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HEALTH & EDUCATION

Nigeria Needs to Take Science more Seriously – an Agenda for Nigeria’s President-elect

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By Oyewole Tomori

Nigerians voted to elect a new president on 25 February and he will be sworn in on 29 May 2023. One of his responsibilities must be to lead the country in taking science more seriously. Science should be the fulcrum of Nigeria’s development. As a fellow and past president of the Nigerian Academy of Science, the umbrella body of Nigeria’s leading scientists, he offers the following tips for Nigeria’s new president:

Increase funding for scientific research

Nigeria has shown a deep neglect of science. Science and technology are seriously underfunded and minimally used in national development. For example oil refineries are shut down and Nigeria cannot produce vaccines locally, having stopped in 1991. The first time Nigeria had a Ministry of Science and Technology was in 1980, 20 years after independence. The first national science and technology policy was produced in 1986, six years later.

During the first 20 years of the ministry, it had 10 ministers, each with a different agenda and policy.

Nigeria’s first real attempt at funding public research was in 2006, when the government planned to create a US$5 billion endowment fund for science and technology. But the political will to do this wilted in the face of a lack of commitment of funds to execute the proposal. Since then, funding science and research in Nigeria has been as erratic and unpredictable as the political changes.

An attempt was made in 2012 to revive the fund with an independent board, headed by President Goodluck Jonathan himself. But when he left office in 2015 there was still no fund.

In 2016, the federal government announced a N3 billion (US$6.5 million) National Research Fund. A committee to manage it was only set up 17 months later.

Despite the promise of the Buhari government in 2021 to dedicate 0.5% of GDP to research and innovation, the budgetary allocation to the relevant ministry remained abysmally low at 0.14% of GDP in 2022. This was about the same level for the previous years – 0.13% and 0.14% for 2020 and 2021.

If Nigeria is to benefit from science and research, and harness technology and innovation to transform the economy and improve the social well-being of citizens, then the country must stop playing lip service to funding science and research activities.

The new government must rapidly harness science, technology and innovation as tools for national development. For example, the country could benefit from the development of solar energy to improve and stabilise the erratic electric supply, and from genomic studies to develop new therapeutics and vaccines for improved health and increased animal production.

Nigeria must increase the budgetary allocation to fund science and research annually from the current 0.14% of GDP to at least 1% in the next four years.

It must also expand the scope and funding capacity of the Tertiary Education Trust Fund to sustainably fund long term interdisciplinary research directed at solving Nigeria’s health, environment and other developmental challenges.

The new president must also see to it that the proposal to establish the Nigeria National Research and Development Foundation is realised before the end of his first year in office. Not much has been heard about this proposal lately.

Retain the capacity that’s built

The new president must recognise the need to prioritise capacity retention over capacity building. This should be through creating and sustaining a scientific and research environment that enables our highly trained workforce to conduct research activities productively and with relevance.

Too many of Nigeria’s scientists leave the country because of lack of employment opportunities, socio-cultural issues, poor remuneration and non-attainment of professional fulfilment. For instance, nine out of 10 medical and dental consultants with less than five years of experience planned to leave Nigeria as at December 2022. Similarly, 57,000 nurses left Nigeria between 2017 and 2022 leaving a ratio of one nurse to 1,660 patients, based on the population. Software engineers are leaving too.

The research environment can be improved through easier access to foreign exchange and reduced importation charges for imported research equipment, supplies and reagents. Research also requires a stable electricity supply. Electricity production in Nigeria reached 7,637 GWh in June 2022, for a population of 219 million. For comparison, South Africa’s electricity production  reached 17,536 GWh in December 2022, for a population of 61 million.

Appoint a chief scientific adviser

As a matter of urgency, the president must appoint a chief scientific adviser charged with coordinating all science and research activities for the economic development of the country and social well-being of citizens.

Currently, science and research activities are scattered among different ministries and parastatals working in silos, carrying out uncoordinated work of little relevance to national development. The adviser to the president would assist in bringing all these together to ensure relevant focus and to reduce duplication and wastage of resources.

