 ఇవిది పరింది ఇసినినాలామిమియానావియిౕిసిసావిలీందికతిసితాసానిల౾రి. that's common waiting they get in plan in waiting for those one hundred and thirty three million more multidimensionally poor Nigerians everywhere for the world now I guess every plus TV they tell us they now thirty minutes they won't give us for this healthcare session oh but that will not go joined at all because every single Nigerian patient is worth it if anybody there collapse now we need good healthcare structure even though we get power every way they act so rock if we not get good hospital in never complete and no be dirty no that one so with your permission plus tv and with the permission of Nigeria across the world and with the permissions of friends of Nigeria but wish Nigeria well we are actually going to take our one hour because every single Nigerian patient is worth it so today we want to discuss health as a panel and we have Nigerians from across the world everywhere in the healthcare sector healthcare system is not only doctors it's not only pharmacists here we have pharmacists doctors nurses doctors nurses and today no less professionals than people like I the mayor of koji of separation and gynecologist a bma representative we have shown so anymore somebody who is a fantastic bariatric soldier and holds his own even in the film industry or they have a head of milk made go and check it out Emmanuel emir soba is there Emmanuel is an internal physician with special interest in cardiological health my dear anything will contain your heart now this man is supposed to and of course we have our own harry king harry of kojato aka the first man who decided that i said doctor he wants to be a comedian and the first comedian to officially be a doctor this man has transverse Nigeria worry tnt uk name is primary healthcare potentially healthcare demand the comedy of the day and then i have sister and lady h kareyta uku this is a woman who has spent 20 years in big pharma an internal physician and a public health expert she's also an author and of course the man who has worked day and night with me the man who tells me that you can sleep oh this thing must happen talking to Nigerians everywhere on the globe about healthcare if i'm just in okk a pharmacist an academic in fact the man tried to say there's too many i cannot i can go on and what they were but we don't have that time and of course we have the cms the man who has decided that after getting all the training in the united kingdom he needs to do what we call brain gain reverse brain drain and he has been in Nigeria now for over six years a consultant neurosurgeon with endoscopic and complex spine and complex brain skills putting Nigeria on the map then we have our own very special brother a man who has worked in the community when you say community go to a job community health extension worker and then this one said no no no no i will not stop there he went on to become a nurse and today he is a period nurse working with some of the best minds in Nigeria i want to join me welcoming these people and then we are going to bring home the case scenarios that we can all relate to it that will take us through the seven pillars of obi that is healthcare plan and i'm going to call on item here poji or either you get the floor and you are waiting for you hello everyone can you hear me yes i can awesome so pita will be campaign always talking on and on about the seven pillars they are going to work on and how human capital development is important so to streamline that human capital developments made up of education and health so from the health side of things we're going to take a microscopic look to examine what the policy has all holds for us as a nation so we're going to dissect this using case based scenarios like doctor like loretta excuse me we don't want to be called doctor here because we are all Nigerians so loretta said before so i will be sharing my screen so you can see and go straight into the first scenario the first case scenario is a 54-year-old farmer of boary origin in the abuja axis of nigeria went to the farm about six a.m. in the morning to start his substance subsistence farming for the day unfortunately while on his yam farm and just as the alone day was ending he felt a sharp pain and called out to his wife who had accompanied him to the farm that day so upon realizing it was a snake bite the brave woman sought for and was able to kill the snake with her cutlass she then rushed her husband to the nearest health care center as he had started feeling weak and faint on arrival at the twilight there was no doctor at the primary health care center the overnight nurse on duty put an oxygen mask on him and told the wife that she will inform the doctor about the presence of the patient when he arrived in the morning the wife in a bid to adjust the oxygen mask realized that there was nothing flowing out of it she pointed this out to the nurse who took a second look at the cylinder and concluded that it had either run out of oxygen or something was wrong with the dispensing mechanism doctor and comedian henry budasso in regarding the health care and health care capacity and resources pillar what sort of manpower availability can you speak to in this case scenario thank you very much my dear sister is a uh ninjas on a well don't know first of all i think it is particularly confused us beside this country where to be subsistence my people just simply me say that the thing where demanded the also the to the shop every day as in every day they go also they also not twilight not twilight live twilight demand the rudiment go hospital snag bite for nigeria uh because say manpower not really day i don't work as our sister a loretta talker i don't work for primary health care work for tertiary work for data state government well i think the more the village is there and it turns around for work i consider the residency for uvth so the three tiers of government hospital work website waiting to find for most of this trying case waiting to see most of the time be say because say manpower not day i'm not going to say manpower not day no no you go reach out to hospital