ASIWAJU AND POLICIES/PLANS/PROGRAMMES
The school term in office of this administration witnessed the addition of new programme which include:
Limb Deformity Corrective Surgery and Rehabilitation Programme
Cleft Lip and Palate Surgery “Operation Smile”
Breast Cancer screening and Surgery. Etc.
- FREE HEALTH SCHEME
Free treatment of malaria (extended to LGAs) Free treatment of children aged 12years and below Free of adult aged 60 years and above Free ante-natal care services Ambulance boat services to cover riverine area of the state Public servants, their spouse and 4 dependants aged 18 years and below Special programme such as the TB/leprosy treatment, Blindness prevention, Limb deformity and corrective surgery, cleft lip/palate repair, cardiac surgery, breast cancer, school milk etc.
Overseas medical treatment sponsorship for cases which cannot be adequately handled locally.
No of beneficiaries: 12yrs old 4,178,578
No of beneficiaries: 60yrs 1,977,091
No of public servants’ beneficiaries: 1,198,777
No of destitute who have benefited 178,091
No of Ante-natal care beneficiaries 295465
Free health Service Reimbursement Nl, 271,712,021
Sponsorship for Overseas medical treatment N634, 316,478
- HIV/AIDS CONTROL
The Lagos State Action Committee on AIDS (LSACA) was established under the Office of the Governor in 2000
HIV prevalence reduced from 6.7% in 1999 to 3.5% presently
Public sensitization and enlightenment campaigns; Supporting 700 NGOs and 11 line Ministries; Funding of over 80 NGOs and all the line Ministries; Establishment of 23 HIV Voluntary Counseling and Testing centers Advocacy session with LSHA; Formulation of HIV workplace policy; Number of patient counseled: 110,544 No of persons tested: 106,492(965) No of HIV positive cases: 9,265 Establishment of 8 Anti Retroviral Therapy (ART) Centers Adult patient of therapy: 989(M-369, F620) Combined HIV/TB patients-363 Establishment of 10 Prevention of Mother to Child Transmission (PMTCT) Centers Pregnant women who received PMTCT: 2,271
ii. Adolescent and Youth Empowerment
The “Hello Lagos” program was created by the Ministry of Health in the year 2002
16 HELLO Lagos clubs established in schools within the state.
Production of IEC material on teenage pregnancy, HIV/AIDS Technical support to youth clubs eg Missing Link, AYEN
3 radio programme sponsored
15 TV programme sponsored
Training of 200 peer Health Educators on Adolescent Reproductive Health.
Organizing programme with the youth wing of YMCA
Training of peer Health educators and teachers as counselors.
Production and distribution of BCC materials to secondary schools Provision of adequate referral system Provision of technical assistance to schools, and youth organization
Networking/Partnership with NGO’s for promotion of adolescent health
- ROLL BACK MALARIA PROGRAMME
The establishment of the Eko Free Malaria Programme during the first term of this administration.
Over 1,000,000 BCC/IEC materials distributed
Provision of Free Malaria treatment to all citizens in the state;
3,685,815 Patient have benefited from the programme;
Effective transmission from Chloroquine therapy to Artemisinin combination Therapy (ACT) in line with global trends.
681,000 Insecticide Treated Nets distributed;
Intermittent Preventive Treatment of malaria in pregnancy
181,627 dose of sulphadoxine pyrimethamine formulations distributed.
272,000 does of Coartem (ACT) distributed for pediatric malaria management.
About 450 workers trained during (TOT) and step down workshops at State and LGA levels.
Lagos State Environmental Sanitation and Malaria Control Project in 3 LGAs collaboration with Min of Environmental partners
Establishment of a forum for on-going discussion among partners e.g SWIPHA, SHIPHARMA, MACAO, Rotary International, JIC etc.