Start producing vaccines locally

The new president must consider local vaccine production as a national health security issue. He must ensure local vaccine production begins within the first two years in office. This will reduce costly dependence on foreigners for the country’s vaccine needs and safeguard national health security. Currently Nigeria produces no vaccines but a production plant is scheduled to commence production in 2024.

Prof. Oyewole Tomori is a Fellow, Nigerian Academy of Science

Courtesy: The Conversation


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EDITORIAL

Islamic Finance Shaping the Future: A Reflection on the International Summit on Financing Primary Healthcare Infrastructure in Nigeria

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On November 30th, 2023, the International Summit on Financing Primary Healthcare Infrastructure in Nigeria took center stage in Abuja, bringing together global leaders, financial experts, and healthcare professionals to deliberate on a critical theme: “Islamic Finance: Exploring New Sources of Financing for Primary Healthcare Transformation in Nigeria.” This landmark event, which was organized by DUKE Consult Limited in strategic collaboration with the Africa Islamic Economic Foundation, Ghana and Glocal Healthcare Systems Ltd, India, marked a significant step towards addressing the healthcare infrastructure challenges in Nigeria through innovative and sustainable financing mechanisms.

The Urgency of Healthcare Infrastructure Transformation

Nigeria, like many other developing nations, faces substantial challenges in its healthcare infrastructure. The need for adequate facilities, skilled healthcare professionals, and sustainable funding mechanisms has become increasingly urgent, especially in the wake of global health crises. The summit recognized that achieving robust primary healthcare infrastructure is pivotal to ensuring the well-being of the population and addressing health disparities.

Islamic Finance as a Catalyst for Change

The choice of Islamic finance as the central theme reflects a strategic move towards diversifying sources of funding for healthcare infrastructure. Islamic finance principles, rooted in ethical and equitable financial practices, provide an alternative framework for generating funds. By exploring these principles, Nigeria aims to tap into new avenues that align with its cultural values while fostering inclusive economic development.

Key Discussions and Agreements

The summit facilitated in-depth discussions on the potential of Islamic finance to transform Nigeria’s primary healthcare infrastructure. Attendees deliberated on the principles of Islamic finance, such as risk-sharing, profit and loss sharing, and ethical investment, as tools for shaping a more sustainable healthcare future.

One of the primary outcomes was the establishment of collaborative initiatives between the public and private sectors, leveraging Islamic finance instruments to fund healthcare projects. The summit also saw the formation of partnerships with international organizations and financial institutions, showcasing a commitment to shared responsibility in addressing Nigeria’s healthcare challenges.

Emphasizing Inclusivity and Cultural Sensitivity

An essential aspect of the summit was the emphasis on inclusivity and cultural sensitivity in healthcare financing. Recognizing that Islamic finance aligns with Nigeria’s cultural and religious values, the summit underscored the importance of tailoring financial mechanisms to the specific needs and beliefs of the population. This approach ensures that healthcare development is not only economically sustainable but also culturally resonant, promoting widespread acceptance and participation.

Looking Forward          

The International Summit on Financing Primary Healthcare Infrastructure in Nigeria has set a precedent for innovative and inclusive approaches to addressing healthcare challenges. As Nigeria strives to achieve its healthcare transformation goals, the incorporation of Islamic finance principles serves as a beacon for other nations facing similar challenges.

In conclusion, the summit marked a pivotal moment in Nigeria’s journey towards sustainable healthcare development. By exploring new sources of financing rooted in ethical principles, the country is forging a path towards a healthier, more resilient future. As the initiatives launched at the summit unfold, they have the potential not only to transform healthcare infrastructure but also to serve as a model for other nations seeking innovative financing solutions in the pursuit of universal health coverage.


