurs. But they must be groomed and encouraged. Vital sectors that need the ‘invasion’ of entrepreneurs include health, agriculture, aviation, ICT, waste management, water, sanitation, education and news media etc. There is therefore an urgent need to build a collaborative synergy or partnership between the industries and the schools in Nigeria.
The second issue that caught my attention was an interview granted the press by the Deputy Governor of Imo State, Engr.Ebere Udeagu. He had promised on that interview to turn unemployed graduates into employers of labor if elected the Imo State Governor in 2007.
I was desirous to find out how he intended to achieve that in this era of drab political manifestoes. I thank him for his views at least for acknowledging the seriousness of the problem though I was least convinced on the efficacy of his suggestions.
Engr.Udeagu was of the opinion that unemployed youths will be supported with loans to embrace farming. He also saw good sense in setting up industrial clusters to be supported by banks in Imo State. He drew attention to the Imo state government owned redemption farm at Nekede as a model that could do the magic. He admitted being a farmer himself by his ownership of a rice farm.
Unfortunately, the Songhai farm in question suffered a still-birth. It never really took off and has ever remained in coma. It was killed by greed and over exploitation of a sole administrator initially appointed to oversee it. Despite the huge funds available to government and the amount so far committed into the farm, Songhai farm Nekede near Owerri is a very poor replica of the mother farm in Porto Novo, Republic du Benin. At the Owerri farm today, the animators have severely been emasculated, they are ill-motivated, the farm is overgrown with grasses, stores and stocks are empty, the units are no longer functional etc. Moreover how many jobs did Songhai farm sustainably create for Imo youths?
I doubt if Udeagu claims ignorance of the deliberate decay his boss has left the farm after it was severely sucked to death by a man Friday. So, what purpose will it serve as a model? I think the Deputy Governor should privately visit the farm before pontificating from the cozy comforts of his high office.
However I wish to let the deputy governor know that the solution to unemployment is not mass farming. All unemployed youth cannot all embrace farming. People are still entitled to choice and options such as his choice to succeed his boss instead of returning to his rice mill. Should those lacking interest in farming be abandoned because of their options, No!
Let all those interested in agriculture be properly motivated, same for those interested in other areas of human endeavor. There should be a fair and just employment system put in place especially in the public sector. There should also be entrepreneurial education for graduates and undergraduates alike. There should be fewer emphases on politics and its ostentatious trappings. Corruption and graft in government should be extirpated to enable the adequate provision of infrastructure that could support entrepreneurs.
A synergy or partnership with banks is okay but where is the road map? Giving loans or grants to unemployed youths to start business without training and a measure of competence would be wasteful. I have said it before, and will repeat it again that our youths must as a first step be coached on writing business plans as an en route to acquiring entrepreneurial skills. Soft loans or grants should be part of the package but should be duly released in tranches based on the ability of the entrepreneur to meet mutually agreed milestone. Banks and other established companies should be made part of these entrepreneurial activities as a hallmark of their corporate social responsibility to the nation.
Perhaps it is high time we set milestones in this country. We could measure this on number of jobs created. For example, let us know how many new businesses that were started by every bank at the end of each banking year, same for other companies and the government. I will be happy to hear Chief Achike Udenwa, the outgoing governor of my state read a list of small but potentially great private businesses he funded or supported as a gain from his industrialization policy as anchored on his tripod vision. Chief Udeagu can aspire to improve on that with a convincing methodology. I challenge every other governor elsewhere to do the same. This extends to President Obasanjo and even the local council chairmen.
Traveling to China to invite Chinese to come and invest here is a futile exercise, same for invitation to other nationalities because their response may not be timely. It is only our creativity, dexterity and commitment that can timely open up our markets. We have both the human and material capital to do that but they sadly remain to be positively exploited.
Please enough of platitudes!
During the previous weeks two widely publicized comments on unemployment rate in Nigeria by two political figures caught my attention. I wish to join issues with both of them on the bases of national discussion.
First, I find it absolutely escapist the views of the Hon. Minister of Education on the high level of unemployment in Nigeria. Obiageli Ezekwesiri had heaped the blame on the poor educational system inherited from the colonial masters. She went further to emphasize that the education legacy left behind by the British was not constructed to meet the present demand. In her words “British education left a lot of people in the country educated without any entrepreneurial skills. The British education focuses more on training an individual to be all round gentleman without inculcating in him the necessary entrepreneurial skills to help him take initiatives by himself to survive in a highly competitive world” “The only business the products of the British education system could do was targeted at the public treasury”
I laughed when I read the views of the minister in the paper. I hope those were her personal views and not those of the federal government of Nigeria. The minister’s views raises a lot of questions and are grossly misleading.
It baffles me why for over 46years of National independence we are still not dependent. If Nigeria, is truly independent, then, why those parochial views from a high ranking minister of the federal republic.
Yes, the British were our colonial masters, but then who were our indigenous masters post independence in 1960? If our indigenous leadership failed to see through imperfection in systems inherited from the colonial lords and fail to correct them, whose fault? Have we not amended our constitution severally and have kept tilting our educational system and curricula over the years?
For a whopping four decades and half now, Nigerians, have seen a lot of evolution in the nation’s body polity. Three administrative regions have become 36states.The population has increased immensely from less than 60million at independence to over 120million today. The level of infrastructure has relatively improved from what it was, same for many other things. As at independence we had no indigenous university, but today we have got well over 50 with many polytechnics and colleges of agriculture, education and technology etc.
I do not see the unemployment level in Nigeria as a product of any inherited legacy from any colonial master. If the Hon. Minister insists on that, then permit me to ask why there is little or no professional unemployment in the UK? It is also germane to remind her that UK runs one of the most robust economies in the world. Uk’s educational institutions are spots of intellectual and capacity building attractions to all sorts of people from all races who come from different parts of the world including the United States, Canada, China, Korea, Japan and Africa.
The high unemployment rate in Nigeria is solely the creation of our post-independence leaders. Our leaders refused to plan for the rainy day. It is a product of official but latent insouciance, insincerity and corruption in government.
People with questionable character, lacking in vision and porous integrity have ruled and ruined this potentially great country. Attributing it remotely or directly to colonial rule that ended 46 years ago is not only escapist but mischievous.
Perhaps we need to compare notes. In the UK today students can access loans to go to school and can only pay on securing a job on graduation with a salary of about GBP15, 000 per annum. There are also lots of scholarship grants and bursary. In the UK, most universities are running entrepreneurial studies. Business writing competitions are annual events for students at the university and district levels. Winners are handsomely rewarded with cash as much as GBP40, 000 in addition to the expertise of a coach to groom the enterprise.
