Sunday, November 30, 2008

Consistency......



Started out this blog with a lot of enthusiasm. I'm sobered now by my obvious inability to keep up with the task of updating the page. I wonder what my consistency score will be if based on this blog alone!

The fall is now almost gone, giving way to the winter season. The picture to the right was taken two weeks ago.


Now back to other gists............





Nigeria finally decided to appoint new minister for the Health ministry! This is something to cheer about, particularly with the calibre of people so far named.


One only hopes we see result this time and politics is left out of our health system.


Welcome to December.

Tuesday, September 30, 2008

Sing for Nigeria

I recollect though faintly the nice song composed to mark Nigeria's 25th anniversary. Some lines go like this.. Happy celebration, join the celebration...Nigeria is 25...25!
That was 23 years ago!
Growing up through the years that followed, I cannot recollect us having such a nice song again.
I hope it didnt mean there were no songs to sing.
We need to sing a new song for Nigeria.
Happy celebrations to us all and to all the friends of Nigeria all over.

Saturday, September 27, 2008

I'm back.



It's exactly 8 days since I last made a entry into this page. I apologize to all my new fans and the regular readers. I didn't forget at all. Just that the week was very tight.


It's all for good anyway.





Last Saturday, physicians from Nigeria in the MPH had a meeting to discuss issues relevant to our welfare and career advancement. We also made plans for the upcoming Independence day celebration.





Sunday - Attended worship service and then went looking for clothes to keep self warm in the Boston cold. It's getting cold here!





Mon - Fri - I was kept busy with school work. Had an exam on Thurs which was ok.





Sat.- Today has been rewarding. I am yet to read school stuffs but I have done things which made me healthier. I walked out in the morning and later went shopping. Did my laundry and later cooked for the week. Afterwards I spent the evening with some friends.
Spoke with family too.
Great!

Will continue later............

Friday, September 19, 2008

Friday, a delight for all!


Thank God it's Friday! It's always a day which everyone looks forward to.

Today went quite nicely for me.

After 2 classes and 1 lab, I returned to my room where I enjoyed the video of "I'll say Yes" by the Brooklyn Tabernacle choir which I ordered recently.


The HSPH Christian Students' fellowship had a dessert party which I attended and met some new people, one of which was a couple who were in Nigeria over the summer. O how good and pleasant it is for brethren to dwell together in unity.

I should sleep early today (ie before 1am) so as to start my day early tomorrow.


It's getting cold now and I don't have the requisite beddings and clothings yet.

Need to act fast! Real fast!

So I head downtown tomorrow to see what I can get.


Some assignments are also due soon which I also need to attend to over the weekend.


Had a chat with a coursemate from Nigeria this evening who is also very passionate about our country and equiping herself to also make a difference! Really excited as God is touching and raising people in diverse places and preparing them to make Nigeria better!


I will include here a pitch for the Brooklyn Tabernacle Choir's 'I'll say Yes' Go grab a copy and enjoy the atmosphere of worship set in your room!


Thursday, September 18, 2008

Good News from Rwanda.


One of the classes I had taken over the summer was Introduction to Global Healthcare Delivery which was an immersion course into the practice of healthcare across the world particularly with respect to the roles of NGO's, donors and international agencies.
The class being case-based enabled us to critically study several programs and learn practical issues relating to each program and the reasons for their great successes or otherwise.

The Rwanda case highlighted the bold and great strides of the Government of Rwanda in their health sector as a whole, with a leverage obtained from HIV funds.

Today I was fortunate to listen and discuss with Dr. Agnes Binagwaho, the Exec. Sec of the Rwanda HIV commission! It was awesome!
I learnt several things about what makes their health system tick, a few of which I outline below.

1. Political Will: We've over-flogged this. Even the Govt of Nigeria say it! But go to Rwanda and see what political will is.
It means allowing people do their work as best as they can without interfering. It means making healthcare of the people a priority and making ploicies that promote this.
In her words, she says her organization works with the efficiency comparable with that of private organizations, within the linits of the law.

