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Primary healthcare in Nigeria on the precipice, says forum of local govt nurses

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By Steve Oni, Ilorin

The National Chairman, Forum for Local Government Nurses and Midwives in Nigeria, Comrade Obafemi Agbede, has lamented that the Primary Healthcare system in the country is on the precipice, saying “things are fast falling apart, and if no concrete steps are taken to halt the fall, we can only predict a gloomy tomorrow in the sector.”

Agbede, who spoke on Tuesday in Ilorin, the Kwara state capital, at the opening ceremony of Induction of State Administrative Council Members, was miffed that certain key issues and demands by the Forum from 2014 to date, including non involvement of nurses/midwives in core public health activities, serious unemployment of nurses at the local government level and insecurity and its attendant threats to their work at the local government level, have remained unresolved.

He said: “Between 2014 and now, there has been a change of government and a reelections of administrations, but it is unfortunate that the fortunes of local government nurses and midwives have not changed for the better. The government appears more interested in making promises and reneging on them, they are more interested in formulating policies that they will not follow or implement.

“And so today, the policy of primary healthcare under one roof is still not being implemented by state governments. Our members are still owed salary arrears in many States of the federation. Most, if not all of our facilities lack basic equipment, our members are having to work under very hazardous conditions and despite protestations and despite acknowledging in the policy framework that nurses are key stakeholders in the health sector, we are still neglected in the policy making process.

“And this stems primarily from the absence of political will to do the needful. Our government at all levels appear too weak to take a stand in investing in health and implementing international best practices in the sector. Unfortunately, the people are the victims because it means the citizens are not getting the best from what is available. It is time therefore that Nigerians rise to demand from government an #EndToNeglectofHealth.

“Comrades, you must not relent in fighting for what is the interest of the people of Nigeria. The reality is that if we can succeed in making health a priority of government, if we can man make funding health better than what it is currently, if health facilities can be improved upon due to our agitation, we would have done what many political parties cannot do, we would have saved the lives of poor, rural Nigerians. And that is a worthy cause.”

To the new state executives, the Nation Chairman implored them to pursue policies and practices that would enhance the wellbeing of members, saying, “you must always represent the best of their interest, to the best of your abilities. This is why you were elected, and I am sure that was what you promised to do. Don’t do anything to divide the house, instead build positively on what exists so that in future others will have positive things to say about your tenure.”

In her address at the occasion, Kwara state Head of Service Mrs Susan Modupe Oluwole commenfed the roles of nurses and midwives in the society, saying nobody can remunerate them adequately except God.

She said: “Nobody can pay you for what you do, it is only God that knows how to reward you appropriately. If all hospitals this day decide to remove the effects of nurses and midwives, you and me know what will happen. I, however, urge you not to condone indiscipline and non char lance among your members, but to strive to bring up the younger nurses and midwives on the right path”

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Milestone; Kwara LG Declared Open Defecation Free by FG

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Stephen Olufemi Oni, Ilorin

The Federal Ministry of Water Resources and Sanitation has officially declared Oke-Ero Local Government Area (LGA) in Kwara State as Open Defecation Free (ODF), following a comprehensive validation exercise conducted by the National Task Group on Sanitation (NTGS).

The validation exercise was carried out between 21st and 25th July, 2025 by the NTGS, during which Oke-Ero LGA was assessed in accordance with the revised national ODF protocol. Based on the findings, the LGA was found to have met all required indicators and was therefore approved for ODF status on 27th August, 2025.

The official communication of this development was conveyed to Mr. Olorunfemi Adewumi Oladipo, the General Manager of the Kwara State Rural Water Supply and Sanitation Agency (RUWASSA), through a formal letter authored by the Director of Water Quality Control and Sanitation at the Federal Ministry; Mrs. Elizabeth Ugoh. The letter was issued on behalf of the Minister of Water Resources and Sanitation.

Mrs Elisabeth Ugoh, who congratulated the Kwara State Government and the people of Oke-Ero on achieving this national milestone, noted that sanitation is a continuous activity.

The correspondence described the achievement as a significant step forward in the national effort to eradicate open defecation and commended the sustained efforts of the local government, community leaders, stakeholders, and sanitation partners.

It would be recalled that the NTGS validation team conducted detailed assessments across households, institutions, and public spaces in Oke-Ero LGA, confirming the absence of open defecation and the presence of functional sanitation facilities, hygiene awareness, and sustained behavioural change, all of which are prerequisites under the national ODF criteria.

As part of the formal process, the Minister, Prof. Engr. Joseph Terlumun Utsev, is expected to communicate this achievement in writing to Governor AbdulRahman AbdulRazaqn, as, in line with established national protocol, the Governor is expected to host an official event to commemorate the ODF declaration of Oke-Ero LGA.