In Britain of today, the 13th-19th of November of every year is observed as the National enterprise week. This event is always a nationwide celebration observed to inspire people to turn their ideas into reality. This event reverberates with pump in all universities with activities like workshops and presentations by successful entrepreneurs on critical topic such as; Starting your on business, Business planning, The highs and lows of having your own business, Market research etc. It normally kicks off the local Business plan Competition which is opened to student on either individual or team basis.
There is also the Research Council’s UK Business Plan Competition. The competition is open to researchers based in the UK Higher Education Institutions (HEI’s) or Public Sector Research Establishments (PSRE) from across the whole spectrum of academic research within the remits of the eight UK Research Councils-from the arts and biosciences, to environmental, physical and social sciences to technology. Postgraduates, postdocs and academic staff who have a business idea arising from research and want to develop this further are encouraged to participate. The aim of the competition is to help researchers turn great research into great business.
British banks ranging from Barclays, Natwest and HSBC etc have serious and functional portfolios that work with, encourage and groom entrepreneurs from the idea stage to start-ups and progressively. They have adequate funds to support entrepreneurs and clearly spelt out rules for these supports. Information on accessing this facility is always handy. There is no cutting of corners.
So, what are we lamenting over? The British are very dynamic and have advanced light years ahead. Why are we stuck? Why we are still held 46years behind? These should be the kernel of the matter and not the other way round. I would have been happy to see the minister talk about the mysterious SMIESS funds for SME’s and how possibly to enable graduate entrepreneurs benefit from it without bottlenecks instead of making empty blames.
There is no doubt that Nigeria is still a virgin investment destination. All sectors of the economy need to be maximally developed and this could only be done by entrepreneurs. But they must be groomed and encouraged. Vital sectors that need the ‘invasion’ of entrepreneurs include health, agriculture, aviation, ICT, waste management, water, sanitation, education and news media etc. There is therefore an urgent need to build a collaborative synergy or partnership between the industries and the schools in Nigeria.
The second issue that caught my attention was an interview granted the press by the Deputy Governor of Imo State, Engr.Ebere Udeagu. He had promised on that interview to turn unemployed graduates into employers of labor if elected the Imo State Governor in 2007.
I was desirous to find out how he intended to achieve that in this era of drab political manifestoes. I thank him for his views at least for acknowledging the seriousness of the problem though I was least convinced on the efficacy of his suggestions.
Engr.Udeagu was of the opinion that unemployed youths will be supported with loans to embrace farming. He also saw good sense in setting up industrial clusters to be supported by banks in Imo State. He drew attention to the Imo state government owned redemption farm at Nekede as a model that could do the magic. He admitted being a farmer himself by his ownership of a rice farm.
Unfortunately, the Songhai farm in question suffered a still-birth. It never really took off and has ever remained in coma. It was killed by greed and over exploitation of a sole administrator initially appointed to oversee it. Despite the huge funds available to government and the amount so far committed into the farm, Songhai farm Nekede near Owerri is a very poor replica of the mother farm in Porto Novo, Republic du Benin. At the Owerri farm today, the animators have severely been emasculated, they are ill-motivated, the farm is overgrown with grasses, stores and stocks are empty, the units are no longer functional etc. Moreover how many jobs did Songhai farm sustainably create for Imo youths?
I doubt if Udeagu claims ignorance of the deliberate decay his boss has left the farm after it was severely sucked to death by a man Friday. So, what purpose will it serve as a model? I think the Deputy Governor should privately visit the farm before pontificating from the cozy comforts of his high office.
However I wish to let the deputy governor know that the solution to unemployment is not mass farming. All unemployed youth cannot all embrace farming. People are still entitled to choice and options such as his choice to succeed his boss instead of returning to his rice mill. Should those lacking interest in farming be abandoned because of their options, No!
Let all those interested in agriculture be properly motivated, same for those interested in other areas of human endeavor. There should be a fair and just employment system put in place especially in the public sector. There should also be entrepreneurial education for graduates and undergraduates alike. There should be fewer emphases on politics and its ostentatious trappings. Corruption and graft in government should be extirpated to enable the adequate provision of infrastructure that could support entrepreneurs.
A synergy or partnership with banks is okay but where is the road map? Giving loans or grants to unemployed youths to start business without training and a measure of competence would be wasteful. I have said it before, and will repeat it again that our youths must as a first step be coached on writing business plans as an en route to acquiring entrepreneurial skills. Soft loans or grants should be part of the package but should be duly released in tranches based on the ability of the entrepreneur to meet mutually agreed milestone. Banks and other established companies should be made part of these entrepreneurial activities as a hallmark of their corporate social responsibility to the nation.
Perhaps it is high time we set milestones in this country. We could measure this on number of jobs created. For example, let us know how many new businesses that were started by every bank at the end of each banking year, same for other companies and the government. I will be happy to hear Chief Achike Udenwa, the outgoing governor of my state read a list of small but potentially great private businesses he funded or supported as a gain from his industrialization policy as anchored on his tripod vision. Chief Udeagu can aspire to improve on that with a convincing methodology. I challenge every other governor elsewhere to do the same. This extends to President Obasanjo and even the local council chairmen.
Traveling to China to invite Chinese to come and invest here is a futile exercise, same for invitation to other nationalities because their response may not be timely. It is only our creativity, dexterity and commitment that can timely open up our markets. We have both the human and material capital to do that but they sadly remain to be positively exploited.
Please enough of platitudes!
Whither Intergrity?
By
Joachim Ibeziako Ezeji.
I often get amused whenever I see people; especially those that I hold in high esteem belie my high expectation and perception of them through their low behavior and utterances. I have come to observe these so frequently that I shudder to inquire how many of our people really bother to know how the next fellow feels about their character. This ugly situation cascades down all over the place with little or no exception.
The consequence is that I hardly trust people anymore. But even if you accuse me of being too moralistic, then tell me who actually you can trust between a politician and a banker; a policeman and a motorist ;a civil servant and a trader ; a lawyer and a teacher ; a social worker and a journalist; a nurse and a driver; and; a student and a medical personnel ? Etc. Each of them has a basketful of tricks upon which they seem contented to live in Nigeria of today.
The irony is that many of these people have like the proverbial dog eaten the bone hanged on their necks. Lucid examples to buttress all these are not in short supply. In our society of today, a lecturer sees amorous dealings with his female student as part of the gains of his profession. A journalist sees bribery as a compass that could determine what actually to write. A politician sees deceit, fraud and violence as a footpath to relevance. The civil servant sees graft as a guaranty for happy service. A medical doctor exploits the ignorance and weakness of the sick. Same for a trader who must tell lies as a prelude to making profit etc. Nobody really seems to care anymore!
Recently I was in Abuja on a one week vacation. Throughout the one week I had put up with a friend, an erstwhile schoolmate who presently works in the office of the Auditor General of the federation. Naturally, we had cause to talk over a whole lot of issues ranging from old school events/gist and most importantly his present job. My friend was effusive in telling me how he makes extra money besides his salary.