2. Harmonization: One lovely thing they did while starting was to take charge of the various NGO's in their country and taking responsiblity for the health of their people. They coordinated the operations of the various NGOs and asked those who couldnt harmonize with them to leave!
She says nobody (the NGOs) can love her people more than she does! That thrilled me. It really does.

3. The framework of any health program must align with the constitution, the sectoral law and then be put into a protocol. Otherwise, there will be chaos!

4. CSOs are a very potent and important stakeholder. Carry them along. Transparency and community participation is impt. Not just the ones talked about by our first ladies. The ordinary people who are affected must have a sense of ownership of the program.

5. Avoid the jargon of "best practices" as what is best today, becomes surpassed tomorrow. Keep searching for better ways of doing your projects. Be innovative.

6. Integration. Ensure all facilities delivering HIV work are integrated into a common program.

7. Geographic equity important in program distribution else that region will become your achilles heel. Does that remind anyone of a region of Nigeria?

8. When you collect money for projects, do what you've been paid to do.

9. They also have a beautifully designed and integrated drug procurement system.
I will describe it a bit. Using past records and projections, the estimate is made of drugs needed for a given period. This number is shared amongst the various NGOs involved in drug purchase to procure. No NGO can bring any drug into the country without passing it through the pool. From this 'virtual pool' the various health centres draw what they need. Through a computerized system and intermittent checks, records of the various centres are checked for accurate reporting and drug level is monitored. The various centres also have access to info about drug level and utilization rate in their region... Beautiful design.

Waoh!.Hope you were not too bored with my long gist, I was simply inspired. Nigeria has a lot to learn from this.

Wednesday, September 17, 2008

A day like this!


Since the fall semester commenced 2 weeks ago, it's kept me on my toes to evolve new and more efficient means of allocating my limited time while focusing also on achieving better utility.
Wednesday, one of my busiest day with regards to fixed activity just passed and it was great mastering it....not an easy task though.
Below is a journal of how I spent the last 24 hours
02:00am
- Slept
07:20am - Woke up, devotion (abridged), dressing up etc. I grabbed a finger of banana and yoghout cup from the fridge on my way out of the apartment which I consumed along the about 10min walk to class.
8:30am: Arrived exaectly in time for my 1st class of the day : Ethics course (Invidual and socital responsibilty for health.
10:20am: Class ended. Left for the 2nd class

10:30am: Financial transactions and Management course which lasted another 2 hours.
12:30pm: My lunch break was taken up mostly by the HSPH Africa Health Forum inaugural meeting. After the meeting, I laid down on a recliner in the students' common area and shut my eyes for about 10mins. Almost fell asleep!

1:30pm: Microeconomics course. Another 2 hours! Had some transient moments of zzzz during the class! I audit the class. But it's worth the time and added stress!
3:30pm: Society and Health, a social epidemiology course. Lovely! Nice Professor! Enjoyed he class as always. That may be why they gave him this bad slot, when everyone is likely to be tired.

Guess what it's not ended yet!

5:30 - 6:30pm Society and Health Lab.

Afterwards, I walked back home, made boiled rice, fried some plantain, warmed some cooked beans porridge taken from the freezer and warmed some stew + beef which served as dinner.
I enjoyed it.

I relaxed in the sofa reading a book I read for about 1 hour daily averagely in the last 2 weeks - "Mountains beyond Mountains - The quest of Paul Farmer".
I had decided recently to ensure I exercise almost daily in view of my ardous schedule and increased stress. So at 9:10pm I went to the Gym at the basement where I walked the threadmill for about 45mins during which I also prayed. Now getting better at using every available time alone to do this now as time becomes more and more scarce.

After a warm shower afterwards, I picked my books and left for the computerlab to do some homework. I worked through as many as I could till about 1 30am when Dim called and I spent about 30mins talking with her. It was good talking again after about 36hours!

Time is now 2:29am on Thursday. I have just returned to my apt and ready to go to bed!

Now thanks be to God who now and always, causes us to triumph and cause the savor of the knowledge of Christ to be spread through us in every place!