now if they not get anti venom for the snake let me make you they see some of them those village people the dog or the sock dog or the sock the the the wound where these are just here snake and snake bite the dog poop pipe they use your mouth to the sock ham not knowing say as in the sock that thing they come on the the sock wasn't the people they have body too so to cut big story shots manpower not work up for nigeria et cetera et cetera you know say work up 90 the is for people then medications they not day than a champions league okay doctor comedian we will talk about those other aspects so in other words manpower is not it's not available not day not day not day not day not day after and then they come with policies the government they come with bloody policy today they today they bambooz the people and they don't say not power not day yeah like that they don't say not the day 30 all right loretta do you think this nurse realize the need for urgency in this case it's a good thing we are using a scenario close to home like this and it's this is what the obi that it's in is trying to do with healthcare and trying to stop clearly you have a stuff that did not have capacity capacity in terms of skills capacity in terms of knowledge that stuff did not understand the urgency of snake bite did not immobilize the leg and did not even know how to repair the oxygen wasn't working and was saying the next morning but wouldn't i say bite better the better the things you'll get a sense till tomorrow no this is what we need to stop and obi that we have said that we must improve human capacity and resort to healthcare now we say we know say we not get many doctors enough but which we will come to when we come to come in a general manner how to take care of the over 200 million people when we get now what do you know they call tax shifting and tax sharing like we said we will come begin they want our muscles then to all get people waste i'll be waiting that they do we're going to train them standardize them even the traditional better tendons and the cube so that when passing on there they'll say ah this is urgent to this is what they have to do and this is how i'm going to repair to the nearest place this is one of the big pillars of the seven of the obi that you manifesto speaking to this case in the time thank you very much look look you know vestize them because you're small matter for them okay nothing they don't say health care health care native doctors and try the medical too they need to incorporate them join with the letter doctor soon so we are kind of educate people on the basic needs for first aid in this sort of scenario is very common in Nigeria i particularly don't like anything that creeps or crawls so um i have a big phobia for snakes so you can imagine what if you don't know what to do in that sort of situation you panic you are at risk of so many things and in this particular case this poor farmer is not only at risk of dying from snake bites he's at risk of dying from insecurity from the situation in the nation he's also at risk of dying from the corrupt practices going on and the sharp practices going on in the health care industry so on that note i'm going to call on Douglas what can you speak to regarding service delivery in terms of equipment or equipping um health care oh i think anybody can do well yep you're good yeah so i think the key thing we should remember here from a policy point of view would be that this policy point of view is that for a very long time government in Nigeria have not interfaced with people the people today far from god from government remember say you get this 133 million people when multi multi-dimensionally poor and that multi-dimensional poor what it means say they're not get access to basic basic education they're not get access to basic health you get one uh boom big uh this is what it is what it is for sustainable development goals if you look look those goals have a 17 of them day number three now actually health care number four education so health care they're very very important one of the things what they very quick for our health care system now the primary health care system which is the basic health care system so if you look this man now this man where they where they work for for farms west west big vital where he goes so now the primary health care system across Nigeria across the one that the 774 local governments for Nigeria the thing they're almost nonexistent you go see buildings and stuff one of the work now where did you obey that the policy talk they say they will really invest well well for two key things number one the service delivery service delivery in terms of say oh when you actually enter any small place in my family health care center they will get everything where they need in terms of key thing like like like like like you right you said as i say the human resource for health and right i will talk talk and talk good for the matter just now once you talk about me say if you look the population of Nigeria 215 million people roughly and so and you say you want to live back here to these people the about 40 000 doctors with the wedding Nigeria not there not at all because if they look things like WHO standard where they say one doctor to 600 percent you don't go fit so you not use this extra sense they don't say okay how will how will come to deliver health care to these people how will they provide service where they talk about i say to these people so this is what i don't want to talk to you say you will look like the one particular care of health care workers say this care of health care workers we go big them up we'll give them extra training they will go savvy those people that for this matter so we enter that place let's take bite so they will feel respond well well you go train them in such a way they say they they will get the capacity they will get the knowledge and you go regulate them well well it was one of these people they came and say ah if you put these people may they use some some level where like say they take some some work for doctor they feel suddenly miss be able to miss that most people they