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HEALTH & EDUCATION

Highlights of the One Day International Summit on Financing Primary Healthcare Infrastructure in Nigeria

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By our special correspondent

A one-day international Summit on Financing Primary Healthcare Infrastructure in Nigeria under the theme: Islamic Finance: Exploring New Sources Of Financing For Primary Healthcare Transformation in Nigeria was held in Abuja, the Capital of the Federal Republic of Nigeria on the 30th of November, 2023, at the NICON Luxury Hotel, under the distinguished Chairmanship of His Excellency, Senator Ibrahim Shekarau, former Executive Governor of Kano State.

The groundbreaking event, which was organized by DUKE Logistics & Consult (Nigeria) Limited, Abuja, in strategic collaboration with the Africa Islamic Economic Foundation, Ghana and Glocal Healthcare Services Limited, India, was held to explore innovative healthcare financing models that leverage Islamic finance instruments such as sukuk (Islamic bonds), waqf (endowments), and takaful (Islamic insurance), etc. in providing sustainable and long-term financing for primary healthcare transformation in Nigeria; and to foster collaboration between the various states of the federation to share best practices and experiences in leveraging Islamic finance for healthcare projects.

The summit featured keynote speeches and discussions on various topics related to Islamic finance, healthcare infrastructure development and digital health solutions: The role of Islamic Finance in healthcare Infrastructure Development in Nigeria, by Prof. Ahmad bello Dogarawa of the Ahmadu Bello University, Zaria; Digital Health Solutions Innovation: The Glocal Story, by Mr Shailesh Kumar, of the Glocal Healthcare Systems Limited, India; Digital Health Transformation: Opportunities & Challenges, by Hon Dr Abdel Majeed Haroun, former Minister of Agriculture, Republic of Ghana; Africa Healthcare Infrastructure Program (AHIDEP), by Hajiya Aishatu Usman Muhammad of the Gombe State University, Gombe, The foregoing presentations were supported with expert and insightful discussions by Dr Aisha Ahmed, an Islamic Finance expert and consultant, Abuja and Mr. Muhammad Lawal Shu’aibu, CEO, LCM Consult Limited Abuja.

One of the key discussions revolved around the role of Islamic Finance in healthcare infrastructure development in Nigeria. Participants delved into the potential of Islamic Finance to provide sustainable funding for the construction and maintenance of healthcare facilities. This topic explored innovative financing models that align with the principles of Islamic Finance, such as waqf (endowment) and sukuk (Islamic bonds).

Another captivating topic discussed at the summit was “Digital Health Solutions Innovation: The Glocal Story.” The term “Glocal” refers to the combination of global and local perspectives. The Summit focused on the Glocal Story, which highlighted its cutting-edge digital health solutions that bridge the gap between global advancements and local healthcare needs. Experts shared success stories, case studies, and best practices, showcasing how technology can revolutionize healthcare delivery in Nigeria by improving access, affordability, and quality of care.

Furthermore, the summit covered the topic of “Digital Health Transformation: Opportunities and Challenges.” This presentation highlighted the importance of adapting digital health solutions to the specific needs and contexts of Nigeria. It addressed how these innovations can improve healthcare accessibility, efficiency, and quality, particularly in underserved areas. Participants explored the potential benefits and challenges associated with digital health transformation in Nigeria. They examined how technological advancements, such as telemedicine, electronic health records, and artificial intelligence, can revolutionize healthcare delivery and management in the country.

The presentation of the Africa Healthcare Infrastructure Development Program, the flagship initiative of the Africa Islamic Economic Foundation, offered participants a glimpse of the functions of the Program. The presentation shows that AHIDEP is a great platform to connect with international organizations and investors who are interested in supporting healthcare initiatives in Nigeria. However, to showcase the importance and potential of a healthcare project to potential investors, potential beneficiaries would have to prepare a comprehensive proposal outlining their healthcare infrastructure development goals, strategies, and the potential impact.

