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LUTH performs surgery on 13-day old to free oesophagus

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Doctors at the Lagos University Teaching Hospital, LUTH, have successfully performed a Thoracoscopic Primary Repair of Oesophageal Atresia with tracheosophageal Fistula on a 13-day old baby.

The Chief Medical Director at LUTH, Prof Wasiu Adeyemo said the surgery through the oesophagus of the neonate entailed minimal access surgery on the baby, the first of its kind in any public tertiary hospital in Nigeria.

“Babies with such conditions are unable to feed, they choke when fed because the tube that carries food to the stomach is blocked.

So, they regurgitate, the breast milk comes from their nose and their mouth; they can take it into their chest and it now becomes a problem to them. So that’s first thing and you see them bringing out saliva and it is foaming. Once you see those symptoms, most likely that child has a blockage.

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“This surgery would usually have been done as open tracheotomy with ligation of fistula and end-to-end anastomosis of oesophagus.

This will leave the neonate with a large chest wound and turbulent post-operative recovery period. But recent advances in the developed nations utilize minimal access surgery (Thoracoscopic repair) which has the advantage of minimal tissue injury and therefore reduced metabolic response to trauma and ultimately reduced surgery associated morbidity and better outcome. The baby recovery after surgery was uneventful. The baby will be discharged from the hospital tomorrow,” he explained.

LUTH is one of the two public hospitals in Nigeria with solely dedicated paediatric laparoscopic towers and laparoscopic instruments. This is made possible due to increase in funding by the Federal Government.

“The management of LUTH expresses our appreciation to the team of surgeons, anaesthetists, nurse and other supporting staff that made this feat possible.

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Our appreciation also goes to Dr Igwe of EverCare Specialist Hospital for his readiness to share his knowledge and expertise with us in this particular case.

LUTH is poised to continue to partner with all Nigerians (home and abroad) with expertise in all specialties of medicine for the benefits of all Nigerians,” said Prof Adeyemo.

Lead surgeon, Dr. Felix Alakaloko said babies who require this kind of surgery cannot eat because their oesophagus, which is the pipe that carries food to the stomach, is blocked at birth.

“Something must be done to reconnect that blocked tube so that they can eat. And now that is where we come in and they come to us and we have to operate them. Now operating them is very difficult.

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Because you remember this tube that carries food is in the chest, that means you are going to work on the chest of a new born child to go and reconnect the tube.

“The space is very small. So, when you have to cut open, you endanger the patient as well as trying to help the patient because we are going to make the patient go through a lot of trauma.

Sometimes the patient cannot be helped immediately, so you have to divert the pipe and then find a way to feed them using tubes which is very, very demanding.

“But with the increased funding for the teaching hospital, we have the equipment and facilities that are cutting edge which are the same as obtained in the international community in America and Canada and even in the UK. The equipment and the human resources are available.

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And we are able to treat this patient under minimal access. They don’t have so much trauma on them,” said Dr Alakaloko, a paediatric surgeon.

The specialised surgery which costs about N10 million abroad and N6 million at private hospitals, was highly subsidised by LUTH. Management said this particular case cost just N300,000.

“We are not oblivious of the fact many patients, or parents are indigents and poor. We thank the Federal Ministry of Health and Social Welfare and the two ministers for their passion in ensuring increased funding for tertiary health institutions,” said Prof Adeyemo.

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Health

From ₦370k to ₦570k Monthly: Delta Doctors Get Massive Pay Rise

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In a bold move to tackle the growing shortage of medical professionals, Delta State Governor, Sheriff Oborevwori, has approved a significant salary increase for doctors across the state, alongside a new tax-free allowance for house officers.

The announcement was made by the State Commissioner for Health, Joseph Onojaeme, during a press briefing, where he revealed that entry-level doctors will now earn ₦570,000 monthly, up from the previous ₦370,000.

House officers are also set to benefit, with their earnings rising from just over ₦250,000 to above ₦350,000, boosted by a newly introduced ₦100,000 tax-free “MORE Special Allowance.”

Why the Pay Raise?

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According to the commissioner, the decision was driven by concerns over the low turnout of doctors in the state’s ongoing recruitment exercise.

Despite receiving over 6,000 applications for more than 700 health worker positions, the number of qualified doctors who showed up fell short of expectations—raising alarm over staffing gaps in the healthcare system.

Government’s Strategy

The state government believes the improved salary structure will:

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Attract more qualified doctors

Retain existing medical professionals

Strengthen healthcare delivery across Delta State

Joseph Onojaeme also reassured the public that the recruitment process will remain strictly merit-based, stressing that no form of payment or favoritism will be tolerated.

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Big Picture

With Nigeria facing an ongoing brain drain in the medical sector, Delta State’s move is seen as a strategic attempt to compete with better-paying opportunities abroad and in the private sector.

If successful, this could set a precedent for other states struggling to keep their healthcare workforce intact.

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Health

Resident doctors begin indefinite strike Tuesday

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The Nigerian Association of Resident Doctors has declared an indefinite nationwide strike beginning at 12:00 a.m. on Tuesday, April 7, 2026, citing what it described as the Federal Government’s plan to halt the implementation of the revised Professional Allowance Table, a key component of agreements reached after its 2025 industrial action.

The decision, which threatens to disrupt healthcare services across public hospitals in Nigeria, was reached at the end of the association’s virtual Extraordinary National Executive Council meeting held on Saturday.

Speaking on the outcome of the meeting, NARD National President, Dr Shuaibu Ibrahim, described the development as “unfortunate,” blaming the Federal Government of Nigeria for pushing doctors toward another industrial action.

