The healthcare service delivery in Yobe state is undergoing some radical transformation with experts and the United Nations among others, giving the Mai Mala Buni administration a pat on the back as new era heralds in the state. YUSUF A.YUSUF writes
“Health is wealth” is the popular maxim. There is no doubt that the economy and development of any society or nation can only be propelled by healthy citizens. This explains why healthcare delivery in Yobe state under Governor Mai Mala Buni administration, has consistently received priority attention for a better health status for people of the state.
The governor, in his inaugural address May 2019, unveiled a healthcare development programme of establishing one functional Primary Healthcare Center in each of the 178 political wards across the state to bring healthcare delivery to the doorsteps of the people. So far, 140 have been completed, equipped, commissioned, and put to use for the benefit of the people.
Each of the new Primary Healthcare Centre has an equipped laboratory, a labour room, a pharmacy stocked with medical consumables, male and female wards for admission of patients, and staff quarters for the accommodation of medical personnel posted to these facilities to ensure 24/7 services in the communities.
For the border communities of Bulatura, in Yusufari Local Government area, Gumsi, in Yusufari Local Government Area, Dole Machina and Taganama in Machina Local Government Area and Ma’anna, in Geidam Local Government area, it is a new dawn. The establishment of the functional primary health centres had saved them from crossing over into Niger Republic to access healthcare services. It was a long awaited dream come true.
And to further take healthcare delivery to the next level in the state, the Buni administration upgraded four General Hospitals to Specialists Hospitals, and eight Primary Health Centers to General Hospitals, with all the necessary equipment and facilities befitting of Specialist, and General Hospitals thereby boosting the secondary healthcare delivery and bringing healthcare services much closer to the people.
Tackling maternal, child mortality
Worried with the distasteful and avoidable record of high maternal and child mortality in the state, Governor Buni constructed the ambitious 375-bed capacity Maternity and Child care health complex which is unarguably Nigeria’s largest maternity and child care clinic.
The structure is made up of seven blocks of one-storey complex with patient-friendly spaces in accordance with the global best practice in modern maternal, Newborn and Paediatric health care as obtained in advanced countries. The architectural masterpiece would satisfactorily take care of expectant/nursing mothers, their newborn babies as well as children in general.
The Obstetrics and Gynaecology wing of the Complex has 64 Open cubicles, five call duty rooms, five satellite pharmacies, one side laboratory and four Nurses’ stations. The Special Baby Care Unit (SCBU) has three adjoining generously spacious and nicely done wards that is 28 baby cots wards for newborn babies suspected of sepsis, 10 newborn cots wards for out-born babies, and 10 newborn baby cots wards for In-born babies, four Nurses’ stations, 10-bedspace room/unit for their nursing mothers.
In addition, there is a 10-bed space room for nursing mothers to breastfeed their newborn babies, five Doctor’s rest/Call duty rooms, five nurses’ rest/change rooms, five offices for the unit Matron in charge, four additional offices for health information management/documentation, seminar room, a library, Kitchen and stores.
The Labour ward and obstetrics theatre units have four operation suites (including attached sterilization and scrubbing area, six recovery rooms, additional offices for anesthetics perioperative nurses, other theatre support staff, male and female change rooms, common room for staff on duty, seminar and computer rooms.
The Paediatric medical ward has 40 cubicles, four call rooms, four side labs and a satellite Pharmacy.
Similarly, the Emergency Paediatrics Unit has 32 bed space cubicles (including a resuscitation cubicle), 2 doctor’s call duty room, a side laboratory, nurses’ station, change room, satellite pharmacy and eight staff offices.
UN commends efforts
In line with Governor Buni’s policy of providing standard and functional health facilities at all levels, state-of-the-art equipment are installed at the center to provide the necessary healthcare services to mother and child, to curb the menace of maternal and child mortality in the state.
Commissioning the complex in January 2023, former President Muhammadu Buhari, said the complex can provide maternity and child care services to all the states in the North Eastern Sub-region. This position was further corroborated by the United Nations Resident Representative in Nigeria, Mohamed Yahya, who led a high-powered delegation to the state recently.