As a junior auditor he works under seniors who inducted him into the process of making extra money on the job. Going round government establishment for audits was part of their job and it is this assignment that makes the difference. All that mattered wherever or whenever they come around for audit was ‘settlement’. When this happens as was often the case, then the books will be given a clean bill of good health. All short comings and queries are then overlooked. He saw absolutely nothing wrong in these skewed approach to work that enables him to earn extra twenty thousand naira or more on top of his monthly salary. His boss and others who inducted him into the trade for sure earn more!
Some time in the succeeding years, a federal government ministry in the FCT advertised for some senior and mid-level positions for a World Bank sponsored project. Applications came in torrents, as the legions of the unemployed struggled to try their luck. Aptitude test was staged by those concerned not necessarily to whittle down the lot and select the best, No! From the way the way the whole thing evolved much later, it showed that it was done to please the financiers whose conditions prescribed such.
What emerged at the end was a selection of those who never wrote the test. But a collection of mediocre and cheats whose edge was that they had God Fathers in senior ministry officials such as directors, permanent secretaries and ministers only. Those who had none were never considered. Yet most of them are fellow country men who risked the travails of our sullen death trap roads to keep faith with the process that seemed a glimmer of hope.
When Chuba Okadigbo died, accusing fingers were pointed at certain quarters. To buttress the truth, an inquest was made by the federal government for an autopsy. The bereaved family turned it down. Why? They probably reasoned that previous exercises in other similar cases stirred more controversy than resolve any problem. It was overt that they have no confidence in any outcome from such a process. That matter demonstrated the high level of distrust in the polity especially between the citizens and their government.
I love reading Rtd. Justice Chukwudifo Oputa interviews. One of such in a national newspaper few years ago lamented the decay of morality in our society. He had always cautioned various strata of the country on integrity especially the judiciary at all levels.. Juxtaposing the words of this erudite judge you will no doubt cry at the disgraceful conduct displayed during the kangaroo impeachment of some governors by the chief judges of Ekiti, Plateau and Anambra states in 2006.
Enmeshed in this roll of pervasive deficiency in integrity of our day is Justice Okoli of the Anambra State Judiciary who has seemingly opted to play politics than interpret the law. Justice Egbo Egbo and Justice Opene , both of whom have long been dismissed from the bench believed and practiced ‘Ghana must go’ legal erudition. Justice Okoli is happy dancing to the music of the Anambra State house of Assembly who are encouraging him to misbehave and shun the disciplinary directives of the National Judiciary Commission (NJC). On the same pedestal is Mr. Bayo Ojo the attorney general of the federation who has become an alternate court with omnibus powers to interpret judicial verdicts.
Reasons for all these display of perfidy among many professionals in Nigeria speaks volumes of our non preparedness to progress. The way it stands we seem fixated and destined for atrophy. Integrity is a meaningful attribute that must be restored and secured before we talk about nation building and national development. Without it ‘enweghi ebe anyi ji azu aga’ (we are making no progress) and ‘anyi na egbu oge’ (we are wasting our time).
The list is endless. Was accusing fingers not pointed at some graft imbued professionals when, some storey buildings collapsed in Lagos and Port Harcourt last year killing our fellow countrymen?; Was it not FCT personnel who signed out spaces for development knowing fully well that it was not in tandem with the master-plan? Where was integrity when some of these properties were eventually demolished for being out of order with the master-plan? Where is integrity when the Joint Admission Matriculation Board was suspected of compromising its statutory responsibilities?
I am interested to find where integrity still reigns in my country. A look at the top of the pyramid i.e. the presidency shows a behemoth of deceit and chicanery. Was it not Chief Olusegun Obasanjo who conceived but veiled the third term agenda? Is their any integrity in the naked dance of Mr. President and his vice on the PTDF? Where is integrity in the PDP presidential primaries that deceived and coaxed genuine aspirants for a favored stooge?
Where is integrity in the ‘rub my back I rub yours’ relationship existing between state governors and their houses of assembly? I am also searching for integrity in the conduct of local council chairmen who merely wait for monthly allocation without bothering to make impact on their people? The result is bad governance and mal-administration. The poor suffers it most. But must it continue this way? Perhaps a food for thought as we look ahead in the year ahead
.
Joachim Ibeziako Ezeji.
I often get amused whenever I see people; especially those that I hold in high esteem belie my high expectation and perception of them through their low behavior and utterances. I have come to observe these so frequently that I shudder to inquire how many of our people really bother to know how the next fellow feels about their character. This ugly situation cascades down all over the place with little or no exception.
The consequence is that I hardly trust people anymore. But even if you accuse me of being too moralistic, then tell me who actually you can trust between a politician and a banker; a policeman and a motorist ;a civil servant and a trader ; a lawyer and a teacher ; a social worker and a journalist; a nurse and a driver; and; a student and a medical personnel ? Etc. Each of them has a basketful of tricks upon which they seem contented to live in Nigeria of today.
The irony is that many of these people have like the proverbial dog eaten the bone hanged on their necks. Lucid examples to buttress all these are not in short supply. In our society of today, a lecturer sees amorous dealings with his female student as part of the gains of his profession. A journalist sees bribery as a compass that could determine what actually to write. A politician sees deceit, fraud and violence as a footpath to relevance. The civil servant sees graft as a guaranty for happy service. A medical doctor exploits the ignorance and weakness of the sick. Same for a trader who must tell lies as a prelude to making profit etc. Nobody really seems to care anymore!
Recently I was in Abuja on a one week vacation. Throughout the one week I had put up with a friend, an erstwhile schoolmate who presently works in the office of the Auditor General of the federation. Naturally, we had cause to talk over a whole lot of issues ranging from old school events/gist and most importantly his present job. My friend was effusive in telling me how he makes extra money besides his salary.
As a junior auditor he works under seniors who inducted him into the process of making extra money on the job. Going round government establishment for audits was part of their job and it is this assignment that makes the difference. All that mattered wherever or whenever they come around for audit was ‘settlement’. When this happens as was often the case, then the books will be given a clean bill of good health. All short comings and queries are then overlooked. He saw absolutely nothing wrong in these skewed approach to work that enables him to earn extra twenty thousand naira or more on top of his monthly salary. His boss and others who inducted him into the trade for sure earn more!
Some time in the succeeding years, a federal government ministry in the FCT advertised for some senior and mid-level positions for a World Bank sponsored project. Applications came in torrents, as the legions of the unemployed struggled to try their luck. Aptitude test was staged by those concerned not necessarily to whittle down the lot and select the best, No! From the way the way the whole thing evolved much later, it showed that it was done to please the financiers whose conditions prescribed such.
