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Tanko Muhammad, Ekweremadu and health of Nigeria by Suyi Ayodele

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What happened to the Nigerian judiciary under the now retired Chief Justice of Nigeria, CJN, Justice Tanko Muhammad, is a symptom of an ailing nation. We must all come to admit that Nigeria is a country that needs moral transplant. Who will be the donor is what we don’t know. That the aeroplane-driving CJN retired after his “brother justices” accused him of misconduct is never news to celebrate. The resignation itself is never a part of the diagnosis of what ails the country. And I sincerely do hope that the General Muhammadu Buhari administration will not because of the belated retirement  roll out the drums to celebrate his tough stance on the fight against corruption!  The judiciary is expected to be the healthiest of the three arms of government. Its chronic illness under Tanko is a pointer to the general well being of the government in power. The undertakers should not be far away as their services may be required soon.

In Africa’s worldview, a healthy man is a wealthy man. The saying, “health is wealth,” underscores the importance human beings attach to sound health. Without sound health, man becomes useless. This is why sane countries of the world don’t play with their healthcare delivery. But it is not so in Nigeria, a country which prides itself as the “Giant of Africa”. By that sobriquet, one would expect that Nigeria would tower above other African countries in all ramifications of life. If you are wondering why we are this low in all aspects of life as a nation, just take a look at our health care delivery system. If Nigeria’s health is failing, or has failed, the citizenry cannot be healthy. For those who care to know, Nigeria is not just ill, it is terminally ill.

Some two years ago or so, I had the misfortune of rushing an ailing church member to the University of Benin Teaching Hospital, UBTH. At the close of service that fateful Sunday, a friend and I had planned to go out with our spouses. We drove out of the church premises and saw the ailing woman being aided to the road to get a taxi to the hospital. We picked her up in my friend’s car while I joined him and asked the women to use my own car. By Ehaekpen Road, the woman gave up the ghost in the car. But we continued the journey to the UBTH. At the Accident and Emergency section of the hospital, she was confirmed as BID (Brought In Dead). That was where our ordeal began. The relation in the car contacted other family members and agreed that the remains of the woman be deposited at the hospital’s morgue. To our utter embarrassment, UBTH had no BID form to take the woman’s profile and have her corpse deposited in the morgue. For over two hours, the corpse was left in our car. I had to ask one of the hospital attendants in charge to copy the information of a used BID form at the back of another used form and fill in for the dead woman. I knew then that we had bigger problems than anyone could imagine. If a teaching hospital, as big as the UBTH, had no ordinary BID form, one can imagine the state of the General Hospital at Afrikpo, or Balewa Village or at Itawure!

This is why, at the slightest discomfort of headache, the locust masquerading as our leaders jet out of Nigeria to seek medical help abroad. From personnel to equipment, infrastructure to medications, hospitals in Nigeria are killing fields. In his 2017 article titled: ‘Africa’s presidents keep going abroad for medical treatment rather than fixing healthcare at home,’ published in Qartz Africa, an online publication, Yomi Kazeem has this to say: “The preference for an international doctor’s appointment is steeped in irony as these leaders often make promises about improving local healthcare a central part of their campaigns while seeking office. But by looking beyond the continent for medical solutions, African leaders maintain a vicious cycle which keeps faith in public healthcare low while channeling substantial state resources to hospitals abroad rather than plug local healthcare gaps. In many African countries, this reality is all too apparent. According to the World Health Organisation estimates, with a shortage of 4.2 million health workers, Africa is the region with the world’s second-worst health worker shortage”. Zeroing down on Nigeria, Kazeem  quoted WHO as saying that: “In Nigeria, Africa’s most populous country, the shortage  will be less severe if the health system could call on the services of the up to 15,000 Nigerian doctors estimated to be working outside the country. But there’s little motivation for doctors practising abroad to return home with crumbling infrastructure, lack of drugs and poor compensation.” If in 2017, we had 15,000 Nigerian medical doctors working outside the shores of the country, your guess is as good as mine on what the figure will be now.