The discussions also touched upon the importance of involving stakeholders and ensuring efficient management of healthcare infrastructure projects. Furthermore, the discussions elucidated in detail how Islamic finance can support the innovation and implementation of digital health solutions tailored to the Nigerian context. The conversation revolved around leveraging technologies like telemedicine, mobile health applications, and electronic health records to enhance access to healthcare services, especially in remote areas. The importance of collaborations between local and international stakeholders for effective digital health transformation was also emphasized.

Overall, this one-day event, the international summit on financing primary healthcare infrastructure in Nigeria provided a platform for experts, policymakers, and stakeholders to discuss strategies and explore new sources of financing for primary healthcare transformation in Nigeria. It showcased the potential of Islamic Finance as a viable option and emphasized the importance of digital health solutions in shaping the future of healthcare in the country.


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HEALTH & EDUCATION

Investments in Digital Can Accelerate Improvements in Health Care

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Digital technology can strengthen health systems, improve health financing and public health, and increase reach to underserved populations, according to a new World Bank report launched today. The report also finds that digital technology and data are especially helpful to prevent and manage chronic diseases, care for both young and aging populations, and prepare for future health emergencies and health risks triggered by climate change.

The report, Digital-in-Health: Unlocking the Value for Everyone, was launched today during the G20 Health Ministers Meeting in Gandhinagar, India. It presents a new way of thinking from simple digitization of health data to fully integrating digital technology in health systems: Digital-in-health. This means, for example, infusing digital technologies in health financing, service delivery, diagnostics, medical education, pandemic preparedness, climate and health efforts, nutrition, and aging.

The report also underscores that the successful use of digital technologies must be inclusive of all population groups, and ensure access to digital infrastructure, modern technologies, and skills, especially for vulnerable people.

Designed with people at the center, digital technology can make health services more personal, prevent healthcare costs from increasing, reduce differences in care, and make the job easier for those who provide health services,” said Mamta Murthi, Vice President for Human Development, World Bank. “We hope that this report will give governments confidence and practical guidance, regardless of the country’s stage of digital maturity or fiscal challenges.

Improving health is getting harder, not easier. Health systems face serious and growing challenges and policy decisions are too often not based on reliable data.  It is estimated that some countries use less than 5% of health data to improve health which means that decisions are not based on data or data is not used effectively to make improvements. Within challenging fiscal environments, people-centered and evidence-based digital investments can help governments save up to 15% of health costs. The report presents pragmatic, low-cost actions to improve digital-in-health, no matter the maturity of a country’s systems or digital infrastructure. For example, better health data governance and standards to ensure systems can readily connect and exchange information are not costly but will be game changing in reducing siloed digital solutions and fragmentation.

In India, we have shown that digital innovations such as tele-consultations have reached more than 140 million people and provided accessible, affordable and efficient healthcare for everyone,” said Mansukh L Mandaviya, Minister for Health and Family Welfare, India. “We believe a digital-in-health approach can unlock the value of digital technologies and data and has the potential to prevent disease and lower healthcare costs while helping patients monitor and manage chronic conditions.” 

To help countries embrace a digital-in-health approach, the report proposes three essential areas to guide investments:

  1. Prioritize evidence-based digital investments that tackle the biggest problems and focus on the needs of patients and providers.
  2. Connect the regulatory, governance, information, and infrastructure dots so that patients know that data is safe and health workers can use digital solutions transparently.
  3. Scale digital health for the long run based on trust with sustainable financing, and improved capacity and skills for digital solutions.

It will take global, regional, and country leadership to make digital-in-health a reality. The report recommends strong country leadership involving all relevant sectors and stakeholders, including civil society. Digital technology and data improvements will involve investments beyond the health sector and new partnerships with the private sector. A digital-in-health mindset needs to be a routine aspect of annual health system planning, budgeting, and implementation.

The World Bank is committed to helping low-and middle-income countries to make digital-in-health a reality to improve health for everyone. Over the past decade, the World Bank has invested almost $4 billion in digital health including in health information systems, digital governance, identification systems, and infrastructure.


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