What emerged at the end was a selection of those who never wrote the test. But a collection of mediocre and cheats whose edge was that they had God Fathers in senior ministry officials such as directors, permanent secretaries and ministers only. Those who had none were never considered. Yet most of them are fellow country men who risked the travails of our sullen death trap roads to keep faith with the process that seemed a glimmer of hope.
When Chuba Okadigbo died, accusing fingers were pointed at certain quarters. To buttress the truth, an inquest was made by the federal government for an autopsy. The bereaved family turned it down. Why? They probably reasoned that previous exercises in other similar cases stirred more controversy than resolve any problem. It was overt that they have no confidence in any outcome from such a process. That matter demonstrated the high level of distrust in the polity especially between the citizens and their government.
I love reading Rtd. Justice Chukwudifo Oputa interviews. One of such in a national newspaper few years ago lamented the decay of morality in our society. He had always cautioned various strata of the country on integrity especially the judiciary at all levels.. Juxtaposing the words of this erudite judge you will no doubt cry at the disgraceful conduct displayed during the kangaroo impeachment of some governors by the chief judges of Ekiti, Plateau and Anambra states in 2006.
Enmeshed in this roll of pervasive deficiency in integrity of our day is Justice Okoli of the Anambra State Judiciary who has seemingly opted to play politics than interpret the law. Justice Egbo Egbo and Justice Opene , both of whom have long been dismissed from the bench believed and practiced ‘Ghana must go’ legal erudition. Justice Okoli is happy dancing to the music of the Anambra State house of Assembly who are encouraging him to misbehave and shun the disciplinary directives of the National Judiciary Commission (NJC). On the same pedestal is Mr. Bayo Ojo the attorney general of the federation who has become an alternate court with omnibus powers to interpret judicial verdicts.
Reasons for all these display of perfidy among many professionals in Nigeria speaks volumes of our non preparedness to progress. The way it stands we seem fixated and destined for atrophy. Integrity is a meaningful attribute that must be restored and secured before we talk about nation building and national development. Without it ‘enweghi ebe anyi ji azu aga’ (we are making no progress) and ‘anyi na egbu oge’ (we are wasting our time).
The list is endless. Was accusing fingers not pointed at some graft imbued professionals when, some storey buildings collapsed in Lagos and Port Harcourt last year killing our fellow countrymen?; Was it not FCT personnel who signed out spaces for development knowing fully well that it was not in tandem with the master-plan? Where was integrity when some of these properties were eventually demolished for being out of order with the master-plan? Where is integrity when the Joint Admission Matriculation Board was suspected of compromising its statutory responsibilities?
I am interested to find where integrity still reigns in my country. A look at the top of the pyramid i.e. the presidency shows a behemoth of deceit and chicanery. Was it not Chief Olusegun Obasanjo who conceived but veiled the third term agenda? Is their any integrity in the naked dance of Mr. President and his vice on the PTDF? Where is integrity in the PDP presidential primaries that deceived and coaxed genuine aspirants for a favored stooge?
Where is integrity in the ‘rub my back I rub yours’ relationship existing between state governors and their houses of assembly? I am also searching for integrity in the conduct of local council chairmen who merely wait for monthly allocation without bothering to make impact on their people? The result is bad governance and mal-administration. The poor suffers it most. But must it continue this way? Perhaps a food for thought as we look ahead in the year ahead
.
Which Hospital Should I Attend?
By
Joachim Ibeziako Ezeji.
Stories emanating from our many hospitals these days leave much to be desired. This is most especially the case in public health institutions. I am tempted to conclude that it is part of the burgeoning rot in the Nigerian system, but must it continue?
I have had cause in the recent past to attend the Federal Medical Centre in Owerri. My experience at this hospital is most nauseating. I had arrived as early as 9am in the morning of that fateful day, and after due protocols, joined the queue of outpatients waiting to see the doctor. Due to the huge number of outpatients on the queue, it was yet to be my turn even at 1pm.It was most saddening to realize that only one doctor was attending to this huge number of patients. I was disappointed when I discovered this.
Can you imagine, just one doctor for such a crowd in a hospital in a state capital and moreover a federal medical centre for that matter. I was sad but was still patient. At about 1.30pm news came that the doctor was going for break and that we should either wait till he returns or come the next day. Despite this news, I still opted to wait. My patience however ran out when even at 3pm the doctor was yet to be back from his break. An hour later, which was at about 4pm, one of the nurses on duty lousily came to announce that the doctor won’t be returning anymore and that we should come back the next day. I felt like crying, what a shame!
It was very painful to recall that on the queue with me on that day were very poor patients who were really sick and had traveled from remote locations to see the doctor and possibly seek solutions to their ailments. I pitied them and wondered what callous system we have in place in this country. I had little option than to leave but with a promise never to seek medical attention in that hospital anymore. In addition to the time lost being on that queue was also the money paid for card.
When I later shared my experience with a friend who works in the laboratory section of the hospital, he called me ‘anya ura’ (a fool) and said that I should have tipped (bribed) one of the nurses who would have facilitated my seeing the doctor without any delay.
Yet, even while at the laboratory section I had noticed how employed officials were hawking their trade. Both the student attachés and full time staff of the centre were all over the place prowling on visitors for patronage. They simply wanted anybody to patronize them and have they run your tests for you. Of course they never cared if you were for that or something else.
Since after that discouraging experience, I have alternatively resorted to private clinics. There is no doubt that the level of service on offer in private clinics is better than those in public hospitals but the snag here is the cost. Prohibitive cost in these clinics makes even primary health care unaffordable for many, especially the poor, this thus constitutes my primary reservation.
Most of these private clinics are harboring ‘no nothings’ as both nurses and medical doctors or officers. Added to this is that tendency for shylock profiteering. By this I mean that the level of service often given is inversely proportional to the fees charged. There are no doubts few exceptions. In Owerri we know clinics that see their work as a service to humanity. We know them but they a very few.
Is it therefore surprising, that chemists and pharmacy shops are thriving even on fake drugs? This should not surprise you any longer because many people now find it affordable and convenient to simply walk up to the next shop to buy anti-malaria drugs like ‘fansidar’ or request for a mixture that will ease their weakness and make them available for productive chores even with the high risk of buying fake or killer brands.
How about the traditional and herbal practitioners? Their trade booms because they are cashing in on the existing lacuna in the formal health sector. Moreover the average Nigerian is a traditionalist.
As I talk about our hospitals, I also remember tragic events that make urgent revolution in the health sector most urgent. Last year my friend Amadi lost his wife in a hospital. It was a case of maternal mortality. The woman was pregnant, and died just few minutes after delivery. She had for 9 months attended the same hospital for ante natal clinic. The essence of the ante natal was to safe guard safe delivery. But this was not to be as she was at the point of delivery diagnosed to have acute malaria. The outcome was death for the innocent woman. Then tell me the essence of all than routine checks during the ante natal because when it mattered most that was defeated.
