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How Abia beat other states under Ikpeazu in implementing PHC policy
Observations from empirical research have shown that Abia State during the administration of Dr Okezie Ikpeazu progressed massively in the implementation of the federal government’s Primary Healthcare Under One Roof (PHCUOR).
Our findings show that Primary Health Care Under One Roof (PHCUOR) is a Primary Health Care (PHC) reform agenda driven by the National Primary Health Care Development Agency (NPHCDA) to reverse fragmentation in PHC delivery at sub-national levels by bringing PHC management, human resources, financing and operational responsibilities under one State level body, the State Primary Health Care Board (SPHCB).
Previously, PHCUOR carried out Scorecards 1-5, but in a recent report on Scorecard 6 which was conducted in August/September 2022, Abia State scored 100% in the assessment placing it in the 1st position nationwide.
The report shows that there are 615 health facilities in the State: 518 (84%) are PHC facilities and 96 (16%) are SHC facilities. Ninety-three (481) per cent of the PHC facilities are public health facilities while 7% (37) are private health facilities.
There is the institutional framework which is made up of nine pillars with respective criteria through which PHCUOR arrives at its research findings and they are: Governance and Ownership, Legislation, Minimum Service Package (MSP), Repositioning, Systems Development, Operational Guidelines, Human Resources, Funding Sources and Structure and Office Setup.
Making a report on Abia’s Comparative Discussion table, PHCUOR said, “Abia State PHCUOR implementation has recorded significant leaps through the period in view, with Scorecard 6 performance being the best and placing the state at the 1st position nationwide.
“The table above shows the state’s commitment towards implementing PHCUOR including addressing the issues within the Legislation, MSP, and Repositioning that posed the most challenge to the state.
“Abia can be a model state for other states in the implementation of PHCUOR. Additionally, Abia state should begin to shift towards leveraging the full implementation of PHCUOR to significantly improve the state’s health outcomes.”
According to the 2022 Scorecard-6 report, Abia’s performance using the nine pillars that the state scored 100% in Governance & Ownership, 100% in Legislation, 100% in MSP, 100% in Repositioning, 100% in Systems Development, 100% in Human Resources, 100% in Funding Sources, 100% in Operational Guidelines and another 100% in Office Set up.
According to the PHCUOR report, the I the Scorecard-6 were to: (a) assess the current establishment status of PHCUOR institutional framework in the 36 States and FCT, (b) compare individual state progress in establishing the framework across Scorecards 4, 5 and 6,
“(c) systematically identify weak areas within the PHCUOR framework for individual states and recommend necessary support to improve states performances and (d) generate evidence for use in advocacy to government and non-government stakeholders on primary health care reform in Nigeria.”
The report states that the data collected during the 2022 national PHCUOR scorecard 6 assessment exercise have been analysed leading to di findings and appropriate recommendations contained in the report.
Some of the notable recommendations made include that, “Abia, Niger, and Plateau States should peer mentor other states to fully implement PHCUOR.
“States should periodically self-assess their PHCUOR implementation status to reduce or completely eliminate varied performance as recorded in the SC6 comparative analysis section.”
It was another day of misery in Kwara State, when daredevil terrorists reportedly stormed Yashikira Community in Baruten Local Government Area of Kwara State, and as has been the case in many of the attacks, abducting scores of residents including women and children.
But, apparently to register their authority, the gunmen, who were said to have operated for hours without challenge from the security operatives, were said to have torched the palace of the Emir.
The attackers, which reportedly occurred late Sunday night were said to have announced their presence through heavy firing and after storming the palace of the monarch during the period, set it on fire before whisking away their victims, but a similar attempt at the police station in the community, was repelled.
While some of the residents, narrated how the spent hours without resistance, leaving behind destruction and fear in the border community, another account said the villagers were caught unawares as the gunmen invaded the town under the cover of darkness.
However operatives made up of the police and military personnel, were said to have launched a manhunt immediately for the immediate rescue of the victims, including throwing a cordon in the area as part of the mission.
“The suspect offered ₦500 million to the SPU commander in an attempt to make the team stand down and allow him to contact his associates to move the consignment elsewhere. The offer was rejected immediately and properly documented for further investigation.”