The Adoption of the DOTS strategy in 2003 has resulted in an improvement in detection and cure rates, the current cure rate being 66%
Increase in number of DOTS centre from 6 to 46;
Patient seen 22,864 from about 5,00 in 2003;
Establishment of 31 microscopy centres
Patient still on therapy 4198
- AVAIH INFLUNZA (Bird FLU CONTROL PROGRAMME)
Constitution of a rapid response team and a technical inter-ministerial committee
Establishment of active surveillance teams for bird flu
Sensitization seminars of health workers in the state
Intensive awareness campaigns Procurement of personal equipment
Dedication and Upgrading of isolation ward at the IDH to handle any case of human infection
Printing and distribution of BCC/IEC material
Procurement necessary drug (Tamiflu)
Rapid assessment of level of preparedness and awareness conducted in Eti-osa and Ifako-ijaiye LGAs
Appointment of desk officer under the World Bank assisted Avian Influenza Control Program (AICP)
- BLINDNESS PREVENTION PROGRAMME
The blindness prevention programme was initiated in the year 200 with the aim of reducing the prevalence of preventable blindness through the strategy of distribution of free eye glasses based on the results on screening exercise and provision of free eye surgery
Programme integration into the PHC system with the training of 100 Community Health Workers in primary eye care practices and distribution of basic eye equipment to all LGAs
Total of 654,00 adult screened
Provision of free medication and dispensing of 221,316 free glasses 11,504 Free surgical interventions Cataract surgery rate increase from 200 to about 1000 per annum A pilot survey covering the 5 division of the state was undertaken under the School Eye Project. Finding showed a high prevalence of refractive error with myopia (short sightedness) ranking highest, thus justifying an urgent need to institute a school eye care Program in the state. The school Eye project commenced in 2006. Total of 6,600 pupils screened The Eye Clinic Complex at LASUTH Ikeja has been upgraded to the Eye Institute with provision state of the art equipment including laser and eye scanning machines. The institute performs the dual function of serving as modern eye treatment centre and a training institution for specialization in ophthalmology.
The Corneal Eye Bank, a joint project between the Lagos State Government and the Ophthalmological Society of Nigeria is now functional within the premises of the Eye Clinic Complex.
Corneal banking and grafting has reduced the burden of blindness as a result of cornel diseases.
The necessary legal backing for the operations of the Cornel Transplant Centre is being processed.
7] National Programme on Immunization
Vaccine Preventable Diseases accounts for 20% of morbidity and mortality in children before their fifth birthday. Children by the age of 1 should have completed their immunization schedule according to the NPI schedule.
The NPI program at inception of this administration was characterized by deteriorating infrastructure including breakdown of the cold chain equipment, low routine immunization coverage, non functioning of the outreaches at the LGA and poor ownership of immunization activities at the LGA levels.
Currently there is active participation of the State in the National immunization Days (NIDs) carried out nationally as part of global effort to eradicate poliomyelitis, with an average of 2.5million children under 5 years immunized per round of NID.
Development and dissemination of IEC materials. Institutional development including the provision of cold chain equipments for the maintenance of the vaccines at the State cold store and 20 LGA’s. Capacity building through refresher training of local government Immunization Officers (LIO’s) and Health Worker on cold chain vaccine maintenance, micro planning, new policy issues and vaccination procedures. Re-vitalization of the outreaches to strength RI through the Reach Every Ward (REW) and Immunization plus Approaches. Increase Routine Immunization coverage through Child Health Week celebration. 217 public health facilities are involved in immunization service delivery in the state. In line with the reform process, Tuesday of every week has been set aside for routine immunization against vaccine preventable disease in all primary health care facilities in the State. The year 2006 coverage figures using the targeted population or 8, 407, 526 projected from 1991 National Population Census shows BCG-231, 027 (82%) DPT- 143, 259 (52%) Measles- 142,283 (53%) Successful implementation of the Integrated Measles Campaign with over 72% coverage (over 3,900,000 children immunized)
- SCHOOL HEALTH PROGRAMME
The programme was re-launched in the year 2006 with Health Education activities constituting a major component. Activities: include Free School Milk distribution, free eye screening and provision of glasses, General medical and dental examination/screening, Provision of first aid boxes, Assessment of basic sanitation of school environment and classroom ventilation, Monitoring of school food handlers, De-worming exercises and distribution of IEC materials.