Three weeks ago, Kalu who is another friend of mine took his sick mother to another clinic in Owerri when the woman showed signs of debilitating physical fitness. She was having high blood pressure with series of persisting weakness and fatigue. At the hospital the poor woman was virtually abandoned by those supposedly paid to administer her at the center. She died three days after.
This then brings to the fore the recent case of negligence recorded at the Federal Medical Centre, Asaba Delta State. The consequence of that negligence was maternal deaths for four pregnant women.
The outcry from that dastardly event forced the Federal Government of Nigeria to terminate the appointment of the Medical Director, Dr. G.O. Ebo and other varying sanctions to others found culpable in the scandal. The Minister of Health, Professor, Eyitayo Lambo while briefing the press on the Government recommendations of a white paper said the Centre recorded 4 maternal deaths within a space of thirty days (one month).Prof. Lambo lamented that he came to know of the unfortunate incidents only from the Newspapers report of July 14, 2006, after he directed that, any such occurrences in any tertiary Health Institutions must be brought to his office within 48 hours.
The punishment according to Lambo was part of the effort to stem the unsatisfactory trend in tertiary Health Institutions and in the public interest. He further stated that the administration’s determination to deliver qualitative service to Nigerians, in the spirit of Health Sector Reform Programme, was unwavering and must be steadfast about it.
It is also within current memory that the former Medical Director of Lagos University Teaching Hospital was retired from service on similar negligence in the case of Baby Eniola who contacted HIV/AIDS through blood transfusion in the hospital.
It is not my intention to go on chronicling these failures or to dwell on the poor state of most of these hospitals, their names not withstanding. Dr. Azubike Nwaeje, the Nigerian Medical Association (NMA) chairman, Anambra State Chapter said so much on this recently. He revealed to a national newspaper that the General Hospital Onitsha where he is the Chief Medical Officer is rotting away because of lack of care and attention by successive administrations.
Built in 1965 by the then Dr. Micheal Okpara’s administration of the Eastern region. Dr. Nwaeje said nothing functions in the hospital.
In his words “The plant house is not functional and most times we conduct our operations in the theatre with lanterns. The hospital was once accredited, but it has now lost its accreditation because there are no facilities. The former Governor of the state, Ngige did his house-manship in this hospital in 1975, and when he came we thought he would do some thing to uplift the hospital and earn it accreditation but to no avail. As I am talking to you now, there is no borehole anywhere here and the stores are empty”, he said.
Without any fear of contradiction I make bold to generalize this situation in many hospitals in Nigeria be they state or federal owned, primary, secondary or tertiary classified. Many people who run these hospitals are afraid to speak out like Dr.Nwaeje. Yet millions of naira is budgeted yearly for health to no avail.
This now brings me closer home. Amidst all these unsettling issues are claims that Imo State has an effective health care delivery system comprising hospitals and paramedical centers. These medical establishments which are located in different local government areas of the state are categorized into five main groups: Government owned Specialist Hospitals, General Hospitals; Voluntary Agency Hospitals (Missionary Hospitals); Community Owned Hospitals; and, privately owned hospitals.
Also, there are claims that the Imo State Health Care Delivery Scheme has adopted a grassroots approach through the establishment of rural basic healthcare centers and village primary healthcare centers in all the Local council areas. The efficiency of these centers if at all in existence is no doubt in doubt when viewed against a number of factors. Top of them is corruption; then, the lopsided nature of state government attention on development which ‘favors’ Orlu zone over Okigwe and Owerri zones; the inertia of doctors to ply their trade in rural areas and the comatose state of infrastructure existing in most of these communities. In most cases there are no access roads to these communities. This is worsened by sheer scarcity of clean drinking water etc.
In discussing these issues I make bold to suggest that the incoming administration in Imo State should consider free medical services to persons aged below 16 years and those of 70 years and above as a priority.
They could set up a state health insurance scheme where indigenes will contribute as little as N100.00 monthly and receive Free State medical services surpassing private medical services from public clinics and hospitals.
It is lamentable that despite our wealth and huge incomes as either a state in Nigeria or a country, especially from petroleum resources our people especially the poor suffer in silence over ailments that are curable and those, which are manageable. The result in most cases is declination of human productivity, poverty and deaths.
Free medical services for those aged below 16 and those above 60 is workable and should be explored in Nigeria. Imo State can herald it and serve as a model for others to emulate. Also, all those aged above 18 years but who remain in full time education, could also enjoy free health services but for those who are out of education but gainfully employed, the medical insurance will be their avenue to receiving state funded medical attention.
I don’t see anything utopian in this suggestion after all a whopping sum of more than $380bn has either been stolen or wasted by Nigerian governments since independence in 1960.The EFFCC boss Mallam Ribadu said this much to BBC recently. This was also corroborated by the World Bank President Mr.Paul Wolfowitz in an international conference recently. I am currently researching to know the percentage of this amount that came from Imo Sate.
My nostalgia with public and private hospitals may not go away quickly until something tangible is put on the table. I have a somewhat feeling that this may not be early in coming even as a new government sets to take the centre stage soon. This is so because no concrete or convincing talk has been made in this direction up till now by any of our legion of aspirants to political offices. I am listening attentively and would be appreciative to hear something good in this direction. Please let that politician who has something to offer say so now, else my and of course that of a million others, prevarication on which hospital to attend continues.
Joachim Ibeziako Ezeji.
Stories emanating from our many hospitals these days leave much to be desired. This is most especially the case in public health institutions. I am tempted to conclude that it is part of the burgeoning rot in the Nigerian system, but must it continue?
I have had cause in the recent past to attend the Federal Medical Centre in Owerri. My experience at this hospital is most nauseating. I had arrived as early as 9am in the morning of that fateful day, and after due protocols, joined the queue of outpatients waiting to see the doctor. Due to the huge number of outpatients on the queue, it was yet to be my turn even at 1pm.It was most saddening to realize that only one doctor was attending to this huge number of patients. I was disappointed when I discovered this.
Can you imagine, just one doctor for such a crowd in a hospital in a state capital and moreover a federal medical centre for that matter. I was sad but was still patient. At about 1.30pm news came that the doctor was going for break and that we should either wait till he returns or come the next day. Despite this news, I still opted to wait. My patience however ran out when even at 3pm the doctor was yet to be back from his break. An hour later, which was at about 4pm, one of the nurses on duty lousily came to announce that the doctor won’t be returning anymore and that we should come back the next day. I felt like crying, what a shame!