These were the exact words of Olohundare Jimoh Assistant Inspector General of Police (AIG), with which he detailed how operatives of the Zone 2 Command of the Nigeria Police Force (NPF) scoffed at a N500million bribe to turn their eyes off the importation of a huge consignment of drugs imported into the country.
This was part of the details of a major breakthrough by the operatives after bursting a major drug trafficking syndicate in Lagos, which led to the seizure of suspected illicit drugs estimated at ₦7.8 billion and arresting several suspects, including the alleged kingpin.
In the operation, reportedly carried out by officers of the Special Protection Unit (SPU) in collaboration with divisional police detectives, the operatives, were said to have stormed a house in Mende, Maryland area of Lagos, following months of surveillance and intelligence gathering coordinated by the Zone 2 Headquarters.
The recovered drugs consisted of hundreds of bags of suspected Canadian Loud, allegedly stored in the residence of the prime suspect, Jimoh, said disclosing that the suspect was apprehended on May 19 after weeks of strategic monitoring by operatives.
Offering further details, he said the operation was executed with technical support and guidance from the Inspector-General of Police, IGP Olatunji Disu, alongside coordinated efforts between the SPU and divisional police teams.
Jimoh revealed that during the operation, the suspect allegedly attempted to bribe the SPU commander with ₦500 million to compromise the mission and allow the movement of the drug consignment.
The AIG described the development as a reflection of the renewed professionalism and operational discipline being entrenched in the Force under the current policing strategy.
He noted that the success of the operation underscored the importance of deploying specialized police units alongside conventional divisional teams in tackling organized crime.
According to him, the operation demonstrated the effectiveness of rapid containment strategies, intelligence-led policing, and professional conduct among the operatives involved in the raid.
“Rapid containment was achieved as the Special Protection Unit worked with divisional teams to secure the perimeter and prevent escape or interference with evidence.
“The operation was intelligence-driven, following months of surveillance and technical monitoring before the raid was carried out.
“The immediate rejection and documentation of the bribe attempt also reflect the standard expected from redeployed personnel at the divisional level,” Jimoh added.
Reacting to the development, the Inspector-General of Police, IGP Olatunji Disu, commended the operatives for their professionalism, saying the success of the operation validated the ongoing redeployment of personnel to divisions and units across Lagos and Ogun states.
The IGP noted: “Policing must be close to the people, and our specialized units must work side by side with divisional teams on the ground.
“The professionalism shown by the SPU commander in rejecting a ₦500 million bribe and following due procedure is the standard we expect. It shows that when you put your best foot forward at the grassroots, you get results and restore public trust.”
Disu further assured that the Force leadership would continue to reward integrity while holding officers accountable to the highest ethical standards.
Police authorities said exhibits recovered during the operation have been properly documented and will be tendered in court. The suspects are currently in custody while investigations continue to track down other members of the drug trafficking network.
Slavery is a wound on the memory of the Universal Church, Pope Leo XIV, said on Monday, as he issued a fresh apology over the participation of the the Catholic Church in the centuries-long delay in condemning slavery.
The pontiff stressed the position of the church after his predecessors had offered similar apologies, said: “For this, in the name of the Church, I sincerely ask for pardon.”
Writing in a major text that warned about “new forms of slavery” behind the digital economy, the joined John Paul II, who denounced slave trade in 1992 before issuing a sweeping request for forgiveness for historical injustices in 2000 and Pope Francis who also repeatedly denounced contemporary forms of slavery.
In his own vein, Pope Leo, pointed out that the Church owned slaves until the Middle Ages and it also advised European sovereigns on how to justify the enslavement of “infidels.”
He stressed in “Magnifica Humanitas” (Magnificent Humanity), a document focused primarily on the rise of artificial intelligence, that it was only in the 19th century that “a formal, absolute and universal condemnation of slavery was clearly articulated.”
Hear him: “It is true that past events cannot be judged anachronistically, as though the moral criteria that matured over time had always been available. Yet neither can we deny or diminish the delay with which both society and the Church came to denounce the scourge of slavery. This constitutes a wound in Christian memory, one from which we cannot consider ourselves detached.”
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