do this but you go check them you go make sure say what they call regulation say this strong well well will be big or even when they use sometimes robust accountability mechanisms okay to make sure same and say the day bar not so you will take and i said you will be dirty government when they come in not so they want to improve the service especially for that primary health care where this partner goes to i will stop the for now okay so you can see from the policy document the action plan for health care service delivery in the will be dirty regime i will say will be a focus on primary health care solid infrastructure investment i renovation and maintenance they are not interested in building new fantastic buildings that will crumble in the next you know how many years or the next dispensation and is pretty because we love pretty things in Nigeria but we have a very poor maintenance culture and also if you permit me just so feel say come here i have with you join me with you doctor don't last don't last don't talk so another thing when they say in the afternoon for those they don't get equipment if you see primary health care for abroad if you reach to seek or hungry you to seek hungry you yeah but if you come our primary health care equipment not day and apart from say the most equipment you know they do retraining they train them again they update them and i believe in a weighty or be dirty could do because they are experienced and they can't say if they don't get it but the leadership is going to Nigeria absolutely brings me to the hardware procurement side of the policy and workforce optimization now i'm going to call on you share and i'm going to ask you a question about what's he called now the use of health care information systems in this case scenario what would be your advice regarding how we can optimize care or make sure we deliver the safe first care to these patients and millions of thousands of other farmers who are Nigeria's workforce actually and food basket generators okay thank you very much for bringing me into this scenario the first thing i wanted to note was that as we were talking about manpower in the first instance now women get the power inside this story because now women get power kill that snake now women get power clean kill that snake and not stay the center of this story so the health care information systems and management and time they say i see say obi dati have a plan to leverage the resources that we have in the diaspora in terms of doctors right to use to help our health care system in Nigeria even here where i did for new jersey the biggest health care information management system that then they use one third of the workforce are Nigerians right so using health care information systems way then fit applied to the basis level way be say your paka paka cell phone not be like fancy one like this way we get fit operate without that knows can have the information she need to administer first aid to that farmer absolutely absolutely that knows can have pictures of the kind venoma snakes way them be way be say she won't even need to be carrying that snake they carry and go health center she will get those pictures on top that paka paka phone to identify you know the kind venom we go there they might even those health information systems to map out the areas where those snakes then they localize so that then go stop the kind anti venom way they need it for those snakes in those very important be like say you got teeth work from lady at you but i wanted to call lady at you talk more about vaccine and okay care as well to talk more about vaccines and medicines regarding the policy of the obi dati campaign thank you very much can you hear me absolutely good thank you at the end and loretta and all of the speakers so far the obi dati campaign and manifesto has seven co-pillars in the health policy as you know and speaking on the medicines vaccines section as already mentioned the anti venom is critical and we have many different types based on the different snakes and most in the most instances we use the poly specific freeze dried type or the liquid type which requires refrigeration so when you think about these two options we don't even have sustainable or sustained electricity or power for these primary care centers so in the obi dati campaign and manifesto so equipping and resourcing the medical centers the primary care centers appropriately is certainly a principal aspect of the policy of the healthcare approach and the healthcare campaign so when we think about this patient there were some immediate things immediate steps that needed to have been taken like immobilizing the joints or the the section where he sustained the snake bites lower in it and these all require education bringing a level of awareness educating mapping out as you mentioned earlier those areas where we have the prevalence of snake bites riverine areas swampy areas tropical areas where on the jungles where people work or in the farm and ensure that they're health fairs educating the the general population there on snakes and how to take immediate care and then to the point that has already been made around information technology how do we get them transported from such interplaces to primary care centers and having those primary care centers appropriately equipped and the nurses trained to know when to escalate and administer some of the immediate therapies that we have available to us so i think that the healthcare policies that are being put forward will actually address many of these from both the leadership and governance as well as availability of the medicines and equipment needed so the policy is going to be looking at points of for action looking into production the management and sustaining the production and also regulating the production so people are not producing faecal substandard antivenom or other products that require production in Nigeria so that's the nafdaq has to make sure they are on their ball and they're doing your writing coming to you okay if i'm just going to stop sharing for a second so we can see you what are your takes or what else do you want to add to