It was very painful to recall that on the queue with me on that day were very poor patients who were really sick and had traveled from remote locations to see the doctor and possibly seek solutions to their ailments. I pitied them and wondered what callous system we have in place in this country. I had little option than to leave but with a promise never to seek medical attention in that hospital anymore. In addition to the time lost being on that queue was also the money paid for card.
When I later shared my experience with a friend who works in the laboratory section of the hospital, he called me ‘anya ura’ (a fool) and said that I should have tipped (bribed) one of the nurses who would have facilitated my seeing the doctor without any delay.
Yet, even while at the laboratory section I had noticed how employed officials were hawking their trade. Both the student attachés and full time staff of the centre were all over the place prowling on visitors for patronage. They simply wanted anybody to patronize them and have they run your tests for you. Of course they never cared if you were for that or something else.
Since after that discouraging experience, I have alternatively resorted to private clinics. There is no doubt that the level of service on offer in private clinics is better than those in public hospitals but the snag here is the cost. Prohibitive cost in these clinics makes even primary health care unaffordable for many, especially the poor, this thus constitutes my primary reservation.
Most of these private clinics are harboring ‘no nothings’ as both nurses and medical doctors or officers. Added to this is that tendency for shylock profiteering. By this I mean that the level of service often given is inversely proportional to the fees charged. There are no doubts few exceptions. In Owerri we know clinics that see their work as a service to humanity. We know them but they a very few.
Is it therefore surprising, that chemists and pharmacy shops are thriving even on fake drugs? This should not surprise you any longer because many people now find it affordable and convenient to simply walk up to the next shop to buy anti-malaria drugs like ‘fansidar’ or request for a mixture that will ease their weakness and make them available for productive chores even with the high risk of buying fake or killer brands.
How about the traditional and herbal practitioners? Their trade booms because they are cashing in on the existing lacuna in the formal health sector. Moreover the average Nigerian is a traditionalist.
As I talk about our hospitals, I also remember tragic events that make urgent revolution in the health sector most urgent. Last year my friend Amadi lost his wife in a hospital. It was a case of maternal mortality. The woman was pregnant, and died just few minutes after delivery. She had for 9 months attended the same hospital for ante natal clinic. The essence of the ante natal was to safe guard safe delivery. But this was not to be as she was at the point of delivery diagnosed to have acute malaria. The outcome was death for the innocent woman. Then tell me the essence of all than routine checks during the ante natal because when it mattered most that was defeated.
Three weeks ago, Kalu who is another friend of mine took his sick mother to another clinic in Owerri when the woman showed signs of debilitating physical fitness. She was having high blood pressure with series of persisting weakness and fatigue. At the hospital the poor woman was virtually abandoned by those supposedly paid to administer her at the center. She died three days after.
This then brings to the fore the recent case of negligence recorded at the Federal Medical Centre, Asaba Delta State. The consequence of that negligence was maternal deaths for four pregnant women.
The outcry from that dastardly event forced the Federal Government of Nigeria to terminate the appointment of the Medical Director, Dr. G.O. Ebo and other varying sanctions to others found culpable in the scandal. The Minister of Health, Professor, Eyitayo Lambo while briefing the press on the Government recommendations of a white paper said the Centre recorded 4 maternal deaths within a space of thirty days (one month).Prof. Lambo lamented that he came to know of the unfortunate incidents only from the Newspapers report of July 14, 2006, after he directed that, any such occurrences in any tertiary Health Institutions must be brought to his office within 48 hours.
The punishment according to Lambo was part of the effort to stem the unsatisfactory trend in tertiary Health Institutions and in the public interest. He further stated that the administration’s determination to deliver qualitative service to Nigerians, in the spirit of Health Sector Reform Programme, was unwavering and must be steadfast about it.
It is also within current memory that the former Medical Director of Lagos University Teaching Hospital was retired from service on similar negligence in the case of Baby Eniola who contacted HIV/AIDS through blood transfusion in the hospital.
It is not my intention to go on chronicling these failures or to dwell on the poor state of most of these hospitals, their names not withstanding. Dr. Azubike Nwaeje, the Nigerian Medical Association (NMA) chairman, Anambra State Chapter said so much on this recently. He revealed to a national newspaper that the General Hospital Onitsha where he is the Chief Medical Officer is rotting away because of lack of care and attention by successive administrations.
Built in 1965 by the then Dr. Micheal Okpara’s administration of the Eastern region. Dr. Nwaeje said nothing functions in the hospital.
In his words “The plant house is not functional and most times we conduct our operations in the theatre with lanterns. The hospital was once accredited, but it has now lost its accreditation because there are no facilities. The former Governor of the state, Ngige did his house-manship in this hospital in 1975, and when he came we thought he would do some thing to uplift the hospital and earn it accreditation but to no avail. As I am talking to you now, there is no borehole anywhere here and the stores are empty”, he said.
Without any fear of contradiction I make bold to generalize this situation in many hospitals in Nigeria be they state or federal owned, primary, secondary or tertiary classified. Many people who run these hospitals are afraid to speak out like Dr.Nwaeje. Yet millions of naira is budgeted yearly for health to no avail.
This now brings me closer home. Amidst all these unsettling issues are claims that Imo State has an effective health care delivery system comprising hospitals and paramedical centers. These medical establishments which are located in different local government areas of the state are categorized into five main groups: Government owned Specialist Hospitals, General Hospitals; Voluntary Agency Hospitals (Missionary Hospitals); Community Owned Hospitals; and, privately owned hospitals.
Also, there are claims that the Imo State Health Care Delivery Scheme has adopted a grassroots approach through the establishment of rural basic healthcare centers and village primary healthcare centers in all the Local council areas. The efficiency of these centers if at all in existence is no doubt in doubt when viewed against a number of factors. Top of them is corruption; then, the lopsided nature of state government attention on development which ‘favors’ Orlu zone over Okigwe and Owerri zones; the inertia of doctors to ply their trade in rural areas and the comatose state of infrastructure existing in most of these communities. In most cases there are no access roads to these communities. This is worsened by sheer scarcity of clean drinking water etc.
In discussing these issues I make bold to suggest that the incoming administration in Imo State should consider free medical services to persons aged below 16 years and those of 70 years and above as a priority.
They could set up a state health insurance scheme where indigenes will contribute as little as N100.00 monthly and receive Free State medical services surpassing private medical services from public clinics and hospitals.
It is lamentable that despite our wealth and huge incomes as either a state in Nigeria or a country, especially from petroleum resources our people especially the poor suffer in silence over ailments that are curable and those, which are manageable. The result in most cases is declination of human productivity, poverty and deaths.
Free medical services for those aged below 16 and those above 60 is workable and should be explored in Nigeria. Imo State can herald it and serve as a model for others to emulate. Also, all those aged above 18 years but who remain in full time education, could also enjoy free health services but for those who are out of education but gainfully employed, the medical insurance will be their avenue to receiving state funded medical attention.