Regular inspection of the first aid boxes in the school;
Training of 210 master teachers and Health Workers on school health;
973 public primary schools involved in the free milk programme;
297,385 pupil beneficiaries;
Pupils screened into law the school health bill.
The ratification of the food and nutrition policy by the Nigerian Government (NPFNN 2001) is a major landmark
Training of focal Nutrition officers for the 20 LGAS on lactation management, essential breast feeding actions & Micronutrients guidelines.
Produced and distributed, in collaboration with development partners, 50,000 IEC materials on the key breastfeeding actions.
Training of 240 caregivers on key household & community practices.
Training of 140 health workers on infant and child feeding in the context of HIV/AIDS in collaboration with AED/linkages.
Annually distributed 8972 bottles of 200, 000IU of vitamin A during NIDS/RI.
Distributed 3700 tins of Iron/folate supplements to the LGAS.
Nutrition counseling for 534 clients on dietary managements of obesity, diabetes and hypertension.
Salt iodization testing conducted in six markets in the sustained implementation of school milk programme from inception (2003) till date.
- AMBULANCE/ EMERGENCY MEDICAL SERVICES
Hence the strengthening of the base hospital care i.e Lagos State Emergency Medical Service (LASEMS) and establishment of the pre-hospital care service, the Ambulance Service (LASAMBUS) in march 2001 achievements
Awareness campaigns on the preventive aspect of medical emergencies including home/road traffic/industrial accidents; and how to access services.
Establishment of an efficient communication/radio network linking the public LASAMBUS, LASEMS and the Ministry of Health.
Training of personnel in pre-hospital and hospital-based management of trauma and medical emergencies and effective radio communication.
Purchase of 10 mobile intensive care ambulances.
Construction of ambulance points at locations of high vehicular and human traffic designed to improve response time incase of accidents and also to ensure prompt transfer of accident victims to hospitals.
The locations are: Amuwo Odofinn overhead bridge, Mile 2 third mainland bridge exit to Herbert Macaulay Road, Former toll gate on Lagos-Ibadan expressway, Anthony overhead bridge en route Oshodi, Lekki Phase One, Abule Egba, Malu Road, Apapa, Epe, Badagry, Ikorodu and Agbowa.
Training on basic trauma care and intermediate basic life support
Total number of ambulances operating from 18 ambulance points;
Number of patients attended to and referred- 33,619
3 Sites located at LASUTH, General hospitals Lagos and Gbagada
Free Services for the first 24 hours of admission
11] THE LIMB DEFORMITY CORRECTIVE SURGERY AND REHABILITATION PROGRAMME
This programme was established in the year 2005
Achievements: Since commencement of this program, A total of 5,986 patients have been screened; 2,351 surgeries performed; 1,487 provided with mobility aids 1,295 referred for physiotherapy
12] FREE CLEFT LIP AND PALATE RECONSTRUCTIVE SURGERY PROGRAMME
This program, termed “operation Smile” which started in July 2006:
*Over 237 have been screened,
*102 surgical intervention performed, and milk and other nutritional supplement given to these children.
13] THE BREAST CANCER SCREENING AND AWARENESS PROGRAMME
Officially launched in 2006
Achievements: A rapid assessment survey was conducted ii Somolu and Ikeja LGAs to provide baseline data on KAP of the people. Trainers of the trainer workshops for General Hospitals and local government workers it June 2006. Screening exercises in local government in Lagos State, with appropriate referrals to designated General Hospitals for follow- up and further treatment. Information, education and communication and BCC Materials are produced and distributed regularly I screening and sites. Lectures on Breast cancer delivered regularly at screening venues. Awareness programme on radio, television and campaigns done regularly. Purchase and installation of mammography machines at LASUTH Ikeja and Orile Agege General Hospital. Free Surgery (Lumpectomies and Mastectomies) offered to affected patient; the designated hospitals. A total of 1,209 people have been screened. Over 245 surgeries (Lumpectomies and Mastectomies) carried out free
14] REPRODUCTIVE HEALTH PROGRAMME
Trained health professional and community health worker on life saving/essential life saving skills.