that regarding what lady h just said have i got if i will take it on yes i think it needs to be unmuted coming on muting please okay good evening can you hear me loud and clear oh yes that man okay great good evening everybody and i want to thank my sister and who has already talked about the antivenom vaccine but i want to add that the concept of from consumption to production is what the team is bringing to the table i want to inform you that the concept of essential drug is about producing safe affordable effective and quality products drugs in Nigeria so i want to also give you information that nigeria was producing vaccines before in yaba third round uh production from 1940 absolutely from 1940 to 1991 we are producing our yellow fever we are producing our antirebis vaccine not just for consumption in Nigeria but also for distribution to other african countries so what went wrong so that is saying we are going to produce our vaccines luckily and one of the advantages for that that man that came in with a bite do you believe that i have to go to india to get vaccine to give him what if there is supply chain disruption like the time we had the type we had during the covid era that means the man will die exactly so we need to produce a vaccine luckily and we have the capacity to be that the team is bringing that to the table not just uh anti-snake venom malaria vaccine vaccine for tired who diseases the diphtheria apetosis tetanus polio hemophilic influenza type b vaccine and also hpv vaccine there's so many of them a lot about covid that he is bringing to the table look how professional of that i said i've been seen on if you know my own yes covid vaccine yes covid vaccine let me tell you during the covid time nigeria lost opportunity of benefiting from 1.2 billion euro of e you because we did not have our local capacity two of those forms went to gana senegal even south africa senegal is boasting of about three vaccine companies now producing gana here is woman of senegal so nigeria we are big that we have to bounce back will be that he has done it before will be has done it and i'm breasted will be that he's going to even do more absolutely to make the primary care 700 that's all i have to ask for now thank you and here he just talking to you that he wanted to say yes uh not the only uh vaccine nigeria don't produce oh there was a time that the russian president to come i think remember yes in boris he get heart problem nigeria give them a heart i will i joined the team when he go russia go visit the mark we tell and say make it not go anywhere go take treatment we say we get heart to be given up on nigeria i say who you can collect the heart so no now in lego we brought him to nigeria we first of all hospitalized for casino state casino state and the home of hospitality from then i will kind of go there that because that and i will be the big heart of state we can't give a heart for the body heart not the beat for they will kind of make the heart the beat the heart was beating but it was not working on the excellent condition now what can i tell legoz legoz come make and they walk in and you say you know say that about the carry last but the time they finish giving the other the work finish yes in boris and the team we are very happy they say okay where they want show now can they go then we state the the food basket of the nation the if finish they say the one bar we call the attack against it the conflict it where to reverse for me now so the jump inside the bar when they finish they say okay where they want sleep we say anablast today home for all from there they consider god by the next morning when they wake up they should come for pocket they say they not get money we say they not worry nigeria get money nigeria is blessed we carry the entire river state the church or base of the nation the if are yes in boris and the team we give them money finish they say they won't go but yes in boris they know say we must do something for all nigerians for this happen we give them to see but we go for do party for us now we say no worry now we can send off unity for abuja it will gather everybody the man will show please as he was going say when one pass go now we take and go home state the gateway state now they pass go out so that pass glory when we get obey that him open a comeback absolutely that he will bring a comeback that's ourselves and you know it's not just that there's also a national pride because even those of us in diaspora when you see the way people are mistreated even professionals are mistreated and treated like that just common migrants is very heartbreaking and you know you just think if my nation was stable this wouldn't be happening you know i mean it can't treat a man from sweet land that way or someone from Sweden that way who's working in the uk for example there's a degree of respect so we need to get our national pride back so i'm just going to give you some facts before we go on to the next scenario which we will discuss quite rapidly so w h recommends that for managing snake bites it's a it's a category of care which is regarded as neglected in the public health sector and they want to aim to drop the incidence by 50 percent because so far about 81 000 to 140 000 people die globally and in Nigeria settings about 500 people per 100 000 so that's like 1 in 200 people suffering from snake bites in Nigeria and those who suffer mobility as in suffer long-term consequences including post-traumatic stress disorder about another 400 000 so it's actually quite important and like lady h has mentioned about immobilizing so you put pressure immobilize rush the person give first aid on the site by immobilizing and putting pressure take the person to the urgent care center or treatment center and uh can i just add something to that uh i say i think an key thing is that if you look at the incidence of snake bites it's actually around the food basket of Nigeria is that in the savannah region of Nigeria so that's really really important because one of the key things that you'll be that is is looking at is really pushing agriculture so that's what it's really important about