I don’t see anything utopian in this suggestion after all a whopping sum of more than $380bn has either been stolen or wasted by Nigerian governments since independence in 1960.The EFFCC boss Mallam Ribadu said this much to BBC recently. This was also corroborated by the World Bank President Mr.Paul Wolfowitz in an international conference recently. I am currently researching to know the percentage of this amount that came from Imo Sate.
My nostalgia with public and private hospitals may not go away quickly until something tangible is put on the table. I have a somewhat feeling that this may not be early in coming even as a new government sets to take the centre stage soon. This is so because no concrete or convincing talk has been made in this direction up till now by any of our legion of aspirants to political offices. I am listening attentively and would be appreciative to hear something good in this direction. Please let that politician who has something to offer say so now, else my and of course that of a million others, prevarication on which hospital to attend continues.
Urban Poverty in the Niger delta environment
By
Joachim Ibeziako Ezeji
The Niger Delta, the world’s third largest wetland, is the main source of foreign exchange earnings for Nigeria. Since 1975, more than 90 per cent of Nigeria’s export earnings have, on average, been generated from the region’s oil resources. However, the Niger Delta as represented by its big cities remain the filthiest and most unregulated in physical sanitation terms.
Today, public health concerns associated with industrial pollution, high population density and poorly managed on-site sanitation systems has become a critical subject. A recent local study conducted in the Niger Delta by RAWDP; a non-governmental organization has revealed that the hydraulic loading rate of on-site sanitation in the Niger Delta is rising rapidly. This negatively impacts groundwater as high hydraulic loading, greater than 50mm per day, caused by on-site sanitation systems and high population density often overcomes barriers posed by vertical separation or soil media.
Most worrisome is the fact that the region is a coastal area with a sensitive ecosystem. This is further worsened by unmitigated industrial pollutions which contaminate water with nitrates, manganese, pesticides, lead, copper, sulfate, heavy metals and unstable pH. The immediate result of this situation is a threatened water supply source (ground, surface and rain) which causes serious ailments to the people and worsens their impaired productivity and environment. Here, 95% of the population depends on contaminated open water sources such as streams, lakes and rivers. 70% of the people are also without access to appropriate sanitation. Also, many households are unable to afford to send their children to school. For those children who are fortunate enough to attend school, 20-25% are often absent due to intestinal illness or caring for the needs of other sick family members. In this part of the country, 20% of children under the ages of five die every year from effects of drinking unsafe water.
The general situation is an irony of water, water, water everywhere but none good enough to drink. Over 10 million people found in the oil-bearing Niger Delta are vulnerable to these concerns. The persistent restiveness and recent hostage-taking in the region underscores the uncomfortable dimension the situation has assumed. The ad-hoc response of both the government and oil companies by sinking different water boreholes has not improved the situation. The fragile nature of the environment, coupled with the flawed process of awarding such water contracts have often resulted in poorly developed water systems that were never sustainable. Few successful water schemes are increasingly becoming vulnerable and problems such as incrustation of calcium carbonates, iron manganese and bacteria slimes on inner linings of casing materials, threats of improperly flushed-out drilling particles such as bentonites and polymers etc, and cuttings from annular space between well screen and formation walls are still persisting.
Other problems such as contamination from leachate plumes and organic growth from oxygen intake during pumping combine to make clean drinking water a scarce commodity in the entire area. As of today many abandoned and comatose boreholes dot the entire landscape.
Presently, the establishment of a waterborne sewerage system is not even a priority to the government because of reasons best known to it, while the environmental regulatory laws have not been well enforced. On the other hand, little efforts are known to have been made to build new latrine or sanitation systems in public places such as markets, motor parks and railways.
Reasons associated with such failure have largely been traceable from environmental and technical shortcomings to insouciance, ignorance, corruption and idiocy. Most worrisome in the entire region is the absence of any functional public utility to meet the water and sanitation needs of the people, where in existence, like in Owerri (Imo state) and Uyo ( Akwa ibom states) ,supplies are epileptic and marginal, depriving millions of households of clean water supplies. The result is an avalanche of water vendors hawking potentially unclean water via kiosks, trucks and carts.
There is no gain saying the fact that after 66 years of oil exploitation in the Delta, poverty remains a serious problem among the people, and social capital is broken. It is an irony that the goose that lays the golden egg stand to miss the Millennium Development Goals (MDGs) unless immediate scalable interventions are designed and urgently put in place.
There is no debating the consensus that water is one of the most strategic of natural resources. It is intertwined in everyday life of human beings in myriad ways, and its importance as a driver of health, food security, and quality of life, and as a pillar for economic development is unique.
The following trends involving water are now more or less evident:
1) The scale of the problem is increasing from local to global.
2) As a consequence of pollution of sediment, soil and groundwater, the impacts as well as results of possible remediation appear after a significant delay.
3) At any given location several superimposed problems have to be addressed, which is not an easy task-especially if unforeseen effect are considered etc.
The foregoing is in cognizance of the fact that groundwater is susceptible to coliform contamination which can be caused by effluent from on-site sanitation, septic pits, and latrines, or due to improper handling of livestock manure. In fact, sanitary condition is closely related to coliform contamination. Groundwater contamination by coliform could pose a threat to human health, causing problems such as diarrhea.
In Ho Chi Minh city, recent studies report that coliform has been detected not only in shallow aquifers but also in deeper aquifers. As the shallow and deep aquifers are interconnected at many points beneath the city, coliform contamination can potentially spread into the deeper aquifer under certain conditions. In this regard, both shallow and deep aquifers in the city need to be closely monitored.
Threats posed to public health by the very poor collection and disposal of solid waste and human excreta in the Niger delta states of Nigeria is real. This is heart breaking when viewed against the huge financial allocation/receipts from the Federal allocation in the region. Rivers state government alone, since 1999 has received over two hundred and eighty six billion naira (N286 billion); Imo State has received over N88billion while Delta has over N350 billion and Abia N76 billion etc.
The worsening sewarage situation in Port Harcourt city alone constitutes a great threat to all, whether you live in government house; glass house or sky scrappers. Presently in the city, the hub of the oil rich Niger Delta, and the industrial hotspot of Nigeria, there are no in-built underground waste disposal system. Residents hire private septic tank sanitation operators to dispose their waste. Till now there are no properly designated places to dispose these wastes efficiently. Belated efforts by Shell Petroleum Development Company (SPDC) to develop an integrated waste treatment plant around the city are presently enmeshed in legal hiccups between them and the host community. The situation is further worsened by erratic water supply, very vital at impacting effective sanitation, and lack of coordinated planning by the authorities. The result is a sum tragedy of a grossly debased environment that is impairing public health and productivity, and expanding mass poverty.