Nothing, in recent time speaks to the parlous state of our healthcare delivery system more than last Thursday’s arrest of Senator Ike Ekweremadu and his wife, Beatrice, by the Metropolitan Police in far away United Kingdom. According to the reports of the arrest, the former deputy senate president was accused of trafficking a child to the UK for organ harvest and slavery. A statement issued by the Met police says “Beatrice Nwanneka Ekweremadu, 55 (10.9.66) of Nigeria is charged with conspiracy to arrange/facilitate travel of another person with a view to exploitation, namely organ harvesting. Ike Ekweremadu, 60 (12.05.62) of Nigeria is charged with conspiracy to arrange/facilitate travel of another person with a view to exploitation, namely organ harvesting. They have both been remanded in custody and will appear at Uxbridge Magistrates’ Court later today. A child has been safeguarded and we are working closely with partners on continued support. As criminal proceedings are now under way we will not be providing further details”. Ever since, the senator’s team has responded to state that the alleged “organ harvest victim” is not a 15-year-old street lad, but a 22-year old adult who volunteered to donate one of his organs for Ekweremadu’s daughter, Sonia, who is having challenges with her kidney. My thrust here is not to probe into the veracity or otherwise of the claims that the supposed organ donor, David Nwamini Ukpo, was shipped to the UK legally. I would also not bother to interrogate whether Ukpo is on his own an opportunist, who, according to claims, when he realised that he would be shipped back to Nigeria after his organ failed to match that of Sonia,  decided to raise false alarms of abuse and what have you. No, my focus is why, in the first instance, Ekweremadu had to depend on a UK hospital for an organ transplant operation for his darling daughter.

The problem with the Enugu-born senator is the problem with all our political leaders in Nigeria. Like the saying goes: “all are thieves but he who is caught is the barawo”. For crying out loud, Ekweremadu has been in the corridors of power since the time lizards were few. He is a confirmed “omo ijoba” (government child). Two years before the advent of the current political disaster we call democratic governance, he was elected chairman of Aniri Local Government Area of Enugu State on the platform of the defunct United Nigeria Congress Party, UNCP. He was elected into the Senate in 2003 and was deputy Senate president for 12 years, beginning with the era of David Mark, through to Bukola Saraki. In his 19-year stay in the Senate, like his other political leeches feeding fat on our patrimony without a whim of concern for the common good, Ekweremadu did not see any reason why Nigeria should have well -equipped hospitals where ailments like organ failure of any shade could be treated. Unfortunately, Ekweremadu is not the only culprit in the league of Nigerian leaders engaged in medical tourism. The league, as we all know, is led by General Muhammadu Buhari, who holds the life trophy of spending 104 days at a stretch on a London hospital bed at our expense, with the presidential jet parked at Heathrow Airport, accumulating demurrage! When we add the BTA of his personal aides who accompanied him to the UK, Buhari will go down in history as the man who spent what could have built for the nation a decent hospital for the use of the people on a single medical trip abroad. So, when news of the arrest of Ike and Beatrice Ekweremadu filtered in, what easily came to my mind is the saying that when the head is rotten, the tail will be home for maggots! Cumulatively, an August 5, 2021 report by the Premium Times of Nigeria, puts the number of days General Buhari had spent on medical tourism to the UK at 200. You may wish to ask: did Buhari not talk about the parlous state of the nation’s health institution while seeking our votes in 2014? Did he not assure us that he would not go abroad for medical attention? Kazeem, quoted earlier, answers the posers.