provisions of Reproductive Health I.B.C materials, integration of RH programme activities into secondary school curriculum
procurement of family planning commodities including training of FP personnel on FP commodity management.
Training of 154 Community Health extension Workers on Integrated RH
Training of 70 Health workers on Jardelle implant device Training of 18 Health Workers on Life Saving Skills Training of 19 Health Workers on Post Abortal Care Training of Doctors on Essential Life Saving Skills Training of 420 community based distributors on Family Planning Training of 568 clinic service providers from the Local Government Areas, Uniformed sectors, Lagos State School of Public Health and School of Midwifery. Training of 26 faith-based TBAs in the year 2006. Over 328,434 clients received FP Services since the inception of this administration. Increase in Family Planning service providers by 76% (from 142 to 250) and health facilities and outreaches offering Family planning services by 357% (from 70 to 250).
15] STATE ENVIRONMENTAL HEALTH MONITORING UNIT
A total of 3,886 corpses have been picked up by this unit, with RTAs, destitute and disasters accounting for 90% of cases.
16] CARDIAC SURGERY MISSIONS
A total 26 cardiac surgeries were performed during 3 cardiac missions with two deaths were recorded.
17] MEDICAL MISSIONS
Notable activities in this respect include (I). Three missions with AMP A at Ibeju Lekki, Lagos island and Badagry LGAs where over 10,000 patients were seen and 2,275 surgical intervention carried out.
(II). Several others have been conducted in smaller communities all over the state in collaboration with other NGOs, religious groups, community association and clubs.
A total of 10,461screened
2,465 eye consultation 1,234 glasses dispensed including 226 special order lenses. 209 eye surgeries performed 1,178 dental consultations 230 general surgeries performed including 2 set of twins delivered by C/S 608 voluntarily counseled and tested for HIV/AIDS 718 had laboratory investigations 37 had blood transfusion
b. Lagos Island
a total of 6,574 screened
1,501 eye consultations 497 glasses dispensed including 86 special order lenses 246 dental consultations Over 121 surgeries performed 372 voluntarily counseled and tested for HIV/AIDS 502 had laboratory investigations
18] OCCUPATION HEALTH
A total of 453 factory inspections have also been conducted to ensure that factory operations are in conformity with occupational health standards.
SERVICE PROVISION/AND INFRASTRUCTURAL DEVELOPMENT
The State Government has embarked on rehabilitation, refurbishment, and/or upgrading of various facilities as well as the provision of necessary equipment. Some of the achievement to date include:
19] PRIMARY HEALTH CARE
a. Rehabilitation and partial equipping of eight (8) Primary Health Clinics in collaboration with COMPASS
Ojo Resthouse PHC (Ojo LGA)
Ogudu PHC (Kosofe LGA)
Marina PHC (Badagry LGA)
Oshodi PHC (Oshodi/Isolo LGA)
Awoka PHC (Somolu LGA)
Iwaya PHC (Lagos Mainland LGA)
Isheri Olofin PHC (Alimosho LGA)
Palm Avenue PHC (Mushin LGA)
Rehabilitation of two (2) Primary Health Clinics in collaboration with the African Development Bank. These are Igbonla PHC and the community Health Training Institute, Agbowa PHC
The number of PHC have increased from 160 in1999 to 209
Similar achievements at the SECONDARY HEALTH CARE level include:
Rehabilitation of 19 existing secondary health facilities including the replacement of roofing, provision of boreholes, water treatment plants etc.