Yes, urban poverty is real and this from many facets is underpinned by poor sanitation. Painfully, the regulation of the sanitation market, harmonization of appropriate dump site or the establishment of a waterborne sewerage system is still not on the boards. The huge population in Owerri, Uyo, Port Harcourt, Calabar, Warri, Aba Yenagoa etc still relies on scattered initiatives anchored on pour flush toilets, soak-pits and quasi-septic tanks etc.
It is only time that can tell how far this ugly situation could be improved.
Joachim Ibeziako Ezeji
The Niger Delta, the world’s third largest wetland, is the main source of foreign exchange earnings for Nigeria. Since 1975, more than 90 per cent of Nigeria’s export earnings have, on average, been generated from the region’s oil resources. However, the Niger Delta as represented by its big cities remain the filthiest and most unregulated in physical sanitation terms.
Today, public health concerns associated with industrial pollution, high population density and poorly managed on-site sanitation systems has become a critical subject. A recent local study conducted in the Niger Delta by RAWDP; a non-governmental organization has revealed that the hydraulic loading rate of on-site sanitation in the Niger Delta is rising rapidly. This negatively impacts groundwater as high hydraulic loading, greater than 50mm per day, caused by on-site sanitation systems and high population density often overcomes barriers posed by vertical separation or soil media.
Most worrisome is the fact that the region is a coastal area with a sensitive ecosystem. This is further worsened by unmitigated industrial pollutions which contaminate water with nitrates, manganese, pesticides, lead, copper, sulfate, heavy metals and unstable pH. The immediate result of this situation is a threatened water supply source (ground, surface and rain) which causes serious ailments to the people and worsens their impaired productivity and environment. Here, 95% of the population depends on contaminated open water sources such as streams, lakes and rivers. 70% of the people are also without access to appropriate sanitation. Also, many households are unable to afford to send their children to school. For those children who are fortunate enough to attend school, 20-25% are often absent due to intestinal illness or caring for the needs of other sick family members. In this part of the country, 20% of children under the ages of five die every year from effects of drinking unsafe water.
The general situation is an irony of water, water, water everywhere but none good enough to drink. Over 10 million people found in the oil-bearing Niger Delta are vulnerable to these concerns. The persistent restiveness and recent hostage-taking in the region underscores the uncomfortable dimension the situation has assumed. The ad-hoc response of both the government and oil companies by sinking different water boreholes has not improved the situation. The fragile nature of the environment, coupled with the flawed process of awarding such water contracts have often resulted in poorly developed water systems that were never sustainable. Few successful water schemes are increasingly becoming vulnerable and problems such as incrustation of calcium carbonates, iron manganese and bacteria slimes on inner linings of casing materials, threats of improperly flushed-out drilling particles such as bentonites and polymers etc, and cuttings from annular space between well screen and formation walls are still persisting.
Other problems such as contamination from leachate plumes and organic growth from oxygen intake during pumping combine to make clean drinking water a scarce commodity in the entire area. As of today many abandoned and comatose boreholes dot the entire landscape.
Presently, the establishment of a waterborne sewerage system is not even a priority to the government because of reasons best known to it, while the environmental regulatory laws have not been well enforced. On the other hand, little efforts are known to have been made to build new latrine or sanitation systems in public places such as markets, motor parks and railways.
Reasons associated with such failure have largely been traceable from environmental and technical shortcomings to insouciance, ignorance, corruption and idiocy. Most worrisome in the entire region is the absence of any functional public utility to meet the water and sanitation needs of the people, where in existence, like in Owerri (Imo state) and Uyo ( Akwa ibom states) ,supplies are epileptic and marginal, depriving millions of households of clean water supplies. The result is an avalanche of water vendors hawking potentially unclean water via kiosks, trucks and carts.
There is no gain saying the fact that after 66 years of oil exploitation in the Delta, poverty remains a serious problem among the people, and social capital is broken. It is an irony that the goose that lays the golden egg stand to miss the Millennium Development Goals (MDGs) unless immediate scalable interventions are designed and urgently put in place.
There is no debating the consensus that water is one of the most strategic of natural resources. It is intertwined in everyday life of human beings in myriad ways, and its importance as a driver of health, food security, and quality of life, and as a pillar for economic development is unique.
The following trends involving water are now more or less evident:
1) The scale of the problem is increasing from local to global.
2) As a consequence of pollution of sediment, soil and groundwater, the impacts as well as results of possible remediation appear after a significant delay.
3) At any given location several superimposed problems have to be addressed, which is not an easy task-especially if unforeseen effect are considered etc.
The foregoing is in cognizance of the fact that groundwater is susceptible to coliform contamination which can be caused by effluent from on-site sanitation, septic pits, and latrines, or due to improper handling of livestock manure. In fact, sanitary condition is closely related to coliform contamination. Groundwater contamination by coliform could pose a threat to human health, causing problems such as diarrhea.
In Ho Chi Minh city, recent studies report that coliform has been detected not only in shallow aquifers but also in deeper aquifers. As the shallow and deep aquifers are interconnected at many points beneath the city, coliform contamination can potentially spread into the deeper aquifer under certain conditions. In this regard, both shallow and deep aquifers in the city need to be closely monitored.
Threats posed to public health by the very poor collection and disposal of solid waste and human excreta in the Niger delta states of Nigeria is real. This is heart breaking when viewed against the huge financial allocation/receipts from the Federal allocation in the region. Rivers state government alone, since 1999 has received over two hundred and eighty six billion naira (N286 billion); Imo State has received over N88billion while Delta has over N350 billion and Abia N76 billion etc.
The worsening sewarage situation in Port Harcourt city alone constitutes a great threat to all, whether you live in government house; glass house or sky scrappers. Presently in the city, the hub of the oil rich Niger Delta, and the industrial hotspot of Nigeria, there are no in-built underground waste disposal system. Residents hire private septic tank sanitation operators to dispose their waste. Till now there are no properly designated places to dispose these wastes efficiently. Belated efforts by Shell Petroleum Development Company (SPDC) to develop an integrated waste treatment plant around the city are presently enmeshed in legal hiccups between them and the host community. The situation is further worsened by erratic water supply, very vital at impacting effective sanitation, and lack of coordinated planning by the authorities. The result is a sum tragedy of a grossly debased environment that is impairing public health and productivity, and expanding mass poverty.
Yes, urban poverty is real and this from many facets is underpinned by poor sanitation. Painfully, the regulation of the sanitation market, harmonization of appropriate dump site or the establishment of a waterborne sewerage system is still not on the boards. The huge population in Owerri, Uyo, Port Harcourt, Calabar, Warri, Aba Yenagoa etc still relies on scattered initiatives anchored on pour flush toilets, soak-pits and quasi-septic tanks etc.
It is only time that can tell how far this ugly situation could be improved.
Subscribe to:
Posts (Atom)