That done, as humans, we may also wish to look at the desperation of the father-figure Ekweremadu presents as he seeks a medical solution to his ailing daughter’s health. There is a deep prayer among my people which says: “ki Oluwa ma fi ina omo jo wa” (May God not allow us to be scorched by the death of our child). This is where I believe that our thoughts should be with Miss Ekweremadu as she battles for survival at this critical moment. It is even more important for us to spare a moment of prayer for Sonia, now that the most important caregivers of her life, the parents, are in detention. The thought that her parents are locked up in cells in the UK because of her is devastating enough for the poor girl. While we have the assurance that, unlike what we have in Nigeria, the UK Government would not allow Sonia to be left unattended to, we cannot overemphasise the importance of the presence of her parents at this crucial  time. Again, that the Ekweremadus were picked up on their way to Turkey is an indication of how desperate they were to bring their daughter back to sound health. We may frown at the method employed to achieve that. We may interrogate why the replacement for the failing organ was not sourced within the family circles. In all that, we must have it at the back of our minds that every mother hen uses her back to shield her chicks from the ravenous hawk. We therefore call on the Almighty God, our Healer, to stretch His healing hands on Sonia and make this storm to pass. We pray that she surmounts this mountain before her and becomes useful to Nigerian society and humanity in general. We also pray that after this, every Ekweremadu in leadership in Nigeria will see the need to build up our health institutions and other decayed infrastructure in the country as doing so is also in their own interest. May Sonia live!

 

Strictly Personal

African Union must ensure Sudan civilians are protected, By Joyce Banda

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The war in Sudan presents the world – and Africa – with a test. This far, we have scored miserably. The international community has failed the people of Sudan. Collectively, we have chosen to systematically ignore and sacrifice the Sudanese people’s suffering in preference of our interests.

For 18 months, the Rapid Support Forces (RSF) and the Sudanese Armed Forces (SAF) have fought a pitiless conflict that has killed thousands, displaced millions, and triggered the world’s largest hunger crisis.

Crimes against humanity and war crimes have been committed by both parties to the conflict. Sexual and gender-based violence are at epidemic levels. The RSF has perpetrated a wave of ethnically motivated violence in Darfur. Starvation has been used as a weapon of war: The SAF has carried out airstrikes that deliberately target civilians and civilian infrastructure.

The plight of children is of deep concern to me. They have been killed, maimed, and forced to serve as soldiers. More than 14 million have been displaced, the world’s largest displacement of children. Millions more haven’t gone to school since the fighting broke out. Girls are at the highest risk of child marriage and gender-based violence. We are looking at a child protection crisis of frightful proportions.

In many of my international engagements, the women of Sudan have raised their concerns about the world’s non-commitment to bring about peace in Sudan.

I write with a simple message. We cannot delay any longer. The suffering cannot be allowed to continue or to become a secondary concern to the frustrating search for a political solution between the belligerents. The international community must come together and adopt urgent measures to protect Sudanese civilians.

Last month, the UN’s Independent International Fact-Finding Mission for Sudan released a report that described a horrific range of crimes committed by the RSF and SAF. The report makes for chilling reading. The UN investigators concluded that the gravity of its findings required a concerted plan to safeguard the lives of Sudanese people in the line of fire.

“Given the failure of the warring parties to spare civilians, an independent and impartial force with a mandate to safeguard civilians must be deployed without delay,” said Mohamed Chande Othman, chair of the Fact-Finding Mission and former Chief Justice of Tanzania.

We must respond to this call with urgency.

A special responsibility resides with the African Union, in particular the AU Commission, which received a request on June 21 from the AU Peace and Security Council (PSC) “to investigate and make recommendations to the PSC on practical measures to be undertaken for the protection of civilians.”

So far, we have heard nothing.

The time is now for the AU to act boldly and swiftly, even in the absence of a ceasefire, to advance robust civilian protection measures.

A physical protective presence, even one with a limited mandate, must be proposed, in line with the recommendation of the UN Fact-Finding Mission. The AU should press the parties to the conflict, particularly the Sudanese government, to invite the protective mission to enter Sudan to do its work free from interference.

The AU can recommend that the protection mission adopt targeted strategies operations, demarcated safe zones, and humanitarian corridors – to protect civilians and ensure safe, unhindered, and adequate access to humanitarian aid.