Establishment and ongoing rehabilitation of 5 new General Hospitals located in ifako-ijaiye, Somolu, Mushin, Alimosho and Ibeju- Lekki LGAs in line with the policy of at least one secondary facility per LGA.
Completion of the Dental Clinic, ward and canteen at General Hospital, Surulere.
Renovation and equipping of Block A and B, Lagos Island Maternity Hospital.
Completion of Medical Staff Quarters at General Hospital, Agbowa.
Completion of the Doctor’s quarters at General Hospital, Isolo.
Completion of the theatre/Ward Complex at Orile Agege General Hospital.
Procurement and distribution of medical equipment including mammography machines to secondary health units. This is inclusive of donated equipment and consumable from abroad.
Rehabilitation of mortuary units at LASUTH and Gbagada as PPI
Furnishing of Renal Dialysis Ward at General Hospital, Gbagada
Establishment of Community Health Department at the secondary health facilities
20] TERTIARY NEW HCMIE
The first batch of 60 medical students graduated with automatic placement for internship by the State government.
The ongoing developmental projects at this complex include:
Completion of the Eye institute
Construction of new casualty complex
Rehabilitation of various wards, clinics and the 5-suites theatre complex
Rehabilitation and equipping of the dental complex
Equipping and furnishing of 13 research laboratory, 10 Multipurpose Students Laboratories and the Histopathology laboratory
Construction, Equipping and furnishing of Two-Storey BT health and Diagnostic centre
Construction of four (4) storey Pediatrics and Family Medicine Complex, which when completed, will be equipped with 44 beds and 60 cots
Construction of four (4) storey BT ward, which on completion will provide 144 additional beds
Construction of Car park and Sports Complex
21] HEALTH FINANCING
*To mitigate against this as well as show its commitment to the health of our people, the ASHIWAJU administration has increased drastically the budgetary allocation to the sector.
*The budgetary allocation to the health sector has increased steadily over, the years from N 1.6 billion in 1999 to 11.8 billion in 2006;
Construction and Equipping of mortuary at LASUTH and Gbadaga General Hospital;
Joint ventures fee paying pharmacy services in eight public secondary health facilities
Management of the Critical Care Unit at LASUTH;
Blood Screening and Certification Centers in five hospitals;
Healthtron Electrotherapy service an alternative form of therapy
Private Sector Participation in the areas of certain investigative services like ultrasound scan, laboratory services, endoscopy etc.
*Prepaid financial scheme at the PHC level is being explored in the pilot phase of the community based health insurance scheme
22] QUALITY ASSURANCES/ REGULATORY SERVICES
A] BLOOD TRANSFUSION COMMITTEE
Establishment of 12 public blood banks and 12 screening centers
87 private blood bank have started the process of registration and certification Monitoring committee regularly monitors all blood banks and 25 blood banks have been closed since commencement of activities Voluntary blood donors have increased from 519 in 2004 to 1,136 at 2006 65,958 pints of blood screened commencement of operations Provision of blood products for hospital use Training of Health professionals on quality service in blood banking is on going
B] HEALTH FACILITY MONITORING AND ACCREDITATION AGENCY
Private Hospital Registration Authority was transformed into the Lagos State Health Facility Monitoring and Accreditation Agency in March 2006
A protocol for registration of all facilities is in place
Continuous collaboration with private sector
Monitoring activities has increased (1,910 inspected since inception in 2007) Over 168 private health facilities shut down for various offences. In collaboration with all health professional regulatory bodies, professional certificates of all health personnel in all facilities are currently being authenticated.
23] PHARMACEUTICAL SERVICES
A] The task Force on counterfeit/fake Drugs: I
naugurated in April 2001 in response to the unacceptably high prevalence of fake, counterfeit and adulterated drugs in the State.
*Sealing of 667 premises
B] Drug Quality Control Laboratory:
The facility, fashioned along a WHO- modeled Medium Size Drug Quality Control Laboratory in terms of infrastructure and equipment.