Reacting to the development, the Commissioner for Water Resources, Hon. Yinusa Lade, lauded the milestone as a testament to the state’s unwavering commitment to improving sanitation and public health. He commended the people of Oke-Ero for their resilience, cooperation, and ownership of the sanitation initiatives, which he described as critical to the sustainability of this achievement.

Hon. Lade, who reiterated the State government’s commitment to scaling up similar interventions across other LGAs, noted that with Oke-Ero setting the pace, the Ministry will intensify efforts to ensure that the entire State is declared Open Defecation Free well ahead of the national 2030 target.

Responding to the announcement, Mr. Oladipo expressed appreciation for the recognition, describing it as a reflection of collaborative effort across multiple levels of governance and community participation. Mr Olorunfemi Oladipo reaffirmed RUWASSA’s continued commitment to supporting other LGAs in the State to achieve similar results.

Mr Oladipo also urged local authorities and stakeholders in Oke-Ero to ensure the sustainability of this status, by adhering to the recommendations outlined in the validation report, which has been enclosed with the official communication.

This development positions Kwara State as one of the leaders in sanitation progress and contributes meaningfully to Nigeria’s broader objective of eliminating open defecation nationwide by 2030, in alignment with the Sustainable Development Goals (SDGs).

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Nigeria Records 43,000 Snakebite Annually, Experts Urge Local Anti venom Production

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By Hassan Taiye

The Toxinological Society of Nigeria (TSN) has called on the federal and state governments to invest in local anti venom production and strengthen healthcare facilities to curb the rising burden of snakebite envenoming across the country.

This was contained in a communique issued by the Society’s Secretary-General, Dr. Mustapha Shehu Muhammad, at the end of its 2nd Annual General Meeting held between September 14 and 17 at Gombe State University.

The four-day conference, with the theme “Exploring Indigenous Anti-Venom Development and Therapy in Nigeria: Policies, Challenges and Opportunities,” attracted over 1,000 participants, including policymakers, clinicians, researchers, traditional leaders, and students.

Experts at the meeting disclosed that Nigeria records about 43,000 snakebite cases every year, leading to nearly 1,900 deaths, with children accounting for 30 percent of victims.

They identified delayed treatment, the high cost of anti venom, and inadequate facilities especially in rural areas as key factors worsening outcomes.

In his keynote address, Prof. Abdulrazak Habib stressed the urgent need for government and private sector collaboration in developing indigenous anti venom, warning that failure to act would worsen mortality rates and economic losses.

Delegates also visited the Snakebite Treatment and Research Hospital in Kaltungo, describing it as overstretched and in dire need of expansion.

The Society recommended establishing a National Centre of Excellence for Venom, Anti venom, and Natural Toxins Research in Gombe, and upgrading the Kaltungo hospital into a fully equipped National Snakebite Hospital with modern equipment, surveillance systems, and training capacity.

It further urged the Gombe State Government to dedicate at least one percent of its internal revenue to snakebite response, including free anti venom distribution, and to integrate snakebite research and training into the curriculum of Gombe State University.

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FG Strengthens Border Checks as Fresh Ebola Outbreak Spreads in DRC

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By: Fabian Apechihin

The Federal Government has stepped up health surveillance at all entry points into Nigeria following the confirmation of new Ebola Virus Disease (EVD) cases in the Democratic Republic of Congo (DRC).

Director of Port Health Services, Federal Ministry of Health and Social Welfare, Dr. Akpan Nse, announced on Friday that airports, seaports, and land borders are now under reinforced monitoring. Additional personnel, backed by the World Health Organisation (WHO), have been deployed nationwide, while thermal scanners at airports are being serviced in partnership with private firms to ensure continuous operation.

Health authorities in the DRC on September 5 confirmed an outbreak of the Ebola Zaire strain in Kasai Province, with 28 suspected cases and 16 deaths, including four health workers. The country, which has recorded 15 outbreaks since 1976, last battled the virus in 2022.

Dr. Nse warned that Nigeria remains at risk due to heavy travel links with the DRC. He said all passengers arriving from Congo or transiting through the country must undergo mandatory screening and complete health declaration forms.

“We have intensified surveillance at every point of entry,” he said. “All arrivals from Congo are screened—by air, land, or sea. We are on full alert to prevent importation of the virus into Nigeria.”

Ebola is a highly fatal disease transmitted through direct contact with the blood or bodily fluids of infected persons or animals, particularly fruit bats, which are considered natural carriers.


Want me to also add Nigeria’s 2014 Ebola response as context, to remind readers how the country previously contained the outbreak?

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