Tuesday, September 16, 2008

Sick Hospitals!


I put below an article by Simon Kolawole, another unpleasant testimony of how we kill ourselves. Imagine if it's you or your dad in the situation below! God save us.

Just How Sick are Nigerian Hospitals?Simon Kolawole Live!, Email: simonkolawole@thisdayonline.com, 09.13.2008

I’m ever very desperate to be positive about my country. I’m ever eager to celebrate the smallest of achievements and the tiniest of gestures, all in an attempt to catch a glimpse of a silver lining in the dark cloud hanging over the alleged Giant of Africa. But then one thing happens and the whole enthusiasm just comes crumbling, like biscuits in the mouth.

Today, I’ll like to briefly discuss what has been bothering most Nigerians – the state of our hospitals. President Umaru Musa Yar’Adua’s medical pilgrimage seems to have re-ignited Nigerians’ anger on the state of healthcare in the country. We should all be worried. We should all be angry. I am ready to concede that some things have changed, but obviously not enough has changed to make us shout Uhuru. In fact, most of the stories you hear from our hospitals are heart-breaking. I like to illustrate the rot in this society with personal experience. I will do so again today.

Two weeks ago, my driver called me to say his father was ill. He suspected typhoid. Take him to a general hospital, I told him, because I don’t really trust many of the private clinics which often lack the expertise but would eagerly wave huge bills in the face of unfortunate Nigerians. He took the man to Gbagada General Hospital, Lagos. This was in the evening. The person who was supposed to issue registration cards had taken a stroll. The lady in sight, whose duties my driver couldn’t really define, advised them to sit down and wait because “issuing cards is not my duty”. After waiting for an hour, with his father in pains, my driver finally sighted the card issuer. Card issued, they waited for another one hour to see the doctor.

The lady, who said she was not a card issuer, was obviously the one who would grant them access to the doctor, but she was busy talking and gisting on “MTN Xtra Cool” (as my driver put it). “I could not believe my eyes,” my driver said. “She must have been on the phone for 50 minutes. In the process, the doctor had resumed work. I didn’t know. It was another nurse who came to advise me that I had to keep troubling the lady before we could see the doctor.” Reluctantly, the “MTN” nurse allowed them to see the doctor who did a good job of informing my driver that his father would need a surgery.

There was a little problem though: there was no bed space, so he would refer them to Lagos State University Teaching Hospital (LASUTH), Ikeja, which I understood the Tinubu administration had turned into one of the best in the country today. Midnight, they set out for LASUTH. On getting there, they were told once again that there was no bed space, so they headed for General Hospital in Surulere. Early in the morning the following day, I called him to find out what the situation was. The same story: no bed space.“Go to LUTH immediately,” I ordered him, and then joked seriously: “You see now, if you were a big man you would just take your father to St. Nicholas Hospital or Reddington and deposit N5 million. The operation would have been done by now. Better still, if you were a governor or a minister, you would have flown your daddy to Germany or London by air ambulance for operation.” He got my point easily because I always use him as a sounding board anytime we are going to office. I normally pour out my frustrations about the contradictions in this country on him.

LUTH was the final straw. When I called him to get the situation report, he gave me a very sad picture. “LUTH is the worst so far,” he said. “The lady who attended to us was so merciless. She said we should take our father out of the reception area, that five people had died there while waiting for bed space. We begged her and said that was the fourth place we were being rejected. She shouted on us and told us to go away, asking if we expected her to become a bed. We begged and begged but she got angrier, saying what she hated most in her life was being begged. While we were still begging, one lady brought her father who was obviously in need of urgent attention. The nurse shouted on her. Right before our eyes, the man gasped and died. No first aid. Nothing. The nurse became more agitated and told the confused lady to take the corpse out of the reception immediately. I decided there and then I had seen enough.”

