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Zainab Idris: When The System Fails To Elevate The Citizens

By Eniola Daniel
As an important element of national security, public health not only functions to provide adequate and timely medical care but also track, monitor, and control disease outbreak. The Nigerian health care system is poorly developed and not meant to cater for the need of the poor. No adequate and functional urveillance systems are developed. To achieve success in health care in this modern era, a system well grounded in routine surveillance and medical intelligence as the backbone of the health sector is necessary, besides adequate management couple with strong leadership principles.

The health expenditure per capital in Nigeria in 2015 was $97 dollars, compare with Norway with $7464 per person, Switzerland with $9536, this static shows a wide gap between the society that work and a nation that only pray.

Miss ZainabIdris, 20, a student of Kwara State Polytechnic is a victim of a non working system, and represent the need why the Nigerian health system need to be restructured to work for the poor.

With N925,000 for corrective surgery on two legs, according to the Medical Report signed by Dr. Izuagba E.B of the National Orthopaedic Hospital, Igbobi, Lagos, miss Idriss lives with the pain every day, unable to concentrate in school and hope for a miracle, which if the Nigerian system adopt the best practices like health insurance for its citizens, could cater for.
Her mother, Mrs. AdenikeIdris, who came with her to The Guardian last week to solicit public support, could not hold back her tears as she narrates how her daughter cry every night before going to bed.

Former Governor of Ondo State, Dr. OlusegunMimiko, had said in 2018 at the launch of a book, ‘Save For His Praise: A personal testimony, authored by publisher of Hallmark Newspaper, Prince Emeka, that we have some societies that organized their own miracles themselves by ensuring quality healthcare for her citizens, and as long as we remain a society where everybody is a commodity on the day of election who can be purchased with N5,000, our miracle will not come. He said”

Social and financial risk protection for poor and vulnerable populations is a major development and policy issue across the globe. There are numerous definitions of social protection. In the context of health, social protection is defined as programmes and measures aimed at removing financial barriers preventing access to health care services and protecting poor and vulnerable populations from the impoverishing effects of medical expenditures. Financial risk protection is a key component of Universal Health Coverage (UHC) and the health system goal of ensuring access to quality health care services without suffering financial hardship.

Since independence in 1960, Nigeria has had a very limited scope of legal coverage for social protection, besides over 90% of the Nigerian population being without health insurance coverage. The Nigerian health system has been evolving over the years through health care reforms aiming to address the public health challenges confronting it. This includes: National Health Insurance Scheme (NHIS), National Immunisation Coverage Scheme (NICS), Midwives Service Scheme (MSS) and the Nigerian Pay for Performance scheme

Even so, the inability to effectively address the country’s numerous public health challenges has contributed to the persistent and high level of poverty and the weakness of the health system. Political instability, corruption, limited institutional capacity and an unstable economy are major factors responsible for the poor development of health services in Nigeria. Households and individuals in Nigeria bear the burden of a dysfunctional and inequitable health system delaying or not seeking health care and having to pay out of pocket for health care services that are not affordable.

“Now, miss Idriscan neither trek a long distance nor sit for more than two minutes without lifting her legs up. She can’t sleep well and was told to overcome her pains before she can be accepted back to school.

Zainab, said: “I am always in pains, especially when I trek to school and return.

“I get bullied because of the way I walk. Children make jest of me. I am done with my ND and I am currently doing my HND. I can’t concentrate because of the pains. Please, I want kind-hearted Nigerians to help me.

Kindhearted Nigerians could pay to: Account details: IdrisZainab, 0236790918, Guarantee Trust Bank (GTB). Or call call07015677712, 08055287068.

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