The protection mission mandate can include data gathering, monitoring, and early warning systems. It can play a role in ending the telecom blackout that has been a troubling feature of the war. The mission can support community-led efforts for self-protection, working closely with Sudan’s inspiring mutual-aid network of Emergency Response Rooms. It can engage and support localised peace efforts, contributing to community-level ceasefire and peacebuilding work.

I do not pretend that establishing a protection mission in Sudan will be easy. But the scale of Sudan’s crisis, the intransigence of the warring parties, and the clear and consistent demands from Sudanese civilians and civil society demand that we take action.

Many will be dismissive. It is true that numerous bureaucratic, institutional, and political obstacles stand in our way. But we must not be deterred.

Will we stand by as Sudan suffers mass atrocities, disease, famine, rape, mass displacement, and societal disintegration? Will we watch as the crisis in Africa’s third largest country spills outside of its borders and sets back the entire region?

Africa and the world have been given a test. I pray that we pass it.

Dr Joyce Banda is a former president of the Republic of Malawi.

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Strictly Personal

Economic policies must be local, By Lekan Sote

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With 32.70 per cent headline inflation, 40.20 per cent food inflation, and bread inflation of 45 per cent, all caused by the removal of subsidies from petrol and electricity, and the government’s policy of allowing market forces to determine the value of the Naira, Nigerians are reeling under high cost of living.

 

The observation by Obi Alfred Achebe of Onitsha, that “The wellbeing of the people has declined more steeply in the last months,” leads to doubts about the “Renewed Hope” slogan of President Bola Tinubu’s government that is perceived as extravagant, whilst asking Nigerians to be patient and wait for its unfolding economic policies to mature.

 

It doesn’t look as if it will abate soon, Adebayo Adelabu, Minister of Power, who seems ready to hike electricity tariffs again, recently argued that the N225 per kilowatt hour of electricity that Discos charge Band A premium customers is lower than the N750 and N950 respective costs of running privately-owned petrol or diesel generators.

 

While noting that 129 million, or 56 per cent of Nigerians are trapped below poverty line, the World Bank revealed that real per capita Gross Domestic Product, which disregards the service industry component, is yet to recover from the pre-2016 economic depression under the government of Muhammadu Buhari.

 

This has led many to begin to doubt the government’s World Bank and International Monetary Fund-inspired neo-liberal economic policies that seem to have further impoverished poor Nigerians, practically eliminated the middle class, and is making the rich also cry.

 

Yet the World Bank, which is not letting up, recently pontificated that “previous domestic policy missteps (based mainly on its own advice) are compounding the shocks of rising inflation (that is) eroding the purchasing power of the people… and this policy is pushing many (citizens) into poverty.”

 

It zeroes in by asking Nigeria to stay the gruelling course, which Ibukun Omole thinks “is nothing more than a manifesto for exploitation… a blatant attempt to continue the cycle of exploitation… a tool of imperialism, promoting the same policies that have kept Nigeria under the thumb of… neocolonial agenda for decades.”

 

When Indermilt Gill, Senior Vice President of the World Bank, told the 30th Summit of Nigeria’s Economic Summit Group, in Abuja, Federal Capital Territory, that Nigerians may have to endure the harrowing economic conditions for another 10 to 15 years, attendees murmured but didn’t walk out on him because of Nigerian’s tradition of politeness to guests.

 

Governor Bala Muhammed of Bauchi State, who agrees with the World Bank that “purchasing power has dwindled,” also thinks that “these (World Bank-inspired) policies, usually handed down by arm-twisting compulsions, are not working.”

 

What seems to be trending now is the suggestion that because these neo-liberal policies do not seem to be helping the economy and the citizens of Nigeria, at least in the short term, it would be better to think up homegrown solutions to Nigeria’s economic problems.