He moved his father to a private clinic across the road where he was asked to deposit N150,000 before treatment would commence. Please don’t ask me how much he earns that he would have saved N150,000 to attend to the health of his father. The doctor wanted the money deposited before he could start any form of work. My driver deposited N50,000 later in the day. For the two nights the man spent there, he only received drips and a few tablets before the doctor advised them to go to one specialist centre at Ikeja. At this stage, I told my driver to move his father to a reputable private hospital on Lagos Island (I wish to withhold the name). The life of the man was in serious danger and everything must be done to save him now.The hospital first turned them back, saying there was no bed space.

But eventually, the man was admitted. My driver got a very strong hint, unofficially, that the man was in serious danger and might not survive. Surprisingly, perhaps because of the money the hospital was going to make from this case, they said they wanted to conduct their own tests before operating on the man. “Before we knew what was happening, they said they had done a scan that would cost us N60,000. They said they were going to do another scan. That’s another N60,000, not counting the other charges,” my driver told me. At this stage, he decided to withdraw his father from the hospital, but for inexplicable reasons, the doctor was never available for him to discuss with. He became desperate to withdraw his father, at least to cut his losses, but the hospital would not play ball yet the man’s condition was getting worse.

Last Wednesday, early in the morning, he received a call informing him that his father had died. Don’t ask me how much the hospital told him to pay for the five days of “treatment”. Don’t ask me how the poor boy mourned the two losses – one of his father and the other of the monumental resources that went down the drain. Sadly, the story I have just told today can represent the experiences of thousands of Nigerians everyday. Nigeria. What a country.

Who will speak for them?


After my last class in ethics, I became more worried about the situation of the health system in Nigeria. Many of our "big men" usually treat their coughs and cold at German, UK and US hospitals. Dubai has also more recently joined the list of destinations. Our President (Nigeria's) just returned from Saudi Arabia where he is alleged to have received medical attention for some ailments.

I am very passionate about the improvement of Nigeria's health system and that is a major reason for being back to school.
While the people have submitted some of their individual rights to the government who makes rules and governs them, the government is failing to guarantee those basic things needed to keep us alive, a fact clearly shown with our terrible life expectancy value. Many of us who will read this blog are the priviledged ones. Just imagine for a moment all those people in the villages without the kind of opportunities we have.... Like the Bible says, if it could happen to the green tree like this, how about the dry? They are voiceless and we must speak for them! Government certainly cannot provide everthing, but it must guarantee their availability....deliberately.

This is the time for us all to look for ways to make our country safer to live in. One way that I know of is the provision of better healthcare.
Let's keep thinking and dreaming and working for the realization of the country of our dreams.

Career Fair

Tuesdays are usually lighter days compared to the days of the week, today held something different. It was also the first career fair in the session. I had never attended one before today!..so you should understand my curiosity plus light apprehension.
I went through the motions at the various stands of different following the script initially - brief introduction, my background and program and interests, while asking what they also do. It was a good learning experience as I gradually moved from my 'stammerings' at my first stop to flowing as I got to the 3rd and subsequent ones.

Lessons learnt
I guess my experience today was made nicer by my earlier appointment with the career services who provided useful tips to 'pimp' my resume and also 'debug' it. I came back with plenty work to do...emails to send, websites to visits and more contacts to follow-up....networking they call it!

1. Don't make your first stop at the company you really love. Try out the other ones first to warm up and practise your script. Then proceed to your company of choice. I spoke to someone who also went straight to the company he really likes and at the end, wished he had made it his 3rd or 4th stop.

2. Prepare well ahead. Research the company , find out what they do and where you may fit in.
3. Get your resume ready and your business card - have enough copies to pass around.
4. Get there on time before they become too weary of talking.

Those are the tips that come to mind. Sure I will have more in the future. Check back for more.

Monday, September 15, 2008

Premier Jour


Today marks my first day blogging. Well I'm not sure what to put here for now except that I hope that through this sharing of some of life's journey we can both share the moments and be better off.


I anticipate the blog will contain a wide variety of content which should in summary be an attempt to represent the multi-dimensional aspects my life consists of.


I just ended the last of my scheduled lectures after about 8 hours of immersion into public health, a ritual that occurs every other day and will continue for another 6 weeks before I get a change in schedule.
Aurevoir!