The Federal Ministry of Health has endorsed the selection of the lab as a validation center for testing of drugs to be included in the National Essential Drugs List and National Drug Formulary
The laboratory has been appointed as a validation center for drugs to be listed in Nigeria National Pharmacopoeia by the FMOH Collaborative work with NAFDAC has improved the status of the laboratory The laboratory has analyzed more than 4,000 samples of drugs and other related products for both private and public institutions.
24] HUMAN RESOURCES FOR HEALTH
To address relative challenges, the HMB was transformed into the Health Services Commission (HSC).
Some of the achievement of the health service commission includes:
- Staff recruitment now based on needs and requirements. Recruitment of over 3,400 new health personnel since 1999 (inclusive of 324 doctors and 812 nurses);
- Appropriate regularization of 475 officers deployed from the Local government service commission;
- Empowerment to automatically replace staff who have exited from service to minimize staff shortages;
- Gradual reversal of the inverted pyramid structure of the Nursing services inherited by this administration;
- Establishment of a monitoring Unit to observe, at the various hospitals, the response of staff to patients, and the handling of their care;
- The creation of the Hospital Administration cadre to provide advancement prospects for hospital secretaries, who hitherto has been stagnated on Grade 14;
- A total of 5127 officers have benefited from a series of training programme since 1999;
- Implementation of the HAPPS and other new allowances for health personnel
Other relevant achievements include:
The institution of the Continuing Medical Education (CME) Programme. A total of 37 sessions were held. The content of these session have been compiled into two publications and the third publication is underaway.
Recruitment into the School of Nursing and College of Health and Technology based on merit Institution of monthly and annual merit awards. Overseas medical exchange programme for some medical personnel in some specialty areas of internal medicines, ophthalmology, neonatology and anesthesia. Training of a total of 4,953 health workers in general management, total quality management, Human resources management, budgeting and financial management, use of statistical software packages, neonatal resuscitation, safe motherhood, roll back malaria, orthopedic nursing, integrated management of childhood diseases etc.
25] MANAGEMENT INFORMATION SYSTEM
Establishment of IT resources centers in the Ministry of Health Service Commission and hospital units.
Targeted investment in computers and software packages distributed to the Medical Departments of the 20 LGAs to enhance the NHMIS record keeping. Training of health workforce to enhance technological capacity. Commencement of a pilot phase of computerization of health records involving three hospital units which would be linked to the Ministry of Health.
26] SOCIAL RESPONSIBILITY BY THE GOVERNOR [ASHIWAJU]
- At 68th birthday, March 29, 2020, Ashiwaju Bola Hamed Tinubu donated 200 million Naira to both NCDC and Lagos State government to aid fight against corrona virus.
Source: Ruth Okwumbu (Nairametric)
Donation of N250,000 to triplet Babies
Donation of N1million for the treatment of Late Tyna Nwandike ailment
Sponsored some of her colleagues to South Africa to give her moral support through the operation.
Donation of N1.5 million for the treatment Steve kadiri Kidney ailment
Donated N1million for the treatment for Shakirat Adeoti, a cancer patient who cannot afford the cost of medical bills and also donated N150,000 for her upkeep
Off-set the bills of some neighborhood watchers wounded by the Armed-Robbers while on duty
Donated N6million to 8 children whose age range between 2months and 10 years to facilitate the treatment of their heart disease overseas.
Donated N250, 000 to Victor Okin, a 5 months old baby suffering from juvenile cataracts.
Donated N100,000 to Mojisola Adeleye to remove a bullet from her
Donated N150, 000 to baby Owolabi to assist in the early arrest of cancerous growth.
Donated to Mr. Giwa, a breast cancer patient for her operation
Sponsored Rashidat Ajibade’ surgical operation with N9.8million at a London hospital2.
Source: Book (Promises fulfilled; 8 years of distinctive Service of Governor Bola Hamed Tinubu, Lagos State.)
Author: Gbenro Akintoye.
Published, March 2008.