Mohamed said: “The investment in the health sector is pretty impressive and Yobe state is back on the path of development after the devastation by the insurgency. We are quite impressed with the potential of the facilities dealing with maternal and child healthcare challenges”.
To meet the manpower needs of the facilities, the state-owned College of Nursing and Midwifery Damaturu, produced about 1,200 nurses, midwives and community midwives who were given automatic employment to provide quality medical services to the people.
“There is no doubt that the reforms introduced in healthcare delivery by the Buni administration are achieving very positive results. It has ensured sustainability of providing affordable and accessible healthcare delivery to the people of Yobe state. It is obvious that the Contributory Healthcare Programme of the state is performing creditably well and has earned Yobe state the first position in securing 100 percent implementation in the Northeast sub-region,” said a top health officer who spoke under anonymity.
The Bill and Melinda recognition
The State Contributory Healthcare Scheme, established four years ago, has provided effective and efficient healthcare Impressed with the programme, the Bill and Melinda Gates foundation awarded a prize of N30 Million to Yobe state government for being the best performing state in the Northeast sub-region. The award provided YOCHMA with an opportunity to enroll civil servants and vulnerable persons into the programme to have access to effective and efficient medical services.
The state-of-the-art machines upgraded at the State-owned Teaching Hospital have continued to attract patients from neighbouring and far states on medical tourism to Yobe State as confessed by Malam Adamu, a retired Permanent Secretary in Bauchi state.
Adamus’s son was referred to Egypt for surgery but was advised by his neighbour to go to Yobe State which he heeded, and had a successful surgery at a cost far less than the cost of the flight ticket from Nigeria to Egypt.
Similarly, Yobe state government has distinguished itself as next to none with an exemplary record of free dialysis treatment for kidney patients in the state. This has attracted patients from other parts of the country, enjoying the free dialysis treatment.
The government provided 80 customised tricycle ambulances to health facilities in areas with difficult terrain to convey expectant mothers and sick persons to the headrest health centers.
Ambulance service
Further to this, the administration returned the Yobe State Emergency Medical Ambulance Service and Yobe State Healthcare and Health-Related Facilities Inspection and Monitoring Agency. This move is to enhance service delivery in matters relating to domestic and road traffic accidents, and monitoring of healthcare facilities to provide the best standard practice.
Besides, the initiative provides the opportunity for first aid treatment to victims from the scene of accidents before reaching medical facilities while the Health Facility Inspection and Monitoring Agency empowers health authorities to ensure healthcare delivery is not compromised at any level in the state.
The foreign dimension
Last year, Governor Buni took the fight against kidney disease to the United Kingdom to partner with reputable Research institutes with renowned researchers, to establish the causative agents of kidney disease on the banks of River Yobe.
The governor, in a meeting with renowned epidemiologists, said the state lost many people living on the banks of River Yobe to kidney failure, and many more, now patients of the disease.
“The figure of people dying and others as patients is very worrisome and that calls for quick action to save the communities. I am equally worried that a large number of the productive population are getting more affected.
“I am optimistic that you would partner with us to find a solution to the disease to save our people and others in the neighbouring states also lined up along the banks of the river” the governor had said.
Speaking at a meeting with the governor, Neil Peace, the internationally celebrated Professor of Epidemiology at the London School of Hygiene, had said the data generated would be used to establish the causative agents which would push for finding a solution.
Also at another meeting, Ben Caplin, a Professor of Nephrology at the University College London, who specializes in population-based clinical and laboratory studies said, it is important to establish the causes of the disease.
He commended Buni for his interest in finding a solution to this problem facing the communities.
“The only solution to this problem is to find out the possible causes and mitigate the causes as a solution to the disease to save this population and indeed the future generation,” Ben had said.
Katsina governor too
And the commendation of the Yobe state government’s healthcare initiative Katsina state Governor Dr. Dikko Radda, in a recent BBC Hausa Service programme, is not only the icing on the cake, but a testament to the giant strides in healthcare development by the Buni administration in the state.