 

Late Speaker of America’s House of Representatives, Tip O’Neill, is quoted to have quipped that, at the end of the day, “All politics is local.” He may have come to that conclusion after observing that it takes the locals in a community to know what is best for them.

 

This aphorism must apply to economics, a field of study that is derived from sociology, which is the study of the way of life of a people. Proof of this is in “The Wealth of Nations,” written by Adam Smith, who is regarded as the first scholar of economics.

 

In his Introduction to the Penguin Classics edition of “The Wealth of Nations,” Andrew Skinner observes: “Adam Smith was undoubtedly the remarkable product of a remarkable age and one whose writing clearly reflects the intellectual, social and economic conditions of the period.”

 

To drive the point home that Smith’s book was written for his people and his time, Skinner reiterated that “the general ‘philosophy,’ which it contained was so thoroughly in accord with the aspirations and circumstances of his age.”

 

In a Freudian slip of the Darwinist realities of the Industrial Revolution that birthed individualism, capitalism, and global trade, Smith averred that “How selfish soever man may be supposed, there are evidently some principle in his nature which interest him in the fortune of others, and render their happiness necessary to him, though he derives nothing from it, except the pleasures of seeing it.”

 

And, he let it slip that capitalism is for the advantage of Europe when he confessed that “Europe, by not leaving things at perfect liberty (the so-called Invisible Hand), occasions… inequities,” by “restraining the competition in some trades to a smaller number… increasing it in others beyond what it naturally would be… and… free circulation of labour (or expertise) and stocks (goods) both from employment to employment and from place to place!”

 

Policymakers, who think Bretton Woods institutions will advise policies to replicate the success of the Euro-American economy in Nigeria must be daydreaming. After advising elimination of subsidy, as global best practices that reflect market forces, they failed to suggest that Nigeria’s N70,000 monthly minimum wage, neither reflects the realities of the global marketplace, nor Section 16(2,d) of Nigeria’s Constitution, which suggests a “reasonable national minimum living wage… for all citizens.”

 

After Alex Sienart, World Bank’s lead economist in Nigeria, pointed out that the wage increase will directly affect the lives of only 4.1 per cent of Nigerians, he suggested that Nigeria needed more productive jobs to reduce poverty. But he neither explained “productive jobs,” nor suggested how to create them.

 

In admitting past wrong economic policies that the World Bank recommended for Nigeria, its former President, Jim Yong Kim, confessed, “I think the World Bank has to take responsibility for having emphasized hard infrastructure –roads, rails, energy– for a long time…

 

“There is still the bias that says we will invest in hard infrastructure, and then we grow rich, (and) we will have enough money to invest in health and education. (But) we are now saying that’s the wrong approach, that you’ve got to start investing in your people.”

 

Kim is a Korean-American physician, health expert, and anthropologist, whose Harvard University and Brown University Ivy League background shapes his decidedly “Pax American” worldview of America’s dominance of the world economy.

 

Despite his do-gooder posturing, his diagnoses and prescriptions still did not quite address the root cause of Nigeria’s economic woes, nor provide any solutions. They were mere diversions that stopped short of the way forward.

 

He should have advocated for the massive accumulation of capital and investments in the local production of manufacturing machinery, industrial spare parts, and raw materials—items that are currently imported, weakening Nigeria’s trade balance.

 

He should have pushed for the completion of Ajaokuta Steel Mill and helped to line up investors with managerial, technical, and financial competence to salvage Nigeria’s electricity sector, whose poor run has been described by Dr. Akinwumi Adesina, President of Africa Development Bank, as “killing Nigerian industries.”

 

He could have assembled consultants to accelerate the conversion of Nigeria’s commuter vehicles to Compressed Natural Gas and get banks of the metropolitan economies, that hold Nigeria’s foreign reserves in their vaults, to invest their low-interest funds into Nigeria’s agriculture— so that Nigeria will no longer import foodstuffs.

 

Nigerians need homegrown solutions to their economic woes.

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