“The National Executive Council was informed about the Federal Government’s decision to remove the Professional Allowance Table, a development deemed unfortunate,” he said.

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“Following extensive deliberations, the NEC resolved to embark on a total industrial and comprehensive strike beginning at 12:00 a.m. on Tuesday, April 7, 2026.”

The crisis stems from the implementation of a revised Professional Allowance Table negotiated between NARD and the Federal Government following a prolonged strike in 2025. The agreement included improved remuneration packages for resident doctors, covering call duty allowances, shift allowances, rural posting incentives, and non-clinical duty payments.

Although implementation was initially scheduled to commence in January 2026, delays pushed the rollout to February. However, NARD alleged that the government is now planning to discontinue the process by April, a move the association says undermines trust and violates prior agreements.

Healthcare analysts note that disputes over allowances and welfare have been a recurring issue in Nigeria’s health sector, contributing to frequent strikes by medical unions, including the Nigerian Medical Association. These disruptions often reduce access to healthcare services, particularly in public hospitals that cater to the majority of Nigerians.

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Outlining the association’s demands, Ibrahim called for the immediate reversal of the government’s decision and settlement of all outstanding entitlements.

“We demand the reversal of the decision to cease the implementation of the PAT starting in April 2026,” he said.

“There must be immediate payment of promotion arrears and salary arrears in affected centres, as well as the prompt conclusion of the process of paying the 2026 Medical Residency Training Fund.”

“We also insist on the immediate processing and payment of the outstanding 19 months’ arrears of the Professional Allowance.”

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He further urged members of the association nationwide to remain united.

“The NARD leadership calls on its members to unite in the fight against this injustice and to pursue it to a logical conclusion,” Ibrahim added.

The planned strike raises concerns about the potential impact on Nigeria’s already strained health system. Resident doctors form the backbone of service delivery in tertiary hospitals, handling a large proportion of patient care.

According to health sector data, Nigeria faces a severe shortage of medical personnel, with doctor-to-patient ratios far below the World Health Organization (WHO) recommended standard of one doctor to 600 patients. Estimates suggest Nigeria’s ratio is closer to one doctor per 5,000 patients, particularly in underserved areas.

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An indefinite strike could lead to the shutdown of outpatient services, delays in surgeries, and increased pressure on private healthcare facilities, raising concerns among patients and health advocates.

Stakeholders have called for urgent intervention to avert another disruption in the health sector, warning that repeated strikes could worsen the ongoing brain drain among Nigerian doctors seeking better working conditions abroad.

As the strike deadline approaches, attention is now on the Federal Government to engage with NARD and resolve the dispute, with millions of Nigerians potentially affected if negotiations fail.

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Economy

EU Unveils €290m Investment Package to Deepen Ties with Nigeria

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By Gloria Ikibah

The European Union has announced a major upgrade in its relationship with Nigeria, unveiling a €290 million investment package aimed at boosting key sectors including digitalisation, healthcare, agriculture and migration management.

The announcement was made on the sidelines of the Eighth Ministerial Dialogue in Abuja, co-chaired by Nigeria’s Minister of Foreign Affairs, Yusuf Maitama Tuggar, and the EU’s High Representative for Foreign Affairs and Security Policy, Kaja Kallas.

The funding, part of the EU’s Global Gateway strategy, will support seven new projects designed to strengthen economic cooperation and reflect what both parties described as a renewed political commitment to deeper bilateral ties.

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Speaking at the event, Ms Kallas said: “In the current
geopolitical context, the European Union is keen to enhance its partnership with Nigeria. Bringing more EU investment to Nigeria, aligning with the Renewed Hope agenda for the Nigerian Federal Government is a key priority for both sides in this regard”.

EU Commissioner for International Partnerships, Jozef Síkela, highlighted the broader impact of the initiative, stating: “Together with Nigeria, we are investing in the modernisation of the digital sector, a stronger health system and in the development of agriculture. These Global Gateway investments create new quality infrastructures, sustainable jobs and long-term economic opportunities that benefit the Nigerian people, but also create new opportunities for Europe”.

A significant portion of the package — €131 million — is earmarked for digital development. The funding will support the expansion of broadband infrastructure, including the rollout of 90,000 kilometres of fibre optic cable, aimed at improving connectivity and reducing internet costs for millions of Nigerians currently without access. It will also fund the development of secure digital public systems and support large-scale training initiatives under Nigeria’s technical talent programme.

In the health sector, €55 million has been allocated to boost local pharmaceutical production. Through a new credit line backed by the European Investment Bank, Nigerian companies will gain access to preferential loans to support the manufacturing of medicines and vaccines. The initiative will also include vocational training programmes to build expertise within the workforce.

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Agriculture is set to receive €86 million in additional support, focusing on cocoa and dairy value chains. The funding will facilitate access to finance for businesses and smallholder farmers, while also promoting climate-smart agricultural practices. The move aligns with Nigeria’s ambition to expand milk production and strengthen its cocoa exports to European markets.

Meanwhile, €16 million has been dedicated to migration-related initiatives. The funds will support the reintegration of returning migrants and enhance efforts to combat human trafficking and smuggling networks. The EU says it will continue to assist stranded migrants wishing to return home voluntarily, while also strengthening support systems to help them rebuild their lives.

The latest commitments add to existing EU-backed projects in Nigeria, including investments in transport infrastructure in Lagos, renewable energy development, democratic governance, and efforts to combat gender-based violence.

With these new agreements, total EU and Team Europe commitments to Nigeria since 2025 now stand at €962.5 million, underscoring what officials describe as a rapidly evolving and increasingly strategic partnership.

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